Nursing and healthcare continues to change on a daily basis. The one thing that has remained constant during these changes is maintaining the safety of our patients. By maintaining their safety, nurses must ensure that they are keeping up-to-date with the changes in technology now being introduced in healthcare, new and emerging diseases, new equipment, and changes in treatment modalities. One such responsibility is ensuring that nurses do not operate equipment they were not oriented to or trained to use in an effort to prevent injury patients. Nurses and other healthcare professionals are being held accountable for practicing within their scope of practice based on their licensure regulations, and the company policies and procedures. …show more content…
According to Westrick (2014), the claimant must be able to prove that four elements existed in order to succeed with a negligence or malpractice action—a duty to the plaintiff, failure to reasonably fulfil one’s duty, resultant injury to the plaintiff as a result of that breach in practice, and causal connections: The injury would not have occurred without that breach. Miss Pinnelas was admitted for the administration of the chemotherapeutic agent mitomycin for anal carcinoma. Mitomycin is a vesicant which works best when its pH is lower than the pH of the cells being treated (Kennedy, McGurl, Leondaridis, & Alabaster, 1985). A vesicant is chemical that causes extensive tissue damage and blistering causing tissue necrosis or tissue death if it escapes from the vein. A drug is classified as a vesicant if its pH is less than five or greater than nine and should not be infused via a peripheral line (Infusion Nurse, 2010). Failure of the nurses, the physician in charge of the patient, and the pharmacist named in this case to ensure the safety of drug administration resulted in harm coming to the patient.
Reasonable questioning of the policies and procedures surrounding the use of trial equipment when caring for patients will be reviewed for breaches in the standards of care and practice in this case. Were there written policies governing the use of trial equipment within the facility? If there are policies, does it specify any
Flames of evolution in patient care have been fanned into a wholesome revolution in the nature of nursing care due to the ever changing healthcare needs and demands of patients. This has led to a paradigm shift from generalized patient care to a patient centered approach. The increase in interaction and individualized patient management has improved healthcare delivery. However, on the flipside, this has not come with new challenges. Healthcare providers are increasingly being exposed to new health hazards as new and sophisticated treatment approaches are developed. Injuries due to sharps are of significance in nursing practice. The International Healthcare Workers Safety Center (2010) reports that an average of 27.97 per 100 licensed beds sharps injuries occurred in 2007 while in 2008 17.2 per 100 licensed beds sharps injuries were recorded. According to Centers for Disease Control and Prevention (2010), 385,000 healthcare workers are injured due to sharps annually in the United States. This puts the healthcare personnel at risk of contracting infections such as Hepatitis C and B from contaminated objects. In regard to this concept, this paper will explore sharps safety at the clinical site with a view of using evidence based practice to creating awareness on the need for sharps safety in hospital settings.
healthcare organization accrediting bodies, and to maintain credibility with patients and peers alike, must adhere to the National Patient Safety Goals. As stated by Ulrich and Kear (2014), "Not only are nurses responsible for providing safe patient care, we are also responsible for creating an environment in which others can provide safe patient care, and for being the last line of defense when needed between the patient and potential harm. Having a deep understanding of patient safety and patient safety culture allows nurses to be the leaders we need to be in ensuring that our patients are always
The purpose of this paper is to discuss how safety in the nursing profession affects the nursing education, nursing practice, and nursing research. Safety in the nursing profession means to minimize the risk of harm to patients and providers through both system effectiveness and individual performances (QSEN, 2014). Patient safety is a very important aspect in the profession of nursing. It is the nurse’s job to keep up to date with their patients and to make sure that protocol is being followed at all times. To maintain this strategy, the nurse must show proper knowledge of a nurse, skills of a nurse, and also a professional attitude.
Identify and explain the four elements of proof necessary for a plaintiff to prove a negligence case
Role is a function played by an individual or particular group of individual in a particular situation. It includes connected obligations, behaviors, rights, beliefs, and norms as theorized by people in a social state. The role of a nurse practitioner (NP) started to manifest in the mid-1960s. This came as a response to the nationwide physicians’ shortage. The NPs were then classified under the advanced practice registered nurse (APRN) umbrella. The origin of the NP role in the United States came through the effort of Loretta Ford (RN) and Henry Silver a pediatrician who had insight for the nurses to be developed and be more effectively used to improve the health care. The demand for primary healthcare was increasing as physician were moving to areas of specialty because of the associated income, lifestyle incentives and status. The nurses were to fill the gap. To realize this, education was essential. The nurses where then equipped with skills of performing developmental tests, history taking, doing evaluative procedures, some laboratory procedures and physical examination and referral for medical care that traditionally had been a medicine domain (O’Brien, 2003).
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.
