... The pre-operative nurse was informed by the mother of the child that she needed to run an errand but left contact info(i.e. cellphone number) with the child’s nurse in the event the surgical procedure was to end sooner than expected. Unfortunately, the pre-operative nurse did not chart this pertinent information in the patients chart, it was documented on a sticky note attached to the chart. Post-surgery, the child was taken to the recovery area with care assumed by a recovery team without sight of mother. The father of the child presented to the recovery room and began hugging the child and was able to verify child’s name, date of birth, and was listed on face sheet in chart as father of the child with proper identification. Discharge instructions were provided to the father and the child was released in the fathers’ care. Approximately two and a half hours later, the mother arrived to the unit to assume care for the child and was notified that her child was released in the custody of her father. Mother became extremely upset and flustered and began disclosing that she is the custodial parent and that they are divorced. Security personnel was immediately notified and a hospital “code pink” was issued over the intercom. According to Nightingale Hospital policies and procedures, a code...
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...MODULE 2 Standards of Care | Met | Unmet | Example | Recommendation | 1. Patients have access to the health care organizations’ services based on their identified health care needs and the organizations’ mission and resources. | * | | Patients are being cared of according to their complaint: * The patient is complaining of flank pain, the health care provider in the institution performs assessment and laboratory examinations. | | 2. The patient has a process for admitting patients to the organization. | * | | The institution has the TRIAGE system. * The institution utilizes this system in determining priorities and intervening to needs. | | 3. Patients with emergency or immediate needs are given priority for assessment and treatment. | * | | | | 4. At admission, the health care organization provides the following information to patients’ and appropriate family member and decision makers; information on the proposed care, the expected results of the care, and any expected cost to the patient for the care. | * | | Consent for admission is being explained to and signed by the significant other and the patient. | | 5. The organization seeks to reduce physical, language, cultural and other barriers to access and delivery of service. | * | | * As much as possible, patients having different dialect are being entertained by using the same dialect. * During blood transfusion, patients’ cultures are being respected after...
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...disciplinary action up to and including discharge for the first offense. 1. Harassment, any violation of the company’s harassment policies, may subject a Team Member to disciplinary action up to and including discharge. 2. Any violation of company’s drug and alcohol policy will be terminated 3. Creating or contributing to unsanitary conditions or poor housekeeping or failure to take proper personal hygiene measures will be written up. 4. Any fighting, or engaging in any type of physical alteration on company property will be terminated. 5. Theft of any kind on company property will result in immediate termination and where appropriate, prosecution to the fullest extent of the law. 6. Immediate termination if found with any illegal weapons including knives. 7. Insubordination, which is a refusal or failure to perform work or follow management instructions unless such instructions could be expected to endanger life or health. 8. Discourteous treatment of our guests 9. Failure to handling cash procedures will result in immediate termination 10. Arguing with guests, management, or fellow employees 11. Gambling on Company property 12. Willful, deliberate or repeated violation of any safety rules 13. Threatening, intimidating, fighting, coercing or interfering with fellow employees, managers and guests 14. Behaving poorly, use of profanity towards guests, or fellow employees 15. Violating any laws on Company property 16. No Call...
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...Hospital Sentinel Event Report Program & Start Date: M.B.A. Health Care Management WGU A1: Sentinel Event Report Minor child, Tina, had a minor operation and as told to child’s mother per Nightingale Memorial Hospital (NMH) pre-op nurse, the operation duration would be 45 minutes plus an additional hour in recovery. Under the instruction of the patient’s mother, the pre-op nurse was to contact her by cell phone if times for release had changed. Mother arrived approximately 2.5 hours later to pick up patient and found that her daughter had been released 30 minutes prior to her arrival. At that point security issued a “Code Pink” (hospital-wide child abduction alert) and local law enforcement was contacted as well. Upon interviewing the patient’s mother, she stated she has custody of the patient and siblings as the parents are currently divorced. Within 30 minutes of mother’s post-op arrival, local law enforcement confirmed the child was in care of her father. Furthermore, the father and child were located at father’s residence awaiting the arrival of the mother. The father was not charged of any crime. Furthermore, NMH CEO assured patient’s mother that the incident would be investigated and changes to policies may be implemented to prevent similar instances in the future. A2: Personnel Staff below in the order in which they made contact with the said sentinel event: Katie Jessup, Registrar: Ms. Jessup stated that...
