Nurses To The Rescue 1997

Nurses To The Rescue 1997
NURSES HAILED AS HEROES IN FIRE RESCUE
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A high-level official from the Kennedy and Johnson administrations was pulled to safety by two home care nurses as fire spread through his three-story yellow stucco house in Northwest Washington early yesterday.
William D. Carey, 81, who is bedridden with chronic lung disease, was asleep in his second-floor bedroom and his wife, Mary Margaret, was in another about 3:30 a.m. when one of two nurses tending the couple saw a bright light outside a window. Nurse Christine Mulkowe saw flames leaping from the ground-level porch and then smelled smoke.
"I jumped up," said Mulkowe, 24. "I had to go and get the two patients. I had to move fast."
After alerting fellow nurse Monica Easton, Mulkowe went downstairs to call 911. The power went out, plunging the house into darkness.
Unable to call for help, Mulkowe felt her way back upstairs while Easton alerted family members who were visiting the ailing Carey and his wife, who turned 80 on Saturday.
The Careys' daughters, Jane Long, 45, of Warrenton, Va., and Tess Boswood, 48, visiting from England with her two children, escaped out the back door with their mother.
The nurses carried Carey through the darkness and smoke, hauling him down the stairs. Daniel Boswood, 14, ran back inside and helped them carry his grandfather through the dining room, out the back patio and to safety in an alley behind the house.
The nurses "were really heroes to get everybody out," said Eric Carey, 50, of Arlington, the couple's eldest son.
William Carey, who was assistant director of the Bureau of the Budget in the Kennedy and Johnson administrations, was taken to Georgetown University Hospital and then transferred to Sibley Memorial Hospital, where a hospital spokeswoman said he was in stable condition last night, "resting and comfortable." Boswood was treated for smoke inhalation and released from Georgetown University Hospital.
Firefighters arrived at the 3700 block of Northampton Street about 3:40 a.m. but were unable to subdue the fire for more than two hours. The blaze spread through the walls of the seven-bedroom home and burst through the roof. Fire officials said the cause is under investigation. Three firefighters were treated at hospitals and released.
Yesterday, neighbors surveyed the scene: The porch's white pillars were scorched black, the roof was pockmarked with holes, and an assortment of charred furniture sat on the lawn.
"It's a miracle they're still alive," said Bill Woodard, a longtime friend of the Careys'. "They're both very lucky."
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From Wikipedia, the free encyclopedia

^ "Janet Lim Chiu Mei" . swhs.sg . 2014 . Retrieved June 3, 2020 .

^ Bloomekatz, Ari (October 9, 2013) "A Nurse Who's Healing Patients and Himself" , Los Angeles Times . Retrieved December 17, 2018.

This is a list of famous nurses in history. To be listed here, the nurse must already have a Wiki biography article. For background information see History of nursing and Timeline of nursing history . For nurses in art, film and literature see list of fictional nurses .

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Table of Contents

Volume 8 - 2003

Number 3: September 2003

Patient Safety

© 2003 Online Journal of Issues in Nursing Article published September 30, 2003
Geralyn Meyer, PhD, RN ; Mary Ann Lavin, ScD, RN, FAAN
Mary Jane K. DiMattio, PhD, RN; Adele M. Spegman, PhD, RN

Nurses with Undiagnosed Hearing Loss: Implications for Practice

Cara S. Spencer, MSN, FNP-BC; Karen Pennington, PhD, RN
Lee Anne Siegmund, PhD, RN, ACSM-CEP; Aaron Hamilton, MD; Thaddeus Nespeca, RN, MSN, C-FNP
Wendy R. Clayton, MSN, RN, CCM, CPHQ

Patient Safety: Who Guards the Patient? References

The Professional Nursing Association’s Role in Patient Safety

Edward R. McAllen, Jr., DNP, MBA, BSN, BA, RN; Kimberly Stephens, DNP, MSN, RN, DNP; Brenda Swanson-Biearman, DNP, MPH, RN; Kimberly Kerr, MSN, RN; Kimberly Whiteman, DNP, MSN, RN, CCRN-K
Karen S. Hill, DNP, RN, NEA-BC, FACHE

Elder Mistreatment and the Elder Justice Act

Nancy L. Falk, PhD, MBA, RN; Judith Baigis, PhD, RN, FAAN; Catharine Kopac, PhD, DMin, RN, CGNP

