And have I given everyone an equal opportunity to succeed? With respect to this reference, my personal code of ethics, the relationship between nurse and patient is important. Because it is responsible to the safety of the patient, it is a nurse after all. In order to play an important role to the safety of the patient, nurses to
Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.
In the healthcare assistant sector, healthcare tasks may be delegated by licensed healthcare professionals who have the authority and responsibility to assign specific tasks to healthcare assistants. The specific individuals who might delegate healthcare tasks can vary depending on the healthcare setting and the policies and regulations in place. Here are some examples of who might delegate healthcare tasks and the reasons for delegation: Registered Nurses (RNs): Registered nurses often delegate healthcare tasks to healthcare assistants. They delegate tasks that fall within the healthcare assistant's scope of practice and that the assistant is trained and competent to perform. Delegation allows RNs to focus on tasks that require their specialized skills and knowledge, while
Patient safety component explains how important it is that as nurses, patients safety is kept as a priority. It is our job to help minimize risk of harm
In order for the future of health care to change, changes must begin at the top with stakeholders, the hierarchy and nursing management, nurses as leaders within their organizations. According to Disch J. (2008), nurses as leaders within their organizations need to also step forward, CNEs have the background, perspective, and platform to help their organizations seriously tackle safety issues that jeopardize patient care and that face nurses and their colleagues daily, and are the essential building blocks of all health systems--and
The facilities enforcing protocols and policies to secure that employees are meeting government regulations. Doctors, nursing staff and support staff I must use their best ethical and moral judge in most case to ensure patients are being retreated. Thus, sometimes causing conflict with health care administration because health care workers sometimes unknowingly break policies or protocol by putting patients first. As well as hospitals and clinics have so many departments that there can be conflict of interest with patient care that can cause inconsistency with patient care (Santilli, J. el al., 2015, Para
The overall synopsis gives prompt for the need of utilizing standardized handoff tools as well as negotiation of patient transfer among departments. As nurses, the transfer of information efficiently is the ultimate responsibility to aid in communication for success rather than contribute to its failure. This could potentially be a barrier to improvement if many nurses fail to adopt the initiative. In preparation for a future career in nursing and being first line in patient safety, it is a personal responsibility and goal to implement efficient communication in my own professional practice. With efforts to promote effective communication, success among the transfer of information to eliminate issues will be exemplified through
Proper Delegation: The Nurse’s Responsibility Every field of occupation requires each position to operate under a variety of different tasks and responsibilities. Depending on the work that is to be completed, sometimes, delegating certain tasks to those who are well-trained and competent to finish it plays a major role ensuring what needs to get done is completed. In the nursing field, registered nurses are tasked with many responsibilities that need to be finished in order to guarantee that patients are getting the quality care they need and are healing effectively. Part of the responsibilities of a nurse is to delegate tasks to unlicensed assistive personnel (UAPs) and licensed practical nurses (LPNs). In order to properly delegate tasks to these workers, the registered nurse needs to follow the five rights of delegation provided by the National Council of State Boards of Nursing (NCSBN) (n.d.): (a) right task, (b) right circumstance, (c) right person, (d)
To create an environment where these errors are a rare occurrence, all healthcare professionals must dedicate themselves to implementing QSEN's six core competencies each and every day. These professionals must also speak up when they see room for improvement in their workplace. Regardless of the healthcare setting or demographic of patients, safe outcomes are the purpose of providing patient-centered care. Since nurses are the largest subgroup of healthcare professionals, their ability to make strides towards improved medication administration is undeniable. As the nursing code of ethics states, nurses have the duty to protect the health and safety of those in their care (Winland-Brown, Lachman, O'Connor Swanson, 2015).
High rates of patient mortality have been the result of miscommunication and have also been traced down by sentinel events by the Joint Commission. Safety issues arise in all areas of healthcare facilities that miscommunication is a preventable factor in the process for patient quality care and can be in fact augmented. Communication is vital at all moments in the duration of nursing duties and is held to be imperative between two shifts (Millar & Sands 2013). The WHO Patient Safety Alliance nominated communication enhancement as top 5 initiative in preventing fatal adverse effects and had later in the years of 2008-2009, funded National Clinical Handover Initiative by the Australian Commission on Safety and Quality in Healthcare (Johnson, Jefferies & Nicholls
The 3rd provision of the code states that “the nurse is responsible for promoting, advocating for and protecting the health, safety and rights of the patient”. This means that it is the nurse’s responsibility to ensure that the patient has a safe environment to be treated and the ability to discuss health issues without unwanted
A clinical example where the nurse would be able to exemplify safe and effective care would be teaching a patient about Patient Controlled Analgesia (PCA) pumps. In this situation the nurse must teach the patient about they are the only ones who are allowed to control the pump based on their level of pain and need for medication. The PCA pump is intended to provide fast acting relief for patients who need consistent pain medication. If the nurse does not stress the importance of the patient being the only person allowed to release the analgesic, family members could feel obligated to help control the medication administration. This could lead to an unnecessary need for pain medication that can decrease the patients respiratory drive if given too much and is also unethical.
Delegation is one of the most complex nursing skill. It takes clinical judgment and practice. RNs are required to assess and evaluate the needs of the patient and then utilize the appropriate caregivers in order to achieve desired patient outcomes. For an example a post-op elderly patient is receiving IV antibiotic and PRN IV pain medicine. In addition, she can take a PRN pain medicine by mouth for break through pain.
Patient safety experts have demonstrated that “patient safety increases when teamwork and collaboration skills are taught and empowered; when teamwork and collaboration are not present, medical errors will result” (Creasia & Friberg, 201, p. 348). As a nurse, it is imperative to collaborate with other interdisciplinary members in health care and also strive to research and implement evidence-based practices. Evidence-based practice is necessary to “ensure the highest quality of cost-effective care and the best patient outcomes” (Fineout-Overholt, 2011, para. 16). With a collaborative and innovative attitude on safe health care practices, an increase in patient safety and effectiveness of care will
In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience. Quality and Safety Education for Nursing (QSEN) Competencies QSEN consists of six competencies: patient centered care, quality improvement, teamwork and collaboration, safety, informatics, and evidence based practice. To provide patient-centered care, I had to educate the patient when administering medications on why the patient was taking the medication and side effects. Care had to be individualized with each patient and it included providing respect with his or her decisions in their care.