Case Study Sentinel Event

Improved Essays
A1: Sentinel Event
This is a case involving pediatric patient by the name Tina, whom they thought she was abducted from the hospital. Tina and her mum arrived that morning of September 14 at the hospital and they were checked in with the registrar. The admission registrar collected Tina’s demographic information and insurance card as required by the hospital policy and entered it into the medical records. Tina’s mother signed the consent paper work for Tina’s surgery at the admission. No custody information was obtained at the admission.
Tina was admitted and pre-op nurse gave Tina mother consent forms to sign. The pre-op nurse did some assessment, and started her IV and administered her pre-op medication. Tina’s mum informed the pre-op nurse
…show more content…
The second member of staff interviewed was the pre –op nurse. She is responsible to fill out pre-op paper work, prepare the patient for surgery, make sure consent for procedure is signed by the patient, and review the patient to make sure thy okay for surgery.
• Security is responsible to provide security in the hospital and respond to any patient security and notify law enforcement in case of any problem or security issues.

• Pre op nurse is responsible to administer pre- operative medication, give patient consent form to sign, change patient into surgical attire, and provide pre-operative care.
• OR nurse is responsible is the one who review patient while undergoing surgery and help the doctor during surgery, evaluate patient after surgery making sure they are fine. After the surgery the OR nurse is also responsible to hand over patient to the recovery nurse.
• Surgeon is responsible for operating the patient.
• Anesthesia is responsible to monitor patient breathing while undergoing operation
• Recovery nurse is responsible for patient post-operative, making sure patient is fine with no complication, receive patient after surgery. Prepare patient for
…show more content…
The best improvement tool to be used is the PDCA plan, DO, Check and Act protocol. This is a very intense procedure but it’s doable. First they need to identify the problem or the issue, then develop an action plan as to how they will change the issue. Then they practice the plan by doing it to see the effectiveness or whether it is working. After implementing the plan they need to check and evaluate if it is working or not. The last process is to Act on it and change anything that is not working properly. The steps should be able to identify if it’s working

Related Documents

  • Improved Essays

    . Staff (knowledge and skills/training, competence, physical and mental health) When the new staff began at the hospital they should have been shown where everything was especially pediatric information and references. The staff worked many hours on night shift.…

    • 1228 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    All these three aspects work together to render the best services to the patient. This process led to the death of the patient either due to the procedure used or other reason not discussed in this case. However, strict compliance with best practices and the law are the only standard measures to determine where a practitioner is at fault. In this case, Finnerty did not comply with policy and law to ensure that she was not responsible for the patient death. Any non-compliance would either damage the credibility of the hospital as well as the failure to convince that such faults did not amount to the death regardless of the missing evidence.…

    • 1117 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Nurse Interface

    • 1045 Words
    • 5 Pages

    The Healthcare Interface and RN’s The healthcare profession consists of many members with nurses making for the largest amount of staff; the health field can only function properly by the daily interaction of nurses and various personnel. The structure of the healthcare system is highly dependent on nurses, nonetheless the organization would not function without the other members involved. The increase of diabetes, obesity, and the rise in life expectancy, has increased the need for personnel in the health organization, especially, a registered nurse (RN).…

    • 1045 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Cna Compare And Contrast

    • 566 Words
    • 3 Pages

    It Is a Beautiful Day to Take Care of Lives When thinking of the medical field what comes to mind? Maybe it is the doctor, the dietician, surgeon, nurse practitioner, or even the physical therapist. However, the nurse (RN) and the certified nursing assistant (CNA) do so much for the patient. They both play a huge role in the medical field, and are both equally important in several ways.…

    • 566 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Summary and What they do: Nurse Anesthetists record medical history, symptoms, perform physical exams, and observe patients, create ad contribute to plans, perform and order diagnostic tests, operate and monitor equipment, diagnose health problems, as well as analyze results the patient’s condition and the current treatment plans, administer medications, evaluate the patient’s response to the medications, and lastly they consult the doctors opinions. Anesthetists also counsel and teach patients and family members how to maintain good health along with helping them learn how to manage and treat their illnesses and injuries. Along with conducting research CRNA’s provide anesthesia and care before and after surgical, therapeutic, and obstetrical procedures. CRNA’s also provide pain management and emergency services. They ask about prior medications, allergies, and illnesses so the anesthetic can be administered safely.…

