Safe Harbor Peer Review Paper

Other important provisions to uphold are provisions eight and nine. These two provisions are very closely linked because provision eight requires that the nurse collaborates with other healthcare professionals in efforts to improve the quality of health care. This ties in with provision nine because it states that “the nurse also collaborates with other health care professionals and the public to promote community, national, and international efforts to meet health needs and for shaping social policy.” (Fowler, 2010, p. 124). For example, I am upholding provision eight by volunteering as a co-chair of a council partnership meeting (CPM) in the hospital that I work for. In CPM, we meet once a month to formulate ways to improve patient’s safety. At the same time, I am able to meet the standards of provision nine because we collaborate with others to conduct research to reform our policies and procedures to benefit our patient’s needs. To further illustrate, we recently have adopted the John Hopkins fall risk assessment score because research studies have shown that it has proven to be more effective in screening the patients based on their fall history, elimination of bladder and bowel, how many fall risk medications they are on,

As a Registered Nurse is a crucial component to ensure that there is effective communication between the nurse and patient. As well as being respectful to the person’s dignity, culture, values, beliefs and rights. This is because everyone is different, and due to this it is important that I am being cautious to each person’s individual needs.

As the nursing profession progresses throughout the years, its nature becomes more complex in meeting the professional standards and codes of ethics that are required by all nurses. The American Nurses Association has a specific code of ethics that each nurse should follow and adopt as their own beliefs. The public and the patients should be the priority when providing care in the healthcare setting. The knowledge and education that nurses’ gain is valuable and allows them to encourage health, avoid illness, restore health, and aid in coping for those who are all ill. (LeMone, pp.192) Given that the code of ethics is put into place, there are many registered nurses who violate these codes in various situations. The following will discuss

As health care workers we are under a legal obligation to protect an individual from any kind of abuse, whether it is physical, financial, emotional, sexual or psychological .Legislation, policies and procedures exist to promote a safer working environment and reduce the potential for risks occurring. They are tailored for the needs of each setting, known and understood by employers and employees and reviewed on a regular basis.

to assess, diagnose, treat and prescribe based on authority from the state nursing board and does not require collaboration from an outside source.

Nursing to patient ratio can have a direct impact on patient safety. Studies have been done that show that these ratios impact patient outcomes and mortality rates when nurses are understaffed and are given a larger patient load than they can handle safely. Nursing education level has also shown to play a role in patient outcomes. Whether they are an unexperienced nurse or the patients are at a higher acuity and require more time for care, these larger ratios can be detrimental to the nursing quality of care that can be provided. These larger nurse to patient ratios can also play a part in nurse burnout leading to medical errors, negative patient outcomes, and higher health care costs in the future.

Minimum due process in the incident based and safe harbor peer review has some exclusion that that includes; impairment that is due to chemical dependency, drug and alcohol abuse and the mental illness that can as a result diminished mental capacity. Most of the minimum due process exclusions have been inhibited from the bond of nursing. The board represents the Texas people and ensures that the licensed nurses meet the minimum standards of the safe practices. Through this, the board can protect and promote welfare amongst the Texas people.

According to American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the heath, safety and right of the patient” (p. 6). Nursing responsibilities should be acted at the highest standard and must be based on legal and ethical obligations.

There are a few ethical issues that in the provided scenario which need addressing from the nursing shift supervisor. The first occurs when the Certified Nursing Assistant (CNA) fails to appropriately address the possibility of a developing pressure ulcer. A wound care team can be consulted about developing an educational program about pressure ulcers for hospital staff. Also, there is the issue of restraints. The ordering physician should be contacted about the necessity of restraint use. Along with the wound care team, data could be collected about the use of restraints and the subsequent development of

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.

Many nurses need to take their own professional liability insurance, although insured by the employer. Most of the company policies are created to meet their own needs. (Eisenburg, 2010, p. 25.)

The broad research problem leading to this study is the belief that nursing shortage in facilities leads to patient safety issues. The review of available literature on this topic shows strong evidence that lower nurse staffing levels in hospitals are associated with worse patient outcomes. Some of these outcomes include very high patient to nurse ratio, fatigue for nurses leading to costly medical mistakes, social environment, nursing staff attrition from the most affected facilities. The study specifically attempts to find a way to understand how nurse

Incident based peer (IBPR) review occurs when a hospital receives a complaint regarding a nurse’s conduct or hospital has concerns about a nurse’s qualifications or the quality of patient care rendered by the nurse. During IBPR the nursing peer review committee must determine whether a nurse’s conduct should be reported to the board of nursing. Under the hospital licensing rules, the Texas Department of State Health Services (DSHS) requires hospitals to implement a program for incident-based peer review and compliance with the reporting requirements established by the BON.

Every academic discipline in any profession is governed by its rules and policies developed and prone to amendment from time to time after viewing or arises of an issue. Nursing as a profession practice and an academic discipline is however not an exemption to this (Lasater et al., 2015). The nursing practice has different policies governing the procedures, and that promotes health and wellbeing of the patients as well as creating a conducive environment for nurses and the people they interact with in delivery of their services such as medical therapists, technicians, among others (Blegen et al., 2007). These policies ensure that there is a smooth running of the activities for the nurses as well as the patients. There exists a broad array of policies, but in this paper, the registered nurse safe staffing Act system will be looked into particularly in Florida.

One of the many goals of the nursing profession is to provide high-quality, safe patient care. There are many responsibilities that come with a nursing career and when the nurse to patient ratio increases, there is a possibility that it may hinder the safe care that patients deserve, and this may result in negative patient outcomes and level of satisfaction. Staffing is one of the many issues that healthcare facilities face. In many facilities, there never seems to be enough nurses per shift to provide high quality, thorough patient care which often leads to burnt out staff, and frustrated patients and families. This review discusses the findings of quantitative studies and one systematic review that involves patient outcomes in relation to nurse staffing.