Float Pool Staffing

The nurse that originally noticed the shortage in anesthesia, in my opinion should have filed a formal compliant against the chief of anesthesia for not executing an investigation due to her speculation and evidence. If it was determined to be true that Dr. Johnson illegally using the anesthesia than he could have gotten some help. His illness could be in final stages not because he neglected to receive treatment. Instead of covering up the pain there is a possibility that he could have received treatments to help him through his illness. I think the employees of this hospital are at fault along with Dr. Johnson because they did not practice integrity and inform anyone of the incidents that they were noticing. Everyone gave excuses and the one that did say something should have complaint to someone who would have listened. A hospital mission is to care for their patients and the mission was not followed by any one who noticed Dr. Johnson’s actions.

Julia, a registered nurse, has been run down all week making medication errors and recently one of her patient’s fell out of bed. Julia has eight patients assigned to her due to staffing shortage since the hospital decided to stop using LPNs. Julia is very overwhelmed and is unable to safely take care of her patients. Julia was required to report to her manager’s office the next morning due to her patient neglect and fall. The manager informed Julia the high nurse to patient ratio is not a problem as other floors and nurses are doing fine with it. Recently, I have seen this occur with in my own facility I work for. As of right now it is staffed with fifty percent locums or travel nurses, which leads to increased

I would say the majority of issues I have seen relate to nurses feeling their patient load was too much which may possibly result in unsafe patient care. This typically relates directly to staffing issues.

The reason for this essay is to reflect on a critical incident experience during my six week placement as a student nurse on an orthopedic ward. To explore an event as a critical incident is a value judgment, and the basis of that judgment is the significance attached to the meaning of the incident. Critical incidents are created or produced by the way we look at a situation. Tripp (1993)

We then look at the errors of hazards that occurred in the Mr. B scenario.  Though we can say understaffing may have contributed to Mr. B’s demise, we cannot blame understaffing. This scenario is regrettably connected to inattentive nursing practice. It is clear that respiratory therapist was in the building and

This assignment will look at incidents and emergencies that can happen in a health and social care setting. Within my assignment I will be explaining possible priorities and responses when dealing with two incidents or emergencies in a health and social care setting. I will be discussing

Data can be collected on multiple ways, from the point of medical care and patient satisfaction. The scenario points to pressure ulcers and the use of restraints, in both situations I believe that there was a fundamental lack of knowledge by the staff and disconnect by management.

University Hospital is a well known hospital with a level 1 trauma treatment center for the tri-county area of a northwestern state, the hospital enjoys the fact they are known for their promising reputation among healthcare professionals and the public they serve. Jan Adams is an OR supervisor that has been working there for ten years, as a professional she makes surgeons follow protocol as required and enjoys working with trauma patients. One Friday night, which is the busiest day of the week for the trauma department; the unit was notified that a helicopter was on its way with a 42 year old man who had been in a car accident. Shortly after the patient arrived to the trauma center, the resident and other medical staff noted that he was in very bad physical conditions, needed immediate surgery or otherwise he was going to die. The issue was that the on call surgeon had to be present during the surgery and had not yet arrived, but regardless of the matter and protocol they proceeded with medically treating the patient immediately. The concern is that in doing so they violated medical procedures and put the patients safety at risk, this lead to a long list of ethical issues for example, patient well-being, impaired healthcare professional, adherence to professional codes of ethical conduct, adherence to the organization’s mission statement, ethical standards, and values statements, management’s role and responsibility, failure

In health and social care there are a lot of procedures and precautions put into place so that accidents don’t occur, but no matter how careful organisations are with these kind of incidents there is no way really of preventing them. In health and social care a lot of risk assessments are taken to make sure the place is safe but obviously there is still a few things that are unstable or accidents like this wouldn’t occur. The staff’s duty then is to work out what happened and how to minimise the risk of it happening again. An emergency is often unexpected, not planned, dangerous and

In this scenario the hospital in order to advance the quality of care, could have shared the information about the incident with the nursing personnel. The hospital could provide the best quality of care to the patients and achieve the patients’ satisfaction, by sharing the data. Advancing the quality of care would have positive effect on both patient satisfaction and nursing care. Knowledge of nursing care empowers the nursing staff in such cases. In this scenario the knowledge of pressure ulcers, restraints and patient care is significant. On the other hand the nursing care in this scenario could have been better and the family/patient could have been cared better if the nursing staff had gotten the best patient care knowledge.

Equally important the nurse indicated that she was in a hurry and unable to sit down, choosing rather to stand while she talks to the patient. What the nurse did not realise was that she had assumed a power stance and had failed to create an environment that was holistic, conducive and

Also, the supplies cost was lower than what was budgeted. The budget was estimated around 45,000 with supplies left over at the end of the month. At the end of the month there was way less supplies left over then there was expected to be. A lot more patient’s needed to stay in the hospital for longer periods of time due to observation. This meant that we were using more supplies to help with the health of these patients. These patients were a priority to the hospital even though some of them did not have insurance. They were already going through a lot emotional toll, we made sure that they were comfortable. With more patients in the emergency room more supplies were needed. We also had to make more room for these patients and beds were borrowed. For example, the need for needles double in this month. Even though this may seemed like it might not be a lot everything adds up. When they patients were kept for observation more supplies and equipment were used. One thing that also made our budget not be successful is because a lot of our medical machines weren’t

I think the problem primarily is because everything was going pretty well for St. Mary’s they did really plan on how to combat issues as far as the number of patients in the hospital vs the number of employees. You cannot have a hospital that hasn’t laid off employees in years and isn’t filling beds, unfortunately, it isn’t feasible. Also, Sister Mary Josephine and all of the other personnel in the hospital are too involved with the employees and need to focus on the bigger picture the hospital. It is completely understandable to want to protect people who have been employed with you from day one but is so intertwined with the workers means personal feelings are overshadowing what needs to be done to help the greater good.

In the facility where Shirley was located, the facility had failed to meet its own staffing standards for 51 of 59 days, a staffing supervisor stated that administration had warned against the cost of augmenting the number of nurses scheduled, in addition, a staff nurse produced documents providing evidence that employees had shared their concerns that short staffing was having a deleterious effect on patient safety (Curtain, 2011). Given the preceding information, it is clear the hospital was not listening to the distress regarding staffing. There is substantial data illustrating that staffing has a direct impact on patient morbidity and mortality (Aiken, Clarke, Sloan, Sochalski, &

This paper will reflect upon and explore a critical incident which occurred whilst attending a clinical placement.