Accreditation Audit Task 4

Preparing for The Joint Commission, Nightingale Community Hospital reviews areas of compliance and non-compliance. A periodic performance review, which is a self-evaluation, is utilized by Nightingale Community Hospital, to prepare for The Joint Commission. The Joint Commission has eighteen accreditation requirements. (Commission, 2013) The periodic performance review found the hospital to be compliant and non- compliant in the following areas:

Nightingale Community Hospital (NCH), like many other health care facilities, uses a Periodic Performance Review (PPR) as an assessment tool that assists in examining performance on a consistent basis to ensure compliance with Joint Commission standards. A PPR concentrates attention on procedures, methods, and processes that contribute an environment that provides for proper care and emphasizes patient safety. NCH has shown to be 100% compliant with the majority of standards including: Infection Prevention and Control, Right and Responsibilities to Patients, Human Resources, Transplant

Before I start work, I ensure that the environment is spacious to avoid any accidents. By ensuring that the floor is dry and clear of any obstruction or material that could result to risk of an accident to both the service user and member of staff in line with Health and Safety first Aids Regulations 1987. I carry out checks on the residential areas and on the surroundings, fire checks and parked the wheelchairs and Zimmer frames in their appropriate places to avoid any accidents. I check to see that all doors and windows were locked and secured and areas are hazard

nurse staffing ensures quality nursing care for patients and can be a challenge for nurse

From this incident was any employee disciplined for not following safety procedures. This would establish if the company believes the employees were negligent in their duty.

Physical Hazards: can result when performing various activities around the workplace. They can occur from the equipment that we use, such as the pumps trucks, electric pump trucks or from the trash compactor. Employees need to be trained on how to properly use the different equipment to ensure that they have sufficient knowledge on how to operate them safely. The training allows for individuals to understand what to do when there is a malfunction with the equipment and how they need to be properly reported and documented, as well as locked away so that others do not use the broken equipment.

The role of human resources is also very important in maintaining an effective health care industry. If the managerial personnel are performing their duties effectively and efficiently in a health care organization, the organization will automatically progress. Additionally, the organization will provide the improved outcomes of the patient health and health care delivery as well. This is so because human resource is also considered as one of the most important inputs to effective health care services. Although there exists a variety of challenges in inducting qualified human resource professionals but there is a strong need to solve this issue. (Kabene, 2006)

6. The risk assessment team will conduct an inspection of the department/area being assessed for risk or observe the process being assessed for risk in action. The members of the risk assessment team will individually document their findings on the “ABC Proactive Risk Assessment Worksheet” (Attachment A). To determine the appropriate score for each identified risk, the reviewer will consider information obtained through a physical tour of the facility, review of annual incident

Even though Nightingale Hospital has a very detailed Site Identification and Verification Protocol, some areas do not meet JHACO’s standards. Updating the Universal Protocol and Preprocedure Hand-Off Check sheet will not only bring the facility into compliance but may eliminate any potential failure in communication between patient, caregiver and provider.

Inconsistent nurse-patient ratios are a concern in hospitals across the nation because they limit nurse’s ability to provide safe patient care. Healthcare professionals such as nurses and physicians agree that current nurse staffing systems are inadequate and unreliable and not only affect patient health outcomes, but also create job dissatisfaction among medical staff (Avalere Health, 2015). A 2002 study led by RN and PhD Linda Aiken suggests that "forty percent of hospitals nurses have burnout levels that exceed the norms for healthcare workers" (Aiken, Clarke, Sloane, Sochalski & Silber, 2002). These data represents the constant struggle of nurses when trying to provide high quality care in a hospital setting.

Adequate nurse staffing is clearly a crucial element in safe, effective hospital care. A 2011 study by nurse researchers concluded that adding more nurses to a unit markedly improves patient outcomes and safety in hospitals (Griffith, Ball, Murrel, Jons & Rufferty,

Proper nurse staffing has been a debate since the modernization of nursing for many years. This paper examines the results of five researched based articles on the effects of nurse staffing and the outcomes of patient care within a hospital setting. The articles do vary in their methods of gathering information. One study used organizational data from 799 facilitates in eleven states to examine the outcomes of care from the type of nursing care received (Needleman, Buerhaus, Mattke, Stewart, & Zelevinsky, 2002). Another study examined the outcomes of care of intensive care patients in 65 hospitals in the United Kingdom (West, Barron,

The patients for the endoscopy unit observed were under sedation and any adverse effects from the sedation could occur at any time. To prepare for any possible adverse effects, the perioperative surgical room

In this volume, the Institute of Medicine explains a series of research on how the healthcare system throughout Florida has change and impacted the quality care of patients and nurses. There are fundamentals conclusions about the evolving role of nurses in hospitals and presents recommendations about staffing, decisions, nursing training, measurement of quality, reimbursement, and other areas. I would like to focus on Chapter 5, Staffing and Quality Care in Hospitals, and Chapter 6, Relationships among Nursing Staff, Management, and Quality of Care. Even though the resource is a bit outdated, many of the basic issues still underlie when it comes to demands and quality in healthcare. For example, RN have expressed concerns that hospitals

Appropriate nurse staffing in health centers is very critical to patient well-being and safety. This, therefore, means that inappropriate nurse staffing results to patient’s dissatisfaction, and consequently complaints. From the literature review, multiple studies have established a relationship between the number of complaints registered from patients and the number of nurses attending to the patients in question. An optimal level of staffing will ensure that duties and responsibilities are well shared among nurses about the patients that have to be attended to. Conditions that could be prevented such as pneumonia, pressure ulcers, urinary tract infection and post-operative infections were inversely related to RN skill mix and nurse staffing. Similarly, it was reported that lower level of