The current policy states the abbreviations are discouraged, but there is no protocol in place on how to monitor, educate, and correct such entries into patient’s medical charts. Without developing a plan to implement the protocol, Nightingale Community Hospital will not meet Joint Commission standards. Corrective Action Plan: 1) Provide all prescribing providers, nursing supervisors, nursing staff, medical records department, pharmacy department, radiology department, respiratory therapy department, and physical therapy department of the list of prohibited abbreviations. a. This list would be sent via interdepartmental and extra departmental memos, e-mails, or US Postal Service.
The nurse manager states what, how, and when a task should be preformed. When delegating the task must be defined and then there should be a determining of who should receive that task. Once someone is chosen identify what the task involves and provide clear communication about what is expected and what to do in the event
Supporting people to live independently by being part of their lives means accepting that there are risks that cannot be avoided but can be prepared for. 1.2 Explain why individuals may have been discouraged or prevented from taking risks For some people it is important to discourage them from doing certain activities for example. We have a lady who has recently come into our care as she had suffered a broken hip due to a fall. She is desperate to b as independent as possible and insists that she can shower herself. After a full risk assessment she has been advised not to take a shower on her own and that any shower must be accompanied with a carer only.
Coordinate discharge planning and prepare discharge summaries and instructions. Initiate emergency procedures when necessary. Adhere to productivity requirements as defined by the office. Provide case management for assigned primary care patients, as appropriate. Report observations of the patient’s condition to
However, the company refused to acknowledge the certification and would not bargain and filed an exception with the Board on the union certificate. After the board found the certificate valid, North Star had officially violated section 8(a) (5) and 8(a) (1) of the LMRA since they refused to recognize and bargain with the union. Before the union certification, North Star had maintained a health care plan for its employees and historically had this plan for some time. The plan required employees to contribute to the payment of premiums. North Star was also allowed to make unilateral changes in the amount of money the employees needed to contribute depending on costs of health care coverage.
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. According to Bellack, J.P and
The sixth standard states that a nurse must “maintain each patient/client’s right to privacy by protecting confidential information unless obligated, by law, to disclose the information”. (Georgia Registered Professional Nurse Practice Act, 1981/2011) I believe this standard was not upheld in this case study on several instances. When Ms. H was greeted in a waiting room occupied by other visitors, Dr. K began to discuss Mr. E’s condition with her in spite of the knowledge that she was not listed as the medical power of attorney and there was no proof of her relationship to Mr. E. The nurse made no effort to stop this conversation and take Ms. H to a more private location to wait for her uncle, Mr. Y. In addition to this action, Mr. E’s private health information was breached with Ms. H and her boyfriend under HIPAA guidelines. Reasonable accommodations were not made to prevent others in the waiting room from hearing this private information.
Although Sandra was not conscious and could not make choices herself, the staff tried contacting her next of kin, when they were unreachable they took matters into their own hands to help Sandra. It was not noted in the case study what happened after medical attention was given to Sandra, but it was in good faith that the doctor choose to give Sandra medical attention right away due to the severity of her wounds. Dignity often rises from one person to the next and in this case I feel all three ethical principles were
When the doctor finally sees him he tell him that he will not be give any narcotics, before examining him and assessing his pain, .The patient decided to leave and mentioned that he is going to another hospital in the city. The doctor calls the other hospital and alerts the doctors not to treat the patient in question because he demonstrates drug-seeking behaviour. The author will provide a critical evaluation of the ethical principles and the legal aspects of this case study in relationship to professional conduct. The Nursing and Midwifery Code of Professional Conduct (NMC) (2008) provides a guideline to ethical decision making and the standards of professionalism that are required by nurses. Also the Nurse's contract of employment, the hospitals policies and procedures or consulting a legal advisor can help when determining if an action is ethical, professional or unlawful as observed by Griffith et al 2010,and yet Dimond (2008) further argues that to care for a patient a nurse must have the knowledge of law and professional practice which can assist in decision making, As can be seen from the scenario, there are laws and guidelines which need
Verpapt Lapratanakul Business Case #1 Avco Environmental Services is a small toxic-waste disposal company where Chantale Leroux works as a clerk. Chantale found out the documents showed that the company has been disposing of medical waste in a local municipal space. She knows this is illegal and even a small amount of medical waste would raise public concerns. After that she reports this issue to her supervisor, Dave Lamb and her operations manager, Angela Van Wilgenbrug respectively. Both of they ignore and suggest that this is not her concern.