Critical Incident
•
0 likes•22 views
An evaluation of an incident I have encountered working in the healthcare field as a home health aid. The incident in question involves pain patch removal times not being met by a nurse and patient being in pain because of that. Evaluations done on the different choices I had in this situation, as well as pros/cons and ethical provisions involved.
Report
Share
Report
Share
Download to read offline
Recommended
Communication skills for Emergency Physician
Long neglected entity in Medical Field is Communication Skills, which needs to be addressed to. This presentation covers the main aspects of Communication skills needed for an Emergency Physician.
Having that difficult conversation handout
1) The document provides tips for having difficult conversations with patients about changing treatment regimens, including preparing responses to common patient reactions.
2) It recommends preparing an elevator speech focusing on patient safety and treatment effectiveness, and mentally preparing for challenging patient behaviors by rehearsing responses.
3) The document lists common emotional reactions patients may have and suggests compassionate, objective responses that focus on caring for the patient's health and making treatment decisions in their best interest.
Dealing with the difficult caller
This document provides guidance on dealing with difficult callers for triage nurses. It defines difficult callers as tired, stressed, anxious parents calling about a sick child. These callers are not targeting the nurse personally but are at the end of their rope. The document advises nurses to listen to callers vent for a few minutes, show empathy, and avoid arguing. It provides guidelines for angry, demanding, and overly worried callers that focus on de-escalation, clarifying needs, offering solutions, documenting objectively, and involving physicians if needed.
Christine dunkley dbt case template
This document provides guidance for presenting a DBT case study in four parts: introductory information about the client, relevant history, a hierarchy of life-threatening and therapy-interfering target behaviors, and a quality of life behaviors. The history section should be brief and focus only on important events. The target hierarchies identify specific behaviors to address in therapy, ranked from most to least serious. The case presentation should conclude with a table outlining the chain of events leading to problematic behaviors and corresponding solutions discussed in therapy.
Introduction to first aid
This document provides an introduction and overview of first aid. It defines first aid as immediate care for injured or ill individuals until medical treatment arrives. It outlines who can provide first aid, including police, firefighters, medical professionals, and the public. The document lists common reasons first aid may be required, such as injuries, illnesses, burns, and more. It describes the principles, goals, supplies, and responsibilities of first aid providers. Finally, it discusses the DRABC action plan for assessing life-threatening conditions in a victim.
First aid-principles-and-practice-1208005555838235-9
This document discusses the principles of first aid. It defines first aid as immediate care given to an injured or ill person without medical equipment, until proper treatment arrives. The key principles are to first do no harm, recognize first aid is imperfect, and prioritize the most urgent injuries. Safety is paramount during first aid. The document outlines how to assess an emergency, contact emergency services if needed, survey the scene, examine the victim, and perform essential interventions like CPR. The goal of first aid is to stabilize the person until emergency medical treatment can take over.
Halt panic attacks in their tracks
Panic attacks can be frightening for both those experiencing them and people around them. They may be mistaken for heart attacks by those unaware of what panic attacks are. However, it is possible to stop panic attacks by understanding their causes, which can include genetics or past trauma. Seeking help from family members who also experience panic attacks or professional medical assistance can help overcome panic attacks. Deep breathing, relaxation, and positive distractions are techniques some find relief from panic attacks. With the proper support, panic attacks can be halted.
ENGLISH READING COMPREHENSION
The student nurse made a mistake by giving the wrong medication to a patient. She realized her error immediately and informed the charge nurse. The doctor was called and determined the patient would not be harmed. The student learned the importance of being careful when administering drugs and following proper procedures, as well as keeping calm in stressful situations.
Recommended
Communication skills for Emergency Physician
Long neglected entity in Medical Field is Communication Skills, which needs to be addressed to. This presentation covers the main aspects of Communication skills needed for an Emergency Physician.
Having that difficult conversation handout
1) The document provides tips for having difficult conversations with patients about changing treatment regimens, including preparing responses to common patient reactions.
2) It recommends preparing an elevator speech focusing on patient safety and treatment effectiveness, and mentally preparing for challenging patient behaviors by rehearsing responses.
3) The document lists common emotional reactions patients may have and suggests compassionate, objective responses that focus on caring for the patient's health and making treatment decisions in their best interest.
Dealing with the difficult caller
This document provides guidance on dealing with difficult callers for triage nurses. It defines difficult callers as tired, stressed, anxious parents calling about a sick child. These callers are not targeting the nurse personally but are at the end of their rope. The document advises nurses to listen to callers vent for a few minutes, show empathy, and avoid arguing. It provides guidelines for angry, demanding, and overly worried callers that focus on de-escalation, clarifying needs, offering solutions, documenting objectively, and involving physicians if needed.
Christine dunkley dbt case template
This document provides guidance for presenting a DBT case study in four parts: introductory information about the client, relevant history, a hierarchy of life-threatening and therapy-interfering target behaviors, and a quality of life behaviors. The history section should be brief and focus only on important events. The target hierarchies identify specific behaviors to address in therapy, ranked from most to least serious. The case presentation should conclude with a table outlining the chain of events leading to problematic behaviors and corresponding solutions discussed in therapy.
Introduction to first aid
This document provides an introduction and overview of first aid. It defines first aid as immediate care for injured or ill individuals until medical treatment arrives. It outlines who can provide first aid, including police, firefighters, medical professionals, and the public. The document lists common reasons first aid may be required, such as injuries, illnesses, burns, and more. It describes the principles, goals, supplies, and responsibilities of first aid providers. Finally, it discusses the DRABC action plan for assessing life-threatening conditions in a victim.
