Accountability in Nursing

 

DHHOYG\DF@C@\P @. @G\VOLYH\@OG

[i dcc jgow dfout tmi tmrii Hs ‘ hmo`hi, hogt`gu`ty dgl hogtroc, tmi higtrdc tigits oe woadg-higtril hdri. Mowivir, wmdt wi a`kmt fi ciss eda`c`dr w`tm `s tmi hoghipt oe tmi tmrii Dss ‘ Dutogoay, D D Dssirt`vi ssirt`vigiss giss dgl Dhhougtdf`c`ty. [mdt lois tm`s ridccy mdvi to lo w`tm iviryldy prdht`hi dgl tmi a`lw`eiry  proeiss`og!   D rihigt Midctmhdri Hoaa`ss`og riport m`kmc`kmtil sivirdc `ssuis, wmdt pdrt l`l d cdhj oe dssirt`vigiss pcdy! Dri Dri you dssirt`vi! "e you sii d profcia wmdt `s your rispogsi! #ois your dhhougtdf`c`ty aidg wr`t`gk $lohtor `georail! %`lw`vis giil to &uist`og tmi`r owg hustoa dgl prdht`hi, wmitmir `g adgdkiaigt, iluhdt`og or hc`g`hdc prdht`hi. #o you mdvi tmi tmrii D Ds! "e got, wmy got! go t!

@@. DHHOYG\DF@C@\P   Dhhougtdf`c`ty `s d hoghipt `g itm`hs itm`hs dgl  dgl kovirgdghi w`tm kovirgdghi w`tm sivirdc aidg`gks. "t `s oetig usil sygogyaouscy w`tm suhm hoghipts ds rispogs`f`c`ty, rispogs`f`c`ty, dgswirdf`c`ty,

 fcdaiwortm`giss, c`df`c`ty,  fcdaiwortm`giss, c`df`c`ty, dgl otmir tiras dssoh`dtil w`tm tmi i'pihtdt`og oe dhhougt-k`v`gk. "g cidlirsm`p rocis, dhhougtdf`c`ty `s tmi dhjgowcilkaigt dgl dssuapt`og oe rispogs`f`c`ty eor dht`ogs, proluhts dht`ogs, proluhts,, lih`s`ogs, dgl  poc`h`is `ghcul`gk tmi dla`g`strdt`og, dla`g`strdt`og, kovirgdghi, dgl `apciaigtdt`og `apciaigtdt`o g w`tm`g tmi shopi oe tmi roci or iapcoyaigt  pos`t`og dgl ighoapdss`gk ighoapdss`gk tmi ofc`kdt`og to riport, riport, fi i'pcd`g dgl dgswirdfci eor risuct`gk hogsi&uighis.

 

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(ruhi )togi, *.+. #w`vil`, dgl osipm . dffrd c`stil  typis oe dhhougtdf`c`ty, gdaicy/ • • • • • • • •

%ordc Dla`g`strdt`vi +oc`t`hdc %dgdkir`dc %drjit 2ikdc46ul`h`dc Hogst`tuighy ricdt`og +roeiss`ogdc

 

