Task 2nightingale Sentinel Event

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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. The mother returned 2 hours 30 minutes later. The patient was discharged 30 minutes earlier to the biological father. The mother was agitated and frantic. Security was called and activated a “Code Pink”: hospital-wide child abduction. During the interview with Security, it was discovered the mother and father were divorced and the mother has full custody of the female abducted patient and her siblings. Local law enforcement was contacted. Within 30 minutes after the “Code Pink” was activated, law enforcement found the pediatric female patient at the home of the biological father. The Analysis Participants • Registrar Department – Patient Access Representative. This staff member enters the patient’s demographic and insurance information into the registration section of the EMR (electronic medical record), verified and copied the insurance information; presented the mother with condition of admission and treatment that authorizes treatment and assignment for insurance payment. The signed form was put into the patient’s file. • Nursing Department – Pre-Op Nurse, R.N. The nurse escorted the patient and the mother to the preoperative area, completed the preoperative nursing assessment, started preoperative medication and documented in the administration medication record, ensured

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