I completely agreed with you about the safety issues that are encountered daily in the surgical areas. There has been implementation of safety intervention to remedy these concerns on patient safety. In most cases, nurses are rushed with the consequences that patients are not properly prepped in the pre-op areas prior to the surgical procedures. Personally I have been in same problem of being rushed to bring the patient in the room. In this particular incident, I just finished a case in another room and have not interviewed this particular patient. I informed the Anesthesiologist and the surgeon to give me few minutes to interview the patient prior to transfer to the operating room. To everybody’s surprise the surgeon wheeled the patient
In addition to this matter the medical staff are just as reckless as the doctor in this case because why would any sane person allow a doctor to fall asleep during an operation? They themselves should have noticed the state the doctor was in and took immediate action. This is a medical oath medical professional take and should obey at all times. The medical staff should have alerted the proper authorities in the hospital immediately and the harm on the patient could have been prevented. The medical staff allowed the doctor to fall asleep not once, but seven times. This is beyond shocking, it is a totally outrageous move on all the medical teams behaves.
The term “safety comes first” or more simply put, “safety first,” is a message that patients not only want to hear, but also want to know is the focus of the professionals that are caring for them; in particular, when they are under anesthesia and have limited or no ability to speak up or lookout for themselves. The National Patient Safety Agency (NPSA) has implemented two initiatives; Rocognising and Responding Appropriately to Early Signs of Deterioration in Hospitalised Patients (NPSA, 2007) and How to Guide: Five Steps to Safer Surgery (NPSA, 2010). Understanding that human beings make up the healthcare professional workforce, it is evident that tools and checklist can and will only be as good as the how people utilize and follow
Nurses are undoubtedly one of the most trusted professionals worldwide. Patients, family members, and doctors entrust nurses to provide the utmost quality care to sick individuals. Top priorities of all nurses are advocacy for their patients: including advocating for their physical health, holistic welfare, and utmost importantly, their safety. Patient safety will always be the top priority when providing patient care. The nurse’s responsibility during every patient encounter is to ensure that each patient under her care, receives no harm. As a direct result of the previous statement, it is crucial that every nurse knows their rights to refuse unsafe patient assignments, the process to refuse unsafe patient assignments, and the legal or ethical ramifications that could present themselves if proper judgement is not used. By understanding these rules, nurses not only achieve the responsibility of advocating for patient safety but also safeguard their careers and license.
One of the primary goals of patient care has been safety for a long time. How patient safety is regulated has changed throughout history. Between 1917 and 1918, the American College of Surgeons developed The Minimum Standards for Hospitals which was a one page document that lead to The Joint Commission (TJC, 2014). Founded in 1951 with accreditation beginning January 1953, TJC is currently the oldest and largest organizations setting standards for patient safety (TJC, 2014). The American College of Surgeons required ethics for physicians in 1951 (TJC, 2014). Today TJC and other credentialing organizations require all staff, clinical or not, to participant in patient safety goals. Regardless of the organization you work for, patient safety will
At least half a million deaths per year could be prevented with effective implementation of systemic improvements in operating rooms. Specifically, multiple studies have found implementing the use of the WHO Surgical Safety Checklist would significantly reduce surgical morbidity and mortality due to surgical errors.
All the pre-operative checks I did are important for patient safety and are derived from the World Health Organisation (WHO) surgical safety checklist (2008).The WHO Surgical Safety Checklist was developed after extensive consultation aiming to decrease errors and adverse events, and increase teamwork and communication in surgery (WHO, 2014). The ward staff had already put on the anti –embolism stockings on the patient.
The core purpose of the national patient safety goals is to indeed promote and improve patient safety. The Joint Commission (2015) lists several of them in its 2015 National Patient Safety Goals. One of the goals the author wants to elaborate more upon is: prevent mistakes in surgery. This paper will include an overview about the aforementioned national patient safety goal. It includes three methods to be followed to be able to achieve the said safety goal. The paper also highlights the importance of the issue to the general public, to the health care institutions, and to the health care professionals. Financial implications of not achieving the goal is also explored in this paper. This national patient safety goal is a multidisciplinary issue. The important roles of other professionals will be discussed as well as nursing leadership.
