Patient Safety In Nursing

1812 Words4 Pages

Patients Safety is the most crucial about healthcare sector around the world. It is defined as ‘the prevention of patients harm’ (Kohn et al. 2000). Even thou patient safety is shared among organization members, Nurses play a key role, as they are liable for direct and continuous patients care. Nurses should be capable of recognizing the risk of patients and address it to the other multi disciplinary on time. However, we are looking at a case study where patients safety has been compromised, professionalism has been voided, lack of communication, nurses aren’t liable for their work, the duty of care has been breached and lot more issues can be discovered. Which will be incorporated in this paper. Looking at the patient Christopher Hammett …show more content…

Christopher death could have been avoided if the Doctor had been able to identify the cause of his desaturation on time. Due to lack of nursing care and many human errors from both the medical team and nurses, it leads to his death as per the inquest. Patient safety was compromised. It was found that Dr. Wooller the anesthetist and Dr. Young the surgeon who operated on Mr. Hammett didn’t investigate on the significant oxygen desaturation event that occurred in PACU while he was transferred from Operation Theater. DR. young assumed it was due to obstructed airway. As Mr. Hammett had Guedels inserted. The inquest stated that the anesthetist was supposed to review the arterial blood gas and transferred Mr. Hammett to High dependency unit due to his desaturation event for more than 20min. The nurses looking after MR. Hammett in PACU was RN Turrell and RN Proud. RN Proud notified Dr. Woller about the desaturation event for which doctor paid the visit but didn’t physically examine Mr. Hammett and left with short conversation. If Dr. Woller had investigated the cause of desaturation event at that time probably they could have prevented the rest desaturation event but unfortunately, none of them were implemented, which lead to additional complication Following the event the deceased was administered bolus morphine for his pain, which was scored 4/10. The nurses working in PACU RN Proud notified the anesthetist about the oxygen stat …show more content…

Nurses come in direct contact with the patients and their families. Therefore nurses are held liable for their work. Negligence is when nurses fail to perform according to the standard of care that results it any kind of harm, damage or death of a patient. If the patient suffers any of the problems they have a full right to bring legal action against the nurse for negligence. Negligence can be civil or criminal. In this case we can look at RN Manton he has shown negligence with his duty of care towards Mr. Hammett therefore he is liable for his death. We have observed that Manton didn’t follow the hospitals protocol during the desaturation event and treated Mr. Hammett on bases of his own experience. Manton admitted that he had ignored the prescription from Dr Woller in relation to oxygen that indications negligence. This shows he has failed to apply his skill and knowledge in this case He also relied on EN valentine to do all the observation and look after the patient on that shift which shows Manton being irresponsible towards his duty of care. He should have check on Hammett himself and monitored

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