Week Twelve Discussion 3

Give an example of at-risk and reckless behavior in the health care setting.

Propose ways of decreasing at-risk and reckless behavior using references from your reading.

Example: Two nurses using a hoyer lift to prevent patients from falling out of hoyer lift. At a nursing home facility I previously worked, a certified nurse aide used a hoyer lift to transfer a patient from bed to wheelchair without a two person assist which is the protocol. I was the RN charge nurse on a different floor at the time. The patient fell out of the hoyer lift and head went first. The patient was on blood thinner (coumadin), rush to the hospital and died two days later. If you can elaborate on it more it will be great.

https://www.justculture.org/getting-to-know-just-culture/

Article/Chapter/Report:

American Association of Critical Care Nurses. (2005). AACN Standards for establishing and sustaining healthy work environments: A Journey to excellence. Aliso Viejo, CA: Author. Online at http://www.aacn.org/WD/HWE/Docs/HWEStandards.pdf

American Organization of Nurse Executives. (2007). AONE Guiding principles for the role of the nurse executive in patient safety. Washington, DC: Author. Online at http://www.aone.org/resources/principles.shtml

Maxfield, D. Grenny, J., McMillan, R., Patterson, K., & Switer, A. (2005). Silence Kills: The seven crucial conversations for healthcare. Aliso Viejo: AACN Vitalsmarts. Online at http://www.aacn.org/WD/Practice/Docs/PublicPolicy/SilenceKills.pdf

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