Organization Assessment Worksheet Comprehensive Nursing Paper Example
| Scenario | Compliance Issue
· If a compliance issue has occurred, identify and classify the issue in the second column of the worksheet. · If no compliance issue occurred, explain why not (in the second column of the worksheet). · |
Recommended Course of Action
· For each scenario, provide a recommended course of action in the third column of the worksheet.(Organization Assessment Worksheet Comprehensive Nursing Paper Example)
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| Example:
A patient is discharged without proper instructions for prescribed medication. |
Violation of NPSG.03.06.01 | Investigate why proper discharge protocols were not utilized. |
| A recent patient at your hospital contracts Methicillin-resistant Staphylococcus aureus (MRSA). All proper infection-control guidelines were followed.(Organization Assessment Worksheet Comprehensive Nursing Paper Example) | No violation occurred. | Contact Infection control staff immediately and report the incidence as required.(Organization Assessment Worksheet Comprehensive Nursing Paper Example) |
| A phlebotomist does not wash her hands before a blood draw for a post-operative patient. | Violation of NPSG.07.0.1.01 | Use the hand cleaning guidelines from the Centers for Disease Control and Prevention or the World Health Organization. Set goals for improving hand cleaning. Use the goals to improve hand cleaning. |
| A patient complains that her hospital identification bracelet is causing a rash. She removes and discards it. The nurse administers medication based on a verbal identification because she recognizes the patient from her previous two shifts.(Organization Assessment Worksheet Comprehensive Nursing Paper Example) | No violation occurred | Identify patients correctly using at least two ways to identify the patients. For example the patient’s name and date of birth. This ensures that every patient gets the correct medicine and treatment.(Organization Assessment Worksheet Comprehensive Nursing Paper Example) |
| A patient with no known drug allergies is given a drug. The patient has a reaction to the drug, goes into anaphylactic shock, and dies. | Violation of NPSG.03.06.01 | Record and pass along correct information about a patient’s medicines. Find out what medicines the patient is taking. Compare those medicines to new medicines given to the patient. Make sure the patient knows which medicines to take when they are at home. Tell the patient it is important to bring their up-to-date list of medicines every time they visit a doctor. |
| An obese hospital patient requests that an aide help him to the bathroom. The aide requests assistance, but no one is available. The aide escorts the patient alone, and the patient falls.(Organization Assessment Worksheet Comprehensive Nursing Paper Example) | Violation of NPSG.06.01.01 | Use alarms safely
Make improvements to ensure that alarms on medical equipment are heard and responded to on time.(Organization Assessment Worksheet Comprehensive Nursing Paper Example) |
| A nurse in the intensive care unit (ICU) disables an alarm on a machine used to monitor a critically ill patient. When asked about his decision to disable the alarm, he claims the beeping was bothering family members visiting the patient. The patient is treated without incident.(Organization Assessment Worksheet Comprehensive Nursing Paper Example) | Violation of NPSG.06.01.01 | Use alarms safely
Make improvements to ensure that alarms on medical equipment are heard and responded to on time.(Organization Assessment Worksheet Comprehensive Nursing Paper Example) |
| The cleaning staff frequently positions a linen cart so that it blocks access to a fire door in a hospital corridor.(Organization Assessment Worksheet Comprehensive Nursing Paper Example) | ||
| A hospital built in the 1970s does not meet the new fire safety codes. | ||
| A blood test indicates an emergency room patient has a serious and highly contagious disease. The blood test results are reported to the attending physician 90 minutes after they are known. | Violation of NPSG.02.03.01 | Improve staff communication
Get important test results to the right staff person on time. |
| An experienced nurse does not label oral medications for his intensive care unit (ICU) patients because he can identify the medications based on the shape and color of the pills.(Organization Assessment Worksheet Comprehensive Nursing Paper Example) | Violation of NPSG.03.04.01 | Use medicine safely
Before a procedure, label medicines that are not labeled. For example, medicines in syringes, cups and basins. Do this in the area where medicines and supplies are set up.(Organization Assessment Worksheet Comprehensive Nursing Paper Example) |
| A healthy young woman checks into the hospital for a minor outpatient procedure. She recognizes the pre-op nurse from her volleyball league. When the nurse asks about what medications she is taking, she withholds that she is taking antidepressants and anti-anxiety medications.(Organization Assessment Worksheet Comprehensive Nursing Paper Example) | Violation of NPSG. 15.01.01 | Identify patient safety risk to reduce the risk for suicide(Organization Assessment Worksheet Comprehensive Nursing Paper Example) |
| During a pre-procedure verification, an elderly patient with early-stage dementia insists that her left hip will be replaced. Records indicate that her right hip is to be replaced. The operating room (OR) is behind schedule, but the surgical team delays the operation to consult with the patient’s family. | No violation | Improve staff communication
Get important test results to the right staff person on time. |
| A surgeon delegates the marking of the procedure site for an upcoming surgery to a surgical resident.(Organization Assessment Worksheet Comprehensive Nursing Paper Example) | No violation | Delegation to qualified practitioners
The surgeon may delegate part of the operation to qualified practitioners including, but not limited to residents, fellows, anesthesiologists, nurses, physician’s assistants, nurse practitioners, surgical assistants or another attending under his or her personal direction. However, the primary attending surgeon’s personal responsibility cannot be delegated. The surgeon must be an active participant throughout the key or critical components of the operation. The overriding goal is the assurance of patient safety.(Organization Assessment Worksheet Comprehensive Nursing Paper Example)
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| The operating room (OR) is running almost 2 hours behind schedule. A surgeon has six routine operations. He skips the time-out before the surgical procedures.(Organization Assessment Worksheet Comprehensive Nursing Paper Example) | Violation of UP.01.03.01 | Prevent Mistakes in surgery. Pause before the surgery to make sure a mistake is not being make.(Organization Assessment Worksheet Comprehensive Nursing Paper Example) |
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