MEMO From: Joshua A. Burger (Gibbs), Phlebotomist, Genesys Regional Medical Center To: Office of Susan K. Kolka, Hospital Administrator, Genesys Regional Medical Center Subject: Excessive needlestick complaints and proposed corrective action 11/11/2009 Introduction Statement of Problem Inpatients of Genesys Regional Medical Center are complaining of excessive needlesticks during their stay at our facility. After receiving dozens of complaints, policy changes were made to allow the patients to receive a heparin lock as standard procedure, but the complaints continued. To promote patient comfort, safety, and well being, the hospital needs to take immediate action to reduce the number of needlesticks that our patients must endure
This score is known as the Early Warning Score (EWS) and is used in order to ensure all staff can recognise and report when a patient is becoming more poorly. All charts will have a clear monitoring plan indication what observations must be taken and how often these must be checked. The monitoring plan may be adjusted in conjunction with the patients treatment and progress throughout their hospital stay, however changing the
(2013). Advanced Practice Registered Nurse Certification. Nephrology Nursing Journal, 40(3), 219-216. Brar, K., Boschma, G., & McCuaig, F. (2010). The development of nurse practitioner preparation beyond the master's level: what is the debate about?.
Eighty percent of a patient’s diagnosis is done by the identification of their current and past medical histories. Without these medical records upon admissions, patients are put at risk of misdiagnosis and potential grave harm. Furthermore, a care plan cannot be generated without a proper medical history or physical. The medical records department will vigorously and diligently over look the new admission’s medical records for any delinquencies and errors by implementation of the following: 1) Medical records upon admissions must be completed within twenty-four hours or the physician/staff will receive a letter affirming that a hold has been placed on their scheduling of admissions or procedures. The hold will only
We also helped nurses in each floor if they had any questions about how to handle a patient with pressure ulcers. We also did many in services with new products to treat and prevent pressure ulcers. We monitored the pressure ulcers if they were community, hospital, or unit acquired and then, the manager of the Wound Care Program had to send all this information quarterly to the NDNQI, and if we found many patients with newly hospital acquired pressure ulcers the Wound Care Program manager and her team had to implement a plan with new ideas to lower the pressure ulcers in the floors, and to educate the nurses and techs in order to be more successful in prevention of pressure ulcers because the treatment can be
Reed, P. G (2006) The force of nursing theory guided- practice. Nurs Sci Q. Vol.19, No.3, pp.22 Robert T. Croyle (2005). Theory at a Glance: Application to Health Promotion and Health Behavior (2nd Edn). U.S. Department of Health and Human Services, National Institutes of Health. Vandemark, L.M.
1.Assessment: Patient is assessed upon entering the ED by the admission team for signs and symptoms of MI, CVA or other life threatening conditions. Patient is moved to triage where they are assessed more thoroughly, and once they are in a bed in the ED they are assessed continuously. Diagnosis: Patient is diagnosed by nursing staff upon assessment in admission, and triage, where nursing diagnoses are given such as acute pain, anxiety, or impaired tissue integrity. Once the physician assesses the patient an actual medical diagnosis is given, or labs/ imaging are ordered to aid in the diagnosis. Planning: Planning is done by nursing staff and physician before a diagnosis is made to control or ease presenting signs and symptoms.
ETHICS CASE STUDY BRANDI M C UNIVERSITY OF PHOENIX In healthcare many things go off of ethics, every healthcare worker has to understand that. In this case study Jerry Mccall has to decide whether to call in a medication refill without consulting the doctor first. Many things need to be considered like legal consequences, patient complications, consequences for Dr. Williams. All of these could have grave consequences for Jerry. In this case study Jerry Mccall takes a call asking for a prescription refill, the person requesting the refill isn’t a normal patient of Dr. Williams he states he is a close friend.
Abstract Central lines also known as central venous catheters are an integrated role in today’s health care. They provide the means of delivering the necessary lifesaving fluids, nutrition, blood products, medications, and means for hemodialysis access. But for this convenience comes great risks of bloodstream infections that are caused by the colonization of microorganisms from the external surface on and around the devices providing a pathway while inserted or in use. These types’ central line or catheter related associated bloodstream infections are often preventable. Yet thousands of people die each year or escalates billions of debt to the health care system in the U.S. annually to fight them.
For years, uninsured patients have flooded hospital emergency departments seeking relief for common earaches, chronic disease management, and other non-urgent health issues. Many of these patients feel they have no other place to go, and some have never gone anywhere else to receive healthcare. However, as these patients become serial ED visitors, the sheer number of them could overwhelm some hospitals. This raises some legitimate concerns that patients with true emergencies may be left languishing in the waiting room of the ED behind someone with a sore throat and cough. Another issue is cost.