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Nursing Leadership proposal to improve patient care in Pre-operative unitAs a soon to be baccalaureate nurse I will utilize my critical thinking skills to develop a proposal to improve patient care in the pre-operative unit work setting Integrating clinical evidence the latest research career experience along with critical thinking are essential skills in the successful investigative process to manage and create change in the work place Recently the goal toward empowering nurses in terms of their clinical autonomy and control over their practice has been reported by magnet status hospital studies to build a stronger more positive work environment that in turn results in better client outcomes through higher quality of care IOM 2004 The organization I am currently working for no longer admits new hires of RNs without at least a baccalaureate degree in nursing Encourages even requires that 80 o and offers their clinical staff opportunities for growth and development to their professional staff A1 Problem At present there is not a policy in place requiring elective surgical patients to have contact with PAT before coming to pre-operative unit prior to surgery As of now surgical patient are only expected to arrive at the hospital two hours prior to their surgery regardless as to whether or not they have contact with PAT Surgical services policy states that Patients having surgical or endoscopic procedure will be prepared by a Registered Nurse in a standardized fashion that takes into account the needs of the individual and the type of procedure being done It becomes problematic when patients that do not have contact with preadmission testing PAT take at least an additional 20 minutes or longer to prepare for surgery and there has not been any adjustment to the required arrival time for the surgical patients without PAT contact to make up for the additional time required to prepare compile reconcile medications list complete a complete baseline admissions history collect specimen
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