...the Communications Standards as provided by The Joint Commission, (National Patient Safety Goals, 2013). The high risk associated with surgical procedures performed on the wrong site has driven a risk mitigating approach to the processes involved for these procedures. The goal is to prevent harm to patients having a surgical procedure. The following summary is the current compliance status if the Priority Focus Area of Communication for Nightingale Community Hospital. After review of the specific areas identified in the Priority Focus Area, the following have been identified as requiring further attention: time-outs are routinely performed prior to every procedure (UP 01.03.01) and procedure site is marked (UP 01.02.01). Based on the evaluation of the Nightingale Community Hospital National Patient Safety Goals for Communications the current compliance rate related to the Universal Protocol Time-Out processes performed hospital wide indicate a 95% to 100% compliance rate for the year. The graph provided in the Nightingale Community Hospital National Patient Safety Goals Communication assessment provides limited information as these are hospital wide percentages. No unit specific evaluations of performance have been provided in the report. Upon review of the Site Identification and Verification used by Nightingale Community Hospital for the Priority Focus Area of Communication there are indications for specific areas of opportunity (The Universal Protocol for Preventing Wrong...
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...Executive Summary Joint Commission Standards Compliance Prepared by: AK- Joint Commission Priority Focus Area: Communication RAFT Task 1 The Joint Commission Priority Focus area for Nightnigale included the four areas: • • • • Information Management Medication Management Infection Control Communication All these priorities focus on the national patients safety goal as the most important in patient management and treatment, and guide the hospitals toward appropriate policies and protocols to follow and to minimize any possible mistakes or patients harm. I choose the priority focus area of Communication to discuss the current compliance status of our organization concentrating on the standards, which did not meet the Joint Commission requirements, and then suggest a corrective action plan to reach the goal of full compliance with the Joint Commission Accreditation. Communication Focus Area Compliance: Current Compliance Status: Despite the written policy and emphasis on the communication between all medical staff, patients, families, some elements did not meet the Joint Commission standards including the following: 1. Reporting Critical Results within 60 minutes: Goal is 100% compliance. • • • The importance of this element in patient management makes it so critical to have a better outcome and reduce complications and bad outcomes. Our institution compliance averaged 56% to 82% depending on the month. Some of the reasons for delayed reporting was identified as follows:...
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...of an Evidence-Based Protocol Over the past decade there has been a growing focus on quality improvement including moving from a traditional intuition-based paradigm to evidence-based practice (EBP) (Eizenberg, 2011). There is an increase in consumer demand for quality and cost-effective health care and this has created a greater emphasis on EBP. EBP is essential for promoting excellence in health care (Koehn & Lehman, 2008). Clearly aligned to evidence-based practice, the integration of protocol-based care into care delivery has been evident in the development of service protocols as an approach to implementing standards (Rycroft-Malone, Fontenla, Bick, & Seers, 2008). In the article chosen for this paper the surgical intensive care unit (SICU) did not have a protocol for rewarming postoperative general surgical patients. Why research is valid and applicable to nursing practice Improving and maintaining high quality patient care through developing and implementing clinical protocols is an important part of the health care system. One goal of nursing should always be to provide the best care with the least amount of complications. Faster rewarming of postoperative SICU patients prevent the complication of hypothermia. The selected article reviews results from a study done to determine the quickest way to rewarm a postoperative general surgical patient. It also reviews the development of a rewarming protocol and the compliance rates of protocol use. The results of the...
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...Brandon Hines Safety, Health, and Environment Developing Today’s Safety Aspects In the last century, the modern aspects in safety for Process Technicians have helped make a better work environment, for those who make the products we use in our everyday lives. Many unfortunate, tragic, but educational events helped point the industry in the right direction. Through these events the industry has grown and developed newer safer equipment, improved its employee’s safety/well-being, and created a safer, more aware community. On December 3, 1984, a toxic gas cloud escaped from a chemical plant in Bhopal, India. The cloud slowly made its way into the community killing over two thousand people and seriously harming many others. The gas cloud was composed of methyl isocyanate (MIC). MIC is a major component used in the production of Sevin and Temik, pesticides used to control insect infestations and crop production in India. This was the first time that a major chemical manufacturer has had a deadly leak near a populated area. This helped show that the community needed to be more aware of what was around them. The industry began investigations to discover what really took place that day in order to prevent such an event from occurring again. The Union Carbide plant produced a wide range of pesticides that were very critical to the economy of India. For the production of these products, a number of steps were required. The first step was the reaction of carbon monoxide with chlorine...
