Not very long ago, I was the Administrator for a same-day orthopaedic surgery center. I just loved it and never dreamt that one day we would have a sentinel event. By sentinel event, I mean an event that is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Any such injury signals the need for immediate investigation and response. Sure enough, after two and one half years on the job, the nightmare and horror of a wrong-site surgery emerged Read more…
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"timeout", checklist, faulty surgical procedure, horror, inexperience, Joint Commission, lack of communication, mistakes, nurses, O.R., operating room, operation, patient, sentinel event, stress, surgery, wrong organ, wrong patient, wrong-site surgery
One of the scariest moments for a daughter, son, brother, sister, niece, nephew, spouse, aunt, neighbor, best friend without family, etc. is the decision to have to put a loved one and/or a relative into a long-term care facility. As a past Director of Nursing for a large, skilled nursing facility, I have learned that it is of the utmost importance one seek the necessary information to keep their precious one safe, healthy and happy! In fact, it does not hurt to Read more…
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checklist, decision, elderly, inspection from state, long-term care, loved one, Medicare certified, nursing home, safe, skilled nursing facility