The circumstances surrounding how the incorrect extremity was amputated was not clearly identified, but the doctrine of res ipsa loquitor – “the thing speaks for itself” – can be applied in this instance (Guido, 2010). It is standard protocol and best practice to identify the operative site prior to surgery. “To the extent possible, the patient (or legally designated representative) should be involved in the process” (American Academy of Orthopaedic Surgeons, 2012). Mr. Benson was not able to confirm of negate that this procedure took place prior to his operation because he was under anesthesia, but it can be implied as it is obvious that the wrong leg was
RTT1 TASK II VIRGINIA FISHER WESTERN GOVERNORS UNIVERSITY A/A1 Root Cause Analysis Root cause analysis would be a very important first step in considering what happened during and before the sentinel event with Mr. B. The sentinel event with Mr. B using the root-cause analysis would start by asking the “five whys” which will begin to sift through the event and begin to illuminate a cause for the event. In this scenario Mr. B’s situation became a sentinel event as a result of hypoxia following conscious sedation and ending in cardiac arrest and finally death. But the question is how was this allowed to occur? The clinical outcome in this situation was clearly that Mr. B was over-sedated leading to a very dangerous situation.
Doctors who lack proper training or those who have impairment problems tend to believe that their patients are honest about issues concerning prescriptions. These may include certain issues such as losing prescriptions, or early refills. This, however, only happens when the doctor fails to identify a drug abuse problem in the patient. Another ethical dilemma in the same field occurs when doctors do not disclose full patient history in the medical file of the patient. This may cause other doctors to prescribe the wrong drug thus putting the life of the patient at risk, either due to possible
Coates (1999), claims that when people are in a highly aroused or socked condition in the clinical environment, they are often unable to process and retain important information. Advantages of written information as described by Coates (1999) include being permanent, consistent and easily reproducible, it also gives the patient time to reflect on the information and share it with others. Little et al (2004) found in their trial that giving clients’ information leaflets encouraged patients to raise issues with healthcare professionals, giving them a sense of empowerment, support and improved satisfaction. The Department of Health (DH) (2004) express that information gives patients power and confidence, helping them to build trusting relationships with clinical staff and work in partnership in their
Are doctors lie to patients that will help them out? They found that patients don't know the truth or “keep in the dark”. They “feel betrayed.” (337) However, the partient knows the “truthful information, humanely conveyed, helps patients cope with illness: helps them tolerate pain better, need less medication, and even recover faster after surgery.”(337) I suggest that partients know their conditions immediately. If partient’s situation is terminal means almost the end of life. That will help them spend their remaining time carefully, and they don’t have doubts during the rest of the life.
This form requires health professionals to document both how they have come to the conclusion that the patient lacks the capacity to make this particular healthcare decision, and why the proposed treatment would be in the patient’s best interests. It also allows the involvement of those close to the patient in making this healthcare decision to be documented. The development of these forms does not change the current position on when written, as opposed to oral, consent to treatment is necessary. It is a matter of local determination what form of consent is appropriate for individual procedures, within the broad guidelines set out in the model consent
Once adequate data and information is received from the process of evaluation and analysis, it is then possible to identify the main factor affecting service provisions; from that action plans are devIced. Examples of factors that affect the provision of services are issues such as poor organisation. An example of this could be a ward which is not organising the staff efficiently, as there may be 3 physiotherapists yet inly 1 nurse, as well as the imbalance of staff the organisation of patients appointments may not be noted down in the diary, therefore transport would not have been booked by the ward which would delay the care a patient receives. The solution to the lack of organisation would be to firstly for the manager to plan in advance the wards rotas and ensure enough staff from both the therapy and nursing profession are booked in to work, also the need of a ward clerk is required as this frees clinical staff to provide care while the ward clerk books transports for patients appointments and keeps them filed in a
While the necessary equipment, hand washing procedures and knowledge is available, it’s a concern if sterility can still be maintained. Concerns arise when health professionals use their patient’s personal items to place their sterile instruments and supplies on while providing care for them. Once sterile instruments are placed in a non-sterile environment, the sterility is compromised and is now contaminated. For this reason cross contamination and/or the transfer of microorganisms risk is high, causing the patient to be vulnerable when inserting a catheter or any other procedure that is introduced within the body. While it is impractical for the nurse to provide a sterile surface, there are ways that contamination can be greatly reduced.
Biopsychosocial Impact In this reflective account I will demonstrate the knowledge and understanding I gained from working with a service user in the community mental health setting where I had been based. The service user in question had a diagnosed of depression which was due to a stressful period in his life which had resulted in changes he was experiencing difficulties For this purpose I have chosen Gibbs (1988) reflective cycle (www.ahot) In compliance with the Nursing and Midwifery Council (2008) ( www.NMC) and the General Social Care Council code of conduct relating to client confidentiality (www.GSCC) I have changed the service users name and for the purpose of this reflective account I will refer to him as Albert. I was allocated the case of a gentleman of 72 who had previously been diagnosed with depression by his GP who had prescribed him anti depressants. Depression can be described as a range of symptoms and behaviours (Freeman, Gilliam, Shearin, Plamping 1997 page 15) which can indicate a mild to severe form of the illness which is usually expressed as sadness or worry and can affect an individuals daily activities (Freeman, Gilliam, Shearin, Plamping 1997 page 14). The symptoms include low or depressed mood, for the same two week period (Freeman, Gilliam, Shearin, Plamping 1997 page 14) which is accompanied by at least five other symptoms ranging from loss of interest or pleasure in normal activities, inability to concentrate, disturbed sleep, poor appetite, self hate and suicidal tendencies (Freeman, Gilliam, Shearin, Plamping 1997 page 14).
Research has shown that hospitals are not following policies recommended by CMS in avoiding HACs. In a survey released in 2005, 1,256 hospitals found that 87 percent did not follow recommendations to prevent many of the common HACs. Using teamwork and collaboration is essential for helping to prevent SSIs in health care facilities. Strong and effective communication can be linked to successful collaboration in the surgical suite. Respect is also important; team members who respect each other will work harder for the patient and their team members, even when something goes wrong.