Assignment task:
General Hospital surgical ward. Patient A in goes for minor procedure, insertion of a mediport. The usual staffing pattern requires that Surgical Techs scrub, a nurse circulates, and the team leader provides the second check of calculations for circulating nurses. This staffing pattern is newly implemented, as the Director of Perioperative Services has identified that there have been several near misses involving heparin solution on the sterile field. Today there is a staffing shortage. Surgical Tech Elmo (who is nearing completion of his orientation) scrubs, Nurse Oscar (Surgical Tech Elmo's preceptor) is supposed to circulate, however Nurse Oscar is at lunch, so Team leader Abby assigns herself to circulate on this case. The team leader Abby has a history of intimidation of new staff and a sense that some new rules do not add any value to patient safety and only take away from efficiency. Abby calculates the dosages of heparin infusion for both the irrigation and the flush doses on the sterile field. The surgical tech, Elmo, accepts the meds and does not question Abby as he is nervous that he is alone without his usual nurse preceptor and does not want to anger the team leader. Abby documents both Elmo's initials and those of the absent circulating nurse in the perioperative record. Shortly after procedure Patient A starts exhibiting symptoms of being given excessive heparin solution. Provide a description of the 3 behaviors which contribute to events. Need Assignment Help?