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...A1: Sentinel Event Describe the Sentinel Event On September 14 at 12:30pm, pediatric patient Tina was involved in what was thought to be a child abduction. After arriving at the hospital that morning, Tina’s mother checked Tina in with the registrar. The registrar collected Tina’s demographics and insurance information and entered it into the medical records. She made copies of ID’s and insurance cards and had Tina’s mother sign all necessary paperwork for Tina’s surgery. The registrar did not ask for any information regarding the custody of Tina because it was not a part of her job duties. Once admitted, the Pre-op nurse greeted Tina and her mother. The Pre-op nurse had Tina’s mother sign all consent forms for the surgery. She then helped Tina get gowned up and began the pre-op assessment on Tina, started her IV and administered her pre-op medications. According to the Pre-op nurse, Tina’s mother did inform her that she’d be doing something with her son during Tina’s surgery. Tina’s mother gave the Pre-op nurse her name and number, which the Pre-op nurse wrote down in her notepad, so she could be called when the surgery was done. The OR Nurse had very strong feelings on the lack of communication between departments. She said that she has witnessed many issues and seen many problems arise due to a lack of communication and understanding across departments. She strongly believes that working more closely with security would eliminate some of this issues in the future. Following...
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...COMMUNITY COLLEGE DISTRICT PATIENT PRIVACY GUIDELINES For MCCCD Health Care Integrated Educational System The Maricopa County Community College District has cooperative agreements with over 500 agencies for the clinical training of its students enrolled in all health-care fields and programs. To ensure that MCCCD students, faculty, and staff involved in those programs understand the patient privacy requirements of those clinical sites and of applicable law, including the Health Insurance Portability and Accountability Act of 1996, MCCCD offers this guidance for those persons to ensure compliance with those requirements. Note that the discussions, uses or disclosures discussed below encompass written, verbal, or electronic communications. |DO’S |DON’T’S | | | | |Do sign the MCCCD Faculty/Staff/Student Confidentiality Agreement before |Don’t discuss, use or disclose any patient information while in the | |any involvement in a clinical program. |clinical setting unless it is part of your clinical assignment. | |Do attend MCCCD training or in-classroom clinical instruction on |Don’t remove any record from the clinical site without...
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...An Assessment of Oil and Gas Industries in the Niger Delta Thesis Statement Oil and Gas companies operating in Niger Delta are causing damage to the health and safety of environment and the communities of Niger Delta. Introduction Companies participating in Oil and Gas Industry, either upstream, midstream, or downstream, know the pressure from governments and environmental organizations that have been at the center stage environmental issues, while traditional security issues and reliability are even more critical as the industry is driven by strong demand. All the oil companies, especially after the oil spill fiascos that took place in the last 2 decades in Niger Delta, have committed their resources to ensure health and safety of its employees, the people inhabiting the region where company’s operations are taking place, and the protection of environment and other resources such as water. The assessment of all Oil and Gas companies reveals that all the oil and gas companies in Niger Delta are committed to the values, morals, standard and principles that are discussed below in the literature review section (Yusufu et al., 2011, Pp. 34). Discussion Health and Safety: Not to harm people, whether they are employees or contractors of third parties. Accompanying water: Treatment and re-injection of water associated with oil production methods and techniques that are in line with the standards of environmental protection. Drilling Fluids: Management and disposal of...
