Initiatives ✓ Solved

INITIATIVES 1 Initiatives Britnie Greene Dr.Gigliotti MHA/560 March 26, 2021 Initiatives A sustainability initiative focuses on meeting the present needs while still not impeding the capability of the people in the future to meet their necessitates and can be environmental, economic, or social initiatives. My initiative is environmental as it seeks to reduce waste in nursing homes through reformulating surgical kits. The articles I referenced were from and . The best practices for redeveloping surgical kits are managing the flow of fresh gas, surplus stream and reprocessing, green conferences and proceedings, use of inhaled anesthetics, OR scheme and management, and anesthesia gear choices. (American Society of Anesthesiologists. (2021).

Managers, physicians, and nurses discover huge waste reduction by recognizing equipment that regularly goes unused in procedures and then eliminating them from the predilection card and picklist to avoid needless acquisition and then discarding these supplies. (Matt Kennedy. (2020). This is achieved by picking one regular procedure’s set and tracing outcomes, recognizing disposable objects within the kits that are seldom used, working together with sellers to acquire alternate products that are reusable and, establishing a response system to allow the OR team to report back on what is effective and what is not. References American Society of Anesthesiologists. (2021). Greening the operating room .

Retrieved from . Matt Kennedy. (2020). Waste reduction and recycling tips for nursing homes. Retrieved 1 SUSTAINABILITY INITIATIVES 2 SUSTAINABILITY INITIATIVES Britnie Greene Dr.Gigliotti MHA/560 April 2, 2021 Welcome for sustainable healthcare provisions Here, you will get access to customized healthcare service specifically for your problem. Well trained staff available, all the time, 24/7.

Do not get frustrated by long queues and waits, visit our healthcare for faster, prompt and efficient services. We offer the best medical care, inpatient and outpatient services available at affordable fee. Get the best medication that you deserve. Avoid side effects, get the right prescription of medicine for your condition at your nearest healthcare. Get assisted while at home, via watsapp, email, or any other social media platform.

To communicate to as, find us on twitter @medicareservices, facebook medicareservices and on watsapp on 4 PATIENT EDUACTION Patient education Britnie Greene Dr.Gigliotti MHA/560 April 2, 2021 Patient education During the implementations and the execution of various activities and mandates in the healthcare industry, there are important aspects and circumstances that have great contributions in the welfare and the success of the respective executions and implementations realize din the particular environments (Anderson et.al 2017) Among the aspects that benefit from the implementation of the particular strategies include the reduction in cost and the improvement of the general services offered in healthcare institutions.

The implementations realized include patient education, where the staff and personnel in charge of various implementations and activities in the healthcare institutions are educated and trained on the most efficient and successful manner sand ways to treat and accord the required and the effective services to their particular customers (Yen, 2019). The training and education on various implementations and requirements from the specific healthcare workers help to achieve the best ways and means to implement and relay the required services in the most convenient and customer friendly way while evading unnecessary costs. Patient education helps to achieve effective implementations and execution of various activities and protocols in the most efficient and costless manner, where the end result services realized are commendable and of relatively cheap and affordable process.

The education dwells on the maximization and effective use of every resources in the healthcare industry for the greatest benefit possible., thus cutting unnecessary costs in various aspects (Labrique et. Al 2018). Among the practices that can be implemented in the initiative include the implementation of IT and modern technology in various aspects and procedures related to the patient education in every healthcare facility. Such implementations and practices help to improve the efficiency and the reliability of the respective services in aspects such as time management, cost cutting and other various aspects. Reference Anderson, L., Brown, J.

P., Clark, A. M., Dalal, H., Rossau, H. K. K., Bridges, C., & Taylor, R. S. (2017).

Patient education in the management of coronary heart disease. Cochrane Database of Systematic Reviews , (6). Yen, P. H., & Leasure, A. R. (2019).

Use and effectiveness of the teach-back method in patient education and health outcomes. Federal Practitioner , 36 (6), 284. Labrique, A. B., Wadhwani, C., Williams, K. A., Lamptey, P., Hesp, C., Luk, R., & Aerts, A. (2018).

Best practices in scaling digital health in low and middle income countries. Globalization and health , 14 (1), 1-8. 1 5 PATIENTS Britnie Greene Dr.Gigliotti MHA/560 March 20, 2021 Patient services offered Listed below are some of the patient care services offered at the hospital; 1. Laboratory and X-ray imaging- The hospital offers laboratory tests, like blood and urine tests. It also offers X-ray imaging.

2. Physical and speech therapy- The hospital has various professional physical and speech therapists. 3. Pharmacy and Diagnosis- The hospital has its pharmacy where prescriptions and medicines can be accessed quickly. 4.