    • 543 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    A room recovery nurse is a nurse especially devoted to the health of patients after an operation or surgical treatment looking after his recovery, administers serums, treatments, medicines, also takes the pressure, the pulse, the temperature and looks after the hygiene of the patient. To exert this career you need an associated degree in infirmary. To study for an associated degree in infirmary, the average required depends of the institute or university that offer it. The minimum average is 2.00 (Inter-American University Metro).To complete the associated degree takes around two years if you complete the credits required (Bachillerato Ciencias Enfermería, 2011). This is offered in multiple universities and institutes…

    • 422 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    1. What interests you about the field you have chosen and why? How do your previous life experiences relate to this field? Remember to give details and be specific.…

    • 552 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Introduction “As defined by The American Nurses Association (ANA), delegation is the transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome” (Kelly, 2012 p. 369) Delegation occurs when a task is assigned based on job description and matching the staff to patient needs (NCSBN, 2005). Decisions on delegation are based on principles according to the individual’s scope of practice. Before any task is delegated, it is important to ensure the education, skill, knowledge, and judgment levels of the personal being assigned the task. The RN is accountable for assessing, diagnosing, implementing, and evaluating the patient’s plan of care (NCSBN, 2005). Nurses are legally…

    • 841 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Career and College Research Paper What 's better than getting the chance to help save someone 's life? Being a nurse in any type of nursing takes skills. There are many types of nurses: nurses that deliver babies to nurses that work just on a hospital floor. The type of nursing I want for my career is Behavioral Health Medicine which is a mental health nurse.…

    • 1500 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Nurses are the backbones of any clinic or hospital sites. They provide health care in the best of their ability to help their patients but also be there for them as a person. Compassion and tolerance is key to being a nurse. There is no point of caring for other human beings especially those who are ill, if you can not be CARING. Nurses are just as important as any physician, just because they didn't earn a PhD, nurses are still just as helpful as any doctor in the medical field.…

    • 797 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Abstract Patient safety is the absence of preventable harm to a patient during the process of health care and considered the cornerstone of high-quality health care. Nurses play an important role in that vital care. Nurses need to know what proven techniques and interventions they can use to enhance patient outcomes.…

    • 1151 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    Kids in my opinion are just the best and that’s why I want to make a difference in their lives. There are things anyone wanting to be a pediatric nurse should prepare themselves for. Seeing a sick child can make anyone heavy hearted and the nurses working with the kids want nothing but to make them better. The nurses going in this field should be prepared to go through all the struggles and emotional weight that come with working with children. To experience and learn to prepare for everything that will come their way.…

    • 1309 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Gaining a patient consent prior to the medical procedure has claimed simple yet imperative process of patient care for nursing professionals as some of the legal implications can occur that may lead to a negligence on clinical care, risk the nursing registration or even criminal assault that is resulting a litigation, if it does not proceed accordingly. Patient’s consent can be obtained in various ways, such as implied, verbal or written forms are available and most importantly, different types of consent will require on the nature of treatment. Informed consent is an ongoing, practical process in relation to the patients’ health care in the clinical setting which would involve providing sufficient information about the clinical procedure and…

    • 1460 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    During my preoperative experience I noticed many safety checks were in place, not only for the patient, but also for the doctors, nurses, and surgical technicians. Upon entering the room during my perioperative experience, I immediately noticed steps in place that were being utilized to protect everyone within the room. All of the instruments were sterile. Nurses and surgical technicians were counting down to the very last suture to make sure all of the supplies were present. Everything touching the patient or being used during the procedure for the patient was sterile and if the items were accidentally contaminated, then more sterile gloves were put on to preserve the sterile field that had been broken.…

    • 769 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    In this assessment I will compare and contrast between a Nurse and a Dietitian. The role of the Nurse varies with the needs of the patients, the Nurse credentials. And type of employment setting. A registered Nurse (RN) assesses a patient’s health and promote wellness. The choice of personnel for particular patients depends on the needs of the patients, Health teams commonly include the Nurse and some or all personnel that follow.…

    • 1108 Words
    • 5 Pages
    Improved Essays