Individuals who work in this occupation often value personal relationships and also take consideration in the support and achievement of their jobs. Some important concepts they must know are active listening and learning, reading comprehension, social perceptiveness, speaking/ speech, critical thinking, monitoring and customer and personal service. Active listening and learning is important in understanding the implications of new information for both current and future problem-solving and decision-making. Problem sensitivity is critical in deciphering which photographs and sonograms to incorporate and how to elucidate the differences between healthy and pathological areas.
The technological advancements have not only helped nurses to be better informed, but have also helped the clients to be better informed. Informed patients and families can help the nurses and HCPs by speaking up about symptoms they have noticed that the health care team may have been unable to witness or may have look past. Technology being available to everyone is mostly a good luxury, at the same time, many people can be misinformed and cause more trouble demanding treatments or care that are unsuitable for them because they read about it online. 3.
Communication in the operating room is very important. If surgeons and nurses are not communicating effectively it can directly affect the quality of patient care and safety. In 1999, the Institute of Medicine (IOM) issued a report, To Err is Human: Building a Safer Health System, which estimated the fifth leading cause of death in hospitals in the United States was due to health care errors (Mason, Gardner, Outlaw, Freida, 2016). To help reduce these errors, effective communication needs to be exercised throughout health care.
Nursing Bedside Reporting, Patient Safety, And Satisfaction Scores The American Nurses Association estimates that up to 80% of serious medical errors involve miscommunication between caregivers when patients are transferred or handed off during shift report (ANA 2012). In the nursing profession change of shifts require the successful transfer of information from nurse to nurse to prevent medical errors and adverse events (Sullivan, 2010). Research shows that when patients are included and engaged in their health care there is greater potential to lead to measurable improvements in safety and quality of care.
The following scenario will best reflect my practice and use of informatics. The scenario is not representative of a particular patient but is a combination of daily events in my position so that no patient rights are violated. I am three hours into my shift as the assistant nurse manager (charge nurse) of a busy emergency department (ED) with my responsibilities in the department being to manage the flow of a shift that will see roughly 100 new patients during the 12 hours but also oversee the care of the 5-20 long term patient who are listed as observation or inpatient holds. We can expand to 60 beds with the use of hall beds. I have a bank of monitors to my left which display the EKG and vital signs of over 48 patients.
Change in the Workplace: Implementation Bar-Coded Medication Administration Change is inevitable and constant in the modern world. Continuous advancement in technology is also changing the healthcare system to ensure patient safety and provide high quality patient centered care. The hospitals are adding more and more computer assisted devices and the nurses are facing new challenges every day. Change in the workplace means making changes in the work environment that is different from the current state.
The novel Native Son by Richard Wright speaks volumes about mistakes and denial, and how in situations a mistake can be the opening to a much deeper darker hole. In the novel one could even say the denial shown by the protagonist is a large reason why the book ends with Bigger behind bars. While Bigger continued to murder throughout the story, he kept pushing his voice of reason to the back of his mind, completely ignoring it which ultimately ended with Bigger’s demise. In Native Son Bigger cannot seem to accept his mistakes, his bad deeds are brushed aside, In his mind he cannot see himself as the villain; This denial and ignorance leads to his imprisonment. From the moment the reader meets Bigger, it is clear that he makes mistakes and
The grey group started our discussion with the major points from To Err is Human. The main point of To Err is Human is that most medical errors are not caused by incompetence but are instead caused by a faulty medical system (Palatnik, 2016). The report drew attention to the growing problem of medical errors to society and sparked a transformation within healthcare systems to improve patient safety and outcomes. Throughout the discussion multiple organizations surfaced as a result of the report such as the Agency for Healthcare Research and Quality. Outside of organization, the passage of the Patient Safety and Quality Improvement Act (PSQIA) which created a federal medical error reporting system (Clancy, 2009).
“Better Nurse Staffing and Nurse Work Environments Associated with Increased Survival of In-Hospital Cardiac Arrest Patients” states that, “In 2012, registered nurses had 11,610 incidents of MSDs (musculoskeletal disorder), resulting in a median rate of eight days away from work. Among all healthcare practitioner and technical occupations, there were 65,050 nonfatal occupational injuries and illnesses that required a median of seven days away from work.” While we are unable to attribute every workplace related injury to stress, burnout, and poor work conditions, it is easy to correlate extreme fatigue with decrease in concentration and increase in avoidable
Nursing is the profession that never leaves the patient from admission to discharge. Due to the high emotional and physical demands of the job, burnout or nursing fatigue is prevalent in the profession. Burnout is a well-studied problem; however, there are very little changes done to prevent fatigue in health care. Nursing fatigue is an interplay of individual, organizational and systematic factors that negatively affect not only the health of the nurse but also patient safety. For the purpose of this paper, I will focus on the external challenges in the organizational level that might affect new nurses in their first year of practice such as heavy workload, lack of support and poor leadership style.
This occurs when nurses provide care to more than the assigned patients, thus increasing patient workload. It affects the patient’s quality of care, increasing the risk for NSOs and other patient complications. Not only are patient outcomes affected, but nurses are experiencing increased burnout and fatigue. A safe nurse is necessary when providing care to ensure a safe and stable patient outcome. These concerns can be preventable by implementing and assigning the necessary tools to minimize effects on nurses and patient
In the light of the above, evidence based approach should be adopted to mitigate the impact of nuisance alarms in hospitals. Taking a case of a pilot project carried out at John Hopkins Hospital in 2005, a strong project team was identified where they found that with proper alarm management, it is possible that critical frequency of alarms can be reduced to a satisfactory level which resultantly would not have adverse effect to the patient (Meeks,
This text written by Elizabeth Layman talked about the HIS which is the health information services. Nowadays, there are some changes in the field in the electronic health records and in the health care delivery system. When the people works hard, many hours and has many tasks to do, this is the primary cause of stress. This kind of stress makes the people unhappy and they don’t have pleasure to go to work. The people must work with a smarter way to become more effective their job.
Upon arriving to the unit this morning, I quickly realized today was going to be a chaotic day with the current patient census, and all of the new admissions. I was able to assist the night charge nurse with today’s assignments, while she helped with the code, and the day began. I informed my team that today was going to be a long day, and encouraged them to use each other and myself for help. I recommended they taking a few minutes to coordinate their work after receiving report. At 0745, when Jane informs me that the patient in 408 has fallen, I am quick to get into the room and do an assessment again.
Nurses fatigue is growing problem nurse face each day in the healthcare environment, and he can be caused by long hours, sleep deprivation, and possibly by accepting extra assignments can be dangerous for both nurses and patient. These inadequacies can result in major implications for the health and safety of registered nurses and can compromise patient care which can lead to fatalities. (American Nurses Association, 2014). In my experience, being fatigued from working much 12-hour shifts consecutively was very difficult as I felt extremely tired, resulting in lack of focus, missing important details during the handing over the process with impaired cognitive functioning. This I found was detrimental to the patients and myself as it impedes quality and has a deleterious effect on patient safety.
