You walk into the intensive care unit. There are no patients or family members sitting in the chairs; the patients in bed are on ventilators, attached to all kinds of tubes. The nurses are dressed in various colors of scrub suits. You notice two sedated patients on ventilators who have at least one side rail down on the bed. One of these beds is also elevated. Tubes are visibly seen attached to machines for monitoring and maintaining physiologic functions such as blood pressure, oxygen levels, and nutritional support. No labels are noted on the tubing. Patient armbands are taped to the side rails instead of to the patient. In a rush to take care of multiple

Overview: In Milestone One, you will first complete an analysis of regulations and compliance in regards to a given department or system within a healthcare institution. You will demonstrate a foundational knowledge based on healthcare regulations and their relationship with institutional operations.
Prompt: Based on the scenario given in the Final Project Document and your selection of the identified issue, and using the SUNY Downstate Medical Center
Safety Plan for reference, submit a draft of your analysis of the regulation(s) that address the safety issue you chose in the given scenario. Your analysis should
include the identification of health care regulations or accreditation standards related to the safety issue and the analysis of their impact on the given
organization. In addition, you should discuss similarities and differences of the federal and state regulations, explain how they inform deemed status of
healthcare organization’s key laws on the development of health care regulations or accreditation standards and their implications.
Scenario: You walk into the intensive care unit. There are no patients or family members sitting in the chairs; the patients in bed are on ventilators, attached to
all kinds of tubes. The nurses are dressed in various colors of scrub suits. You notice two sedated patients on ventilators who have at least one side rail down on
the bed. One of these beds is also elevated. Tubes are visibly seen attached to machines for monitoring and maintaining physiologic functions such as blood
pressure, oxygen levels, and nutritional support. No labels are noted on the tubing. Patient armbands are taped to the side rails instead of to the patient. In a
rush to take care of multiple patient needs, nurses go from one room to another with gloves on.
The noise level consists of alarms going off intermittently, the whir and hum of machines, and the spoken technical jargon of staff.
The physicians and nurses are talking in a language that is specialized in their area. “Mr. Smith has multifocal PVCs (premature ventricular contractions) and
PCWPs (pulmonary capillary wedge pressures) are high. Mr. Smith is hypotensive, tachycardiac, and is receiving titrating IV medications to increase urine output
and blood pressure.”
There are observable clusters of care in the intensive care unit. As the physicians round with the nurses and ancillary staff, the language of each specialty is
heard. There is an urgency and quickness of pace. Emergent care interrupts the rounds, and the attending physician, residents, and nurses rush to the bedside of
a patient who has “coded.”
Case Study Reference:
Patient Safety and Hospital Accreditation: A Model for Ensuring Success
Sharon Ann Myers
Copyright 2011, Reproduced with the permission of Springer Publishing Company, LLC
ISBN: 978-0-8261-0639-1
Case Scenario Issue:
After reading the scenario, you will choose a specific issue which is identified as a patient safety concern. You will target your analysis based on the issue you
choose below. Remember that your analysis of the regulation(s) should just be the regulations and standards associated wit