Safety Of The Patients ' Care

A.Nightingale Community Hospital is attempting to be in complete compliance with Joint Commission’s “communications” standards. Prior to the Joint Commission survey, Nightingale Community Hospital wanted to focus on items UP.01.01.01 through UP.01.03.01 of the Joint Commission handbook. According to the handbook, these items focus on the universal protocols for preventing wrong site, wrong procedure, wrong person surgery (2015). In response to these universal protocols, the hospital implemented a pre-procedure hand-off tool, which is completed and signed off by both the nurse handing off the patient as well as the nurse accepting the patient. The hospital also began

* Personnel Issues: One of the key barriers to effective interaction for the pre-op nurses is that they are not getting any information from the registrar or the surgeon related to the patients unique circumstances. There is not a communication process in place for the pre-op nurse to actively communicate with the surgeon or his office regarding a patient’s care during their day of surgery. An additional factor in this situation was the pre-op nurse documented the mother’s contact information in her notepad, but not on the

In this scenario the hospital in order to advance the quality of care, could have shared the information about the incident with the nursing personnel. The hospital could provide the best quality of care to the patients and achieve the patients’ satisfaction, by sharing the data. Advancing the quality of care would have positive effect on both patient satisfaction and nursing care. Knowledge of nursing care empowers the nursing staff in such cases. In this scenario the knowledge of pressure ulcers, restraints and patient care is significant. On the other hand the nursing care in this scenario could have been better and the family/patient could have been cared better if the nursing staff had gotten the best patient care knowledge.

Interdepartmental communication and medical errors have both been proven as causes of harm to patients in health care settings. When there are gaps in communications between nurses changing shifts or patient transitions from one department to another, medical errors can occur and cause harm to patients. Even though there has been improvement in recognition of these problems and actions taken to reduce communication gaps and medical errors, there still needs to be more work, especially in individual facilities.

Even though I did not see or hear the nurse bring up an issue about the patient’s safety before, during or after the procedure, I am sure she was actively monitoring the patient and the surrounding situation for harm. As a future nurse, I have been made aware of the need to identify and correct unsafe practices or procedures in order to improve the patient’s experience and prevent unnecessary harm.

In conclusion, NMBA guidelines provide useful references for all nurses and nursing students regarding their responsibilities. Following this guidelines, it is the responsibility of Gemma to respect the patient's privacy and not disclosing his ongoing treatment to his wife. She should politely request patient's wife to come to the hospital and verify her identity. She should also gain patient's consent to reveal the information to the patient's wife.

Communication within the surgical team was extremely efficient. Everyone was very informative with one another, which helped the procedures move smoothly and effectively. All surgical procedures began with verification of the patient, surgical procedure, and surgical site. Although, in the article, “Why a RN in the OR?” explained that every member of the surgical team performed the verification individually, in this case, the circulating nurse simply read aloud the patient’s information along with stating the surgical procedure and site. Moreover, throughout a majority of the procedure, most of the communication consisted of the surgeon and the surgical technicians. The surgeon was mainly the individual to give commands and was very explicit in explaining what he was doing and what he was about to do in order for the surgical technicians to be prepared to hand him what he needed. Furthermore, as in the article described, the circulating nurse monitored aseptic practices and informed the surgical technicians to place objects that were no longer sterile in a specific bin. There was also a Certified Registered Nurse Anesthetist (CRNA), that monitored the patients’ vitals throughout the entire procedure and periodically gave the rest of the surgical team updates regarding the patient’s condition. Specifically, during an inguinal hernia repair, the patient began to cough during the procedure; however, the CRNA wasn’t able to witness it since he was behind

In the 1966 film, Fantastic Voyage, world famous scientist Jan Benes suffers a stroke after being attacked on his way to the United State Combined Miniature Deterrent Forces (CMDF) lab. He possesses vital information that the US needs in order to defeat the Soviet Union, so they put Benes into a coma to prevent his brain from hurting itself further. Dr. Peter Duval, the lead surgeon, informs Mr. Benes’s Secret Service handler that the injured part of Benes’s brain is located in an area that they cannot operate on without fatally injuring the man. Their only option is to shrink an expert team of four engineers and scientists, along with Mr. Benes’s Secret Service handler, down to microscopic size and inject them through Jan Benes’s carotid artery