First aid-principles-and-practice-1208005555838235-9
This document discusses the principles of first aid. It defines first aid as immediate care given to an injured or ill person without medical equipment, until proper treatment arrives. The key principles are to first do no harm, recognize first aid is imperfect, and prioritize the most urgent injuries. Safety is paramount during first aid. The document outlines how to assess an emergency, contact emergency services if needed, survey the scene, examine the victim, and perform essential interventions like CPR. The goal of first aid is to stabilize the person until emergency medical treatment can take over.
Halt panic attacks in their tracks
Panic attacks can be frightening for both those experiencing them and people around them. They may be mistaken for heart attacks by those unaware of what panic attacks are. However, it is possible to stop panic attacks by understanding their causes, which can include genetics or past trauma. Seeking help from family members who also experience panic attacks or professional medical assistance can help overcome panic attacks. Deep breathing, relaxation, and positive distractions are techniques some find relief from panic attacks. With the proper support, panic attacks can be halted.
ENGLISH READING COMPREHENSION
The student nurse made a mistake by giving the wrong medication to a patient. She realized her error immediately and informed the charge nurse. The doctor was called and determined the patient would not be harmed. The student learned the importance of being careful when administering drugs and following proper procedures, as well as keeping calm in stressful situations.
Communication skills in clinical practice for undergraduates
The document provides information on effective communication skills for clinical practice. It discusses:
1) The importance of communication and key principles like establishing rapport, allowing time, sending clear messages, and having positive attitudes.
2) The need for communication skills during medical consultations to obtain complete diagnoses by understanding patients' physical, emotional and social concerns.
3) Recommendations for positive behaviors like addressing patients respectfully, making them comfortable, focusing on them, and using open-ended questions.
Communication skills in clinical practice for undergraduates
The document provides information on effective communication skills for clinical practice. It discusses:
1) The importance of communication and key principles like establishing rapport, allowing time, sending clear messages, and having positive attitudes.
2) The need for communication skills during medical consultations to obtain complete diagnoses by understanding patients' physical, emotional and social concerns.
3) Recommendations for building trust at first contact through addressing patients respectfully, making them feel comfortable, focusing on them, and asking open-ended questions.
Appendix how to break bad news buckman[1]
The document provides guidelines for effectively breaking bad news to patients. It outlines a six-step protocol: 1) start off well by preparing, ensuring privacy, and including appropriate people; 2) find out what the patient already knows; 3) determine how much the patient wants to know; 4) share the medical information with the patient; 5) respond to the patient's reactions and answer questions; 6) plan follow-up. The goal is to have an open dialogue to share information sensitively based on the patient's needs and desires.
N50 Nursing Ethics - Class 7.ppt
This document provides an introduction to nursing ethics, covering key concepts and principles. It discusses the difference between ethical and legal standards, and outlines six main ethical principles - autonomy, beneficence, nonmaleficence, justice, veracity, and fidelity. It also examines concepts like paternalism, the doctrine of double effect, and different ethical frameworks. The document outlines nurses' rights in ethical situations and how to process ethical dilemmas. It addresses issues like withholding/withdrawing care, euthanasia, assisted suicide, and defining death. Throughout, it emphasizes putting the patient's needs and autonomy first in all ethical decision making.
3method
The document provides guidance for healthcare providers on discussing family planning methods with clients. It suggests asking clients if they have a method in mind and checking their understanding of how it suits their needs. For clients with no preferred method, it recommends discussing their experiences, plans for children, STI/HIV risk, and partner/family attitudes to help them find a suitable option. The document then compares effectiveness, side effects, and duration of various methods and stresses that condoms are the only way to prevent STIs.
Helping patients with_change
This document discusses strategies for helping patients cope with change, including supportive communication and motivational interviewing. It provides examples of emotional responses patients may have to change and assessments of a patient's readiness to change. Motivational interviewing allows patients to express concerns without feeling scolded while exploring benefits of change. Supportive communication helps patients feel understood and make informed decisions by acknowledging their feelings without judgment. The appropriate response depends on the unique patient and situation.
Helping patients with_change
This document discusses strategies for helping patients cope with change, including supportive communication and motivational interviewing. It provides examples of emotional responses patients may have to change and assessments of a patient's readiness to change. Motivational interviewing allows patients to express concerns without feeling scolded while exploring benefits of change. Supportive communication helps patients feel understood and make informed decisions by acknowledging their feelings without judgment. The appropriate response depends on the unique patient and situation.
Helping patients with_change
This document discusses strategies for helping patients cope with change, including supportive communication and motivational interviewing. It provides examples of emotional responses patients may have to change and assessments of a patient's readiness to change. Motivational interviewing allows patients to express concerns without feeling scolded while exploring benefits of change. Supportive communication helps patients feel understood and make informed decisions by acknowledging their feelings without judgment. The appropriate response depends on the unique patient and situation.
Helping patients with_change
This document discusses strategies for helping patients cope with change, including supportive communication and motivational interviewing. It provides examples of emotional responses patients may have to change and assessments of a patient's readiness to change. Motivational interviewing allows patients to express concerns without feeling scolded while exploring benefits of change. Supportive communication helps patients feel understood and make informed decisions by acknowledging their feelings without judgment. The appropriate response depends on the unique patient and situation.
Helping patients with_change
This document discusses strategies for helping patients cope with change, including supportive communication and motivational interviewing. It provides examples of emotional responses patients may have to change and assessments of a patient's readiness to change. Motivational interviewing allows patients to express concerns without feeling scolded while exploring benefits of change. Supportive communication helps patients feel understood and make informed decisions by acknowledging their feelings without judgment. The appropriate response depends on the unique patient and situation.
14vasectomy
The document provides information about vasectomy, a surgical sterilization procedure for men. It discusses that vasectomy is usually permanent and cannot be reversed. It notes the client should carefully consider if they may want more children in the future. The document outlines the vasectomy procedure, risks, benefits, and importance of using other contraception for 3 months after the procedure. It addresses common myths and provides counseling points for clients considering vasectomy.
