Hospital's owners Castlebeck, apologised and suspended 13 employees. NHS South West said it was "appalled" and the Care Quality Commission said there was an "unforgivable error of judgement" in not investigating earlier abuse claims. Hillcroft Care Home, Lancashire - Research In October 2012 six care workers were arrested in connection with abuse in Hillcroft Care Home near Lancashire. The police were called into the home of May that year, after a complaint from staff. Five nurses and one matron
To further preserve confidentially, identifying factors of the organisation will not be specifically referred to. The placement organisation is a 24 bed health mental assessment ward situated in West London. The male and female clients admitted to the unit have mental health and physical problems aged above 65 years, they are formal and informal. Nursing staff, psychologists, social workers, physiotherapists, nutritional therapist and an occupational therapist form the multidisciplinary team (MDT) that participate in the pharmacological interventions, implementation, assessment planning and evaluation of nursing care. June is a 75 year old Caucasian female of British decent.
Scenario A female is referred to home health services for skilled nursing evaluation, and observation. The patient was discharged from the hospital a few weeks ago diagnosed with a Cerebrovascular Accident (CVA). The skilled nurse was recommended to teach, train, and monitor the effectiveness of new prescribed Coumadin therapy. Standardized Terminology Application The registered nurse selected the appropriate clinical diagnoses using the North American Nursing Diagnosis Association (NANDA) terminology based on patient’s actual needs, and comprehensive assessment. The care plan was created using a linkage between diagnoses, interventions and patients’ desirable goals.
He has been retired from the police force for 21 years. He lives in a 3 bedroom house close to the town centre. He still drives and goes to a weekly bowls club. Harry has a past medical history of type 2 diabetes mellitus, high cholesterol, suffers with anxiety and low mood. Once transferred onto the ward from accident and emergency, an initial nursing assessment was done with the patient; this is the first step of the nursing process.
Case Analysis of Patient Flow at Brigham and Women's Hospital Table of Contents Executive Summary ------------------------------------------ 3 Organization Profile ------------------------------------------ 4 Critical Issues ------------------------------------------ 4 Bed Management ------------------------------------------ 5 Internal Communication ------------------------------------------ 9 Protocol Noncompliance ------------------------------------------ 13 References & Appendices ------------------------------------------ 16 Executive Summary This report was commissioned to examine the issue of patient flow from the emergency department (ED) to the intensive care unit (ICU) at Brigham and Women’s Hospital (BWH). Brigham and Women’s Hospital has seen demand for their services grow in the last few years. This has placed a strain on their resources and their flow of patients from ED to the ICU has suffered. This has resulted in patients having an abnormally long wait time. The team has determined that the critical issues at play include bed management and capacity, noncompliance with current hospital protocols, as well as an inefficient communication system.
In 2000, only 9.1 percent of registered nurses were 30 years old or younger, according to the Health Resources and Service Administration’s Bureau of Health Professions. That same year, the average age of the nursing population was 45.2. One reason older nurses leave the profession is physical stress. Tampa (Fla.) General Hospital implemented a patient-lift initiative to reduce back and other types of injuries among nurses and support staff. A dedicated lift team assists nurses and other staff when they cannot safely move patients.
Why? d. What teaching interventions would you provide to the client after the change in prescriptions you recommended? (List at least 3 interventions) 2. Mary S. is an attorney (who is 48 years old) who has suffered from epilepsy for about 25 years and is taking the medication phenytoin. You are looking at her electronic medical record and note she has missed several of her quarterly MD appointments.
Six out of the 11 care workers, who admitted a total of 38 charges of neglect or abuse of patients, have been jailed. The five other workers were given suspended sentences and ordered to do community service. Senior support worker Wayne Rodgers, who was highlighted as the ringleader, was given the longest sentence and jailed for 2 years after admitting to 9 counts of ill-treatment of patients. After the trial, Jason Gardiner, a former support worker at Winterbourne who was given a suspended sentence commented that “It was a very difficult place to work. Understaffed, high pressure, 12 hour shifts with no breaks” When challenged by a reporter that this was no excuse for their behaviour he apologised for what had happened.
Facility administrators need to establish a balance between providing a safe environment, while at the same time providing each resident with opportunities for choice, control, and individuality (Kane & Kane, 2001). The staffing levels of professional nurses in a nursing home are not as high as that of a hospital; however, nursing homes have registered nurses on duty that perform assessments, administer medications, perform treatments, and interact with families and physicians, to name some of their many responsibilities. Nursing home residents often become ill. In 1997, there were 1,465,000 nursing home residents and 2.1 million elderly nursing home discharges due to hospitalization and death in the United States (Gabrel, 2000). When a resident is observed to have a condition change, the nurse performs an assessment and makes a decision whether or not to notify the physician and the resident’s family or guardian.
------------------------------------------------- Nursing Interventions ------------------------------------------------- - Diagnosis and correction of chronic blood loss ------------------------------------------------- - Administer Iron supplement, food intake. ------------------------------------------------- - IV and IM medications ------------------------------------------------- - Monitoring of vital signs, capillary refill, color of skin, mucous membranes. ------------------------------------------------- - Observation of a delay in verbal response, confusion, or restlessness. ------------------------------------------------- - Provide oxygen as needed. ------------------------------------------------- - Assess level of