Nightingale Community Hospital Sentinel Event Analysis Sentinel Event A pediatric female patient was admitted for outpatient surgery by the mother. Once the patient went to the operating room, the mother left the facility to run and errand with the patient’s sibling and would return when the surgery was over. The mother left her cell phone number with the pre-op nurse to call if the surgery was over sooner than expected. The surgery was completed in 1 hour 45 minutes. When the patient was in the discharge unit the Discharge Nurse prepared the patient for discharge.
Skills in how to communicate effectively with both the pediatric patient and their parents are important for a nurse to foster to maintain good therapeutic relationships. Person centred care becomes family centred care when babies and children are the patients. The dependent nature of the patient increases the need for parental responsibility and advocacy for the child. It is important for all members of the family to be taken into account when nursing a pediatric patient, especially the primary caregivers and siblings. Chochinov, 2007 (cited in Cornwell & Goodrich, 2009), states simply that compassion is ‘a deep awareness of the suffering of another coupled with the wish to relieve it.’ Pediatric patients and their families are highly sensitive to the compassionate nature of health care professionals and a successful therapeutic relationship with them depends on the sensitive, compassionate care offered by the nurse.
Running head: SENTINEL EVENT ROOT CAUSE ANALYSIS 1 Sentinel Event Root Cause Analysis Kalleen Campbell Accreditation Audit Task 2 April 20, 2013 SENTINEL EVENT ROOT CAUSE ANALYSIS 2 SENTINEL EVENT ROOT CAUSE ANALYSIS 1. Identification of Process This report was received regarding an event that requires investigation: The pre-op nurse told the mother that once Tina went to the OR, her surgery would take about 45 minutes and then she would go to recovery and she would be there at least one hour. The mother told the nurse that once Tina went to the OR, she needed to run a quick errand involving an older sibling and would return in time to pick her up once she got out of recovery. The mother gave the pre-op nurse her cell phone number with instructions to contact her if Tina got out of surgery sooner than expected. Tina’s mother returned to pick her approximately 2 ½ hours later and found that Tina was discharged 30 minutes earlier.
Evaluating Compliance Strategies There are specific steps that must be taken in the medical and billing process. The guidelines established in the compliance process are put in place by Health Insurance Portability and Accountability Act (HIPAA) and healthcare staff members to the protect the patients, the staff and the physicians. The compliance process guarantees that inaccuracies and errors are avoided in the medical office. This paper will cover the linking procedures and diagnoses, the implications of incorrect medical coding and how medical coding, physician and payer fees are related to the compliance process. The entire medical billing process initiates when the patient is seen at a medical facility by a physician.
Malcovich of this patient’s presentation early on in her visit allowed him to investigate the details of her health and psychiatric history. He was also able to check laboratory and test results and have complete access to up-to-the-minute patient care notes. This allowed him to begin contemplating patient management options. St. Theresa’s, unfortunately does not offer inpatient psychiatric services. Therefore, once medically cleared, we have to rely on inpatient psychiatric facilities or group homes like the one Dr. Primrose runs to ensure that these patients remain safe while, in this case, initiating prescriptions to manage medical and psychiatric issues and gathering resources that will be necessary for this patient to regain her independence.
• 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.
Neglecting the safety and infection control can cause major problems in a healthcare facility so it is key that you go about the proper procedures and routine to keep everything safe and clean. Negligence is very important in the health field. As written many things can go wrong if negligence is not stressed and that is when professional liability falls into place. The phlebotomist has a professional liability, as do all other healthcare professionals. Professional liability is being legally responsible for actions, and ensuring "the standard of care" is followed (Finnegan, 2013).
Laskowski-Jones (2007) stated “I’m sure both my position in the hospital and my education as a trauma nurse allowed me a rare privilege that isn’t typically offered to families” (p. 47). This opportunity should be offered to all families, as a rule, and not the exception because of stature. The purpose of the review should families be allowed during resuscitation; was to investigate if medical professionals concerns were supported. Will families have emotional scars from the experience of witnessing resuscitative efforts or will the grieving process be
Standardized Terminologies in Practice: The Infant with Bronchiolitis On the Pediatric Acute floor at a local hospital, a four month old female is admitted with bronchiolitis. The infant was born at twenty five weeks gestation and has chronic lung disease and apnea of prematurity. She was discharged from the hospital on an apnea monitor, and with an order for home oxygen per nasal cannula. After the infant is admitted, the case manager on the pediatric unit meets with the patient’s family to perform an initial assessment. During the assessment the case manager inquires about current medical equipment utilized, insurance information, method of transportation, feeding regimen, and verifies the patient’s medications.
Joint Commission Grand Canyon University: 206 A Fundamentals of Nursing 1/26/2012 The joint commission creates safety goals to be implemented in the health care setting to keep us and our loved ones from risk of injury. There are seven national patient safety goals for Medicare based long term care. They include everything from making sure you are with the right patient to recognizing a patient who is more likely to fall for any reason. Throughout this essay I will break down and summarize each of the goals, and also one goal that I think is extremely important when taking care of a geriatric patient. It is important to remember that these safety goals are in place to make the health care setting a safe environment for both the patients