[Answered]: A busy immediate post-stroke unit is correctly…

A busy immediate post-stroke unit is correctly identifying patients at risk for developing pressure areas that need pressure offloading devices, such as heel boots. Staff frequently go to the supply room to find empty shelves, especially over the weekend. Staff are calling the hospital supervisor on the weekend and supplies eventually get to the unit, but often the delivery is the next shift or the next day. So even with the supervisor’s intervention, the heel boot may not make it on the patient. Materials management has installed a new barcode system to alert the department when supplies are needed; however, no training was provided, staff are not always using the system, and the correct par level of supplies is still not available. As a result, patients do not get their needed supplies and are developing significant stage III heel pressure areas, which are painful for the patient and costly to heal. For this scenario, focus on the supply process. Tools: Assess tools that contribute to a culture of safety and high reliability within the chosen scenario. Consider the following in your response: Adverse event reportingChecklists or procedure checklistsTechnology to improve the culture of safety