On January 28, 2016 at approximately 2000 hours, Security officers A.Zahir and D.Sharma attended PICU to conduct a standby outside the dining room while the patients are having their snacks. The officers were standing outside the dining room by the nursing station while patient (A, R) started getting louder and started using swear words when he was approached by his in-charge nurse (A, L) such as “Bitch, Cunt, fuck you” and continuously repeated these words. After hearing these words, the officers rushed into the room to prevent any further escalation. The patient was told by the clinical staff to not use foul language and he should not be having such a behavior towards clinical staff. The patient continued eating his food, but still seems …show more content…
They started calling each names, swearing at each other and making treats of harming each other. The patients got interrupted by the clinical staffs, were told to break it up and go to their rooms. Patient (L, M) turned around and was going back to her room when she overheard patient (S, H) saying “What a bitch”, so the patient (L, M) turned back and started swearing again and said that “you better watch your back because I am going to fuck you up!” in a really high tone. The clinical staffs succeeded in de-escalated the situation and convinced the patients to go back to their rooms. Patient (L, M) went to use the telephone while patient (S, H) went back to her …show more content…
The officers were asked by the in-charge nurse to take physical control of the patient arms and escort him physically if he starts acting out. S/O A.Zahir informed the in-charge nurse that they have been advised by the Timber Creek Management and were asked to refuse getting physically engaged with the patients unless they are imminent threat to themselves or to the others, so they would not be able to engage physically with the patient unless he tries to harm himself or someone else. After giving legitimate reasons for not going hands on with the patient, the clinical staffs agreed with the officers and
Health Care workers are constantly faced with legal and ethical issues every day during the course of their work. It is important that the health care workers have a clear understanding of these legal and ethical issues that they will face (1). In the case study analysed key legal and ethical issues arise during the initial decision-making of the incident, when the second ambulance crew arrived, throughout the treatment and during the transfer of patient to the hospital. The ethical issues in this case can be described as what the paramedic believes is the right thing to do for the patient and the legal issues control what the law describes that the paramedic should do in this situation (2, 3). It is therefore important that paramedics also
Nurse A seemed confident and calm while nurse B appeared tired. With the first patients, I noticed that both nurses were asking for first and last name and confirmed the information with the picture in the computer and the medication cup. After a few minutes, I turned my attention to nurse B because I noticed she did not ask a particular patient for his name. Instead, she relied on the name provided by a patient care technician. When she was about to give the medication to the patient, nurse A noticed that the patient on the computer screen was not the patient on the counter. She immediately told nurse B “ That is not Mr… girl ” and nurse B responded while laughing “ He looks exactly like …, I need to get some coffee ASAP”. The patient immediately realized what happened and told nurse B his name. After that, nurse B reached for the right cup and administered the medication to the patient. Even though a medication error was not committed and no harm was inflicted to the patient, by violating important QSEN competencies this incident could have caused a negative patient outcome.
The observation occurred in the LNC lunchroom during the second lunch of the day. I observed two groups of people in the lunchroom. The first group I observed being a group of all males seated to the right of me. The second group being a group of all females seated in the middle of the cafeteria. The method of observation I used was naturalistic observation. The naturalistic observation experience during the LNC lunch period provided further meaning about or local, national, and global community.
The decision to restrain a patient is in most cases left to the nurses. Other professionals such as occupation therapists and mental health counsellors are not consulted. A research on nurses’ decision-making process on physical restraint outlined that one of the themes associated with nurses decision making is personal thoughts and reason (Goethals, Dierckx de Casterlé and Gastmans, 2011, p.1200). This shows that most of the time nurses restrain the patients without consulting other professionals who might have had a better solution in handling the
own actions against each other have consequences negative to the other patients on the ward.
