As one patient is being discharged, members of environmental services are waiting nearby to quickly clean it and replace it with the next. The lack of compassionate, quality care is being compromised due to this factory-like atmosphere it takes on to keep up with the heavy flow. “More demands for paperwork, along with increasing complexity of care, means the amount of time any nurse has for all her patients is diminishing” (Brown, 2013). Instead of performing a thorough nursing assessment and diagnosis, nurses are preoccupied by the other 8-10 patients they must care for. Because each patient isn’t given the proper attention, it is extremely difficult to accurately monitor the patient, leading to failure to observe the patient’s changing condition. The structure of a chaotic environment affects all members of the ED, while physicians are feeling pressured to assess and evaluate as many patients as humanly possible, leading to unsafe discharges. Oftentimes, these unsafe discharges are witnessed by their nurses, but have too many tasks to get done to realize their patients have even been discharged. This leads to the failure to question patient discharge, which is one of many critical responsibilities nurses must adhere
As one patient is being discharged, members of environmental services are waiting nearby to quickly clean it and replace it with the next. The lack of compassionate, quality care is being compromised due to this factory-like atmosphere it takes on to keep up with the heavy flow. “More demands for paperwork, along with increasing complexity of care, means the amount of time any nurse has for all her patients is diminishing” (Brown, 2013). Instead of performing a thorough nursing assessment and diagnosis, nurses are preoccupied by the other 8-10 patients they must care for. Because each patient isn’t given the proper attention, it is extremely difficult to accurately monitor the patient, leading to failure to observe the patient’s changing condition. The structure of a chaotic environment affects all members of the ED, while physicians are feeling pressured to assess and evaluate as many patients as humanly possible, leading to unsafe discharges. Oftentimes, these unsafe discharges are witnessed by their nurses, but have too many tasks to get done to realize their patients have even been discharged. This leads to the failure to question patient discharge, which is one of many critical responsibilities nurses must adhere