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The National Safety and Quality Health Service (NSQHS) was formulated by the Australian Commission on Quality and safety in fraternizing with Australian national and local government, the medical practitioners, and nurses. The main objective of NSQHS is to protect the community from distress, pain and to provide quality health service to ensure assured medical examination and it's standards. Like the NHS, American health services, and European health service providers, Australia has also privatized its medical system through NSQHS, which provides all the subjects conjugated with medical services. NSQHS is revised yearly and it's 8 standards are as follows as per the (“Australian Commission on Safety and Quality in Health Care”, 2012):
The standards act as pivotal for any medical practitioner and patient.
We will be discussing only 3 NSQHS standards that provide provision for nurses and stewards which are quintessential for their work regulation and safety gear. The standards are as follows:
Standard 3 - the standard of Preventing and controlling healthcare-associated infection
Figure-heads of health organizations have developed strategies to deal with ever-changing antimicrobial resistance issues, drug resistance, infectious disease problems to achieve good health consequences for patients through the development of antimicrobial stewardship, and nursing facilities.
Infection prevention and control systems as in the guidelines of prevention and infection of Australia ensures the standard and transmission-based safety, hand hygiene, techniques which are aseptic in it's mechanisms, use of invasive medical devices, clean environment, and immunization of workforce for the nurse. It is very ardent for all the clinicians and nurses to know the safety penalties.
Antimicrobial stewardship discusses all the policies and contracts related to transmission guidelines that are mentioned here. The nurses and medical staffs need to be a part of this stewardship as they are dealing with the patients of the high potential of infection in the first line mechanisms of medical care.
Redefining of medical devices to make it reusable. The nurses have to be aware of the reprocessing regulation, as the standards have to meet the national and international conjunction guidelines set by Australian government.
Integrating clinician governance the nurses are part of the medical health system of a country, they should know about the clinical governance principles as it concerns safety issues of management and policies related to it.
The nurses and clinicians are part of the organizational process of the health care association of Australia so they have to collaborate with the government, the hospital, the patient parties to implement strategies, processing of reports and medication, monitoring the outcomes, health-associated infections and implementing the knowledge of stewardship. This sets their goal of 'do's and don’ts". They become knowledgeable about the safety they will be receiving as they face the risk of being infected from a patient as they are at the first line of duty. By assuring the governance, the Australian government is the guardian of its health service providers. The committee and legislation are at mercy to protect its providers. The complexities of clinical management are well marked with national and international l standards so that the medical staff does not have any problem associated with infection, transmission, and safety rules. The legislation is the care provider so the nurses become privileged to the entitlement of lawsuit, medical safety guidelines association. As their priority is health individual protection and avoidance of transmission as they may be vectors of disease or any health-related problem. Their safety and security are at risk so every nurse is to abide by the action and criterion of standard 3 NSQHS authorization Hamilton, 2016).
Standard 4 - Medical safety standard
Aim of the standard is to implement association to monitor and mitigate the medication incidence, improve the issues related to intake of medication with its quality improvement. It also authorizes the medication usage and documents the results.
The improvement of Clinical governance implements the improvement of measures to help and support the management of medication- the nurses must be acquainted with the medication delivery model,it's dosage, and utilization as demonstrated by the clinician. It includes all the policies and documentation related to medication safety and medical safety.
Patient information documentation- the nurses who are directly responding to the patients need to regularly note down the medication, prescription, admission, and discharge report summary of the patients which are to be given to the patient party duly as per the period of testing and supervision.
Prevalence of medication management- the continuity of medication and it's dosage will go on so it's important to keep the comprehension and awareness ongoing of treatments, clinical trials, and dosage application. The database stores the information in the form of a catalog and publishes periodically so that the nurses and medical practitioners are aware of it and use it in the future, as it becomes guidelines for the future medical treatment (Gilbert et al., 2017).
Process of medication management- provides information and decision support tools for medicines and it also provides a way to safely secure the medication for storage and distribution. It also includes the list of medical apparatus and highly critical medicines.
Now the question arises why do the nurses need to know about standard 4?
Who is taking care of the patients and regularly monitoring them, so the framework is issued for them to understand the medicines and if they alter with medication there will be side-effects or do in an emergency if the doctor is not around and the patient is unstable? What medication can be given to subside the reaction? So it plays a role as manual for the nurses to know medicines and it's side effects and immediately handling capacity specialization. This manual engages the nurse to be known to the basics and not to mishandle any medicine. The risk of keeping the patients safe is in the hands of people who are in the first line of duty. There is medicine associated with trauma patients (2-3%) who are admitted to the hospital (2020).
So guidelines and manuals become important for the nurses to go through and keep detailed knowledge about it.
Standard 5- Comprehensive Care Standard
Aim of this standard is to provide overall and continued care for patients keeping in mind their mental, economic, lifestyle-based needs along with physical and mental ones. The main purpose of this standard is to assess individualized patient needs and predict and prevent the patient from any future harm. This is done as part of the continuum of care for an improved lifestyle and higher health standard. In-hospital care is customized according to the specialized need of the patient. Such needs are assessed under a recommended methodology which then further improves and enhances the patient’s medical care (National Safety and Quality Health Service Standards |Ausmed, 2020).
Clinical governance and quality improvement to support comprehensive care
Developing a comprehensive care plan
Delivering comprehensive care
Prevention and prediction of harm
Minimizing the risks that may endanger the patient’s life’s quality and result in further exacerbation is to be included in the comprehensive care plan through the following:
The standards declared by the National Safety and Quality Health Service (NSQHS) have been developed and enhanced over time, where each standard has a specific reason and purpose supported by past experience. These standards not only help the clinicians in prolonging a patient’s life but they also help the patients receive the best care following their requirements. Through this not only the survival of a patient is ensured, but also a better quality of life is given which the patient shall be enthusiastic to lead.
(2020). Retrieved 4 May 2020, from https://www.safetyandquality.gov.au/stan
Ausmed.com.au. 2020. National Safety And Quality Health Service Standards |Ausmed. [online] Available at: <https://www.ausmed.com.au/cpd/articles/national-safety-and-quality-health-service-standards> [Accessed 4 May 2020].
Australian Commission on Safety and Quality in Health Care, 2012. National safety and quality health service standards. Australian Commission on Safety and Quality in Health Care.
Gilbert, A.V., Patel, B.K., Roberts, M.S., Williams, D.B., Crofton, J.H., Morris, N.M., Wallace, J. and Gilbert, A.L., 2017. An audit of medicines information quality in electronically generated discharge summaries–evidence to meet the Australian National Safety and Quality Health Service Standards. Journal of Pharmacy Practice and Research, 47(5), pp.355-364.
Hamilton, S., 2019. The new NSQHS standards: One day surgery unit's accreditation experience. Day Surgery Australia, 18(2), p.16.
Ritchie, A., Gilbert, C., Gaca, M., Siemensma, G. and Taylor, J., 2020. Hospital Librarians’ Contributions to Health Services’ Accreditation: An Account of the Health Libraries for the National Safety and Quality in Health Services Standards (HeLiNS) Research Project, 2016-18. Journal of the Australian Library and Information Association, pp.1-31.
Safetyandquality.gov.au. 2020. The NSQHS Standards | Australian Commission On Safety And Quality In Health Care. [online] Available at: <https://www.safetyandquality.gov.au/standards/nsqhs-standards> [Accessed 4 May 2020].
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