424 Navigating the Accreditation, Certification, or Licensure Process Case Study

Question

424 Navigating the Accreditation, Certification, or Licensure Process Case Study Henry McConnell has been an administrator su five years. He currently serves on a survey team reviewing a large midwestern tertiary care facility. The survey is going well, and he and the nurse member of the team are visiting the patient care areas of the facility. The chief operating officer (COO) and the chief nursing officer (CNO) accompany the two surveyors to various nursing units. They decide to visit the inpatient psychiatric unit. This particular inpatient psychiatric unit cares for people with psychotic and other severe emotional disturbances. Many of the patients on the unit frequently suffer hal lucinations. Others have had prehospital episodes of violence toward others. The unit is known in psychiatric medicine as a "locked facility," meaning that special keys are necessary to enter or exit the unit. As McCon nell and his fellow nurse surveyor approach the unit with the COO and the CNO, the COO comments on the level of acute psychiatric patients that the institu- tion commonly houses in the unit. She points out that the double doors are made of metal with wired glass windows and that the doors are locked from both sides. She makes a production of getting out her door access card to the unit so that they can enter, making sure that the two surveyors see that the doorknobs will not open the doors and that one can enter only with an access card. After they all pass through the doors, she turns around to show them that the doors have closed securely behind them. They then turn to go onto the unit to do the review. The COO and the CNO walk follow- red- 3. carefully out in front of the surveyors toward the nursing station, the surveyors t ing a little ways behind. One of the first things McConnell observes is a 3-f handled fireman's axe located about 5 feet inside the doorwa oot-long y and up near the ceiling CASE STUDY QUESTIONS 1. How did the axe get there? 2. What common characteristic of healthc are organizations discussed in the "Back ground and Significance" section of this chapter is exhibited in this case How could a potentially dangerous situation such as this be avoi 3. th Project Application

Explanation / Answer

How did the axe get?

The following are the possibilities:

-A prior incident of a patient stuck inside the locked room would have caused the staff to use the axe, but have not taken it back.

-A bad case of negligence

-A case of inmates of the locked room / restricted area fighting with the axe made it go the place where it is.

What common characteristic of healthcare organizations discussed in the “Background and Significance” section of this chapter is exhibited in this case?

- Arrangement amid senior leaders

- Effective leadership preparation

- Effective leadership assessment arrangements

- Steady leadership

- Calibration of best practices

How could a potentially dangerous situation such as this be avoided?

-A regular check list to ensure when going in and coming out of the restricted area.

-Video surveillance through placing a camera to view if there are inside the restricted area and observe if any hazardous stuff / situation arising.

-Access restriction.

-Avoidance of commoners or other department associates not to be allowed strictly in any circumstances until and unless if the circumstance demands.

Avoid negligence.

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