The second step of a RCA is gathering information or the facts. The facts of this event are: Mr. B came to the emergency department after a fall, during the course of his health care stay he received medication that sedated him, he was not monitored according to the “conscious sedation” policy, which in turn resulted to the death of Mr. B. In step three of conducting a root cause I identify possible causal factors. The sequence of events that led up to this sentinel event is Mr.
Alternatively what went well and why, so that the experience may be repeated. For this case study I shall be using Gibbs model of reflection (Gibbs, 1988). The model itself has been described as simplistic and incorporates the elements that describe a situation, express emotions about the situation, evaluate and analyse the situation, finally reach conclusions and provide an action plan for the future. This reflective case study is being written as a necessary part of the IHCD Paramedic course. In addition it was a situation of which I had had previous little experience and a reflection could therefore be used to increase my level of knowledge, and future patient care.
Cheryl McCollin vs. The Judge Rotenberg Center The Judge Rotenberg Center (in Massachusetts) is geared towards disruptive and self-destructive children. For over twenty years the Center has used extensive tactics such as the electroshock therapy to questionability produce a positive change in the children. In October 2002, Andre McCollin (who had previous mental conditions) was tied up and shocked thirty-one times over seven hours. The method of so-called therapy landed Andre McCollin in the hospital in a nonresponsive state for three days.
Suddenly, Mr. Smith was experiencing cognitive impairment known as psychosis. Due to emergency and presenting unordinary circumstances, the psychiatric nurse, Ms. Veering contacted Dr. Krauskopf, the psychiatrist at John Marshall Hospital. Dr. Krauskopf placed Mr. Smith on medication in order to calm him down and transferred him out of the ICU. Mr. Smith was placed on one-to-one nursing. At four a.m. on July 5, 2009, Mr. Smith was found in the bathroom hung by another patient.
• Cite a minimum of three references, beyond your text. • Post your paper as an attachment. Week 9 1. Capstone Discussion Question • How might pharmacy professionals help ensure patient safety when preparing and dispensing medication? How does the knowledge gained in this course help prepare you for a career in the pharmacy field?
| Accreditation Audit: AFT Task Three | Stephanie Clements | | | Western Governor’s University | | Evaluation During the audit prior to the Joint Commission visit, a Surgical Patient Tracer Worksheet was completed. Some of the questions that were asked are “Show me the patient’s admission assessment (or initial nursing assessment). When is the assessment done? By whom? Can an LPN do an admission assessment?” The notes/deficiencies identified by the auditor are as follows: “History and Physical not done within 24 hours of admission (>72 hours)”.
Systematic Research Review Rebecca Harty Chamberlain College of Nursing NR505: Advance Research Methods: Evidence-Based Learning Spring A, 2015 Introduction Before a patient may present with Cardiopulmonary arrest, they will often exhibit signs and symptoms of their worsening condition hours or days prior to the event. This is considered “failure to rescue” where the caregivers lack the skill to identify signs and symptoms of a decline in a patient’s condition, or a delay in intervening to prevent a cardiac arrest. Failure to rescue.is used as a measure of the overall performance of a hospital though some feel its an act wrongdoing, or negligence. Cardiopulmonary arrests have up to a mortality rate of 80% (Winters et al., 2013). Often,
Clinical Worksheet Student Data to be collected prior to clinical from the medical record: Room 357 Age 66 Sex M Admit Date 06/25/2015 Admitting Doctor Admitting Diagnosis (es) CHF Exacerbation Allergies NKA Diet Cardiac, low cholesterol Code Status Full Code Intake and Output Measurement (q hr, q shift?) Strict I&O 1500ml/day Activity as tolerated Indicate other disciplines caring for patient (e.g. Physical therapy, speech therapy, dietitian, etc): Dietitian, Respiratory therapist What was your patient’s “chief complaint” that brought him/her to the hospital? Shortness of Breath Describe the event that leads to patient’s seeking hospitalization. (Read History and Physical and summarize important/relevant
Another weakness of mine is waffling. Sometimes I will carry on writing or speaking nonsense, this maybe because of my next weakness which is lack of confidence. Existing Academic Skills At present I work as health care assistant in a nursing home and with this have gained the following: NVQ level 2 in health and social care ,Basic infection control, Basic health and safety, Load management and client handling techniques, Dealing with challenging behaviour and I was awarded a personal best certificate for providing an individual service. On the29th June 2004 I received 2 credits at level 3 for forensic science scenes of crime on the National open College Network at Chester College of further
Medlock Leadership Sherilyn Medlock Jack Welch Management Institute 510 Dr. Tocci August 17, 2014 Abstract The context of the paper is to examine the uncommon leadership style that I have acquired of year of management. This will list my strengths and point out weakness and/or areas of concern when leading a team within the medical field. I will also include the valuable information that I have learned over the first three weeks of the JWMI Leadership in the 21th Century. In the conclusion of this paper, the following will be addressed, one the strengths that will remain with minor changes, two, weakness and how to develop them into strengths, and three the plan to make the personal experience, knowledge for the JWMI weeks one through three be meshed with the experience and