Prepare a proposal based on the summary of the TERCAP with recommendations and suggestions on minimizing legal risks tha

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Prepare a proposal based on the summary of the TERCAP with
recommendations and suggestions on minimizing legal risks that:
Part One - Review summary of completed TERCAP report below.
A patient, aged 54, admitted for back surgery secondary to
compressed vertebrae and intense pain. The difficulty with pain
management has caused the patient some depression and insomnia over
the last month. During her first post-operative day, the patient
fell attempting to go from the bed to the bathroom without
assistance. Her injury was serious and involved significant harm
requiring two additional days of hospitalization and an addition
six weeks of physical therapy.
A review of the case determined that her assigned nurse on night
shift was an RN (age 24) with nine months of experience in this
unit. This was her third 12 hours shift in a row, and she was 29
weeks pregnant. There were 28 beds occupied with only two RNs and
one patient technician, due to one vacancy and a call-in for
illness. This community facility has experienced a turnover rate of
12% in the last year (community average of 4.5%), and has a high
number of new graduates working on medical surgical units,
particularly on the 7 pm- 7 am shift.
A review of the chart showed that the patient had been advised
by the out-going nurse, who admitted her to the unit
post-operatively, that she needed to ask for assistance with
toileting for at least the next 24 hours due to the extensive back
surgery and post-anesthesia response and pain medication. The RN
coming on shift had received bedside shift report at 7 pm and noted
the patient sleeping, so the issue of patient assistance was not
repeated. She checked on her again at 8 pm and administered the
requested prn medication (morphine) for pain. She was busy with
other patients and did not see the patient again until the patient
fell at 9:51 pm.
The patient reported that she did not recall having been
instructed to ask for assistance, as she was very groggy from the
anesthesia. She stated that she had pushed the nurse call button
for assistance and “no one came.” There was no clerical support at
the nursing station and the three staff members had been very busy
with patients, so this statement could not be substantiated.
The risk manager found that the RN had not followed nursing
policy for patient assessment 20 minutes after receiving pain
medication, and had not done the recommended hourly rounding on the
patient to assess for the need for elimination, pain, and patient
comfort. The note in the chart indicated only that the patient
requested pain medication, but did not provide specific nursing
assessment details or comment that the patient had received the
same dosage of morphine two hours earlier.
Part Two - Factors and Actions
Discusses the factors that contributed to event and how these
factors could be addressed to minimize legal risks.
Situational factors
Nursing factors
Human factors
Organizational factors
Explains whether the nurse was negligent or did her actions reach
the level of malpractice and support your reasoning with
research.
Determines what options the nursing board had regarding this
nurse’s license to practice nursing.
Describes your reasoning for what action would you recommend
(warning, probation, revocation of license) if you were on the
disciplinary committee of your Board of Nursing.
Explains how the level of nursing behavior relates to your proposed
recommendation on licensure.
Part Three - Continuing Education
Summarizes a list of topics to be provided to the education
department based on the summary of the TERCAP report.
Provides stated ideas with professional language and attribution
for credible sources with correct APA citation, spelling, and
grammar in the proposal.