Tips for Handling Patient Complaints
Patient complaints are inevitable. And when a patient complaint is not effectively managed, unfavorable or harmful consequences can result—noncompliance, dissolving of the patient-physician relationship, litigation, or reduced compensation. Therefore, strong complaint management is a core component for success worth cultivating and honing.
8iud
The document summarizes information about the copper IUD, including:
- It is a small, flexible plastic device inserted into the womb that can provide effective contraception for up to 10 years.
- Side effects may include heavier or longer periods and more cramps, which usually improve after a few months.
- It is generally safe for most women to use but those who are pregnant, have recently given birth, have infections or certain medical conditions should not use or delay use.
FINAL PERSONAL TAKEAWAYS Action Plan - Decision Analysi.docx
FINAL PERSONAL TAKEAWAYS
Action Plan - Decision Analysis
Let’s see what you want to do about these poor analysis actions.
Decision Analysis
Self-Handicap
What is the
Situation
Trigger Impact on Others What to Do/When
Defining a frame
objectively and
thoroughly
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Select a decision
frame and try other
frames to help make
sure it is a good
fame
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Reframe when I find
yourself using an
inadequate frame
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Understand other’s
frames
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Keeping info in your
head rather than a
systematic
procedure
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Assuming group
automatically makes
good choices
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Generating and
analyzing
alternatives
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Assessing
uncertainty and risk
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Being Risk Averse
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Failing to interpret
feedback correctly
___Expedient
___Avoiding
___Deliberate Action________
___Self-efficacy_____________
___Fear
___Self-Deception
___Face it _________________
___Look & Listen___________
Failing to keep
systematic records
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Deciding when to
decide
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Making decisions for
all the wrong
reasons
___E ...
PATIENT INTERVIEW SKILLS.pptx
This document provides guidance on effective patient interviewing skills for physicians. It discusses the importance of professionalism, ethics, using a biopsychosocial model, and patient-centered care. The four core ethical principles are autonomy, beneficence, non-maleficence, and justice. Effective communication involves actively listening, establishing rapport, asking open-ended questions to understand the patient's perspective, and using closed-ended questions to obtain specific details. The goal is to collaborate with patients to understand their health issues and concerns in a holistic manner.
Intro medethics4thyear
This document introduces medical ethics and outlines some of the main theories and principles that guide ethical decision-making in medical practice, including beneficence, non-maleficence, autonomy, truth-telling, confidentiality, and justice. It discusses the importance of ethics in medicine given increasing technology, informed patients, and public scrutiny. The document also examines various ethical issues and dilemmas doctors may face in areas like euthanasia, resource allocation, and informed consent.
Frame work for ethical decision making
This document outlines a framework for ethical decision making and addresses specific ethical issues in nursing. It provides a 5-step process for patients and families to work through ethical decisions: 1) identify the problem, 2) gather facts, 3) identify and evaluate options, 4) make a decision, 5) act and assess. It also discusses commitments to patients, employers, colleagues, personal excellence, and the nursing profession. Specific issues covered include the chemically impaired professional, boundary violations, and whistleblowing.
Stakeholder ScenarioGoal To convince a group of people to use.docx
Stakeholder Scenario
Goal: To convince a group of people to use a specific, new type of antibiotic for patients pre-operatively in order to decrease surgical wound infections.
Scenario: You are a healthcare administrator that is trying to introduce a change in practice to a group of stakeholders. Your goal is to help them understand the rationale and need for the change, and to get a sense of the areas of resistance to the change. The change under discussion is to implement a new antibiotic to be given one hour before surgery starts as a way of reducing post-op wound infections. The Centers for Medicare and Medicaid Studies (CMS) have indicated that timely pre-op application of specific antibiotics is becoming a requirement and will be a publicly reported indicator on the CMS Web site for your hospital. Thus, institution of this new procedure is something you really need to pull off.
As the administrator in this scenario, you will hear the initial responses of each of the stakeholders. You will then be presented with several options for your response. Select the option you think is most effective.
Review the stakeholders’ responses to the option you selected. According to their own perspectives and prerogatives, the stakeholders will respond in different ways to each choice. Your goal is to achieve some level of buy-in to the change.
Issues:
· The antibiotic is new and people aren’t familiar with it.
· Requires administration within one hour of the actual surgery start time.
· Requires administration by IV.
· Adds a step to the busy pre-op nurse’s work load.
· Saves the hospital $28,000 per year.
· Research shows wound infections down 47% with this new antibiotic if it is administered in a timely fashion.
Players:
· Pharmacist: He’s learned about the new antibiotic through his research studies, and is excited about using it.
· Pre-op Nurse: She is worried about having one more thing added to the pre-op activities list she must complete before the patient goes to surgery, but she’s very interested in doing the right thing for her patients.
· Surgeon: He hates government mandates, doesn’t like to be told what to do, generally has a pretty good track record for his patients’ outcomes after surgery, but has no idea what his actual rates of wound infection are.
· Finance Analyst: It’s all about the money. Don’t make it harder by concentrating on anything other than the dollars.
Stakeholders’ Background Thinking
Pharmacist: I really like this idea, because this antibiotic is better and cheaper too. If we can standardize to this antibiotic, I can save money by stocking only one antibiotic for surgery. It will save my staff time in preparation also. This is a great idea for me and my department.
Pre-op Nurse: I am just worn out trying to keep up with all the changes they keep hitting us with. It’s hard enough to do my job and remember to do things differently and use different items. Why can’t they give me a break? Now I’ll have to start a.
12monthlyinjectable
The document provides information about monthly injectable contraceptives including how they work, side effects, who can and cannot use them, instructions for use, and things for clients to remember. Key points are that monthly injectables contain hormones that prevent ovulation, side effects are common but not harmful and often go away after a few months, injections are given every 4 weeks, and clients should return even if late for an appointment and use condoms or avoid sex if more than 7 days late.
