...Nurse Burnout and Its Impact on Patient Safety Georgetown University Foundations of Health Systems and Policy NURO-624 September 12, 2013 Nurse Burnout and Its Impact on Patient Safety Patient safety encompasses the application of best practices that are geared towards achieving positive outcomes and promoting safety, and can serve as an indicator of quality in healthcare institutions; sustainable nursing workloads improve the quality of health care by reducing unsafe conditions, as well as reducing mortality and morbidity. Several literature reviews have clearly identified the consequences for patients when nurses are overtaxed or over utilized to bridge the gap of nursing shortages. According to Mckee et al, each patient added to nurses’ workloads (beyond four patients) is associated with a seven percent increase in mortality following common surgical procedures (McKee, M. 1999). Recent health reform legislation has further stimulated increased awareness and focuses on patient centered care, and emphasizes on the importance of the patients’ experience. Moreover, patients’ expectations of their caregivers to be positively engaged in their work and performing efficiently and effectively in a supportive environment are prudent. However, several challenges are being encountered by nurses, as they strive to meet the mandates of the aforementioned health care reform. Challenges resulting from unfavorable working conditions that are not conducive to the provision of patient...
Words: 2603 - Pages: 11
...worried to know about. For that reason, I went to doctor and inquired that whether doctor had told them about the patient prognosis or not. In response to my question, doctor got irritated and replied in a very rude manner. He said, “you want me to tell patient that when he would gone to die? Or how much life is remaining for him… six month or less then that?” why should I be bothered? Let the family deal with it. I have other number of tasks. On hearing that comment, I got astonished and remained silent in front of him. After some time, he again probe that we don’t get enough time to explain each and every patient about their diagnosis and prognosis and if we take such type of tension related to patient’s health status, one day we get burst out. After coming across this situation, several kinds of feelings came in my mind. First of all, I felt very strange on hearing that discourteous response of doctor. I thought that being a professional, how he could talk in such a pathetic manner? Not only as a professional but also as a human being, he must have understanding and empathy towards terminally ill patients. Secondly, I got confused because after looking at the apprehensive behavior of doctor, I didn’t found any words to answer him or to argue him. I got totally blenched and remained quiet in front of him. Further more, I had a fear because I never had such type of conversation before with any doctor on such dispute....
Words: 1738 - Pages: 7
... |NEVER LEAVE A CANDLE BURNING UNATTENDED | | | | | | | |PLEASE KEEP OUT OF REACH OF CHILDREN AND PETS. ALWAYS| |PLEASE KEEP OUT OF REACH OF CHILDREN AND PETS. ALWAYS| |PLEASE KEEP OUT OF REACH OF CHILDREN AND PETS. ALWAYS| |PLACE ON HEAT RESISTANT SURFACE AWAY FROM FLAMMABLE | |PLACE ON HEAT RESISTANT SURFACE AWAY FROM FLAMMABLE | |PLACE ON HEAT RESISTANT SURFACE AWAY FROM FLAMMABLE | |MATERIAL. HANDLE WITH CARE. GLASS MAY BECOME VERY | |MATERIAL. HANDLE WITH CARE. GLASS MAY BECOME VERY | |MATERIAL. HANDLE WITH CARE. GLASS MAY BECOME VERY | |HOT. ALWAYS TRIM WICK ¼ INCH AND REMOVE WICK DEBRIS. | |HOT. ALWAYS TRIM WICK ¼ INCH AND REMOVE WICK DEBRIS. | |HOT. ALWAYS TRIM WICK ¼ INCH AND REMOVE WICK DEBRIS. | |FOR BEST RESULTS DO NOT BURN CANDLE FOR MORE THAN 2 | |FOR BEST RESULTS DO NOT BURN CANDLE FOR MORE THAN 2 | |FOR BEST RESULTS DO NOT BURN CANDLE FOR MORE THAN 2 | |HOURS AT A TIME. NEVER BURN CANDLE COMPLETELY, | |HOURS AT A TIME. NEVER BURN CANDLE COMPLETELY, | |HOURS AT A TIME. NEVER BURN CANDLE COMPLETELY, | |DISCARD WHEN ½ INCH OF WAX REMAINS IN THE CONTAINER. | |DISCARD WHEN ½ INCH OF WAX REMAINS IN THE CONTAINER. | |DISCARD WHEN ½ INCH OF WAX...