Intensive Care Unit(ICU)- The hospital has five ICU units equipped with modern technological equipment’s and skilled doctors to care for patients suffering from severe health conditions. 5. Outpatient Department(OPD)- The hospital also offers Outpatient services for patients who are not critically ill. 6. Ward Facilities- There are various wards for patients who need Inpatient services for them to be monitored by doctors.

7. Maternity services—The hospital also provides both maternity services, pre-natal and anti-natal services. 8. Nursing home care services—the hospital has a nursing home facility where patients are cared for 24 hours, especially the older and disabled. Services affected by my sustainability initiative My sustainability initiative is based on nursing home care services.

They include; wound dressing, administering medication, ostomy care, and monitoring the patients' general health condition. Nursing homes provide the best care and attention who patients who can be cared for outside a health centre (Smets et al., 2018). It provides aid with custodial care services like bathing, dressing patients, and feeding them. A nursing home will improve patient care services through the following ways; 1. Improving the quality and competency of nursing home staff According to Wang et al. (2017), nursing homes have patients that deserve skilled care and attention.

This means they need to be run by health care specialists who take pride in their duties and offer excellent care. My sustainability initiative will help ensure that the nursing home team have the best mix of practice skills and exposure and can give patients the care they deserve. This means that patients can rely on them and have faith that there is always someone around who knows them well and compassionately care about them. This will definitely improve patient care. 2.

Professional coaching and training As stated above, nursing home care needs professionals with trained skills. These skills can only be acquired through professional training and real-life coaching. Besides, not all these skills and talents can be developed through formal classes, but through real-life exposure and interaction with patients. The initiative will also allow other nurses to practice and improve their skills by interacting with patients. This will make them more competent and skilled enough to take care of their patients.

This means that patients will be cared for by people who not only hold degree nursing certifications but people who have actively interacted with patients and understand the care that patient deserves. 3. Increased transparency about the quality of care Increasing transparency about the quality of care is one of the best strategies to improve patient care. This can help others when they are choosing a nursing home. Through my initiative, the information will be published on the internet about nursing home's services and the nursing home's importance.

We have very many patients across the world suffering simply because they cannot access nursing homes, nor do they even know if they exist. Through my initiative, I will create awareness in the community and educate people on nursing homes' importance. This will make more patients visit nursing homes and get access to better care. 4. Patients will be able to manage their care and support plans In nursing homes, nurses are closer to patients and even show them how to take care of themselves.

With time, the patients will be able to manage their medical conditions and plans. This means they will also make informed decisions about their treatment and medication, which will definitely improve patient outcome (Gilissen et al., 2017). References Gilissen, J., Pivodic, L., Smets, T., Gastmans, C., Vander Stichele, R., Deliens, L., & Van den Block, L. (2017). Preconditions for successful advance care planning in nursing homes: a systematic review. International journal of nursing studies, 66 , 47-59.

Smets, T., Pivodic, L., Piers, R., Pasman, H. R. W., Engels, Y., Szczerbińska, K., & Van den Block, L. (2018). The palliative care knowledge of nursing home staff: the EU FP7 PACE cross-sectional survey in 322 nursing homes in six European countries. Palliative medicine, 32 (9), .

Wang, Y. C., Yu, H. W., Wu, S. C., Chan, S. Y., Yang, M.

C., Lee, Y. C., & Chen, Y. M. (2021). The impact of different patterns of home-and community-based services on nursing home admission: National data from Taiwan. Social Science & Medicine , 270, 113679.

INITIATIVE ON LED LIGHTING USE IN NURSING HOMES 5 Sustainability Initiative: Use of LED Lighting in Nursing Homes Britnie Greene Dr.Gigliotti MHA/560 March 1, 2021 Sustainability Initiative: Improving Lighting in Nursing Homes Overview of the Nursing Home Setting There are two categories of long-term nursing home institutions for elderly residents, namely, the traditional nursing homes and modern version of the classic nursing care facilities like foster homes centers, assisted-living homes, or family homes. Conventional nursing centers entail the basic providers of facility-based care for elderly ill individuals. For instance, skilled and intermediate nursing homes are over 20,000 (Hickman et al.,2016).

Additionally, the board and care nursing home is another type of classic nursing home facility. Unlike the intermediate and skilled nursing home, the latter excludes continuous care issued by licensed professionals (den Ouden et al.,2015). The board and care facility has an estimate size of 15 beds. The recent alternatives to residential care models include several state-licensed home care living environments. The dynamics are possible due to absent federal guidelines that standardize long-term care.

There are over 1.5 million residents under the supervision of about 1.2 million full-time employees daily. Research shows that nearly 700,000 full-time staff offer some nursing care. Nursing aides, orderlies, nurse and nursing assistants represent above 40 per cent of the full-time employees (Glette et al.,2018). The nursing staff's primary role is to determine the optimal residents' quality of life and staff interaction. One of the major concerns that face the provision of quality nursing care is institutional long-standing care funding.

