Jonesky's Case Summary
Case Summary
Through the presented case, a careless and preventable situation has affected two patients. Patient with the last name, Jonesky, went to the emergency room, due to abdominal pain, causing her to have been vomiting for two days. Jonesky, who only speaks Russian, was accompanied by her husband who spoke minimal English. After several hours of waiting, the pain began to increase, leading to Jonesky’s husband approach the ER staff informing them of the pain worsening. Jonesky is then moved to a room to be seen and was diagnosed with appendicitis and is in need of surgery to remove her appendix. As patient Jonesky was being prepped for surgery, the language barrier became apparent. The nurse on staff misunderstood the last name of Jonesky …show more content…
Through this case, the medical staff did not properly take the time to communicate with both of the patients. Many hospitals like to consider themselves as patient oriented, while not taking to time to accurately understanding the patient and their needs. In this case, first, the nurse should have gotten a second opinion on Jonesky’s last name, prior to coming to the conclusion that her last name was Jones. In addition, the surgeons should have properly taken their time out prior to the surgery to ensure the operations were being conducted on the correct patient. Time out is defined as, “time out is a formal procedure during which all team members stop and confirm the patient’s identity; procedure and laterality, if appropriate; allergies; the availability of blood products, any required equipment, implants, or radiologic images; and other patient care concerns” (Edel, 2010). This process allows for the reassurance that the correct patient is present and being admitted to the produce that is planned for him/her. Edel also states, “Personnel in the surgical services department at St Luke’s Episcopal Hospital, Houston, Texas, implemented the use of a hanging, magnetic, dry-erase board that includes the elements of a time out (eg, patient name and identifiers, procedure, site, allergies) and provides a means to document countable items.” (2010). This strategy allows for there to be awareness of the patient, while also providing information at all times throughout the
Through the presented case, a careless and preventable situation has affected two patients. Patient with the last name, Jonesky, went to the emergency room, due to abdominal pain, causing her to have been vomiting for two days. Jonesky, who only speaks Russian, was accompanied by her husband who spoke minimal English. After several hours of waiting, the pain began to increase, leading to Jonesky’s husband approach the ER staff informing them of the pain worsening. Jonesky is then moved to a room to be seen and was diagnosed with appendicitis and is in need of surgery to remove her appendix. As patient Jonesky was being prepped for surgery, the language barrier became apparent. The nurse on staff misunderstood the last name of Jonesky …show more content…
Through this case, the medical staff did not properly take the time to communicate with both of the patients. Many hospitals like to consider themselves as patient oriented, while not taking to time to accurately understanding the patient and their needs. In this case, first, the nurse should have gotten a second opinion on Jonesky’s last name, prior to coming to the conclusion that her last name was Jones. In addition, the surgeons should have properly taken their time out prior to the surgery to ensure the operations were being conducted on the correct patient. Time out is defined as, “time out is a formal procedure during which all team members stop and confirm the patient’s identity; procedure and laterality, if appropriate; allergies; the availability of blood products, any required equipment, implants, or radiologic images; and other patient care concerns” (Edel, 2010). This process allows for the reassurance that the correct patient is present and being admitted to the produce that is planned for him/her. Edel also states, “Personnel in the surgical services department at St Luke’s Episcopal Hospital, Houston, Texas, implemented the use of a hanging, magnetic, dry-erase board that includes the elements of a time out (eg, patient name and identifiers, procedure, site, allergies) and provides a means to document countable items.” (2010). This strategy allows for there to be awareness of the patient, while also providing information at all times throughout the