This has caused doctors to shift their patients from Middlefield to this new hospital. 2. Continually deteriorating employee morale over last 12 months. 3. Unavailability of quality instructors for the Nursing Degree programs.
Assignment 205 task B The first report of serious failure to protect individuals from abuse. Is the winterbourne case, The winterbourne view hospital abuse took place at winterbourne view, a private hospital at hambrook, south Gloucestershire England. A BBC panorama investigation on the television in 2011, exposed the physical and psychological abuse suffered by people with learning disabilities and autism at the hospital. Local social services and the English national regulator (CQC) had received various warnings but the mistreatment continued. One senior nurse reported his concerns to the management at winterbourne view and to CQC, but his compliant was not taken up.
“I always ask them why they don’t follow up as instructed and the answer is always the same” says Payne, “They simply can’t get an appointment and when they show up at the clinic in person they are turned away”. Payne mimics the thoughts of Douglass regarding inadequate staffing and shorter clinic hours due to budget cuts and believes that these issues are a grim reality at all three clinics serving the Los Angeles area near LAC/USC. The Urgent Care Clinic operated within the LAC/USC ED itself is also unable to meet the needs of these patients even though it operates at full capacity. Payne confirms that, “Primary care is completely inaccessible for these underserved patients”. She is aware of a new “call back nurse” position being developed in the ED at LAC/USC to provide phone instructions for patients needing to return to the facility for tests and procedures.
Using SwabCap® to Reduce the Number of Central Line Associated Blood Stream Infections (CLABSIs) Dawn E Bennett Joliet Junior College Nursing 260 Using SwabCap® to Reduce the Number of Central Line Associated Blood Stream Infections (CLABSIs) According to the Centers for Disease Control and Prevention (CDC), every year health care associated infections (HAIs) affect 5% of hospitalized patients in the United States. CLABSIs are a deadly HAI, with a mortality rate of 12%-25%. In 2009, the number of CLABSIs in an Intensive care unit (ICU) setting was estimated at 18,000, and for patients in an inpatient ward was an estimated 23,000. Patients receiving hemodialysis as an outpatient in 2008 had an higher rate of CLABSIs, with an estimated
One being that congress has found that multiple hospitals throughout the United States do not have enough staff to safely and adequately care for patients. They also found that the research shows patient safety is directly related to the amount of registered nurses (RNs) working. If staffing is adequate, there is a decrease in negative patient outcomes such as falls, medication errors, infection, and even death. Overall, inadequate staffing forces nurses to perform in an environment that does not support quality health care (H.R. 876/S.58, 2011).
There are 2,995 employees who work in NHS direct. 2,445 are in front line staff (www.nhsdirect.nhs.uk) of which 1,085 are trained nurses who give any necessary advice and if an individual need for referral in emergency they guide them according to their situation. in November 2000 the Department of health said that NHS direct receive over 3.5 million calls and take 60,000 call a weak, it may be raised at the end of year. In 2003, 20 million calls received. Currently NHS direct answer 8.2 million calls per day including website and
According to the U.S. House of Representatives, majority of nursing homes do not have enough staff to meet the levels recommended by federal officials; the levels recommended are 3.45 nursing hours per patient daily. Senior’s usually lose their primary care physician, who is most familiar with the patient’s medical history and conditions, when they enter a nursing home. As a result of entering a new living environment, elders are given a doctor who has minimal knowledge when it comes to their medical history, and unfortunately physicians in nursing homes have an overload of patients and are constantly in a rush. Under federal law, physicians in nursing facilities are only required to see the resident once every thirty days for the first ninety days after a new patient is admitted to the nursing home. After the
Interviews were conducted with RNs who were no longer practicing clinically. I n the United States, nursing workforce projections indicate the registered nurse (RN) shortage may exceed 500,000 RNs by 2025 (American Association of Colleges of Nursing [AACN], 2010; Cipriano, 2006; U.S. Department of Health and Human Services, 2002). In 2008, the national RN vacancy rate in the United States was greater than 8% (AACN, 2010). Evidence suggests experiences as a newly licensed RN directly impact individual perceptions related to the profession (Cowin & Hengstberger-Sims, 2006). An estimated 30%-50% of all new RNs elect either to change positions or leave nursing completely within the first 3 years of clinical practice (AACN, 2003; Aiken, Clarke, Sloane, Sochalski, & Silber, 2002; Cipriano, 2006; Cowin & Hengstberger-Sims, 2006).
She relayed to me that she was fed up with healthcare in this country and did not understand how she could work hard her whole life and be treated like less than because she had an “HMO”. She too, like me and others, seem to be failed by our medical system currently in place. Sue complains that her HMO is awful and they have withheld care on more than one occasion. She goes on to explain that an HMO insurance only allows you to see certain doctors. The doctors she needs to see, she goes on to say, are not available to her as they do not participate with her insurance, Aetna.
Communication is important for provision of appropriate care by nurses. Over the past few years, media reports have suggested that nurses lacked compassion. I was placed at a rehabilitation hostel for people with mental health problems and I noticed that some junior nurses did not have assertive skills to deal with ‘difficult’ patients. I had an opportunity to witness a new admission and was surprised at how some nurses were only concerned about patients’ medical symptoms without listening to underlying causes of their illnesses. Consequently, I decided to focus my discussion on these three communication skills; compassion, assertiveness and listening skills.