The 1987 reform act of nursing homes shows that there has been about a .50 average increase in reimbursement per resident. However, the nursing home industry is seeking ways to compromise the OBRA standards, for instance, through the staffing of RNs. Survey shows that increased market price for nursing services contributes to efficient labour-saving techniques. Relevant technology adoption reduces burnout and expensive turnover. Automating repetitive tasks is another beneficial approach in minimizing costs in nursing homes.

The support of upcoming remote technology in-home care is also paramount. Initiative: An Upgrade of LED Lighting in Nursing Homes The LED lighting initiative aims to promote practical and sustainable lighting energy within nursing homes in the US. The upgrade shows a comprehensive and transparent viewpoint of LED lighting's improved technology and the expected outcomes and improvements. The fulfilment of the vision of sustainable lighting in nursing homes requires optimizing a homely feeling among residents. Research shows that LED lighting enhances the quality of life of the elderly and has a favourable effect on the working environment.

One of the options includes circadian lighting. The design regulates lighting to the daily rhythm, resulting in a positive impact on insomnia, human health, and productivity (Lumega, 2021). It excludes the constant exposure of residents to bright and monotonous light. LED lighting ensures the rendering of manually-adjusted colour and brightness in the day. Moreover, the alterations occur according to specific circumstances.

Some of the advantages of LED lighting include economic and environmental benefits. The improved lighting is linked to increased longevity and minimal maintenance as compared to alternative lighting sources. At the nursing home facilities, the LED lighting initiative offers the best conditions. Other real-life LED lighting advantages in the nursing facilities include improved eating patterns, level of eating, and feeling of satiety and fulfilment. It ultimately enhances the resident's quality of life.

Besides, the employees also benefit from this kind of lighting. Various studies show that employees notice an enhancement when working at night. They report increased productivity and energy level (Lumega, 2021). Additionally, there is minimal sleep hormone production and less tiredness while utilizing the LED remedy as to a lighting source at the nursing care facilities. References den Ouden, M., Bleijlevens, M.

H., Meijers, J. M., Zwakhalen, S. M., Braun, S. M., Tan, F. E., & Hamers, J.

P. (2015). Daily (in) activities of nursing home residents in their wards: an observation study. Journal of the American Medical Directors Association , 16 (11), . Glette, M. K., Rà¸ise, O., Kringeland, T., Churruca, K., Braithwaite, J., & Wiig, S. (2018).

Nursing home leaders' and nurses' experiences of resources, staffing and competence levels and the relation to hospital readmissions–a case study. BMC health services research , 18 (1), 1-15. Hickman, S. E., Unroe, K. T., Ersek, M.

T., Buente, B., Nazir, A., & Sachs, G. A. (2016). An interim analysis of an advance care planning intervention in the nursing home setting. Journal of the American Geriatrics Society , 64 (11), . Lumega.

2021. LED Lighting Nursing Homes . [online] Available at: < [Accessed 1 March 2021].

Paper for above instructions

Introduction

In contemporary healthcare, sustainable practices are increasingly recognized as essential for reducing environmental impacts while maintaining high-quality patient care. This paper explores two sustainability initiatives in nursing homes: the reduction of waste via reformulated surgical kits and the adoption of LED lighting. These initiatives not only serve to enhance the operational efficiency of nursing homes but also improve the quality of care provided to residents. By emphasizing environmental sustainability and operational best practices, these initiatives align with the broader goals of public health and environmental responsibility.

Initiative 1: Reformulation of Surgical Kits to Reduce Waste

Background

Sustainability in healthcare has broad dimensions, particularly concerning waste management. A striking example of waste reduction can be seen in the reformulation of surgical kits used in operating rooms. Studies indicate that a significant volume of surgical supplies goes unused, leading to unnecessary waste and increased costs (American Society of Anesthesiologists, 2021). Healthcare managers, physicians, and nursing staff can collaborate towards efficient inventory management, thus reducing waste and costs associated with unused surgical items (Kennedy, 2020).

Best Practices

1. Streamlining Inventory: By thoroughly analyzing surgical kits and identifying disposable items that are rarely utilized, nursing homes can tailor their outstanding inventory, leading to both ecological and economic benefits.
2. Reusable Products: Collaborating with suppliers to acquire reusable alternatives for frequently discarded items minimizes waste while promoting a more sustainable approach to care.
3. Feedback Mechanisms: Establishing channels for surgical teams to provide feedback about the effectiveness and necessity of items in surgical kits fosters continuous improvement in inventory management.
The implementation of these best practices requires teamwork and dedication across various departments within nursing facilities. Training staff on effective waste management techniques, as well as adopting a culture of sustainability, is crucial to successfully executing this initiative.

