One morning, while taking unit over we came to know last night a middle age male patient had a fall and I got hurt due to which he passed away. News shaken all of us, we all were wondering how such could happen? What made it to do so? Was patient allowed to go to washroom? Who accompanied patient in washroom? Where was the nursing staff? Why did patient go to restroom? What was the family’s response? How would they have reacted? And many more questions were roving in mind. To explore the reason of incidence, I inquired from on duty Team Leader, Patient Care Coordinator and assigned Nurse and Health Care Assistant. While investigating, I came to know patient asked family to void. In response to which, family asked staff to …show more content…
Working on management level to resolve any issue is not an easy task but I did it well. While performing root cause analyzes, I came to a point that knowledge or command over theory is not enough for individual. His/her attitude and practices should always represent his/her understanding. Although, family was responsible in this but staff should be confident to deliver major teaching. Moreover, team leader and other management should motivate and provide proper guidance to workers to prevent for such event. Regular rounds and assessing knowledge attitude and practice level of recruits will promote quality of care, more or less mission of