98%(395)389 out of 395 people found this document helpful
This preview shows page 2 - 3 out of 3 pages.
3. Medication Error 1: scored as Good Catch, further education on specific unit required.4. Medication Error 2: scored at a SSE1, with recommendation for ISD to review placement of “heparin weight” with in the electronic medical record.5. Patient Falls: each was scored. In one case, will require Patient Care Technician reeducation. Two cases all hospital procedures were followed, patient falls were in waiting rooms, recommendation that hospital engineering evaluate said waiting rooms for previously unrecognized hazards. Last falls was determined to be a Good Catch, as the nurse had adequate assistance to safely make a transfer and follow the proper sequence in transferring patient to chair, when patient became unresponsive the nurse assisted patient to the floor..OpportunityThis activity added to my knowledge base of how Harm Score are determined. And how events and actions are compared to hospital policies. With this scholarly activity, I was able tomeet the competency of profession role (Domain 1) by experiencing the collaboration of