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...Introduction In the current days, the characteristics and needs of the patients in Australia and the rest of the world keep changing. The hospitals have been receiving an increased number of patients with different ailments and sometimes they get more ill during their stay in the health facility. The warning sighs always show on a patient before the adverse events such as unexpected deaths, admission to the ICUs or even cardiac arrests. It has been noted that, these warning signs are sometimes not identified, hence not acted upon (Adam, Odell, & Welch, 2010). This study is meant to discuss the case of Mrs. Jones, a 72 year old lady who has been admitted in the ward with increasing confusion and decreasing mobility. Her recent history suggests that she has had Urinary Tract Infection, and she usually has a GCS of 15. Her normal blood pressure always ranges from 140 to 150. During the primary assessment, it is noted that she is not in danger and she opens her eyes when her name is called. She is able to talk and her airway is patent. Her accessory muscle use is increases; her RR is at 22 and SP02 is at 95% on room air. She is also pale and diaphoretic. Her pulses are weak and thread y with the heart rate of 120 and blood pressure of 95/50, GCS at 13/15, temp at 38.5, BGL at 13.2mmol/L and pain in the lower abdomen. Nurses role in recognizing and responding to clinical deterioration The nurses also have a role of ensuring that the medication that a specific patient...
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...facility with a vision to” be the hospital of choice for patients, employees, physicians, volunteers, and the community.” We also state our mission is to create a healing environment, with a passionate commitment to healthcare excellence. Creating this vision and staying true to the stated mission requires that we adhere to the requirements set forth by the Joint Commission. In preparing for the Joint Commission visit there are focus priority areas that will need to be addressed if Nightingale is going to be compliant. The specific focus area addressed in this summary is medication management. There are three standards that come under the medication management area. The standards are listed in the table below along with their descriptions and summary of whether Nightingale Hospital has the documentation/data to be Joint Commission compliant for the given standard. Standard | Description | Joint Commission Compliance | MM.01.01.01 | The hospital plans its medication management processes. | MetNightingale PoliciesPatient Care Polices: 1. Medication Management, Patient Specific Information 2. Medication Administration | NPSG.03.04.01 | Label all medications, medication containers (for example, syringes, medicine cups, basins), or other solutions on and off the sterile field. | MetNightingale Hospital NPSG Data: * Average Hospital-Wide Medication Labeling of Containers over the last 12 months = 99.6%. | NPSG.03.05.01 | Reduce the likelihood of patient harm associated...
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...Purpose The purpose of the Health and Medical section is to provide information which identifies the methods used in mobilizing and managing health and medical services in response to emergencies at Glover International Airport. These areas include treatment, transport and evocation of the injured, removal of deceased, disease control and prevention of contamination during emergencies. • Situation and Assumptions Glover International Airport provides basic emergency medical care response for the Airport and will request assistance from the city of Seattle and City or Tukwila Fire Departments as necessary. The Airport provides emergency medical services through ARFF personnel and on/off-site mutual aid emergency medical technicians. If mutual aid is not available, the use of triage will be utilized to ensure an efficient use of existing resources. The Airport strives to ensure its response is adequate to protect life and health for the first 12 to 24 hours without outside assistance. Large-scale incident will require outside agency support. The surrounding communities have a large contingent of Health and Medical resources to bring to bear. Many medical professionals will volunteer their services and Glover International Airport must be prepared to ensure their legitimacy. It should be noted that these resource might they be adversely affected by the emergency. All requests for additional health and medical support will be made though the on-site Law Enforcement and will...
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...processes in meeting an organization’s overall strategic management objectives). E11-1401-001-Rebecca Desiderio- OL-MBA-SQSM-1406 : Assignment-1 1.1 What are the objectives of your chosen organization and explain the importance of effective operations management in achieving those organizational objectives (AC 1.1: Explain the importance of effective operations management in achieving organizational objectives). The Medical City, the organization I belong to, as our President and CEO would usually say was built on resiliency. It went through an initial stage of almost bankruptcy and because of determination, proper operations management, a lot of strategic planning and continuous quality control, it has now emerged to be a world-class health care...
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...Critical Incident of Occupational Health Learning Development: Fit Testing of Respiratory Protective Equipment Face Masks Introduction On my second day of my Occupational Health placement, I was given the opportunity to be part of a meeting with the Occupational Health Manager, two Ward Managers and and one Modern Matron to discuss fit testing of respiratory masks. During discussions, it was felt that there were not adequate numbers of staff trained as this could leave the Trust at risk in terms of staff protection. I decided that this would be my critical incident. This critical incident would follow Rolfe’s et al. (2011) model of reflection, including aspects of education and opportunistic learning. The importance of this incident has reinforced the point that one of my Learning Objectives would not only further my knowledge in Occupational Health skills, but will work with others to protect the public’s health, and wellbeing from specific risks (PGDip SCPHN Handbook,2014). As this challenge was prompted by a critical issue, good communication skills with resilient working relationships were utilised if to incur change. Further actions would entail task structuring and team and individual management. These are reflections of Action Centred Leadership (Adair, 1973). Names and places were excluded to maintain confidentiality as required by the Nursing Midwifery Council Code of Conduct (NMC, 2008). During the week, an acute care unit experienced what they perceived...
