Nightingale Community Hospital Sentinel Event Analysis Sentinel Event A pediatric female patient was admitted for outpatient surgery by the mother. Once the patient went to the operating room, the mother left the facility to run and errand with the patient’s sibling and would return when the surgery was over. The mother left her cell phone number with the pre-op nurse to call if the surgery was over sooner than expected. The surgery was completed in 1 hour 45 minutes. When the patient was in the discharge unit the Discharge Nurse prepared the patient for discharge.
Case Study 1: Patient Admission Concepts related to HLTEN512B Topic 1 Mrs. Gwen Jones is a 70 year old woman who has been admitted to your ward after arriving from her doctor’s surgery. Her GP has included a letter stating that he has assessed Mrs. Jones and requests she is admitted. She is feeling very unwell, with a high temperature, frequency of urination and burning when urinating. She appears slightly confused. She complains of back pain.
Standardized Terminologies in Practice: The Infant with Bronchiolitis On the Pediatric Acute floor at a local hospital, a four month old female is admitted with bronchiolitis. The infant was born at twenty five weeks gestation and has chronic lung disease and apnea of prematurity. She was discharged from the hospital on an apnea monitor, and with an order for home oxygen per nasal cannula. After the infant is admitted, the case manager on the pediatric unit meets with the patient’s family to perform an initial assessment. During the assessment the case manager inquires about current medical equipment utilized, insurance information, method of transportation, feeding regimen, and verifies the patient’s medications.
Case Study 3 A woman brings her 6-month-old son to the pediatrician. You are following the doctor as part of your physician’s assistant training. Before you enter the examining room the physician pulls the chart off the door and hands it to you. The nurse has written on the chart that the chief complaint is a group of lesions on the child’s back. You enter the room and greet the mother.
MACOMB COMMUNITY COLLEGE NURSING PROGRAM NURS 2455 CASE STUDY ONE THE PATIENT RECEIVING CHEMOTHERAPY – By A 65-year-old woman is admitted to the oncology unit for her first round of chemotherapy. She is Hispanic, married for 30 years with five grown children. Her family is having a hard time accepting her diagnosis. She is also anxious and tearful. She had a breast lumpectomy 2 months ago and has just had a port insertion.
I read the patient had history of hypertension and diabetes. The patient was actually admitted for an elevated blood pressure but the cardiac markers were all negative. Approximately ten hours into the shift the patient used her call bell and another nurse was in the hallway outside and answered my patients light. The Nurse returned and stated the patient said she didn’t feel well and had taken her blood pressure and found it to be within normal values. I walked to my patient’s room and saw the patient breathing with accessory muscles and said she didn’t know what was wrong but didn’t feel well.
1288 women (mean age 28.7 years) hospitalized for cesarean or vaginal delivery were enrolled. Patients were contacted and a computer-assisted, scripted telephone interview was conducted by the Research Survey Center of Wake Forest University to assess the presence of persistent postpartum pain, intensity, frequency, location, treatment and impact on daily activities,
In preparation for Nightingale Hospital’s impending Joint Commission review, a mock simulation tracer review was conducted to assess Nightingale Hospital’s level of compliance for providing safe quality care and services to its patients. The purpose of the tracer methodology is to ensure consistent and uniform care is provided throughout the continuum of care from admission to discharge. A1. Evaluation The case reviewed was a 67 year old female, status post-surgical laparoscopic hysterectomy that resulted in an open procedure five weeks prior to her re-admittance to Nightingale Hospital seven days ago. She presented with fever and post-surgical site drainage.
Tori Rivers is a ten-year-old female, admitted for severe right lower quadrant pain and fever. A CT scan confirmed appendicitis. She is one day post-op. She is allowed out of bed to the chair. When getting out of bed, she walks bent over holding her incision and grits her teeth as she sits down.
PART A QUESTION 1 Infection control in a health care setting Chickenpox in a Health Care Worker – Total 13 marks A registered nurse working in an HDU (High Dependency Unit) notified the Infection Control Nurse that her daughter had chickenpox. The daughter’s skin lesions had appeared five days prior to the notification. The staff member did not have a history of having had the disease and was in the second trimester of her second pregnancy. Blood tests on the RN for antibody to Varicella zoster virus (VZV) were negative. She was rostered off work and given varicella zoster specific immunoglobulin by her obstetrician.