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Patient safety in the hospital setting
Roles and responsibilities of a nurse
Role of nurse
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Recommended: Patient safety in the hospital setting
Patient safety is a large concern for practices, nurses and doctors. There are many tasks and precautions that can be taken to prevent accidents in the work place, whether it involves patients or not. Florence Nightingale once said “The very first canon of nursing, the first and last thing on which a nurse’s attention must be fixed is to keep the air within as pure as the air without”. This quote is argued to be an analogy for keeping the patient safe and to return them to the same condition as before they fell ill. Patient safety is one of many top priorities in a nurse’s creed, right next to caring for the patient and returning them to proper health. It is the nurse’s responsibility to keep the patient as comfortable as possible. This has …show more content…
Not only would the patient have to be restrained, but imagine what a nurse would feel like if they saw a patient being irate. They could think that it is their fault and that the blame should be placed on them. This also comes back on the establishment as failure of care. So patient safety is extremely important for the reputation of the nurse and practice. A big part of patient safety is hygiene. According to prevention.com, sinks, door knobs and tissue boxes at hospitals and doctors’ offices are the most germ ridden spots in the world. Contagious patients are maintained and usually quarantined, but that does not always mean you are completely safe from getting those germs. Nurses come in and out of these rooms every day to treat other patients, in non-quarantined rooms. The good news is, nurses take so many hygienic precautions that it is almost impossible for germs to be spread to another patient to the point of them falling ill with that same disease. Nurses use gloves at almost all times when dealing with patients. Latex, rubber, or even latex-free gloves are most common, and are used when giving medications, drawing blood, changing bedpans or changing dressings on …show more content…
For a nurse, trying to provide individualized care for a patient is extremely difficult to do, due to dealing with up to 20 patients a day. Assessing a patient’s needs and problems is first and foremost the most important thing for a nurse to do. Nurses are always caught between taking their time with a patient, and sorting out who needs care the most or whose condition is more severe. According to research done by the National Institute of Nursing found on nursingworld.org, patients who received 80% more of their care from RN’s had an 18.7% lower odds of readmission. Under the same circumstances, 1.9% had a shorter length of stay. Additionally, when there is a 10% increase in hiring of nurses, there is also a 10% decrease in the practice’s mortality rate. Some establishments are actually given higher pension compensations for quality of care based on statistics of their patient income and recovery time. This can be based on doctors and their performance, but there are some that are based solely on RN’s as well as the entire nursing staff and their performance with patients. In a private interview, registered nurse Whitney Sharp says “personally, as a charge nurse and a registered nurse, I make sure that the patient is comfortable, is receiving the right treatment and that the patient is monitored at all times. A patient can have a heart attack, loss of breath, or
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.
The Quality and Safety Education for Nurses (QSEN’s) goal is to prepare future nurses with the knowledge, skills, and attitudes (KSAs) that are needed to continuously improve the quality and safety of the healthcare systems within which they work. QSEN focuses on six main competencies; patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. As we have learned in earlier classes these competencies and their KSAs offer a base to help us and other nurses as we continue our education and become RNs. As we will learn in this class these KSAs go hand in hand with health assessment.
Many nurses face the issue of understaffing and having too much of a workload during one shift. When a unit is understaffed not only do the nurses get burnt out, but the patients also don’t receive the care they deserve. The nurse-patient ratio is an aspect that gets overlooked in many facilities that could lead to possible devastating errors. Nurse- patient ratio issues have been a widely studied topic and recently new changes have been made to improve the problem.
The aim of this reflection is to discuss patient safety in an acute setting according to the Scottish Patient Safety Programme. I will be using a model of reflection, Gibbs Reflective Cycle to structure my essay (Gibbs 1988 cited in Paterson and Chapman, 2013). In accordance with the Nursing and Midwifery Council identifiable information will not be written, maintaining confidentiality (NMC, 2010a).
An English Nurse who laid the foundation for professional nursing, Florence Nightingale stated, “It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do the sick no harm.” Acute care facilities try to maintain low costs and employ quality nurses, making the nurse-to-patient ratio become more of an issue with patient care. Nearly every person’s health care experience involves the contribution of a registered nurse, and the effects of not having an appropriate nurse to patient minimum ratio affects not only the patient and nurse physically, medically, but also the hospital financially.
In nursing practice, the safety competency is all about doing no harm to the patient and provider often by following the right procedures and monitoring the system’s performance for efficiency, as well as ensuring peak individual performance amongst the practitioners and their support systems. Integrating safety into the nursing practice, education and research is paramount to the effectiveness of the profession in so many ways as will be discussed in this paper. But before that, it is necessary to consider the knowledge, skills and attitudes that are related to this particular competence. The paper will then discuss the implications of integration with respect to the working environment.