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...setting is crucial that could affect the turnover, job satisfaction, performance and most importantly the services provided by the nurses which may affect patient outcomes and patient safety. In this essay, it will discuss different leadership styles such as autocratic, bureaucratic and democratic leadership style and its’ relationship to the safety of patient specifically the factors in medication errors in an inpatient setting. According...
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...Nightingale Community Hospital has subjected itself to a rigorous examination of its policies and practices to keep up with the latest Joint Commission standards. Clinical practice is constantly affected by changes in the health care system and other factors. It is the responsibility of the hospital to be aware of such changes and modify its practice and align its goals in order to better serve the community at large. In short, it means the hospital needs to maintain compliance with the Joint Commission standards and provide consistent and quality care to its recipients. Compliance is a difficult task to achieve. It requires great effort on the part on the administrators and work force and requires the collaboration of interdisciplinary teams to bring about the desired effect. In order to monitor compliance, the hospital utilizes a periodic performance review (PPR) tool to assess its performance by continuous monitoring and performance improvement activities. The PPR provides the chassis for continuous standards compliance and focuses on the essential systems and practices that affect patient care and safety. The hospital self-evaluates its adherence with all Joint Commission Accreditation Participation Requirements, National Patient Safety Goals, related Elements of Performance (EPs), and develops a Plan of Action for all areas of performance identified as being non-compliant. The hospital also develops Measures of Success (MOS) for determining whether the organization...
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...|Table of Content | Table of Content Chapter Page 1. WHAT IS THE PROVINCIAL INCIDENT MANAGEMENT SYSTEM? 4 2. INTRODUCTION 5 3. CONCEPTS AND PRINCIPLES 5 4. OVERVIEW OF PIMS COMPONENTS 6 4.1. PREPAREDNESS 6 4.2. COMMUNICATIONS & INFORMATION MANAGEMENT 6 4.3 RESOURCE MANAGEMENT 6 4.4 COMMAND & MANAGEMENT 7 4.5 ONGOING MANAGEMENT & MAINTENANCE 7 5. COMPONENT 1: PREPAREDNESS 8 1) UNIFIED APPROACH 8 2) LEVELS OF CAPABILITY 9 6. COMPONENT 2: COMMUNICATION AND INFORMATION MANAGEMENT 16 7. COMPONENT 3: RESOURCE MANAGEMENT 23 a) CONCEPTS AND PRINCIPLES 23 1) Concepts 23 2) Principles 23 a) Planning 24 b) Use of Agreements 24 c) Categorizing Resources 24 d) Resource Identification and Ordering 24 e) Effective Management of Resources 24 8. COMPONENT 4: COMMAND & MANAGEMENT 25 a) INCIDENT MANAGEMENT SYSTEM 25 b) MANAGEMENT CHARACTERISTICS 26 9. PIMS AND ITS RELATIONSHIP TO THE PROVINCIAL DM FRAMEWORK 28 |Distribution | At this stage limited to GPG OPS Workgroup members |WHAT IS THE PROVINCIAL INCIDENT MANAGEMENT SYSTEM? ...
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... | | | | | |SECTION 2 COMPETENCY STANDARDS | | | | | |Basic Competencies |2 - 13 | |Common Competencies |14 - 28 | |Core Competencies |29 - 46 | | | | | | | |SECTION 3 TRAINING STANDARDS...
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... |Technical Education and Skills Development Authority | | |East Service Road, South Superhighway, Taguig City, Metro Manila | TABLE OF CONTENTS Page A. COURSE DESIGN 1-5 B. MODULES OF INSTRUCTION 6-73 • Basic Competencies 6 o Participating in workplace communication ………………… 7-10 o Working in a team environment ……………….... 11-13 o Practicing career professionalism .……………. 14-17 o Practicing occupational health and safety procedures 18-22 • Common Competencies 23 o Applying quality standards …………………………………… 24-27 o Performing computer operations 28-34 o Performing mensuration and calculation 35-38 o Preparing and interpreting technical drawing 39-42 o Using hand tools 43-47 o Terminating and connecting electrical...
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...v26i2.783. http://curationis.org.za/index.php/curationis/article/view/783 Hersey, P. and Blanchard, K. H. (1969). Life cycle theory of leadership: Training and Development Journal, 23 (5), 26–34. Horwitz, I.B., Horwitz, S.K., Daram, P., Brandt, M.L., Brunicardi, F.C., & Award, S.J. (2008). Transformational, transactional, and passive-avoidant leadership characteristics of a surgical resident cohort: analysis using the multifactor leadership questionnaire and implications for improving surgical education curriculum. Journal of Surgical Research, 148(1), 49-59. doi: 10.1016/j.jss.2008.03.007 Jasper, M. (2003). Beginning reflective practice – Foundations in nursing and health care. Cheltenham: Nelson Thornes Reader TW, Flin R, Mearns K, Cuthbertson BH. Developing a team performance framework for the intensive care unit. Critical Care Medicine (2009); 37:1787—93. Reason, J. (2000). Human error: models and management. BMJ: British Medicine Journal, 320(7237), 768-770. Retrieved from:...
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