“A moderate sedation/analgesia (“conscious sedation”) policy requires that the patient remains on continuous B/P, ECG, and pulse oximeter throughout the procedure and until the patient meets specific discharge criteria (i.e., fully awake, VSS, no N/V, and able to void).” The trained nurse had the equipment to insure that this policy was followed, however failed to perform her duties as required by this policy. The second event is that the LPN reset the alarm and made no effort to provide an intervention for the alarm. The LPN did not inform the RN of the O2 Saturation level. The LPN Was not trained properly. The third event was that there was not enough staff called in for the level of acuity that these patients had. The administration should have been made aware of the emergency coming in and called in more staff to accommodate the staffing need.…
“Ma’am, we need to draw blood and run some tests.” You have probably heard similar phrases when taking a sick pet to the veterinarian‘s office. Hearing this phrase with a sick pet, whom to you is your child, can be scary. Understanding the process of drawing blood gives a slight bit of comfort in this typically upsetting phrase. Taking blood samples is an important aspect of veterinary medicine. Many diseases are diagnosed based on serum biochemistry. As a veterinary technician, you must understand the process of drawing blood, known as venipuncture. In some situations, getting a blood sample must be done quickly and there may be a large amount of stress on you as a technician to do this. A useful method for obtaining a blood sample for the beginning veterinary technician is to draw it from the cephalic vein. I am going to explain the process of taking blood from a dog’s cephalic vein which is located in the canine’s forelimb, known as canine venipuncture.…
Scenario # 1: The Medical Assistant is preparing to perform a venipuncture on a patient who has come into the office for their annual physical exam.…
UP.01.01.01 requires the organization to conduct a pre-procedure verification process prior to the start of any procedure. The hospital meets this standard by following its policy titled “Site Identification and Verification (Universal Protocol)” which describes the process that is used prior to the start of any operative or invasive procedure. The hospital’s use of the “Pre-Procedure Hand-Off” checklist provides the documentation required to demonstrate compliance with the standard. Because of the criticality of this standard, I recommend a focused medical record review to measure compliance with the use of the pre-procedure checklist. If the audit reveals the checklist is completed consistently, full compliance with the standard will be verified and no further action will be required.…
There are many variables to be focused upon like the quality of the equipment used (they need to be perfectly sanitized and safe), the security of the technician (he has to carefully avoid any direct contact with the patient’s blood or fluids during the procedure), the safety of the patient (the procedure has to be performed immaculately without causing any injury to the patient, or infect him or pass on any communicable disease that may endanger his life), the specimen cannot be compromised by accidental contamination or mishandling while collecting storing or transporting…
I’m currently studying HNC Care & Administrative Practice (Clinical Route) which involves doing placement hours at a local hospital and complete a Graded Unit which consists of three stages: planning, development and evaluation. In the planning process I must complete and develop a plan to show that I can help a patient I have chosen with a nursing activity. After having a meeting with my mentor to discuss which patient we felt would be a suitable candidate for me to complete this task with, I gained consent from him. I also gained consent from the patient after explaining what and why I was doing the activity, and all information about her would be kept confidential. For this matter I will refer to the patient as Mrs B which keeps her identity anonymous. (Data Protection Act, 1998)…
3. You must maintain professionalism and do not threaten the patient or use profane language.…
The pre-procedure nurse initiated the time out form and documented the procedure to be done was a G-J tube exchange on the time out form. The procedure nurse assumed responsibility of the patient, the nurses discussed the patient’s allergies, consents, the patient’s medication record, when they discussed the patient’s procedure, the pre-procedure nurse indicated the patient was having a “feeding tube exchange”. The pre-procedure nurse failed to communicate the exact order for the procedure and she did not indicate how difficult the order was to read. The pre-procedure nurse did not discuss the difficult order with the team and the remainder of the team did completely read the order and did see the order was for a G-J tube exchange, not a G-tube exchange. The team took short cuts during the time out, and allowed a wrong site patient error, which is a sentinel event. During the Root Cause Analysis, it was determined contributing factors to the sentinel event were lack of communication and short cuts taken during the time…
