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Clinic observation
Observation paper for hospital
Patient care in the medical field
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During my clinical rotation, I notice situations wherein some nurses try to skip a step to save time when attending to all their patients’ needs. Although intentions are good, I believe that these instances make nurses overlook their personal safety especially when the floor gets busy. The use of personal protective equipment (PPE) would be my example. There is an incidence when a nurse did not wear gloves on her dominant hand that is sticking a needle during IV insertion. She said that it is easier for her to get a good stick without the gloves on. She wants to avoid multiple attempts as much as possible and worries about any patient discomfort. I asked the nurse if this practice does not scare her if an accident may happen. I also implied
Safety competency is essential for high-quality care in the medical field. Nurses play an important role in setting the bar for quality healthcare services through patient safety mediation and strategies. The QSEN definition of safety is that it “minimizes risk of harm to patients and providers through both system effectiveness and individual performance.” This papers primary purpose is to review and better understand the importance of safety knowledge, skills, and attitude within nursing education, nursing practice, and nursing research. It will provide essential information that links health care quality to overall patient safety.
According to an article in Health Services Research, safety is one of the main reasons that HCAHPS/Press Ganey surveys patients after their hospital stays (Isaac, Zaslavsky, Cleary & Landon, 2010). This positive aspect brought about by HCAHPS/Press Ganey surveys is the re-focus of patient safety, something that should be a top priority and nursing responsibility of all patient care. A direct example of this focus is that if a patient experiences a serious safety event or is harmed by a medical error, his or her overall experience will be negatively impacted. (Isaac et.al., 2010). Cohen (2015) predicts that if the focus of healthcare shifts to the delivery of safe, compassionate, high-quality care, the patient experience and satisfaction with their overall care is likely to rise. There is also evidence that increased patient satisfaction is important for improving patient adherence. How patients perceive the receptiveness of the unit’s hospital staff likely reflects the hospital 's safety culture thus promoting adherence to treatment guidelines (Isaac, Zaslavsky, Cleary & Landon, 2010). Patients are more likely to continue suggested healthy habits and be compliant with their medication if they are satisfied with their healthcare practitioners. Spence & Fida (2015) correlated in their article the relationship between a nurse 's job satisfaction, job retention, and perceived
Human factors are derived from construction and adapted to a system of development in health care by carefully examining the relationship between people, environment, and technology. The consideration of human factors acknowledges the capability or inability to perform a precise task while executing multiple functions at once. Human factors provide an organized method to prevent errors and create exceptional efficiency. Careful attention must be exercised in all levels of care such as the physical, social, and external environment. It is also vital to carefully consider the type of work completed and the quality of performance. Applying human factors to the structure of healthcare can help reduce risks and improve outcomes for patients. This includes physical, behavioral, and cognitive performance which is important to a successful health care system that can prevent errors. A well-designed health care system can anticipate errors before they occur and not after the mistake has been committed. A culture of safety in nursing demands strong leadership that pays attention to variations in workloads, preventing interruptions at work, promotes communication and courtesy for everyone involved. Implementing a structure of human factors will guide research and provide a better understanding of a nurse’s complicated work environment. Nurses today are face challenges that affect patient safety such as heavy workloads, distractions, multiple tasks, and inadequate staffing. Poor communication and failure to comply with proper protocols can also adversely affect patient safety. Understanding human factors can help nurses prevent errors and improve quality of care. In order to standardize care the crew resource management program was
Today’s clinical experience truly affected me in multiple ways. I went into this day with an open mind, and was pleased with the patients and the way I was able to conduct myself. This clinical affected me because throughout the day I felt that I experienced many emotions. A few times during my day I did have to fight back tears. I felt I had this emotion because some of the individuals expressed how they wanted to get better in order to get home to their families.
In other hand nurses, performing one of their priority duties of maintaining client safety must utilize physical restraints, like side rails, to limit client movement in order to accomplish this task (Butts & Rich, 2015). However, the paternalistic utilization of physical restrictions without patient's educated assent is ethically unjustifiable and is an unequivocal infringement of their independence (Schenker, Fernandez, Sudore, & Schillinger, 2010). The obligation to regard individual autonomy ought to be reached out to an obligation to regard the autonomy of patient who is being controlled. Just along these lines can their human respect, right, and personal satisfaction be improved (Johnstone,
Behaviors to Improve Patient Safety. There are five behaviors in which I, as a health care professional, can practice in order to improve safety for patients in my direct care. These include following written safety protocols, speak up when you have concerns, communicate clearly, don’t let yourself get careless, and take care of yourself. By adhering to simple, basic protocols such as hand washing you can be a key player in reducing the spread of infection to your patients and thus, keeping your patients safe. As a healthcare professional you must be an advocate for your patients and their safety by reporting unsafe working conditions, close calls, and adverse events.
