The patient was released to her father when the mother was unable to be located. Analyze: Why was the mother not contacted? The nurse attempted to page the mother, but she could not be located. No other attempt to locate the mother was made. Why was the patient discharged to home with the father before the mother could be located? Housekeeping was on the unit waiting to clean the room for the next admission. How could this event have been prevented? Develop: The admission process will begin with identification of patient and parent or guardian, EMR follow-up questions will be triggered by the patient birthdate. The questions “With whom does the child primarily reside” and “with whom will the child be dismissed to home with?” These questions will required upon a birthdate that is less than 18 years of age. These questions and answers will be made available to healthcare personnel when applicable for pediatric patients via a highlighted alert on the electronic medical record. A sensor will be attached to the ID bracelet upon admission. Verification of identity must be provided prior to dismissal of the pediatric patient. Housekeeping will not be notified of pending admissions until the room is empty and the patient has been discharged. Execute: This procedure will be implemented 11/1/2013. IT personnel will be responsible for adding the questions to the electronic medical record and highlighting the…
Emmanuel is a new nurse graduate who has been hired by the local hospital to work in the ambulatory surgery centre. Emmanuel is required to attend the hospital orientation to learn about facility policies and procedures. Of particular importance are the protocols that surround patient safety.…
Matching electronic monitoring bracelets on infants and parents. Security alarms in newborn area of hospital. Have visitors sign in and out before allowing access.…
There must be an implemented of the safe medication administration by a double checking of the high risk medication to prevent any over dose administration of medications to the patient. It should be standard policy enforcement regulation in the matter of the proper stocking of the rooms with the functional equipment such as: oxygen, suction, gloves, masks, etc by the staff to ensure the safe and prepared environment in the case of emergency in the Emergency Department. It would be necessary to constantly evaluate the system to ensure that there are no kinks, and if there is any so the necessary changes can be made. Implementation of the intervention will generate a system which is more unified and it is based upon the effective and proper training and communication among the staff to practice in their duty in order to maintain the highest safety in care of the…
The purpose of the policy is the incorporate safety in all aspect of care while on the pediatric units at CSMC hospital as stated by Bueno (personal communication, November 16, 2016). In order to bring this goal into fruition the pediatric clinical specialist and the pediatric nurse manager make daily rounds on each patient on the unit to ensure that all safety measures are implemented by the nurses and they will also make themselves available to discuss any issues that arise, how to solve said situation, the pro and con of the situation and any changes that needs to be implemented in the current pediatric policies (Perla Bueno, personal communication, November 16, 2016). It is apparent to this writer that the staff has a mutual respect for one another’s opinions and their communication within the group are effective towards their overall goal. It is the observation of this writer that the staff are willing to do what it take to ensure that their pediatric unit is running as smoothly as possible and that all personnel are performing at their optimum level. The staff are constantly educating the patient and their family members on a range of different topics from breastfeeding to reminders of not leaving a child unattended or how to administer an inhalant, it is the belief of this writer that the staff exude a great amount of…
When patient are in clinic you should make sure that curtains are closed, doors are locked and making sure there is privacy.…
In order to provide safety, it demands an effort of the entire facility as a whole. As stated in the IHI Open School Basic Modules, the four main characteristics are “psychological safety, active leadership, transparency, and fairness”. I would create a safe environment in the healthcare setting by addressing any concerns the patient and/ or staff may have, being respectful and open-minded. I would create an open door policy, promoting communication and offering knowledge to ensure quality care and patient safety. If a mistake or error was made, I would help the individual in resolving the situation to ensure patient safety first as well as documenting the incident and focus on methods of prevention with the staff. For example, if a nurse approaches me with a question on how to insert an NG tube, I will not belittle the person or make smart remarks because doing so will create a harmful environment. Instead, I would offer my assistance and knowledge to ensure patient safety. Afterwards, to ensure competency and confidence of staff, I wound coordinate a mandatory in-service on NG tube insertion and placement. As an active leader, I would actively listen to my staff, addressing their questions and concerns. As a leader, I must realize that individuals are different and have different perspectives and/or beliefs about certain issues and the only way to know that is to listen. In my…
There are many issues with confidentiality in the ED but this student believes that the overcrowding and “the growth in the subspecialty of Hallway Medicine” (Freeman, 2003, p. 1) is an enormous problem facing emergency department’s (ED’s). Hallway medicine happens when an ED has full rooms and the hallway gets employed as a waiting or staging area for the overflow patients. Emergency room visits by patients are not just for emergencies anymore. The ED is becoming more like an urgent care setting. As more patients cannot pay for the medical care, they need a higher utilization of the ED is happening because the ED cannot refuse to treat a patient. This is causing an influx of patient volume. Because most ED’s have not had the opportunity to rebuild or redesign the patient rooms to single person rooms the use of curtains separating patient’s is still widely used. Some precautions have been instituted by widening the space between beds and using portable dividers there is still an issue with maintaining patient’s confidentiality.…
7. Define each rule related to the “six rights”, and define how the nurse is absolutely sure he/she has the correct medication…
There are millions of people that populate our country and within these people there are several cultures. All of these cultures have their own set of values and beliefs when it comes to medial treatment. As nurses it is our duty to understand the specific beliefs of a culture and to respect their culture when giving them care. This paper discusses the specific customs of Chinese culture in regards to pregnancy with specific information on prenatal, labor and delivery, and postpartum rituals.…
This applied in a Hospital to meet the legal responsibilities of the care organisation to ensure that care setting have safety features, like smoke alarms, fire exits.…
Promoting a secure environment will ensure that patients and medical staff trust one another. One may claim that a strict professional barrier between a medical assistant and patient should exist; however, the patient will feel greater comfort in his surroundings if communication is achieved. For instance, if I, as a medical student, interact with patients, I should not just ask about their health state but, rather, converse about daily living, without any discrimination of their sex, gender, and/or beliefs. Furthermore, all medical professionals, who cooperate and contribute in a hospital, should possess attentiveness.…
The use of two patient identifiers to verify that the correct medicine and/or treatment is being given to the correct patient is the first National Patient Safety Goal of 2016. In an acute care setting, nurses implement this during medication administration by scanning patient identification bracelets and confirming the patient’s name and date of birth verbally.…
My second goal is to justify the first objective in my project. I will justify why educating the staff about the bedside handover system is considered as important. I took action to conduct the research on both aims.…
This class is very interesting and challenge in many ways so far. Fall prevention is the last thing that comes to mind in relation to obstetric population. The reason being that laboring and fetus is closely monitoring during and after birth. In my research on the discussion, it was noted that fall prevention in obstetric is not well documented and that tool assessment use to assess for fall risk in other health care setting, does not work effectively in the obstetric setting. Fall risk tools are typically designed to predict anticipated physiological falls that represent 34% to 78%of falls that occur in the acute care( Currie, 2008).…