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Currently, she is working as a Clinical Nurse Instructor in musculoskeletal sports medicine service line (orthopedics) at Aga khan university hospital Karachi Pakistan. Previously she had an experience of Registered nurse in cardiac intensive care unit where she has to deal patient with medical surgical issues, pre and post cardiac surgeries and cardiac problems. She had an experience of Registered nurse in medical surgical nursing where she have got an opportunity to deal patient with chronic infectious disease and patient with different surgeries including orthopedics, trauma patients, general surgeries, ENT, plastic and neurosurgeries. She is a focused, competent and hardworking professional possess the ability to provide comprehensive nursing care to patients.
The objective of this project is to identify high risk patients through effective recognition of early warning signs and reduce mortality and morbidity of orthopedic patient. Method: The project was conducted at The Aga Khan University Hospital from September 2016- June 2017. It was a multidisciplinary approach where a team of health care providers were involved to ensure identification of high risk patients and its interventions. The strategies employed for quality improvement were to give the awareness to nurses regarding the importance of risk assessment in every patient, reinforcement to do focused assessment to act on early warning signs. In addition to that in the daily rounds the priority of head nurses, nurse instructor, clinical nurse coordinator and team leader is to visit the high risk patients first. Multiple sessions were conducted on modified early warning signs and its action plan. Multiple mock drills and rhythm analysis sessions were conducted to ensure proper code management and resuscitation. Teachings were given regarding proper interpretation of clinical findings. During the weekend, the nurse team leader on coverage performs the role of checking the high risk patients. Result: Data was collected from January 2017 to June 2017 regarding high risk patients. A total of 34 patients were identified as high risk and managed accordingly. Out of which, 12 patients were recognized, managed and remained on the same ward bed. Whereas 19 patients, were managed