Organizational Change Essay

1729 words - 7 pages

This paper is to describe the need for safety securement devices in the emergency room. It will discuss the benefits of safety securement devices for patients and the hospital. The paper will include the history of the organization, the proposed change and rationale for the change, and ways in which the proposed change is compatible with the organization's culture.LAC+USC Medical Center, founded in 1878, is one of the largest teaching hospitals in the country. LAC+USC provides service to 50,000 inpatients and 750,000 outpatients annually. The hospital is licensed for 1,395 beds and budgeted to staff 745 beds. The LAC+USC Trauma Center is a level I American College of Surgeons-approved Trauma Center. Since 1885 LAC Medical Center has partnered with Keck School of Medicine of USC. The hospital is staffed by more than 450 full-time faculty members of the Keck School and approximately 850 medical residents in training. LAC+USC has specialized facilities and services and a state-of-the-art burn center, Level III neonatal intensive care unit, Level I trauma service, an NIH-funded clinical research center and a HIV/AIDS outpatient center. The mission is to provide accessible, affordable and culturally sensitive healthcare to every patient in our care; to provide services through an integrated delivery system to residents of Los Angeles County regardless of ability to pay (Employee Orientation Handbook, 2002, p. 12). The vision is, "to be a fully integrated health care delivery system providing high quality and cost effective clinical services that meets the needs of our community" (Employee Orientation Handbook, 2002, p. 12).There are several clinical studies to support the use of safety securement devices that demonstrate significant reductions in catheter related bloodstream infections, suture related needlesticks, and cost effectiveness in patients with central venous catheter devices. In the United States over 200,000,000 peripheral iv's are inserted in patients annually (Rosenthal, 2005). Over 80% of inpatients receive intravenous therapy via peripheral catheter during their hospital stay. According to the Center for Disease Control (CDC) peripheral catheter may remain in place up to 96 hours (Wood, 1997).Due to the high incidence of needle sticks and hazards associated with blood borne pathogens OSHA has revised the blood borne pathogen standard to meet the requirements of the Needlestick Safety and Prevention Act of 2000 (Henshaw, 2003). Employers are now required to implement and make available safer medical devices designed to eliminate or minimize occupational exposure. An estimated 800,000 doctors and nurses suffer needlesticks and other medical-sharps injuries each year increasing their risk of contracting infections and disease (Business Wire, 2002). Safety securement devices meet the standards of the revised blood borne pathogen and the Needlestick Safety and Prevention Act.Safety securement devices can be used to replace sutures and tape....

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