Project Management Plan: Haemodialysis Cannulation Needle Safety Awareness Program- Nursing…

Project Management Plan: Haemodialysis Cannulation Needle Safety Awareness Program- Nursing Assignment Help


Problem Statement

My project is to provide a more thorough education that aims to reduce needle-stick injuries to the renal nurses in my dialysis unit when they remove needles from the patients. In my renal unit, we currently use cannulating needles that are attached with safety clamps. From my observation and experience, I have noted that majority of nurses do not like to use the safety features that are attached on the needle because they believe that it is not necessary. The purpose of the safety clamps is to prevent nurses from receiving injuries while removing the needle from the patient after dialysis. I would like to commence this project which will give five in-service sessions to the nursing staff in my renal unit.

Project Goal

To prevent the needle-stick injuries that occur to the nursing staff in my unit when removing the needle after completion of dialysis, through five in-service sessions of how to use the safety clamps attached to the cannulating needles, by the end of December 2018.

Project Justification

The project which I believe is important to provide is an education program for the nursing staff in my dialysis unit on needle safety features. We have advanced technology and equipment in our unit to minimise and prevent physical injuries, including needle-stick injuries. Our unit uses technologies such as integrated electronic medical records, smart hospital beds, and needles with safety features. Cannulating needles come with attached safety clamps that has the intention of preventing needle-stick injuries when using it. Renal nurses are supposed to use the safety clamps when they remove the cannulating needle from the patients after treatment is completed. Unfortunately, the nursing staff – including senior nurses – are reluctant to use the safety clamp on the needles. This is because they believe that that particular safety feature is unnecessary and often ignore it, rather choosing to believe they are competent on their own. Whilst this is true for most nurses, it is recorded that we had four needle-stick injuries (30% equivalent) in our unit since January 2017. This injury in turn put pressure on the unit because of the disrupt caused by the affected nurse’s absence and increased workloads to colleagues, as well as financial expenses for pathology follow ups. Also caused by the needle-stick injury is the internalised fear for the affected nurse which would take at least six months to overcome. The infection control team in my unit is also helpless to achieve minimised needle-stick injuries because of the ignorance of the safety clamp by the nursing staff.

My project is to conduct five in-service sessions to the nursing staff to educate and encourage them to use the safety feature on the needles – by the end of late December 2018. Needle-stick and sharps injuries carry the risk of infection and are occupational hazards for all healthcare professionals involved in clinical care (Wittmann et al., 2014). In this project I would like to get the participation of the nursing staff, nurse unit manager, nursing assistants, patients, and the infection control team. I have worked in several dialysis units including overseas units and haven’t seen any safety clamps on any cannulating needles due to the high cost of that integral safety feature. Instead our unit is continuously spending more money for the safety clamp attached needles that are supposed to prevent such needle-stick injuries. By ignoring these facilities, nursing staff put their life in risk and place financial burden on the unit and organisation, not to mention themselves.

Furthermore, the organisation will have to spend even more of an expense on pathology investigations and follows up for the affected nurse and patient, and anyone else involved in the injury. The number of health-care workers at risk are those whose activities expose them to patients, or to blood or other body fluids from patients in a health care setting (Rapiti et al., 2005). Therefore, all nurses who ignore the safety feature on the needle pose a great risk due to their own exposure to the patient and is violating various policies and procedures of any given organisation. I believe after these education programs have taken place in my workplace, all nurses will have greater awareness to the importance of using safety clamps attached on the needles when completing dialysis.

Project Objectives:

To increase the awareness of the nursing staff on using the safety clamps on the cannulating needles that are used for dialysis patients in my workplace, which was available in 2017, but will be frequently used by the end of December 2018.

To decrease the needle-stick injuries, caused to the nursing staff from the needles used for cannulating renal patients, to 0% by the end of December 2018.

To decrease the financial burden to the unit caused by needle-stick injuries, stress related absence from affected health care worker, and pathological expenses, which is anticipated to be achieved by the end of December 2018.

Strategies: For the Objective One

Discuss with the nurse unit manager regarding best strategical dates for productivity for the in-service sessions

Discuss with nurse educator regarding their availabilities and their possible in-put

Discuss with colleagues about their available dates and opinion/advice

Strategies: For the Objective Two

Conduct in-services to nursing staff to increase awareness that will decrease ignorance of the safety clamp

Be a role model and champion by using the safety clamp in all procedures and encouraging fellow colleagues to do the same.

Provide leaflets to the nursing staff, display in the break room, publish in the notice boards, place posters in the bathrooms.

Strategies: For the Objective Three

Discuss with nursing staff regarding consequences of needle-stick injury

Inform patients about safety clamps and ask them to encourage nurses to use it

Include infection control team, provide policies and procedures to follow when a needle-stick injury occurs.

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