In any major accident, it is important that everyone involved in the co-ordinated planned response liaise with all Health services, Traffic control, Police, Fire services, ambulance and hospital. The action at an accident starts as: assessing the situation, in the management of an incident one of the most important steps is evaluating the scene accurately. The role of the lead professional nurse is more complex since they have multi-disciplinary knowledge and experience of health promotion in their nurse practice. Note and answer to yourself, the factor that are involved at the incident, the mechanisms and circumstances on the injury, as well as the extent and type of injury. Assessing the situation identify what happened, a number of people involved, as their age, there is a child and or elderly. Assess the casualty or casualties to establish the treatment priorities. The primary survey intends to rapidly and systematically establish and treat any life threatening, follow the ABC principles: airway, breathing, and circulation. Prioritise according to the severity of their injury. Unresponsive casualties are at great risk. The secondary survey consists of a systematic top-to-toe examination to look for other injuries that may not be immediately …show more content…
apparent, the aim is to find out history, symptoms and signs. At this point, casualty may have spoken to you or made eye contact. Perhaps there has been no response, using the AVPU assess the casualty. The importance is that some illnesses and injuries cause a deterioration it is vital to assess the level and monitor him for changes at all the time till you hand the casualty to the hospital. Crews are highly trained in all aspects of emergency care, such as trauma injury to cardiac arrest, and they are equipped with a range of emergency care equipment, heart defibrillators, oxygen, intravenous drips, spinal and traction splints, and a variety of drugs. An ambulance incident officer, senior crew member (AIO) who is in charge until a more senior officer arrives. The AIO will discuss with the chain of command the need for additional support such as Medical Incident Officer on the scene (MIO). The emergency service separates the scene of an MI from areas, the bronze area is managed under the forward commander, one of each of the emergency services. The silver area surrounds the entire incident side, silver commanders are responsible for gathering incident scene and liaising with other emergency services. The golden is the area way from the accident scene, they are responsible for overall organisation and flow of the casualty incident response. The ability to effectively coordinate the all the different emergency services rapidly is a great challenge. The most critically ill casualties will be transported to nearby trauma hospitals, and other will be making their own way to the closest A&E department.
The roles of emergency services consist on the medical team who is responsible for scene assessment of personnel and equipment requirements, coordinating information to and from hospitals, oversee treatment from medical and nursing personnel, the ambulance crew will do the triage, patient transfer from the scene, and health service communication. The fire services are responsible for eliminating the fire and rescue trapped casualties using specialist equipment, the police team will control the traffic to aid evacuation, identify and move the dead, maintain law and
order. In element, nurses and people, one expectation stated for the practitioner, health services and manages “Provide care that respects human rights and is sensitive to the values, customs, and beliefs of all people”(ICN,2006). Ethical dilemmas arise when one, sometimes opposite side, actions arise because those involved in the specific situation share different perspectives also because the ethical principles suggest a different course of action. It is essential that all health providers, health professionals compare their current knowledge against the knowledge requirements and benchmarks for that skill of practice and then identify any gaps, based on current evidence and best practice standards. Codes of conduct have different professional bodies to develop their own codes of conduct such as NMC-The Code and HCPC-Standards of conduct, performance and ethics, without an understanding of the ethical principles, legislation or legal precedents that apply to their practice health services and paramedics may be at risk of incurring fitness to practice investigation, in extreme cases, criminal charges will apply. The government will provide equality of opportunity, reinforced by their valuation and will not tolerate discrimination on the ground of gender, gender identity, marital status, sexual orientation, race, colour, nationality, religion, age, tradition activity or political activity or political beliefs or any other grounds. For care to integrated, organisations and care professionals need to bring together all of the different elements of care that a person need. People can experience health and social care services that are fragmented, difficult to access and not based around their needs. However, governments’ policies stated that a good integrated care can reduce confusion, delay, duplication and gaps in service delivery, people getting lost in the system. The integrated care will achieve a better planning, the most personal involvement of the person using services as well as free access to the good information. The Francis report shows the failing at the mid-Staffordshire foundation trust. Published in February 2013, since then issues of patient safety, culture of collective leadership have been in the public eye more than ever. Resulted in recommendations to NHS on how to improve the quality, safety and