Maryam Al Arbeed

Patient safety

We as health professionals emphasis on the importance of patient safety.  What is patient safety and why it is important?

According to several published studies, if a hospital has a safe patient culture they will have less medical errors and increased patient satisfaction.
According to world health organization “patient safety is the absence of preventable harm to patient during the process of healthcare”, and according to Wikipedia, patient safety is “a discipline that emphasizes safety in health care through the prevention, reduction, reporting, and analysis of medical errors that often leads to adverse effects”.

After prolonged surveys and study’s by WHO they found several types of medical errors which lead to harm to the patient that can be prevented.  Then they prioritized these errors according to likelihood of happening.  After that through evedince-based practice they established set of interventions that would help healthcare organizations to stop these errors from happening or reaching the patient and cause harm, this set of interventions are called patient safety solutions.

National accreditation standards for hospitals lists them as Patient Safety Required Areas (PSRA) for the hospital to be accredited.

These Patient Safety Required Areas are:

1- Patient verification

2- Transfer of patient information at transition point

3- Medication reconciliation

4- Safe surgical practices

5- Control of concentrated electrolytes

6- Training on patient safety

7- Hand hygiene

8- Timely administration of prophylactic antibiotics

9- Safe injection practices

10- Performance of correct procedure at correct body site

11- Look alike sound alike medication names

12- Avoiding catheter and tubing misconceptions


Finally, I would like to thank Quality and Accreditation Directorate for conducting Kuwait Conference on Quality in Healthcare in the Regency Hotel on the 13th to 15th of March 2017, under the patronage of his excellency Dr. Jamal Al-Harbi, the minister of health in Kuwait. The conference was held during world patient safety awareness week, which is dedicated to educate and spread awareness about the importance of having patient safety culture in healthcare organizations.

The conference program was about:

1- Exchange quality improvement experiences

2- Generate momentum for change in your organization

3- Learn latest quality improvement issues, tools, and techniques

4- Network with like-minded colleagues

So thanks to all of the organizers who made it happen, thanks to all the speakers who made it interesting, and a big “Thank You” to all who attended, you made the conference serve it’s purpose.

 

references:

– national accreditation standards for hospitals

– http://www.who.int/mediacentre/news/releases/2007/pr22/en/

-https://en.m.wikipedia.org/wiki/Patient_safety

 

 

MS

We are in march and worldwide is dedicated for the education of MS. Let’s first explain what is MS?it is the short name off multiple sclerosis disease.  It is an inflamatory iimmune disease  with unknown causes, it attacks the myelin sheath which in the nerve fibers which is responsible for transmitting nerve impulses from the spinal cord to the brain.

The symptoms varies from person to person, but the most common symptoms are:

1- Sensory loss

2- Muscle spasms

3- Bladder and bowel incontinance

4- Vision problems

5- Depression

6- Concentration and memory problems

Diagnosis of MS consist of:-

– Clinical examination to identify related symptoms

– Then the patient has to do an MRI and sometimes lumbar puncture

The aim of treatment is to delay the progress of the disease and reduce the symptoms

Now I have MS what do I feel? What to do next?

Patients who suffer from MS, their main complain is like they ares loosing control of their body, this is as a result of poor communication between the nerves.

What to do next? Let us elaborate on that:

1- Do not give up, you are not alone. Being in a support group helps the patient psychologically.

2- Relax; getting periods of rest will ease the symptoms

3- Exercise will help you in maintaining muscle tone and strengthen the body to keep the balance and coordination.

4- Try not to be exposed to extreme temperatures especially heat, hot temperatures can aggravate symptoms, when you experience this situation try to apply cold compresses to reduce the symptoms.

5- Like all chronic illnesses, keeping nutrients as well as a balanced diet is important to provide the body with adequate nutrients.

live well with MS

Reference:

1- emedicine.medscape.com

2- mayoclinic.org

اضطراب الاكل

اضطراب الاكل هو اضطراب سلوكي يصيب الرجال والنساء على سواء، وأكثر الأشخاص العرضة له المراهقين. وهو اَي حاله نفسيه تتعلق بعادات الأكل سواء كميات زائدة عن الحاجة أو أقل من الحاجة التي يحتاجها الجسم.  بالرغم انه يصنف كمرض نفسي ولكن اذا لم يتم علاجه مبكرا قد يؤدي الى أمراض عضوية وإذا تفاقم المرض دون علاج قد يؤدي الى الموت.

