Organizational Systems Task 1

A) There are several issues in the case of Mr. J that need to be examined. Using nurse sensitive indicators “reflect patient outcomes that are determined to be nursingsensitive because they depend on the quality or quantity of nursing care” (American Sentinel University, 2011). Mr. J. was not receiving acceptable care, because his daughter noticed a red, depressed area over Mr. J’s lower spine, similar to a severe sunburn. This skin condition is the first stage of a developing pressure ulcer. a. Nurses should be aware that a patient with limited mobility is at risk for skin breakdown, and pressure ulcers.

care outcomes, as well as benchmark data to assess current practice,” (Sherwood, 2014). American Nurses Association has a National Database of Nursing Quality Indicators looks for a cause for common healthcare issues, such as “surgical site infections, pain assessment, pressure ulcer development, and falls,” (Sherwood, 2014) to better understand how these things came about to possibly prevent in the future.

For the most part, hospitals are places where one comes for healing and it is place where our clients should feel safe and away from harm. Nurses have an important role as a patient advocate and are to provide all clients with safe, compassionate, and quality care at all times. Nonetheless, the hospital can also be a dangerous place for inpatients. It is a foreign environment to clients and there may be alterations in their medical condition in regards to their physical and/or mental status. With this said, there is a need to improve upon how we care for our clients, especially those who are at most risk for various incidents.

In 2002, a proposal was made to merge the Utah Symphony and Utah Opera due to the failing economy, collapsing of the stock market, declining government financial support, and a waning of donations for the arts. The proposed merger would help both organizations by economizing on costs and expanding the artistic potential of both organizations. Each of the organizations need to support the decision in order for the merger to be successful. A1. Bill Bailey and McClelland’s Need Theory

bankruptcy, lose their homes and jobs due to the inability to pay such extranomical medical

First of all, in order to improve patient safety, staffing levels need to be appropriate. In this case, as the patient load increased, the staffing level did not. There was only one RN and on LPN on duty. As a proponent of acuity based staffing, I would have a system in place that allowed for staff to be assigned based on a patient acuity scoring system that would be implemented, that would staff the unit not only based on the number of patients but also for the care required. In this case we have a patient that requires constant monitoring, as well as another emergent respiratory distress patient. Had another nurse been assigned to the unit, Nurse J, who was trained in conscious sedation, would have been able to adhere to the existing policy and provide constant monitoring of Mr. B which most likely would have avoided the outcome presented in this scenario.

This following will outline my personal leadership practices and potential future leadership. To analyze my leadership qualities I will use the Seven Habits Profile and a leadership theory to determine my strengths, weaknesses, and areas of opportunity for improvement. In conclusion, I will determine the best recommendations for long-term improvement as well as SMART goals, or short-term courses of action, for leadership improvement.

The hospital acquiring data on the above indicators of pressure ulcer incidence, prevalence of restraints,

The structure, processes, and outcome factors of nursing care are reflected in Nursing-Sensitive Indicators (NSIs). There are several things that the nurses in the provided scenario could have done to promote quality patient care. By being aware of restraint use as an NSI the hospital staff would be more likely to increase their focus and attention to its need and any development of complications. This increased focus and attention could have led to the development of educational opportunities for the hospital staff on the identification of pressure ulcer related complications. Had the nurse and nursing

Keeping data on specific nursing sensitive indicators and making that information available to staff, would help raise awareness of the issues that need to be addressed. With the documented information provided it could empower the staff in patient safety and quality improvement efforts, something they have a direct impact on. By educating staff to be aware of potential issues it would help advance quality patient care. In this current case, pressure ulcers, the use of restraints and patient/family satisfaction could have been handled in a better way to improve patient satisfaction and outcomes. It’s possible that restraints might have not been necessary, the pressure ulcer may have been prevented and the patient and family would have felt that their needs were being met, and not neglected.

develop a plan. They may need to reach out to larger hospitals to see what they have done and how it has worked. Implementation may be slightly different, but the end result should be comparable. In that same sense, a very large city hospital may be able to create a large

J to prevent hospital acquired pressure ulcers. Frequent turning, repositioning, meticulous skin care and assessment are appropriate steps that would be taken to prevent pressure ulcers.

Pressure ulcers compromise Quality and Safety Education for Nurses (QSEN) competency patient safety. Critical care patients are at high risk of harm when pressure ulcers develop during their hospital stay. As a result, pressure ulcers cause pain, discomfort, loss of independence and social isolation. One study sampled 102 critical care patients consisting of 52 men and 48 women with ages between 23 to 88 years (He, Tang, Ge, & Zheng, 2016). He et al. (2016) result showed 31.4 percent of pressure ulcers development incidents. Cost estimates to heal a single pressure ulcer vary by severity and population studied from hundreds of dollars for earlier ulcer stages I–II, to $5000–$151,700 for more advanced ulcers (Meddings, Reichert, Rogers,

The use of restraints is seen in the Emergency Department(ED) on a regular bases and has been a new experience to myself as a student nurse. The College of Nurses of Ontario Restraints Practice Standard (2009) explains restraints may be used where patient are at risk to themselves or others, for treatment purposes and controlling behaviours. Restraints may be chemical, physical or environmental. Restraints have limited increase in patient safety and can increase the agitation, confusion and health risks present. In the emergency department majority of bed rails are kept in the up position regardless of the patients’ mental, physical or emotional state. A bed rail is considered an environmental restraint and therefore should be kept in the down

In behavioral health nursing, using physical restraints is a very integral aspect to the overall health and well-being of patients and staff. Although this is still a very prominent and sensitive subject amongst healthcare professionals, I deemed it important that my facility implement and utilize physical restraints on our behavioral health unit. Nurses need to be educated on the use of restraints, which lead to my self-education on this topic. Nurses need to be aware of the benefits and the consequences that restraints can have on a patient.