Bsbl504 Case Study Ae3

He claimed that a new shift system had caused at least one death and one unnecessary operation taking place, and said that he and a small number of consultants were overworked and patient safety and continuity of care were compromised. The claimant had told the Manchester hearing he raised his concerns about the new ‘Consultant of the Day’ system with the trust clinical director Mr Watson and then the trust medical director Mrs Schram; however, he was reprimanded and told not to voice concerns again. The consultant said he was then investigated over a series of ‘malicious, vexatious and frivolous’ allegations and ‘imaginary deaths and complications had been conjured up’ to create a case against him. He believed that the investigation and the process from the beginning was about punishment for raising his clinical concerns, and he argued that the investigation did not examining the veracity’ of the allegations against

Tim has a long history of mental illness and was admitted to the ward following a deterioration in his mental illness after he lost contact with his son. His mood was elevated and he felt very restless and agitated. Prior to admission, he was found police in a very distressed state. Tim was placed on a section 2 of the mental health act (DH, 2007) and was originally observed generally where a member of staff would have to see him face to face on a hourly basis (NICE, 2005). Under section 2 of the mental health act Tim has lost the right to leave hospital at will and his responsible clinician has not granted him section 17 leave. A person can be detained for up to 28 days and treat against their will (DH, 2007). As Tim was detained it was important for staff to keep him on the ward.

In analyzing the concepts discussed in Human Resource Management, I have found an interesting mix of education and forethought into the role of a human resource manager. Many of the aspect of human resource management such as HR planning, recruitment and selection, as well as, human resources development and labor relations all play a significant role in the success of any organization. There are many benefits to the learning that has taken place in this course that has helped me better understand HRM and its roll that will shape not only my position in business now but for future

Explain when and why inquiries and serious case reviews are required and how the sharing of the findings informs practice?

As noted, on February 29, 2016, the patient was nonetheless admitted to the UCR hospitalist. This was a senior member of the UCR hospitalist team who knew or should have known all of the policies and procedures for admission, and should never have admitted the patient as an attending to the hospital. In so doing, he was directly and deliberately interfering with the doctor patient relationship.

On my arrival at Johns I met the private care worker, Gail (made up name), waiting for me outside the house, we sat in my car as she wished to quickly discus the patient. The car being more private than the street and she did not want to have the conversation in John`s house for fear of upsetting his family. She informed me John was now only being nursed on the bed and that movement seemed to cause pain and agitation, John also had a pressure sore under his tummy fold and was taking little or no diet and only sips of water which was distressing his wife. Gail also informed me that although John

At the beginning of these 8 months Peter’s mother’s boyfriend moved into the home they shared, and this was kept from the police and the social workers. On Dec 11th 2006 Peter was taken to hospital with extensive

Concerns at Winterbourne View Hospital first came to light after a charge nurse raised the issues with the hospital in October 2010 and his allegations were passed on to the local authority, South Gloucestershire council, in its capacity as lead safeguarding agency and then relayed to the CQC in December 2010 but nothing was done.

This essay will revolve around Mr H, A 68- year- old retired gentleman, who presented on the unit with shortness of breath from this general practitioner for further tests. He was clearly struggling to breathe and maintain his oxygen levels within his body. On admission and taking his history, it was obvious that Mr H was clearly overweight at 112 kg, and further more was a smoker of approximately 40 cigarettes a day, for the past 40 yrs and was a regular drinker of 5 pints of alcohol a night, what's more he also suffered from CHD, so had to give up

As known from recent issues in the media, lack of communication can prove fatal for example the case regarding Kane Gorny, 22, a keen sportsman who was so desperate for water he phoned police. “Kane was undoubtedly let down by incompetence of staff, poor communication, lack of leadership, both medical and nursing, and a culture of assumption” (Dr Shirley Radcliffe). If the nurses had communicated and listened to Mr Gorny they would have been able to prevent neglect thus preventing his death. Mr Gorny was not only failed by medical staff but also by police forces as we are made aware that he had phoned but as there was no assault found they left but if the police that were present had questioned medical staff once again Mr Gorny’s death would have been prevented. (The Guardian, 2012) Thus proving that without communication mortal incidents can happen because communication also involves listening, understanding and responding, which was not evident in this situation as Mr Gorny was not listened to and did not get a response to his plea. (Pease, 2000).

Sorry for the delay-there are not any issues with you modifying the backyard to make your living experience more comfortable. Please keep boundaries markers in place.

If a patient makes an enquiry and you are unsure of it is better to seek the correct information from a colleague than to give the wrong information.

C.A approached writer in kitchen at approximately 7pm and asked if writer knew anything about pain. Writer explained that she knew some things but ask C.A to be more specific. C.A stated that he has been feeling some pain for some time and asked writer if this means it is serious. Writer asked C.A where the pain was located, the extent and severity of the pain, and how long it has been occurring. C.A explained that the pain was located in his groin area and has been occuring for a few months. Writer explained that if pain is occuring for a long period of time it is definetely a good idea to have the area looked at by his a physician. C.A stated that he did not think it was very serious. Writer asked C.A how much pain he was feeling and C.A

I was influenced in this decision because I felt obliged to be seen to reduce his anxieties, knowing my actions would be judged by an audience of other care workers and patients on the ward. I did not respond efficiently to reduce his distress and this pressure led me to deal with the situation inadequately and for that I felt guilty (Nichols 1993).

Another day of my clinical placement 420 in orthopaedic unit began on July 4, 2015. I received my patient and started to research a patient history and medications. At 0700 a shift report started, I received information that my patient had fall at night shift without witnesses. By the policy of Providence Healthcare a patient who had fall without witnesses should be automatically monitored for head injury therefore, a Glasgow Coma Scale was initiated by previous nurse: every 15 minutes, then every hour, every two hours, and every 4 hours. This scale is to check and monitor level of consciousness which possibly may decline after head injury. At this day we had a student as a "nurse in charge", she volunteered to come with me to patient room and to supervise my work. For this particular patient close monitoring of vital signs and neurologic assessment required. I explained to the patient the purpose of frequent health assessment and started to work. Close patient monitoring in addition to all daily routine activities was challenging to me because I never had a patient with this diagnosis. Despite my explanation of the purpose of frequent assessments patient stated that "I am fine, do not feel any discomfort, there is no need for that". While assessing patient she keep asking a lot of questions such as why so many time why do I need to drink more than one mouthful of water with my tablets, what these tablets for, why do I need to wait few minutes after