NURSING SERVICE (STATISTICAL ANALYSIS )

WARD :HIGH DEPENDENCY UNIT… MONTH: FEBRUARY 2022

1. MEDICATION COMPLIANCE TO 7Rs

To ensure all medication served to all patients are according to 7R’s as listed below:-
Total Patient Checked 10 Total Medication Served 23
Right Patient 100% Right Route 100%
Right Drug 100% Right Documentation 100%
Right Dose 100% Right Disposal 100%
Right Time 100%
Overall Compliance 100%
Finding : NO MEDICATION ERROR ,ALL PATIENT RECEIVED MEDICATION FOLLOW 7R
Corrective/Preventive Action: REMIND SRN TO DOUBLE CHECK AND SIGN WITH ANOTHER SRN BEFORE SERVED THE
DRUG.
2. FOLLOW UP CALLS
To ensure at least 90% of inpatient discharge will be followed up by phone within 48 hours.
No. Of Discharge/ New Case No. Of Calls Overall Compliance (%)
10 10 100%
Finding : FOLLOW UP CALL BEING DONE WITHIN 48 HOURS AFTER PATIENT DISCHARGE.
3. IV LINE COMPLICATIONS
To ensure percentage of IV line complications (needles out, redness of skin, infection of sites, extravasation) is < 0.5%
IV Line complications Needle out Redness of skin Infection of sites Extravasation TOTAL
(VIP Score 3) (VIP Score 4 & 5)
No.of IV Complications NIL NIL NIL NIL 0
No.of patient on IV treatment 50
Overall Non Compliance (%) 100%
Corrective/Preventive Action: : ASSIGNED STAFF TO CHECK FOLLOW UP BOOK BD.
Finding : : PHLEBITIS - VIP SCORE ‘0’=37. VIP SCORE 1=‘ 12 VIP SCORE2=1 VIP SCORE 5 =0

Corrective/Preventive Action: Closely monitor the IV site especially when giving vesicant drug.

4. % PRESSURE SORE AMONG BEDRIDDEN PATIENTS

To ensure patients admitted do not develop pressure sore upon discharge/transfer out.
No. of Pressure Sore Total Bed Ridden Patient Overall Compliance (%)
NIL 16 100%
Finding : NO PRESSURE SORE DETECTED DURING ADMISSION IN HDU

Corrective/Preventive Action: 2-4 HOURLY TURNING FOR BEDRIDDEN PATIENT, APPLY RIPPLE MATTRES, PUT AIR GLOVE TO
PRESSURE AREA POINT, FEEDING AS ORDERED IN ASSISSTING PATIENT TO GET ENOUGH DIET, APPLY EMUCARE , , REMIND STAFF TO
BE GENTLE WHEN HANDLE PATIENT WHICH HAVING FRAGILE SKIN.NOT WEARING PAMPERS EXPOSE THE AREA TO GET GOOD
VENTILATION IF PATIENT ON CBD AND NO FREQUENT IN BOWEL OPEN.

5. RATE OF PATIENT FALL

No.of Discharge No. of Patient Fall Overall compliance (%)
0 0 100%
Finding : NO INCIDENT OF FALL
Corrective/Preventive Action: HIGH RISK PATIENT ALERT THE PATIENT WITH IMPLEMENTATION OF FALLING STAR,
RESTLESS PATIENT APPLY RESTRAINER AND WEST RESTRAINER.

Prepared by:

SR KEETHA D/O ARAMO

UNIT MANAGER HIGH DEPENDENCY UNIT
KPJ IPOH SPECIALIST HOSPITAL

ISH/NSG-15/0619 (VER 3)