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This process is to benefit from the use of the PDCA cycle, as well as the FOCUS model-based situation analysis (Yoder-Wise, 2010; American Society for Quality, n.d.; Garkovich, 2009; Wilburn, 2012).
In the case at hand, the patient was admitted into the ER as a stroke suspect, but the tests yielded negative for stroke with the CT scan. The urine tests showed the presence of opiates, leading the staff to suspect the use of IV drugs by the patient. He is negative for aphasia, and has no signs of having had a seizure, even though that was the suspicion,. He was under observation the past 24 hours. Not being certain of the problem in Mr. Xs case, the care staff moved him to a unit on acute care. There he is left without restraints, shirtless, and wearing just a pair of boxing shorts. As nurse administrator, the flag for Rapid Response showed the patient hysterical and asking for help. The intervention given was an facial mask-delivered oxygen, and following the protocol of getting the cardiac monitor attached to the patient as per the Rapid response protocol. The staff seemed paralyzed and unable to know how to deal with the crisis. The protocol fails, as the patient only takes a minute to start acting up again, and removing the mask and the monitor. The EKG reading was normal, and the protocol having failed, the staff did not know how to proceed. The patient escapes and is seen at home. The patient returns the next day with a headache and discomfort in the chest area that are self-reported. The same unit as the previous day accommodates him, but the staff are understandably wary. Three hours hence they recorded another emergency from the patient The patient complained of pain in the stomach. The doctor is called, but the nurse in charge of the case and the other staff keep their distance from Mr. X (Yoder-Wise, 2010; American Society for Quality, n.d.; Garkovich, 2009; Wilburn,
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