من اهم انواع اضطراب الاكل:

anorexia nervosa ١- فقدان الشهية العصبي

يتصف المصاب بالنحافة الشديده بسبب عدم تناول الكميات الكافيه لحاجته العمرية، ويتصف بانسحابه الاجتماعي ورفضه لتناول الطعام مع انكاره للجوع لاعتقاده بانه سمين.

bulimia nervosa ٢-النهام العصابي

يكون شكل المصاب طبيعي أو يتسم بزيادة قليله في الوزن.  يستهلك المصاب بهذا المرض باكل كميات كبيره من الغذاء في فترة قليله من الوقت ثم يتعمد التخلص منه عن طريق تعاطي الادويه الملينه أو التقيؤ عمدا. يمكن لطبيب الأسنان ملاحظة تاكل مينا الأسنان بسبب تعرض الأسنان لأحماض المعدة المتكرره.

binge eating ٣- الشراهة عند تناول الطعام

المصاب بهذا النوع يظهر بشكل طبيعي، أو ذو وزن زائد، أو بدين .

يقوم هذا الشخص بتناول كميات مفرطة من الطعام بسرعة شديده الى ان يشعر بعدم الراحة أو بالالم نتيجة الاكل بالرغم من عدم احساسه بالجوع.  يرافق هذا المرض الشعور الدائم بالاكتئاب النفسي

أعراض اضطراب الأكل:

الهوس العام بالشكل الخارجي للجسم-

اخفاء كميات الطعام خصوصا الاطعمة ذات السعرات الحرارية العالية-

اتباع حميات غذاية قاسية رغم النحافة الشديدة-

التقيؤ المتعمد والمتكرر خصوصا بعد الوجبات –

تدني تقدير الذات-

أسبابه:

١- تاريخ عائلي بالمرض

٢- تناول الطعام وحيدا من غير الاسره

٣-الاعلام الترويجي المتعلق بالجسم المثالي

٤- الضغوطات من الأصدقاء بشأن الوزن المثالي

٥- الجهل بالانظمة الغذائية الصحية

أضراره:

– النحافة الشديده أو السمنه المفرطه

– الوهن الجسدي

– اختلال في وظائف الكبد

– اعتلال في نسب مكونات الدم مما يؤدي الى حالات اغماء

– انخفاض في معدلات الأملاح والمعادن في الدم مما ينتج عنه عدم انتظام دقات القلب و التشنجات العضلية

– عدم انتظام الدورة الشهرية عند الإناث وضعف الرغبة الجنسية عند الذكور

-في المراحل المتأخرة للمرض ممكن ان يعاني المصاب من هشاشة العظام و فشل أو قصور في عضلة القلب

– الاكتئاب المرضي ومحاولة الانتحار

علاجه:

اول خطوة للعلاج هي رغبة المريض بالعلاج.  التدخل المبكر ضروري لتفادي الأضرار المترتبة عن اضطراب الاكل.  وذكر المعهد الوطني للصحة النفسيه ان العلاج يتلخص في استشارات نفسيه وتثقيف غذائي للتخلص من المرض

المراجع:

https://www.altibbi.com

http://health-n-life.com

https://ar.wikipedia.org/wiki/

http://www.alghad.com/articles/632392-

https://www.nimh.nih.gov/health/topics/eating-disorders/index.shtml

 

Toothache

http://www.thaiblogger.org/

 Toothache is a pain that occurs around the tooth, it usually happens in the worse circumstances, the pain is intolerable, and it may affect all over the face. i can not think of anyone who did not have it, no matter the age, in one point of your life you will get it.

Causes:

The most common cause is tooth decay, but it can be other causes such as:

  1. Trauma to the tooth
  2. Infection
  3. Gum disease

And more serious causes like heart attack, or angina.

