Health Care Complaints Commission : Nursing And Midwifery Professional Standards Committee Of New South Wales

As a nurse, it’s crucial for our jobs to be a priority due to the needs of others. We must always be safe because not only are we liable, we are also trusted in the public’s eye as being

Critically analyse how clinical governance can ensure accountability of individuals and teams and that nursing practice is safe and of a high standard?

My Institute for Healthcare Improvement (IHI) certificate is an artifact that supports my capacity in safety and quality improvement in healthcare. This course enlightened on my role as nurses in enhancing safety and quality in my workplace. I have already proposed the need in including staff nurses in the quality improvement committee to my employer. I believe I will be among the staff nurses who will be sitting in the committee, and I am going to take the role of an informal leader and a change agent in that committee. As an informal leader and a change agent, I will devote my energy in refocusing the thinking of my colleagues, so that they are able to visualize

The number one priority of the Registered Nurse should be to provide holistic, patient-centred, safe and evidence based care to every patient. Patients who are admitted into hospital or seek healthcare services externally through clinics or the community usually expect to receive the safest and the highest quality of care possible from that facility. Registered Nurses have a major responsibility to ensure that this is achieved. To help guide nurses and other healthcare workers in the right direction, the Nursing and Midwifery Board of Australia created and enforced the “Registered Nurse Standards for Practice”. These standards aim to assist healthcare practitioners in providing high quality and safe care to every client. The standards also aim to prevent any form of harm or negative consequence to the patient during and after their time in any healthcare facility. This paper will discuss the reportedly increasing issue of elder abuse, the responsibilities of the Registered Nurse and the associated Standards of Practice when faced with a patient or family that is experiencing this type of harm. The standards discussed in this paper will be Standards 2.5, 2.9 and 6.6.

Nurses have a responsibility to provide safe, quality and competent nursing care and are therefore expected to conduct themselves personally and professionally in accordance with the code of conducts established by the Nursing and Midwifery Board of Australia. The Code of professional Conduct as well as the Code of Ethics for Nurses in Australia together provide a quality framework of professional practice for Nurses, outlining a set of minimum standards Registered Nurses are expected to maintain (Nursing and Midwifery Board of Australia, 2010). Unprofessional conduct is defined as “conduct that is contrary to the accepted and agreed practice standards of the profession” (Nursing and Midwifery Board of Australia, 2010). In the video “Crossing

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

The Nursing and Midwifery Council (NMC) published the expected standards for pre-registration midwifery education. They stated that Student Midwives are required to assist in the care and support of several women throughout their antenatal, intrapartum and postpartum period. This is achieved via the caseload holding scheme (Nursing and Midwifery Council, 2009). Midwifery led continuity of care models are described as care given during the antenatal, intrapartum and postnatal period from a known and trusted midwife in order to empower a woman to have a healthy pregnancy and birth (Sandall, Soltani and Gates, 2016). In September 2005 research was published supporting midwifery-led continuity of care, which they found was linked to a number of benefits for both mothers and babies, in contrast with obstetrically led and shared care (The Royal College of Midwives, 2014).

As an enrolled and Registered Nurse the Standard for Continuous professional development will apply to me.

There are different legislations that confines the nursing practice in Australia. Policies, standards and responsibilities including ethical principles of nurses and other health professionals used to be different in every state and territory, until the Health Practitioner Regulation National Law was established. There are certain inaccuracies with the delivery of care over time and the establishment of the legislation enabled a national scheme that created what is being followed all over Australia at present time. This paper will discuss different legislations within the Australian nursing practice that deals with poisons, child protection and mandatory reporting, and privacy.

Errors pervade in our lives whether it is our home, in our workplace, or in our society. The effects of healthcare errors have impacted all our lives either directly or indirectly. Patient safety and quality care are at the core of healthcare system which strongly depends upon nurses. “To achieve goals in patient safety and quality, thereby improve healthcare, nurses must assume the leadership role. Nurses need to ensure that they and other healthcare providers center healthcare on patients and their families. Even though the quality and safety of healthcare is heavily influenced by the complex nature

The dispute on safe nurse staffing has remained ongoing issue in the healthcare world. Competency is

The RCN guidelines for improving and understanding the role assisting registered nurses in quality improvement linked with clinical governance embedded in advance nursing care (RCN 2010). Registered nurses must ensure they acquired education and permitted to exercise autonomous decision making through current evidence to deliver safe and efficient healthcare service in which they are accountable for delivery of high quality patient care and provides innovation (RCN 2015). It is their responsibility to be competent with the right skills and knowledge to have the ability to admit, assess, plan, implement, diagnosed, manage, and evaluate the care needed (DH 2006). They should have the confidence to be able to respond effectively in timely escalation

The identified stressors in the nursing work environment have a significant impact on the quality of care the patient’s receive. The stressors nurses are facing are causing a high turnover rate in an already nationwide shortage (Hall, 2004). Because of the stress, many nurses are seeking jobs that do not involve direct patient care which is intensifying the nursing shortage and making safety of patient care a serious issue (Hughes & Clancy, 2009). With the combination of high stress levels among nurses and the lack of skilled nurses there is a high risk for error along with patient care which leads to potential legal exposure. Nurses are caring for other people’s lives and each decision made can affect that person in a positive or negative way. In today’s world, legal action is taken quite frequently, especially in the medical field.

This case study is about a registered nurse (RN) of 30 years, Janelle Jarrett, who was the subject of a complaint filed by the NSW Health Care Complaints Commission (HCCC). The ground was an unsatisfactory professional conduct which resulted to a patient’s death a day after she was admitted at the Ballina District Hospital, where RN Jarrett was employed. The complaint revolved around the conduct of the nurse between the periods of 30 September 2011 through the early hours of 1st October 2011. The patient was admitted into the emergency department (ED) at 1428H of 30 September with a shortness of breath (SOB) and a history of chronic obstructive pulmonary disease (COPD). Over the next few hours of her admission, the patient seemed confused, had increasing SOB, failing Glasgow coma scale (GCS) and an unwitnessed fall. There was no medical officer present in the hospital overnight and the patient did not receive any medical review. The following day, patient A was transferred to a higher care facility, Lismore Base Hospital, and was already a category 1 with a GCS of 3/15 and was in near respiratory arrest. Patient A eventually passed away at 1900 hours on the 1st of October 2011. . However, this case is limited to the statements of RN Elliott and RN Jarrett. The statements of the doctor at the time, Dr. McKenzie, were not included so the information on what the nurses have reported to him is unavailable

In this summary, the team discusses risk and quality management and the roles in ensuring the safety of the organization while focusing on initiating and implementing risks by improving the patient safety. Risk management is the recognition of anything or anyone who can cause harm to an organization. For instance, an organization finances or a technical issue would be a risk. Quality management aims to find the motive of the risks and develop a plan to improve the patient quality of care. Previously risk and quality management was set apart from each other but team up to communicate for the overall success of an organization. In addition, the team also discusses the impact of risk and quality management on health outcomes. Both risk and quality