Words: 1070 - Pages: 5
...coffee lawsuit is back in the news again, being used as an example of frivolous lawsuits, irresponsible juries, excessive verdicts, a generally out-of-control legal system, and thus a justification for tort reform. However, after doing some research, I discovered that the case was hardly as unreasonable as people often make it out to be. I originally wrote this for Usenet several years ago; the links at the bottom of the essay may have expired. -------------------------------------------------------------------------------- McDonalds coffee and the Liebeck lawsuit Lis Riba, 2000 Here are some facts about what really happened: At the trial, it was revealed: •McDonalds required their coffee kept at 185 degrees Fahrenheit, plus or minus 5 degrees, significantly higher than other establishments. [Coffee is usually served at 135 to 140 degrees] •An expert testified that 180 degree liquids will cause full thickness burns in 2 to 7 seconds. •McDonalds knew before this accident that burn hazards exist with any foods served above 140 degrees. •McDonalds knew that its coffee would burn drinkers at the temperature they served it. •McDonalds research showed that customers consumed coffee immediately while driving. •McDonalds knew of over 700 people burned by its coffee, including many third-degree burns similar to Ms. Liebeck's. •McDonalds had received previous requests from consumers and safety organizations to lower their coffee temperature...
Words: 643 - Pages: 3
...CPR & First Aid Exam User Login: jackie_skibel User Name: jackie esquibel User E-mail: esquibel2012@gmail.com User Score: 19 Total Score: 20 Passing Score %: 75 The user spent 07:23 on this quiz jackie esquibel has passed the quiz 1.[1/1] When creating a splint for the fractured area, you should not: A. move the broken bone B. cover open wounds with a sterile dressing C. apply ice packs or cubes of ice wrapped in a towel D. elevate the injured area where possible Answer: A 2.[1/1] Burns from liquid chemicals must be rinsed with warm water A. true B. false Answer: B 3.[1/1] Which one of these is a must have in a first aid kit? A. Antibiotic Ointment B. Scissors C. Splints D. Ice Pack Answer: A 4.[1/1] Fractures can be classified as: A. Simple B. Compund C. All of the above Answer: C 5.[1/1] During adult CPR you should perform in the form of 30 chest compressions and 2 breaths. A. true B. false Answer: A 6.[1/1] CPR masks allow the rescuer to carry out CPR without direct contact with the victim’s mouth. A. true B. false Answer: A 7.[1/1] Bruises are caused by broken capillaries after a sudden impact. A. true B. false Answer: A 8.[1/1] CPR is always effective A. true B. false 1/3 http://cheap-cpr.com . Date 11 March, 2015, 01:35 Answer: B 9.[1/1] To check for a pulse, place the tips of your first two fingers besides the A. knee cap B. Adam's apple C. left eye D. belly button Answer: B 10.[1/1] Child CPR should be performed...
Words: 629 - Pages: 3
...The White Powder Mystery The purpose of this experiment is to figure out who sabotaged Luigi’s cake with a mystery substance. The way we did this was by testing the multiple mystery powders to see there reactions to vinegar, iodine, and heat. The vinegar tests for the presence of acid, the iodine tests for the presence of starch, and heat to test for burning point. The items needed to complete this lab are a Bunsen burner, tin foil, plastic film, iodine, vinegar, baby powder, baking powder, baking soda, flour, corn starch, and powder sugar. I believe that toad sabotaged Luigi’s cake because no one suspects the toad. 1) You need to gather all the materials. Including mystery substances 1-6 2) Put mystery powder 1 on the plastic film in two piles, and test its reaction to vinegar then to iodine. Repeat this for mystery powders 2-6. 3) Record results 4) Make 6 small bowls out of the tin foil to hold the mystery powders. 5) Connect the Bunsen burner hose. 6) Turn on the gas and light with a striker. 7) Hold the tin foil bowls with the mystery powders in them with tongs, and then move the bowls over the flame for 20 to 30 seconds. 8) Record results Observations Vinegar Iodine Heat A White powder, Blue tint No Fizz No reaction Burned around edges B White powder, fine, clumps together Fizz Reaction Smokes, burns edges C fine powder, clumps Fizz No reaction No heating reaction D clumps, yellow tint, soft No Fizz Reaction Very quick reaction, Flames E very soft, very fine...
Words: 361 - Pages: 2
...Risk Management 2301 Stella Liebeck VS McDonalds This case involves two parties; McDonalds and Stella Liebeck, a 79-year-old female, was sitting in the passenger seat of her grandson’s car having just purchased a cup of McDonald’s coffee. After her grandson stopped the car, she tried to hold the cup securely between her knees while removing the lid. However, the cup tipped over, spilling boiling hot coffee onto her legs. She received third-degree burns on over 16 percent of her body, this required eight days of hospital care, whirlpool treatment for debridement of her wounds, skin grafting, scarring, and disability for more than two years. Despite these horrifically extensive injuries, she asked McDonald’s to settle her hospital bills of $20,000. However, McDonald’s refused to settle, they offered her a mere fraction of the required $20,000. McDonalds offered $800. The jury awarded Liebeck $200,000 in compensatory damages, which was reduced to $160,000 because the jury found Liebeck to be twenty percent at fault and $2.7 million in punitive damages for McDonald’s callous conduct. (The judge was referring to the fact that; McDonald's revenue from coffee sales is in excess of $1.3 million a day.) The trial judge reduced the punitive damages to $480,000. Subsequently, the parties entered a post-verdict settlement. The case went on to be considered a frivolous lawsuit, which means the practice of starting or carrying on lawsuits that, due to their lack of legal merit,...
