Performance Improvement and Professional…
Assignment Critical Decision Making for Providers
Due Date: Mar 17, 2018 Details:
View the scenario called “Critical Decision Making for Providers” found in the Allied Health Community media (http://lc.gcumedia.com/hlt307v/allied-health-community/allied-health-community-v1.1.html)
In a 750-1,200-word paper, describe the scenario involving Mike, the lab technician, and answer the following questions:
1. What were the consequences of a failure to report?
2. What impact did his decision have on patient safety, on the risk for litigation, on the organization’s quality metrics, and on the workload of other hospital departments?
3. As Mike’s manager, what will you do to address the issue with him and ensure other staff members do not repeat the same mistakes?
A minimum of three academic references from credible sources are required for this assignment.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
CRITICAL DECISION MAKING FOR PROVIDERS
Mike Lab Technician Report Problem
Mike is running late again. The last time he spoke with his supervisor, he promised he would be on time. Mike even left his home 20 minutes earlier than usual, but there was an accident on his commute. The job is very important to Mike. He is the sole provider for his wife and newborn baby, but his supervisor told him that if he continued to be late he might face termination. Upon arriving, Mike observes a spill on the floor. He must decide: stop and make sure the spill is cleaned up or ignore it all together. If he safeguards the spill, surely, he will be late clocking in and could face losing his job. Anyway, the spill is in another work area, and perhaps it will be cleaned up while he is clocking in. What decision should he make?
Choice: Report Problem Results: Hospital is safe
Mike stops in at the front desk to have housekeeping paged. Housekeeping routinely takes 3-5 minutes to arrive on site, but he does not have the time to simply wait. Using the telephone at the front desk, he calls to notify his supervisor that he is in the building but needed to stop to assist with a spill in the main lobby. His supervisor thanked him for calling and asked Mike if the time could be made up at the end of his shift. Appreciatively, Mike agreed.
Choice: Ignore Problem Results: Woman Slips
Mike decides to clock in, so he does not face losing his job. He is making every effort to keep his job and cannot afford to be terminated. Besides, he has a list of things he needs to accomplish from yesterday in addition to his assignment for the day. Certainly, someone else who is responsible for the area will take care of the spill soon.
Later, Mike is asked to go to a patient’s room to gather some patient information. He learns the patient was admitted to the hospital after falling in the lobby this morning. The patient is in a lot of pain and appears to have a broken hip from the injury. The patient goes on to describe the incident and asks him why this would happen in the hospital. She states, “I thought the hospital was a safe place. Don’t they have programs to prevent these things?”
A wave of guilt floods over Mike. He questions himself, “Could I have prevented this from happening?” Mike is now faced with a new dilemma. Should he admit to his supervisor what occurred upon his arrival to work this morning? What if by his admission, he is terminated anyway.
What are the potential risks associated with Mike’s decisions?
In what ways might Mike’s decision impact both patient care and procedural policies?
What, if any, legal consequences might occur for both Mike and the hospital where he is employed?
Management and Leadership
As a manager, what are acceptable circumstances for Mike?
• If Mike called in to inform that he was on site, but would be late clocking in due to a spill on the floor in the lobby, would this be acceptable considering the most recent conversation about his attendance?
• What, if anything, could Mike have done differently?
• How much coaching and investment should be made for this one employee to perform the most fundamental functions of his job?
• Are there additional considerations the manager should make?
• Alternatively, if Mike did not communicate the spill with his supervisor or anyone else, what would this mean for his level of ethical consideration and risk management?
• Could he be trusted to perform the essential functions of his position with sound judgment?
Think About It
Additionally, a member of Risk Management viewed the video of the patient’s fall as a part of documenting an incident report. Mike was noticed on the video passing by the spill just minutes before a guest slipped and fell down. He seemingly stared at the spill and appeared to slow down to consider possible risks. If Mike neglected to confess proper care for the spill after learning of the patient’s fall, how would you address this?
The patient is preparing to be discharged, but there has been a spill that led to the patient falling. You now need to explain that the discharge will be delayed until a full assessment has been completed. Additionally, educational materials and instructions need to be provided to the patient. A family member is present to help with discharge and follow-up instructions due to a language barrier.
What measures will you take to reassure the patient, make the patient more comfortable, or reduce the patient’s anxiety?
The patient is sitting in the room waiting for instructions and discharge orders. The patient is getting anxious, having already waited for some time, and wants to leave. The patient does not speak English and is having a difficult time understanding why an assessment needs to be done just for falling down.
• Given that the patient speaks and understands very little English, what other forms of communication might be used to provide patient education?
• How would you assess if the patient understands the discharge instructions?
• How will the actions of the staff member either negatively or positively impact patient care and the patient care experience?
• What ethical values or decisions did the staff member make that do not align with the patient education policy?
Allied Health Community Media. (n.d.). View Scenario. Critical Decision Making for Providers. Retrieved from http://lc.gcumedia.com/hlt307v/allied-health-community/home.html
Critical Decision Making for Providers
Less Than Satisfactory 72-75%
20.0 %Scenario Description Description of scenario is not provided. Description of scenario is provided but is incomplete. Description of scenario is provided. Description of scenario is clear and accurate. Description of scenario is clear, accurate and comprehensive.
60.0 %Discussion of Impact and Consequences of Failure to Report Discussion of the failure to report is not provided. Discussion of issues, their impact on the organization, and consequences is provided but is incomplete. Discussion of issues includes a brief description of organizational impact and consequences. Description of issues includes detailed information regarding organizational impact and consequences. Comprehensive and compelling discussion regarding the failure to report includes consequences with recommendations to address the issue with employees.
15.0 %Organization and Effectiveness
5.0 %Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Thesis and/or main claim are apparent and appropriate to purpose. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
5.0 %Paragraph Development and Transitions Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed. Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident. Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other. A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose. There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.
2.0 %Paper Format (Use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.
3.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment) No reference page is included. No citations are used. Reference page is present. Citations are inconsistently used. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and style is usually correct. In-text citations and a reference page are complete. The documentation of cited sources is free of error.
100 %Total Weightage