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reductions in adverse events.An additional necessary process that must be maintained are routine sponge, sharp, and instrument counts. The reason this is necessary is because the staff members have to potential to accidentally leave an item inside the patient. This is done by mistake sometimes through a miscount or unintentionally missing a step altogether. AORN recommends following a routine model when counting sponges, sharps, and surgical instruments. This way there is a clear expectation and path to ensure that the patient’s safety has been maintained. Like the time-out process, if there is a missing item, the team member is responsible to alert the surgeon of a miss count so that a thorough investigation of the cavity and surgical suite can happen until the missing item is found, (Association of periOperative Registered Nurses, 2006). By following theprocess of routine counts in the OR, there will be an increase in patient and staff morale because the patient will be kept safe without the need for additional surgeries to retrieved retained foreignitems.Employee EngagementEmployee engagement is directly related to good patient outcomes. One necessary process to improve employee engagement scores is to help build a stronger community within the unit themselves by increasing the number of CNOR staff members. By becoming certified intheir profession, the nurse is demonstrating their knowledge base which has been shown to positively improve outcomes of surgical patients. This is also a step taken for advancement into leadership such as charge nurses or manager. “Research shows that nurses who earn the CNOR credential have greater confidence in their clinical practice, having validated their specialized knowledge in perioperative nursing,” (Competency & Credentialing Institute, 2019).
PRINCIPLES OF ORGANIZATIONAL PERFORMANCE MANAGEMENT 6B1. Additional IndicatorAn additional indicator that could be monitored would be the patient receiving and understanding their discharge instructions. The reason behind this is because if a patient does not understand what to do, not do, or expect than there would be an increased chance of potentialcomplications. Monitoring this information will help promote quality of care and safety for the patient. One reason this was chosen was because of what happened to me after my hysterectomy. My husband was sent to get the car while I was given discharge instructions after being given pain medication. I remembered nothing from them. The following week I was at Wal-Mart and one of the nurses asked where my husband was. I told her I was by myself. She asked if I got dropped off and needed a ride home. I said no thanks, because I drove myself. Shethen said I shouldn’t be driving for another week and that it was in my discharge instructions put in the side pocket of my bag. When I got home, sure enough there were my discharge instructions which I did not follow. My outcome was good, but sometimes there are negative