This type of disclosure is an organizational violation, but could also lead to legal ramifications as well. Incidental disclosure of protected health information is not considered to be a “violation of the HIPAA medical privacy regulation provided the covered entity has applied reasonable safeguards” (Hatton, 2003) to help prevent them. This error also has the potential to cause distrust in the patient that the nurse is transporting, causing them to lose faith in the company. The nurse stopped Sue in the hallway (a public space), while transporting another patient, to tell Sue that there was an issue. The nurse made no attempt to keep the issue private and rattled of the details in front of the escorted patient, even though the situation was not an emergency or life threatening.
This exemplified the need for patient’s autonomy, beneficence versus non-maleficence and truth telling. The nurse faced a barrier due to the physician hierarchical working style. Collaborating using a multi-disciplinary approach and communicating effectively in explaining the disease process could have better manage her symptoms and improve the quality of her remaining life. It is important that early detection and treatment options are discussed by the physicians in an honest and open manner. As patients performance status decline healthcare members should provide informed decisions regarding diagnosis, prognosis and
Alcohol withdrawal changes patient’s state of mind and can cause verbal or physical abuse. Therefore, a knowledgeable nurse will implement skills in promoting patient and individual safety. Strategies such as sedation, restraints, sitter, or security at the bedside can be implemented before the escalation of work place violence occurs. Furthermore, a nurses attitude towards this patient matters in order to de-escalate anger. An angry or confused patient must be a handle wisely with proper nursing intervention.
Post incdents review and debriefing of the staff team and clients has a positive impact on staff and client to learn from the incident and plan , so as to avoid repeating violence again. It is practiced in our hospital however, it is limited and not practicing effectively. Nurses would however utilize support from collegues and the incharge (informal supports) rather than from organization in structured way. Significantly, nurses need to feel safe and supported when they been assaulted and victimized. This cam be achieved through formal support program like debriefing system following the incident.Additionaly, it is necessary that
One mistake can be caught on camera by those who are distrustful of nurses. Overall, Fowler article was extremely unsuccessful at pusadering her audience to take action and become a part of policy making in healthcare because of her structural errors and usage of irrelevant sources in a failed attempt to build credibility with her audience. Fowler’s structural weaknesses in her organization and thesis statement was not persuasive, thus leaving her readers confused. Fowler first begins her article with background information about her topic, stating the history of Nursing. She outlines extensive details about the founding of the code of ethics for three paragraphs, which was not necessary for her argument.
Patients need to understand the importance of taking the time to complete a medical history or significance of withholding information from healthcare team. All patients need to understand the lack of full disclosure may negatively cause an untoward event possibly even life
This model is designed to use the need of identifying and correcting errors other than focusing on the punishments of the employee. A line within this culture states that staff are not fired due to a human error. The focus on better the person as a medical professional, since humans can just make mistakes. It was argued that she should have realized that the dose was too much for an infant. The argument back was that a firing a nurse who made a mistake isn’t really solving anything.
Other preventable interruptions defined in the literature are the propensity of nurses to impede each other with discussions without correlation to medication administration while arranging drugs and reply quickly to demands from other staff when interrupted. The research synthesis reinforces the plan that interruptions are an acceptable area of nursing operation and proposes the necessity for culture modification to restrain preventable disruptions, specifically during convoluted or vulnerable to commit errors nursing activities such as medication administrations. The greater number of disseminated clinical quality ingenuity to limit interruptions during med pass are nurse expert quality clinical improvement projects creating or involving implementations of a set techniques to restrain interruptions. The goal of the project is to guide nurses with time to be mindful, attentive, smooth, and unruffled while preparing for medication to
Delegation requires the nurse to make decisions based on patient needs, the complexity of the work, competency of the individual accepting the delegation, and the time that the work is done. “Delegation decisions are sometimes made based on a list of tasks found in a job description, such as taking vital signs, bathing, or ambulating patients” (Weydt, 2010, 10). During making a delegation to unlicensed personnel, the nurse should consider the unlicensed personnel’s the scope of practice of the person that the task is delegating to, the level of education and the training. If all of these aspects are considered by the nurse; then the licensed nurse is working within his or her scope of practice and covers by the Respondeat
All nurses are required to follow the guidelines of the scope of practice for their states board of nursing. Failure to do so can cause harm to a patient and potentially cause the facility, or specifically, the nurse to be sued for malpractice. This can cost the facility large amounts of money. It can also, potentially, cause the nurse a very large sum of money. This is the reason it is very important for all nurses to make sure that they are practicing safely and follow not only their facility policies, but the scope of practice set out by the state.