Avoiding Negative Dysphagia Outcomes

Dennis C. Tanner, PhD ; William R. Culbertson, PhD

Health Systems’ Accountability for Patient Safety

David Keepnews, PhD, JD, RN, FAAN ; Pamela H. Mitchell, PhD, RN, FAAN
Karen A. Ballard, MA, RN is the Director of the Practice and Governmental Affairs Program of the New York State Nurses Association where she responds to nursing practice problems from across the state, interacts with state agencies interpreting nursing practice issues, and has served as the association’s regulatory lobbyist. Currently, she is assigned to special projects such as emergency preparedness, bioterrorism and smallpox, third party reimbursement, nursing intensity weights, and the nursing shortage. Ms. Ballard has her Bachelor’s degree in nursing from Niagara University and her Master’s degree in child and adolescent psychiatric mental health nursing from New York University. She has served on several state commissions and task forces including a Public Health Council Subcommittee on Confidentiality. She is a published author and producer of audiovisual materials including a videotape on Preparing Children for the Hospital Experience. Ms. Ballard’s most recent publications include a chapter on nursing practice in Your Career in Nursing, a textbook titled Psychiatric Nursing–An Integration of Theory and Practice, and an article on "Measuring Variations in Nursing Care Across DRGs" in Nursing Management.
Key words: patient safety, health care errors, competency, patient outcomes, stakeholders, nursing shortage, ethics, lifelong learning, nursing standards, licensure, safety legislation, magnet hospitals
Patient Safety: A S2hared Responsibility
Patient safety is an essential and vital component of quality care. Yet health care providers face many challenges in today’s health care environment in trying to keep patients safe. This article will describe what a variety of individuals and groups have done, and what yet remains to be done, to promote safe care for all.
Error is said to occur when a planned sequence of mental or physical activities fails to achieve the intended outcome and when this failure cannot be attributed to some chance intervention or occurrence ( Reason, 1990 ). In 1998, the President’s Advisory Committee on Consumer Protection and Quality in the Health Care Industry noted the following examples of errors in health care:
In 1999, the Institute of Medicine (IOM) described the nation’s health care system as fractured, prone to errors, and detrimental to safe patient care. It defined patient safety as freedom from accidental injury and further stated that ensuring patient safety involves the establishment of operational systems and processes that minimize the likelihood of errors and maximize the likelihood of intercepting them when they occur ( IOM, 2000 ). IOM has also proposed six aims for improvement, and ten rules for redesign of the health care system, to make it safer. The six aims are:
One of the rules addesses safety as a "system property." This rule requires that patients be safe from injury caused by the care system and that more attention be made to preventing and mitigating errors ( IOM, 2001 ).
The American Nurses Association (ANA) testified before an IOM committee that it is time to address the "unholy trinity" of patient injuries and health care errors, staffing shortages, and the looming nursing shortage. In this testimony, the impact upon nurses and patient safety of a workplace environment where nurses are stressed, fatigued, unable to use their critical thinking skills, predisposed to workplace related accidents, illnesses and injuries, and involved in incidents of medication errors and episodes of failure to rescue was discussed ( ANA, 2002 ). ANA stated, "If the problems in the work environment are not addressed, nurses will not be able to sufficiently protect patients.…"( ANA, paragraph 12 ).
Who is Responsible for Ensuring Patient Safety?
Ultimately, all stakeholders are responsible to see that no harm occurs to patients. These stakeholders include: society in general; patients; individual nurses; nursing educators, administrators, and researchers; physicians; governments including legislative bodies and regulators; professional associations; and accrediting agencies. This article will describe the responsibility these various stakeholders have assumed in addressing patient safety.
It is difficult to address patient safety without acknowledging the current nursing shortage and its impact on practice. The Registered Nurse (RN) workforce is aging in the near term and shrinking in the longer term ( Buerhaus, 2000 ). Nationwide there are 2.7 million nurses, with a reported 126,000 RN vacancies currently, and 400,000 RN vacancies estimated by 2020 ( Murray, 2002 ). The nursing shortage endangers quality of care, places patients at risk, and could ultimately undermine the entire health care industry.
The nation has long endured many cyclical nursing shortages. It has been demonstrated from these past shortages that there are ways to alleviate the problem. Such interventions include: making changes in work hours; increasing financial bonuses for employment, wages, scholarships, and grants to support education; attracting "second careerists" into the profession; recruiting nurses from other countries; offering pay differentials and incentives for shift work and specialty nursing; making changes in practice modalities; and having facilities and administrators provide greater recognition of the contributions of the nursing staff.
Once again, another nursing shortage provides an opportunity to stop the cycle. But, one can question whether or not the motivation to change this cycle is present. The health care industry in this nation has long failed to appreciate that, in most health care settings, the main commodity that is being provided is nursing care, not medical care. This is not to diminish the value of the services provided by physicians, but to emphasize that often the majority of care required by patients is nursing care. The industry focuses instead on its convoluted struggles with managed care, cost cutting, changes in reimbursement, onerous regulations, increasing demands of technology, and burdensome documentation. What is needed is a workplace environment that successfully supports the delivery of nursing care to the satisfaction of both the nurses and the patients ( Ballard, 2002 ).
It will be important for all of society to work to improve communication between direct care nurses and nursing management and administration, promote staffing flexibility and utilization of appropriate staffing formulas, discourage the use of mandatory overtime, provide adequate compensation, minimize hazards, promote workplace safety, and implement new technologies that automate non-valued tasks. Establishing the baccalaureate degree as entry-level into professional nursing practice will provide the knowledge needed to support increasingly complex nursing care. Also, considered necessary are increased technological support, reduction of unnecessary and duplicative paperwork, recruitment of men and ethnic and racial minorities, and improving the media and public’s image of nursing.
In the past, patients were often passive recipients of health care. Explanations of illnesses and conditions, diagnostic tests, surgical interventions, medications, and other treatments were often not clearly understood and/or questioned. Patients viewed their health care practitioners (physicians, nurses, pharmacists, therapists and other providers) as all knowing and, without question, competent and safe.
Over the past two decades this has changed. Today, most health care institutions and practitioners work to assure certain patient rights, such as the right to clear and appropriate education about illnesses and treatments, so as to support patient-informed choices. Patients often seek opportunities for additional opinions about appropriate interventions and designate health care proxies or direct end-of-life care through "living wills". They are increasingly active participants in their care. Patients often access information about health care problems through federal or state health information "hot lines", obtain educational materials
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