It was so good to see you last week. I have a CNO at All Children’s Hospital in St. Petersburg FL is looking for a client who has Cerner that a Children’s Hospital. She has a meeting in a few weeks with all CNO’s of Children Hospital and would like to meet with the two to talk about how they are using Cerner specifically the patient tracking portals boards. Let me know if you have any questions.
Patient is a 35 year old female who presented to the ED with suicidal ideation with a plan to cut herself.The patient is from Elizabeth city. She road the bus to Greensboro and caught a cab to Asheboro to see a guy friend. The patient expressed that her friend and her were not able to find a place send some time together, so she came to the Hospital. During the assessment the patient reports feelings of depression and that she has been practicing cutting behaviors with a razor on her left arm. There were no visible cut on either arm at the time of assessment. The patient reports having really bad thoughts about harming herself and contacted the friend she was visiting and husband, which told her to go to the hospital. The patient reports a
Essentially the challenges I faced were one of theme and focus. Looking over the rough draft I understand I have a unique opportunity to slant the data left or right depending on how I approached the information. Patient’s that utilize emergency services, on multiple occasions, are among a tiny majority of the overall population. However each, “High Usage Patient,” requires more resources because they are sicker. With this information I had to seek my theme, “over-utilization of resources,” and find my focus, “High Usage Patients,” and show that they were not the root cause of Emergency Rooms around the nation being overcrowded. Fundamentally, I chose to remain center and tell the truth, as it was reported, in the research documents I cited.
There are many ways families can be involved in a patient’s therapy. There will be opportunities for patients and the families to be apart of the learning process of the diagnoses. Whether the diagnoses is depression, alcoholism, marital and relationship problems, mental illness, etc., I will offer workshops for the opportunity to become more educated on the subject matter. They will then feel empowered and ready to deal with the condition in an optimal way. As a therapist, its my job to inform families about important information. I can do so by scheduling meeting to discuss programs clients can be involved in. Its also important to have open communication to help enhance the patients therapy experience for a better outcome. Family are more
Despite the fact that surgery speaks to be a pillar of medicinal treatment, the rate of perioperative passing straightforwardly because of inpatient surgery has been evaluated at 0.4-0.8%, and the rate of major complications has been assessed at 3-17% (Jonathan R Treadwell, 2014). Since the Institute of Medicine published “To Err Is Human”, a significant focus in surgery has been to identify strategies to improve patient safety and prevent postoperative complication and adverse events. The World Health Organization (WHO) surgical safety checklist developed from the Who Global Safety Challenge “Safe Surgery Saves Lives” campaign and has decreased mortality and complication rates in the perioperative period (Implementation of a Surgical
Positioning patients is a routine activity carried out by critical care nurses. For mechanically ventilated patients, positioning is aimed towards minimising skin breakdown, improving oxygenation and preventing ventilator-associated pneumonia (VAP) (Thomas, Paratz, Lipman & Stanton, 2007). According to Shah, Desai and Gohil (2012), therapeutic body positioning is different from routine body positioning when prescribed to optimise cardiopulmonary function and oxygen transport. It is utilised to improve ventilation/perfusion (V/Q) matching, lung volumes, secretion clearance and to reduce the work of breathing (Clini & Ambrosino, 2005). Frequent turning and repositioning improves gas exchange and blood flow in the lungs and enhance drainage of pulmonary secretions (Blume & Byrum, 2009). The belief that repositioning patients was beneficial originated in medical textbooks instructing nurses to reposition the patients every 4 hours to prevent skin breakdown and mobilise pulmonary secretions (Wanless & Aldridge, 2011). As a standard of practice, nurses in the intensive care unit (ICU) turn and reposition patients every 2 hours to prevent complications associated with immobility, such as impaired mucociliary clearance due to accumulation of mucus in the dependent lung zones (Hess, 2005). Several studies have demonstrated that positioning can improve oxygenation in the mechanically ventilated patients with respiratory problems (Alsaghir & Martin, 2008). This literature review will
I do agree with you that patient safety is a top priority and one that the hospitals are trying to continuously to improve. At Medical City Dallas, they also have an A for patient safety. Patients there have chair sensor mats that alarms the nurses whenever the patient is not on the chair. Our job is to provide the best care possible to the patients and avoid any sort of infection. I think it is amazing that that the hospital has made changes and those changes lowered their hospital acquired infection rate. It is our job to protect the patients and that means we must do care correctly.
Patient takes chart to front office assistant to pay co-payment/payment for services and/or make another appointment.