Blood Transfusion Incidents Prevention Root Cause Analysis

Blood Transfusion Incidents Prevention Root Cause Analysis Blood Transfusion Incidents Prevention Root Cause Analysis In this written assignment, you will explore a patient incident using root cause analysis. Step 1 Read the scenario. Read the Root Cause Analysis Scenario Handout (assignment 9.1a) attached below. NUR 300 DCN Wk 9 Blood Transfusion Incidents Prevention Root Cause Analysis Step 2 Complete the chart. You have been charged with leading the interprofessional team that will investigate Mr. Jones’s issue. Your analysis should focus on systems and processes, not individual performance. Complete the Root Cause Analysis Chart (assignment 9.1b) attached below. Step 3 Develop a plan of action. Based on your investigation, develop a two-page (minimum) plan of action detailing the recommendations the team makes. Your plan should answer the question “What can be done to prevent a similar incident?” *This must be in the required professional paper format, including title page and reference page, showing evidence-based research supporting your recommendations or interventions you propose. *Important: Use this Sample Paper as a template for format your assignment to prevent unnecessary point deduction. Attach the completed “Root Analysis Chart” to the end of your paper as an appendix. Blood Transfusion Incidents Prevention Root Cause Analysis week_9_assignment_9.1_rubric.pdf assignment_9.1a_handout.doc assignment_9.1b_handout.doc nur300_sample_paper_apa_format_rwmetcalf.docx ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Professional Issues in Nursing Handouts Handout for Assignment 9.1: Root Cause Analysis Scenario For your assignment, read the scenario below. Scenario: John Jones requires a blood transfusion due to hemorrhage following a motor vehicle accident. The physician enters the order for blood to be drawn for a type and cross-match and then to transfuse one unit of packed red blood cells using computerized physician order entry. The nurse confirms the order for the blood work and prints the laboratory forms and stickers. The nurse gives the laboratory forms to the student nurse technician and asks him to draw blood on Mr. Jones and send it to the laboratory. The student nurse technician reviews the chart and confirms the order for blood work. When the student nurse technician arrives at John’s semi-private room, he has to wade through several family members to reach the patient’s bed. John seems distracted by the questioning of his well-meaning family members. So the student, not wanting to interrupt their discussion, quickly asks the patient if his name is Mr. Jones. John responds with a simple yes while continuing his discussion with his family. With just the verbal confirmation and without checking the patient’s ID band, the student nurse technician proceeds to draw the blood and send it to the laboratory. When the blood arrives on the unit two hours later, the nurse performs a cross check with another nurse to confirm the patient name, unit number, and blood type on the blood and the blood slip. They then go the patient’s room to administer the blood. The nurse asks the patient his name and he states, John Jones, which matches his ID band. The two nurses then check the ID band against the blood and the medical record. All names match. The nurses continue with their bedside check and hang the blood. Within minutes of hanging the blood, Mr. Jones begins to complain to shortness of breath. The nurse immediately stops the blood and begins infusing normal saline. She notifies the physician and the blood bank of a possible transfusion reaction. The physician immediately comes to see the patient, who responds well to treatment. Blood Transfusion Incidents Prevention Root Cause Analysis. The blood bank reports that the blood and tubing that were returned to them did not match the patient’s blood type. Professional Issues in Nursing Handout 9.1 © 2013 Pearson Education V3.0 Page 1 of 1 9/2/2020 Professional Issues in Nursing Handouts Handout for Assignment 9.1: Root Cause Analysis Chart Question Response Identify possible causal factors List team members. (Include name, title, and rationale for inclusion on team) Give a chronological description of the event When did event happen? Where did it happen? What is the severity of the actual or potential of the harm? What is the chance it will happen again? What are the consequences? What is the plan of action? Professional Issues in Nursing Handout 9.1 © 2013 Pearson Education V3.0 Page 1 of 1 9/2/2020 1 Writing Style and Mechanics: Example Paper Student Name Denver College of Nursing Course Number: Course Name Professor Metcalf Date 2 Title of Paper in Mostly Uppercase (Title, Centered, Bolded) Start with an introduction to your paper. You will grab the reader’s attention and make the reader excited to read on. Next, support that opening sentence with discussion on the topics you will address in the paper, being careful not to give away the punch line too soon. It’s a great idea to introduce topic with a little research. Don’t go too crazy on the research just introduce the research. This paragraph should not be longer than a half page at most. APA success requires knowledge of the format and skill in concise, clear written communication (Smith, 2016). The last sentence of the introduction should highlight the paper, for example: ‘In this paper, you will learn about how to implement APA formatting to be successful with writing’. Implementing this as your final sentence will lead the reader forward eagerly. This APA format is taken from the newest APA book (7th ed.).NUR 300 DCN Wk 9 Blood Transfusion Incidents Prevention Root Cause Analysis Level 1 Heading: Bold & Centered (Body of Paper) Paper Format, Level 2 Heading (Left & Bold) Type the content of paper here. A professional paragraph is at least five sentences long and supported by research citations. Use as many paragraphs as needed to cover the content appropriately. Use Times New Roman, 12-point font with one-inch margins (Smith, 2016). The first page is the title page and it needs a page number. Document headings should be used when you want