Nightingale Community Hospital Essay

Registrar, registered tike (3 year old enduring), obtained insurance humor and entered demographics. She was then taken to pre-op where the veneration for told spawn that once in the OR the cognitive process would take ab protrude 45 proceeding and then she would go to recovery. The mformer(a) sure the pre-op concur that once her little girl went into the O.R. she required to run a quick errand involving an aged sibling and would return in clipping to pick her up once she got out of recovery. The mother gave the pre-op take in her cell reverberate number ph un peered number with instruction manual to tint her if her daughter got out of operating theater sooner than expected. The Pre-op nurse wrote her number stem on her note pad that she carries nigh in her pocket. The daughter was taken into running(a) process by the O.R. nurse nothing was mentioned close to the mothers retrieve number or contact instructions to the O.R. nurse. After surgery the daughter w as taken to recovery where the recovery nurse took c ar of the long-suffering until she was ready to go to the fulfil ambulatory care.The recovery nurse paged the long-sufferings mother when she was coming out of anesthesia, and could not locate her. The recovery nurse kept her until ready to go to the ambulatory care for secrete. trade protection had skirted and said the induce was at the main reception to tote up visit the daughter. The discharge nurse withal tried to page mother, who still was not available. The longanimous was crying and wanted to go office. The discharge nurse let the puzzle back to see the daughter. After 30 transactions had passed and mother was still not present, the father offered to take the patient, home with him. Since the patient call backed him daddy and was excited to see him, discharge nurse thought it was ok to embark her home with her father. The discharge nurse had him stigma all pertinent paperwork sent her home with him.The mo ther returned 2 hours later and ensnare that the daughter was discharged 30 minutes earlier. Mother was extremely distraught and bail was called and a Code Pink( hospital-wide c rectitude abduction alert) was activated. Local law enforcement was also contacted by hospital shelter. When hostage officer interviewed mother, she divided with him that she and patients father were divorced and that she had full cargo hold of daughter and her siblings. The Daughter was located at heart 30 minutes of her mothers arrival by local law enforcement, in the care of her father. He had taken her to his home to await the arrival of the mother. If the Pre-Op nurse would gestate passed on the mothers phone number where she could be reached and tell that she was on an errand with sibling, a lot of the events could come along to been avoided.Roles of Personnel Present SurgeonSupervises the actions of the surgical team, orchestrating their responsibilities and generally responsible for th e outcome of the surgery. hirer nurse policeman Responsible for overseeing and arrange an organizations nursing surgical incision and its daily operations. whole works to align the nursing module with the mission, value and vision of the organization. Pre-Op book Bring patient back, Changes her into hospital gown, confirms hours with post-op nurse, confirms patient has a dun home (name and phone number in chart), Witnesses polaritying of the O.R. consent, and they dupe a rudimentary understanding of what the surgeon is going to do. pock side of surgery give be on, Starts their IV, check surgeons orders or per protocol, put on antibiotics, shave or prep area. aim all paperwork. Check to see if in that location is the surgeons history and physical within 30 days. Is there lab work or EKGs (if requisiteed)? Recovery Nurse Provides constant care to patients presently by-line surgery anywhere from 30 minutes to a few hours until patient is constant enough to be transpor ted to a hospital room or discharged from the facility.Connects patient to cardiac monitoring equipment, and intravenous therapy for fluids and pain medication. Pain intervention-assesses pain levels, makes complete notes on charts, communicates to the PACU nurse & physician. Completes any forms required by facility. Makes patient observation, Takes patients vital signs (blood pressure, pulse and temperature). Ensures patient is breathing properly, and administers oxygen when needed. Must be able to react to signs of negative change, call for assistance and begin CPR if necessary. crystalize Nurse Review surgeons written discharge instructions. Goes over discharge withpatient. Has patient sign discharge instructions infirmary Security Guard Will ensure the recourse of the hospital premises. Helps in evacuation drives in quantify of fire and threats.Interacts with hospital staff of all departments with special emphasis on drug storage areas, infant care units, and ward for mental ly ill patients and damage care. Personnel Issues The infirmary environment stack offer some practical challenges that could be barriers in communications. Many patients have individual needs and this sens impede on a nurses time and emotions. Nurses put in long hours and have a spunky patient/nurse ratio or shortage of healthcare workers. Nurses/ force have to deal with emergencies in an already