The main problem is that nurse staffing ration is affecting patient's safety. Since there is no Nurse Technicians and not enough nurses, there is so much to do and not enough resources to help me. One of my patients is complaining of severe abdominal pain and the physician is angry with me because I wasn't able to bring the equipment to her. One of the actions I would do speak to the physician and explain to her that charge nurse is currently taking care of a serious patient. In addition, I will let her know that a patient who just had surgery is experiencing severe pain and I need to check on him first. The physician needs to understand that there are not enough nurses on this shift. I will also tell her that I will help her after I check…
The data was collected from the National database of Nursing Quality Indicators between the year 2006 and 2008. The patients were under observation for 88 million days and this data was taken from the Medical and the surgical units. A total of 315,817 falls were noticed during this study period. During the 27 month study, it was noted that the trend decreased to fewer falls.…
Their mark of accreditation has become a respected seal of approval, indicating that a particular facility or program meets a particular set of high standards. They have put forth safety goals intended to encourage nurses and other health care providers to approach potential dangers with a multifaceted plan for intervention and prevention of errors, accidents and injury. Preventing falls will be an ongoing, evolving and improving process with regard to future nursing practice. Nurses will always need to think critically and utilize the knowledge, tools and equipment available to keep patients from falling and injuring themselves. Futuristic equipment may provide a more convenient, safer, faster way to assist patient mobility. Computer health care networking may make complete health history more readily available for review and consideration. Nothing, however, can replace the critically thinking nurse. “Nurses are leading practice innovations to systematically assess patients’ risk for falls and implement population based prevention interventions.” (http://www.nursingworld.org) For this reason, The Joint Commission sets standards and safety goals to encourage those within the field of nursing to actively assess, prevent, educate and evaluate. With due diligence, such standards and safety regulations can greatly increase overall…
Evidence has been found that moving shift reports from the nurse’s station to the patient’s bedside has improved safety and given patients a better grasp of their condition and treatment plan (Ofori-Atta, 2015). The importance of this PICO question helps lead and point the researcher in the direction that provides evidence-based research to help answer the clinical question. Over three hundred journals and peer-reviewed articles appear after searching one database with the keywords, bedside shift reports. Many of the articles provide evidence that implementation of this process not only improves patient safety and quality of care, but also shown an increase in patient engagement, enhance caregiver support, and education (Gregory, Tan, & Tilrico,…
Shever, L.L., Titler, M.G., Mackin, M.L., Kueny, A. (2011). Fall prevention practices in adult medical-surgical nursing units…
Traditionally nurses delivered clinical information about the patient, the clinical events on their shift and the plan of care to the oncoming shift to ensure continuity of care and to make sure that their colleagues were informed about tasks or instructions that needed to be completed by the next shift. This process had a variety of names; report, handover or handoff. The format was often different from unit to unit. It usually took place in an off stage room or office or at a charting station from away from the patients. This project aimed to assess if moving nurse to nurse handover to the patient’s bedside could promote safety and decease the length of time that it took to complete the process. The study was designed to evaluate if moving shift handover to the patient’s bedside could lead to more cost effective care and if by reducing the amount of time that nurse were away from the bedside during handover could result in improved patient safety.…
Falls has been identified by Centers for Medicare and Medicaid as hospital-acquired condition, meaning it can be prevented and should not occur (DuPree, Fritz & Mushene, 2014). Patient safety is vital; therefore, safety is not limited to nursing and bedside care providers, all employees should be aware of high fall risk patient and fall protocols. Studies have shown a significant reduction in fall injury by adopting an organizational awareness of fall safety that was communicated and incorporated into the continuum of patient care, also empowering the patient in taking an active role in their safety, creates a partnership to prevent fall (DuPree et al., 2014). Emphasizing the important to educate patients about their fall and injury risk and suggested teach back on how to use their call button to call for an assistant is an effective patient-centered fall prevention strategy and also bedside shift report in another way to facilitate effective communication between patient and nursing staff (Huey-Ming, 2015). Assessing patient is vital to identify their fall risk status, according to DuPree et al., (2014) using the fall assessment tool integrated into the electronic medical record is important to identify high-risk patient and create awareness. Hourly rounding and patient partnering…
