Pressure To Discharge Patient

Nurses play a vital role in healthcare. They are the patient’s advocate and act as the patient’s “eyes and ears”. Pictured here, is Mark, a Registered Nurse working in the Schulich Heart Centre at Sunnybrook Health Sciences Centre, preparing medications for his patients. Making sure the correct medication is administered at the right time is an integral part of a patient's recovery. On his unit, patients are primarily admitted under three services: cardiology, cardiac surgery, and vascular surgery. His ward in particular only has registered nurses as the patients are very acute and registered nurses have more education and training than a registered practical nurse. His daily activities include administering medications, tracking vital signs,

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.

Effective communication during a patient handoff is critical in ensuring patient-care quality and safety and bedside shift reports have been found to increase patient involvement and satisfaction (Wakefield, Ragan, Brandt, and Tregnago, 2012). Bedside shift report is viewed as an opportunity to reduce errors and ensure improved communication between nurses (Gregory, Tan, Tilrico, Edwardson, and Gamm, 2014). Improved communication between nurses can be beneficial for all involved. In response to the Joint Commission’s National Patient Safety Goals, bedside report has been supported as improving patient safety, patient-centered care, and nurse communication as well as reducing medical errors (Gregory, et al., 2014). Ofori-Atta, Biniend, and Chalupka’s (2015) article examines statistics regarding hospital care and shows that according to the Inspector General Office, Health and Human Services

They found that the daily interaction with residents is very limited which make isdifficult to properly complete the tasks they are assisting with in a quality manner. One Assistantreported that “we’re not enough to provide quality care so we’re asked to take good care ofresidents; we try to but were just not enough, the service we provide is too kept to a minimum.” Ithink these key points are very important to healthcare role, I think that if you are training to bein the healthcare field you should know the importance of taking training seriously and thingsshould be done in a quick but timely manner. I would agree with this article and the nurseassistants who voiced their opinions on how caring more about the residents and properly

* Targeted audience - dayshift registered nurses, unit secretaries and the management team on the 21 bed Progressive Care Unit (PCU), patients, nurse technicians

Verbal communication between the nurses during shift change or simply writing a progress report on the status of the patient does not cater to the needs of the patient, it is a mere communication method that is unreliable and nurse perception of the written report are often molded with bias and does not wholly represent the patient’s holistic health care needs. As dictated by Caruso (2007), “Change of shift signifies a time of carful communication in order to promote patient safety and best practices... [the risk exists of] relaying important information becomes muddled by irrelevant information instead...” (p.17). In essence, implementation of bedside nurse shift report/handover deems to provide the most opportune outcomes and focuses on patient-centered

The American Nurses Association (ANA) “Code of Ethics for Nurses” (ANA, 2001) states: “The nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient”. This reflects that advocating for the patient directly correlates with the safety and well-being of the patient. The key part to patient advocacy is effective communication. In recent times, there has been a focus on the connection of effective communication between healthcare workers and patient safety. A number of Institute of Medicine reports has brought focus to the severe matter. The reports have emphasized the concern of the lack of communication in the healthcare setting and the resulting negative patient outcomes. (Hanks, 2012a). This goes back to the notion that while many healthcare professionals consider themselves as a working member of a team, we have the natural tendency to work autonomously. Therefore, it is the nurse’s duty to collaborate patient centered care by practicing good communication skills with the entire healthcare team, the patient, and the patient’s family if consent is given to assure patient safety.

