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Patient safety in the hospital setting
Patient safety in the hospital setting
Medication reconciliation case studies chapter 11
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A patient is admitted to Nightingale Community Hospital to the surgical unit following an infection to a post-op wound. There were several deficiencies found on the patient’s tracer audit once the patient was admitted to the hospital. One deficiency that was found was that the patient was given medication related to pain and the patient was not reassessed properly per Joint Commission Standards (JC). The deficiency found is within the pain assessment policy of the hospital.
ICC9K1 Personal cultural biases and differences that affect one’s teaching. - Competency 4 I am very careful to be respectful of the various cultures and differences among the students at my school, so this does not impact my teaching. I differentiate my instruction in order to accommodate the needs. I am in a school with students from a wide range of countries.
Subject area (Learning Area): Science Year level: 4 Curricular Intentions : Content Descriptor: Living things have life cycles (ACSSU072) • describing the stages of life cycles of different living things such as insects, birds, frogs and flowering plants Know Do Value • identify living things • describe life styles • recognise the different features of living and non-living things • identify the different structures of living things • identify the functions of living things • classify living things according to their structural features • identify the different parts of plants • recognise the need of living things • recognise ways living things interact with each other and with the environment • illustrate life cycle stages of living things • investigate living organisms life cycles • ask appropriate questions which can be used to make predictions • participate in the
Strategies are methods or plans that solves a problem; strategies are essential to resolve issues to be able to prevent them from happening again and it helps to do a better job. Computerized physician’s order, electronic medication administration record with a barcode and reviewing the practice standards from CNO such as medication and documentation are the suggested strategies to inhibit the incidents and the breached ethical values from occurring again. Moreover, using information technology is the first strategy to impede medication error in the long-term care facility where an ethical value such as commitment to client was breached.
Community health nursing is directed toward improving the health outcomes of the community through the prevention of disease as well as handling crises in the case of a natural disaster. In the following discussion, I will describe the stages to preparing for a tornado because of the potential of happening my local area and the public nurse’s role during each of the stages. Managing a disaster starts with the first stage which is the prevention phase. The demographics of local area need to be identified by trending the vulnerable groups so that extra attention and care can be provided.
These protocols are to be met to provide patient comfort and avoid disaster. The Death
Review with nurse Gilbert why valium and morphine are contraindicated in shock and her duty to identify this and speak up 5. Review with nurse Gilbert her duty to speak up regarding a need for a transfer of patient to Dr. Dick 1. Complete a root cause analysis identifying breakdowns in processes that directly resulted in the negligent acts by nursing, if any. Implement action plans to correct any process issues identified. Complete any additional individual nurse follow up identified, as needed, outside of short-term action
PERSONAL STATEMENT FOR INTERNAL MEDICINE CLINICAL ROTATION The physician should look upon the patient as a besieged city and try to rescue him with every means that art and science place at his command (Alexander of Tralles). My decision to enter internal medicine as the next part of my venue responds to several driving forces. Besides deciphering the wonders of the human body, I know how important is to deal with the prevention, diseases detection, and treatment of adult illnesses.
During patient rounding on the intensive care units (ICU), one of the consistent concerns I hear from patients and families is how difficult it is to sleep in the ICU. Sleep deprivation and fragmentation impairs neurocognitive function and healing (Friese, 2008), (Drouot, Cabello, D’Ortho & Brochard, 2008). The incidence of delirium in the ICU varies from 20% to 80% depending upon the severity of patient illness and the assessment method used (Girard, Pandharipande & Ely, 2008). Delirium often goes unrecognized by ICU providers or is incorrectly attributed as an expected complication of critical illness or dementia (Girard et al., 2008). Delirium is associated with poor short-term outcomes and may result in adverse sequelae years after ICU
Talk about what went well in the scenario. I perform vitals sings and communicated effectively with Mr. Ahmed. I educated the patient in areas such as dehydration, fall risks, intake and ouptup measurements. In addition, I administer oral and intravenous medication to ensure proper drug
On the other hand, nurses also do the assessment and implementation because we assess the patient to see whether the drug is working for them by checking the vital sign and carrying out the physicians’ order to make sure the patient is complying
Each patient represents a specific case who has different background, personality, preference and conditions. Thus, it is important for practitioner to learn from each patient and document it for future reference. Scene
but he is not often seen. You are assigned to conduct a comprehensive assessment, make a plan of care and communicate your findings to your supervisor, the physician and those who are authorized to receive information about her care. 1. Your assessment of the patient‘s mental and neurological status, including cranial nerves as you would if you were present in the patient’s home, or bedside.
For this Audit the author took the following steps in developing questions for the Audit tool as guided by The National Institute for Clinical Excellence
In addition, to provide positive and optimistic conditions to the patient
