Joint Commission Guidelines for the Management of Nightingale Community Hospital

EP 5 requires a written process for patients who refuse site marking or when it is impossible or impractical to mark the site. This written process is absent in the hospital’s policy. Nightingale’s policy and process must be revised immediately to reflect all the required elements of the standard. Hospital physicians and staff must be educated on the necessary changes and the revised process must be put into action. Once these changes have occurred, I recommend a focused audit to ensure full compliance with the revised policy/process.

Nightingale’s theory has made a difference in healthcare over the years and still has an impact on healthcare today.

Health care is something that everyone requires in order to lead a healthy life. After a visit to a hospital there are instances when certain individuals require further care due to their circumstances. Although hospitals may provide long-term care, it is not usually ideal. Hospitals are in place to handle emergency situations and aid in stabilizing the patients. Once the patients are stable, they must be transitioned to another facility if they require further assistance. This will avoid maximum occupancy for the hospital and allow it to remain available to other patients that may need their services. Patients who require long-term care or around the clock care and are in good medical condition should seek a long-term care facility, such as a skilled nursing facility or nursing home. For some individuals, facilities such as skilled nursing facilities or nursing homes are a blessing. These types of facilities are in existence to aid in the recovery of certain injuries and or to provide living arrangements for those who lack someone to care for them or assist with meeting their health care needs.

Since the early 1900’s nurses have been trying to improve and individualise patient care. In the 1970s this became more structured when the nursing process was introduced by the general nursing council (GNC), (Lloyd, Hancock & Campbell, 2007) .By doing this their intentions were to try and understand the patient in order to give them the best care possible (Cronin & Anderson, 2003). Through the nursing process philosophy care plans were written for patients. It was understood that this relationship would ensure the patient received the best care possible to suit them individually. This would consist of not just the patient as a physical being but their spiritual emotional and holistic being also (Cutler, 2010). The

In Nightingale Square, a small run down ‘mom & pop’ grocery store, a newly updated/built Downtown Store. I noticed many vehicles parked on the streets and residents walking the streets.

Healthcare provider’s perception and judgment in the patient’s well being as well as taking into account the right of the patient in every action is one of the key elements in nursing practice. International Council of Nurses (ICN), (2006) states “The nurse at all times maintains standards of personal conduct which reflect well on the profession and enhance public confidence” (p. 3). Furthermore, nursing action guided by theory and principles of moral and legal

Florence Nightingale’s theory will be used in developing a care plan for this case study, which describes a 68 year old widow, Mrs. Adams, who was discharged home to a not so favorable home environment. Mrs. Adams is a diabetic with a history of hypertension and breast cancer. She is five days post right sided mastectomy, of which she is complaining of pain and drainage from the surgical site. Her home is an apartment located in a low income area where crime is widespread, so noise is likely an issue. Her physician has referred her to case management because he feels she cannot care for herself. The community health nurse’s observations were that Mrs. Adams’ apartment was in disorder with little airflow and light, as well as a lack of food. She owns three cats and a small dog, which she considers family since her husband passed away one year ago, and if the patient is not looking after herself, it is highly unlikely that she is properly caring for her pets.

The four main areas of focus for the Joint Commission for Nightingale Hospital include Communication, Information Management, Medication Management and Infection

WE CARE Community Hospital provides acute care with an operation that is round-the-clock and is with a work force comprising 60 volunteers, 200 employees and 45 physicians / specialists who work in different shifts and deliver a range of health care services (Zaubler, Murphy, Rizzuto, Santos, Skotzko, Giordano, & Inouye, 2013). The health care services provisioned at the community hospital includes the clinical support along with the crucial services pertaining to primary care and preventive treatment. The chronic

Many areas which require improvement are reported by the Joint 3Commission in its report for Nightingale Community Hospital. The main concern of this report will be “NPSG2 : Improving the effectiveness

For the appropriate care to be planned for a patient it should be looked at in a holistic manner (NMC

Florence Nightingale, the founder of modern nursing, was born in Florence, Italy in 1820 to an upper class family. Although her familial affluence guaranteed her a life of luxury and leisure, Nightingale felt a greater calling to improve society. She refused to succumb to the societal standards of the Victorian era because she found providing care for others was more meaningful and satisfying than the mundane domestic lifestyle. Florence Nightingale was one of the most impactful pioneers of nursing practice, because she modernized hospitals to create a better environment for the patients to heal, educated fellow nurses, reformed statistics in health, and started a social reform within public health.

In this case study, one day of care for a 28 year old, male patient on a low secure psychiatric unit will be examined and discussed. The main focus will be on implementation and evaluation of the nursing process. These areas will be covered under; physiological, psycho-sociological and pharmacological aspects of the patient’s care. Although, the case study is discussed using third person expression, the care discussed is what was implemented and evaluated by myself, a second year student nurse, under supervision from a qualified member of staff.

Nightingale said, “The very first requirement in a hospital is that it should do the sick no harm”. The history of nursing initially begins with Florence Nightingale. Before her era nurses had a tarnished reputation (Glasper, 2017). They were poorly educated and incompetent people. Nurses such as Mrs. Bedford Fenwick wanted to change the image of nursing. They did this by leading a campaign for professionalism. Which led to the culminated Nurse Bill receiving is royal assent in December 1919 (Glasper, 2017). July 27, 1921 was the official opening of the nursing register, there are currently 688,927 nurses registered with the Nursing Midwifery Council (NMC) (Glasper, 2017). The NMC code has four themes of professionalism, “Prioritizing

This course really developed my self as a nurse, and it will help me in giving care to actual clients in the real world as well. First of all, this course taught us all about Florence Nightingale, who is viewed as one of the first nursing theorists. Her becoming a nurse, her practices as a nurse, her theory, her tenets, and most importantly, her being one of the most influential figures, even as of this very day. In this course, through essay writing we understood more about how Florence Nightingale’s theory and practices are still relevant today. We were able to connect her tenets to the real world programs. This can really help us in giving care because we learnt about how her practices are applied and so we are also able to apply her practices while providing clients care. Not only that, but we learned about how committed Nightingale was to provide the utmost care for the client and how the client is very important, with knowing this, we can also provide the greatest care that the client deserves. She strived for professional nursing and had laid the foundation, and we need to follow in these footsteps as well. Her achievements can aid in motivating us to become better and improve ourselves as a nurse everyday, as she did emphasize the importance of restoring one’s health.