Structural maintenance department
A review of different vitamins and minerals and how they help your body maintain itself structurally.
Quality of Life
Maslow's theory of quality of life defines it in terms of the hierarchical satisfaction of needs of most members in a society. The higher the need satisfaction, the greater the quality of life. Developed societies focus on higher needs like social, esteem and self-actualization, while less developed societies focus on lower needs like biological and safety needs. Applying Maslow's theory to employees, improving their quality of life through need satisfaction can increase work motivation and performance. This in turn can improve quality of care for patients.
More Related Content
Similar to Critical Incident
Communication skills in clinical practice for undergraduates
The document provides information on effective communication skills for clinical practice. It discusses:
1) The importance of communication and key principles like establishing rapport, allowing time, sending clear messages, and having positive attitudes.
2) The need for communication skills during medical consultations to obtain complete diagnoses by understanding patients' physical, emotional and social concerns.
3) Recommendations for positive behaviors like addressing patients respectfully, making them comfortable, focusing on them, and using open-ended questions.
Communication skills in clinical practice for undergraduates
The document provides information on effective communication skills for clinical practice. It discusses:
1) The importance of communication and key principles like establishing rapport, allowing time, sending clear messages, and having positive attitudes.
2) The need for communication skills during medical consultations to obtain complete diagnoses by understanding patients' physical, emotional and social concerns.
3) Recommendations for building trust at first contact through addressing patients respectfully, making them feel comfortable, focusing on them, and asking open-ended questions.
Appendix how to break bad news buckman[1]
The document provides guidelines for effectively breaking bad news to patients. It outlines a six-step protocol: 1) start off well by preparing, ensuring privacy, and including appropriate people; 2) find out what the patient already knows; 3) determine how much the patient wants to know; 4) share the medical information with the patient; 5) respond to the patient's reactions and answer questions; 6) plan follow-up. The goal is to have an open dialogue to share information sensitively based on the patient's needs and desires.
N50 Nursing Ethics - Class 7.ppt
This document provides an introduction to nursing ethics, covering key concepts and principles. It discusses the difference between ethical and legal standards, and outlines six main ethical principles - autonomy, beneficence, nonmaleficence, justice, veracity, and fidelity. It also examines concepts like paternalism, the doctrine of double effect, and different ethical frameworks. The document outlines nurses' rights in ethical situations and how to process ethical dilemmas. It addresses issues like withholding/withdrawing care, euthanasia, assisted suicide, and defining death. Throughout, it emphasizes putting the patient's needs and autonomy first in all ethical decision making.
3method
The document provides guidance for healthcare providers on discussing family planning methods with clients. It suggests asking clients if they have a method in mind and checking their understanding of how it suits their needs. For clients with no preferred method, it recommends discussing their experiences, plans for children, STI/HIV risk, and partner/family attitudes to help them find a suitable option. The document then compares effectiveness, side effects, and duration of various methods and stresses that condoms are the only way to prevent STIs.
Helping patients with_change
This document discusses strategies for helping patients cope with change, including supportive communication and motivational interviewing. It provides examples of emotional responses patients may have to change and assessments of a patient's readiness to change. Motivational interviewing allows patients to express concerns without feeling scolded while exploring benefits of change. Supportive communication helps patients feel understood and make informed decisions by acknowledging their feelings without judgment. The appropriate response depends on the unique patient and situation.
Helping patients with_change
This document discusses strategies for helping patients cope with change, including supportive communication and motivational interviewing. It provides examples of emotional responses patients may have to change and assessments of a patient's readiness to change. Motivational interviewing allows patients to express concerns without feeling scolded while exploring benefits of change. Supportive communication helps patients feel understood and make informed decisions by acknowledging their feelings without judgment. The appropriate response depends on the unique patient and situation.
Helping patients with_change
This document discusses strategies for helping patients cope with change, including supportive communication and motivational interviewing. It provides examples of emotional responses patients may have to change and assessments of a patient's readiness to change. Motivational interviewing allows patients to express concerns without feeling scolded while exploring benefits of change. Supportive communication helps patients feel understood and make informed decisions by acknowledging their feelings without judgment. The appropriate response depends on the unique patient and situation.
Helping patients with_change
This document discusses strategies for helping patients cope with change, including supportive communication and motivational interviewing. It provides examples of emotional responses patients may have to change and assessments of a patient's readiness to change. Motivational interviewing allows patients to express concerns without feeling scolded while exploring benefits of change. Supportive communication helps patients feel understood and make informed decisions by acknowledging their feelings without judgment. The appropriate response depends on the unique patient and situation.
Helping patients with_change
This document discusses strategies for helping patients cope with change, including supportive communication and motivational interviewing. It provides examples of emotional responses patients may have to change and assessments of a patient's readiness to change. Motivational interviewing allows patients to express concerns without feeling scolded while exploring benefits of change. Supportive communication helps patients feel understood and make informed decisions by acknowledging their feelings without judgment. The appropriate response depends on the unique patient and situation.
14vasectomy
The document provides information about vasectomy, a surgical sterilization procedure for men. It discusses that vasectomy is usually permanent and cannot be reversed. It notes the client should carefully consider if they may want more children in the future. The document outlines the vasectomy procedure, risks, benefits, and importance of using other contraception for 3 months after the procedure. It addresses common myths and provides counseling points for clients considering vasectomy.
Tips for Handling Patient Complaints
Patient complaints are inevitable. And when a patient complaint is not effectively managed, unfavorable or harmful consequences can result—noncompliance, dissolving of the patient-physician relationship, litigation, or reduced compensation. Therefore, strong complaint management is a core component for success worth cultivating and honing.
8iud
The document summarizes information about the copper IUD, including:
- It is a small, flexible plastic device inserted into the womb that can provide effective contraception for up to 10 years.
