1) Creation of a 24/7 call roster to provide support for the crisis team and guide decision-making in client disposition and divert to a lesser restrictive level of care, when appropriate (Triaging). a) Met with all prescribers (Doctors, Nurse Practitioners, and a Physician Assistant) to identify those interested and qualified in participating. b) Developed criteria and guidelines to facilitate decision-making on a uniform basis. c) Set regular (at least monthly) meeting with roster participants to ensure uniformity and consensus about best practices in the fulfillment of our roles. d) One on one meetings with roster participants to discuss and address individual concerns and issues of quality of care.…
It is our intention to provide you the best healthcare care possible. At Central North Alabama Health Services you can receive care from an internal medicine or family practitioner. Our physicians focus on primary care, general health assessments and consultation for complex medical issues. We believe in a patient-centered approach to healthcare, collaborating with patients, families and specialists.…
Self-Reflection Journal Self-Reflection Week Five Based on the readings of this week, what are 3 major issues you are facing in your practice that are consistent with national issues? Emergency department (ED) overcrowding is an issue throughout the United States. Our ED has experienced significant increases in volume. Coupled with the issue of hospital throughput due to lack of inpatient beds, ED congestion is extremely concerning (McClelland, 2015).…
Thank you for addressing concerns regarding your appointment availability. Your Corrective Action Plan has been accepted. You have now satisfied the contractual requirement to be available within twenty-four (24) hours for an urgent appointment and within ten (10) business days (fourteen (14) calendar days) for a routine appointment. To summarize, the required appointment availability categories are as follows: emergency medical and psychiatric care: twenty-four (24) hours a day, seven (7) days a week; non-life-threatening emergencies: within six (6) hours; urgent care: within forty-eight (48) hours; and, routine appointments: within ten (10) business days.…
Objective To obtain a position as a Patient Care Technician at Englewood Hospital where my knowledge and experience in patient care can be applied to assist hospital staff efficiently and effectively. Education Punjab University, Chandigarh, India Caliber Training Institute, Manhattan, NY Graduated in Nurse Technician, Phlebotomy and EKG Feb 1998 License# 1244-4508:1211-4508 Technical Skills • Microsoft Office Word, Outlook, Excel, PowerPoint, Epic • Internet research , email and spreadsheet software Languages • English, Hindi and Punjabi Qualifications • Taking vital precautions toward patient safety by hourly rounding on patients every hour to ensure they are comfortable • Providing care to varying ages and…
Injuries and sudden health issues can happen at any time. Imagine the crisis situation when a person needs immediate attention like say they have an injury after hours. It could be the regular work pressure that made them neglect visiting a physician or clinic though they had the injury in the morning. They may also worry that they their regular physician will not be available at the odd hours. Many hesitate to go to the emergency room and would rather wait till the next morning.…
Due to the higher volume of covered patients, health care institutions are focused on quick turnover of patients, trying to see as many as possible. With 5+ patients in the waiting room to see the clinician, it proves difficult for the clinician to spend adequate time and to treat the patient with quality care. The aim of health care is to move away from this focus of volume and more toward focus on value. This means there will be more pressure and scrutiny put on clinicians and their rates of readmissions and avoidable error, Physician Assistants will be held to higher standards and…
As an LPN I make ethical and moral decisions every day. It is my job to give medications to the patients at the nursing home that I work at. It is important for me to keep track of which medications go to what patients and I also must make sure I give them the right amounts of the meds at the right times. Even though I am comfortable with doing my job and try my best to keep track of everything, sometimes the patients try to confuse me. About a month ago I had to medicate a patient with multiple wounds.…
Burström, L., Starrin, B., Engström, M., & Thulesius, H. (2013). Waiting management at the emergency department - a grounded theory study. BMC Health Services Research, 13(1), 1-10. The purpose of this study was to investigate waiting times in emergency rooms.…
The survey questions were based on handoff literature and senior emergency medicine staff member guidance, 110 handoff sessions enveloping 992 patients were observed. Most errors were due to longer handoff time per patient, and few errors were noted due to use of electronic or written tools. Most laboratory omissions were due to prolonged ED length of stay. Maughan, Lei & Cydulka (2011) concluded clinically pertinent varying data disclosed in ED physician handoff, usually from findings reported in physician documentation. These communication errors were associated with ED length of stay, handoff time per patient and use of support materials (Maughan, Lei & Cydulka,…
Urgent care began in the late 1970s and was created to meet a need in a community. The growth from the 1970s – 1980s was slow and steady in comparative to the concept “doc in a box” that one could see without appointment gained popularity. The industry, subsequently gained its respect and vast expansion over the past twenty (20) years as a viable place to receive healthcare when one could not get into one’s “regular” physician (Urgent Care Association of America). The last five (5) years, the industry has seen tremendous growth which seemed to be fueled by a convergence of events and awareness to meet the growing needs of medically underserved, lower income neighborhoods. This is obtain through better access to health services; improved quality…
This highly specialized emergency medicine unit is intriguing to me mainly due to the infinite diversity it brings forth for the health care team in terms of clients’ clinical presentation, diagnoses, and interventions. Not only do clients vary based on contextual factors, but they also range in age, from newborn infants to older adults. All of this ambiguity adds to the complexity of emergency department nursing simply because the body of knowledge, communication skills, and clinical skills required of RNs is very broad and extensive in nature. Emergency medicine practice for an RN includes the accurate triage, comprehensive initial assessments, collaborating and coordinating care with the health care team to diagnose and treat clients, and reassessments based on vital signs and response to interventions, all in an exceptionally fast paced outpatient environment (ACEP, 2015). It also is a valuable window to the status of our current health care delivery system as it visually confirms common issues such as early discharges and high readmission rates, overcrowding, and low access of health care practitioners in the…
The purpose of this paper is to look at high quality, accountable care in medical communities and the high priority placed on increasing quality and safety among patients who suffer from preventable medical errors each year. “Medical errors kill enough people to fill four jumbo jets a week”. (WSJ. Makary) Thus the skills, knowledge and attitudes of nurses must be used to drive and sustain culture changes around patient and family centered care is driving medical process and procedure changes to increase the quality of care.…
The level of supervision that is required in any given situation is dependent upon the complexity of the patient’s condition. Because of the changing nature of these complex situations, an RN should be immediately available to assess the patient and to co-ordinate direct and inspect the practice provided by the…
Only 11.9% of ED visits result in hospital admission (Centers for Disease Control and Prevention [CDC], 2016). With high volumes, and low admission rates, EDs all over the country are challenged to seek solutions to this real, moral, ethical, and logistical dilemma. To seek solutions, one must understand the associated costs, degree of compromised care, the ED in question, and current patient flow process. Cost of Crowded Emergency Departments…