Risk Management

1. What did you actually learn from the unit.

This weeks discussion focused on risk management of a unit. We discussed the problems that can occur and who is at fault as well as what needs to be done to remedy the situation and avoid problems with repeat circumstances in the past.

2. Discuss your feelings/experiences from the team activities? Did it change your opinion on the subject? If so, how? If not, why?

Our discussion this week was a scenario regarding an ED patient in restraints, but his attempt to use a lighter to get out of his restraints resulted in a fire and serious burn injuries leaving the patient severely injured. Protocol in this scenario called for security to check for contraband and place the patient in restraints. The ED nurse was to do Q15 min checks on the patient. My group agreed protocol needed to be revised to where the patient needed a one to one to watch him at all times and the ED nurse should have had less of a patient load with having to do 15 min checks on the patient. We also agreed protocol can have the security check for contraband again after the patient has been restrained. Thorough documentation, filing an incident report, and notification to necessary departments such as manager, risk management, etc should also occur right away.
There’s a lot more involved in risk management than I had anticipated, but I appreciate having them as a resource and that one of their goals to help do what is best for the nurse.

3. How you will utilize the information learned in your nursing practice.

As a nurse, my role in risk management is essential. First and foremost, monitoring and evaluating the patient care is pivotal. Proper utilization of incident reports is another important function I can do as a nurse. They can often feel inconvenient and time consuming, but they are extremely important. In short, incident reports should be utilized as one means to correct nursing care that does not meet the patient’s needs and that may result in injury or death to the patient.

4. Your personal feelings about the material covered.

It’s important to know all your resources as a nurse so you’re able to give the best care possible to your patients. It was an interesting topic this week. Risk management’s overall goal is to reduce or prevent any type of risk to the health care facility, and it’s important for nurses to know who they are and what they do.

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