- Side effects may include heavier or longer periods and more cramps, which usually improve after a few months.
- It is generally safe for most women to use but those who are pregnant, have recently given birth, have infections or certain medical conditions should not use or delay use.
FINAL PERSONAL TAKEAWAYS Action Plan - Decision Analysi.docx
FINAL PERSONAL TAKEAWAYS
Action Plan - Decision Analysis
Let’s see what you want to do about these poor analysis actions.
Decision Analysis
Self-Handicap
What is the
Situation
Trigger Impact on Others What to Do/When
Defining a frame
objectively and
thoroughly
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Select a decision
frame and try other
frames to help make
sure it is a good
fame
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Reframe when I find
yourself using an
inadequate frame
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Understand other’s
frames
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Keeping info in your
head rather than a
systematic
procedure
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Assuming group
automatically makes
good choices
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Generating and
analyzing
alternatives
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Assessing
uncertainty and risk
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Being Risk Averse
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Failing to interpret
feedback correctly
___Expedient
___Avoiding
___Deliberate Action________
___Self-efficacy_____________
___Fear
___Self-Deception
___Face it _________________
___Look & Listen___________
Failing to keep
systematic records
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Deciding when to
decide
___Expedient
___Avoiding
___Fear
___Self-Deception
___Deliberate Action________
___Self-efficacy_____________
___Face it _________________
___Look & Listen___________
Making decisions for
all the wrong
reasons
___E ...
PATIENT INTERVIEW SKILLS.pptx
This document provides guidance on effective patient interviewing skills for physicians. It discusses the importance of professionalism, ethics, using a biopsychosocial model, and patient-centered care. The four core ethical principles are autonomy, beneficence, non-maleficence, and justice. Effective communication involves actively listening, establishing rapport, asking open-ended questions to understand the patient's perspective, and using closed-ended questions to obtain specific details. The goal is to collaborate with patients to understand their health issues and concerns in a holistic manner.
Intro medethics4thyear
This document introduces medical ethics and outlines some of the main theories and principles that guide ethical decision-making in medical practice, including beneficence, non-maleficence, autonomy, truth-telling, confidentiality, and justice. It discusses the importance of ethics in medicine given increasing technology, informed patients, and public scrutiny. The document also examines various ethical issues and dilemmas doctors may face in areas like euthanasia, resource allocation, and informed consent.
Frame work for ethical decision making
This document outlines a framework for ethical decision making and addresses specific ethical issues in nursing. It provides a 5-step process for patients and families to work through ethical decisions: 1) identify the problem, 2) gather facts, 3) identify and evaluate options, 4) make a decision, 5) act and assess. It also discusses commitments to patients, employers, colleagues, personal excellence, and the nursing profession. Specific issues covered include the chemically impaired professional, boundary violations, and whistleblowing.
Stakeholder ScenarioGoal To convince a group of people to use.docx
Stakeholder Scenario
Goal: To convince a group of people to use a specific, new type of antibiotic for patients pre-operatively in order to decrease surgical wound infections.
Scenario: You are a healthcare administrator that is trying to introduce a change in practice to a group of stakeholders. Your goal is to help them understand the rationale and need for the change, and to get a sense of the areas of resistance to the change. The change under discussion is to implement a new antibiotic to be given one hour before surgery starts as a way of reducing post-op wound infections. The Centers for Medicare and Medicaid Studies (CMS) have indicated that timely pre-op application of specific antibiotics is becoming a requirement and will be a publicly reported indicator on the CMS Web site for your hospital. Thus, institution of this new procedure is something you really need to pull off.
As the administrator in this scenario, you will hear the initial responses of each of the stakeholders. You will then be presented with several options for your response. Select the option you think is most effective.
Review the stakeholders’ responses to the option you selected. According to their own perspectives and prerogatives, the stakeholders will respond in different ways to each choice. Your goal is to achieve some level of buy-in to the change.
Issues:
· The antibiotic is new and people aren’t familiar with it.
· Requires administration within one hour of the actual surgery start time.
· Requires administration by IV.
· Adds a step to the busy pre-op nurse’s work load.
· Saves the hospital $28,000 per year.
· Research shows wound infections down 47% with this new antibiotic if it is administered in a timely fashion.
Players:
· Pharmacist: He’s learned about the new antibiotic through his research studies, and is excited about using it.
· Pre-op Nurse: She is worried about having one more thing added to the pre-op activities list she must complete before the patient goes to surgery, but she’s very interested in doing the right thing for her patients.
· Surgeon: He hates government mandates, doesn’t like to be told what to do, generally has a pretty good track record for his patients’ outcomes after surgery, but has no idea what his actual rates of wound infection are.
· Finance Analyst: It’s all about the money. Don’t make it harder by concentrating on anything other than the dollars.
Stakeholders’ Background Thinking
Pharmacist: I really like this idea, because this antibiotic is better and cheaper too. If we can standardize to this antibiotic, I can save money by stocking only one antibiotic for surgery. It will save my staff time in preparation also. This is a great idea for me and my department.
Pre-op Nurse: I am just worn out trying to keep up with all the changes they keep hitting us with. It’s hard enough to do my job and remember to do things differently and use different items. Why can’t they give me a break? Now I’ll have to start a.
12monthlyinjectable
The document provides information about monthly injectable contraceptives including how they work, side effects, who can and cannot use them, instructions for use, and things for clients to remember. Key points are that monthly injectables contain hormones that prevent ovulation, side effects are common but not harmful and often go away after a few months, injections are given every 4 weeks, and clients should return even if late for an appointment and use condoms or avoid sex if more than 7 days late.
