Question

Experiential Exercise Note: This case was written on Accreditation of Rehabilitation Facilities International Community resources center Case by Jenna Green and Will Haithcock e Laboratory accredited by the College About the Hospital Prairie Regional Medical Center (PRMC), located in central Kansas, is a 245-bed hos- of American Pathologists and American Association of Blood Banks Women's imaging center Wound care unit ital that offers a comprehensive range of pl inpatient and outpatient medical services to residents of central Kansas. The medical staff of PRMC consists of more than 125 phvsi- cians and dentists representing a number of specialties, including the following: PRMC is fully accredited for all services sur- veyed by The Joint Commission The Situation Felix, a 68-year-old man, presented to PRMC with a peptic ulcer and underwent abdominal surgery (a diagnostic laparot- omy). He was admitted to the patient tower for an anticipated four-day monitoring and recovery stay after his surgery, which was without any complications. Other than the recent operation, Felix has been in relatively good health for his age, but does have diabe- tes and wears hearing aids in both ears. Comprehensive cardiac care Neurosciences Women's health Emergency medicine, including a 24-hour trauma center . Rehabilitation Among the specialized units and facilities at PRMC are the following: Renee, a registered nurse, was assigned Dedicated women's unit to Felix's care during his recovery. She would be able to monitor and care for Felix for his entire recovery because she works a unique schedule of five days on, five days off, which was specifically . Skilled nursing facility e Comprehensive inpatient rehabilitation unit accredited bv the Commission

List four quality and patient safety concerns/issues (one to two sentences each) related to case study situation. For each concern/issue listed, provide PRMC leadership team with supporting rationale as to why the concern/issue negatively impacts patient safety and quality.

Finally, identify one HRM practice (two to three sentences for each practice) for each concern/issue that PRMC should implement organization wide.

Answer 1

In PRMC in the issue which were explained related to nurse and her negligence towards a patient and the complication developed after these issues are required to be evaluated in detail. In this situation the quality or patient safety concerns were, irregular duty of the nurse, addressing the health standards of the nurse, negligence from other staff and the communication process between the supervisor and the subordinates. In all these situations there has been and hint to be positive from the side of the nurse was very well established. Any way the situation created here can not make the nurse has alone guilty, unless and other wise proved, there are possibility of other chances also that it may be due to various other reason. This particular nurse has been coming or being part of this kind of issue for the first time and she was able to report her mistake whenever she realised that something wrong was happened from her side. This one of the things which makes the quality of the care in the hospital or from the side of the nurse makes it perfect. If it is making her to feel guilty and she was not reported it properly then in later, it will be considered as big remarks to the quality of care provided in the hospital.

Another thing is the patient party wants to fire the nurse, it may not be considered as important, because they will be seeing only the one side of the coin. They are admitted here for about one week and they know this person for only one week, and in the hospital the nurse is working for about more than 8 years and the hospital staff should know her better than the patient. So, the decision to fire or some disciplinary action should be coming from the supervisory or from the management side and based on the patient parties’ reports.

Another important thing in this scenario is the duty time of the particular nurse, there should have some alternative for the same, and if there are any other issues were happening in the nurses house it has to be solved, because a healthy mind can have only a healthy person. So the nurses psychological wellbeing is a must, giving adequate vacation and off duty are to make this kind psychological wellbeing and this has to be considered for a later stage.