For a plaintiff to triumph a claim of medical malpractice for negligence, four elements must be established. The first element is proving the defendant owed a duty of care to the plaintiff. The second is to show that the defendant breached the duty to the plaintiff. The third is to show that the plaintiff was harmed and experienced damages. Finally, the fourth is to show that the plaintiff was harmed by the actions of the defendant (Greenberg, 2009).
The injured health care professional may eventually need to change their career path secondary to permanent MSD’s (Menzel & Nelson, 2010). Recent studies report a sixty thousand dollar annual reduction in medical costs when safe staffing is maintained (ANA, 2011). Additionally, reduced malpractice claims, payouts, readmission, denials and fines will be experience when adequate staffing is maintained (ANA, 2011). Most noteworthy, the patient’s may experience less pain or suffering and therefore better outcomes can be anticipated with safe staffing. This sends a clear message to management; powered devices are an investment that can reduce staff injuries while also ensuring the safe handling of the patients as well.
This article appeared in the Patient Safety section of Nursing a monthly publication for nurses offering current and practical content to its readers.
The four elements of proof necessary for a plaintiff to prove a negligence case are duty of care, breach of
The role that nurse practitioner (NP) plays within the increasing complex health care system is a constant changing role with the Consensus Model and the introduction of the Affordable Care Act in 2010. The scope of the nurse practitioner (NP) includes the care of the young, the old, the sick and the well. The educational needs of a nurse practitioner vary greatly from that of a Registered Nurse (RN), in the amount of education as well as the focus of the education. NPs provide coordinated primary care with the use of comprehensive health histories and physical examinations, diagnosing and treating acute and chronic illnesses, the management of medications and therapies, ordering and interpreting tests results, and educating and
Nurses are an important workforce in the medical field, from primary patient care to complex procedures like surgical operations, their input is quite significant. Just like all the other professions, nurses face several difficulties in their day to day practice. It is quite ironical how nurses sometimes manage to effectively take care of patients but fail to take care of themselves in the process. In their daily operations, nurses are exposed to numerous hazards that would sometimes prove fatal to them. It is important to take extra care when handling patients and other equipment to avoid self-injury.
Nurses are known as the heart of health care. Being a nurse is a demanding job that requires commitment, but does not lack rewards. A fact stated by the American Association of Colleges of Nurses claims that “Nurses comprise the largest single component of hospital staff, are the primary providers of hospital patient care, and deliver most of the nation 's long-term care” (“Nursing Fact Sheet”). With many roles throughout the healthcare system as a whole, nurses are a large, very important role that interacts with every other part of the health care system. They have great qualities that not everyone has. They are highly compassionate, caring, professional, diligent and understanding individuals. A nurse experiences people at their worst and still care for patients in a way that no one else would. All these honest points prove that nurses are the most important members of the health care system because, nurses spend the most time with patients, nurses are the managers of patient care; they are teachers and are great with conflict resolution.
There are many different variations of healthcare professionals that assist people in regaining and maintaining a healthy lifestyle. The career field of licensed nursing is often considered to be one of the most vital professions within the medical community. Registered nurses work to prevent and heal various different types of injuries, diseases, and illnesses. They are also responsible for administering a variety of patient services, consisting of individual patient care, analyzing and monitoring patient medical reports, and also possessing the ability to operate technical medical equipment. As well as, be able provide comfort and emotional support for both physically, and mentally ill patients. All Registered Nurses are responsible for providing patients with quality health care, in compliance with professional standards set forth by the American Nurses Association. As the field continues to rapidly evolve, an increase in responsibility is placed upon registered nurses to maintain a professional standard of care. With the increase in responsibility, the role of registered nurses consistently changes to accommodate individual patient needs. As a result, the rise in responsibility placed on registered nurses correlates to a higher probability of malpractice and negligence occurring within the community. The consequences of malpractice and negligence can
Urgency of acute care varies depending on the situation but can range to anything from emergency surgeries, to injuries, chronic illnesses, and also for the recovery of those procedures. Majority of the patients in acute care settings are critically ill. Nursing responsibilities in acute care settings are vital to patient’s recovery due to the front line position nurses play as well as the wide variety of tasks carried out. Assessments are made during every encounter the nurse has with the patient along with monitoring the patient’s progress. Nurses are responsible for recognizing symptoms the patient may be experiencing due to illness or injury and whether they fall in the spectrum of normal reactions. Vital signs are measured routinely and can be indicators of the patient’s current status. When vitals are questioned diagnostic tests can be arranged to further assess possible comorbidities the patient may have. Care plans are made to plan interventions the health care team can take to help patients through challenges they face, both physical and mental. Nurses administer medications as well as first aid as needed. They are responsible for maintaining special equipment patients may require including monitors and ventilators are well.