Nursing Accountability in Relationship Essay

In this paper, I will retrospect and implement recommendations based on the findings of the Agency for Health C atomic number 18 question and Quality (AHRQ) regarding the nurture of hospital staff to respond to a kettle of fish casualty nonessential (MCI). I will give examples and situations that bottom of the inning impinge on the effectiveness of proper call for and responses to a traumatic raset in our city, county, state, or country. For years, hospitals amaze contemplated the possibility of a mass casualty hap (MCI). Federal agencies formulation and responding to these events stand determined that it would be overwhelming and ruinous to any community.The resources would not be sufficient to absorb the needs and requirements for help. These events can be naturally occurring or manmade, for example, hurricane season and tornado season in Texas can be predicted with accuracy. In the West coast, we have constant planning and preparation for the next big earthquake eve n though we do not know with accuracy when it would be. During hurricane Katrina, we had an excellent opportunity to witness how watchful a city is, and how hospitals can easily be overwhelmed by a massive influx of affected roles. Examples can be given worldwide, but for the point of simplicity we will not elaborate further.Never before have we experienced more threats than in the past few years startle from the Oklahoma City bombing and the 911 attacks as the most horrific examples to site. more(prenominal) and more we have seen our fears become our corporealities and our vulnerabilities, and this is what has made us rethink our strategies and instruct for proper response to chemical, radiological, or biological threats. Findings The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) requires that hospitals implement and test proper hospital response training twice a year.My hospital, BAMC, a military hospital, has complied with the training and has made earthshaking contributions to the evolution and preparedness in response to a potential or actual event. The military has always been an full part in training and preparation in regards to logistics and coordination of available resources, but even the best accomplished or better render hospitals cannot compensate for the impact it has on its employees, especially toy withs. Nurses take part and are an burning(prenominal) aspect of training and preparation, and they are essential in the response to a crisis or trauma.Working in the emergency department, I often question myself as to how is it that we can train and prepare every year for a mass casualty incident (MCI) when I can see how easily we get overrun and in total disarray. Our hospital is currently capable of taking up to 4 major traumas all at the same time, but the reality is that even chthonic the best staffed days we get overwhelmed, resourcing quickly to diversion of arrest Medical Service (EMS) to other hospita ls when we have reached maximum capacity.If training whence is to prepare us and allow us to be well equipped with the necessary knowledge to perform, why is it that we struggle under small real life case scenarios? The response has to be once again in the aim of preparation that each individual nurse takes to be found to be able to function under very stressful environment. The nurse can be well prepared for future events by performing subsequently action reviews (AAR), which is primordial in determining the stressors and the potential solutions to the problems encountered after each event.Disaster drills are beneficial in the effectiveness of ascertain and control, communication, triage, patient flow, security response, and the roles each practitioner must perform. Recommendations Hospital drills and mishap planning are key and instrumental to make the nurse beaten(prenominal) with his/ her role, as well as the role of all the providers of care and setoff responders. Prope r coordination and comely allocation of resources are essential. The nurse can be instrumental in his/her flexibility and ability to adapt to different roles under extremely chaotic circumstances. Also, nurses are important for the delegation of tasks andcoordination of duties to be taken to stabilize the emergency department for the proper movement of patients arriving and departing. The nurse plays an integral role in the transporting of patient, triage, and treatment of the injured. Properly identifying those who are very little (expectant, life threatening), and those who are stable and can still function (broken bones, laceration, mental issues) allows the provider to render the proper and efficient care. The nurse needs to have clear communication with the rest of the staff at every level of the disaster event in parliamentary procedure to function and coordinate efficiently. skilful documentation needs to be implemented. Nurses need to remain creative in finding ways to document what has been done to a patient with regards of his or her care. In a war zone, we can document key components of patient treatment on the uniforms of soldiers, and the same can be done with noncombatant population in the absence of computers or charting for short periods of time. Another important aspect is the transport of first aid equipment and supplies as soon as the disaster is identified, including body bags, stretchers, wheelchairs, crutches, splints, IV solutions, blood products, antibiotics, and plenty of analgesics and narcotics.Keeping an adequate number of chaplains, counselors, and security is imperative for the emergency department to maintain order under the chaos and stress. Summary In conclusion, the registered nurse needs to be ever vigilant of the realities of our current situations of the world. Today, more than ever with ongoing humor changes and unpredictable massive storms, tornados, earthquakes, and the impending threats created by man, we are alw ays at risk for an (MCI).Keeping a good understanding of the preparation and the move to take, and knowing his or her role the nurse can be calm that he/she will be ready for the unpredictable and often unthinkable. References grooming of Hospital Staff to Respond to a Mass Casualty hap Evidence Reports/Technology Assessments, No. 95 Rockville (MD) Agency for Healthcare question and Quality (US) July 2004 http//angel03. gcu. edu/section/default. asp? id=705202 Mass Casualty Incident (MCI) St. posterior West Shore Hospital, MCI Overview http//www. emsconedonline. com/pdfs/EMT-Mass%20Casualty%20Incident-an%20overview-Trauma. pdf