experience of a care for patients. Collaboration is acknowledged as an important component of teamwork processes. A concept analysis was undertaken by Henneman et al. identified that collaboration “requires competence, confidence and commitment on the part on all parties.” Respect and trust, both for oneself and others is key to collaboration. Is the key to improving the quality of patient management in critical stings as trauma emergency department, is to use inter-professional teamwork attributes and improvement strategies. The lack of teamwork among health care services affects care delivery and unit operations, the professionals must work together to setting and deliver goals and objectives such as: providing a practical framework to identify defects, investigating an adverse event, as well as understanding incident report and the impact of teamwork and communication in safety manners. Good supervision will help managers get the best out of their staff. Organisations are likely to be succeeded by having workers who are skilful, clear about their roles, knowledgeable, and who are assisted in their practice by sound advice and good emotional support. Setting clear expectations, code of conduct that explicitly states how we care for one another. Care work teams are designed to improve and coordination to reduce errors, improve teamwork skills and improve care quality, reduce litigation risks. Good and effective teamwork in healthcare can have an immediate and positive impact on patient safety. Teamwork should have the ability to resolve conflict or disagreement in the team, it is important that all members fell free to comment when they see something that will impact on the safety of a patient. The health and care professions council sets out the standers of conduct, performance and ethics that the professional body expect from the professionals regulated by the hcpc. In the other words, the hcpc are the regulator that were set up to protect the public. Keeping a register of health and care professionals who meet their standards for professional skills and behaviours. There is currently sixteen professionals regulated under the hcpc regulations. If someone claim that they are registered with these professional body, when they are not or to use a protected title they are not entitled to use, they may be subject to prosecution and a fine of up to £5,000. Assistants, students and trainees will not be committing an offence if they use a protected title with a prefix which clearly indicates that they are not fully qualified, as a matter of there is no intention to deceive. Therefore, their aim as an organisation is to make sure that they always provide the best quality of services for all of their stakeholders, setting up their quality system. Their quality of system means that they can; understand and meet the need of their stakeholders, ensure greater consistency in the service they offer; and improve their internal and external communication.Hence, their aim is to provide the best customer service they can for all their registrants such as: acknowledge receipt of feedback within three working days, respond to feedback within 15 working days, keep the registrants regularly updated as to the progress of their enquiry if the issue has not been resolved within agreed time, dealing with all feedback in an effective, fair and confidential manner.
The current patient may be experiencing a range of traumatic injuries after his accident, the injuries that the paramedic will focus on are those that are most life threatening. These injuries include: a possible tension pneumothroax or a haemothorax, hypovolemic shock, a mild or stable pelvic fracture and tibia fibula fracture.
After the injury has occurred, the injured should see the family doctor or possibly a specialist to see if something is torn. The doctor will do some range of motion testing. Theses test are the Lachman, Dynamic extension and the pivot jerk.
Nursing leaders ' responsibility extends to become a voice for the nurses and for offering quality in patient care, not just at their organizations but spanning the whole communities, interacting with law makers in revising regulations and laws, with researchers and educators. Nurse leaders, in particular those at manager and supervisory levels are spread sparsely. They are involved in business planning, human resources, information management and writing reports. It is advisable for them to refocus the leadership on care which matters to patients which is the essence of
This assignment is based on the case study of Leigh Richards (School of Nursing & Midwifery 2013). Leigh Richards is a 39-year-old male who has three (3) children, he lives in Murray Bridge and works as an irrigation consultant; Leigh was in a rally car as it crashed into a tree while going high speeds on a dirt road. Leigh has been diagnosed with pneumothorax and a small subdural hematoma but these will not be discussed within the assignment (School of Nursing & Midwifery 2013). This paper will encompass the anatomy and physiology of the skeletal and muscular system, the pathophysiology that relates to the areas surrounding the diagnosis of injury that Leigh has acquired, two of the signs and symptoms that Leigh has will be elaborated on and
In physical therapy, patients come to the clinic with a long list of symptoms and a specific mechanism of injury. It is the physical therapists job to take this information and form hypotheses of what pathology may be affecting the patient. With the patient that has been presented in this case, a full history shows a very good description of symptoms and what the patient remembers happening when the injury occurred. With this history, an examination plan can be created in order to make this examination process thorough, but efficient.
