The Importance Of Admission In Nursing

1081 Words 5 Pages
An admission referral was received from another skilled nursing facility (SNF) for Mr. W. and the information was forthcoming about the prospective patient 's psychiatric and fall history. They even disclosed he had recent hallucinations and multiple falls which required them to have a one to one staff member with him while he was in bed and used a restraint to ensure his safety while out of bed. My Director of Nursing (DON) accepted this resident, scheduled the admission for Friday evening and did not inform the nursing staff of his high risk for fall. The nursing staff did receive a report from the SNF but it was too late to discuss whether or not this admission was appropriate for our facility because the DON had left for the day and …show more content…
In addition, it did not solve the problem, what was the next step to prevent falls for new admissions? Well, there was no defined plan but for our Mr. W psychological evaluation was the next step. Mr. W’s history and safety concerns were explained to the psychiatrist, stated, “I will fix him!” Now, it could have been in jest but I found her choice of words to be arrogant and bordered on the side of verbal abuse. Broken things are fixed and not humans; the goal for our fellow humans is to increase the quality of their life and produce the best optimum outcome and not fix them.
In the above scenario, wholeness and well-being were overlooked over and over again; the DON was not concerned with our ability to properly care for the individual but she sub came to the pressure to increase the census. Mr. W. was not a human being with physical, mental and spiritual but an object or number. The perspective of our director resulted in many negative and potential negative outcomes. The client and the staff both experienced distress because Mr. W. was not seen as a whole being with basic human
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This approach as commander and chief has assisted us in not doing justice and being unfaithful to Mr. W. and others. Doornbos, Groenhout and Holtz (2005) states, our primary focus should be care, considering the welfare of those entrusted to us and promoting a thriving state (97). The development of the new policy and documentation of a “change in plane” was motivated by selfish reasoning and did not have the residents best interest at heart. According to Doornbos, Groenhout, and Holtz (2005), “the nature of nursing is the understanding of the focus of the client as the bearer of the image of God” (p. 92). Although our facility mission statement states, we believe that God is in everyone; we failed to see Mr. W. as the bearer of

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