Follow Task instructions: please review enclosed scenario and have detailed explanations for topics (A- C4) . Joint Commission is a useful website. Reference and title page must be included however an Abstract isnt necessary.
Paper must be a minimum of 10 double spaced pages not including
reference. 4 pages total
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7 ask # .9-
Competencies: 734.3.1: Principles of Leadership The graduate
applies
principles of leadership to promote high-quality healthcare
in a variety of settings
through the application of sound leadership principles.
734.3.2: Interdisciplinary Collaboration The graduate applies
theoretical
principles necessary for effective participation in an
interdisciplinary team.
734.3.3: Quality and Patient Safety The graduate applies
quality improvement
processes intended to achieve optimal healthcare outcomes
contributing to and
supporting a culture of safety.
734.3.4: Healthcare Utilization and Finance The graduate
analyzes financial
implications related to healthcare delivery reimbursement
access and national
initiatives
Introduction:
Healthcare organizations accredited by the Joint Commission
are
required to conduct a root cause analysis (RCA) in response
to any
sentinel event such as the one described below. Once the
cause is
identified and a plan of action established it is useful to
conduct a
failure mode and effects analysis (FMEA) to reduce the
likelihood that
a process would fail. As a member of the healthcare team in
the
hospital described in this scenario you have been selected as
a
member of the team investigating the incident.
Scenario:
Scenario:
It is 3:30 pm. on a Thursday and Mr. B a 67-year-old patient
arrives at the six-
room emergency department (ED) of a sixty-bed rural hospital.
He has been brought
to the hospital by his son and neighbor. At this time Mr. B
is moaning and
complaining of severe pain to his (L) leg and hip area. He
states he lost his balance
and fell after tripping over his dog.
Mr. B was admitted to the triage room where his vital signs
were B/P 120/80 HR-88
(regular) T-98.6 R-32 and his weight was recorded at 175
pounds. Mr. B. states
that he has no known allergies and no previous falls. He
states My hip area and leg
hurt really bad. I have never had anything like this before.
Patient rates pain at ten
out of ten on the numerical verbal pain scale. He appears to
be in moderate distress.
His (L) leg appears shortened with swelling (edema in the
calf) ecchymosis and
limited range of motion (ROM). Mr. Bs leg is stabilized and
then he is further
evaluated and discharged from triage to the emergency
department (ED) patient
room. He is admitted by Nurse J. The admitting nurse finds
that Mr. B has a history
of impaired glucose tolerance and prostate cancer. At Mr. Bs
last visit with his
primary care physician laboratory data revealed elevated
cholesterol and lipids. Mr.
Bs current medications are atorvastatin and oxycodone for
chronic back pain. After
the nurse completes Mr. Bs assessment Nurse J informs the ED
physician of
admission findings and the ED physician proceeds to examine
Mr. B.
Staffing on this day consists of two nurses (one RN and one
LPN) one secretary and
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