Critics of safe staffing guidelines argue that this will only increase their high operational costs. When you look at everything that will result from the guidelines it will show that safe staffing patterns can be very cost effective. High nursing turnover and the need to utilize agency or traveling nurses increase nursing costs. By keeping nurses satisfied, less stressed, and with the tools to adequately care for their patients those issues are nonexistent which places staffing costs back in budget. Safe staffing guidelines will improve performance, improve patient mortality rates, and decrease liability.…
Shadowing Ms. Jennifer Dreher, Clinical Nurse Specialist (CNS) and Patient Educator at Bethesda North Hospital, provided insight on her daily tasks and the profession. Ms. Dreher works in the Orthopedics department where she is actively involved in several meetings and performs coordination of care for numerous patients. She is also training Mrs. Laura Moffat, a floor nurse at the hospital studying to become a CNS. During my shadowing experience, I attended two meetings and accompanied Ms. Dreher on rounds to patient rooms.…
Fiscal Concerns in the Health Care Setting Case Study As a manager of a unit, certain responsibilities and obligations are difficult to manage. There are major tasks that are connected, and each flows in a different direction, and the responsibility always lies with the manager. In a healthcare setting, the importance of nurses in contributing to fiscal planning has been recognized. According to Marquis and Huston (2012), nursing managers have to be experts in financial matters to ensure that there are patient and staff satisfaction within their organization. Therefore, to ensure that resources are used wisely and timely in a cost effective manner, nurse managers are supposed to have an appropriate balance when spending allocated finances and…
Ms. Delcina Augustin Doreus continues to commit to the VA mission, honoring America’s Veterans by providing outstanding care to improve their health and well-being. She is a Master’s Prepared Nurse who is now attending Walden University to obtaining her doctorate within the next years. Her commitment to the mission and dedication to the upward growth of the nursing profession is constantly exemplified in her day-to-day work ethic. The following examples highlight her contributions to date: As a Clinical Nurse Educator and a member of the Veteran Health Executive Committee, Ms. Augustin Doreus collaborated with the members who were from many disciplines to develop a guide to facilitate performance improvement and staff engagement events’ planning.…
BEDSIDE SHIFT REPORT: INCREASING PATIENT SAFETY AND SATISFACTION Aubree Sherbourne Kent State University Introduction Throughout this paper we are going to look at Bedside shift report, also known as BSSR. As nurses, it is important to look at patient safety, and satisfaction in depth, and what we can do to help increase these. In the following paragraphs BSSR will be looked at in several different ways.…
As a student nurse, I do try to use the 60 second survey on every patient’s room I am assigned to, and I set up my assessment to follow the ABCs. I think this is important because something can be so easily overlooked. I think I really learned that over time. Also, fall precautions for those patients who are at a high risk for falls I am making sure I am doing focused rounding on them, their personal items within reach, and making sure their bed or chair alarm is turned on. Core Competency: Caring 2.…
In nursing care teams, communication has two strong components that correlate directly with each other. Quality improvement impacts safety and vice versa. The goal of improving communication on nursing care teams and consequently maintaining patient safety is the topic of this paper. This significant relationship must be considered, addressed, and embraced in health care systems by each representative member. The connection between safety and quality improvement is strong.…
Risk management Patient falls would specifically fall within the outcome indicators of quality in the Donabedian’s quality indicators. In this case, the subjects of interest are the staff and particular within the clinical care settings including nurses and the physicians offering direct care. The interdisciplinary team would comprise of the nurse leaders, nurse manager, nurse supervisors, the nurse administrators, the lead physicians, the quality assurance department representatives and the representatives of the top level management (Forster & van Walraven, 2012). The Fourteen Forces of Magnetism are the basis along which healthcare facilities are ranked and afforded the magnet status based on significant improvement in patient outcomes and…
Evaluating Organizational Change A fall is the loss of an upright position, producing an uncontrolled and unintentional placement of an individual’s body from one surface to another. Many times serious injuries can result in the frail geriatric population. According to the Centers for Disease Control and Prevention (n.d.), lacerations, hip fractures, head traumas, and death can result from a fatal fall.…
According to the MSN program conceptual framework, a nurse detective uses clinical imagination along with science to evaluate deviations from the expected to prevent or control adverse reactions (WGU, 2013) To apply the role of “Nurse as Detective” I will apply the model element safety and quality. Working as a Clinical Coordinator on an Orthopedic unit I recognize how vital safety and quality are for patient care. Utilizing this element will reduce risks to providers, patients, and families by using analysis of effectiveness of systems that are in place, as well as individual performances. This can be achieved simply by applying the nursing process.…
Being in charge of the entire ER staff and knowing all the things that are going on with the patient is extremely impressive, especially if it is on a weekday. Nurse Medina works extremely hard in ER and has earned many award throughout her years in Lenox Hill Hospital. She has been nominated for the “Falling Stars Award” because her coworkers have nominated her for this award. All of this hard work comes with a lot of pride and…
Nursing involves in a multifaceted practice with strong goal-oriented interventions which ensures high quality care and patient safety (Australian College of Nursing, 2015). The goal of nursing is influenced by effective nursing leadership because nurses lead and manage a workforce. Merrill (2015) stated that effective nursing leadership in health services is needed to emphasise safety and high quality care. Therefore, leadership is a significant skill of nurses in order to create vision and enable the people to work towards change (ACN, 2015). This paper will discuss the relationship between leadership and patient safety.…
In the attempt to call the attention to the importance of improving the quality and health care outcomes, in 1999 the Institute of Medicine had submitted a report called To Err Is Human: Building a Safer Health System. Although more than ten years ago, this report stressed the need of a redesign in the process of the patient’s care, little progress in the improvement of quality and safety has been achieved (Clark, 2013). Even though there were some important initiatives in the implementation of quality and safety after the report, only in 2013 The Joint Commission made a significant contribution in order to accelerate the process and enforced quality and safety through standards such as National Patient Safety Goals and Core Measures of nursing…
Patient safety, my last key point, aligns with the supporting resource, Professional Collaboration: Who Should Determine Safe Staffing for Nurses?" because this resource demonstrates that when there is enough staff to care for clients, the rate of mortality decreases…
Evaluation After initiating the implementation of the template, an evaluation process must follow. The implementation of a SBAR formatted; standardized template would most likely decrease the amount of time it takes to deliver patient handovers, while improving the quality of handovers delivered. Additionally, the template would assist nurses in highlighting pertinent information within their patient handovers, leading to the comprehensive handovers. Furthermore, the initiation of the standardized template will facilitate improvements in communication and teamwork among nurses, while providing a framework for the sharing of pertinent information. According to Wilson (2007), standardized templates for patient handovers not only serve as a facilitator…