Similar to Critical Incident (20)
Communication skills in clinical practice for undergraduates
Communication skills in clinical practice for undergraduates
Communication skills in clinical practice for undergraduates
Communication skills in clinical practice for undergraduates
FINAL PERSONAL TAKEAWAYS Action Plan - Decision Analysi.docx
FINAL PERSONAL TAKEAWAYS Action Plan - Decision Analysi.docx
AETCOM DR BHAVIKA.pptx (Autonomy &Non-maleficence)
AETCOM DR BHAVIKA.pptx (Autonomy &Non-maleficence)
Stakeholder ScenarioGoal To convince a group of people to use.docx
Stakeholder ScenarioGoal To convince a group of people to use.docx
More from BrookKing1
Structural maintenance department
A review of different vitamins and minerals and how they help your body maintain itself structurally.
Quality of Life
Maslow's theory of quality of life defines it in terms of the hierarchical satisfaction of needs of most members in a society. The higher the need satisfaction, the greater the quality of life. Developed societies focus on higher needs like social, esteem and self-actualization, while less developed societies focus on lower needs like biological and safety needs. Applying Maslow's theory to employees, improving their quality of life through need satisfaction can increase work motivation and performance. This in turn can improve quality of care for patients.
First generation Anti-psychotics and Halodol
A presentation discussing all about first generation anti-psychotics and Halodol medications used in psychiatric care settings.
Gestational diabetess
Exploring the patho, signs/symptoms, diagnostics, patient care strategies and education of expectant mothers experiencing gestational diabetes.
Preventing sedentary lifestyles
The document provides information on preventing sedentary lifestyles in older adults. It lists several benefits of exercise such as improving bone and heart health, managing blood pressure and diabetes, and reducing boredom and depression. The document then presents several simple exercise moves and tips, potential health issues due to inactivity, and references additional resources on physical activity for seniors.
Acupuncture
Acupuncture originated in China and involves inserting thin needles into the skin or tissues to relieve pain and treat physical, mental, and emotional conditions. A study investigated the sensations caused by acupuncture and found that deeper needle penetration was associated with sensations like heaviness, while lighter skin touches elicited feelings like tingling or dull pain. The study concluded that slight differences in needle insertion depth can cause significant differences in the intensity and quality of acupuncture sensations.
Qi report presentation
Shortened version of my HAPU QI report, exploring the issue, the interventions, actions and evaluations within the paper
QI Report on HAPUs
A research report based on a case study relating to HAPUs. Discusses the issues, possible interventions and evaluations of outcomes.
More from BrookKing1 (8)
Recently uploaded
一比一原版(EUR毕业证)鹿特丹伊拉斯姆斯大学毕业证如何办理
EUR毕业证offer【微信95270640】《鹿特丹伊拉斯姆斯大学毕业证书原版制作EUR成绩单》【Q微信95270640】《仿制EUR毕业证成绩单鹿特丹伊拉斯姆斯大学学位证书pdf电子图》，A.为什么留学生需要操作留信认证?
留信认证全称全国留学生信息服务网认证,隶属于北京中科院。①留信认证门槛条件更低,费用更美丽,并且包过,完单周期短,效率高②留信认证虽然不能去国企,但是一般的公司都没有问题,因为国内很多公司连基本的留学生学历认证都不了解。这对于留学生来说,这就比自己光拿一个证书更有说服力,因为留学学历可以在留信网站上进行查询!
B.为什么我们提供的毕业证成绩单具有使用价值？
查询留服认证是国内鉴别留学生海外学历的唯一途径，但认证只是个体行为，不是所有留学生都操作，所以没有办理认证的留学生的学历在国内也是查询不到的，他们也仅仅只有一张文凭。所以这时候我们提供的和学校颁发的一模一样的毕业证成绩单，就有了使用价值。
实体公司，专业可靠，办理加拿大毕业证|办美国成绩单|做德国文凭学历认证|办新西兰学位证，办澳洲文凭认证，办留信网认证（网上可查，实体公司，专业可靠）铸就十年品质！信誉！实体公司！
办理国外鹿特丹伊拉斯姆斯大学毕业证书 #成绩单改成绩 #教育部学历学位认证 #毕业证认证 #留服认证 #使馆认证（留学回国人员证明） #（证）等
真实教育部认证教育部存档中国教育部留学服务中心认证（即教育部留服认证）网站100%可查.
真实使馆认证（即留学人员回国证明）使馆存档可通过大使馆查询确认.
留信网认证国家专业人才认证中心颁发入库证书留信网永久存档可查.
鹿特丹伊拉斯姆斯大学鹿特丹伊拉斯姆斯大学毕业证假文凭毕业证 #成绩单等全套材料从防伪到印刷从水印到钢印烫金跟学校原版100%相同.
国际留学归国服务中心：实体公司注册经营行业标杆精益求精！
国外毕业证学位证成绩单办理流程：
1客户提供办理鹿特丹伊拉斯姆斯大学鹿特丹伊拉斯姆斯大学毕业证假文凭信息：姓名生日专业学位毕业时间等（如信息不确定可以咨询顾问：我们有专业老师帮你查询）；
2开始安排制作鹿特丹伊拉斯姆斯大学毕业证成绩单电子图；
3鹿特丹伊拉斯姆斯大学毕业证成绩单电子版做好以后发送给您确认；
4鹿特丹伊拉斯姆斯大学毕业证成绩单电子版您确认信息无误之后安排制作成品；
5鹿特丹伊拉斯姆斯大学成品做好拍照或者视频给您确认；
6快递给客户（国内顺丰国外DHLUPS等快递邮寄鹿特丹伊拉斯姆斯大学鹿特丹伊拉斯姆斯大学毕业证假文凭）。地跟着父亲昼夜兼程第二天凌晨就辗转到了父亲的城哇父亲的城真的好大好美哟走出广州火车东站的那一刻山娃感受到了一种从未有过的激动和震撼太美了可爱的广州父亲的城山娃惊喜得几乎叫出声来山娃觉得父亲太伟大了居然能单匹马地跑到这么远这么大这么美的地方赚大钱高楼大厦鳞次栉比大街小巷人潮涌动山娃一路张望一路惊叹他发现城里的桥居然层层叠叠扭来扭去桥下没水却有着水一般的车水马龙山娃惊诧于城里的公交车那么大那么美不的
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
This edition features a handful of Innovative Minds: France's Most Impactful Healthcare Leaders that are leading us into a better future.