intriguing and busy hospital setting. Dealing with patients takes mental acuity and emotional condense and sensitivity. Hospital guidelines might not have fitting communication practices among personnel in pull. change InteractionsIn order to amend fundamental interaction amongst personnel there needs to be a constant. That constant needs to be the patients chart following the patient, where hand offs notes from one staff to the next eject be kept updated at all times when medications is administered and also when the patient has been checked in and phone poesy can be quickly ac cessed after surgery and in an emergency to reach the Responsible caller that brought the patient in whether it be a friend or parent. Phone numbers and notes involving a peasant baby bird, needs to be highlighted in each handoff so the personnel receiving knows there is notes of importance being hand off and read from one department to the next so they know who to reach, and can be quickly reached without having to search in files.When involving a shaver child, custody and phone number needs to be consonant on handoff notes from one personnel to another. risk of exposure Management The quality improvement than need to take place in nightingale regarding a minor, needs to begin at Admission/Registration. All patients admitted requite a bracelet with name of patient, looking revivify and an ID number. In the case of a minor child, the adult admitting leave behind be given up an identical bracelet. Upon discharge, the caregiver must match the Childs bracelet with the pare nt/guardian. Without the identical bracelet, child ordain not be released to anyone until an probe has been performed through surety thatchild is being released to the rightful parent/guardian. A unused risk anxiety program leave be put in place requiring all relevant personnel to attend the workshop in orders to update surety issues. These issues will require all floor personnel to attend. All personnel will also be required to call security, immediately upon knowledge of a patient missing or child abduction. prize ImprovementThe aim is to improve security measures in the hospital.The hospital will improve security by requiring all patients to have a patient I D Bracelet and the parent admitting any minor to also have one. Upon discharge small patient and Responsible Adult must have matching ID Bracelet in the lead being released from hospital. Security is to be called immediately on any issues that pertain to the condom and wellbeing of any patient and/or the facility. Hire Hospital Security Consulting supporter to consult on present security issues and any additional needed improvements. The dodge will relate toImproving affected role synthetic rubber MeasurementThe measurement will be to Plot Data for measures. The rising measures will be over time, exploitation a run chart to restore whether changes are leading to Improvement. The change will be fulfiled by a team, to ensure new safety issues are carried out. That team will consist of clinical Leader- MD , Patient recourse Officer Technical Expert- timberland Control Expert Consultant daily Leadership RN, Manager, Medical/Surgical Nursing Additional Team Members Risk Manager, persona Improvement Specialist, Staff Nurse, Staff Education, and breeding Technology. donor MD, Chief Medical Officer The team includes members familiar with all aspects of the process, from managers, institution to Physicians and nurses and front-line workers. The Executive Sponsor will be responsible for t he success of the project The clinical Leader has the place to test and implement change that has been suggested and deal with any issues that arise. Understands clinical implications and consequences. Technical Expert Knows the subject intimately.An quick-witted on improvement method. Helps the team in determiningthe measurement method, design of interpretation, and demonstration of selective information. Day-to-Day Leadership Will be the driver of the project, insuring tests are implemented and data is collected. Project Sponsor/Executive Sponsor the executive liaison with executive authority who serves as the link to senior management and the strategic aim of the organization. Can fork over resources and overcome barriers and provide accountability for the teams progress on a regular foothold but not day-to-day. Langley, Nolan, Norman, Provost, The Improvement pull in 2009 Security Issue Resourcenightingale Hospital will hire an expert, Hospital Security Consulting Service to assess the security the hospital has in place and how it can better implement its security issues regarding the upstart sentinel event and any other issues needed to keep current for knock Commission Standards. This consulting firm will also provide the risk management workshop to all employees in regard to patient care personnel security issues, to support the new changes. All employees, hospital-wide, will be updated to all quality improvements and risk management guidelines.ReferencesJCI Accreditation Standards for Hospitals, 4th edition (e-book) July 2010 Philip Stahel Patient Safety Surgery Journal, 2009, 314 Langley G.L., Nolan K M, Norman C L, Provost LP The Improvement send A Practical Approach to Enhancing organisational Performance (2nd edition) San Francisco Jossey-Bass Publishing 2009