Aft Task 2
Abstract
This assignment will address what led to the loss of a child (sentinel event) as it happened in nightingale hospital. It will include documentation and details regarding a root cause of this problem. The Joint Commission requires the hospital to come up with the corrective plan which will prevent such incidences happening in the future. tract
A1. Sentinel Event
Nightingale Hospital experienced a sentinel event on the night of September 14, 2011. A sentinel event is an unexpected occurrence which can sometimes involve serious injury or even death or the risk there of as indicated by Joint Commission. (http:www.jointcommission.org).
In the morning of September 1 2011, a three year old child was accompanied by her mum to night gale hospital for an outpatient procedure (myngoreal myriites).
Registration desk
The mum and the child arrive at registration desk. The registration was complete and authorization form signed.
Pre-operative nurse
The mother was then given the length it would take of surgical procedure and physical evaluation to complete by pre-operative nurse. Tina’s mum the nurse that she had to leave to take care of some business for his son and would be back in approximately 2 hrs .Before the child mum left, she gave the pre-operative nurse her contact number in case procedure got done earlier than an expected. Instead, the pre-operative nurse did not record /chart this information on patient medical records instead he recorded on his own personal note -book.
Operating room
The child was then taken to operating room where the surgeon and nurses carried the procedure. After the surgery was done, Tina was taken to the Post Anesthesia Care Unit the recovery area under the care of with care recovery team without sight of mother.
Post Anesthesia Care Unit the recovery
During this recovery period, the mother had not returned yet and child was becoming nervous and feeling insecure. The recovery nurse had paged the mum...