The paper "Clinical Risk Management" is a great example of an essay on management. Special observations in a psychiatric unit including intensified observation and assessment of patients deemed at risk of harming themselves and others. supervision of nurses when learning a new procedure reduces self-harm. The administration errors of drugs well prescribed by patient-physician leading to overdosage or even drug reactions hence harming the patient. The nurses should be able to have the dosages at hand and not to administer the doses which are harmful to the patient as this could even worsen the condition of the patient.
The nurses therefore should be able to have knowledge in relation to the drugs and also the prescriptions for various conditions to avoid dispensing of the drugs without consideration of their mode of action, mode of excretion, nature of administration as well as the condition in which the drug is indicated for. Inadequate training or performing a task a nurse is not competent to perform and fail to know self-limitations leading to self-harm or the patient. This could be mainly prevented by ensuring the nurses are able to carry many practical’ s before they are able to disseminate the services on their own.
This will enable the nurses to be competent in their practical skills which will go a long way in enabling the nurses preventing self and even patient harm(Johnstone & Kanitsaki, 2006). The use of faulty equipment to perform procedures harming self or patient and therefore the nurses should always ensure that the equipment they have full knowledge of how to use the specific equipment, as well as tools and this, will enable the use of each equipment for the deserved purpose it is intended for when administering their services to the patients so as to minimize the risks which could arise. , inadequate communication or failing to notify the physician on patients change leads to more harm on the patient, however, this could be avoided by the nurses having the clinical reasoning which will enable them to identify the care that the patient is able to receive and benefit from the service and at what times to be able to offer their services to the patient.
The clinical reasoning will also enable the nurses to be able to identify the warning signs early and therefore be able to offer their services which will be timely and effective. In this case, also the nurses should be able to develop effective communication methods in order to be able to relay information accurately and on time and this will result in eliminating the likely hood of the risk of harm from taking place (Johnstone & Kanitsaki, 2006). I was able to learn from the activity since I was able to identify that there are two forms of risks of self and patient harm within the health care set up.
These risks of self or patient harm will include the risks that relate to the nurses and secondly those that involve the patients themselves. The nurses can end up causing harm to the clients or patients or can even on the other extreme end inflict harm on themselves. With the various forms of risks of harm, there is a need for the management of the risks with an aim of being able to identify risk and coming up with solutions to be able to prevent the harm from taking place.
Clinical risk management will entail the consideration of various components within the health care set up. This will include the risks that the patients are exposed to, the risks that the practitioners( the nurses, in this case, are exposed to). The risk to the nurses will be managed through ensuring that they are immunized to avoid them being harmed through the contracting of various forms of infections and also ensuring that the workplace environment is safe and meets the up to date quality assurance (David Bowden, 2007). Identification of the various forms of risks enabled me to be able to identify the certain skills that the nurses need to have in their daily dispensation of services as theses tend s to eliminate the risks of harm to both the patients as well as the nurses in their line of duty.
The implementation of the use of the skills when disseminating services to the patients will ensure a marked reduction of the total number of cases that would normally result from the harm.
I was also able to understand the necessity of various safety lessons as well as the skills in the prevention of harm (Johnstone & Kanitsaki, 2006). The activity contributed towards my skills and knowledge as a graduate nurse in that I was able to identify the skills that will be key in the prevention of self as well as patient harm. This will now enable me to prevent the occurrence of events of harm in the future because during practice I will be able to apply the skills that will enable me to work without inflicting harm and also keep the patients’ from harm.
Some of the skills which I was able to identify would include having efficient communication as well as listening skills, practical skills which will enable me to carry out the delivery of services to the patients with proficiency and care, reasoning skills which will enable me to disseminate services based on facts as well as due consideration of all possible outcomes (Milligan, 2006). My learning needs at the end of the activity were able to be met because I was able to identify various ways through which the nurses are able to infringe harm on the patients, also the ways through which the nurses could have avoided the occurrence of harm to the patients or clients was also able to identify the ways with which harm could result and also the possible ways that the nurses are able to avert the whole process of harm from occurring.
I would also be able to identify the various safety lessons such as using the right equipment for the right functions for this will be vital in the prevention of harm from occurring was also able to see the need for the formulation of various mechanisms which are able to prevent the risks within the clinical set up from resulting into harm to the nurses as well as the patients.
I was also able to see the sense of being able to have clinical reasoning, communication amongst other skills being vital in offering solutions towards the prevention of harm (David Bowden, 2007). The achievement of these standards or elements will enable my service delivery to endeavor in the prevention of self as well as patient harm.
This will be mainly attributed to the identification of various ways through which harm could arise and therefore being able to mitigate them. those who have already had harm should also be able to be given relief and to prevent those who have not been harmed from getting harmed. My future practice will now be very much centered on being able to offer quality health care services as well as services that have preventive measures for self as well as patient harm (Milligan, 2006). I intend to ensure that my practice remains current and this will be ensuring that I am up to date with the pertinent information on clinical risk management.
This will also be incorporated into the transition to a graduate nurse. I will also be able to use the safety lessons while providing health care services as this will guide me to be able to carry out my duties without causing self nor patient harm.
The safety lessons will enable me to exercise great care while attending to the patients and being able to avoid instances that would lead to the causation of harm. I will ensure that the practice remains current though the attending to various patients will give me the experience of dealing with various situations when they arise and hence the effectiveness of the services I will be offering will be of quality (Milligan, 2006). In conclusion, the prevention of self as well as the patient will be achieved in general practice through the emphasis on the use of the necessary skills by the nurse while giving health care services.
This could also be coupled with the formulation of various mechanisms that are aimed at upholding the patient's safety. These measures will range from the nurse being able to build a culture of safety, providing leadership as well as support to the practice team, and even giving of directions where other colleagues get stuck such that all procedures that are undertaken will be of the benefit of the patient.
The nurses should be able to integrate the risk management activities and this will go a long way to create the culture of being able to prevent harm from occurring. On the other hand, for the nurses to ensure that the patients do not harm themselves, the nurses should be able to communicate with the patients as well as the community at large on ways and means of preventing harm. The nurses should also be equipped with the safety lessons and be able to share the lessons with even other colleagues as this will in the long run to prevent harm of the patient.
In this case, the nurses will be able to adopt various strategies of dealing with harm as well as preventing harm from occurring. The final measure to prevent harm will be the implementation of the various solutions which have been formulated above to be able to prevent the occurrence of self as well as patient harm (David Bowden, 2007).
Milligan F., (2006).Implementing solutions to prevent patient harm. University of Luton, Education Centre, Bedford. frank.milligan, PubMed U.S. National Library of Medicine ,National Institutes of Health.
Johnstone MJ, Kanitsaki O, (2006). Processes influencing the development of graduate nurse capabilities in clinical risk management: an Australian study. Division of Nursing and Midwifery, School of Health Sciences, RMIT University-Bundoora West Campus, Melbourne, Victoria, Australia.
David Bowden, (2007).is clinical practice improved by risk management? Journal of Evaluation in Clinical Practice, John Wiley & Sons, Inc