<. L`aigs`ogs o! D##ougtdf`c`t `g 6idctm #dri

2idt 8<95 sukkists tmdt dhhougtdf`c`ty mds l`eeirigt l`aigs`ogs `g tmi midctm hdri hogti't. ;misi `ghculi/ <. =`shdc dhhougtdf`c`ty dhhougtdf`c`ty 8hoghirg`gk e`gdgh`dc prof`ty dgl tmi tmi df`c`ty to trdhi dgl dli&udticy i'pcd`g i'pigl`turi50 >. +rohiss +rohiss dhhougtdf` dhhougtdf`c`ty c`ty 8hoghir 8hoghirg`gk g`gk tmi usi oe propir propir  prohiluris/ eor i'dapci, i'dapci, liaogstrdt`gk tmdt ccohdccy ohdccy lir`vil stdgldrls dgl tmosi sit out fy :dt`ogdc )irv`hi =rdaiworjs dri fi`gk dlmiril to50 3. +rokrdaa +rokrdaaii dhhougtdf dhhougtdf`c`t `c`ty y 8hoghirg`gk 8hoghirg`gk tmi dht`v`t`is dht`v`t`is uglirtdjig dgl tmi`r &udc`ty50 dgl 1. +r`or`t` +r`or`t`is is dhhougtdf`c` dhhougtdf`c`ty ty 8hoghirg`gk 8hoghirg`gk tmi ricivdghi ricivdghi or dppropr`dtigiss dppropr`dtigi ss oe hmosig dht`v`t`is5. <@. Gursi G ursi dg$ d g$ d##ougtd d##o ugtdf`c` f`c`t t ;D##ougtd D##o ugtdf`c`t f`c`t  Hmi#=c`s Hmi# =c`sts ts8    :ursi `s dhhougtdfci to

<. Mir pdt`igt pdt`igts, s, tmroukm tmroukm d luty oe hdri, hdri, uglirp`gg uglirp`ggil il fy d hoaaog-cdw luty to proaoti sdeity dgl iee`h`ighy, dgl cikdc rispogs`f`c`ty tmroukm h`v`c cdw0 >. Mir iapcoyir, iapcoyir, ds lie`gil lie`gil fy your hogtrdht hogtrdht oe iapcoyaigt dgl 6of lishr`pt`og0 3. Mir proeiss proeiss`og, `og, ds stdtil stdtil `g tmi ricivdgt ricivdgt holis holis oe hogluht0 hogluht0 1. ;mi otmir otmir aiafi aiafirs rs oe midctm midctm hdri hdri tida tida 7. ;mi ;mi puf pufc` c`hh

 

?. )ice  0. D##ougtdfci to our Iapcoir Dcc worjirs aust fi `ssuil w`tm d wr`ttig hogtrdht oe iapcoyaigt w`tm`g oe stdrt`gk d 6of. Bour hogtrdht houcl `ghculi/ - [mdt wds dkriil dt your `gtirv`iw0 - Dgy lohuaigt you mdvi s`kgil0 - Dgy `apc`il tiras oe your iapcoyaigt.

-. D##ougtdfci to tmi pro!iss`og

;mi pos`t`og og your dhhougtdf`c`ty eoras tmi fds`s eroa wm`hm to hmdccigki ugdhhiptdfci stdgldrls oe hdri dgl adjis `t hcidr tmdt rispogs`f`c`ty eor your dht`ogs rists w`tm you ds dg `gl`v`ludc gursi. - %d`gtd`g`gk dgl `aprov`gk proeiss`ogdc jgowcilki dgl hoapitighi0 - Dhjgowcilk`gk Dhjgowcilk`gk c`a`tdt`ogs `g jgowcilki dgl hoapitighi0 - #ihc`g`gk dgy luty or rispogs`f`c`ty ugciss you dri dfci to  pireora `t `g d sdei dgl sj`ccil sj`ccil adggir. adggir.

>. D##ougtdf`c D##ougtdf`c`t `t to Hc`igts • • •

• • •

Hc`g`hdc hoapitighi/ jgow`gk mow  wmy tm`gks dri logi )dei gurs`gk hdri Dccow hc`igts to pdrt`h`pdti `g gurs`gk hdri dht`v`t`is, `ghcul`gk pcdgg`gk Fispiht `gl`v`ludc hc`igt l`eeirighis l`eeirighis Dctru`st`h `gtigt`ogs )irvi ds d hc`igt dlvohdti wmig tmi giil dr`sis

 

:. D##ougtdf`c`t to 6idctm Hdri \ida •

(r`gk spih`dc`il gurs`gk jgowcilki  sj`ccs to tmi midctm hdri lic`viry s`tudt`og

• • • • •

)mdri `georadt`og w`tm tidaady aiafirs Hogerogt `e potigt`dc irrors ohhur  +ireora gurs`gk tdsjs w`tm hoapitighi ;ridt aiafirs w`tm l`kg`ty  rispiht Dhhougtdf`c`ty to Lapcoy`gk Dkighy  Iudc`ty oe worj   +rotiht dkd`gst ugsdei prdht`hi s`tudt`ogs  Dtt`tuli hogviyil dfout tmi dkighy  Esi oe outs`li dkighy pirsoggic

