Assignment 2

3. What type of bank risk would worry you the most as an account holder? How should the bank protect itself against that risk? (2-4 sentences. 1.0 points)

In the Code of Ethics for Nurses provision 4 states “The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care.” This was not done, there was no regard for human life. The patients in the hospital were treated as a burden. A meeting was held where the doctors agreed that

We know that he had sustained an at home fall. We learn that he has a history of pain and a prescription for oxycodone for back pain. We know that his vital signs on admission appear stable; he was not showing any signs of respiratory distress. As we look at the staff that was listed that day we do get the sense the hospital may have been short staffed. Staffing report shows there was one MD, one RN and one LPN managing at least 4 patients including- one patient was a child. Evidence based research has proven that the nurse to patient ratio is directly related to the patient outcomes (Stanton, 2004). It is important that we consider the staffing level that this rural ED as we know short staffing can be blamed for not being able to take the full amount of time needed to do a proper health history. A detailed health history is an imperative part of the care process; it is used by the staff to accurately assess any acute changes that may take place in the patient throughout their stay.

During my clinical rotation during my last semester of nursing school, I was able to work one on one with a BSN degree nurse named Judy in the ICU. Judy had three years of experience in the ICU setting. She had been a medical surgical nurse prior to her ICU transfer. The ICU at this hospital consisted of two associate degree level nurses and two BSN level nurses on my shift. I rotated three days in this particular ICU. I worked with Judy all three days of my rotation. I was excited about being placed with her for she seemed knowledgeable and skilled. We were given a male post trauma patient to work with all three days. This patient was a 30 year old male admitted for trauma related injuries and was considered unstable and was to be monitored in ICU. This patient had been involved in a motor vehicle accident and

There was additional backup staff present (including a respiratory therapist) that could have been called upon for help, yet they never were. The charge nurse or nurse supervisor could have stepped in at this point to provide additional help. A lack of present nursing staff and support can lead to unfavorable patient outcomes, as is the case with Mr. B. Additionally, the staff on duty could have lacked training regarding protocols or their training could have been out of date.

Charleston Community Memorial Hospital proved a corporate negligence doctrine in the case (Pozgar, 2013). The court found a jury could reasonably find negligence due to the fact that staff did not test for circulation as often as needed, it was concluded that skilled nurses would have been aware of circulation problems, informing attending staff promptly (Law School Case Briefs,2013). There was no argument that the defendant, the hospital in this case, failed to review physicians work, or require a consultation. A jury found that this failure was within reason to assume a negligent act was performed, or not performed in this case (Law School Case Briefs,2013). A person goes to a hospital and within reason expects the hospital to treat them (Pozgar, 2013). There is a legitimate basis in this case to hold the hospital vicariously responsible for torts of its employed staff (Law School Case Briefs,2013). In Darling v. Charleston Community Memorial Hospital, the jury found negligence by both the doctor and the nursing staff, this was supported with evidence during the trial (Law School Case

When I first looked at this case and read, “The defendant nurse stated that she understood her assignment at the time of the plaintiff’s admission to this unit was to provide oversight of the patient care on the entire floor for that shift” my first thoughts were, how many patients was this nurse caring for and how many hours did she work? Therefore, I decided to do my third article on nurse staffing in regards to patient outcomes.

In this case, the nurse who was supervising the hospital used her best judgment in maintaining the care for the ICU. All hospitals are licensed to provide appropriate nursing and medical care to a specific number of patients, with the understanding that a hospital will only admit those patients it has the resources, staff, equipment, and facilities needed to deliver said care. This license also directs hospitals and nursing staff to engage in practices which are unmistakably dangerous, irresponsible and unethical, and in many ways, are in direct violation of state and federal laws, HIPAA and JCAHO requirements, and the Department’s own regulations. Closing the unit by Dr. Bestknabe is not a solution; rather, it creates more

This paper considers some of the ethical dilemmas that occur during disasters and how the chaos and desperation of those situations effect decision making for nurse managers.

I have visited various medical emergencies and at times I found that nurses get confused and lose their nerves in high stress situations. So I would advise young nurses to practice working in high stress situation. If some patient comes in medical emergency and on duty nurse doesn’t make accurate assessment then there are chances of malpractice medical treatment or diagnosis. It is the core responsibility of medical emergency nurse to make accurate assessments in emergency. If a nurse shows carelessness and there is no accurate assessment of the patient done then there are several consequences of this and it not only waste patient’s time but can also lead towards serious medical issues. I was a head nurse in Boston’s hospital where I get a report in which the patient filed a complaint against a nurse who had done wrong assessment in medical emergency that lead towards wrong diagnosis and at the end patient suffered a

How the scenario is perceived as a ladder of effects and for every action it was a reaction. The issue truly lies in the lack of staff provided by the hospital. Usually hospitals have per diem staffing plus the float pool staffing in case any department is short in staff. Not only that but there are also companies and agencies that send there nurses and staffs as per hospital request. In addition the hospital should provide orientations and trainings for new staffs more often. What truly it seem here is that the hospital is try to be within budget or to safe more money by risking patients safety. When Susan was told to "deal with it” maybe a different approached would have been more effecting. On of the possibilities would have be to consider

How might this scenario play out or impact you in your role as a nurse practitioner?

Negligence is one of the most common issues in the healthcare environment. Negligence in a hospital is caused by many different things and it can be intentional or unintentional. It can be by failing to do your duties appropriately and in a timely manner, by giving the wrong medication, by improperly performing you job, by abandoning a patient, by failing to properly train the healthcare workers, and also by failing to follow safety rules to assure patient safety and care.

Although health care activities were usually carried out ordinarily and everything was as usual in the facility, one day the unexpected happened. There were two shifts for the health providers’ staffs. One ran from 8:30 to 7:30 in the evening and the other one from 7:30 to 8:30 in the morning. So, one day, the electricity went off at around 7:20 pm. There was a problem since the generator was not functioning properly and thus those health providers who were to come in for the next shift were running up and down trying to see how they would be able to run the facility that night without power.

Inadequate staffing is a recurring issue in so many health facilities that poses a changeling situation for nurses to provide quality care and promote patient safety. Last week, I encountered a challenging situation at the health care facility where I work. I was asked to float in a unit due to the fact that censes was low and the nurse that was suppose to work over at that unit was cancelled. Unfortunately, the scheduler made a big mess in the schedule; she left a staff’s name in the schedule and this staff was supposed to be off. At about 8am, she realized her mistake and now called on the person that was cancelled to come to work. The staff that was cancelled earlier refused to come to work and I was moved to another unit. On getting to