Case studies poor nursing documentation

But then the hospital must also have policies and procedures to verify unit-specific competencies, in addition to the general skills demonstrated at hiring. These skills include things like medical record documentation, and taking blood pressure and pulse. In one case, a patient who had undergone a craniotomy to drain a brain abscess was on a general floor.

When the repeat lab came back with a critical lab serum sodium lab value, the nurses notified no one, Case studies poor nursing documentation the patient ultimately developed a permanent brain injury.

As a result, there was a delay in treatment and the patient now has a permanent, severely disabling brain injury. And once the general and unit-specific competencies are in place, the hospitals must provide charge nurses, a nurse executive, and other experienced nurses to supervise the bedside nursing care.

The Texas medical malpractice trial lawyers at Painter Law Firm Trial help families who are forced to deal with this type of medical malpractice. Poor nursing communication causes needless hospital injuries and deaths Nurse-doctor communication is such a problem that the Joint Commission on the Accreditation of Healthcare Organizations requires all hospitals to create policies and procedures to improve nursing communication of critical lab values June 21, When a patient is admitted to a hospital one of the most important factors for achieving treatment goals is competent nursing care.

In fact, the organization that accredits hospitals, the Joint Commission on the Accreditation of Healthcare Organizations JCAHO realized that communication was a major problem that required nationwide correction. For nurses to be able to fulfill this role, hospitals must be serious about their role to hire only qualified nurses and then to use proper testing and assessment to ensure that those nurses have the skills to take care of particular types of patients.

His serum sodium level fell to critical lab values, but the nurses did not notify a physician. Contact us at for a complimentary evaluation of your potential case.

InJCAHO used the National Patient Safety Goals to tackle communication problems head-on, specifically as they relate to communication and handling of critical lab results.

When hospitals do not assess the competency of their nurses, and nurses do not communicate key findings to a physician, there are serious consequences that can lead to avoidable patient injury and death.

A serum sodium level of was returned by the lab, but the nurses did not communicate it to the physicians. Hyponatremia low serum sodium level is a very serious, life-threatening condition for post-neurosurgical or head trauma patients.

JCAHO conducts surveys of hospitals on a regular basis and publishes standards that hospitals must meet in order to receive accreditation.

Coroner’s Report: discuss the importance of documentation in health care

In another case, a patient sustained a head injury when he fell off a horse. Before getting into the new JCAHO standards, let me share two real-life examples of the critical lab value communication problem from two Memorial Hermann hospitals in Houston.

Clinical competence is just one of two prongs needed, though, for nurses to fulfill their part of the nurse-physician team effort—the other is communication.

In other words, to meet its responsibility under the law, a hospital must have policies and procedures in place to ensure that all of the nurses it hires demonstrate competency in certain basic skills before they are assigned to care for patients independently.

Similarly, a second sodium lab value came back atand no physician was notified. Study after study has shown that poor communication leads to a shocking number of avoidable hospital injuries and deaths.

For example, nurses hired to work on a labor and delivery unit need different skills from nurses who work on a neurosurgery unit.A Case of Thrombocytopenia “Carolyn Jones” is a year-old professor of economics.

The past week she has felt tried and weak. The past few days she has noticed small, red dots on her skin and gums. This is the case study used during the “Your Medical Documentation Matters” presentation.

It is a tool used for reviewing the details of the case during the presentation and the documentation. requirements for the various provider types furnishing services. It highlights important Federal.

J.R. Henry Consulting Inc.

Poor nursing communication causes needless hospital injuries and deaths () 3 EMS DOCUMENTATION Case Studies, Compliance and More! Superior Court - June 28, Depending on the kind of legal case, an expert witness could be a nurse, a doctor or a facility Page 4 The Best Defense is a Good Documentation Offense themselves, may be the very source of a lawsuit.

Not only is complete and accurate documentation a facilities caring for the elderly and/or the poor. This pediatric simulation and unfolding case study takes place in the Nursing Learning Resource Center and is scheduled early in the Nursing Care of Children and Adolescents course.

It stands as an immersion day experience that is comprehensive Resources with free scenarios. The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities Appendix C. Case Study and Program Examples.

The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities. Chapter 1. Introduction and Program Overview.

Chapter 2. Fall Response. Chapter 3.

Poor documentation: The consequences

Data Collection and Analysis Using .

Case studies poor nursing documentation
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