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...Health Care Insurance The hospital honors major third-party coverage such as Medicare, Medicaid, Workers Compensation and other public assistance. Your third-party coverage may require prior approval of your hospitalization. Failure to obtain prior approval may result in reduced benefits requiring additional uninsured or personal charges. The admitting office can assist you in obtaining prior approval for your hospitalization. We accept commercial insurance and we participate in most managed care plans. Please provide Registration with all information necessary to bill your insurer, including your subscriber name, number and effective date. Under Medicare law, health care services that can be paid for by Medicare are subject to review for compliance with medical standards. Review responsibilities for this hospital are conducted by Medco Peer Review at 513-421-6112. All information gathered for Peer Review purposes shall remain confidential. Any recommendations/decisions that may affect your hospitalization will be communicated to you by Medco Peer Review. What if I don't have insurance? If you do not have third-party coverage, your patient admissions counselor will advise you on ways of paying your bill. The Jewish Hospital helps needy patients apply for public assistance. Discounts are based on family size and income. Financial counseling is available Monday - Friday, 8:30 a.m. - 5 p.m. If you would like a counselor to visit you, ask your nurse. For assistance after you...
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...informed the nurse she had to leave the hospital and would return when her child would be released approximately 1 hour and 45 minutes later after the surgery and recovery period. The mother provided contact in case the child was ready for release earlier than the specified time frame. When the child was ready to be released the recovery nurse paged the mother, but the mother had not yet returned. Care of the child was reassigned to the discharge nurse. It was discovered that the father was in the waiting area and was then allowed to see the child. After 30 minutes had lapsed from the time the mother said she would return the discharge nurse elected to provide discharge instructions to the father and released the patient to him. This decision was made because there was not any information in the patient’s file concerning custody of the child or for specific arrangements concerning release. The mother arrived 15 minutes later to pick her child and discovered she had been released to a non-custodial parent and became severely distressed. Local law enforcement...
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...The patient and her mother were then called into pre-admission. The Pre-operative nurse proceeded to go through the standard steps prior to being taken into surgery. According to the nurse an assessment was completed, the patient was changed into a surgical gown, and her belongings taken care of. An IV was started, appropriate labs were drawn, the informed consent was signed and information about the length of surgery and recovery time were discussed with the patients mother. The mother stated to the pre-operative nurse that she would be leaving the hospital to attend to another child, she left her cell phone number with the Pre-Operative Nurse who proceeded to write this number into a personal notebook that she carries. The specific instructions to the pre-op nurse were to call the mom when the surgery was over. At this point the patient was ready for surgery, at the appropriate time the patient was taken to surgery and care transitioned into the care of the OR nurse, surgeon and the OR staff. Upon completion of the surgery the patient was transferred from the care of the surgeon and OR nurse to post-operative nursing care. She was then transferred to the care of the recovery nurse. At the point that the patient arrived in recovery the patient’s mother could not be located. Standard procedures are such that the recovery nurse, “pages” or calls for the recovering patient’s family or guardian. According to the recovery nurse the mothers name...
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...SENTINEL EVENT This is a case of an inpatient admitted at the Nightingale Community Hospital for a medical procedure which by all standards was a success but the patient is discharged from the hospital without the knowledge of the mother culminating into a sentinel event. Joint Commission (commission, 2013) defines a sentinel event as “an unexpected occurrence involving death or serious physical or psychological injury or the risk there of. Serious injury specifically includes loss of limb or function”. Like in this case, “an event can be considered a sentinel event if the outcome was not death, permanent harm, severe temporary harm and intervention to sustain life”. (commission, 2013). The required procedure being on appointment, the hospital was prepared for their patient scheduled for Thursday, September 14th at 12:30pm, a three year old Tina Gerhardt admitted to the ambulatory surgery unit (ASU) for bilateral myringotomies (insertion of ear tubes) accompanied by her mother. They were received by the hospital registrar who entered all the required information, processed all the necessary documentation with sign ups and verifications by the mother prior to being forwarded to the pre- op area. They were then received by the Pre-Op Nurse whose main job is to prepare the patient for surgery. In here, all that is necessary was done on Tina while briefing the mother through the entire process and the time each task was estimated to be completed. During the protocol, the mother...
