Now, instead of residents staying late there would be a night team which would take over duties around 6/7pm. However, this led to rebellion in the surgical area. Many older residents still had the new members complete their jobs as normal and would “refuse to hand off the paperwork… until they completed all the tasks” and “refused to do it because they don’t know the patients” (Kellogg, 100, 151). In-fact in fear that their reputation would be at stake some residents “don’t hand off their work to others because of pride and reputation” (Kellogg, 111). As Katherine’s study progressed, she realized that there were social norms associated with each year in residency and there was more to the OR than imagined.
The statistics of medication error consistently increases in health care sector. A 1999 IOM (Institute of Medicine) estimated that “Medication errors” accounted for 7,000 deaths per year (Phillips et al.2001). According to Malaysia, static show that 10 percent of medication errors occurs by the nurses’ carelessness and not seriously follow the rules in their practice, during drug administration stage (www.straight dope Nov 2007). We mite be think, 10 percent is not a high percentage in medication error but that was the root cause of medication error, were started by the nurses in health care sectors. All errors result in potentially negative outcomes for the client, including a near or actual death.
Also a survey conducted of older patients discharged from an inner-city ED revealed that most believed that ED staff were not attentive to their questions or needs (Nerney, Chin, Jin, Karrison, Walter, Miliken, Miller, Hayley & Friedmann, 2001, p. 140-145). In recognition of the coming crisis, the American College of Emergency Physicians is recommending a new model of care for the geriatric client. An identified shortcoming of the ED is lack of training and understanding in geriatrics of all clinicians, supporting the need for additional education (Fitzgerald, 2008, p. 1-10). The Emergency Nurses Association has made a statement that ED nurses must adjust their practices to better serve older adults whose response to acute disorders varies from that of younger individuals, this can only come through education. According to the Journal of Emergency Nurses, few ED nurses have received geriatric education through formal or continuing education programs.
My topic proposal is the overuse of the emergency department. It’s an issue that every hospital in America is grappling with. Emergency room visits nationwide are on the rise, even as the total number of emergency rooms is falling. Add this to the fact that, according to the Center for Disease Control and Prevention's recent publication, National Hospital Ambulatory Medical Care Survey: 2006 Emergency Department Summary, only 15.9 million out of 119 million visits to the emergency room in 2006 was urgent or emergent. Going to an emergency room instead of scheduling a doctor's appointment has become a trend in this country.
Balancing Cost-Effective Nurse Staffing with Patient Outcomes In a survey of around 220,000 registered nurses, thirty nine percent responded that the current staffing levels were inadequate and thirty eight percent found them unsatisfactory (American Nurses Association [ANA], 2013, para. 4). Nurse staffing is a topic all too well discussed by both managers and the nursing staff. All units have budgets and staffing that have to be done on a regular basis by the nurse manager. There is currently a larger nurse-to-patient ratio than most nurses would like.
The rate of infection did decrease substantially in the shaved patients if the shaving was done at the time of surgery rather than the customary day prior. Each of the article cited years’ worth of data collection in studies around the world with thousands of patient’s total. In all of the articles they noted that the resistance to changing this procedure is due to custom and practice (Prevention of Surgical Site Infections n.d.). 4. Based upon a review of the literature, if the practice of shaving was eliminated in totality or at least substituted with clipping in more hospitals, the incidence of
He is not the first to notice the great number of deaths happening, but he is the first to oppose the idea that they are caused by the hospital’s “poisonous air”. As he investigated, Ignaz noticed that more women died in the clinic’s first maternity ward than in the clinic’s second maternity ward. He knew there had to be an explanation as to why more deaths were in the clinic’s first maternity ward, than in the clinic’s second, so when he realized that the first maternity ward was situated right next to a post-mortem room, he hypothesized that this was the reason why. What was happening was that the doctors, who worked in maternity ward one, were able to do autopsies and delivery children, and sometimes they would not wash their hands between the two activities, therefore infecting the patient. On the other hand, midwives, who worked the second maternity ward, only delivered children, making it impossible for them to transfer bacteria from dead people to the women in labor.
Most of the time, they do not come to the health center until their illness is extremely painful and/or life threatening. It is not because they do not care about their health, but fearful of the consequences of being in this country without proper paperwork. As a government funded health center, we do not report to immigration, and we welcome anyone with or without citizenship or insurance. I have taken care of many elderly patients with co-morbidities.
They find their overcrowding further aggravated by outdated federal and state policies (Brewster, 2007). Worse, while many emergency rooms are already operating at peak capacity on a day-to-day basis, the emergency medical system is incapable of absorbing the massive surge in demand for emergency medical assistance that would follow a natural disaster or terrorist attack. Emergency Department Problems – Speed and Accuracy There are several reasons why this is becoming a nationwide problem. First, the emergency medical system is stretched beyond capacity (Schull, 2011). From 1994 to 2004, visits to hospital emergency departments increased from 93.4 million to 110.2 million-an 18
Running head: NURSING STAFF SHORTAGES Nursing Staff Shortages: Why is There a Problem and What Can be Done to Solve It? Wendy Allen Troy University NURSING STAFF SHORTAGES ABSTRACT Nursing staff shortage is a large problem in today’s healthcare environment. There are fewer nursing students as a result of their being fewer nurses. The population is aging, which is creating a larger demand for healthcare services. Healthcare organizations are finding it difficult to provide quality healthcare services in a timely manner due to the nursing staff shortages.