This Is A Preventative System Of Which Staff Are Familiar

Implementing change among all organizations is necessary to achieve success; within the health care industry change is constant and it is the role of management teams to assess, plan, implement and evaluate change to ensure satisfaction. Considering this among the other aspects of running a successful organization it is essential to ensure that there is minimal resistance and familiarity to change. Demands of the consumers and staff as well as regulations are continuously changing. The responsibility of managers is to successfully lead these inevitable changes.

These changes are then reinforced to employees by the Charge Nurses in Morning Huddles and in special called Safety Huddles throughout the week. While management is very open to change, implementation of the changes must be carried out by the actual hands-on personnel, and this often times leads to fear of the unknown. As Yoder-Wise (2015) states, “All changes, whether perceived as positive or negative, large-scale or simply, are scary and generate fear” (p. 307). In the short time I have worked in the ED, I have seen both support and resistance among co-workers regarding change processes. While some embrace change, others resist, and are set in their ways viewing change as inconvenient and an addition of time-consuming steps to an already stressful environment. Most whom I work with, when presented with the facts and evidence behind the change, view it positively and have no problem implementing it.

Behaviour charts or distressed reaction charts should be completed after each incident to try and determine certain behaviour patterns and/or trigger factors. This can then be transferred into care plan and risk assessment reviews, to help work towards avoiding certain situations, and reduce the likelihood of re-occurring incidents.

Record keeping provides evidence of any interaction or intervention involving a patient. It needs to be comprehensive enough to determine that the nurse has fulfilled his/her legal and professional duty of care (Griffith 2007).

There is a copy of the document ‘The short-term management of disturbed/violent behaviour in psychiatric in-patient settings and emergency departments’ on Miplace. You need to write a summary of this in a booklet which covers four areas of dealing with violence in A&E:

Change is a hard concept for most, but change in the hospital setting can be beneficial for both staff and patients. According to Mclean (2011), “Every change begins with an ending” (p.79). How people respond to change can make the process easy or hard depending on how the change is presented.

Records of incidents- this is there to make sure that monitoring and reviewing is undertaken, which is where the key workers is advised to records incidents that had occurred in the health care settings. Observations- an observation is there to help describe an individual’s behavioural patterns, they also observe care skills at a medical situation at the individuals.

In the event of releasing any patient information it is important to make sure that all of your T’s are crossed and your I’s are dotted before the transaction is complete. However, because specialized patient records, such as Mental health or substance abuse cases, contain not only strictly medical information, but also therapeutic mental and emotional information, the release of this type of information could cause some damage to the patient (McWay, 2010, p. 227). This is why the release of information concerning this type of patient records is different from that of a patient record without delicate information in it.

In fact, in some instances, doctors find it more difficult to complete with their already hectic and demanding schedule. The article describes the medical records used in the UK which is an envelope of information that follows a patient their entire life. The providers know what to expect when viewing these records and are able to efficiently and effectively use them as a resource when seeing patients. A main takeaway from this article regarding medical records from the UK is that they must be well kept and organized and also keep the same geographical layout and consistency to be effective. By gathering and reporting information in this way, it allows the provider to be concise. The short notes are almost like clues for a future provider about what the previous encounter entailed and how the issue has progressed or regressed. The article discusses VAMP, the “Value Added Medical Products” computer system which is how the United Kingdom does electronic medical records. Their goal was to replace paper records with this type of system, however it did not work out that way. In this type of reporting, there is both a medical file and a therapeutic file which allow the doctors to separate what they are recording. There are many negatives and positives of a computer system such as this one such as it may remind a physician of a treatment or prescription that was given

In Health and Social Care when planning change outcomes need to be Major Service change must put patient and users of the first to ensure that changes will be implemented successfully and this will help to improve outcomes, reduce health inequalities and models of care. (NHSCC)

Medical records are not electronic, but paper, which causes them to become lost or misfiled. Physicians need readily access to patient records so they can treat patients effectively.

Accuracy of recordings and ease of understanding of patient information in medical records play central role in quality of

Accuracy of recordings and ease of understanding of patient information in medical records play central role in quality of

The majority of my clients have displayed mild to moderate challenging behaviours (e.g. self-injurious behaviour, physical and/or vocal aggression, property destruction, pica, eating problems, sleep problems, over-selectivity, phobias, stereotypy), with some of my clients engaging in severe self-injurious and/or assaultive behaviour towards staff, peers and significant others.

Nursing and caring staff will be required to note down the type of behavioural episode, such as verbal or physical aggressive or non-aggressive behaviours, at the time of episode or as soon after as possible. This method of data collection has been shown to be effective in assessing types and frequency of behaviours in residents by Lin et al. (2011, p. 671) and Chang et al. (2010, p. 940). A similar type of documentation may already be in place in the facility. If this is the case, no extra documentation will be required of the staff and an audit will be conducted to collect information; otherwise, appropriate documentation will be provided for staff to complete. This data will be compiled by researchers to determine trends shown over the time