Reference no: EM133864973

Assignment:

Ms. Reid is a resident from a long-term care facility who recently had a minor surgical procedure done at the hospital. Prior to surgery, Ms. Reid was ambulatory and somewhat self-sufficient. Upon return to the home, the evening nurse reads the report from the hospital which contains the following information: Vital signs, condition of surgical dressing (on left hip), and reports that the patient has been eating well. Ms. Reid is alert upon arrival.

During the night, Ms. Reid falls when walking to the bathroom. When you come in for the morning shift you are concerned that Ms. Reid is not able to walk as she was before the surgery. There are no notes about her change in status on the chart or in the shift change report.

Using course material and other relevant resources, including Best Practices and Leadership actions and standards, provide a meaningful answer to the following:

1. What was the adverse event in this case? Why did it occur?

2. Did an error occur? If so, what is the classification and why?

3. What safety standards require compliance in this case?

4. What documentation and communication is needed to support safety for Ms. Reid?

5. What safety related actions need to be taken after this event?

6. How would you report this event to the patient safety committee and the patient/family?

7. As a team leader, how would you use this event to promote safety education with staff?

8. What recommendations for change would you make to improve a culture of safety at the LTC facility?

9. What professional safety standards, guidelines and laws should the staff know to ensure high quality care for this patient?