3. D##ougtdf`c`t to 5ic!  •

• • •

+rdht`hi gurs`gk to pirsogdc stdgldrls us`gk proeiss`ogdc stdgldrls ds d fds`s (i trui to ogisice  ;dji ;d ji hdri oe pirsogdc, pmys`hdc, aigtdc,  sp`r`tudc midctm +rotiht sice eroa mdra

;mi ricdt`ogsm`p fitwiig df`c`ty, df`c`ty, rispogs`f`c`ty dgl dhhougtdf`c`ty `s `ccustrdtil `g tmi l`dkrda ficow/

 

<@@. D##ougtdf`c`t dg$ stdg$dr$s

*gi dspiht oe i'irh`s`gk your proeiss`ogdc dhhougtdf`c`ty ds d gursi `s tmi giil to rihokg`si dgl fdcdghi d rdgki oe  pirspiht`vis og wmdt hogst`tutis hogst`tutis dhhiptdfci stdgldrls stdgldrls oe hdri. +dt`igts mdvi tmi`r owg stdgldrls oe pirsogdc midctm hdri tmdt w`cc deeiht tmi`r v`iw oe tmi gurs`gk hdri tmiy rihi`vi. ;m`s aidgs tmdt wmdt `s dhhiptdfci to d gursi ady got fi dhhiptdfci to d pdt`igt, dgl v`hi virsd. L&udccy, dctmoukm idhm &udc`e`il midctm hdri proeiss`ogdc ady fi dg `glipigligt dgl dhhougtdfci prdht`t`ogir, mi or smi dcso worjs ds pdrt oe d tida dgl tidas oetig mdvi aiafirs w`tm l`eeirigt l`eeir igt stdgldrls. "g dll`t`og, tmi tida livicops stdgldrls oe hdri tmdt deeiht tmi pdt`igt. ;mi tida, ds wicc ds idhm `gl`v`ludc  prdht`t`ogir,, `s dcso deeihtil  prdht`t`ogir deeihtil fy orkdg`sdt`ogdc orkdg`sdt`ogdc dgl ohhupdt`ogdc ohhupdt`ogdc stdgldrls.

<@@@. D##ougtdf`c`t D##ougtdf`c`t dg$ Dutogoa Dutogoa

"ghrids`gk hc`g`hdc l`shrit`og dgl dhhipt kridtir proeiss`ogdc rispogs`f`c`ty fy adj`gk tmi`r owg lih`s`ogs. ;miy wiri dcso ri&u`ril to hdrry out aori l`riht hdri, risidrhm dgl adgdkiaigt, dgl wiri i'pihtil to hogtr`futi to poc`hy-adj`gk dgl strdtiky livicopaigt. livicopaigt.

 

%dgy gursis h`ti dutogoaous prdht`hi ds d proeiss`ogdc dsp`rdt`og. ;mdt `s, you dgl your proeiss`ogdc hoccidkuis, got  6ust your iapcoyir, iapcoyir, adji tmi lih`s`ogs lih`s`ogs dfout your prdht`hi. prdht`hi. B Bo ou mdvi your owg hdsicodl, pirmdps worj`gk `g d gursi-cil ug`t. Bou dgl your ug`t dla`t dgl dssiss pdt`igts, pireora dcc tmi hdri lur`gk tmi`r tridtaigt dgl tdji rispogs`f`c`ty eor l`shmdrk`gk tmia. ;miri `s d hcidr c`gj fitwiig dhhougtdf`c`ty dgl dutogoay/ `e you wdgt to fi dutogoaous, you giil to tdji rispogs`f`c`ty eor your lih`s`ogs dgl tmi risucts oe your dht`ogs.

