Aft Task 3

Mandatory in-services and mandatory weekly audits will be initiated in all areas of non-compliance. Chart reviews, audits and surveys of the staff allow directors and administration to evaluate the required in-services and education provided to staff in regards to the current non-compliant areas. Addressing hospital wide issues with visual reminders and cues. The increase audits and chart reviews will be initiated until the compliance level of “ORXY initiative” is within The Joint Commission requirements of 85% (Commission, 2013).

EP 5 requires a written process for patients who refuse site marking or when it is impossible or impractical to mark the site. This written process is absent in the hospital’s policy. Nightingale’s policy and process must be revised immediately to reflect all the required elements of the standard. Hospital physicians and staff must be educated on the necessary changes and the revised process must be put into action. Once these changes have occurred, I recommend a focused audit to ensure full compliance with the revised policy/process.

Nightingale Community Hospital identified a recent sentinel event involving the ambulatory surgical center. A sentinel event is defined as an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof (http://www.jointcommission.org/sentinel_event). A three year old female presented to the hospital on September 14th for a planned outpatient procedure. The child was accompanied by her mother. The mother registered the patient with the registrar prior to the procedure. The patient and her mother went to the pre-operative area to complete the informed consent and the necessary physical assessment. The pre-operative nurse obtained the necessary contact

My supervision is always held in a confidential setting, between myself and my Manager. My Manager records details of what has been discussed, targets identified, and achievement target dates to be met by me and my Manager. This is my personal development plan, and helps me to record training received, training identified, and knowledge gained. My supervision is my opportunity to discuss issues I am concerned about. Sometimes prior to my supervision, I write down notes on issues I want to raise, so that I do not forget whilst in my supervision.

Trinity Hospitals five year plan includes development of an orthopedic center, cardiovascular center and a cancer center. Task four asks for an assessment of the viability of one of these service lines. By assuming the role of the hospital CEO, I will evaluate the orthopedic center service line and present the findings to the board of directors for their approval.

Bundled payments are a forerunner of what other payers will do and are already beginning to do in their contracts with hospitals.

For example David Busst would have a significant scar tissue from where he broke his fibula and tibula as when he did break those bones they ripped through his skin meaning it was a compound break. It is likely that he would have a scar from where they bone went through the skin and a scar from where his leg was re straightened and put into his leg again. For example he may have a scar similar to the scar tissue in the diagram below but it may be very deep due to the extent of his injury.

A.Nightingale Community Hospital is attempting to be in complete compliance with Joint Commission’s “communications” standards. Prior to the Joint Commission survey, Nightingale Community Hospital wanted to focus on items UP.01.01.01 through UP.01.03.01 of the Joint Commission handbook. According to the handbook, these items focus on the universal protocols for preventing wrong site, wrong procedure, wrong person surgery (2015). In response to these universal protocols, the hospital implemented a pre-procedure hand-off tool, which is completed and signed off by both the nurse handing off the patient as well as the nurse accepting the patient. The hospital also began

* Personnel Issues: One of the key barriers to effective interaction for the pre-op nurses is that they are not getting any information from the registrar or the surgeon related to the patients unique circumstances. There is not a communication process in place for the pre-op nurse to actively communicate with the surgeon or his office regarding a patient’s care during their day of surgery. An additional factor in this situation was the pre-op nurse documented the mother’s contact information in her notepad, but not on the

4. All staff will receive additional education of the updated hand-off procedure as well as training on what to do when the H&P is absent (contact admitting and attending providers). Unit supervisors will be responsible for ensuring that all staff education regarding of policies and processes regarding H&P compliance are up to date.

In 1615 the East India Company acquired its first territory in Bombay, India. The East India Company was a British company that traded for goods, services, and raw materials with India. What initially started as a trading company became a company ruling a country with Brittan’s backing. The company established an army in India comprised mostly of local citizens called Sepoys. With help from the British army and navy, the East India Company fought other European countries also occupying India for control of the region. By 1715 the EIC and Brittan had beaten back the French in the Battle of Plassey. This secured their dominance in India and a

Nightingale Community Hospital is a 180-bed acute care hospital that is a not-for profit entity. The hospital is community based and provides leadership in quality health services in which they provide. Their vision is to be the hospital that people choose, the place employees, physicians and volunteers want to work and a hospital of choice for the community. They are committed to providing a healing environment to their patients with a compassionate commitment to healthcare excellence.

Rivers can help develop different civilizations such as the Nile River. This great river measures thirty five hundred miles through many different countries (Orlin, 2010). The Nile helped to bring life, security and dictated how the people planned activities throughout the year. For example, the farmers would seed the land after the Nile would start swell and then recede to its normal banks (Orlin, 2010). This helped the seedlings to grow and then produce bountiful harvest. The Nile provided security for the Egyptian people by allowing the reeds and natural grasses around the bank of the river (Orlin, 2010). This would allow any enemy that wanted to attack to not

When patients are brought back for rooming, the nurse or medical office assistant will review the printed list with the patient prior to documenting in the EMR. During the office visit, we will review polypharmacy and are adding a document to our resources section of the EMR regarding polypharmacy and accurate medication list that will be given to all patients. I have always been aware of the importance of accurate medication list, but was not reviewing this often enough in our patients EMR.

Supervisors collaborate with ISOs to identify training needs in relation to job requirements for those positions with additional significant security responsivities. Supervisors are responsible for ensuring that their staff complete all required training by specified deadlines.