Current Issues in Healthcare
When a natural disaster is on the horizon and heading toward a specific area, little can be done to prevent it. Still, a lot can be done to prepare for it and mitigate it appropriately before it occurs. Depending on the severity of the natural disaster, residents may be forced to evacuate. Fortunately, the field of climatology has advanced significantly, and it is now possible to predict adverse weather conditions well ahead of time. This is where preparation comes into play. City residents, including those in nursing homes, hospitals, and assisted living facilities, must begin planning for evacuation well before the storm’s arrival.
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According to a report published on September 19 in Kaiser Health News, addressing the aftermath of Hurricane Irma in Florida, which killed at least eight nursing home residents after they could not be evacuated from a place they call home because they could not do so for themselves. Many facilities across the country are to blame for this type of problem. According to federal inspection records [Rau17], they are unprepared for even minor emergencies such as the hurricane that hit Houston and Florida. Most of these facilities don’t care because they rarely face serious consequences, even when deficiencies are discovered during routine inspections. Other nursing homes, on the other hand, fto prepare for common emergencies adequatelycies. They don’t have an emergency plan. According to inspection logs, in El Paso, Texas, the nursing home failed to plan how for evacuate residents who use wheelchairsts who lived upstairs in the event of a fire. Another Colorado nursing home had a locked gate that the employees on duty couldn’t open because they tcoucouldn’t accesscombination codes. During a fire outbreak in Chicago, a nursing home facility evacuated its residents in the wrong order, beginning with those furthest away from the fire [Rau17]. This is not a good idea.
It is also documented that, over the last four years, nursing home inspectors issued approximately 2300 violations of emergency planning rules; however, only those wlabelledeled as severe enough to put residents in immediate danger. Another violation that most nursing homes commit is failing to inspect their generators once a week or to conduct a test run once a month. Surveyors cited approximately 1,373 nursing homes for failing to maintain their generators on multiple occasions, but none of these were significant deficiencies. According to a Center for Medicare Advocacy attorney, there are excellent standards regarding these issues, but they are not enforced[Rau17]. When problems are discovered, regulatory bodies do not take them seriously enough.
Hurricane Irma hit Florida and killed eight residents, focusing all attention on the state and the new federal disaster planning rules that must be in place in all nursing homes by mid-November. The administrator of the rehabilitatiocentreer will be prosecuted for criminaoffenceses. At the time of the disaster, the administrator is ultimately responsible for everyone in itheirer facility, including residents and employees. The administratordecidesn to evacuate. Duty refers to the professional relationsh between the nursing home staff and the patient, and a breach of duty occurs when the nursing home staff fails fulfilill their dutiacaccording tostandards of care (Peterson, 2012). rehrehabilitation centre administratord to promptlynner, resulting in the deaths of the residents. Failure to acpromptlyer can also be detrimental to the surrounding facilities. According to research, the severity of Sandy caught most New York hospitals off guard because they were not expecting a major evacuation. They relied on backup generators, which eventually faileriskingriskingg critical patients’ live (Adalja et al., 2014). They were eventually evacuated, but it caused even more havoc in the receiving hospitals.
This noncompliance presents a difficult situation for new healthcare administrators. Regulations are changing, and most business administrators are not always doing the right thing. When the residents’ care and safety aunmetmet, it is a breach of contract and duty. It is also important to understand that whatever citation a facility receives as an administrator remains itsr’s license for a set number of years. The administrator is responsible for ensuring that the building is operational abyith all state and federal regulations. If a nursing home fails to follow the rules and endangers the lives of its residents, the government has the authority to close it down. Fines and inspections are among the leading causes of nursing home facility service termination. If standards are not met, the Centers for Medicare and Medicaid reserves the right to fine and terminate their contract with any nursing home facility (Fisher & Castle, 2012Mostthe people who live in these facilities are on Medicare or Medicaid.Myonsibility as an aspiring healthcare administrator is tois protect my residents and staff while they are in my caI aI am also responsible for beingamiliar with the regulations established by state and federal agencies. Finally, the surveyors’ recommendations during surveys should not be taken lightly; they should be follotor to cover all bases in the event of an unavoidable accident.
Other Related Post: Patient Confidentiality
References
Adalja, A. A., Watson, M., Bouri, N., Minton, K., Morhard, R. C., & Toner, E. S. (2014). Absorbing Citywide Patient Surge During Hurricane Sandy: A Case Study in Accommodating Multiple Hospital Evacuations. Annals of Emergency Medicine, 64(1), 66-73. doi-org.ezproxy.umuc.edu/10.1016/j.annemergmed.2013.12.010
Fisher, A., & Castle, N. (2012). Why do Nursing Homes Close? An Analysis of Newspaper Articles. Social Work in Public Health, 27(5), 409–423.
Peterson, A. M. (2012). Nursing Home Medical Record Standards: Part 1: Nursing Liability. Journal of Legal Nurse Consulting, 25(2).
Rau, J. (2017, September 19). Kaiser Health News. Retrieved from Kaiser Family Foundation: https://khn.org/news/nursing-home-disaster-plans-often-faulted-as-paper-tigers/
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Question 
Purpose of Assignment
This assignment will address the current issues in pediatric healthcare related to safety. Growth and development is an importafactorstor that should be considered along with safety in many areas of pediatric health alterations. Many times the health alterations experienced by children can be prevented if safety education is provided.
CurrentIssuese in Healthcare
Competency
Prioritize nursing interventions when caring for pediatric clients with health disorders.
Instructions
This discussion will focus of teaching a chosen safety concern in the pediatric population. You will present your respo addressing the following quest in the discussionion in the discussions: (discussion should be 300 words).
Initial Post:
- Determine the age and developmental stage and how that impacts the child related to the safety concern.
- Describe why you believe the safety education you chose will benefit the pediatric population. Who do you believe is the target age range for this specific educational teaching?
- Describe at least three nursing diagnoses related to the incident you are providing teaching to prevent. Support your choices with rationales citing 1-2 scholarly sources.