Case Study 1: Night Supervisor: At 1:45 a.m., Jimmy, the night supervisor at a local nursing home, is informed by police
Select one of the following case studies to analyze in your Week Five assignment.
Case Study 1: Night Supervisor: At 1:45 a.m., Jimmy, the night supervisor at a local nursing home, is informed by police that the nursing home needs to evacuate due to a cresting river nearby. The river is scheduled to crest by 5:00 a.m. Jimmy has 60 patients in need of relocation. He only needs beds and furniture for a short period of time. The weather service has estimated that the evacuation will need to last for 24 to 36 hours.
There is a regional hospital nearby, but it is undergoing remodeling. Jimmy calls the head RN at that hospital and finds that they have 54 beds open, but many are in a wing that was just repainted.
Jimmy needs to make a decision quickly. What should the night supervisor do in this situation? What procedures are in place?
Case Study 2: Risk Management: Tracy is the risk manager at ABC Medical Center, a 300-bed urban teaching facility. One morning, she receives a call from Jerry, the medical director of surgery, asking her to come immediately to one of the operating rooms where a patient had been scheduled for an amputation of the right foot.
As Tracy approaches the OR, she reviews the preoperative care required for all patients having surgery. The identification of the patient, the verification of the involved limb, and the time out procedure are all in place.
Tracy enters the OR and immediately notes the concern on the faces of the medical and nursing staff present. The Medical Director proceeds to explain the reason for the call: the wrong limb has been surgically removed from the patient.
Tracy now has a series of notifications to complete as this is a serious reportable event (SRE). Who needs to be notified, and what follow-up process must be completed to remain in compliance with state and the Joint Commission requirements?
Case Study 3: Records Management: Sam is the records manager for an urgent care clinic in a midsize city. His clinic is merging with another nearby to form a large urgent care that can meet the needs of the growing suburban area. Sam knows that his clinic uses a number code system for records management. The other clinic uses an alphabetical system to code their records. He also knows that the new urgent care will have an electronic records management (ERM) system that is new to all records employees. The merger and transition to a new facility will be happening in four months. What does Sam need to consider in this move? How can he combine the two methods of record management? Which method should the new clinic use? What challenges does the new ERM system pose and how can Sam overcome these challenges?
Case Study 4: Technology: Caitlin is the office manager in a large private pediatric practice in the city. The physicians met and decided to switch all records to a laptop-based system where nurses and doctors will log all records in a laptop. All patient interactions, data, and records will be entered primarily into the laptop, and no hand-written records will be taken. Caitlin is asked to come up with a plan for the conversion. This office has 13 doctors, 10 nurses, and 2 physician’s assistants that will all be using the laptops when evaluating patients. What should Caitlin consider in her conversion plan? How should patient questions be dealt with? What other concerns should Caitlin take into consideration when formulating her plan?
Case Study 5: Security: Janice is the head nurse in a 24-room Alzheimer wing of an assisted-living center. All 24 patients in this wing have various stages of Alzheimer’s disease. Due to the nature of the disease, the unit is permanently locked so that patients are not permitted to leave the area. Flo, one of the residents, is frequently found to be waiting at the door and attempts to leave when the door is opened. Janice has informed the entire center about security issues in her wing and all staff members are required to ensure that no one enters or leaves when the doors are opened. One evening, Janice receives an emergency call from Flo’s family saying that when they arrived to visit her, she was not on the ward. Janice now has a series of notifications to make. Who does she need to notify? What follow-up procedures should be put into place to ensure this does not happen again?
Assignment:
Select a case study to analyze.
Imagine that you have been assigned to the strategic planning committee tasked with addressing the issues in the healthcare organization in the case study.
Create a presentation of 10 to 15 slides, including detailed speaker notes, for the strategic planning committee.
Include the following in your presentation:
Analyze the challenges faced by the health care organization in the case study.
Analyze the role each stakeholder has in the strategies to address the challenges of the health care organization in the case study.
Analyze what programs and services are available to address the challenges.
Analyze strategies that could be used to address the challenges at the health care organization.
Analyze what role collaboration has in implementing strategies within the health care organization in the case study.
Analyze methods for implementing the strategies to address the challenges of the health care organization in the case study.
Include at least four references.
Format your presentation consistent with APA guidelines.
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Slide 1
The Nursing Home night supervisor should work on the following existing emergency plan:
¡Emergency preparedness,
¡mitigation,
¡prevention,
¡relief,
¡recovery and
¡ rehabilitation.
11 slides
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