I had the opportunity of working at a healthcare setting transitioning to Magnet status recently. The transition was a slow process and changes effecting the patient’s care weren’t the first to be addressed. For instance, the hospital started remodeling the nurse’s desks before purchasing much needed intravenous pumps, suction set ups, blood pressure cuffs, and cardiopulmonary resuscitation masks for each room. The most immediate change we noticed was the input requested from nurses. A doctor complained we weren’t pulling the sheaths correctly because we had a high complication rate. The nurses on the floor were given the task of investigating the complications and seeking out ways to resolve them. After investigating all sheath pulls for six
Our role is to make sure we are completing forms thourghly and submitting all required documentation, as well as codes regarding the patients diagnosis. This information is necessary in order to prove why the equipment is necessary for the
A variety of data will be required to test the theory of effectiveness being employed. Firstly, data will be required regarding incidences where in EMNC could be faced with lawsuits ranging from: patient negligence to a, failure to protect nursing staff and other health care workers from injury. Other data will come from the literature on health care giver standards that have been shown to help avoid lawsuits, (e.g. failure to use equipment in a responsible manner, failure to communicate, failure to document patient care and failure to act as a patient advocate).
The three forces of magnetism selected are Force 4: Personnel Policies and Programs, Force 11: Nurses as Teachers, Force 14: Professional Development. These were chosen based on importance, experience (my own) in setting and organizations (5) with Magnet Recognition. Though not currently working (seasonal position), our facility has recently applied for magnet status recognition. The decision
Imagine waking up from kidney surgery only to realize that there are stitches not only on your stomach, but also on your chest. Imagine the doctor coming up and having to explain to you that his surgical tech got a weak stomach and with scalpel in-hand, fell and put a puncture wound large enough for stitches on your chest. You would be shocked at the severe lack of professionalism by the surgical technologist, and you would question the hospitals inequity.
Springfield General Hospital should have gathered all of their essential personnel together to analyze their issue. Once they had correctly identified the problem, they should have come up with a solution together and properly training their personnel in the areas of change that are being changed. Technology should not have been the answer to their problem it should have been used to enhance whatever route they decided to take to solve the
As a result, they can affect items that are working properly, as well as, incur associated cost without the benefits (Taylor, 2015). Next, the firm should glide toward step 1, which is the redesign or the adaptation of the individual’s roles, responsibilities, and relationships (Spector, 2013, p. 42). This step allows the employee’s to discover who they need to work with, how they will benefit the company strategy, and the outcomes they wish to achieve. In this particular scenario for illustration, the team of nurses, therapist, tech, and schedulers will needs to work together, discover what they needs to do to make an impact (minimizing wasting products or ensuing they charge them out to the patient), and move from only providing quality care to providing quality, cost effective care. The importance here is that the employees devised this new concept rather than top management forcing it down the chain. This area can also present some potential problems. The team or organization can be risk adverse and fear making mistakes or failing (Recklies, 2001). For example, if 2 options are available, the person will go with the one that has lower risk instead of the one that may be more risky and provide a higher return or better outcome. Moreover, employees may be resistant to change as they are uncomfortable with it, do not see the new skills as beneficial, or they prefer the status quo. The second step, help, requests
Molly: I am glad you enjoyed reading my post and thank you for responding to it. Discussion responses are so valuable to our learning process. So many things can be thought of being one way, yet your classmate might see it in a total different light. I believe this is in part due to our own form of individualism. Which is derived from our culture, the society we live in, and our own personal thoughts about different subjects. I truly believe as future Healthcare Administrators we need to always keep an open mind, even in the scenario where we may be totally correct in our thinking, there still may be something else that can be added to your thoughts from the thoughts of others. Just because something has been done one way for years,
Healthcare is ever changing and anyone in the healthcare profession needs to stay up to date with the evolving technologies. The goal of most healthcare facilities is to keep patients safe, provide excellent care and keep the facilities profitable all at the same time. Organizations such as The Joint Commission have been established to ensure this happens. The Joint Commission’s mission statement is “All people always experience the safest, highest quality, best-value health care across all settings.” (Joint Commission, 2014). With the new technologies surfacing, groups are needed to ensure patient safety and monitor patient care. The demand on healthcare is growing as well as patient expectations.
The health care industry is one of the most dynamic and delicate industries in the U.S. having experienced healthy and substantial changes for the last thirty years most of which have aimed to improve health care management and services delivery to the patients. The changes have enabled the integration of technology into the industry such as in the area of informatics, science and research and payment services and clinical treatments. The health care sector has introduced various changes to address disease and health care management such as the Modernization Act of 2003, the Patient Protection Act and Affordable Act, which aim at improving health provision and most
Hospitalized patients are often hooked up to monitoring devices such as heart monitors, which monitor the electric activity of the heart, or connected to a physiological monitor so their vital signs are constantly being measured. These monitors are intended to continuously assess the patients’ status, and alarm if the patients’ status drops below what is considered normal. The increased use of monitoring devices has created a new phenomenon known as alarm fatigue. According to the ECRI institute (2011), “alarm fatigue occurs when the sheer number of alarms overwhelms staff and they become desensitized to the alarms resulting in delayed alarm response and missed alarms-often resulting in patient harm or even death.” Alarm fatigue has
Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care.
Communication is essential to promoting and marketing the newest addition in technology to an organization. There are many facets to the communication that needs distributing to ensure the largest audience is aware of the new, state-of-the-art MRI, magnetic resonance imaging. The internal staff needs to be educated and knowledgeable about the new equipment so they can help answer questions when making appointments and when talking to patients while they are in the facility. In addition to internal communication there is the external communication to inform the public through media outlets.
In Potera’s (2012) argument, non-Magnet hospitals ranked better at preventing pressure ulcers than Magnet hospitals (p. 17). Again, this study was performed on an older model of Magnet certification. The newer model suggests the use of turning and repositioning patients every two hours to prevent pressure ulcers. Swanson and Tidwell (2011), in their study of the hospital seeking reaccreditation,
The healthcare industry is one of the fastest growing industries. Changes are always happening in the healthcare field and new trends are created. As a worker in the healthcare industry, there are many changing aspects of the industry. At my company, I’ve noticed some of the trends that are shaping the direction of the company in a very dynamic and valuable way. Working remotely, the Affordable Care Act (ACA), and Big Data and Cloud Computing are some of the trends that my company is moving towards. While these trends are making an impact on the company, there are still challenges with the Affordable Care Act. It has been reshaping the healthcare system both positively and negatively since it was introduce.
There are numerous human factors that can contribute to deviating from safe practices leading to errors, near misses, and adverse events. Some of these errors may be caused by barriers to change for example, during the implementation of barcode medication administration (BCMA). When this nurse’s facility first rolled out BCMA, some nurses were frustrated due to the changes and multiple steps involved to administer medication for already busy bedside nurses. Since nurses had to scan the ID band, some worked around the policy and left an extra one on the computer because they did not want to wake up the patient (infants, toddlers, adolescents) middle of the night trying to find the ID band on their wrist. Some may be also technologically challenged making it harder to accept the change. Bypassing the intentional key safety