In class, we’ve discussed a lot of things during our group discussion. First, we discussed the professional nursing responsibilities of this case. We said that nurses job is to educate the patients so they don’t have to come back; they can’t be judgemental no matter what the situation is; they have to report certain evidences even if the patient doesn't want us to; we can provide the information to the client’s authorities (not just anyone); and we need to look and observe the patient for verbal and nonverbal clues. Second, we discussed the nursing ethical implications for this case. We said that nurses should always respect the patient's decisions; need to provide the same, equal, and quality care for all patients; don’t always make assumptions; take patient’s values to consideration; to ask patients who they are comfortable with visiting them during their stay; always provide all the information to the patient; and remember to keep boundary, know what information to give and what not to give. Then we discussed elements of the nurse patient relationship we think are

Communication is the most important aspect in any kind of health care setting as it is through this that you meet the patients’ needs and wants. Without efficient communication, errors can be made, people within you care become neglected and as a result complaints are filed, patients do not feel looked after and therefore the care system is portrayed in a negative light. An example of where this happened was in Mid Staffordshire, even though this report was very concerning, it has changed the health care standards for the better. Francis (2010)

Care within the hospital has become very complex and challenging as nurses are being faced with taking critical decisions associated with care of seriously

Internal method will be the interdisciplinary team such as hospitalist, therapists, dietician, pharmacist, case managers, discharge planners and house supervisors. These stakeholders performed a thorough discussions about patient’s admission, transfer, and discharges. Upon discussing with the patient’s overall health concerns, the evidence-based practices of bedside reporting can be part of the daily discussions because this is where the basis of patient’s health outcomes can be obtained. The goal of bedside reporting is to promote safety and highest quality of care. Therefore, the input and opinions of the whole team is very essential for the successful implementation of the bedside reporting. The bedside reporting will be more stronger tools

As board members we must remember that we are not only leaders of this hospital but also patients and members of this community. Introduction to a more robust communication plan, verification process and decrease reporting times to the staff and to

There are fewer interactions between nurse and patient due to nurse patient ratio. In public hospital it can be overcrowded leading to increase in nurse workload resulting in time limit and not communicating with patient. Some nurses are there physical but not mentally due to lack of motivation or personal problems . To be a nurse you need to love it in order to provide high quality care. Esmaeili and her team also found out that some physicians self centred they do not think of the patient and for the nurses to provide good quality care their need the whole team to participate.They also found out that some patient are not satisfied with care due to poor quality scope of the nurses as they can not provide solutions to some problems. There is lack of holistic view as this includes focusing on patient and their family’s needs also resolving patient’s issues during hospitalisation and after discharge. Other nurses needs to up date their knowledge and practice (Esmaeili, Cheraghi and Salsali, 2014). Hills found out that sometimes communication can not happen due to tight schedules of nurses, working with difficult patient and staff shortages There is still some health team members who still believe in hierarchy so they do not think its necessary to share or communicate with low ranking staff resulting in errors being

I was particularly impressed by way this meeting dissected critical issues. The participants of this gathering welcomed openness and honesty from all. This meeting investigated ethical issues regarding patient care, and scenarios in which one’s discretion licensed him/her to question a patient’s judgments. This gathering also addressed the issue of productivity, in terms of sustaining it and enhancing it amid a taxing and demanding environment. The participants then proceeded to address common relational issues, which involved disagreements among nurses, and conflict mitigation. After witnessing the dynamics of this meeting, it became readily apparent that conflict

On a daily basis there is a lot of thought and focus directed at these patients to assure they are getting quality medical care; you may have caught a medication error, made multiple phone calls, waited on hold for what seems like forever, waited on doctors, ran to another floor all to get a patient something they needed or wanted, or may the nurse noticed an important change in the patients status that could dramatically affect their outcome. Most times the patient does not see or not even know about these behind the scenes battles to ensure quality care. Conversely, most often, especially when considering a patient in the hospital setting, our perception is our reality. Patients often do not know the ins and outs of procedure and protocol and rely solely on their perception of the care they are receiving. Studies have shown that patients desire to be perceived and cared for as individuals. Lying in that bed waiting on a nurse for 20 minutes for pain medication may just translate into lack of care on the nurses’ part to the patient but in reality the nurse was caught in another room with a different patient with a situation he or she couldn’t walk away from. Often nurses are stressed which can also convey a certain harshness to patients. In other cases maybe the job has become so repetitive that the nurse