 

When to go to the dentist:

The question we all wonder about is when we seek medical advise for toothache? according to e medicine health they recommend to seek help when:

  1. Start to have fever
  2. Swelling of gum, teeth, or throat with difficulty swallowing
  3. The pain is not relieved with over the counter medication
  4. If the person has previous medical history

Home remedy:

To be completely honest lets face it, the first thing most people do when they have toothache look for traditional home remedies.  some of these remedies are been advised by Arizona family dental:

  1. Biting a cotton ball soaked with clove oil
  2. Gargle with salt water
  3. Peppermint tea bags

Prevention:

  1. Good oral hygiene can prevent toothache from happening
  2. Use fluoride based toothpaste
  3. Brushing twice a day with flossing
  4. Antiseptic mouth wash
  5. Regular visits to the dentist

 

Happy toothache day

 

Reference:

  1. https://www.deltadentalins.com/oral_health/toothache.html
  2. http://www.webmd.com/oral-health/guide/toothaches
  3. http://www.emedicinehealth.com/toothache/article_em.htm#toothache_causes
  4. http://www.arizonafamilydental.com/blog/toothache-home-remedies-really-work/

 

Job description of quality nurse (QN)

1- JOB IDENTIFICATION:

Responsible to:

Quality office and nursing director.

Responsible for:

Health care employees of hospital and primary health care (PHC).

Approved by:

  • nursing department
  • quality and accreditation directorate
2-JOB SUMMARY:
QN works within the framework of established objectives, policies and protocols of Quality and Accreditation Directorate, hospitals/PHC and nursing department. QN has the responsibility to facilitate improvement of service in health care facility according to the recommended standard of quality health care.  QN works under the direct supervision of Quality & Accreditation Directorate and pursuit opportunities for continuous improvement.
3- DUTIES AND RESPONSIBILITIES:
  1. participates in quality committees in accordance with their approved rules and regulation in the hospital/PHC.
  2. collects quality indicators data in coordination with health care department and communicate the results and recommendation with concerned department.
  3. participates in quality improvement studies and follows the result and recommendation.
  4. identifies and prioritizes health care related problems and solve it using quality improvement tools and communicates result to concern department.
  5. follows up implementation of quality and accreditation directorate plans and programs.
  6. educates, and trains hospital/PHC personnel on quality, safety and accreditation programs.
  7. ensure patient satisfaction survey is conducted within the health care organization and follow up the results and recommendations.
  8. participates in accreditation programs and follow up the implementation of required standard in coordination with accreditation coordinators.
  9. participates in accreditation MOCK survey.
  10. participates in development of necessary safety policies required to improve the safety and quality of health care.
  11. monitors the implementation of safety programs in health care organization using safety indicators.
  12. prepares and submits individual report of quality office activities every six months to the quality accreditation directorate and concerned authority.
  13. participates in the preparation of semiannual/ annual report of quality office activities and achievement and submit to Quality and Accreditation Directorate and concerned authority.
  14. attends quality and Accreditation Directorate periodic meeting.
  15. participates/ attends in the training program held by the quality and Accreditation Directorate.
  16. participates in the team assignment for specific tasks related to the quality, safety and Accreditation program in the quality and Accreditation Directorate.
  17. carries out additional work-related assignment entrusted to his/her in the field of quality, safety and accreditation.

4-QUALIFICATIONS AND EXPERIENCE:

KUWAITI:

  • Bachelor Degree in nursing with 2 years experience.
  • associate degree in nursing with 4 years experience.
NON-KUWAITI:
  • master degree in nursing with 2 years experience in Kuwait.
  • bachelor degree in nursing with 3 years experience in Kuwait.
Computer awareness:
valid ICDL(International Computer Drive License) certificate.
licensure:
valid Kuwait nursing license.
other specifications:
must complete Q-A training program.
5-OTHER REQUIREMENTS:
  •  possess verbal and written communication skills in Arabic/English language.
  • possess critical thinking and analysis skills.
  • demonstrates professionalism and positive personality.
  • possess good physical and mental health.

 

 

clinical instructor job description

Job function:

functions within the framework of the established statement of objectives and policies of the division of nursing and of the ministry of public health.

is under the normal supervision of the assistant director for staff development and the director of nursing of health service.

assists in promoting a safe environment conducive to high employee performance resulting in effective patient care.

assists in planning and conducting orientation and in-service education programs.

