I feel the appropriate standard of care for the case study would be for the doctor to perform the procedure. Since the patient is incoherent and can’t decide for herself. The wounds from falling must have been bad enough were it could have been too dangerous to wait for the kin to agree to care or the patient. In these situations I think it’s up to the medical staff mainly physician to decide what is appropriate care at the time. The patient had a severe head wound which needed attention right away.
There are many steps to take in order to improve communication skills in nursing such as honesty, availability and responsiveness. The first step towards effective communication in nursing is honesty. As nurses, we may often find ourselves making promises that we can’t keep. This could be anything along the lines of, “I’ll be back in 2 minutes” or “The doctor will be with you shortly.” Although we may have good intentions, and we may often forget the promises we make, our patients are relying on us to be honest and follow through with these promises. It is important not to make promises we cannot keep.
The moving and handling risk assessment, in place at the time, did not specify which sling should be used for the patient. A suitable risk assessment, carried out by competent staff, would have identified and recorded the appropriate type and size of sling and this should then have been communicated to all staff involved in moving and handling the patient. "South Birmingham Primary Care Trust failed in its duty by exposing the patient to grave risk. It is essential to ensure that all equipment, including hoists and slings, is appropriate for the individual being moved or handled. It is also vital that
When providing patient care in the healthcare field, as professionals, nurses need to be prepared for the challenges that might arise on the hospital setting. Being prepared can make challenges or situations in the nursing field less difficult or provide less resistance for decisions to make in delivering the best quality of care. Whether it is caring for a minor in labor or a same sex couple in the hospital being evaluated, special protocols must be implemented to provide the highest quality of care. As in the case of Rachel who is a minor unwed and in the early stages of labor admitted to the hospital, accompanied by her parents who has not been given meds or been seeing by the physician on duty who happens to be attending another emergency. Where clearly has brought a difficult situation to the healthcare team of the hospital raising ethical and legal issues in all aspects due to the fact that the parents of the pregnant teen have refused any assistance and the nurse assigned has complied silently.
The reason for this window of time for the infection to develop is because hospitals try to have the duration of hospital stays decreased. Therefore, the symptoms of the infections aren’t discovered until after the patient has returned home. Hospital-acquired infections are also an indication of how well patient care and safety is at the hospital. The safety and quality of care for the patients should always be a hospital’s first priority. Hospital-acquired infections are preventable and preventing them is straightforward: a code of cleanliness.
If a doctor or nurse requires a chaperone, in the first instance, another clinical member of staff is asked for. If they are unavailable, then a member of reception is asked to chaperone. A chaperone should always be offered where necessary and in every instance it should be logged on the patients’ record if a chaperone was present, who it was, or that a chaperone was offered and declined. In an ideal world, a chaperone would be available any time a health care professional was required to carry out an examination, but this would not be cost effective as another member of staff would have to be hired to be on stand-by all day every day in case they were needed to chaperone, and very often a chaperone is declined by the patient which would waste these expensive resources. Since working through the PRP course and reading in the PRP Handbook Part One about chaperoning, I have spoken to my Practice Manager about how I can actively help to make staff aware of what being a chaperone requires and how I can make patients realise that a chaperone is available to them.
The biggest area for quality improvement in the scenario will focus on improvement for the patient. Areas that are lacking and can use improvement for this aspect are: systems that affect the patient, patient safety, and coordination of care. In the scenario listed patients are not being brought down on time for their therapies which in turn is affecting their quality of care by not receiving the utmost care. This could be due to a lack of communication between staff in the facility and could be improved with better provisions or more staff in place. Patient satisfaction is also being compromised due to these issues affecting therapy.
One of the biggest issues with physicians prescribing placebos is they are doing so without even telling their patients what it is. Many physicians feel that placebos will not work if they explain to their patient what they are giving them. So when prescribing placebos they often tell their patients that they are prescribing them something that has been effective with other patients. And if they do decide to get the patients consent for use of the medication, the physicians are not even required to say its true name, “placebo”. The reason physicians feel that placebos work without the patient knowing is because when the patients take the medicine they believe they will get better, which causes a physiological change in the body.
This means that people already undergoing treatment for heart disease and other stress-related illnesses were asked to remember life events from the previous year. This may affect the results as some people may have a shorter memory and may not be able to remember life events during the past properly. During Holmes and Rahe’s study (1967) there was another methodological issue. The study was carried our in the US so the events and how they were rated would have been culturally specific. In addition there was no objective assessment of the degree of adjustment necessary; they relied on participants’ opinions.
Insufficient blood taken due to underestimation or inability to draw blood 6. Wrongly labeled sample or/and form 7. Blood not sent to laboratory promptly, left in room temperature to deteriorate The most vital step in avoiding these mistakes is thorough staff training. Standard protocols for the nurses, doctors or phlebotomists should be made available for them, encompassing proper steps and possible sources of preanalytical variability like sample storage and transportation of samples. A two identifier method is recommended during phlebotomy to prevent misidentification.