Nightingale Community infirmary Root Cause gip (RCA) for the Sentinel Event plow that happened on September 14 at 0900. 1)SENTINEL EVENT Tina, a 3 course of instruction of age(predicate) minor was admitted to the infirmary OR for a two-sided myringotomy, an outpatient surgery, which was judge to last roughly 45 minutes. Following surgery, Tina would be transferred to reco real to be monitored for approximately 1 hour. Tinas fix inform the pre-op nurse that she needed to expire an errand involving Tinas onetime(a) sibling and she would repose across as briefly as Tina was enlistn into surgery. The puzzle stated she would fall out in time to bed Tina up as soon as she was released from recovery. She provided her cell predict set number and asked to be contacted if Tinas surgery was holy prior than expected. 2 ½ hours later, Tinas mother returned to pick her up and was extremely distraught to catch out that her sister had been discharged 30 minutes earlier. Hospital security measures was notified at 0900 and a decree pinkish (hospital-wide child abduction alert) was initiated. security notified the local police subdivision to written report the accident. The hospital security officer historied Tinas parents were disassociate and the mother had legal custody of her children.
local law enforcement fixed Tina approximately 25 minutes afterwards her mothers stretch to the hospital, in the care of her father. Tina was very happy when she proverb her father. subsequently waiting an additional 30 minutes, he offered to take Tina plaza to wait for her mothers arrival. No charges were filed against the childs father. The CEO of the hospital pledged to analyze the incident and ensured Tinas mother processes would be put into place to restrain this character of progeny from recurring. (Accreditation Audit mooring Study - chore 2 Artifacts, 2012) 2)PERSONNEL Nightingales personnel department played the following(a) roles during the sentinel event: a)Registrar Upon arriving, Tina and her mother went to the registrars desk to usher for...If you want to bunk a full essay, order it on our website: Ordercustompaper.com
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