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.
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
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. Nurses must listen, acknowledge, and control tone and body language during communication.
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.
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.
They may have a lack of confidence in their ability to adapt to new technologies, or may perceive the change as a threat. Some nurses have adopted a short cut process of administering medication to save time, which is pre-pouring medications. Workaround is another big barrier which occurs when nurses pass the medication without scanning the medication and the patient’s identification (ID) band, to save time and scan them later. Which is dangerous, and a high risk for making an error. The change agent or the nurse leader will need to use the driving forces that will help the project to be successful.
and Michael Q., I strongly believe that Nurse L. was not acting immorally or unprofessionally. I agree with Immanuel Kant’s summarization, “All lies, including those told out of altruistic motives, are wrong.” Michael’s oncologist withheld crucial medical information and alternative treatment options. Had Michael not known about at all his options, his circumstances could have turned out extremely different. Unless Michael had the inability to make his own rational decisions or there was no one to assist him in making the decisions for him where he could not, there were no reasons for the oncologist to withhold information and make the final decision that treatment was the best option for
This nurse did not have a prescription for the marijuana and tramadol which made it a violation. She admitted that she takes tramadol for neck pain when she did not have a prescription. She also said she was a recovering alcoholic and knows that she has done wrong but wants to improve her life and be the best nurse she knows she can be. The nurse violated the nurses practice act that says the licensee possessed marijuana in violation of 195.202.1, RSMo, which states: “Except as authorized by sections 195.005 to 195.425, it is unlawful for any person to possess or have under his control a controlled substance.” She also violated where it says, cause exists for the Board to take disciplinary action against Licensee’s license under 335.066.2 (1), (6), (13) and (15) RSMo Cum.
(Gleeson and Higgins, 2009). In mental health nursing touch is either helpful or technical in addition it can be compulsory or deliberate which has to dealt with care and respect as with all other communication skills. In the contemporary before attempting this skill a mental nurse has to take into consideration that offering touch has to be related to client’s needs. A nurse has to respect client’s culture their age, ethnicity and the gender as it is not acceptable in some cultures to touch someone who is not closer to them.
Business 140 Take Home Examination Randy and Laura, a newly engaged couple, had taken a trip to the local Warehouse in preparation for a trip they have been both planning. Unfortunately while Laura was searching for the perfect ski jacket, a display of cooking stoves fell from the above sky shelves. Laura is not the first to have been injured, or killed by department store sky shelves. However, not only was she a victim of corporate greed, and there lack of safety, but also a victim of theft. Laura was pictured walking into the Warehouse with a diamond necklace, and a ruby and diamond ring which was never brought back to her possession after the incident.