Nightingale Community hospital Root Cause snare (RCA) for the Sentinel Event Report that happened on September 14 at 0900. 1)SENTINEL EVENT Tina, a 3 course of pedagogy old minor was admitted to the hospital OR for a bilaterally symmetrical myringotomy, an outpatient surgery, which was expected to last approximately 45 minutes. Following surgery, Tina would be transferred to recovery to be monitored for approximately 1 hour. Tinas redeem informed the pre-op nurse that she needed to run an errand involving Tinas onetime(a) sibling and she would leave as soon as Tina was enlistn into surgery. The mother state she would return in time to adjourn Tina up as soon as she was released from recovery. She provided her cell telephone set human action and asked to be contacted if Tinas surgery was completed prior than expected. 2 ½ hours later, Tinas mother returned to pick her up and was extremely overwrought to discover that her sister had been discharged 30 minutes earlier. Hospital security was notified at 0900 and a Code pinkish (hospital-wide churl abduction alert) was initiated. Security notified the local police department to written survey the accident. The hospital security officer noted Tinas parents were break and the mother had legal custody of her boorren.
Local law enforcement flash-frozen Tina approximately 25 minutes after her mothers arrival to the hospital, in the care of her father. Tina was very happy when she sawing machine her father. After waiting an additional 30 minutes, he offered to win Tina home to wait for her mothers arrival. No charges were filed against t! he childs father. The CEO of the hospital pledged to analyze the possibility and ensured Tinas mother processes would be put into place to cumber this type of event from recurring. (Accreditation Audit Case Study - task 2 Artifacts, 2012) 2)PERSONNEL Nightingales personnel played the following(a) roles during the outlook event: a)Registrar Upon arriving, Tina and her mother went to the registrars desk to usher for...If you ask to get a full essay, order it on our website: OrderCustomPaper.com
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