Planned Change in a Department
Change within the Medical surgery department
There are various factors that occasion change within any organization, some may be due to change in the operations of an organization, some due to expansion, relocation, takeovers, mergers, external forces in economies, internal changes in operation modes or even unprecedented needs as unforeseen at the initial stages. This last one seems to be case within the medical surgery unit in our hospital.
The prevailing condition at the moment that needs a change approach that would improve the conditions within the medical surgery unit and the entire hospital in general is the imbalanced ration between the nurses and the surgery patients currently realized within the unit. The prevailing rate is one nurse within the medical surgery unit handling an average of 6-7 patients which has proven to be too high for a single nurse. The other pertinent problem within the same unit is the availability of only one in charge nurse supervising and acting as the leader.
The challenges occasioned by the imbalance
The high number of surgery patients allocated to each nurse means there is provision of only the bare minimum provisions to the patients. The nurses cannot delve into further enquiring about the patient since there are more patients waiting and limited time. These gaps in information that would be useful to the nurse in aiding the patient have led to increase in mortality rates. The recommended allocation is usually at most 4 patients per nurse and an increase in that to a higher figure, say 8 patients per nurse would be accompanied by a 31% increase in mortality rate as indicated in the National Foundation for American Policy (2007:4). This, unfortunately, is the fatal...
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