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...(NEP 2005): National Environmental Policy bodies of Pakistan, fresh water and coastal waters, air pollution, waste management, deforestation, one of the most important for biodiversity, desertification, dealing specifically with pollution facing environmental damage, natural disasters and climate change The framework provides. It gives instructions to the cross-sectoral issues as to meet international...
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...Teaching plan for a new-onset juvenile diabetic Introduction Diabetes causes chronic health conditions and comorbidities, and if left untreated it has negative health consequences for individuals and also nation’s economy. According to a 2014 report from Centers for Disease Control and Prevention (CDC) conducted in 2012 that diabetes affects more than 29.1 million Americans and of them 8.1 million are undiagnosed (CDC,2014). The estimated cost of Diabetes in the United States in 2012 was 245 billion dollar that includes medical cost, disability, and premature death (CDC, 2014). According to Healthy People 2020, diabetes is the seventh leading cause of mortality, lowers life expectancy by up to 15 years, increase the risk of heart disease, kidney failures, blindness, and so forth (U.S Department of Health and Human Services, 2014). Type I diabetes is one of the most common endocrine diseases of childhood which is why it is also called juvenile onset diabetes. It is an autoimmune disease where the beta cells of the pancreas are destroyed resulting in the inability of insulin production. People with type I diabetes need to take insulin daily to regulate their blood sugars (Lamb, 2015). Background and Importance of Research Diabetes is a severe and chronic disease that causes chronic disabilities. The inability of the pancreas to produce insulin results in abnormally high blood sugar levels. Over years, high blood sugar levels can damage...
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...Accreditation Audit Task 2 Sentinel Event Western Governors University Accreditation Audit Task 2 Sentinel Event Nightingale is a well establish Community Hospital, which has been servicing the community by providing excellent, and compassionate healthcare provides for their patients’ needs. There values statement pledge to themselves and the community, is a commitment to four core values the first being Safety with the quote “We put our patients first”. A1 Sentinel Event As defined by the Joint Commission (2014) a sentinel event is an unexpected occurrence involving death, or serious physical, psychological injury, or the risk thereof. With this said Nightingale community Hospital recently experienced a sentinel event involving the possible abduction of a pediatric patient. As per reported, September 29th a three year old patient come to the hospital for a surgical procedures, accompanied by her mother. During the registration portion of the process the mother completed all the registration paperwork that was required. Along with authorization document, the patient was then directed to the pre-op area where the pre-op assessment was completed. It was at this time the mother informed the per-op nurse that she had several errands she needed to run while her daughter was in surgery, but she would be back to pick her up. The mother asked that if she had not return by the time her daughter surgery was completed to please call her mobile phone, and gave the pre-op nurse...
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...Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care A Roadmap for Hospitals Quality Safety Equity A Roadmap for Hospitals Project Staff Amy Wilson-Stronks, M.P.P., Project Director, Health Disparities, Division of Quality Measurement and Research, The Joint Commission. Paul Schyve, M.D., Senior Vice President, The Joint Commission Christina L. Cordero, Ph.D., M.P.H., Associate Project Director, Division of Standards and Survey Methods, The Joint Commission Isa Rodriguez, Project Coordinator, Division of Quality Measurement and Research, The Joint Commission Mara Youdelman, J.D., L.L.M., Senior Attorney, National Health Law Program Project Advisors Maureen Carr, M.B.A., Project Director, Division of Standards and Survey Methods, The Joint Commission Amy Panagopoulos, R.N., M.B.A., Director, Division of Standards and Survey Methods, The Joint Commission Robert Wise, M.D., Vice President, Division of Standards and Survey Methods, The Joint Commission Joint Commission Mission The mission of The Joint Commission is to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The inclusion of an organization name, product, or service in a Joint Commission publication should not be construed as an endorsement of such organization, product, or services, nor is failure...
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