Duties and responsibilities:

  1. interprets policies to patients and personnel.
  2. guides, directs, and evaluates performance of personnel.
  3. presents suggestions to improve patient services.
  4. interviews patients and families in assisting team members to develop nursing care plans based on nursing assessment.
  5. makes rounds with team members and physicians to determine an effective nursing approach to patient needs and problems.
  6. reviews nursing care plans to maintain the ongoing nursing process.
  7. offers guidance at nursing team conference.
  8. conduct classes and round rounds with nursing personnel on patient care.
  9. communicates with the head nurses and assistant directors recommendations concerning supply and equipment problems.
  10. co ordinates unit activities with those of students and faculty and offer suggestions to improve the learning experience of students when in the area.
  11. participates in staff meetings to improve the quality of care.
  12. performs other duties as assigned or directed by the director of nursing or her delegated representative.

 

 

Assistant Director job description

one who contributes to aspects of over all organization of the nursing services and assumes leadership in the administration of the nursing services, day, evening, and night.

she or (he) is directly responsible to the director of nursing and nursing services.

major responsibilities are:

1- Planning and organization:

a. works within a framework of the ministry of public health, the division of nursing, and the policies and practices in the specific facility – hospitals, schools, clinics, health centers, interprets and implements the policies and exercises judgement in matters to be referred.

b. gives guidance to area or ward head nurse in the organization of the nursing personnel and environment for effective patient care and services.

c. contributes to effective management and control of supplies and equipment and makes recommendations for changes in quality and quantity.

d. consult with heads of service areas, pharmacy, stores, food and housekeeping services, in matters regarding improvement of services to patients, recommends changes in current practices.

2- Administration and co-ordination:

a. develops and carries out a supervisory program, guides area or ward head nurses in their administration of the nursing services in accordance with established policies and programs.

b. takes major responsibility for evaluating standards of comprehensive patient care, observe patients, nursing personnel, and environment, and on the basis of findings, submits evaluation reports to the director of nursing and nursing services as an index of the effectiveness of the total nursing services and nursing personnel.

c. makes written recommendations to the director of nursing and nursing services for changes that may be indicated.

d. maintains records and reports that provide for continuity in the administrative process.

e. makes adjustments in assignment of personnel to meet emergency situations relating to illness, increase in patient census, etc…..

f. takes initiative ( especially evening and night) to keep the director of nursing and nursing services advised of unusual situations which may need referral to the medical or hospital director, or may be authorized to contact either one directly.

3- Education and staff development:

a. participates in and has major responsibility for development and implementation of an orientation program for patients, and for nursing service personnel.

b. works actively with the total staff development program, constantly interprets its purposes and contributes to evaluation of its effectiveness (may be the person in the organization designated to organize the program).

c. makes proposals for studies with a view to raising standards of patient care and maintaining morale of staff at optimum level.

d. gives guidance to personnel in patient teaching as well as in giving care to patients.

e. assumes responsibility for her reading and study program and encourages others to do so.

f. recognizes leadership qualities in nursing personnel and makes appropriate recommendations for promotion, further study opportunity, etc……

 

 

head nurse job description

one who is responsible for the administration of a single ward (unit) in the hospital (25-23) patients, a unit in a clinic service, or school health service, a unit in an operating room, labor or delivery room, emergency room, central supply service, out patient service, or an employee health service.

the head nurse is directly responsible to the assistant director in nursing service.

major responsibilities center around:

1- planning and organization:

a- estimating the numbers and categories of personnel needed to meet the needs of patients and submitting requests for same with justifications.

b- on the basis of nursing service philosophy and objectives and standards for patient care make assignment and work schedule for best utilization and patient services.

c- promoting and integrating the medical, administrative and over all division of nursing policies in to a pattern of ward policies and procedures.

d- securing the necessary supplies and equipment to facilitate the work of personnel and arranging for their maintenance and repair.

e- organization and control of the environment to provide for comfort and safety factors and promote conditions for recovery and promoting inter personal relationships conductive to co-operative effort and co-ordination of people and their services.

