Henry McConnell has been serves on a survey re tly an administrator surveyor wit

Question

Henry McConnell has been serves on a survey re tly an administrator surveyor with the Joint Commission for five years. He curren (Coo) anember of the team are visiting the patient care areas of the facility. The chief operating officer decided to visit the impatient psychiatric y team reviewing a large midwestern tertiary care facility. The survey is going well, and he and the chief ef nursing officer (CNO) accompany the two surveyors to various nursing units. They unit ar inpatient psychiatric unit cares for people with psychotic and other severe emotional Many of the patients on the unit frequently suffer hallucinations. Others have had prehospital ence toward others. The unit is known in psychiatric medicine as a "locked facility," meaning that special keys are necessary to e As McConnell and his fellow nurse surveyor a nter or exit the unit. pproach the unit with the COO and the CNO, the COO on the level of acute psychiatric patients that the institution commonly houses in the unit. She points out that the double doors from both sides. She makes a production of getting out her door access card to the unit so that they carn enter, making sure that t enter only with an access card. After they all pass through the doors, she turns around to show doors have closed securely behind them are made of metal with wired glass windows and that the doors are locked he two surveyors see that the doorknobs will not open the doors and that one can them that the They then turn to go onto the unit to do the review. The COO and the CNO walk carefully out in front of the surveyors toward the nursing station, the surveyors following a little ways behind. One of the first hings McConnell observes is a 3-foot-long redhandled fireman's axe located about 5 feet inside the doorway and up near the ceiling. Case study questions 1. How did the axe get there? 2·What common characteristics of healthcare organizations discusses in the "Background" and Significance" section of the chapter is exhibited in this case? 3. How could a potentially dangerous situation such as this be avoided?

Explanation / Answer

1-The only circumstances would be any emergency where the patient locking him / her self in and fire fighters using it to bring them out to avoid self-harm and once incidence was in control, it was forgotten there. Or it would be simply brought in for any other purpose which did not include the patient and was forgotten there.

2-Four main subjects are recognized in abstracting institutionalization being blocks and cement of upkeep establishments; strategy and lawful outlines modifiable care; scientific accountability and authoritarianism in clinician patient relations; and patients’ adaptive conduct to established care.

3-Presence of mind is the only way that can avoid situations like this. Plus a security protocol before and after visit. An inspecting officer who makes sure to make the individuals to check the protocol strictly.

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