Assignment Details

Using the information from the case study below, discuss the following issues from the perspective of an APN role:

• Administrator
• Practitioner
• Educator 

Standards of care – what were the standards of care that were violated? Who was responsible for the violations?

In your role as an educator, administrator, or practitioner, what risk management steps needs to be taken before or after the incident to alleviate the issue?

Page length should be 3-4 pages exclusive of cover page and references.

Support your paper with a minimum of three scholarly references.

Case Study: Malpractice Action Brought by Yolanda Pinellas

Yolanda Pinellas is a 21-year-old female student studying to be a music conductor. She was admitted for chemotherapy. The medication Mitomycin was administered by intravenous infusion through an infusion pump.

During the evening shift the infusion pump began to beep. The RN found that the IV was dislodged and discontinued the infusion, notified the physician and provided care to the infusion site. The patient testified that a nurse came in and pressed some buttons and the pump stopped beeping. She was groggy and not sure who the nurse was or what was done. The documentation in the medical record indicates that there was an infiltration to the IV.

Two weeks after the event, the patient developed necrosis of the hand and required multiple surgical procedures, skin grafting, and reconstruction. She had permanent loss of function and deformity in her third, fourth, and fifth fingers. The patient is alleging that because of this, she is no longer able to perform as a musical conductor.

The risk manager had noted when doing chart reviews over the last 3 months prior to this incident that there were issues of short staffing and that many nurses were working double shifts, evenings, and nights then coming back and working the evening shift. The risk manager also noted a pattern of using float nurses to several units.

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements:

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary;
• utilize spelling and grammar check to minimize errors; and
• review APA formatting and citation information found in the Writing Center, online, or elsewhere in the course.

Your writing Assignment should:

• follow the conventions of Standard English (correct grammar, punctuation, etc.)
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA 6th edition formatting and citation style.

A new initiative has been introduced to educate nurses, health care  workers, and social services workers on how to prevent workplace  violence where you work. Write a 750–1,000-word article on workplace  violence and prevention measures for the hospital employee newsletter.

The Centers for Disease Control and Prevention’s National Institute  for Occupational Safety and Health (NIOSH) (2002) defines workplace  violence as any physical assault, threatening behavior, or verbal abuse  occurring in the workplace. Violence includes overt and covert behaviors  ranging in aggressiveness from verbal harassment to murder.

Specific to hospital workers, studies by the Institute for Occupational safety and Health (NIOSH) show that:

Violence often takes place during times  of high activity and interaction with patients, such as at meal times  and during visiting hours and patient transportation. Assaults may occur  when service is denied, when a patient is involuntarily admitted, or  when a health care worker attempts to set limits on eating, drinking, or  tobacco or alcohol use. (2002, para. 4)

Reference

Centers for Disease Control and Prevention,  National Institute for Occupational Safety and Health. (2002). Violence:  Occupational hazards in hospitals. Retrieved from  http://www.cdc.gov/niosh/docs/2002-101

Your workplace has experienced some serious problems with workplace  violence that occurred between patients and caregivers. A new initiative  has been introduced to educate nurses, health care workers, and social  services workers on how to prevent workplace violence. You have been  asked to write an article on workplace violence and prevention measures  for the hospital employee newsletter.

Preparation

Search the Capella library and the Internet for scholarly and  professional peer-reviewed articles on workplace violence. You will need  at least five articles to use as support for your work on this  assessment.

Directions

Write a 750–1,000-word article (3–4 pages) on workplace violence  and prevention measures for the hospital employee newsletter. Address  the following in your article: 

• Identify the political, legal, and/or legislative factors that  may contribute to violence in health care settings. Consider the types  of patients that may be treated within a clinical or hospital setting.
• Compare OSHA regulations and the ANA position statement on workplace violence to organizational policies.
• Explain safety policies and protocols for preventing and responding to violence against health care workers.

Additional Requirements

Your presentation should meet the following requirements:

• Written communication: Written communication should be free of errors that detract from the overall message.
• References: Cite a minimum of five resources,  with the majority being peer-reviewed sources. Your reference list  should be appropriate to the body of literature available on this topic  that has been published in the past 5 years.
• APA format: Resources and citations should be formatted according to current APA style and formatting.
• Length: 750– 1,000 words or 3–4 typed,  double-spaced pages, excluding title page and reference page. Use  Microsoft Word to complete the assessment.
• Font and font size: Times New Roman, 12-point.