In order behave professionally, first of all, one needs the willingness to learn and be self-aware. Self-awareness would allow the respondent to realise her limitation on “between the flags” policy and be willing to learn and improve her clinical knowledge. If she had done so, she would realise the importance of documentation and the urgent need to arrange medical review for Patient A, preventing her condition from further deteriorating instead of making assumption that urgent medical assistant was unnecessary as long as the continuous administration of antibiotics. Additionally, with a sound professional experience and knowledge, clinical reasoning skills are also essential in professional behaviour. If the respondent had used problem solving, critical thinking and intuitive thinking skills to recognise and respond on Patient A’s deteriorating condition, she would have applied clinical judgement and decision making skill to prioritise the patient’ need to be urgently medical reviewed by the ED doctor even though she may receive some verbal abuse. Once she is confident with her clinical reasoning and judgement, she would take action on arranging urgent medical review, documenting her assessment for further examination and
I wrongly assumed that we were attending just another alcohol intoxicated patient, so typical of a Saturday night duty. On arrival I had considered scene safety due to the behaviour of the intoxicated male shouting at me, “where have you been?” I felt he tested my communication skills due to his aggressive behaviour, I put this down to the amount of alcohol he had consumed. This proved frustrating at times but I knew I had to diplomatic, as it could have escalated the situation. His body language displayed he did not...
As a result, she breached the standard 6 which states that “registered nurse should provide a safe, appropriate and responsive quality nursing practice” (NMBA, 2016). In line with this standard, nurses should use applicable procedures to identify and act efficiently to potential and actual risk such as unexpected changing patient’s condition (NMBA, 2016). Through early identification and response by the nurse, this will ensure that the patient’s condition is recognised and appropriate action is provided and escalated (Australian Commission on Safety and Quality in Health Care, 2011). Moreover, the nurse did not immediately escalate the patient’s deteriorating condition to the members of the health care team. Therefore, she also disregards the standard 4.3 stating that nurses should have work with the interdisciplinary health care team and to collaborate, communicate and discuss the patient’s status (NMBA,2016). The purpose of collaborating and communicating with the team is to provide a comprehensive plan of care for the patient and to facilitate early treatments needed by the patient (Cropley,
After this incident I spoke to my team leader and we both agreed I needed to report this situation to higher management. I documented the occurrence under the Incident Report file and filled out an online incident report for the doctor due to his unacceptable behavior, unsafe practices and professional misconduct. Within one week, our department’s management contacted me, the team leader, and the resident doctor that was involved. They spoke to all of us about how to avoid scenarios like this in the future, they recommended that we look at each other’s role on the health care team as equal not above or below one another, and that we share power and control in our patient’s plan of care. They also reiterated that if any order or intervention is unclear that it is better to seek clarification rather than have any errors occur. At the end of this whole experience, we evaluated the scenario as a group and planned to work together as a
There was inappropriate staffing in the Emergency Room which was a factor in the event. There was one registered nurse (RN) and one licensed practical nurse (LPN) on duty at the time of the incident. Additional staff was available and not called in. The Emergency Nurses Association holds the position there should be two registered nurses whose responsibility is to prov...
I visited each patients room and around 4PM I entered Mr.Govanni’s room and I noticed that he was doing something with his mobile and I greeted him but he replied without looking at me by shaking his head and said, oh!..yes, and he continued what he was doing. Hi...
Conflict has been an issue for man since the dawn of civilization. In today’s fast paced world conflict, especially in the workplace, is a frequent occurrence. When that workplace is a health care environment where lives are at stake, emotions run high and collaboration with many different disciplines is required conflict often becomes a prevalent part of everyday life. Conflicts in the workplace can lead to reduced morale, lowered productivity resulting in decreased patient care and can cause large scale confrontations (Whitworth 2008). In the field of nursing whether a conflict is with a peer, supervisor, physician, or a patient and their family, conflict management is a necessary skill.
is the duty to do no harm. The nurse first needs to ask him or herself what
Many individuals are exposed to violence and aggression due to underlying pathology. However, violence and aggression due to clinical reasons should not be compared to those where there is spiteful intent (Gates et al 1999). By finding this original cause of aggression actually needs a growth in a nurse/patient relationship and also the understanding of the patient’s condition. So therefore, Rew and Ferns, 2005 suggests that it becomes the duty of the employer to provide suitable safety measures and training in order to reduce risks and also make sure that the health and welfare of their employees is
I went to the operating room on March 23, 2016 for the Wilkes Community College Nursing Class of 2017 for observation. Another student and I were assigned to this unit from 7:30am-2:00pm. When we got their we changed into the operating room scrubs, placed a bonnet on our heads and placed booties over our shoes. I got to observe three different surgeries, two laparoscopic shoulder surgeries and one ankle surgery. While cleaning the surgical room for the next surgery, I got to communicate with the nurses and surgical team they explained the flow and equipment that was used in the operating room.