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Clinical supervision models
Clinical supervision models
Reflection of clinical supervision
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There are several concepts that must be considered whenever leaders, managers or nurses delegates/supervises. One of which that must always take the highest priority is patients safety. Unsafe delegation can cause tremendous harm to patient and can costly for the organization or facility. For instance If the task being delegated has the potential to cause more harm than good, it is best that to reconsider. The five rights of delegation (right task, right circumstances, right person, right direction/communication and right supervision) must be utilized in order to bring about positive patient outcomes.
The 4th amendment protects people from being searched or having their belongings taken away without any good reason. The 4th amendment was ratified on December 15, 1791. For many years prior to the ratifiation, people were smuggling goods because of the Stamp Act; in response Great Britain passed the writs of assistance so British guards could search someone’s house when they don’t have a good reason to. This amendment gave people the right to privacy. “Our answer to the question of what policy must do before searching a cellphone seized incident to an arrest is accordingly simple - get a warrant.” This was addressed to officers searching people’s houses and taking things without having a proper reason. I find
...estions if not 100% sure of something or use a double checking system. When a nurse is administrating medication, they should use the ten rights of medication administration (right patient, right drug, right route, right time, right dose, right documentation, right action, right form, right response, and right to refuse). Nurses should always keep good hand hygiene and always wear appropriate clothing to prevent from the spread of disease. Good communication with patients and healthcare team members is also key to success. Keeping on the eye on the patient within an appropriate time is important. If the patient ever seems to be looking different than their usual self vitals should be taken immediately. Encouraging patients to ask questions if they are unaware of something can prevent errors as well. Nurses should make sure the patient is on the same page as they are.
Furthermore, there should be enough trust between the nurses and physicians where they can easily put aside their egos and ask for a second opinion when they have any doubts concerning a patient's safety. This was clearly exemplified when the nursing staff attending to Lewis Blackman failed to contact the physician when various side effects arose; instead they tailored the signs to fit the expected side effects. Even after Blackman’s health was deteriorating, the nurses remained in their “tribes” and never once broke out of it to ask for help. The entire hospital was built on strong culture of remaining in their tribes instead of having goals oriented towards patients care and safety.
pg. 19, 2014). The first rule of nursing is to do no harm, but since we are human, errors will happen. Inaccuracies in delivering treatment are due to mistaken identity, falls, burns, nosocomial infections, suicides, death or injuries due to restraints, wrong site surgery, surgical injuries, transfusion errors, adverse drug events and pressure ulcers (Kohn and Donaldson, pg. 35, 2000). Nurses use autonomy to contemplate on where corrections can be made through their daily routine. By knowing where the shortcomings are in delivering treatment, allows for errors to be corrected and to decrease adverse patient outcomes.
Patient safety is fundamental to quality health and nursing care. This nurse leader believes that the health care workers have a great role to improve patient safety. Infection control, safe handling and administration of medications, safe handling of equipments, safe clinical practice and safe environment of care are included in patient safety. Proper training and education are vital ingredients of development of patient safety. This nurse leader is an advocate in all aspects of patient care. Nurses have to inform the patients, the plan of care, explain the treatment and its options, notify the adverse effects on time through the appropriate channel or requirement of the facility ("Patient Safety," 2002, p. 1).
Matching staff skill to patient and family needs highlights the difference between delegation and assignment” (Weydt, 2010, Delegation and Related Concepts, para. 1). This principle came handy, when I was assigned to care for a patient who had multiple injuries from a car accident. The care was complicated with the presence of a Foley catheter, total parenteral nutrition (TPN), chest tube, wound vacuum, and ventilator machine to support the patient’s airway. Under normal patient care assignment, the nursing assistant would perform the bedside care, e.g., bed bath, turning and repositioning of patients who were on bed rest, assisting with feeding, to mention a few. However, for this particular patient, the medical conditions were complicated by the multiple machines and equipment that nursing assistants were not trained to manage. Hence, I was fully engaged in most of the patient care activities. My presence and involvement were required from the provision of bed bath to turning the patient every two hours. I made sure that even with the simplest activity, the safety of the patient was not compromised. The only task that I allowed the nursing assistant to perform on her own, was the emptying of the urine drainage bag for the output
This paper explores four different strategies to help improve patient safety. Burston, S., Chaboyer, W., Wallis, M., and Stanfield, J. (2011) suggests that there are three approaches to transforming care: Transforming Care at the Bedside, Releasing Time to Care: The Productive Ward, and the work of the Studer Group. Sheerwood (2015) suggests that patient safety comes from the individual and group values, attitudes, competencies, and patterns of behavior. The collective commitment or mindset to the safety of the individuals in an organization that determines achievement of patient safety goals. Vaismoradi, M., Salsali, M., and Marck, P. (2011) did a study about how well nursing students understood concepts of patient safety and how the designers of the nursing curriculum should go beyond theoretical concepts of education and application of knowledge of patient safety. The final article, Battie, R., and Steelman, V. is about the accountability of the nurse and other healthcare professionals.
