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The paper identifies stakeholders related to the change in preventing respiratory complications in patients undergoing interventional radiological procedures under conscious sedation at Kendall Regional Medical Center.
Registered Nurses at ICU
Place in Organizational Hierarchy
Registered nurses in ICU are at the middle level of the nursing hierarchy. They usually report to a nurse manager or a nursing director. The nursing director reports to a chief nursing officer. The staffing levels of registered nurses in the intensive care unit have been set by professional groups on the national level, and they remain almost constant across different hospitals (Blegen, Vaughn, & Vojir, 2007).
Influence on the Practicum Project
The registered nurse at ICU responds to patients needs for care at the Kendall Regional Medical Center. They are responsible for following institutional protocols aimed at the improvement of patient outcomes (Blegen et al., 2007). The result of the practicum change project might be greatly affected by the role of a registered nurse.
Interventional Radiology Nurses
Place in Organizational Hierarchy
Interventional Radiology (IR) nurses are at the middle level of the nursing hierarchy. They report directly to a nursing manager (Nursing Management Hierarchy, n.d.).
Influence on the Practicum Project
The IR nurse is one of the two professionals responsible for the proper care of the patient that undergoes IR procedures (Martin & Lennox, 2003). They have to be present during the whole process to monitor a patients vital signs, detect adverse drug reactions, and record the response to administered medications (Martin & Lennox, 2003). Therefore, the positive outcome of the change project depends on the contribution of the IR nurse.
Interventional Radiologist
Place in Organizational Hierarchy
The interventional radiologist is a board-certified physician with a college degree and a year of additional training in surgery or general medicine. They usually require education in vascular and interventional radiology, as well as, diagnostic radiology (Martin & Lennox, 2003).
Influence on the Practicum Project
The interventional radiologist is the professional responsible for controlling drug administration and evaluation of patients safety (Martin & Lennox, 2003). They have to ensure that the medical history of the patient is properly evaluated and to determine the chances of the negative reaction to sedation and the physiologic reserve of the respiratory system (Martin & Lennox, 2003). The interventional radiologist has to rely on their judgment and previous experience to justify the procedure for the patients in the high-risk category. They have to be present during IR procedures to make sure the sedated patient is safe, thus significantly contributing to the prevention of respiratory complications (Martin & Lennox, 2003).
Patients and Their Families
Influence on the Practicum Project
The patients undergoing interventional radiological procedures under conscious sedation and their families are responsible for the provision of consent for the procedure (Sanborn et al., 2005). After the sedation medications are ordered, the nurse has to inform the patient or the families about possible negative consequences for the patients health. The sedation procedure cannot begin before the nurse obtains a signed consent form (Sanborn et al., 2005). Therefore, patients or their families should not cause delays in providing their consent. The outcome of the practicum change project can be affected by the role of patients or their families.
Nurse Director
Place in Organizational Hierarchy
The nurse director is the job title at the senior level of the Kendall Regional Medical Centers organizational hierarchy. They are responsible for the coordination and control of the activities of the entire nursing team (Nursing Management Hierarchy, n.d.).
Influence on the Practicum Project
The nurse director has to effectively manage the personnel so they would be able to deliver adequate sedation and properly evaluate the comfort and analgesia levels during the interventional radiological procedures (Bluemke & Breiter, 2005). Considering that the safety and efficiency of the sedation procedure depend on the adequate monitoring and medication administration, the outcome of the practicum change project can be greatly affected by the role of the nurse director who is responsible for the coordination of the nursing team (Bluemke & Breiter, 2005).
References
Blegen, M., Vaughn, T., & Vojir, C. (2007). Nurse Staffing Levels: Impact of Organizational Characteristics and Registered Nurse Supply. Health Services Research, 43(1), 154-173.
Bluemke, D., & Breiter, S. (2005). Sedation Procedures in MR Imaging: Safety, Effectiveness, and Nursing Effect on Examinations. Radiology, 216(3), 645-652.
Martin, M., & Lennox, P. (2003). Sedation and Analgesia in the Interventional Radiology Department. Journal of Vascular and Interventional Radiology, 14(9), 1119-1128.
Nursing Management Hierarchy. (n.d.).
Sanborn, P., Michna, E., Zurakowski, D., Burrows, P., Fontaine, P., Connor, L.,& Mason, K. (2005). Adverse Cardiovascular and Respiratory Events during Sedation of Pediatric Patients for Imaging Examinations. Radiology, 237(1), 288-294.
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