This plan should include details that would identify what an emergency is, how it would be communicated to the staff, and what arrangements will be made for the facility. We are also in compliance with our Human Resources department. The Human resources department ensures that all staff members and workers at a hospital facility are competent to undertake the task their job description provides. They also handle the responsibilities and evaluate performances. Infection Prevention and Control department assigns a team that is responsible for developing a plan for infection prevention and control activities.
Once a patient has been admitted to a particular ward, it is the responsibility of the Medical and Senior Nursing team to develop a monitoring system tailored to each individual patient in relation to their specific medical needs. The policy “Recognition and Response to Acute Illness in Adults in Hospital” outlines the responsibilities of all staff involved in the recording of physiological measurements (North Tees and Hartlepool NHS Foundation Trust 2012). The observations must be recorded in the in the Physiological Track and Trigger Chart, and carried out by other healthcare staff such as Healthcare Assistants at the intervals specified on this chart. The Physiological Track and Trigger Chart, utilises a system in which all measurements are given a score between 0 and 3, the higher the overall score is the clearer the indication of how unwell the patient is. This score is known as the Early Warning Score (EWS) and is used in order to ensure all staff can recognise and report when a patient is becoming more poorly.
Policy Priority: Safe Staffing for Nurses Stephanie Minervini Chamberlain College of Nursing NR506: Health Care Policy July 2013 Introduction Inadequate staffing is becoming an increasing concern for not only nurses but the public as well. Research has found a strong connection between low nurse staffing and higher rates of patient complications. A study from the New England Journal of medicine determined that patient mortality was significantly related to nurse staffing levels. Staffing the right number of nurses with the right knowledge and skill base to meet the needs of patients is essential to achieving optimal nursing outcomes. Sources that can help us plan staffing models or determine appropriate nurse-to-patient ratios include standards defined by professional nursing organizations and regulatory agencies, and benchmarks from the American Nurses Association’s National Database of Nursing Quality Indicators.
This is important as each person will have different needs and what suits one person may not suit another. Should an advanced care plan exist, then it should be followed to ensure the individuals wishes are being respected. The person who is being cared for should be made as comfortable as possible, to cover all of their physical and psychological needs. The individuals social and spiritual needs should also be taken care of. A core team, which consists of a doctor, district nurse, key workers and care assistants, should support the individual during the day and during the night if possible.
TASK D Ipswich Hospital Criticised for Care of the Elderly In March 2011 Ipswich Hospital was visited by the Care Quality Commission. They reported that they had some “moderate Concerns” about the care provided by staff in two particular wards, for the elderly at the hospital. One of the areas of concern by the CQC was regarding “respecting and involving people who use services” They noted that patients names were on display on boards, so all visitors were able to see every patients details. It also stated that the elderly on the 2 wards were toileted on a commode in their bed area and not taken to a bathroom area. Patients were not given the option to get dressed, and that they were left in nightwear all day.
• To ensure health and safety throughout the surgical procedure and to ensure all instruments, equipment and swabsare are accountable throughout the procedure. • Act as a link between the surgical team and other parts of the hospital so communication and management skills are needed. • In the recovery phase ODP’s are involved in all aspects of patient care in the recovery unit, including monitoring, supporting them and providing treatment until the patient has recovered. Then to assess the patient to evaluate whether they can return to the ward. • Then to evaluate all the three stages of the peri-operative care.
Anchor Home Health Care has an immediate opening for a Full-Time Registered Nurse, licensed in the state of Indiana, with one year of nursing experience. Essential duties and responsibilities include evaluating/assessing the health care needs of the patient and make recommendations for admission into agency services. Admit patients for services in the home utilizing Anchor’s admission guidelines. Develop and implement the plan of care for each patient, in cooperation with the patient’s physician and the professional disciplines providing services, addressing the patient’s specific needs, home situation, and family/household unit. Re-evaluate and record the patient care needs of the acutely ill and/or chronically ill at each home visit and obtain necessary revisions from the patient’s physician as needed.
There is also a perceived lack of standardization because electronic medical records are still a new platform. Some of the differences in the implementation of the system is that in a hospital setting the hospital administration makes the decisions on the use of the services and the physicians and hospital staff have to conform. In a physician setting they are making the decisions on their own about implementation. Another important difference is that a physician’s office does not have the resources to house and locally install an EHR system. That is why web based solutions are used more often.
Cost seems to be another impediment to the implementation of the system. An article in the Medical Records Briefing notes that several surveys and roundtable discussions showed that (59% )of respondents said that available funding was the most significant barrier to widespread EHR adoption. (62%) stated lack of national information standards and code sets,(51%) were concern about physician
Patient Safety According to Weeks W.B. et al (2000), each day, far too many patients are harmed unnecessarily through their interaction with the healthcare system. It is then that the measures of institutional safety in healthcare are declining and thus considered that receiving medical care is risky. In fact, “frequency of fatal outcomes in medical care is estimated to exceed those from motor vehicle accidents” Weeks W.B. et al (2000).