The Board of Nursing in North Datkoa has made up our minds to make basically the most of a machine developed by the National Council of Tell Boards of Nursing called the Taxonomy of Error, Root Motive Analysis Notice- Duty (TERCAP). Your nurse manager has offered you with a summary of the achieved TERCAP document by your Board of Nursing’s Disciplinary Circulation Committee. She has requested you to study about this summary and to blueprint a proposal of solutions for continuing education subject matters on strategies to diminish honest risks for your health center’s practising nurses. The nurse educators will blueprint an education series primarily based fully upon your suggestions.
Instructions
Put collectively a proposal according to the summary of the TERCAP with suggestions and solutions on minimizing honest risks that:
Part One – Review summary of achieved TERCAP document below.
A affected person, extinct 54, admitted for help surgery secondary to compressed vertebrae and intense grief. The mission with grief management has prompted the affected person some despair and insomnia over the closing month. At some stage in her first publish-operative day, the affected person fell making an are trying to head from the mattress to the lavatory without help. Her wound changed into once severe and fervent most critical wound requiring two additional days of hospitalization and an addition six weeks of bodily therapy.
A overview of the case decided that her assigned nurse on night shift changed into once an RN (age 24) with 9 months of expertise on this unit. This changed into once her third 12 hours shift in a row, and she changed into once 29 weeks pregnant. There had been 28 beds interested in handiest two RNs and one affected person technician, attributable to at least one vacancy and a call-in for illness. This neighborhood facility has experienced a turnover rate of 12% in the closing 365 days (neighborhood moderate of 4.5%), and has a excessive change of most standard graduates engaged on medical surgical items, specifically on the 7 pm- 7 am shift.
A overview of the chart confirmed that the affected person had been suggested by the out-going nurse, who admitted her to the unit publish-operatively, that she desired to position a query to for help with toileting for at least the next 24 hours attributable to the wide help surgery and publish-anesthesia response and grief medication. The RN coming on shift had got bedside shift document at 7 pm and illustrious the affected person drowsing, so the pickle of affected person help changed into once no longer repeated. She checked on her all over again at 8 pm and administered the requested prn medication (morphine) for grief. She changed into once busy with diversified sufferers and did no longer stumble on the affected person all over again until the affected person fell at 9:51 pm.
The affected person reported that she did no longer recall having been suggested to position a query to for help, as she changed into once very groggy from the anesthesia. She stated that she had pushed the nurse call button for help and “no person came.” There changed into once no clerical give a enhance to at the nursing jam and the three crew people had been very busy with sufferers, so this assertion may perhaps maybe no longer be substantiated.
The likelihood manager found that the RN had no longer followed nursing protection for affected person evaluate 20 minutes after receiving grief medication and had no longer done the suggested hourly rounding on the affected person to assess for the need for elimination, grief, and affected person comfort. The present in the chart indicated handiest that the affected person requested grief medication, but did no longer provide affirm nursing evaluate info or screech that the affected person had got the identical dosage of morphine two hours earlier.
Part Two – Components and Actions
· Discusses the factors that contributed to test and the map these factors would perhaps be addressed to diminish honest risks.
· Situational factors
· Nursing factors
· Human factors
· Organizational factors
· Explains whether or no longer the nurse changed into once negligent or did her actions attain the extent of malpractice and affords a enhance to your reasoning with research.
· Determines what suggestions the nursing board had in terms of this nurse’s license to apply nursing.
· Describes your reasoning for what action would you imply (warning, probation, revocation of license) if you occur to had been on the disciplinary committee of your Board of Nursing.
· Explains how the extent of nursing habits pertains to your proposed advice on licensure.
Part Three – Continuing Training
· Summarizes a listing of subject matters to be offered to the education department according to the summary of the TERCAP document.
· Offers stated solutions with official language and attribution for credible sources with good APA citation, spelling, and grammar in the proposal.
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