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Nursing code of ethics on patient care
Nursing code of ethics on patient care
Effective communication needed in the health care setting
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TeamSTEPPS Reflection Journal Providing safe and effective care to clients and patients is of upmost importance in a nurse’s career. However, the nurse in not alone in providing this care. A nurse is involved with a multi-team system, who all work together to provide even better care for others. An instance where there was a lack of safe care and teamwork comes from Halifax Hospital Medical Center in 2013 where a patient woke up from surgery at a Florida hospital to find that her surgeon had operated on the wrong leg. The surgeon proceeded to tell her that the other leg needed to be done anyways. He then asked her to sign a consent form after the fact (Jameson, 2013). The patient was admitted to the hospital for vascular disease, which was causing leg pain. She gave her consent for a vascular graft surgery on her left leg, but surgical staff scheduled surgery for her right leg. Even the operating room nurse supervisor said the patient said she was having her left leg done, but the nurse had it in her mind the right …show more content…
Factors can include team members not communicating to one another with correct information. A second factor is the willingness of the surgeon to cooperate with others that are below him. We saw that the surgeon was unwilling to take advice or instructions from a nurse. Lastly, a major factor was the error of the surgical staff scheduling the wrong leg for surgery. Although, it should have been stated in the patient’s medical records the correct leg that was going to be operated on. If I were the operating room nurse supervisor, I would have doubled checked with a medical record to confirm which leg the operation was to take place on to see if the patient was incorrect or correct. When the patient is fully aware and able to understand information, it is always a good idea to double check because they more than likely know what is going
The patient presented with common signs of compartmental syndrome. The interventions suggested to the staff at the hospital were not fully completed. The interventions given during the case presentation consisted of assessing the six Ps, swelling, and vital signs. I took the vital signs of the patient and the nurse recorded them in their system. The patient’s blood pressure was not within normal limits, so the blood pressure completed manually. The manual blood pressure was still elevated. An increase in blood pressure can indicate pain, swelling, and impaired blood flow to the extremities. When I was with the nurse, she sent the patient for an x-ray. Furthermore, the nurse should have then assessed what the patient has been doing and done education with the patient to elevate the leg above his heart. Many people do not know the scientific rationale and positioning of elevating the extremity above the heart. The nurse should have also assessed the patients expectation of pain relief, since his current medication (Ibuprofen) was not working to his expectations. This is when we left the floor; therefore, I was not able to discuss the patient care with the nurse. The nurse simply asked the patient about some of the six Ps of compartmental syndrome and did not complete the assess...
Hospitals are busy places, and with so much going on it is hard to believe that mistakes are not made. However, there are some accidents that should never happen. Such events have been termed ‘never events’ because they are never supposed to happen. This term was first introduced by Ken Kizer, MD, in 2001 (US, 2012). The Joint Commission has classified never events as sentinel events and asks that hospitals report them. A sentinel event is defined as, “an unexpected occurrence involving death or serious physiological or psychological injury, or the risk thereof” (US, 2012). Never events are termed sentinel events because in the past 12 years 71% of the events reported were fatal (US, 2012). Because these events are never supposed to happen, many insurance companies will not reimburse the hospitals when they occur. A study in 2006, showed that the average hospital could experience a case of wrong-site surgery, one example of a never event, only once every 5 to 10 years (US, 2012). This study illustrates how rare a never event is. Hospitals do not want these never events to happen any more than a patient does. To help prevent these errors, hospitals have created policies that, if followed, will minimize the possibility of a mistake. The consequences of never events are devastating and because of this the goal is to make sure that they are eradicated from hospitals and medical facilities.
Nurses are key components in health care. Their role in today’s healthcare system goes beyond bedside care, making them the last line of defense to prevent negative patient outcomes (Sherwood & Zomorodi, 2014). As part of the interdisciplinary team, nurses have the responsibility to provide the safest care while maintaining quality. In order to meet this two healthcare system demands, the Quality and Safety Education for Nurses (QSEN) project defined six competencies to be used as a framework for future and current nurses (Sherwood & Zomorodi, 2014). These competencies cover all areas of nursing practice: patient-centered care, teamwork and collaboration, evidence-based practice, quality
In our organization we have had many revisions to our safety process. Originally, it was at our hospital that the 1996 well known “Willy King” incident, about the amputation of the “wrong” leg occurred. As a response to the incident, we were required to develop a root-cause-analysis and develop a plan to avoid similar situations in the future. We were one of the first hospitals to establish a “safety process” in the surgical environment. Through inter-disciplinary collaborati...
