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Rtt1 Task 1

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Organizational Systems and Quality Leadership
Task 1
It is critical to have an understanding of nursing-sensitive indicators in order to provide safe, quality, compassionate and satisfactory patient care. In this scenario, applying restraints to Mr. J, a demented patient with hip fracture seems appropriate. However, it is standard practice that restraints are to be removed as soon as possible, and the patient in restraints may need assistance to change position every two hours. In Mr. J’s scenario, there should have been a bedside commode, and a urinal for him to use at the bedside so he does not have to walk very far to the restroom. As for the CNA, if she was well trained, she would have been able to recognize the marks on his spine are potential pressure sores. Her knowledge of pressure ulcer would have prevented her from putting Mr. J back to bed in a supine position. Regarding the wrong meal being provided to the patient, it could have been a transcription error of the person taking the meal order, or it could have been a few other reasons, but either way, an error has occurred and it cannot be undone. However, every staff members involved in the care of this patient owe him and his family an explanation and apology. Patients have the right to know about every aspect of their care, and as professionals we need to protect and respect those rights. In this scenario, the nursing supervisor had compromised the principle of integrity when she made the decision to dismiss the error, and the nursing staff was insensitive to say “half a pork cutlet never killed anyone”. Yes, Mr. J didn’t die from eating half a pork cutlet, but his right to eat a kosher meal has been violated. This hospital could have easily prevented such situation from happening by providing mandatory annual trainings to its staff members, set goals for individual disciplines, collect and

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