Vital improvement for patient safety has triggered an enormous amount of positive change in the healthcare system. There were “1.6 million adverse events each year that led to 180,000 deaths” (Liang & Mackey, 2011). In a review, avoidable errors led to $19.5 billion dollars in healthcare expenses (Liang & Mackey, 2011). The National Patient Safety Agency analyzed 425 deaths from acute care hospitals and found “15% of the deaths were related to unrecognized patient deterioration” (Higgins, Maries-Tillot, Quinton, & Richmond, 2008). This finding led to the Institute for Health Care Improvement’s promotion for the use of an early warning scoring system to assist with identifying deteriorating patients (Albert & Huesman, 2011).
When a person chooses to become a nurse they make a moral commitment to care for all patients. This commitment cannot be taken lightly, as stated in the Code of Ethics for Nurses “The nurse respects the worth, dignity, and rights of all human beings irrespective of the nature of the health problem” (American Nurses Association, 2001, 7). Therefore, three ethical considerations that impact the safe practice of nursing will be explored in further details. These ethical considerations include substance use disorder in the workplace, professional boundaries, and the use of social media. Since Florence Nightingale’s era, nurses have been faced with various stresses. The goal is that nurses will be safe practitioners respecting
Working at the hospital for a little over a year now I have seen a few instances that are a "near miss", some a failure, and as of today a complete failure in patient safety but is being overlooked in some ways. Being the most recent and fresh in my mind this incident included a known drug addict, and an order that read "pt. may go outside with family". During shift report I asked the night shift RN why a known drug addict has outdoor privileges, when it is hard enough to get anyone the order to go outside. The RN giving report agreed with me, but since the ordering physician wasn 't available we could not challenge the order overnight. As my shift continued I go into the patients room to check on them and the bed was empty the wheelchair was gone and the bathroom was empty. I asked my Clinical assistant and she said that she was never told the patient was leaving (strike 1: patients need to tell staff when they leave the unit). After 30 minutes I looked in the room and the patient was still gone, after an hour the patient returned with a family member (strike 2: patients are allowed 15 minutes off the floor). I quickly went into the room and asked the patient that if they would like to leave the unit they need to notify staff before they leave and patients need to come back to
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.
Patient safety is a worldwide problem that is reaching crisis proportions. In spite of the mandates, pressure from consumer groups, and organizational initiative, there is little improvement to prevent patient harm in the United States (Sheerwood, G. 2015). Patients are still at risk for intentional or unintentional harm while they are being hospitalized. However, there are studies that are showing different ways to improve patient care and lessen the risk for harm. One study done is by Burston, Chaboyer, Wallis, and Stanfield done in March 2011. This study presents three contemporary approaches: Transforming Care at the Bedside (TCAB), this is a nurse led approach that provides direction to managers and staff in safe and reliable care that is effective and equitable, that staff should be able to work in a safe and supportive environment, that honors the patient as a whole and the family and to respect individual choices and
The rate of errors and situations are seen as chances for improvement. A great degree of preventable adversative events and medical faults happen. They cause injury to patients and their loved ones. Events are possibly able to occur in all types of settings. Innovations and strategies have been created to identify hazards to progress patient and staff safety. Nurses are dominant to providing an atmosphere and values of safety. As an outcome, nurses are becoming safety leaders in the healthcare environment(Utrich&Kear,
Furthermore into becoming a Registered Nurse, there are three cons about Registered Nurse. The first cons was too many patients to care for on each shift (THE EDITOR OF Nursing 2003 46). That lead to over work and less sleep for the RNs. "The truth is that they abuse flexibility, ignore voluntary guidelines, and continue to push staff nurses to take more patients than they can safely care for. They regularly staff by forcing nurses to work mandatory overtime and threaten them with patient abandonment if they refuse to stay," (THE EDITOR OF Nursing 47). The second cons was giving one nurse too much ill patients could compromise patient-care quality and safety (THE EDITOR OF Nursing 2003 47). That tells us that, nurse and patient can be a risk. Meaning by that, nurse will be over exhausted and patients won't be
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
Safety is important everywhere; safety in a hospital is just as important if not more. When a baby is born, it wants the safety of its mother. If a child falls off their bike, they cry for their parents. If a teen or adult goes to work, they want the comfort of knowing that they’re safe and going to make it home. The truth is, going to work in the hospital, it can be a very unpredictable. Hospitals aim to be safe. We all take special precautions to make sure others’ germs and bacteria doesn’t spread. If someone harms themselves and gets sent to the hospital, we take special precautions to make sure their safe. Although, with the windows able to open, some patients get the urge to jump. The windows in hospitals should