Reflective Incident In Nursing Practice

At this point ensuring the patient is calm and safe verses asking details of the event (until emergency services arrives) is key. Otherwise the client may get upset or go into shock over the event again. Once emergency services has arrived for the client,I 'd ensure that everyone is okay and staying calm. This is the point where emergency services would take over. I would complete any paperwork relevant to the incident to this point to ensure that no important events are missed or

Falls of critically ill patients admitted to the ICU routine should be avoided developing certain strategies used outside this area, such as prevention of displacement, promote stability, elimination of sliding hazards routinely ensure that the patient is oriented to the environment and the bell is at the fingertips, keeping the beds in the lowest position and braking, providing adequate lighting, and provide anti-slip footwear and technical assistance in lifting patients bed. The response time of the call prolonged ringing patient or family is just one of the potential causes of falls, firstly because if the response time is greater serve their needs later, and partly because no response to the patient may start feeling agitated. Shift schedules nurses can be particularly effective in preventing falls, as they allow the staff to anticipate and address the needs of each patient. The tubing, drains and cables must be securely to prevent tripping when lifting or embody patients. Although falls can happen without warning, subsequent falls can be avoided if the etiology of them is

Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.

The necessity to reduce patient falls is the trigger in this circumstance. This is a knowledge- focused trigger since the purpose is to implement a practice that has been shown to prevent falls. The next step is establishing if the issue is a top priority for the clinic, division, or section. Patients should be a top priority in any acute care facility, as they can result in catastrophic injuries and even death (Cullen et al., 2022).

Hence, this is a sentimental event because this unanticipated event resulted in death to a patient, not related to the natural source of the patient's illness. Therefore, the threat and error management model should be used to determine both training needs and organizational strategies to improve the management of threats to safety. What defenses in the system failed in this case? Can you construct a Swiss cheese analysis of the system defenses and what occurred?

Although as far as human error is concerned, initially the clerk was not at the desk, and then assumed the nurse's name which resulted in delay in attending to Claudia's call and subsequent injury to her body. 2. How might Claudia’s fall have been avoided? • Her fall could have been avoided through several timely responses to her call such as: • Identification of the assigned nurse • Communication of message to the nurse could have avoided Claudia's fall. 3.

This is reviewed with any change in patient status, a fall, and/or quarterly. Patients, depending on screening, might receive services from physical therapy (PT), occupational therapy (OT), nutritional services, bed/chair alarms, floor mats, medication adjustment, and change in room to closer to the nurses’ station, or other services. All at risk patients are easily identifiable by notation on wrist band, footwear, room and equipment signage, in the electronic medical record, and on any paper records. The fall rate of patients at SAVAHCS continues to be at or slightly below the benchmark, but our goal is to have zero falls. The intervention not fully utilized at this hospital, that does show promise in the literature, is the post-fall huddle.

The policy and procedure to be examined presents guidelines for both preventing and documenting falls in an acute care setting. This policy is to be used daily and with every patient in a hospital setting.

(Joint Commissions, 2014).It is important for nurses to explain how to use the call light to the elderly patients, and also to ask for help before getting out of bed. Vulnerable patients should be placed close to the nursing station for close monitoring. It is very important to educate health care workers on the approaches used to prevent falls. The measures used to prevent falls in the elderly could include; carrying out a risk assessment during admission, placing colorful stickers outside their doors, stopping the use of psychotropic medications, teaching them the best way to use their assistive device, placing their call light and belonging within their reach, placing their beds in the lowest position with brakes /wheels locked at all times, removing throw rugs from their surroundings, making sure that they are wearing non-skid shoes/socks before ambulating and also giving them their prescribed Vitamin D supplement as well as encouraging them on the use of their corrective glasses or hearing aids. It is very important to educate health care workers on the approaches used to prevent

Secondly, nurses were not taking any kind of permission from patient before changing her clothes. They were not showing any kind of respect to the patient and acted like as if she was taken for granted. While changing her clothes, the doctor in charge unveiled the curtain abruptly without caring for the patient’s privacy. 2. Other than errors in communication, several safety concerns were presented.

It also provided the use of critical thinking and clinical judgment on how to prevent falls, support, and be accountable for a client professionally. The practical knowledge I have learned helped me become aware of assessing and assisting a client. As a nurse, our job is to provide “safe, compassionate, competent and ethical care” (p.8) and collaborate as an interprofessional team to deliver safe care and prevent risks from happening while offering quality nursing care (CNA, 2017). I will always provide the professional care under the code of ethics to promote health and wellness for an older adult and prevent risks from happening. As well as following the plan of care, use communication strategies, be aware, acknowledge, and accommodate individuals with different diseases such as with dementia, to promote fall prevention strategies (RNAO, 2017).

3.2 Outline the procedures to be followed if an accident or sudden illness should occur. The procedure to follow in the event of an accident would be that I would record all of the details about the incident & report/relay them to the ward manager who will then go on to notify other people. In the event of someone having a cardiac arrest, if I was the first person on the scene I would activate my alarm to make sure there are more staff available to help. 3.3 Explain why it is important for emergency first aid tasks only to be carried out by qualified first aiders.

For the purpose of this assignment I have chosen to reflect on not knowing how to treat a confused patient with dementia. During this experience I felt like I was of no help to the patient and as a result I was useless to the staff. I felt like this because I didn’t know how to talk to this lady. I didn’t understand how to act or what to say to fix the situation.

CASE: Mrs Tan, 80 year old Chinese lady admitted to hospital post fall- was found on the bathroom floor and was unable to get up. Before falling, she attempted to get up from toilet bowl after passing motion but her knees buckles after one to two steps. There was no loss of consciousness. As she was unable to get up and did not have a pendent-alarm, she had to wait four hours before daughter come home from work. Ambulance was called and she was brought to accident and emergency unit.

I will also discuss on how this clinical situation could be done differently. Clinical scenario I was posted to a medical ward in National University Hospital for my clinical posting. There is a particular cubicle allocated for patients with very high risk of fall called the “Green eye cubicle “. Patients in that cubicle are usually confused or not compliant to fall precaution.