Arnold Palmer Hospital Case Study

Safety is an essential factor in the creation of the healing environment and this is dependent on the role of the caregiver and the patient when it is possible. “Safety is a basic component of professional nursing and Caritas Processes. Safety concerns affect all of the nurse’s activities related to supporting, protecting, and correcting the environment for healing at all levels, To feel safe and protected is a basic need” (Watson, 2008, p. 13). Many factors impede the safety of patients in a healing environment such as Risk of falls, Pressure ulcers, and close calls. Ford’s literature (as cited in Woolley et al, 2012) found that “hourly rounding resulted in a 52% reduction in call light use, giving nurses more time to provide patient care and prevent patient calls” and in Bourgault et al.’s study conducted in 2006 (as cited in Woolley et al, 2012) “expected outcomes of hourly rounding included increase

healthcare organization accrediting bodies, and to maintain credibility with patients and peers alike, must adhere to the National Patient Safety Goals. As stated by Ulrich and Kear (2014), "Not only are nurses responsible for providing safe patient care, we are also responsible for creating an environment in which others can provide safe patient care, and for being the last line of defense when needed between the patient and potential harm. Having a deep understanding of patient safety and patient safety culture allows nurses to be the leaders we need to be in ensuring that our patients are always

Mandating safe staffing levels for registered nurses in acute care settings has been an important topic of discussion for many years. As the demand for registered nurses continues to rise, so does the clinical demands on the nurses currently working. If there are no specific policies in place that mandate safe and appropriate nurse-to-patient ratios for all acute care facilities, registered nurses (RNs) may be required to take on even more patients than the already high numbers currently given to many of them. Inadequate RN staffing has the potential to cause increases in adverse patient events (American Nurses Association (ANA), The registered nurse safe staffing act, 2015) as well as an increase in nurse injury (Musick, Trotto, & Morrison,

The research studies reviewed all share a common theme that staffing and patient care make a safe care environment. The patient safety conditions all are enhanced by adequate staffing and nurse retention. Nursing turnover leads to reduced staffing and affects the patient’s outcomes and overall satisfaction. The point of agreement is that nurse staffing and the environment has a positive effect on patient safety, outcomes, and satisfaction.

Patients want and expect to receive high quality care. Nurses want to provide the best care possible to their patients and like everybody else; want a pleasing job environment. Hospitals, on the other hand, are expected to provide a safe environment to patients, have enough nursing staff and remain profitable (Keller, Dulle, Kwiecinski, Altimier & Owens, 2013). The ultimate goal is to improve quality of care and patient safety across the United States; therefore, all the different interests of these major stakeholders should be taken into

ABC Medical Center is a general hospital setting that employs a variety of professionals in the medical field, including, but not limited to; Doctors, Physician’s Assistants, Nurses, Aides, Physical Therapy, Occupational Therapy, Nurse Case Managers, and Social Workers.

Safety is a small measure that can make a big impact on a patient in the clinical setting. In some cases, it can even cost patients their lives. According to the Online Journal of Issues in Nursing, safety is defined as a tool to minimize risk of harm to patients and providers through both system effectiveness and individual performance (Barnsteiner, 2011). Safety problems can range from the nurse not knowing how to work certain equipment, or the nurse recording values wrong because he or she is distracted. Either way, these safety issues impact the clinical setting in a negative way. In order to have a functional, safe clinical environment, time and money must be spent to keep the hospital in working order and the nurses in the correct mindset.

I used to work on medical field as a nursing assistant several years ago. The hospital is very strict, and organized when it comes to patients’ safety. Every morning, there is a briefing for fifteen minutes, and all staff should attend. During the meeting, the charge nurse talk about patients’ safety, the census, how busy is going to be that day, what need to be done, and the patient who need more attention due to fall risk. Hand washing is very important. All staff must wash their hands before and after entering the patients’ room. There are hand sanitizer all over the place, everyone must use it to avoid cross contamination. All patients’ bed must be in lower position, with floor mattress on both side of the bod in case the patient fall.

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,

"Effects Of A National Safe Patient Handling Program On Nursing Injury Incidence Rates." JONA: The Journal Of Nursing Administration, vol 44, no. 10, 2014, pp. 525-534. Ovid Technologies (Wolters Kluwer Health),

Nursing and healthcare continue to change on a daily basis. The one thing that has remained constant during these changes is maintaining the safety of our patients. By maintaining their safety, nurses must ensure that they are keeping up-to-date with the changes in technology now being introduced in healthcare, new and emerging diseases, new equipment, and changes in treatment modalities. One such responsibility is ensuring that nurses do not operate equipment they were not oriented to or trained to use in an effort to prevent injury patients. Nurses and other healthcare professionals are being held accountable for practicing within their scope of practice based on their licensure regulations, and the company policies and procedures. Therefore, nurses are responsible for their professional growth and practice by ensuring that they comply with the necessary standards required by their profession.

New approaches need to be available since there is an upward correlation between time and knowledge from advances in technology. A wide range of actions such as refining nursing training, further educating nurses about environment safety and how to manage risk situations such as ‘infection control, safe use of medicines, equipment safety, safe clinical practice and safe environment of care’ (WHO 2010; WHPA 2002), need to be addressed so that gradual improvements and altercations can be made relating to the patients’ safety (Vaismoradi ;

Nursing and healthcare continue to change on a daily basis. The one thing that has remained constant during these changes is maintaining the safety of our patients. By maintaining their safety, nurses must ensure that they are keeping up-to-date with the changes in technology now being introduced in healthcare, new and emerging diseases, new equipment, and changes in treatment modalities. One such responsibility is ensuring that nurses do not operate equipment they were not oriented to or trained to use in an effort to prevent injury patients. Nurses and other healthcare professionals are being held accountable for practicing within their scope of practice based on their licensure regulations, and the company policies and procedures. Therefore, nurses are responsible for their professional growth and practice by ensuring that they comply with the necessary standards required by their profession.

The National Database of Nursing Quality Indicators (NDNQI) has established a list of nurse-sensitive indicators. These nurse-sensitive indicators show how nursing care can drive patient outcomes related to structures and processes (Assi, 2017, p. 8). Additionally, The Joint Commission established a list of hospital safety goals. These fifteen goals focus on how to solve problems in health care safety to improve patient outcomes. Goal number seven of the National Patient Safety Goals (NPSG’s) involves reducing the risk of infections related to hospital care (Joint Commission, 2017, p. 7). NPSG.07.04.01 of this goal, calls for the reduction of central-line

Background - The Arnold Palmer Hospital is 1 158-bed paediatric hospital located in Orlando, Florida; part of the Arnold Palmer Medical Foundation and rated as one of the nation's Top paediatric hospitals by U.S. News and World Report. It is the only hospital in all of central Florida with an emergency/trauma center dedicated specifically to pediatric patients. It opened in 1989, and in 2006 became a children's hospital focused solely on