Words: 625 - Pages: 3
...after use is if it is spilt wipe the benches with Virkon to prevent microorganism growth. Disinfectants: low hazard. Wash hands after use. Ethanol: can cause a fire. Take care when using ethanol with the Bunsen. Bunsen: burns. Use carefully. Keep on yellow flame when not in use. E.coli: possibility of infections. Use a good antiseptic technique. Wear a lab coat. Cover cuts/ ware gloves. Depose of equipment in a bleach pot or bags for autoclaving. Hypothesis: I would expect to find that Dettol works better than Tesco’s disinfectant because it is said to work better than other leading brands. Equipment: Tweezers Borer Pipettes Suring (20Ym) Glass simmers Beaker of ethanol Bunsen burner E.coli 4 clean agar plates Virkon 30 Cm Ruler Micropipette Method: 1. 1 plate for each cleaner (2 plates used, other plates are in case a mistake is made) swamped the E.coli in the blue flame of the Bunsen burner. 2. Get a pipette of E.coli and up it on the plate. Flame the spreader (put it in ethanol then in the flame) be careful on to crack the spreader. Use the simmer to spread the bacteria around the agar plate 3. Flame borer (in the same way as the simmer but be careful if the borer is in the flame too long you can burn your hand. If you do run it...
Words: 622 - Pages: 3
...After watching the documentary Hot Coffee, my eyes where open to many different things. Before watching the film I assumed that the entire documentary would be about the case of Liebeck v. McDonald’s Rests., No. CV-93-02419, 1995. There is many misconceptions about the case, many people believe that she just spilt hot coffee on herself. In reality, Libeck suffered serious burns that required many surgeries that cost a lot of money. The movie described how this case has been misused to describe frivolous lawsuits and referenced in conjunction with tort reforms. There where a few different cases discussed, such as Gourley v. Neb. Methodist Health Sys., 663 N.W.2d 43 (Neb. 2003). This case talked about the damages in medical malpractice which caused the plaintiffs son to be born with mental disorders....
Words: 410 - Pages: 2
...classification of burns that range from minor to severe. First degree burns, second degree burns and third degree burns. There are many causes of burn including sunburns, chemical or electrical burns and ones caused by fire. This paper will be and overview of the types of burns and there causes. It will also describe the best treatment for each type of burn and education of the patient. First-degree burns are minor and affect only the outer layer of the skin, the epidermis. They can cause pain, redness, and swelling and they can be erythematous, and dry. Usually, first degree burns do not require medical attention and can be given adequate attention and treatment at home. For minor,...
Words: 1610 - Pages: 7
...is a burn? Burns are physical injuries that occur when the human skin comes in contact with heat, radiation, electricity or certain chemicals. Burns are extremely dangerous and excruciatingly painful. Even a minor burn can be extremely painful. They can cause a severe damage to the skin and in some cases also to some internal organs of the body. They form permanent or temporary marks on the skin and involve the damage of the layers of skin. Basically burns are caused by any hot object or a chemical. Usually the most common agent causing burns is the fire. Other agents are hot liquids, electricity and chemicals and gas. Each year, over 200,000 Canadians receive medical care for burn injuries. More than 5000 of these are hospitalized for an average of two weeks, and of these, four percent will die from their injuries. How many of you have had a burn? How many of you have had, or ever had a loved one have a burn so severe that they had to go to a burn ward for treatment? I’d like to take this opportunity to give you a little history on the creation of burn wards in Canada, specifically Winnipeg, Regina (my own personal experience with my brother) and Toronto, the costs of these services, the leadership required to make these services a reality, and the important role these services play in the welfare of injured Canadians as a whole. Prior to the 1960s, burn victims were treated in general surgical wards. There were no specialized facilities for treating burn victims...