For example I worked in a rather small hospital that only had 5 official labor and delivery rooms. The amount of deliveries being performed on a daily bases with only the minimal amount of staff proved to be very difficult to give the quality care needed, especially to a first time mother with no support. The amount of time it takes to teach a mother how to breast feed for the first time, how to care for herself after a vaginal delivery, and how to care for the infant is very time consuming to say the least. When 2 or 3 patients like that all need the one-on-one care like described above this is where the problems begin, because of the inadequate staff. Furthering my example in regards to safety, caring for the patients in labor and delivery can truly become perplexed. When a patient is given Magnesium Sulfate to help with the resolve of pre-term labor and another given Oxytocin in the management of inducing uterine contractions trying to manage both patients with high alert medications can be simply dangerous. Trying to perform all tasks day after day on a 12 hour shift, nurses get burnt out. Being burnt out leading to one of the many reasons why some of nurses end up leaving their jobs and contributing to nurse…
For the second reflection paper I chose to write about the book The Spirit Catches You and You Fall Down. When I started reading this book, I had no idea what I was going to read about. I learned many new concepts on the culture of Hmong and their views. A brief section of the book also was about how they came to America and the experiences they had while doing so. I learned that there was a secret war in Laos that caused a tragedy among the Hmong people leaving them to abandon their homes in the mountains. Another impression I learned from the book is that Hmong are set in their culture and have many different views on certain phrases, items or ideas. For example, in the book it states that Lia was diagnosed with a spirit who caught her, when…
In the nursing profession patient safety and satisfaction is greatly stressed and very important, thus I chose to do my leadership change project on intentional one hour rounding and how it affects patient safety, specifically falls, and patient satisfaction. To bring this vision to a reality it was important to understand the problems and to set measurable goals for achieving them. It was also important to gain knowledge from other leaders in the community and health care field to have a better understanding of the pitfalls that I could come into contact with while working toward a solution.…
There is a diverse range of aspects related to nursing staffing in health care organizations. Staffing levels in hospitals are likely to have a bearing on the assurance in the delivery of safe and reliable care. However, nursing staffing challenges have remained perennial prompting prolonged attention on the allocation of nurse staffing resources to facilitate patient safety (Weston et al., 2012). Nevertheless, focus on staffing levels has particularly increased with the prevailing shortage of nurses (Rochefort, et al., 2015). Furthermore, there have been changes in the manner nursing is approached. Traditionally, it would be assumed that well-trained practitioners were not prone to errors. Such was consistent with the traditional tendency…
Cangany et al. (2015) found that the growing evidence based practice has been involved to reduce the fall by applying the planning and intervention technique; however, the nurse needs to prioritize the patient specific needs to prevent fall prevention in acute care settings. The article indicates that further study needed to find out successful outcome and identify the effective strategies. Abreu et al. (2012) article indicates that fall prevention is difficult, but it is important for the nurse to monitor the patient and understand the guidelines to prevent fall. The article also represents that health professionals also needs more guidelines and training to recognize the effective interventions to prevent falls. Throughout the literature…
When a nurse just up and quits this puts many resident at risk for safety risk. Studies have revealed that all forms of disrupting and uncivil behavior, whether physicians or coworker’s, have similar impact on a patients safety outcome. It’s said that even seemingly inoffensive behavior directly affects a nurse’s clinical judgement. It decreases the overall care and quality that’s being provided to the patients. A negative interpersonal interaction amongst staff ultimately affects the patient.…
Clarke, S. (2003). Patient safety series, part 2 of 2: Balancing staffing and safety. Nursing…
There is evidence-based practice research that directly links lives being saves to adequate staffing in the facility. Staffing directly impacts a nurse’s ability to provide proper care for patients (Winning for Patients, 2015). When there is inadequate nurse staffing, the ability to practice safely and ethically is questioned. Nonmaleficence requires nurses to act in a way to avoid causing harm to patients and to act in a way that benefits the patient (Martin 2015). This is near impossible when the nurse has to prioritize care and eliminate care that does not fall high enough on the prioritization list. A nurse’s oath is to do no harm and while unintentionally neglecting a patient, may not be directing harming them. It is still negligence that great harm can come from. For a nurse to feel like they can provide the best care possible, it is necessary for a facility to stand behind their staff and their patient care. Facilities can do this by supporting safer staffing protocols and implementing necessary…