2- administration and co-ordination:

a- implementing policies, procedures, standards, in nursing service by supervising the activities of all nursing personnel, evaluating their effectiveness in accordance with established programs of supervision and evaluation, giving guidance as needed.

b- developing and maintaining harmonious working relationships(and schedules) with department heads who provide services, materials and equipment for use with patients advises them of the kind and amount needed to carry on the work with patients.

c- developing schedules (policies and procedures) with x-ray, laboratories, physical medicine and all treatment services so their requirements can be incorporated in the plan of care for patients and adjustments made as needed.

d- understanding and interpreting the scope and role of nursing care and services and requiring nursing personnel to remain within the limits, so maximum amount of time may be devoted to meeting patient needs for care and services on the wards (units).

e- through round making with doctors and a system of records and reports, acquaints the doctors with development in patients condition and reaction; and providing instruction to patients consisted with the medical diagnosis and plan of care.

f- preparing reports that contribute to continuity in patient care and comprehensive health services in all facilities.

g- solving problems as they arise and exercising judgement in referring matters requiring further consideration and action to the clinical area assistant director, or the assistant director in nursing service.

h- making adjustment in time schedules and assignments consistent with policies in the nursing services and needs on the ward (units).

I- teaching nursing personnel economical use of supplies and equipment used in giving care.

j- implementing personnel policies and keeping nursing personnel informed of changes as they occur, or involving them when ward decisions are to be made.

k- acquainting nursing personnel with expectations relating to the quality of work and standards in patient care, ethical conduct and uniform grooming standards of the nursing service, and including these in the work of each person.

3- education and staff development:

a- providing for orientation of patient on admission and new staff on employment.

b- developing a program of patient instruction in terms of his general needs and specifically in relation to his present illness.

c- learning the process of developing nursing care plans, and guiding nursing personnel in developing one for each patient as a basis for quality nursing care.

d- providing guidance to nursing personnel as needed in work and on request, personally.

f- recognizing leadership capabilities of nursing personnel and submitting study opportunities which would lead to promotion.

g- developing a continuing education program for self, and guiding others to plan for personal and professional advancement.

 

 

job description -1

title – staff nurse   male \ female

location – different hospital departments

job function:

she is the nurse who works within the frame of the nursing division and hospital policies and regulations.

she works under supervision of the head nurse and is assessed by her.

she performs the nursing duties as nurse who fills the patient needs and participates in setting and executing the nursing care plans in both prevention and curative spheres.

she must be physically, mentally and psychologically fit.

Arabic and English language is required.

function and responsibilities:

  1. she is responsible for providing a nursing care for a group of patient assigned by the head nurse.
  2. estimate the patient’s needs.
  3. develop the plan of nursing care for each patient and must write her plans.
  4. provide healthy atmosphere for her patient.
  5. execute the nursing policies and regulations.
  6. prepare all medical and nursing equipment and tools prior to any procedure undertaken on the patient as well as to prepare the patient physically and psychologically for that procedure.
  7. to have the capacity to undertake the necessary procedure in the event of the emergency and to report same.
  8. to observe patient closely and to register all her observation in the concerned records and report the information.
  9. to help the patient and feed them when necessary.
  10. to maintain order during visiting hours.
  11. to participate in instructing the patient and their relatives during the visiting hours.
  12. to be informed about the equipment available in her section and the correct operating procedure as well as to report in any failure there.
  13. to be economical in her usage of the disposal tools and items.
  14. she should work within the hospital policy and regulation and maintain the required standard of quality of care.
  15. to increase and update her knowledge and attend the in service education program.
  16. to be able to assist her self with her daily assignment and follow the instructions issued by her supervisor.
  17. to show her capacity and readiness for performing all similar works.

qualification:

B.Sc in nursing or Diploma in nursing

those who graduate from outside school as general diploma in nursing, 2 years of experience is required.

