Nursing: Organizational System – Care Example

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"Nursing: Organizational System" is an exceptional example of a paper on care. The organizational system in any healthcare should put in place an excellent kind of leadership that will ensure that the rules set in healthcare care for the benefit of the patient are uplifted. However, such a step will also improve the discipline among the workers in healthcare. The healthcare should conduct a process that will analyze the cause so as to respond appropriately to the sentinel event such as the one described in patients in our case study.

In addition, it is also important to carry out a failure mode and effect analysis (FMEA). Conducting FMEA reduces the failure outcome of the steps that will subsequently follow when performing the actual treatment ad drug prescription. The cause analysis considers the causative factors that led to the patient’ s outcome. Cause Analysis: the time when the ailment started in Mr. B was on Thursday- 3:30 pm but the staff of the health care diverted their attention to other emergency cases that arrived thereafter. The facility has its location at the Emergency Department of the rural hospital.

The component of the complication is the Sedation Protocol, and the authentic effect is Mr. B’ s injury leading to his death. The causative factors that brought about the scenario are the following: There were no proper sedation protocols that the administration took into consideration for the treatment of the patient. Secondly, there was the absence of enough staff that could help in the treatment of Mr. B. Thirdly; there was the proper channel of communication between the staff of the mentioned healthcare. What happened to Mr. could not have taken place in case a mindful sedation process was followed, and the correct tools used.

At 4:35 pm, Mr. B’ s B/P is 110/62, and his oxygen is 92, he takes long without any oxygen supplement. However, when it is done there is nobody to monitor him. Nurse J and the LPN who is the only staff on duty yet the healthcare is sixty- bedded. Such is enough picture that health care lacks sufficient staff. The fact makes the divert their attention to a 75- year old patient with acute respiratory distress given that there was also a patient who was left pending the arrival of the patient.

However, the interdisciplinary need to be put in place to monitor the protocols in healthcare. Moreover, the contracts are supposed to be strengthened so as to avoid such scenario repeating. Moreover, the shortage of staff made Nurse J, who was the only RN present on the day to overstretch herself. In such a case, could there be more nurses, nurse J could have done a proper sedation process on Mr. B, and, however, it was not possible because she was multi-tasking.

It was possible because the other RN could be working on the other emergencies as nurse J is working on Mr. B. Another best option that the administration of the hospital can do is to refer some patients to other hospitals instead of keeping them hostage yet there is no proper treatment they are getting (Vincent, 2010). Additional staff is needed to give the discharge so as to create more bed space. For instance a 43-year- an old female patient who has received treatment is still waiting for release since the ED physician is still attending to the other patient.

Moreover, the laboratory result for eight- year- old boy is still pending, possibly there is nobody to give such treatment. Proper communication is another causative factor in such a case. Dr. T gives an order to nurse J to administer diazepam 5 mg IVP at 4:05 pm, 1o minutes later the doctor realizes that the drug has no effect on the patient and therefore he administers another drug. Still, after seeing no change, the doctor instructs nurse J to apply more quantities of the drugs they had administered before.

Such actions show the lack of competence in work and lack of proper communication. Furthermore, it is clearly evident that the DR. T had not read the medical history of the patient because upon reviewing, realizes what he has not been doing. Negligence of duty is also part of the healthcare negative endings. For instance, it is the son of Mr. B who informs the staff of what they should be doing. Nursing sensitive indicators (NSIs) are important especially when focusing the attention on the security of the patients and the indicators of the patient care outcome.

Furthermore, NSIs are important when nurses want to make cost active changes and high-quality patient care. In addition to that, NSIs also indicates the job satisfaction following the experience that the nurses have. NSIs also focus on the patients’ outcome and their improvements. The case of Mr. J and the hospital that he has been admitted shows a clear indication that there is no patient satisfaction in the hospital. For instance, Mr.

J is alone in the room; therefore it means that there is nobody who can help him even when he is in need of help. It is her daughter who helps him to remove the restraint. The nurses could only remove control in the presence of the family members (Solamita, 2009). Furthermore, the dissatisfaction of Mr. J is seen in the kind of food he is given. The tray of the food indicates regular chopped meat, but what he is served is chopped pork outlet. Such is taking advantage of the sick that he has lost the memory and that he cannot complain.

Furthermore, the employment of incompetent staff that does not care about the lives of the patients is an evil act in the hospital. For instance, the cooks do not take care of the orders of the meals that the sick are supposed to make. The claim should be placed on the administration because most of the sick have been complaining over the same but so far there is no measure that is underway. If at all an experienced dietary workers, the problem could not have been there.

Nurses should also show a lot of competence in their work. As in the case where the daughter of Mr. J points out the problem on his father’ s back, the nurse tells the daughter not to worry yet she has not looked at the problem in detail. Such a step shows an incidence of failure because once the problem is not treated it can lead to the demise of the seek. As a nursing shift supervisor, I would take the cook through professional certification so that they may learn what it entails giving the right diet to the patients.

Furthermore, I will encourage the staff to be open in any of the mistakes they make so that appropriate remedies are taken before it is late. Moreover, I would advise my staff members not to take a chance whenever any abnormal symptom is seen in the patient as in the case of Mr. J’ s back. Nurse sensitive indicators in the hospital are important in providing a valid outcome to the patient. Moreover, it also ensures that service delivery is done without a lot of diligence. Conclusion Nursing sensitive outcome indicators have the primary aim to draw the connection between the result of the treatment the patients have gotten and the nursing involvements.

In the health care system, nurses play a very and they can either build or destroy the reputation of health care. Nurses in health care should be more so as to reduce the complication of the patients in any given healthcare.


Nagelkerk, J. M., & Huber, D. (2006). Study guide for Leadership and nursing care management, third edition. St. Louis: Saunders Elsevier.

Polifko-Harris, K. (2004). Case applications in nursing leadership & management. Clifton Park, N.Y: Thomson/Delmar Learning.

Solomita, J. B. (2009). An analysis of variance in nursing-sensitive patient safety indicators related to magnet status, nurse staffing, and other hospital characteristics

Vincent, C. (2010). Patient Safety. New York, NY: John Wiley & Sons.

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