If you were assigned to care for Mrs. Lloyd, the patient described in the Clinic
ID: 122700 • Letter: I
Question
If you were assigned to care for Mrs. Lloyd, the patient described in the Clinical Connection, which of the following would be your first priority? a. Checking the Morse Fall Scale rating for Mrs. Lloyd b. Reassuring the family that you will watch her closely so they will not sue the hospital. c. Assessing risks to her safety and implementing strategies to minimize them d. Reading the nurse's notes and care plan to determine how best to transfer her You have delegated the checks and releases of a patient who requites wrist restraints to an unlicensed assistive personnel (UAP). You have been says busy with other patients all morning. The patient's wife finds you and say s that her husband is very restless and has not been to the bathroom for 6 hours. What action will you take? a. Call the UAP and ask him or her to release the patient and take him to the bathroom. b. Go yourself and assess the situation as you release the patient and assist him to the bathroom. c. Cheek the flow sheet, then explain to the wife that the patient has been released every 2 hours and assisted to the bathroom because it is documented. d. Call the UAP and question him or her about the checks and releases in front of the patient and his wife. Even if you delegate checks and releases, what are your responsibilities when a patient must be restrained? a. Follow up every 2 hours to be sure the patient is released from restraints and has been checked on every 30 minutes. b. Remind the UAP every 4 to 6 hours to check on the patient and release him or her. c. Avoid delegating any responsibilities related to restraints to avoid legal charges of false imprisonment. d. Reassure family members that protocols for restraints are always followed without fail. If you were at a hospital for clinical experience and a mass casually event (MCE) occurred in your city, how could you and your fellow nursing students be of help? a. By leaving the hospital to be out of the way during the disaster response b. By taking over all of the staff nurses' responsibilities, leaving them free to respond to the disaster. c. By participating in the hospital's disaster plan, performing duties as assigned, within your scope as a student d. By organizing all of the volunteer* who arrive to help dining the disasterExplanation / Answer
Question 1:
Answer- Assessing risks to her safety and implementing strategies to minimize them.
The roles of healthcare risk and quality professionals are evolving in healthcare organizations. In the past, the two functions often operated separately, and individuals responsible for each function had different lines of reporting an organizational structure that further divided risk management and quality. Today, risk management and quality improvement efforts in healthcare organizations are rallying behind patient safety and finding ways to work together more effectively and efficiently to ensure that their organizations deliver safe, high-quality patient care and continue to minimize risks.
Action Recommendations
• Seek senior leadership support for aligning the patient safety, risk, and quality functions within the organization.
• Ensure that the patient safety, risk, and quality activities are aligned with the strategic goals of the organization.
• Assess current activities in patient safety, risk, and quality to clarify responsibilities and reduce duplication of effort.
• Establish a structure that ensures that patient care activities are addressed in a coordinated manner involving the patient safety, risk, and quality functions.
• Seek guidance to ensure that the structure for patient safety, risk, and quality activities maximizes legal protections while allowing for the flow of information across all functions.
• Seek to coordinate and streamline process changes, data collection, data analysis, monitoring, and evaluation.
• Learn from each other, capitalizing on the skills provided by each manager.
• Periodically evaluate the roles of patient safety, risk, and quality as the organization's needs change.
Question 2:
Answer- Go yourself and assess the situation as your release the patient and assist him to the bathroom.
The patient is on wrist restraint that makes him physically impaired and mentally withheld. You might have assigned the works to the UAP he might have performed his work right and documented. But as you are incharge of the patient and you have been busy with other patients since morning it is perfectly right that you go and access the situation yourself and rectify the issue raised by the patients wife. Believing the documentation is not wrong as well trusting the patients wife complaint is not wrong too. You can question the UAP after assessing the situation personally and not in front of the patient or the wife which is not the professional way of handling the problem. Therefore the exact way to handle this complaint is to take sometime to assess it yourself and rectify. Finally patient care is our main concern.
Question 3:
Answer- option a & d.
Eventhough the restraint patient care duty is delegated to the UAP. As the incharge nurse of the patient you are primarily responsible to check on the patient every 2 hours and if the UAP is carrying out his works properly. That will definitely help you avoid unnecessary issues that can arise from the patient attendants side and help the patient feel comfortable and reassured.
Your careful and regular monitoring will reassure the patient relatives that the protocols of restraints are thoroughly followed and the patient is in good hands of care.
Question 4:
Answer- option c
As a student we belong to the inexperienced group of healthcare personals who might help the staff in carrying out the disaster plan effectively but cannot and should not take over the responsibility as such. As students you will be able to provide helping hands with the hospital staff and perform the duties assigned to you by the disaster management staff unit. Unless and until you obtain your license and start practising in a clinical setup on your own you only have the responsibility to help the staff in needs and learn from it.
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