There are certain aspects and competencies common to role of the nurse practitioner (NP), nurse educator (NE), nurse informatics (NI), and nurse administrator (NA). All four roles act as leaders within the health care organizations depending on their designated areas of duty. Their input is needed to keep the health care institution running. To assume their roles, NP, NE, NI, and NA require some education and credential from nursing perspective or other related experiences.
The fundamental patterns of knowledge were first identified by Barbara Carper (1978), and included empirical, personal, ethical, and aesthetic knowing. According to Zander (2007), Carper sought to develop a holistic, individualistic, therapeutic model of practice which could be utilized to structure nursing education, and evaluate nursing practice. The addition of emancipatory knowing by Chinn and Kramer followed in 2008. These patterns of knowledge have shown to be very beneficial, if not crucial to the nursing profession. The purpose of this paper is to provide an in depth explanation of aesthetics, and its importance in nursing. A detailed scenario of esthetic nursing will be included. This
Healthcare is a continuous emerging industry across the world. With our ever changing life styles and the increased levels of pollution across the world more and more people are suffering from various health issues. Nursing is an extremely diverse profession and among the highest educated with several levels ranging from a licensed practical nurse (LPN) to a registered nurse (RN) on up to a Doctorate in Nursing. Diane Viens (2003) states that ‘The NP is a critical member of the workforce to assume the leadership roles within practice, education, research, health systems, and health policy’.
Any problems, questions or equipment issues should be addressed as well as established procedures that may need correction. Emergency responders should also be evaluated to ensure proper practice and procedures were followed and to address any further training that may be needed. Use of ICS should be a focus of the evaluation because of its importance in responding to incidents. Two common mistakes for emergency responders are failure to implement ICS and failure to fully understand the concept and its application (Phoenix Police Department, n.d., slide 17). Proper use of ICS must be used and fully understood in order to reap the benefits of having an efficient, flexible and standardized incident management plan; otherwise tasks and responsibilities are likely to be overlooked during a response to any incident especially those involving the high stress of a terrorist
This piece of work will be based on the pre-assessment process that patients go through on arrival to an endoscopy unit in which I was placed in during my second year studying Adult diploma Nursing. I will explore one patient’s holistic needs, identifying the priorities of care that the patient requires; I will then highlight a particular priority and give a rational behind this. During an admission I completed under the supervision of my mentor I was pre-assessing a 37 year old lady who had arrived to the unit for an upper gastrointestinal endoscopy. During the pre-assessment it was important that a holistic assessment is performed as every patient is an individual with unique care needs as the patient outline in this piece of work has learning disabilities it was imperative to identify any barriers with communication (Nursing standards 2006).
This allows for nurses to take on roles that do not necessarily involve direct patient care due to the vast array of job opportunities within an ever expanding health care system. Jobs that were once created for and filled by other fields of study such as business and law are now being tailored to the nursing profession. One such role that was previously dominated by human resource professionals, health
The imaging modality is determined by the condition of the patient and the specific type of injury that is most appropriate (e.g., plain-film radiography vs computed tomography (CT) scan. In order to precede the imaging procedure, the clinical capabilities to support, monitor, and treat the trauma patient as well as the availability
Medical history. Your health care provider will ask for details about how the injury occurred.
The surgeon must obtain a careful history of the mechanism of injury, the likelihood of associated injuries, and the presence of underlying medical conditions that can affect treatment or healing. The mechanism of
Sports injuries can be defined in many ways. Generally, sports injury is defined as a collective name for all types of damage that can occur in relation to sporting activities (Timpaka, et al., 2006). From the medical point of view, sports injuries is defined as a trauma or repetitive stress associated with the athletic activities. It can affect bones or soft tissues such as ligaments, muscles and tendons (Medical-Dictionary). Others may define it as an injury sustained during sporting activities for which an insurance claim is submitted (Bahr, 2008). Some may define sport injuries confined to injuries treated in a hospital casualty or other medical sustained by a player that results from a football match or football training, irrespective of the need for medical attention or time-loss from football activities (Fuller, 2006). Even though these definitions differ, all of these are accepted definitions of sports injury.