C489: Task 1
Organizational Systems and Quality Leadership C489: Task 1
A. Discuss nursing-quality indicators that could aid issues that may interfere with patient care
The person at the center of the patient care experience past the introduction and the staff the patient encounters stands the nurse; this is the person that, at most times, is the vital cog in the experience and, to most, is the one who dictates how the experience was. The nurse is the one who helps when the call light goes off, is responsible for the task lists to maximize safety, and is the voice from patient to doctor. With this, some quality indicators that the Joint Commission measures dictate whether your hospital stands out or blends in amongst the rest (Cherry, N.D.). This scenario has some unique hands passed over and breakdown what others have strived to build.
Issues about this scenario are; the use of restraints, the food given to the patient that does not meet religious preferences, the comment from leadership to staff, the skin breakdown, and the lack of empathy towards the religion of others.
The use of restraints on a mild dementia patient is the incorrect answer as that shows laziness and a lack of thought in ways to meet safe practices and give a good patient experience. Different techniques that could have been done for this patient were moving closer to the nursing station, increasing bed sensitivity, called the daughter to discuss possible soothing techniques, and relaxing the environment with music or a movie. If the patient is aggressive, and becomes an elopement risk, safety risk, or harmful to oneself, staffing could request a sitter. The uses of restraints on this patient were unwarranted, and the response from the daughter was warranted, and while the daughter is present and the patient is coherent, restrictions should be removed.
The issue with skin breakdown to this patient should not be accepted at any time, though understood in some cases, this patient should have been under strict safety protocol for continuous every two hour turns, specialty bed or at least a stryker pump, and foam protection or barrier cream should have been active. Skin breakdown is highly preventable as it is just time management and nursing responsibility to ensure it happens. Upon assessment day and night, or bed bath, that is, sets of eyes that should have noticed redness accruing, and measures could have been put forth to stop breakdown. This is unacceptable and a failure to communicate could have been worse but it must be addressed.
The religious expectations for all patients no matter what ethnicity or culture you come from in a hospital this is something that should be met without hesitation and understood by all staff. Though understood if staff and patient not being alert missed diet or did not catch the mistake, staff and nurse especially when identified should have called emergency contact and then notified food and nutrition of the error...