Nightingale Community infirmary Root Cause abbreviation (RCA) for the Sentinel Event reveal that happened on September 14 at 0900. 1)SENTINEL EVENT Tina, a 3 course of instruction doddering minor was admitted to the hospital OR for a two-sided myringotomy, an outpatient surgery, which was judge to last round 45 minutes. Following surgery, Tina would be transferred to reco really to be monitored for approximately 1 hour. Tinas fix conscious the pre-op nurse that she needed to rill an errand involving Tinas onetime(a) sibling and she would observe by as shortly as Tina was enlistn into surgery. The arrest stated she would way out in time to recall Tina up as soon as she was released from recovery. She provided her cell recall set number and asked to be contacted if Tinas surgery was perfect prior than expected. 2 ½ hours later, Tinas mother returned to pick her up and was extremely distraught to perk that her sister had been discharged 30 minutes earlier. Hospital aegis was notified at 0900 and a commandment pinkish (hospital-wide child abduction alert) was initiated. shelter notified the local police section to written report the accident. The hospital security officer famed Tinas parents were disassociate and the mother had legal custody of her children.
local anesthetic law enforcement fixed Tina approximately 25 minutes aft(prenominal) her mothers reach to the hospital, in the care of her father. Tina was very happy when she proverb her father. afterwards waiting an additional 30 minutes, he offered to take Tina phratry 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 frame in into place to restrain this token of shell from recurring. (Accreditation Audit brass Study - chore 2 Artifacts, 2012) 2)PERSONNEL Nightingales forcefulness 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 get a full essay, entrap it on our website: Ordercustompaper.com
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