Standards Of Care Case Study

The patient did not receive standard treatment to prevent the formation of a DVT. What are some possible reasons why this error occurred? The first reason was that the nurses and staff on the floor were so focused on his admitting problem being related to COPD, which caused his respiratory infection, which then caused his kidneys to not function properly. Since his kidneys were not up to par, the staff wanted to make sure that he was not going to go into kidney failure, so that was their number one priority at the time. Secondly, the admitting doctor did not order DVT (deep vein thrombosis) prophylaxis. Based on his thrombosis risk factor assessment, the patient would have scored as a high risk. He should have been placed on sequential compression devices (SCD), and either heparin or lovenox (University of Michigan Health System, n.d.). The most alarming reason was that the nurse did not

My job has double check for all iv medication that is given. There are no verbal orders the team must place the order while rounding or within 10 mins of the conversation. We encourage family and patient to ask questions. Doing the right thing even if it’s not your patients. In a case where a RN was applying cream to a sacral wound that had eschar. It was encouraged to do a wet to dry and call for consult with wound team. It is never easy to give advice to a coworker that is season; however, it is never easy to watch a person perish due to staffing errors. Huddles are great way to get information across without placing blame. Giving advice in a non-judgmental way to coworkers. Continues education and begin a resource are a few ways to ensure patient

There was an error that resulted in patient harm that occurred on an oncology floor. The nurse was a newer nurse who was hanging chemotherapy and was being interrupted during the chemotherapy administration. The second nurse checking in the chemotherapy with the first nurse was also interrupted. The chemotherapy administration resulted in the entire bag being given during a short period of time because the pump was not programmed properly. Once the error was realized, the patient was sent to the ICU.

It was claimed that the nurses, even though they picked up signs/symptoms of a medical emergency in their assessments, did not do enough to see that those concerns were addressed by the physician on duty. They would argue that had the matter been pursued further, the patient’s true injuries could have been diagnosed and treated earlier. Earlier treatment could have prevented the permanent damage and injuries the patient would sustain due to a delay in treatment.

The report I received from the nurse at the Post Anesthesia Care Unit indicated that the patient underwent a cardiac catheterization with access through the right femoral vein and artery. At the puncture site the patient had a 2x2 gauze dressing with Tegaderm and wrapped with

Standards of care can be seen as the level of competence expected from a “reasonably prudent nurse” when carrying out duties with the expectation of yielding positive outcomes (Westrick, 2014). Westrick also explains that nurses can face legal charges when there are breaches in the expected standards of care. Nursing malpractice occurs when the actions or inactions of a nurse—breaches in the expected standards of care—results in harm to the patient.

As a medical billing and coding manager, It's not my responsibility to do anything with an IV, instead I would call the doctor or nurse immediately to help the patient to flush out the drug in her system as soon as possible in anyways.

The American Nursing Association develops guidelines and procedures for nursing practice which include the standards or definitions of what it means to provide competent and quality care. The association has the responsibility of developing the scope and standards that are applied to the practice of all nursing professionals and act as an outline for nursing specialty practice (American Nursing Association 2010). Main components of the nursing practice are assessment, diagnosis, outcome identification, planning, implementation, and evaluation.

Intravenous infusion therapy is an infusion of fluids directly into the patient’s bloodstream via a vein using an intravenous catheter. It is frequently used in hospital settings for patients that require a rapid onset of medication and for those who are unable to receive medications orally. According to Adams and Urban (2012), intravenous (IV) infusion is considered to be the most dangerous route of receiving medications because medication cannot be retrieved once it enters the bloodstream. Patients receiving IV infusion therapy require close monitoring for adverse reactions, which can happen immediately or it can take a couple of days for it to take effect. There are three types of IV administrations: large volume infusions, intermittent infusions, and IV push (p. 37). Patients receive IV therapy to for a variety of reasons including maintaining, restoring or replacing fluids and electrolytes, to administer medications, blood and blood products, nutritional feeds, chemotherapy, and pain mediations.

The pre-op nurse didn’t communicate with the intraoperative nurse, which should have been passed down to post-op nurse about calling Tina’s mother to inform her that Tina was out of surgery and now in recovery. Tina’s post-op nurse who was responsible for her care should have checked identification of patient and responsible party prior to releasing the patient. The responsible party should have an arm band with the patient’s information and must be check by the post-op nurse prior to releasing a minor patient. Only the responsible assigned

Had a risk assessment taken place, the staff would know Alice was a high risk for infection, based on her age and her weekend immune system. Based on her risk factors, test for sepsis should have been carried out straight away. This would have ensured she received the correct course of treatment. While the CDC has been working vigorously to reduce the spread of infections, sepsis appears to be on the up rise. According to the CDC’s National Center for Health Statistics, the number of times people were in the hospital with sepsis increased from 621,000 in the year 2000 to 1,141,000 in 2008. (Sepsis, 2014)

On October 30, 2016 at approximately 0150 hours Security Officers Ariel Weiland, Omar Alonso, Brandon Rodriguez and Steven Evans responded to a 51D (Disorderly patient in the E.D) in the Special Care Unit Room #38. Upon arrival Security staff met with Register Nurse Sheila Melody Berja who stated that patient Alessandra Brewer (DOB:FIN- 01/18/1996-86379488) who was sleeping in her room and not responding to what staff was asking, was uncooperative. Nurse Berja stated that she needed assistance in having Ms. Brewer roll over on her back so she could get an accurate reading on her vitals. After reasoning with patient Brewer and getting her a warm blanket she rolled over on her back and let Patient Care Tech Mary get a reading on her vitals. The

In this article, the authors discuss a study used to identify complications, such as infiltration and phlebitis that can be associated with peripherally inserted vascular (PIV) therapy; due in part to a complacent health care system that can ultimately lead to detrimental outcomes. The study was directed towards medical-surgical nursing staff who agreed to a pretest, a competency-based education program, and a post-test as part of the study. A specific area being evaluated by the study is that nurses refine their clinical expertise by going through phases; and that these phases have specific components to assess their clinical experience, according to Patricia Benner’s, Novice-to-Expert Model. There are 5 levels to Benner’s model; novice, advanced

In brief, ‘Standard of care’ is defined as the breach of duty. Legally this term seems to be confusing always, as it depends on the practical application of care in a daily practice. Currently, in the medical malpractice, the legal definition of the standard of care has been changed due to two specific cases of the past. The first case of T.J. Hooper (owner of a tugboat), who has been sued by the owner of the badges for not taking necessary precautions while at sea has been held responsible as the courts declared precautions are imperative although not recommended universally. This first case served as a support for the second case where an ophthalmologist (Carey), has been held responsible for the loss of

The nursing staff in the critical care unit are required to do multiple tasks. For example, recording vital signs, assess function of ventilators, equipment, and monitors. The nurse also, administers medications prescribed, maintain IV patency, assess need and accomplishments of medications/ fluids. The nurse works with other nursing staff to complete care for all CCU patients. In case of situations requires life saving measures, the nurse performs the tasks, at the same time being aware of standards/ protocols posted by the hospital. While the patient is admitted, the nurse is required to perform teaching, provide support, and advocate the patients. Throughout all the treatment, the nurse is assessing the