@1. \mi 7roug$*or= !or D##ougtdf`c`t    :ursi or dgy midctm hdri hdri proeiss`ogdc smoucl mdvi soa soaii &udc`t`is dgl k`vi iapmds`s tmi krouglworj to prdht`hi eor Dhhougtdf`c`ty. •

• • • •

rowtm  livicopaigt oe tmiorit`hdc fdsi eor  proeiss`ogdc prdht`hi prdht`hi Hc`g`hdc  proeiss`ogdc hoapitighi 2idlirsm`p sj`ccs Ltm`hdc erdaiworj  (dhhdcduridti gurs`gk iluhdt`og  fiyogl

1. D##ougtdf`c`t `g tmi Ird o! Host Hogtd`gaigt • • • •

Egc`higsil Midctm Hdri [orjir  %dgdkil Hdri  ;m`rl +drty +dyirs Hogec`hts fitwiig +roeiss`ogdc Kdcuis  Host Hogtd`gaigt

 

1@. D##ougtdf`c`t `g tmi Euturi • • • • •

+r`adry gurs`gk ;ida ;i da gurs`gk gu rs`gk )mdril kovirgdghi Dlvdghil tihmgocoky "ghrids`gk daf`ku`ty ds pdrt oe dg `gtirl`sh`pc`gdry midctm hdri tida aiafir 

1@@. 9os`t`?i Dspi#ts o! D##ougtdf`c`t • • • • • •

"ghridsil rispiht Fiwdrls Leeiht`vigiss Hogtroc Dht`og Fispogs`fci  hoaaiglil eor ad`gtd`g`gk sdei stdgldrls eor hc`igt hdri

1@@@. \6IOVP OE D99C@HD\@OG D99C@HD\@OG

+roeiss`ogdc dhhougtdf`c`ty dhhougtdf`c`ty dppc`is to iviryogi `gvocvil `g midctm hdri. Dhhougtdf`c`ty `s d cikdc ofc`kdt`og0 `g midctm hdri `t `s dcso dg itm`hdc dgl aordc rispogs`f`c`ty. [`tm`g tmi ridca oe  proeiss`ogdc dhhougtdf`c`ty dhhougtdf`c`ty,, tmiri dri adgy adgy edhtors. Dssua`gk rispogs`f`c`ty eor ogis owg gurs`gk prdht`hi `s tmi aost `aportdgt. ;mi Dair`hdg :urs`gk Dssoh`dt`og 8D:D5 stdtis `g `ts holi tmdt tmi gursi w`cc dssuai dhhougtdf`c`ty eor gurs`gk 6ulkaigt dgl dht`ogs. D proeiss`ogdc proeiss`ogdc gursi mds tmi rispogs`f`c`ty to prdht`hi w`tm`g

 

m`s4mir shopi oe hdri, hdcc`gk upog m`s4mir jgowcilki dgl sj`ccs to adji lih`s`ogs `g tmi fist `gtirist oe tmi pdt`igt. ;mi civic oe rispogs`f`c`ty dgl dhhougtdf`c`ty lipigls og  proeiss`ogdc civics. ;mi ;mi Hmdrki :ursi mds mds aori rispogs`f`c`ty rispogs`f`c`ty tmig tmi stdee gursi, tmi F: mds aori rispogs`f`c`ty tmig tmi 2+:, dgl tmirieori tmi`r civics oe proeiss`ogdc 6ulkaigt dgl  prdht`hi dri l`eeirigt. l`eeirigt. ;mi`r ;mi`r civics oe proeiss`ogdc proeiss`ogdc dhhougtdf`c`ty dri got l`eeirigt. 1@<. 5YBBIVP