Patient safety one of the driving forces of healthcare. Patient safety is defined as, “ the absence of preventable harm to a patient during the process of healthcare or as the prevention of errors and adverse events caused by the provision of healthcare rather than the patient’s underlying disease process. (Kangasniemi, Vaismoradi, Jasper, &Turunen, 2013)”. It was just as important in the past as it is day. Our healthcare field continues to strive to make improvement toward safer care for patients across the country.
When nurses with untreated, active dependency are providing care, the practice of the nurse is impaired and can negatively affect patient safety (Kunyk & Austin, 2012). If the drugs are acquired from the hospital or workplace, patients may suffer by being under-medicated. Nurses are required to address threats that occur in the del...
Chang et al. (2005) found that mental health hospitals were the second most frequent area for patient safety incidents, following general hospitals. Patient safety incidents in health care settings occur as a result of a complex set of contributing and interacting factors (Nath &Marcus, 2006). Kanerva et al. (2013) highlights the importance of gaining a greater understanding of the complex system level factors that contribute to patient safety incidents which can help to mitigate and prevent these events in the future. Mental health nurses can help safeguard vulnerable clients by assisting them to regain personal control through including them to make decisions about their care, providing emotional and psychological support, respecting their confidentiality, preserving their dignity and restrict their behaviors only as necessary in order to improve their patient safety (Wills,
Precaution has been present at the core of public health safety for centuries, and the precautionary principle is undeniably connected to performing under doubt, which is a common situation in these days.
The sources used were retrieved from the online Shapiro Library. Electronic databases, including CINAHL were used to do a multi-search for sources. Key works used included nursing safe staffing and nursing staff ratios and patient safety. The criteria used to select the articles were peer reviewed articles within the last five years.
. During my clinical rotation at Clearbrook, I was able to follow morning and afternoon shifts nurses and assist them with passing medications to Clearbrook clients. In this facility, most of the clients are diagnosed with MR or mental retardation. The causes of mental retardation can be some infections, before or after the birth, or chromosomal abnormalities, for example a Down Syndrome. Patients with mental retardation need a lot of help and assistance with their daily leaving activities. They also might have some problems in communication, so it is very important to develop appropriate communication technics in order to be able to understand patients’ needs.
Personal protective equipment (PPE) in the health care setting is a crucial factor in keeping a safe environment for patients to receive care. Not only does PPE affect the health of the patients being treated, but it jeopardizes health care providers, visitors, and other patients throughout the unit. During my clinical experience at Emory University Hospital on floor 9E, I often observed patients, visitors, and health care providers failing to comply with the PPE hanging outside patient rooms. According to a study conducted in the United States, “researchers directly observed 104 doctors and nurses in performance of 12 trauma resuscitations. The results of the study indicated that full compliance was implemented in 3% of workers” (Powers, 16).
Safety is a primary concern in the health care environment, but there are still many preventable errors that occur. In fact, a study from ProPublica in 2013 found that between 210,000 and 440,000 patients each year suffer preventable harm in the hospital (Allen, 2013). Safety in the healthcare environment is not only keeping the patient safe, but also the employee. If a nurse does not follow procedure, they could bring harm to themselves, the patient, or both. Although it seems like such a simple topic with a simple solution, there are several components to what safety really entails. Health care professionals must always be cautious to prevent any mishaps to their patients, especially when using machines or lifting objects, as it has a higher
The universal precautions of the Centers for Disease Control do not eradicate all risk to the patient or health care provider, says Baillie et al. (p. 129). While health care providers in all institutions have been educated in universal precautions, Beck, a registered nurse, cautions that some employees have failed to comply with the recommended procedures from the Centers of Disease Control. Some nurses find goggles, gloves, and other protective gear to be cumbersome to wear and/or too time consuming to put on and remove. Beck cites the case of Barbara Fassbinder, an RN documented by the CDC, who contracted AIDS by using her finger to apply pressure to a patient's intravenous site in an emergency room (p.12).