What are the Federal guidelines that regulate all clinical labs; regulate specific guidelines for QA, QC, record keeping and personnel qualifications and regulations apply to any site that test human specimens? What year was the Clinical Laboratory Improvements Amendments enacted? What is the AMA Enacted in 1996 by the U.S. Congress that protects health insurance coverage for workers and their families when they change or lose their jobs. These provisions require the establishment of national standards for electronic health care transactions and national identifiers for providers, health insurance plans and employers An institute formerly known as NCCLS - develops guidelines and sets standards of performance for all areas of the clinical laboratory An agency that outlines competencies for phlebotomy programs approved by their organizations, also approves phlebotomy programs. What is one of the most common errors when collecting blood specimen? What is a physician's order to obtain a specimen for testing? As blood circulates, which components does it carry to and from the lungs? This is often found on a requisition, but is not required. What is the most important task a phlebotomist has? If a specimen's identification is in doubt what should be done? In a hospital setting when should a phlebotomist never draw blood. What is the antecubital fossa? The destruction of red blood cells An accumulation of fluid under the skin A sterile disposable, sharp instrument used in dermal punctures A condition in which plasma enters the tissues resulting in a higher than normal concentration of the cellular components of…
Dunscombe,A. (2007) ‘Sutures, needles and instrument’,in Rothrock J (ed)Alexander’s care of the patient in surgery. 13th edn. Missouri: Mosby. pp. 158 - 181.…
9 Make sure your personal behaviour maintains patients’ confidence in you and the dental profession (Standards for the dental team- www.gdc-uk.org)…
Description of what happened.On the day we were firstly introduced to hand decontamination, using a power point presentation. This presentation introduced the topic, looking at my it is important in clinical areas, when hand washing should be used, where I should be washing my hands and we was also shown the correct technique that should be used for effective hand decontamination. After looking at the theory behind the topic we went into a mock clinical setting to practice the technique. We were separated into smaller groups, in these groups we took it in turns to wash our hands, following the correct procedure that we will use out in the practice areas. After being put into groups and practicing the technique, we used UV gel on our hands to show up the areas we had missed, under the UV light. What were you thinking and feeling?During this I was feeling excited about the prospect of learning a new and my first clinical skill, as a student nurse. As well the feeling of excitement, I was also feeling nervous as I was thinking about working in groups with people I was not completely familiar with yet and having to practice the technique in front of these people. Also thinking about learning my first skill made me nervous as this was one of many clinical skills I will be learning…
I do not foresee a happy patient coming out of this procedure. From the beginning, the MA should have educated the patient on the purpose or procedure of the laboratory order. When she should have been educating the client she could have been putting her gloves on as well, but instead she was looking for the proper vein and cleaning it without gloves. Whether the MA washed her hands or not, she is still spreading germs. The gloves should have been put on prior to her ever touching the patient, not after she felt, cleaned with alcohol, and applied the tourniquet.…
The white hat is concerned with the facts of the event. I was asked to administer a vitamin b injection. It was an intramuscular (IM) injection, administered into the arm of an 86 year old lady. This was the first time I had ever given an injection. I asked for background knowledge on administering an injection and the nurse stated that talking me through the event would be sufficient information. A qualified nurse had already drawn up the drug. I was observed throughout by two registered nurses, and one talked me through the technique. There was also another student nurse present. The nurse stated that I had inserted the needle just a little bit too slowly, she suggested that, next time, I use a controlled thrust, similar to a dart throwing action.…
Every single activity done in these three days highly contribute to my learning as well as my performance as a nurse. Knowing how to prepare an OR room, properly wear special gowning, and maintaining my sterile field are going to be especially important in a future since I’m planning on pursuing a specialty that includes activities in the operating room. Even though, we have learned some of these techniques in the classroom and labs, they are practiced differently. For example, in the lab or in a clinical setting such as “med-surg,” it is no necessary for any person to help us don a gown; however, in the OR a person will need the assistance of other individual to help tie a gown since this activity can contaminate the sterility of their gloves.…