Dhhougtdf`c`ty mds fihoai higtrdc to tmi aolirg`sdt`og oe tmi  :M) yit tmiri mds fiig c`ttci c`ttci risidrhm s`ghi tmi `gtr `gtroluht`og oluht`og oe hc`g`hdc kovirgdghi og uglirstdgl`gks or `apc`hdt`ogs oe  prdht`t`ogirs dhhougtdf`c`ty. dhhougtdf`c`ty. M`stor`hdccy, M`stor`hdccy, tmi c`tirdturi c`tirdturi sukkists tmdt dhhougtdf`c`ty mds fiig dttr`futil w`tm auct`pci aidg`gks dgl tmdt tmiri mdvi fiig auct`pci dttiapts to `aposi orlir og tmisi ‘ to adp out typis dgl c`gis oe dhhougtdf`c`ty, eor eor i'dapci  ‘ fut tmdt dhhougtdf`c`ty dhhougtdf`c`ty riad`gs ris`stdgt to suhm ie ieeorts. eorts. Drkudfcy, gursis mdvi wristcil w`tm dhhougtdf`c`ty aori tmdg dgy otmir midctm hdri kroup oghi gurs`gk si`il dhhougtdf`c`ty ds dg iafcia oe `ts proeiss`ogdc stdtus. Dt Dt tmi sdai t`ai, tmi aidg`gk oe dhhougtdf`c`ty mds hmdgkil. "t mds fihoai `ghrids`gkcy dssoh`dtil w`tm dul`t dgl tmi tihmg`hdc`sdt`og oe hdri, rdtmir tmdg, sdy, aordc rispogs`f`c`ty.

 

1<. HOGHCY5@OG

Ldhm gursi `s dhhougtdfci to tmi pufc`h dgl rispogs`fci eor igsur`gk tmdt mir4m`s prdht`hi dgl hogluht aiits cik`scdt`vi ri&u`riaigts dgl tmi stdgldrls oe tmi proeiss`og. :ursis dri rispogs`fci eor tmi`r dht`ogs dgl tmi hogsi&uighis oe tmosi dht`ogs. ;miyri dcso dhhougtdfci eor hogluht`gk tmiasicvis `g wdys tmdt proaoti rispiht eor tmi proeiss`og. :ursis dri got dhhougtdfci eor tmi lih`s`ogs or dht`ogs oe otmir hdri prov`lirs wmig tmiri wds go wdy oe jgow`gk dfout tmosi dht`ogs D##ougtdf`c`t `s tmi r`kmt, powir, dgl hoapitighi to dht. D##ougtdf`c`t  Dhhougtdf`c`ty `ghculis tmi dutogoay, dutmor`ty dutmor`ty dgl hogtroc oe ogis dht`ogs dht`ogs dgl lih`s`ogs. )dapci proeiss`ogdc fimdv`ours `ghculi/ ivdcudtis hc`igt hdri dgl `apciaigts hmdgkis `g hdri  prdht`his to `aprovi `aprovi outhoais oe hdri0 sirvis ds d rispogs`fci stiwdrl oe tmi igv`rogaigt, dgl muadg dgl adtir`dc risourhis wm`ci hoorl`gdt`gk hdri0 usis dg iv`lighi-fdsil dpprodhm to aiit spih`e`h giils oe `gl`v`ludcs, hc`g`hdc popucdt`ogs or hoaaug`t`is0 hoaaug`t`is0 adgdkis, aog`tors dgl adg`pucdtis tmi igv`rogaigt to eostir midctm dgl midctm hdri &udc`ty0 dgl  privigts or c`a`ts c`a`ts ugsdei or ugitm`hdc hdri pr prdht`his. dht`his. •

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1<@. F@F@CO7VD96P `8 Foo= Vi!irig#is( Vi!irig#is(

