Patient/family members do not have the capacity to chart in the electronic medical record.Care SupportFamily members and visitors are allowed 24/7 access to patients. There is no distinction between the two. Access to patient is specified by patient or family member. Family is not discouraged to be present during resuscitation events. They may participate in all aspects of care, including rounding and shift change reporting. Upon discharge from the hospital, the discharge summary document provided to the patient contains all medications the patient has received during his/her admission as well as any medications he/she will need to take at home. Patient/family member does not have the capacity to activate the rapid response (RR) system. The patient/family member will bring to the nurse’s attention the patient’s condition. After which, the nurse will be responsible for activating RR.
ORGANIZATIONAL LEADERSHIP 7 Domain Strength Weakness CareIt is encouraged that patient/family member engage clinicians in collaborative goal setting. Family meetings involving patient’s family (and occasionally friends) and all members of the care team are organized to respectfully and collaboratively manage patient’s goals of care. Discharge planning handled by case management or social work also involves collaboration from family members or close friends.There is no observed weakness in this domain.Area of Improvement The area of improvement chosen from the above table of domain strengths and weaknesses would be to provide readily available educational materials for conditions encountered in the unit. While educational information is available online, this resource is best served for those individuals who are not in the hospital and have access to a computer. For patients admitted to the hospital and their visiting family members, educational materials could be made available either in print or via an on-demand video system transmitted to the TV in the patient’s room. While education can be provided by the nurse or physician via verbal or demonstration, the print materials and audio-visual services would provide added resources to individuals who would benefit more from visual learning or simply to those who would want additional information. Having them readily available would empower those individuals who may feel their questioning may be a burden to the staff. It would provide an avenue for communication and enable patient and family members to make an informed decision in the plan of care.
ORGANIZATIONAL LEADERSHIP 8 Improvement Strategy In order to effect change and improve on quality delivery of health care, the nurse leader must be diligent and strategic when implementing a change or an improvement. He must adopt a process-improvement technique to identify inefficiencies and then influence the change in the system. By implementing an improvement strategy, the nurse leader can avert any errors or process failures during implementation.
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