Today we talked about just culture. We talked about the importance of leadership. The quote I will take with me from today’s presentation, “having the kind of leadership and leadership not being about punishing and blaming but about using every single instance of anything gone wrong as a process of learning from the event.” I want to take this quote with me, and remember about the leaders I admire as they lead by example. Often it is easiest to blame the person or the problem, but often discovering the problem is easy. But what are we doing to fix the problem? How can we, as individuals, go about a resolution to a problem alone? Instead of doing it alone, don’t look at one part of the process to blame, but instead the systems that were established, that don’t prepare us with the tools to succeed. We must come together; analyze… Continue reading
Today we discussed Michael Skolnik’s story and really touched on the process of informed consent. As a nurse I am a witness of informed consent and I have been identified by some as to “who not to ask to be a witness to an informed consent” form by some physicians in my practice. Often times, as many of the residents in the program identified, informed consent is one of the many tasks that physicians have to check off their list throughout the day. First off, I will not sign an informed consent if I was not in the room during the process of obtaining an informed consent. I also want to make sure the patient’s, or their families/POA, are able to state the procedure in their own terms, and every risk or benefit that accompany each procedure. If they cannot, I will have the physician restate or rephrase whatever part… Continue reading
What a way to start a week! I had an idea of what this week would be like, but not to the extent of the material in which it would encompass. First thing this morning, we touched on a subject that hit so close to home: the difference between the thought processes and communication processes between nurses and physicians. The first activity of the day included a video of the Lewis Blackman story. There are so many events/problems that occurred between all interdisciplinary members of the team. One of the issues being that Lewis was not admitted post op to a medical-surgical floor for post-op management/observation; rather he was transferred to an oncology unit. No matter how we are trained, if we don’t regularly treat and manage a certain population, we need refreshers on what we should be looking for, and how to manage their care.
In the video we… Continue reading