periods of time, and concerns about the redness on his back were ignored. During any given shift, there should be at least two separate nurses performing a comprehensive skin assessment on a patient. Hospital data might be able to show a connection between the development of pressure ulcers in relation to things like the use of restraints, nursing staff skill mix (RN’s vs LPNs vs CNAs), and education levels. A unit with a high number of inexperienced nurse’s or a higher patient to nurse ratio might make more mistakes, miss the early signs of skin breakdown, or rely on things like restraints in place of evidence-based guidelines. The hospital data could be used to advance quality patient care by identifying these problems and then addressing them. This could be done by performing proper risk assessments, improving nurse the patient ratios, providing education specific to the issues at hand, and developing and implementing quality improvement projects.
Running head: Organizational Systems Task 1 4 C. Resolution of Ethical Issues The kosher diet for Mr. J was unfortunately not adhered to which resulted in this patient accidentally receiving pork for dinner. When the nurse notified the nursing supervisor, they brushed it off by telling the nurse to keep quiet. The nursing supervisor did, however, notify the kitchen supervisor of the mistake, which ultimately resulted in a kitchen worker apologizing to the patient’s daughter the next night, which was the first time she had heard of the error. This