一比一原版(UoA毕业证)昆士兰科技大学毕业证如何办理
UoA毕业证学历书【微信95270640】办文凭{昆士兰科技大学毕业证}Q微Q微信95270640UoA毕业证书成绩单/学历认证UoA Diploma未毕业、挂科怎么办？+QQ微信：Q微信95270640-大学Offer（申请大学）、成绩单（申请考研）、语言证书、在读证明、使馆公证、办真实留信网认证、真实大使馆认证、学历认证
办理国外昆士兰科技大学毕业证书 #成绩单改成绩 #教育部学历学位认证 #毕业证认证 #留服认证 #使馆认证（留学回国人员证明） #（证）等
真实教育部认证教育部存档中国教育部留学服务中心认证（即教育部留服认证）网站100%可查.
真实使馆认证（即留学人员回国证明）使馆存档可通过大使馆查询确认.
留信网认证国家专业人才认证中心颁发入库证书留信网永久存档可查.
昆士兰科技大学昆士兰科技大学毕业证文凭证书毕业证 #成绩单等全套材料从防伪到印刷从水印到钢印烫金跟学校原版100%相同.
国际留学归国服务中心：实体公司注册经营行业标杆精益求精！
国外毕业证学位证成绩单办理流程：
1客户提供办理昆士兰科技大学昆士兰科技大学毕业证文凭证书信息：姓名生日专业学位毕业时间等（如信息不确定可以咨询顾问：我们有专业老师帮你查询）；
2开始安排制作昆士兰科技大学毕业证成绩单电子图；
3昆士兰科技大学毕业证成绩单电子版做好以后发送给您确认；
4昆士兰科技大学毕业证成绩单电子版您确认信息无误之后安排制作成品；
5昆士兰科技大学成品做好拍照或者视频给您确认；
6快递给客户（国内顺丰国外DHLUPS等快递邮寄昆士兰科技大学昆士兰科技大学毕业证文凭证书）。闷不乐的样子父亲特意带山娃去找三楼房东家的儿子小伍玩小伍比山娃小一岁虎头虎脑的很霸气父亲让山娃跟小伍去夏令营听课山娃很高兴夏令营就设在附近一所小学山娃发现那所小学比自己的学校更大更美操场上还铺有塑胶跑道呢里面很多小朋友一班一班的快快乐乐原来城里娃都藏这儿来了怪不得平时见不到他们山娃恍然大悟起来吹拉弹唱琴棋书画山娃都不懂却什么都想学山娃怨自己太笨什么都不会斟酌再三山娃终于选定了学美术当听说每月要交感
Mental Health and Physical Wellbeing.pdf
Mental Health and well-being Presentation. Exploring innovative approaches and strategies for enhancing mental well-being. Discover cutting-edge research, effective strategies, and practical methods for fostering mental well-being.
FACIAL NERVE
The facial nerve, also known as cranial nerve VII, is one of the 12 cranial nerves originating from the brain. It's a mixed nerve, meaning it contains both sensory and motor fibres, and it plays a crucial role in controlling various facial muscles, as well as conveying sensory information from the taste buds on the anterior two-thirds of the tongue.
PrudentRx: A Resource for Patient Education and Engagement
PrudentRx enhances healthcare by educating patients and ensuring effective medication management in a complex, evolving landscape.
Hypotension and role of physiotherapy in it
This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
Monopoly PCD Pharma Franchise in Tripura
Our company incorporates various drug formulations covering pharma tablets, syrups, capsules, gels, sachets, ointments, creams, injectables.
NURSING MANAGEMENT OF PATIENT WITH EMPHYSEMA .PPT
Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN.
Emphysema is a disease condition of respiratory system.
Emphysema is an abnormal permanent enlargement of the air spaces distal to terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis.
Emphysema of lung is defined as hyper inflation of the lung ais spaces due to obstruction of non respiratory bronchioles as due to loss of elasticity of alveoli.
It is a type of chronic obstructive
pulmonary disease.
It is a progressive disease of lungs.
CHAPTER 1 SEMESTER V COMMUNICATION TECHNIQUES FOR CHILDREN.pdf
Here are some key objectives of communication with children:
Build Trust and Security:
Establish a safe and supportive environment where children feel comfortable expressing themselves.
Encourage Expression:
Enable children to articulate their thoughts, feelings, and experiences.
Promote Emotional Understanding:
Help children identify and understand their own emotions and the emotions of others.
Enhance Listening Skills:
Develop children’s ability to listen attentively and respond appropriately.
Foster Positive Relationships:
Strengthen the bond between children and caregivers, peers, and other adults.
Support Learning and Development:
Aid cognitive and language development through engaging and meaningful conversations.
Teach Social Skills:
Encourage polite, respectful, and empathetic interactions with others.
Resolve Conflicts:
Provide tools and guidance for children to handle disagreements constructively.
Encourage Independence:
Support children in making decisions and solving problems on their own.
Provide Reassurance and Comfort:
Offer comfort and understanding during times of distress or uncertainty.
Reinforce Positive Behavior:
Acknowledge and encourage positive actions and behaviors.
Guide and Educate:
Offer clear instructions and explanations to help children understand expectations and learn new concepts.
By focusing on these objectives, communication with children can be both effective and nurturing, supporting their overall growth and well-being.