Words: 2128 - Pages: 9
...Sittong Chiang ENG 100 11-10-13 It Is Always Wise To Never Burn Your Bridges Have you ever known or worked with anyone that you just did not like? You see them on a regular basis and try to just tolerate them but they just get on your last nerves. Eventually you can not take it anymore and just explode and say horrible things to them. There goes whatever type of relationship you had with them, whether it be professional or personal. Regardless of the type of relationship you had, you feel wonderful about finally being able to vent out your frustration with them. Although doing this may have made things a little awkward, life does continue to exist and this is soon forgotten. Time flies, what seems to have been a lifetime has gone by. You have stumbled on hard times but you have a important job interview coming up that could change your luck. The day of your interview, you enter the manager’s office and sit down. Lo and behold! The person in charge of hiring is the person that you mercilessly verbally attacked all those years ago! A barrage of mixed emotions suddenly overwhelm you, leaving you alone with your last emotion...regret. The interview is over before it even started. I am sure everyone has experienced this in some form or another. One of the many lessons I have learned in life is to not burn my bridges. It is words I try to live by. In my essay I want to discuss with you why it is important to not burn bridges but also contrary to everything that I have been saying...
Words: 852 - Pages: 4
...therapeutic grade (CPTG) essential oils. These oils are used for healing, losing weight, lifting your mood, and many other purposes as well. They are made from the seeds, stems, roots, flowers, bark, and other parts of plants. They are produced to provide the most beneficial, all natural healthcare available today. There is one particular essential oil that I want to focus on. This oil is called Deep Blue. It is used for healing achy muscles, arthritis, headaches, and sore joints. It also comes in a lotion rub form that is very easy to apply to the area when needed. Deep Blue Rub is in a squeeze bottle that was made so that it doesn't take much effort to use. Anyone can easily open the lid and use this wonderful product. Deep Blue Rub is made out of the purest ingredients to be the most beneficial to those who suffer from pain or inflammation in muscles and joints. It is made from the essential oils: Wintergreen, Camphor, Peppermint, Blue Tansy, German Chamomile, Helichrysum, and Osmanthus (a flower located in China). I have used Deep Blue many times before. When I got injured and strained my muscle, I applied it to the area, and immediately felt relief. Not only did Deep Blue take the pain away, but it helped heal my strained muscle faster than it would have on its own. I have also suffered from knee injuries that caused me severe pain, inflammation, and swelling. I used Deep Blue Rub and I was able to do physical therapy without pain. It has helped prevent the knee surgery I might...
Words: 641 - Pages: 3
...Regional Burn Association Designed for the years 2015-2020 For Mr. Paul Shwartzman Submitted on the Date of December 4, 2014 Introduction History of the Finger Lakes Regional Burn Association (FLRBA) Founded in the late 1980’s and formerly incorporated as a 501c3 in 1989, the Finger Lakes Regional Burn Association (FLRBA) is a non-profit organization committed to primarily serving residents of the Finger Lakes regional and occasionally beyond regardless of social or economic status. The idea for the burn association was first proposed by the Monroe County Fireman's Association. The staff at the Strong Memorial Hospital Burn Unit was receptive to the idea and organizational needs were established. The Rochester Fire Department was then brought into the organization. Since then, the association has grown to include other elements of the fire services as well as members of the emergency medical services, and interested professionals from throughout the community. The organization works to insure that anyone impacted by a burn related injury receives the necessary resources on their road to recovery while raising fire and burn prevention awareness. The initial goals established in 1988 still stand today. They are to present burn and fire prevention information to the community, to provide support to burn survivors, to support local burn care research, and to support the regional burn center at Strong Memorial Hospital (Rochester, NY) with equipment to enhance burn care, and...
Words: 1720 - Pages: 7
...Burns- Assessment of such as age and the depth of the burn , bsa, inhalation injury , injury of other special surfaces such as the face the perineum , hands or feet or genital areas as well as medical hx. Burns are classified as : superficial partial thickness --- deep partial thickness--- full thickness injuries, it is important to remember that these are similar to but not the same as first second and third degree burns. Fourth degree burn if used is classified as a full thickness burn that destroys also tendons and muscle usually from high voltage injury or prolonged flame contact. Superficial partial thickness- the epidermis is destroyed or injured and portion of the dermis may be injured to Deep partial thickness – the epidermis is destroyed and the upper layers of the dermis with possible involvement of the deep layers, cap refill and tissue blanching, hair follicle still in tact Full thickness- destroys everything up to and including the underlying tissue of bone and muscle, color ranges from pale white to red and charred brown and black. No sensation due to destruction of the nerve. Wound is leathery no hair or sweat glands. Wound must be grafted to heal BSA: Rule of nines: head is 9, arms are 9, chest is 18 anterior and 18 posterior , belly is 18 anterior and posterior, legs are 18 and genitals are 1. Lund/bowder method is more accurate it determines BSA based on proportion of the area to the whole body and is more precise. Usually is given estimate then...
Words: 1990 - Pages: 8
