Although as far as human error is concerned, initially the clerk was not at the desk, and then assumed the nurse's name which resulted in delay in attending to Claudia's call and subsequent injury to her body. 2. How might Claudia’s fall have been avoided? • Her fall could have been avoided through several timely responses to her call such as: • Identification of the assigned nurse • Communication of message to the nurse could have avoided Claudia's fall. 3.
The policy and procedure to be examined presents guidelines for both preventing and documenting falls in an acute care setting. This policy is to be used daily and with every patient in a hospital setting.
(Joint Commissions, 2014).It is important for nurses to explain how to use the call light to the elderly patients, and also to ask for help before getting out of bed. Vulnerable patients should be placed close to the nursing station for close monitoring. It is very important to educate health care workers on the approaches used to prevent falls. The measures used to prevent falls in the elderly could include; carrying out a risk assessment during admission, placing colorful stickers outside their doors, stopping the use of psychotropic medications, teaching them the best way to use their assistive device, placing their call light and belonging within their reach, placing their beds in the lowest position with brakes /wheels locked at all times, removing throw rugs from their surroundings, making sure that they are wearing non-skid shoes/socks before ambulating and also giving them their prescribed Vitamin D supplement as well as encouraging them on the use of their corrective glasses or hearing aids. It is very important to educate health care workers on the approaches used to prevent
Prevent falls at facilities • Identify residents at high risk for falling, including those having poor vision, gait disturbances, weakness, cardiovascular disease, incontinence, and a history of falls. • Include specific measures in the care plan of high-risk residents to prevent falls. • Increase the sensitivity of the entire staff to the potential for accidents within and around the facility through ongoing education programs. Each employee must play a part in noticing, reporting, and reducing potential hazards. • Assess newly admitted residents for the presence of factors that increase their risk of falls, orient them to their environment, and observe them carefully during their first two weeks at the facility.
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
According to Patterson & Krouse (2015), It is important to transfer the message in a good way, for that the communication skills is one of the most important basic skills of nursing leadership. More than that, communication in nursing can make their job efficiently and help them to communicate with a wide range of people, including the patient, patient 's family, and healthcare providers. However, unlike bad communication, which increases nursing staff problem and can lead to worsening the patient health condition, a good communication saves time and reduces the problem of nursing staff in resaving and deliver the right information. Furthermore, communication is not only talking with the patient it’s also listening to what the patient 's family and healthcare providers are saying to collect more information that helps the nurses to save lives. In this paper, I will reflect my communication that goes well with one patient.
An incident report is initiated by the nurse after care has been delivered to the fallen patient; fall incident is evaluated, staff are educated and policies reviewed. The incident report is reviewed by the unit manager and forwarded on to fall risk management for deliberation at the next gathering. The goal of the fall committee is to come up with structured and individualize preventive measures and possible revision of
INTRODUCTION The word ‘team’ can be defined as a group of people working together towards a common goal. A team also generally is known as a group of people with different skills and different tasks, who works together on a common project, services, or goal. Then, the important thing in teamwork is ‘collaboration’, which is the act of working effectively with others to achieve a common goal. Collaboration acts as the lifeblood in the team, even the team is not large enough, but the collaboration is required.
Now nurses have many roles, such as care takers, decision makers, advocates and teachers and they often assume several roles at the same time. Because of the diversity of nursing role nurses need a philosophy of nursing to guide their practice. The practice of nursing is the care of patients through a professional interpersonal relationship. Nurses apply behavioural scientific principles, biologic scientific principles, and principles of humanism in a
According to the Agency for Healthcare Research and Quality, between 700,000 and 1,000,000 people in the United States fall in a hospital each year. According to our reports, 20 of these falls occurred in our hospital last year. Research has identified risk factors for falling in a hospital, such as impaired balance, history of falling, vertigo, orthostatic hypotension, altered mobility, visual impairment, the use of certain medications, etc. Patients who fall are more likely to feel hopeless, become less confident, become depressed and more isolated socially, experience a loss of physical functioning, a loss of quality of life, etc. This is an issue that must be resolved as soon as possible because the safety and well-being of the patients in this hospital should be a top priority.
This is a vulnerable population that can have fluctuating health and wellness. Falls are the most common ‘co-morbidity’ with the patient who have an acute illness (Wierenga, Buurman, Parlevliet, Van Munster, Smorenburg, Inouye, de Rooij, 2012). On the unit, the number of falls is one of the highest in comparison to the sister floors that are also associated with the unit. There is a high rate of interprofessional practice on the unit, thus making occupational therapy and physiotherapy one of my main sources of information on ambulation on the unit. I am going to contact the nurse practitioner on the floor who has oversight of the floor to gain permission to audit safety mechanism on the floor this includes ensuring patients have the proper foot attire, the environment is clear from any obstacles, bed alarms are on patients that are at increased falls risk, and the number of people who need supervisions or assistance of one nurse to ambulate.
This assignment is a reflection of ethical dilemmas in nursing practice as a registered nurse; this paper is based on the group assignment which was completed for NURS3004. This reflection will include an explanation of the role that I portrayed in the group, the preparation that I did for the role, what could have been done differently, how this group assignment has impacted me in terms of working in a team and finally explain how this assignment will assist me in my future clinical practice as a newly registered nurse. The role that I played in the group was a patient who has a mental health disorder and I didn’t want his mother to know about the illness, as a front it seemed as though we had a close relationship. When my mother leaves the room I asked the nurse to keep my illness confidential as she does not really understand it.
Team spirit is becoming more and more important in the competition, and the ability of individuals is limited. Many jobs require teamwork to be completed. Teamwork is conducive to improving learning efficiency. In the group cooperative learning, each member is actively involved in the learning activities, and each member has great enthusiasm. The task of learning is to be done together, and brainstorm, and everyone does what they can, and the problem becomes easier to solve.
Teamwork and communication are essential factors in nursing. The emergency room relies heavily on teamwork and communication. The triage nurse relies on other nurses for help when she is busy with other clients. The triage nurse remains consistently busy settling clients in the rooms. Two clients came in at the same time, one with chest pain and the other one with shortness of breath.
In the hospital the nurses are at the fore front of coordination and can easily classify the workers into the various teams that suit them. The various departments in the hospital have to work together in harmony to be able to meet the patient’s needs, making sure all resources are put in place for effective care of the patients and functioning of the hospital. Health care team members include the nurses, doctors, dietician, laboratory scientists, radiographers etc. all these personnel have to work together harmoniously in order to provide an effective care.