Friendly Massage in Ajman - Malayali Kerala Spa Ajman
At Malayali Kerala Spa Ajman, Full Service includes individualized care for every client. We specifically design each massage session for the individual needs of the client. Our therapists are always willing to adjust the treatments based on the client's instruction and feedback. This guarantees that every client receives the treatment they expect.
By offering a variety of massage services, our Ajman Spa Massage Center can tackle physical, mental, and emotional illnesses. In addition, efficient identification of specific health conditions and designing treatment plans accordingly can significantly enhance the quality of massaging.
At Malayali Kerala Spa Ajman, we firmly believe that everyone should have the option to experience top-quality massage services regularly. To achieve that goal we offer cheap massage services in Ajman.
If you are interested in experiencing transformative massage treatment at Malayali Kerala Spa Ajman, you can use our Ajman Massage Center WhatsApp Number to schedule your next massage session.
Contact @ +971 529818279
Visit @ https://malayalikeralaspaajman.com/
nhs fpx 4000 assessment 4 analyzing a current health care problem or issue.pdf
nhs fpx 4000 assessment 4 analyzing a current health care problem or issue.pdf
Management of Post Operative Pain: to make doctors conscious about the benefi...
Multimodal analgesia.
NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
Recently uploaded (20)
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
PrudentRx: A Resource for Patient Education and Engagement
PrudentRx: A Resource for Patient Education and Engagement
CHAPTER 1 SEMESTER V COMMUNICATION TECHNIQUES FOR CHILDREN.pdf
CHAPTER 1 SEMESTER V COMMUNICATION TECHNIQUES FOR CHILDREN.pdf
Friendly Massage in Ajman - Malayali Kerala Spa Ajman
Friendly Massage in Ajman - Malayali Kerala Spa Ajman
nhs fpx 4000 assessment 4 analyzing a current health care problem or issue.pdf
nhs fpx 4000 assessment 4 analyzing a current health care problem or issue.pdf
Management of Post Operative Pain: to make doctors conscious about the benefi...
Management of Post Operative Pain: to make doctors conscious about the benefi...
NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
NEEDLE STICK INJURY - JOURNAL CLUB PRESENTATION - DR SHAMIN EABENSON
Critical Incident
- 1. My Critical Incident By: Brook King
- 2. Step One: Assessment THE SCENE: At a patient’s house being trained as a new HHA/CNA by another experienced aid. THE PATIENT: Paraplegic with severe chronic back and nerve pain. THE ISSUE: The nurse sent to remove and replace patient’s fentanyl patch did not show up and company had no other nurse available to send that day. Patient would have to wait until tomorrow for another nurse. Patient now to wait with the extreme pain until tomorrow since he could not reach to remove or reapply patch himself.
- 3. Step Two: Nursing Dilemma THE DILEMMA: This patient is now to sit in pain all day and night until some nurse is finally available to come and help him unless the aide(s) present were to help in some way relieve his pain. TO HELP OR NOT TO HELP!??
- 4. Step Three: Planning CHOICE ONE: Ignore the rules set by the company and the world and help the patient by removing and reapplying the patch yourself. PROS: No guilt about leaving pt. In pain Helps the pt. Be relieved of his extreme pain CONS: Breaks not only company rules but laws too Possible legal consequences if it got out
- 5. Step Three: Planning CHOICE TWO: Follow the rules and cover your own butt by not helping the patient remove or reapply the patch. PROS: No possible legal trouble No guilt about breaking rules/laws CONS: Pt. will remain in pain Pt. may resent you for not helping Pt. may suffer withdrawal
- 6. Step Three: Planning CHOICE THREE: Make sure the patient has all necessary materials to try and remove and replace his own patch. PROS: Helps pt. Help themself No possible legal consequence No guilt whatsoever CONS: Pt. may not be able to reach Pt. may put patch in wrong place or not remove old one (Overdose!)
- 7. Step Four: Diagram CHOICE 1: Ignore rules, give med patch PRO: No guilty conscious. Helps pt. pain. CON: Break rules. Legal consequences. DILEMMA: Giving Meds in the Absence of a Nurse CHOICE 2: Follow rules, don’t help pt. PRO: No legal consequences. No guilt on rules. CON: Pt. pain. Resentment. Withdrawal. CHOICE 3: Enable pt. To do on their own PRO: Pt. does himself. No legalities. No guilt. CON: May not work/reach. Wrong place.
- 8. Ethical Principles Involved: Ethical Principles: Beneficence: Do good In this case, take the best action possible to do good for and by the patient. Non-Maleficence: Do no harm In this case, remaining competent and not doing anything that could harm pt. Or yourself. (Not working out of scope of practice)
- 9. Ethical Provisions Involved: Ethical Provisions: 1. “...practice with compassion…” Understand and care for the pt. Because you understand what they’re going through, empathize. 2. “...primary commitment to pt...:” Committed to taking care of pt. To the best of your ability and within your scope of practice. 9. “...Nurse values...maintain integrity…” Maintain the integrity, values, and fidelity of nursing by doing things ethically.
- 10. Step Five: Implementation MY CHOICE: I would choose option 3; aiding the patient in doing the medication administration himself. WHY? After looking at pros/cons of all choices, 3rd seemed most practical, safe, legal and helpful to pt. And to myself as a healthcare professional. HOW? Gather needed materials for pt. To apply himself, help him find the old patch to remove, and guide him on the proper way and place to put patch. Then appropriately dispose of patch.
- 11. Evaluation: My Evaluation: I summize that the process in which I would aid the patient in removing and applying his own med patch was the best choice in given situation since it was most practical, doable and safe. Also the way I came to my final choice helped me decide on my choice because I evaluated all my options and weighed the pros/cons to choose the best course of action in this situation. For the outcome of the chosen solution, I feel that too was effective and most helpful to all parties involved in given scenario Since the pt. was able to relieve his own pain and us aides were not working outside our practice/skills.