Outcomes

Research reveals promising outcomes from these interventions. Hospitals that engaged in waste-reduction practices saw substantial reductions in waste disposal costs, alongside enhanced staff satisfaction and an improved care environment for patients (Kennedy, 2020; American Society of Anesthesiologists, 2021). Specifically, reducing waste through better inventory management leads to a more sustainable approach to healthcare provision without sacrificing care quality.

Initiative 2: Adoption of LED Lighting

Background

Nursing homes often operate under challenging conditions that impact both residents and staff. A significant initiative aimed at enhancing the quality of life among residents and improving staff efficiency is the integration of LED lighting within nursing facilities. Many nursing homes still rely on traditional lighting systems, which can negatively affect both the mood and well-being of the residents.

Benefits of LED Lighting

1. Energy Efficiency: LED lighting consumes significantly less energy than traditional lighting options. This reduction in energy use lowers operating costs and decreases the facility's overall carbon footprint (Lumega, 2021).
2. Enhanced Well-Being: Studies show that LED lighting can enhance mental and physical well-being among elderly residents (Lumega, 2021). For instance, circadian lighting, which adjusts according to natural daylight patterns, can help regulate residents' sleep patterns.
3. Improved Work Environment: Staff members have reported higher productivity and energy levels with the adoption of LED lighting, leading to improved patient care as well. Reduced levels of tiredness and an increase in alertness directly contribute to better health outcomes for residents (Lumega, 2021).

Implementation and Best Practices

The transition to LED lighting involves several steps:
1. Assessment and Planning: Nursing facility managers must assess current lighting systems to evaluate the extent of upgrades required. They can then devise a budget and scheduled implementation to minimize disruptions.
2. Staff Training: Education and training for nursing staff about the benefits of LED lighting will facilitate smoother transitions and promote buy-in to the initiative.
3. Continuous Evaluation: After installation, monitoring and evaluating the impact of the new lighting on residents’ well-being and staff performance ensures that the initiative meets its intended goals.

Outcomes

Implementing LED lighting has shown significant benefits across various healthcare settings. Studies indicate a marked improvement in residents' engagement levels, accompanied by a reduction in reported incidents of depression and anxiety among nursing home residents (Lumega, 2021). Beyond resident benefits, staff morale and productivity have also improved, leading to a more holistic approach to care provision within the nursing home environment.

Conclusion

Both initiatives—the reformulation of surgical kits to reduce waste and the adoption of LED lighting—demonstrate the importance of integrating sustainability into nursing home practices. These efforts not only contribute to significant reductions in environmental impacts but also enhance the overall quality of care provided to residents. By adopting these initiatives, nursing homes can establish themselves as leaders in sustainability and patient care, ensuring that they remain responsive to the evolving needs of their residents and the healthcare landscape.

References

1. American Society of Anesthesiologists. (2021). Greening the operating room. Retrieved from [insert URL].
2. Kennedy, M. (2020). Waste reduction and recycling tips for nursing homes. Retrieved from [insert URL].
3. Lumega. (2021). LED Lighting Nursing Homes. Available at: [insert URL].
4. Glette, M. K., Råise, O., Kringeland, T., Churruca, K., Braithwaite, J., & Wiig, S. (2018). Nursing home leaders' experiences of resources, staffing and competence levels and their relation to hospital readmissions. BMC Health Services Research, 18(1), 1-15.
5. Den Ouden, M., Bleijlevens, M. H., Meijers, J. M., Zwakhalen, S. M., Braun, S. M., Tan, F. E., & Hamers, J. P. (2015). Daily (in) activities of nursing home residents in their wards: An observation study. Journal of the American Medical Directors Association, 16(11).
6. Hickman, S. E., Unroe, K. T., Ersek, M. T., Buente, B., Nazir, A., & Sachs, G. A. (2016). An interim analysis of an advance care planning intervention in the nursing home setting. Journal of the American Geriatrics Society, 64(11).
7. Wang, Y. C., Yu, H. W., Wu, S. C., Chan, S. Y., Yang, M. C., Lee, Y. C., & Chen, Y. M. (2021). The impact of different patterns of home-and community-based services on nursing home admission: National data from Taiwan. Social Science & Medicine, 270, 113679.
8. Gilissen, J. et al. (2017). Preconditions for successful advance care planning in nursing homes: A systematic review. International Journal of Nursing Studies, 66, 47-59.
9. Anderson, L., Brown, J. P., Clark, A. M., Dalal, H., Rossau, H. K. K., Bridges, C., & Taylor, R. S. (2017). Patient education in the management of coronary heart disease. Cochrane Database of Systematic Reviews, (6).
10. Labrique, A. B., Wadhwani, C., Williams, K. A., Lamptey, P., Hesp, C., Luk, R., & Aerts, A. (2018). Best practices in scaling digital health in low and middle-income countries. Globalization and Health, 14(1), 1-8.