In “The Conflict of Autonomy and Authority” Robert Paul Wolff argues that the state’s authority is in conflict with having genuine autonomy. He reasons as follows. If there were a supreme political authority, which have a right to rule, there would be an obligation for a man to obey its laws. However, a man has an obligation to be autonomous, which means taking responsibility for making one’s own decisions about what one should do. Autonomous man has primary obligation to refuse to be ruled. Therefore, a supreme political authority does not have a right to claim authority over a man who has a moral obligation to be autonomous. He concludes by denying the concept of de jure legitimate state.
Refraining from blame being placed on nurses in regards to lapses in patient care, hospital administrators should ensure the safety of patients by examination of how health care is provided within the facility in relationship to changing nurses working conditions in an effort to allow safe care to patients. With inadequate nurse staffing in connections to unrealistic work loads contributes to unnecessary burden on nursing staff, reducing the quality of care that nurses can provide. Appropriate nurse staffing level are essential to optimizing quality of care and patient outcomes in this era of value-based
It is right of a patient to be safe at health care organization. Patient comes to the hospital for the treatment not to get another disease. Patient safety is the most important issue for health care organizations. Patient safety events cost of thousands of deaths and millions of dollars an-nually. Even though the awareness of patient safety is spreading worldwide but still we have to accomplish many things to achieve safe environment for patients in the hospitals. Proper admin-istrative changes are required to keep health care organization safe. We need organizational changes, effective leadership, strong health care policies and effective health care laws to make patients safer.
The one thing most of us hope for, maybe from our early childhood, is that we will find the exhilarating romance with the one and spend the rest of our lives with him/her. From love stories, we obtain the images of two young people, who just started dating, hugging each other closely and whispering sweet nothings. They might even be kissing passionately, or could not get enough of each other as if there is no one else in the world when the heat between them is climbing to the top. There is no doubt that we would envy the intimacy and obsession of them because they seem so happy and satisfied when having each other around. On the other hand, we might find the relationships between our parents are simple and
However, if a nurse who gave the wrong medication to a patient and it resulted in an injury to the patient, the patient could seek after legitimate charges against the facility in a negligent tort and the hospital would be indirectly liable because of the employee’s negligent actions. Staff development and education is very important in a hospital. Keeping licenses and education, such as cardio pulmonary resuscitation and continuing education requirements for nurses and doctors helps reduce the chance for errors that may occur, and keeps staff compliant with requirements set up by the occupational safety and health administration and the joint commission. By periodically check and maintain business policies, auditing the work force, and improving on the procedures and daily operations, the hospital can run smoothly and liabilities can remain avoidable (United States Department of
Healthcare professionals have recognized how patients can make a valuable influence in their own safety (Davis, Sevdalis, & Vincent, 2010, p. 1). Atoof et al. (2013) stated to improve quality service and patient safety one of the main steps is including patients in safety issues, interacting with them, educating them, and providing safety lessons. Gibson (2007) indicated patients have three roles in improving patient safety. According to Gibson (2007), patients need to report all safety concerns to health providers so they can be addressed along with the other concerns conveyed by doctors, pharmacists, nurses, and others. Secondly, patients and family members should ask questions and listen carefully to the physician orders once he or she makes their rounds. Since documentation is vital in the healthcare industry, all medical records, orders, and notes are entered on laptops provided in each patient’s room. Once the physician exit the room, patients and family members can reach out to the assigned nurse for clarification regarding the physician orders or any other questions. Nurses have the ability to review notes and all orders entered on the laptop. Lastly, Gibson (2007) stated patients are collective action as citizens to improve safety” (p.
As IOM states that, the origin of patient safety problem is classified due to type (error), communication (failure between patient or patient proxy and practitioners, practitioner and non- medical staff or among practitioners), patient management (failure in tracking, wrong referral, or wrong use of resources), and clinical performance (before, during, and after intervention). According to this statement, the accident that was caused by nurse is under patient management. In my opinion, this case happened because she just wanted to finish her report in time. Why I considered this reason for this case because she told me that she has been seven years in this community hospital. And also, after that, she taught me not to be like her and said to me ‘you must check the items not only for this case but also for the other cases as a professional nurse’. So that, I really couldn’t blame on her continually. At that time, I also got shocked so I couldn’t help her to so and get the things. It can be because I was just a very new student nurse so I didn’t realize where things are placed
Providing direction and supportive leadership has a positive impact on patient safety. Nursing staff perform better when they have a supportive environment, which leads to fewer medication errors, reduced hospital acquired infections and fewer mortalities (Joseph, & Huber, 2015). Staff and patients should be provided with direction that enhances learning so appropriate health care decisions can be made. This can be achieved through empowerment