In the United States, hospitals and organizations find ways to help prevent events that should rarely or never occur, often called Never Events. The list of Never Events is made in order to provide hospitals with incentives to make sure the occurrences of them are reduced. As Mrs. Friend states, “If revenue decreases in our health care facilities because of “Never events” this could impact nursing in many ways. The rate of pay, staff to patient ration, availability of modern medical equipment, and our health insurance premiums will all be affected” (Friend, 2009, p. 5). One major type of Never Event that happens more often than it should is a surgical never event. Although, the occurrences of surgical Never Events may not be out of control, we must take into account that they are only reported if they are discovered. In today’s society the occurrence of Never Events should be virtually zero because of the technology available to prevent them.
Best possible care for patients can and will be achieved when nurses and other health care team members work together and prioritize meaningful conversation among each other. Dissatisfaction, errors and unfair treatment can be avoided when there’s an effective collaboration among health care team. Working collaboratively with each other improves the nursing care by bringing out the best outcome of each discipline. Thus, in my stand among various competencies, team work and collaboration is the most necessary and vital qualities needed for future nurse to provide the best quality care
Personal Philosophy of Nursing In this nursing philosophy paper, I will be sharing some information about my personal philosophy of nursing. As a nurse I believe philosophy of nursing is an umbrella way of thinking or set of ideas, values and beliefs related to nursing profession. Nursing philosophy is the basis for nursing practice which helps to apply nursing knowledge for the provision of best nursing care. Everyone has their own views regarding nursing philosophy, like I have mine as a set of thinking. I will discuss why I chose to become a nurse, why I came to the United States of America for my nursing education and why I want to advance my education to the higher level.
...r malpractice if a patient were given a surgery based on findings and it turned out they actually did not need the surgery.
Working in the health care setting, teamwork and collaboration are used frequently to insure that everything runs correctly and efficiently. According to qsen.org, teamwork and collaboration consists of functioning effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care. While assessing the patient a nurse can come into contact and work with many different individuals. These can include other nurses, doctors, therapists, and family
Reflection is the thing that we bring to an experience is fundamental to our understanding of what happens. This is impacted by our past, our future and our present world-sees. In nursing, it reflects the attitude, personality, decision-making and ethics when dealing with sick people. A Cherima (2007) point out that reflection journal is a useful tool for promoting reflection and learning process for nurses. In this assignment, I am going to reflect on one of the clinical situations that had happened during my clinical placement at the surgical orthopedic ward. The incident that I am going to reflect is maintaining patient’s safety in preventing risk of fall during the hospitalization. It is important to prevent the patient from fall because it may further impact the patient’s wellbeing. For instance, the patient might experience fractures from falls. Edwards et al. (2013) claim the risk of fall history is linked with higher incidence of fracture. I choose this issue because I want to explore the importance of patient safety in relation to
Reflective practice is a process of thinking and critically analysing one’s experience to improve professional practice. Reflection on nursing situations not only promote the nurse’s professional development but also improve the quality of nursing care to patients (Gustafsson & Fagerberg 2004). According to Dolphin (2013), reflection process consists of systematic appraisal of events and examination of its each component to learn from the experience to influence the future practice. Though there are many models available to structure the reflection, I have chosen Gibbs model (1988) as it follows specific steps in a systematic way in reflection process. And also, this model emphasises the role of emotions and acknowledges the importance of emotions in the reflection process. This is a simple framework and this assignment will follow the headings as per this model. The incident I will be reflecting
The following essay is a reflective paper on an event that I encountered as a student nurse during my first clinical placement in my first year of study. The event took place in a long term facility. This reflection is about the patient whom I will call Mrs. D. to protect her confidentiality. Throughout this essay I will be using LEARN model of reflection. I have decided to reflect on the event described in this essay since I believe that it highlights the need for nurses to have effective vital signs ‘assessment skills especially when treating older patients with complex medical diagnoses.
“The ultimate value of life depends upon awareness and the power of contemplation rather than upon mere survival” (Aristotle, n.d.)
There are many members of the inter-professional team, all of which are contributing to the healthcare of acute and critically ill patients. Every member of the team has had education and obtained a license of practice compatible to their level of knowledge (Prater, Fundamentals of Nursing, 2013). As a practical nurse you need to be mindful of your scope of practice in relation to registered nurses, certified nurses’ assistants and other healthcare professionals. With so many different people involved in the immediate care of a patient, there is always the possibility of a mix up. The purpose of this paper is to help differentiate between the roles of the healthcare staff, which will in turn help develop a knowledge base for prioritizing care;
Modern health care system is much more complex and this complexity has produced that we need the team-based delivery health system to provide the best possible care (Mitchell, Wynia, Golden, McNellis, Okun, Webb, Rohrbach, & Kohorn. 2012). I am certainly working in the team-based nursing environment which challenges me every day because I am still learning and training myself