Janice: You did an amazing job in presenting your summary. I thoroughly enjoyed reading key highlights mentioned in your post. You stated that “effective communication between nurses and other health care team members is critical to patient safety; lack or inadequate communication compromises patient safety.” Your statement certainly resonated with me, as this is something I had witnessed firsthand during the care process of my Grandmother. My family once had to make a critical decision of removing my grandmother from the nursing home facility she was currently staying at the time, after my family discovered that the nursing home did not follow specific instructions provided by the surgeon who performed a hip surgery on my grandmother. Indeed,

An effective communication between management and nursing is crucial for an excellent patient outcome without potential care risks. Clear and very specific guidance related to the daily care responsibilities is important to avoid mistakes. A common mistake relay in the assumption of instruction clarity, any unclear little detail could end in harm to any patient under the nursing care.

The primary barrier impeding effective interaction among the personnel is a communication barrier. Information exchanges between the patient’s primary care provider and other care providers are often where errors occur or where information is lost. Two-way communication between the surgeon’s office and the hospital is necessary for effective and efficient patient care. Consequently, there does not appear to be an effective channel of communication with the surgeon’s office to obtain appropriate documentation which would have included the patient’s custodial information. Secondly, the pre-op nurse was in an emotionally charged situation due to the stress of an increased workload and additional responsibilities. Although, the appropriate

Hi Mary. I agree, there is a need for increased fall education and patient safety awareness of staff. Nurses play a key role in patient safety. I believe that being a nurse is a constant evolution, we evolve as we practice. Nursing will never be stagnant and we see every day that nursing research helps to bring forth more effective nursing care. It is vital to emphasize the clinical nursing research to guide nursing practice and to improve the health and quality of life of our patients (Polit and Beck, 2012). Hospitalization increases fall risk because of unfamiliar environment, illnesses, and treatment. Patient falls and fall-related injuries are devastating to patients, clinicians, and the health care team. A single fall may result in a fear

The purpose of this research paper is to find evidence-base data to improve the quality and safety of patient care and to prevent patient falls in the hospitals. It will include three evidence-based research reports related to fall preventions and patient safety, examine a national initiative to support my topic of falls in the hospital, and discuss Orlando’s Nursing home testing Process Theory. The Joint Commission, TJC (2013) requires accredited hospitals to conduct fall risk assessments for hospitalized patients in order to identify fall risks in each patient, so prevention measures can be implemented into their plan of care. TJC began to monitor sentinel events in 1995. Through the end of 2012, there have been 659 fall-related events which resulted in death or permanent loss of function. This number reflects voluntary reporting and represents only a small portion of actual events. The actual number is unknown, but is most likely much greater, demonstrating the importance of fall prevention intervention (The Joint Commission, 2013). The TJC requires every accredited organization to define what they consider to be a patient fall but there is no universally accepted definition of a patient fall. The Veterans Health Administration (VHA) define a fall as, “loss of upright position that results in landing on the floor, ground or an object or furniture or a sudden, uncontrolled, unintentional, non-purposeful, downward displacement of the body to the floor/ground or hitting

Patient safety which is the amount to which patients are free from unintentional injury has established a great deal of media attention during the past few years. Regulatory and professional agencies have specified that patient safety education should be given to healthcare workers to improve health results. The primary purpose of this essay was to gain a better understanding of the present status of patient safety consciousness among those that work in the health care setting... Risk Management Issue

Kelsey, I must agree with you. Patient safety is a vital part of our job. Being able to convert all and any type of measurements diligently is a big factor to patient safety. Lastly, I appreciate how u included having passion in what we do and how taking the extra steps should come naturally. With passion and knowledge, I believe that you will go far in your career. Those who are passionate, motivated, and self-driven are ultimately the happiest, successful