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During the Covid-19 Pandemic in my job because of the low census we have to do what they called cross training

During the Covid-19 Pandemic in my job because of the low census we have to do what they called cross training

reply1 

 During the Covid-19 Pandemic in my job because of the low census we have to do what they called cross training . I do not know what they mean by that but to me I call it cross dumping because they just assign you to where ever  they need staff  without a proper training.  In this situation they are really set-up the staff for failure. Without the proper training ,someone might end-up making error that will be grave for the  patient and liability for the hospital .  According to the NCBI website, latent errors englobes system defects such as something very common to us nurses, inadequate staffing (“Measuring errors and Adverse Events in Health Care”, 2017). Afraid of making a mistake, or to no be able to properly care of my patients. I ask  the clinical educator for a refresher . Fortunately for me, the clinical educator worked that  day, and she helped me. I was able to work effectively and provide proper car to my patients. I think active errors are easier to measure and usually happens in the frontline, such as medication error, lack of communication among health care providers. In order to prevent errors, they need to be identified first, so measurement is fundamental in order to know where to located those errors  and  develop a plan to prevent them . There are many approaches to patient safety, and they all require training among all disciplines to expand knowledge and skills. 

reply2

Active errors include events that occur immediately before an accident and are usually caused by people directly interacting with the patient, such as, the nurse or doctor (Latent Errors-Equipment, 2016).  In my practice, being a perioperative nurse, we have the surgical “time out” we conduct before each procedure to ensure the correct patient, site, surgery.  Ensuring that the patient has informed consent is the first process of being able to conduct a correct timeout.  Making sure that the patient’s recent history and physical reflects what the procedure will be and possibly includes, reinforces what the consent states.  Wrong site surgeries or incorrect surgery on a patient would be considered active errors, if the nurse does not diligently pay attention to every aspect of the time out.  

Latent errors are passive errors that do not have negative effects immediately.  They are hidden within technological systems or can be an ill-prepared policy (Latent Errors-Equipment, 2016).  In the operating room, latent errors could manifest as implementing new technologies without properly training the staff.  This highlights the fact that the staff is unfamiliar with the technology being provided; and that there was bad implementation of said technology by management.  This lack of knowledge leads to latent errors.  Ways to prevent this would include: an in-service on the new technology and having the representative guide staff in proper use during the surgical procedure.


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