MEMO From: Joshua A. Burger (Gibbs), Phlebotomist, Genesys Regional Medical Center To: Office of Susan K. Kolka, Hospital Administrator, Genesys Regional Medical Center Subject: Excessive needlestick complaints and proposed corrective action 11/11/2009 Introduction Statement of Problem Inpatients of Genesys Regional Medical Center are complaining of excessive needlesticks during their stay at our facility. After receiving dozens of complaints, policy changes were made to allow the patients to receive a heparin lock as standard procedure, but the complaints continued. To promote patient comfort, safety, and well being, the hospital needs to take immediate action to reduce the number of needlesticks that our patients must endure
Structure is measured by the staff: amount, skill-level, and education or certification. Process indicators measure the facets of nursing care, such as assessment and intervention. Outcome indicators refer to patient outcomes that are affected by nursing care and are considered nursing-sensitive if directly affected by the quantity or quality of the nursing care (ANA, 2013). Through understanding of nursing-sensitive indicators and integration into daily practice, the staff caring for Mr. J could have been more aware of potential issues that interfere with patient care. Knowledge of the increased risk for pressure ulcers and the need for frequent turning and off-loading of pressure points could have allowed the staff to prevent the one forming along Mr. J’s spine.
With this being the case, antipsychotic medications often have side effects that need to be monitored regularly by the health professionals (Young et al, 2011). Compliance is often a challenge with patients either because of the unmanageable side effects they experience or through limited insight. It is a role of the health professionals involved in the care to closely monitor this behaviour, as the effectiveness of the treatment may be affected (Young et al, 2011). Keller, Drexler &Lichtenberg (2009) discuss the benefits of treating paranoid schizophrenia with atypical antipsychotic medication clozapine and Electroconvulsive Therapy (ECT). However both forms of treatment are linked with harsh side effects.
RTT1 - Organizational Systems and Quality Leadership Western Governors University RN-BSN Pre-Licensure Program The situation with patient Mr. J is quite frightening to say the least. There are multiple issues at hand here that put the patient’s health in jeopardy. As nurses, we have an obligatory responsibility to protect our patients and to practice the principle of beneficence. Having an understanding of nursing-sensitive indicators is crucial in preventing the development of hospital-associated injury and increased mortality/morbidity. These are principles instilled in us throughout nursing school, and guide nurses in our practice.
Laws on the other hand are binding rules of conduct. When laws are broken, it is punishable by an authority figure. An example of this would be a nurse making a medication error and not reporting it. The legal system and ethical system overlap in most situations, and every patient contact has the potential to produce a legal or ethical situation. “Knowledge of legal issues are essential because nurses are required to practice in accordance with legislation affecting nursing practice and health care failure to respect the legal rights of clients may result in legal or disciplinary actions.” (Makely, Austin, & Kester, 2013, p.64).
When a nurse breaches this trust patient outcomes can be jeopardized. When a patient fears that their information will not be kept confidential they may withhold information that is crucial to reach a diagnosis and plan effective treatment. References American Medical Association. (2012). http://www.ana-assn.org Nathanson, P. G. (2000).
Root Cause Analysis of a Case Study Alice Holliday Western Governors University Organizational Systems and Quality Leadership RTT1 Root Cause Analysis of a Case Study Healthcare presents numerous opportunities for patients to be helped by healthcare personnel. Unfortunately, there are also numerous opportunities for patients to be failed by healthcare personnel. When patients are failed by healthcare personnel, it is required by the Joint Commission for hospitals to carry out a Root Cause Analysis in order to understand the systems within the organization that failed so that improvements can be made and the failures can be prevented from happening in the future. (Cherry & Jacob, 2011) This paper will describe how a Root Cause Analysis (RCA) can be used following the death of a patient, and how Change Theory and Failure Mode and Effects Analysis (FMEA) can be utilized to come up with ways to prevent the failure from being repeated. A. Root Cause Analysis A Root Cause Analysis is an organized process used to determine the processes that lead to sentinel events.
It’s said that Doctors using the computer to input data then interviewing the patient will cause them to hasten their pace and not read a true diagnosis for proper treatment. In other instances, EMR’s according to patients can be falsified information being stated. Physicians tend to put check off on things that they haven’t completed. EMR’s aren’t intended to omit incorrect information unless corrected by staff. A way for patients to protect themselves and to obtain the upmost care need they should request a copy of their medical records and tests; go over medication intake directions and its residual side effects.
Researches in health care illustrated that service users continuously suffer from unnecessary preventable errors (Reader). In which interprofessional communication plays a significantly crucial role. The main purpose of communication was highlighted by one of the team member as the central way of progressing the service user’s (case study’s) care. The discussion was referred to the death of Victoria Climbie and the children undergoing heart surgery at Bristol. Improving management of care by effective and appropriate sharing information about duty spectrum of each particular profession for our individual service user was discussed within the team.
Incivility in the Nursing Workplace Barbara Combes Breckenridge School of Nursing ITT Technical Institute Abstract This paper reviews the definition of incivility and behaviors that constitute incivility in both academic and clinical environments. The paper addresses personal behaviors, in an academic environment, that by definition constitutes incivility. The paper also reviews the impact incivility has on nursing. Incivility in the Nursing Workplace Definition: The definition of incivility is: Rude or disruptive behaviors that often result in psychological or physiological distress for the people involved. Uncivil behaviors that are not addressed, may progress into threatening situations or result in temporary or permanent illness or injury.