 

 

كادر التمريض -8

تابع\ قرار مجلس الخدمة المدنية رقم (5) لسنة 2009

جدول رقم 4

البدلات و المكافآت لأفراد الهيئة التمريضية

المستوى الوظيفي

أولا : الوظائف المشتركة
رئيس اختصاصي تمريض
بدل طبيعة العمل  فئه أ -250         ب – 200      ج- 150
مكافأة مستوى وظيفي – 115
مكافأة تشجيعية (للكويتيين)- 255
الزيادة في المكافأة التشجيعية (للكويتيين) – 80
علاوة غلاء معيشة       كويتي – 120          غير كويتي – 50
بدل خفارة   كويتي – 180    غير كوتي – 100
بدل إشراف – 80        مكافأة تدريب – 80

اختصاصي أول تمريض
بدل طبيعة العمل فئة أ- 230   ب – 180    ج- 130
مكافأة مستوى وظيفي – 115
مكافأة تشجيعية ( للكويتيين) – 225
الزيادة في المكافأة التشجيعية (للكويتيين) – 80
علاوة غلاء معيشة      كويتي- 120       غير كويتي- 50
بدل خفارة    كويتي- 170    غير كويتي- 100
بدل إشراف – 70       بدل تدريب – 70

اختصاصي تمريض
بدل طبيعة عمل فئة أ – 210    ب – 160     ج – 110
مكافأة مستوى وظيفي – 105
مكافأة تشجيعية (للكويتيين) – 205
الزيادة في المكافأة التشجيعية (للكويتيين) – 80
علاوة غلاء معيشة      كويتي- 120       غير كويتي- 50
بدل خفارة   كويتي – 160    غير كويتي – 100
بدل إشراف – 60      بدل تدريب – 60

ممرض أول
بدل طبيعة عمل فئة أ – 190    ب – 140     ج – 90
مكافأة مستوى وظيفي – 105
مكافأة تشجيعية (للكويتيين) – 175
الزيادة في المكافأة التشجيعية (للكويتيين) – 80
علاوة غلاء معيشة      كويتي- 120       غير كويتي- 50
بدل خفارة   كويتي – 150    غير كويتي – 100
بدل إشراف – 0      بدل تدريب – 0

ممرض
بدل طبيعة عمل فئة أ – 170    ب – 120     ج – 80
مكافأة مستوى وظيفي – 95
مكافأة تشجيعية (للكويتيين) – 155
الزيادة في المكافأة التشجيعية (للكويتيين) – 80
علاوة غلاء معيشة      كويتي- 120       غير كويتي- 50
بدل خفارة   كويتي – 140    غير كويتي – 100
بدل إشراف – 0     بدل تدريب – 0

ممرض مساعد
بدل طبيعة عمل فئة أ – 150    ب – 100     ج – 70
مكافأة مستوى وظيفي – 70
مكافأة تشجيعية (للكويتيين) – 150
الزيادة في المكافأة التشجيعية (للكويتيين) – 80
علاوة غلاء معيشة      كويتي- 120       غير كويتي- 50
بدل خفارة   كويتي – 120    غير كويتي – 100
بدل إشراف – 0      بدل تدريب – 0

ثانيا: الوظائف المساندة
فني أول خدمات تمريض
بدل طبيعة عمل فئة أ – 130    ب – 90     ج – 60
مكافأة مستوى وظيفي – 60
مكافأة تشجيعية (للكويتيين) – 140
الزيادة في المكافأة التشجيعية (للكويتيين) – 80
علاوة غلاء معيشة      كويتي- 120       غير كويتي- 50
بدل خفارة   كويتي – 110    غير كويتي – 100
بدل إشراف – 0      بدل تدريب -0

فني خدمات تمريض
بدل طبيعة عمل فئة أ – 110    ب – 80     ج – 50
مكافأة مستوى وظيفي – 50
مكافأة تشجيعية (للكويتيين) – 120
الزيادة في المكافأة التشجيعية (للكويتيين) – 80
علاوة غلاء معيشة      كويتي- 120       غير كويتي- 50
بدل خفارة   كويتي – 100    غير كويتي – 100
بدل إشراف – 0      بدل تدريب – 0

ملاحظات
يمنح الموظفون الكويتيون المشمولون بالجدول أعلاه مكافأة مؤهل علمي للحاصلين على الدكتوراه بواقع 50 دينار شهريا و 25 دينار شهريا للحاصلين على الماجستير

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