Standard of Care | Nursing homework help
The following is a brief introduction to the topic:
Healthcare standards are in place to make sure that the patients receive high quality treatment. Violations of these standards may lead to legal action. Yolanda Piellas, 21, a music conductor student suffered permanent deformity and loss of function in her fingers following the Mitomycin administration through an infusion pumps. In this paper, we will examine the care standards that were not met, as well as the individuals responsible. We also discuss risk management strategies that can be used before and after the incident, to help alleviate any issues.
Infractions of the Standards of Care and their Responsibility
It was the inadequacy of staffing and supervision that led to this standard of care being violated. As a result, float nurses were used in multiple units. A risk manager noticed that several nurses had been working night shifts or double shifts then returning to the morning shift. It was clear there were staffing issues. It is possible that the use of float nurse may have led to an insufficient level of experience or knowledge of the unit and patient. This could lead to poor patient care. The failure to recognize the infiltration of the IV, and to take the appropriate actions to prevent injury such as stopping the medication, or contacting the doctor, is also a breach of standard care.
It is the RN’s responsibility to take the appropriate actions to avoid further injuries. She must have discovered the IV that was dislodged, notified her physician and cared for the site of infusion. It is not clear who pressed the buttons that stopped the pump beeping. The patient, who was still groggy, was not aware of who was responsible for the action. Regardless, the nurse responsible for pressing the buttons may have failed to identify the infiltration or take appropriate action, leading to the patient’s injury.
Risk Management Steps
Before an incident occurs, APN educators should ensure that nurses have received the appropriate training and are familiar with their unit and patients. You can achieve this through regular training programs, competency assessments and orientations.
APN administrators should take the following risk management measures after an incident: conduct a thorough analysis of the cause, identify any failures in the system, and develop a plan for addressing them. The risk management steps may include hiring additional staff to solve the staff shortage, providing more training or resources, or implementing protocols that identify and handle infiltrations.
APN practitioners must take the following steps to manage risk after an incident: Ensure that the patient is adequately informed about the risks and benefits associated with any treatment; monitor the patient closely to look for signs of infection or adverse effects, and then take appropriate measures to avoid further injury. The APN may need to discontinue the drug, notify the physician and provide care for the injection site.
The conclusion of the article is:
The failure to ensure adequate supervision and staffing in Yolanda’s case, as well as to recognize infiltration into the IV and act appropriately, were all violations of the standards of care. It is essential that you take the appropriate steps to manage risk before and after an incident. This includes ensuring proper training, supervision and investigating the cause. This can prevent further incidents, and provide high-quality patient care.