to organize your essay and to break it up into readable portions. Use as many headings as necessary to organize your paper (Copeland, 2016). The length of your professional papers does not count the title page and the reference page for total page length. Do not use an abstract or an Author Note for a student paper. Grammar 3 Correct grammar, punctuation, spelling, and sentence structure – in addition to formatting – are essential components of scholarly writing (Copeland, 2016). Always spell check your paper prior to submission. Simple spelling mistakes are silly points to lose. “A sentence should contain no unnecessary words, a paragraph no unnecessary sentences, for the same reason drawing should have no unnecessary lines and a machine no unnecessary parts” (Lawton et al., 2016, p. 34). Also, if you are using singular pronouns you will need to use singular nouns. Additionally, avoid singular and pleural in the same paragraph (Smith, 2016). For the most part, refer to yourself in third person and in active voice. ‘This writer instructed the patients’ should be used in academic writing. Reflection papers and opinion papers can be written in first person, ‘I instructed the patients’. Lastly, spell out numbers one through nine. Use Arabic numerals to express numbers 10 and above. There are exceptions to this rule in your APA manual. Seriation To show seriation or lists within a paragraph or sentence, use lowercase letters, not italicized, in parentheses: Job satisfaction is increased when nurses are provided with (a) therapeutic massage, (b) relaxation therapy, and (c) music therapy. To show seriation of separate discussions or points, number each paragraph with an Arabic numeral followed by a period. A numbered list signifies that element 1 is more important that element 2 and so on. If all elements in the list are of equal importance, use bullets instead of numbers. For example: 1. Books are made from durable material… [paragraph continues] 2. Books are action-oriented… [paragraph continues] Citations Unless you cite your source, you are plagiarizing information. In-text citations and a reference page is the core to success with APA. This starts with picking a reliable and RWM 2020 (for instructor purpose, not required in student papers) 4 professional source. A quality source has been published within the past 10 years. Internet articles must be research-based and professional in nature. For your paper to be professional, research needs to be cited throughout. According to Smith (2016), when you use a quote you will need to identify your source. “There are many ways to quote a source in your paper” (Smith, 2016, p. 27). Variety is important in professional writing. If you are using a direct quotation from one author, use this example: Copeland (2016) stated, “put the quote here” (p. 100). There are different rules to citing multiple authors’ in-text. According to Smith and Johnson (2016), you can also write your in-text citations this way but you use ‘and’ not ‘&’ and you only need to list the year once for this format. When using parenthesis, use an ampersand (&) to connect multiple authors and you need to list the year every time (Lawton & Hillard, 2016). If you are using intext citations three or more authors, write your citation this way each time (Lawton et al., 2016). If you are quoting from a webpage without page numbers cite it like this (Copeland, 2016, para. 1). Conclusion Professional papers should end with a conclusion. The conclusion summarizes the main points of the paper. It should be concise and contain little or no new information. NUR 300 DCN Wk 9 Blood Transfusion Incidents Prevention Root Cause Analysis The conclusion should rephrase the introduction, but close out the thought. Setting up the reference page can be tricky. Remember, no matter how much space is left on the last page, references always get their own page. All references listed must be used in-text throughout the paper. If you don’t cite your source, I’ll assume that you didn’t end up needing it after all. References are in alphabetical order and use a hanging indent format. That means the first line is flush to the 1-inch margin, while the remaining lines are indented 0.5. Consult appendix for format directions for the hanging indent feature. The reference page stays double-spaced. You need at least two references RWM 2020 (for instructor purpose, not required in student papers) 5 to qualify for a professional paper, unless otherwise specified. One reference can be your book, while the other reference needs to be a scholarly source. RWM 2020 (for instructor purpose, not required in student papers) 6 References (centered, bolded, & alphabetized with hanging indent) Copeland, L. (2016). Title of article in mostly lowercase except first words, first words after a colon or proper nouns. Source in Mostly Uppercase and Italics, 149(5), 35-142. http://www.weblinkmustactuallywork.com Lawton, K. A., Cousineau, L., & Hillard, V. E. (2016). Title of article in mostly lowercase except first words, first words after a colon or proper nouns. Source in Mostly Uppercase and Italics, 21(1), 35-42. http://www.weblinkmustactuallywork.com Smith, A. (2016). Book in italics and mostly lowercase (6th ed.). Washington, DC: Author. See appendix or how to set up a Hanging Indent RWM 2020 (for instructor purpose, not required in student papers) 7 Appendix: Directions for a Hanging Indent (Centered & Bolded) 1. This is for Word (2011). For other computer versions, please see YouTube for a video of how to set this up. It will be similar to this, but not quite the same. 2. Make sure your cursor is on your reference page prior to setting up this format. 3. Click on ‘Format’ and scroll down to ‘Paragraph’. RWM 2020 (for instructor purpose, not required in student papers) 8 4. In the ‘Special’ list under ‘Indentation’ select ‘Hanging’, and the ‘By’ list select ‘0.5’. RWM 2020 (for instructor purpose, not required in student papers) … Purchase answer to see full attachment Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool’s honor code & terms of service . Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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