Thereare many core measures that healthcare providers usually monitor.This discussion will focus on heart failure core measures andreporting. Heart failure arises as a result of the heart being unableto pump blood at the right rate as required by the body. It is achronic condition and is often characterized by a number of symptomsincluding dizziness, shortness of breath and fatigue. The coremeasures for heart failure are reported and monitored as thepercentage patients who had an LVS evaluation, those who receivedwritten discharge instructions that focused on a number of issues,including discharge medication, physical exercise, diet, weightmonitoring as well as follow up appointment. They are also monitoredas the percentage of patients who received ARB or ACE inhibitor forleft ventricular systolic dysfunction. Before a patient leaves thehospital, they are usually with information to aid manage thesymptoms that accompany the condition. The information usuallyincludes the diet, activity level, medication among others alreadymentioned. Higher percentages of these measures are usually better

Evaluationof the left ventricular systolic dysfunction enables the physician tocheck how the heart is pumping blood. In the monitoring of heartfailure, other ways of checking any irregularities in the functioningof the heart include a review of the patient’s medical history,physical examinations and other tests including electrocardiogram,echocardiogram as well as chest x-rays. Higher percentages areusually better. Patient teaching is also important in the managementand treatment of heart failure. At the place of work, patientteaching often starts immediately after patient admission. It is notadvisable for patient teaching to be done during the dischargeperiod. Information is usually provided to the patients throughoutthe whole hospitalization period, depending on their condition.Information about the action and side effects of then drugsadministered to manage the condition as well as dietary informationis usually provided to the patients

Patientteaching and follow up care in the managing of heart failure includesadvising patients about the right levels of activity, weightmonitoring, follow up appointment as well as advice on what to dowhen symptoms worsen. The nurse practitioner at the place of workusually emphasizes the benefits of engaging in the right type andlevel of physical activity. With regard to diet, information providedincludes that about low sodium foods and foods that are good for theheart. Additionally, a nutritionist is usually involved in theteaching about patient diet. Apart from that, the importance offollow up visits as required is usually emphasized. Meeting the abovestandards are important for patient outcomes. At my current place ofwork, the standards have been met meaning a high percentage ofoutcome measures is usually recorded.

Qualityand Safety Initiatives


Test-takingstrategies enable nursing students to apply what they have learnt inboth the formal and informal tests. The test taking strategy aims atenabling those who utilize it to get an understanding of the nursingskills and analyze the rationales for the different approaches tocare that can be utilized to achieve the desired patient outcomes.Apart from that, the strategy also equips the nursing students withthe knowledge of ethical and legal issues relevant to the nursingpractice (Grdina, 2015). It also makes it possible for the process ofteamwork and collaboration to be emphasized and at the same timefacilitates the recognition of safety as the main goal for nursingcare.

Inthe teaching of nursing staff, the strategy can be implemented bybringing together the nurses in question and answer sessions. Duringthe session, the facilitator will ask the nurses different questionswith regard to the nursing practice. Additionally, the nursepractitioners would be able to ask each other a question. Thequestions and answer sessions would go a great way in ensuring thatthe practitioners are updated with the current developments in aninteractive way, which in turn would ensure that they don’t easilyforget what they have learnt. The test-taking strategy can also beimplemented by providing nurses with questions after trainingsessions. The questions can be posted on the staff portal, whichwould allow each of the practitioners to respond to them when theyare free.

Practicaltests can also be implemented to test the skills of nurses in thereal work environment. Through these tests, the practitioners wouldnot only be able to learn from the teachers, but also from otherpractitioners. The tests can be implemented on a yearly basis or ona quarterly basis and would go a great way in ensuring that the staffare updated with the most recent care provision activities and thatthey don’t forget that skills that they had previously learned. Thetests can also be designed in such a way that they test teamwork.Teamwork and collaboration plays an important role in the delivery ofquality healthcare. Test-taking strategies can be utilized to improvecollaboration and teamwork among the nursing staff.


Grdina,R. (2015).&nbspTestTaking Strategies | QSEN.& 8 April 2015, from