<. covir, #. 8<999d5 ;o lo or got to lo. lo. ;mi EHH Holi oe  Hogluht/ D Hr`t`hdc Hr`t`hdc u`li 8il. " Miywool-ogis5, Miywool-ogis5, 2oglog/ :urs`gk ;`ais (oojs/ >@‘3. >. ocl, F. 8<975 8<975 Focis Focis `g soh`ocok`hdc soh`ocok`hdc e`icl e`icl ofsirvdt` ofsirvdt`ogs. ogs. )oh`dc =orhis 3? 835/ ><@‘>>3. 3. [`igir, [`igir, H. dgl dysir dysir-ogis, -ogis, . 8<995 8<995 #ieigs`vi #ieigs`vi worj `g `g gurs`gk moais/ dhhougtdf`c`ty kogi daoj. )oh`dc )h`ighi dgl %il`h`gi > 8<5/ 3@‘11. 1. [dtsog, [dtsog, F. 8<997f5 "gtroluht`og/ "gtroluht`og/ dhhougtdf`c`ty dhhougtdf`c`ty `g gurs`gk. Dhhougtdf`c`ty Dhhougtdf`c`ty `g :urs`gk +rdht`hi 8il. F.[dtsog5, 2oglog/ Hmdpadg dgl Mdcc/ <‘<@. 7. [dcsm, [dcsm, %. 8<99@5 8<99@5 D Dhhougtdf`c`t hhougtdf`c`ty y dgl `gtu`t`og/ `gtu`t`og/ 6ust`ey`gk 6ust`ey`gk gurs`gk prdht`hi. :urs`gk )tdgldrl << 8>35/39‘1<. ?. ;`gkci, ;`gkci, . 8<99@5 8<99@5 L'pdgli L'pdglil l roci oe tmi tmi gursi/ dhhougtdf`c`ty dhhougtdf`c`t y hogeus`og. (r`t`sm ourgdc oe :urs`gk ? 8<@5/ <N<<‘<N<3.

 

``8 ourgdc Vi!irig#is( Vi!irig#is(

<. =irkuso =irkusog-+dr g-+dri, i, %. 8<995. 8<995. :urs`gk :urs`gk cidlirsm`p cidlirsm`p dgl dutogoaous proeiss`ogdc prdht`hi oe rik`stiril gursis. Hdgdl`dg ourgdc oe :urs`gk Dla`g`strdt`og, Dla`g`strdt`og, <<8>5, <<8>5, pp. @‘  3N. >. 2daogl, 2daogl, #.  ;moapso ;moapsog, g, H. 8>NNN5. 8>NNN5. "gtu`t`og "gtu`t`og dgl dgdcys`s `g lih`s`og adj`gk dgl hmo`hi. ourgdc oe :urs`gk )hmocdrsm`p, 338>5, pp. 1<<‘1<1. 1<<‘1<1. 3. %urlohm-+ %urlohm-+irrd irrd,, (. 8>NN<5. 8>NN<5. 2idlir 2idlirsm`p sm`p// ;mi jiy to &udc`ty outhoais. ourgdc oe :urs`gk Hdri Iudc`ty, Iudc`ty, <78>5, pp. ?‘  @3. 1. Foyci, Foyci, ., #`higso, D., (ofc`g (ofc`g-Huaa -Huaa`gks, `gks, (., (cytmi, (cytmi, .  %dccitti, H. 8>NNN5. F: dgl F+: lih`s`og adj`gk dhross sitt`gks. Hdgdl`dg ourgdc oe :urs`gk 2idlirsm`p, <3815,  pp. <<-<. <<-<. 7. Dccig, +. +. 8>NNN5 Dhhougtdf`c`ty Dhhougtdf`c`ty eor hc`g`hdc hc`g`hdc kovirgdghi/ kovirgdghi/ livicop`gk hocciht`vi rispogs`f`c`ty eor &udc`ty `g pr`adry hdri. (r`t`sm %il`hdc ourgdc 3></ ?N‘?<<. ?N‘?<<.

 

XIA@GOV OG DHHOYG\DF@C@\P 

 

Xufa`ttil to Ars. DVYGD NPO\M@ A.Xh (G) Dssoh`dti Rroeissor Adadtd Hocciki oe  Gurs`k !"daada

Xufa`ttil fy Ars. Y#d$d Xrii.% A.Xh Gurs`k @st Pidr Adadtd!"daada Hocciki oe Gurs`k