Consequently, implementation of a dedicated O.R. for emergent cases resulted in decreased wait…
The patients come go within 2-4 hours of admission. Whereas in past clinical experience the nurse works with the patient for 12 hours or more. So time spent caring for the patient is the only difference observed during this clinical…
On Wednesday, July 27, 2016 at approximately 1951 hours, Health Unit Coordinator (H.U.C.) Elliot Satcher met with SO Christopher Paz and requested Security assistance for a patient in E.D. room #24. Security Officers Christopher Paz (408) and Ariel Weiland (419) responded to the scene. Upon arrival, H.U.C. Satcher stated patient, Natalie Drolet (DOB: 06/21/1970 - FIN: 85959499), was "depressed, agitated, and being verbally abusive" towards Registered Nurse Cindy Rodriguez. Security stood by until patient Drolet was seen by an E.D. Physician.…
The Frustrations of I.T. in Healthcare Tai Greene Kaplan University Are you tired of sitting in the E.R. wondering why is it taking so long to get discharged from the hospital, or why is taking forever for the doctor to see you your answers lie within this article? Here is my rough draft although it is not fully completed and well thought out as of yet I am giving it a try. I am not sure if the order of my draft makes sense but I am willing to tweak it here and there to make it perfect. I will be greatly appreciated of all feedback mostly negative to help me improve.…
Early Detection of Severe Sepsis Rhonda Ransom, BSHA, CPHQ University of Texas Houston School of Health Information Sciences, Houston, TX Abstract Does clinical decision support (CDS) have any way helping diagnosis early detection of Severe Sepsis? CDS is a tool that has been adopted in many electronic healthcare records (EHR) to provide physicians with data that could be pulled from the record to make informed and/or evidence base decision during the physician workflow. A sepsis alert rule using the CDS would give the physicians a way to detect severe sepsis early on.…
The authors also found that it was unclear whether there was a difference in number of patients who were re-hospitalized…
The purpose of this memo is to respond the limited patient access problem diagnosis inquiry affecting Veterans at the United States Department of Veterans Affairs (VA). The Veterans Health Administration is the nation’s leading integrated health care system. It consists of 150 Medical Centers, nearly 1,400 Outpatient Clinics, more than 135 Nursing Homes, 278 Veterans Centers, and 48 Domiciliaries. As the nation’s leading integrated health care system and the nation’s second largest cabinet agency, The Veterans Health Administration provides healthcare services to nearly 9 million veterans, including 6 million who seek care regularly (Veterans Health Administration, 2016).…
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).…
Evaluation Process The evaluation of evidence-based needs, implementation and outcomes is a vital part of the research process, according to Jacobs et al (2012). The need for evidence-based research is evaluated through Formative Evaluation; the implementation through Process Evaluation; and the outcomes by Impact Evaluation. The following is the Process Evaluation for the initiative of Daily Safety Briefings as a strategy to develop high reliability and reduce errors affecting patient safety.…
Primary outcome measure: Incidence of hospital-identified Clostridium difficile infection (HI-CDI) – identified according to the national definition of diarrhoea symptoms and a stool tests showing C. difficile toxin A, B or C – was “defined as CDI diagnosed in a patient attending any area of an acute public hospital” (Slimings et al, 2014). Time of analysis: From the 1st of January 2011 to 31st December 2012. Analyses were conducted in patient-days, which was defined as “number of days of patients’ hospitalisation during a specified period” (Slimings et al, 2014) The estimated incidence rate for all states (excluding ACT) is 0.00036, or 3.60 per 10,000 patient-days.…
This has been shown to cut down on the time the patient spends in the hospital. This also has been shown to increase…
Shift work has a detrimental impact on paramedics which compromises clinical judgement and patient safety. Paramedics are constantly and increasingly faced with heavy workloads that are mentally, emotionally, and physically tiring (Anstey, Tweedie, & Lord, 2016). Rostered shift work influences a loss of routine causing fatigue, sleep disturbance, and can potentially have a negative influence on a paramedic’s mental health (Sofianopoulos, Williams, Archer, and Thompson, 2011). This assignment will analyse shift work and the impacts this has on the sleep and mental health of paramedics. Paramedics work is dictated by patients.…
Financial trends and reimbursement changes go hand-in-hand. Healing Hands Hospital relies on revenue from managed care reimbursements, therefore any changes within the managed care system will affect our financial budgets and income. This will affect how we pay our employees and what kind of services we are able to provide. It has major influence on how we deliver and pay for health care products and services.…
In an acute care setting, healthcare patients typically stay in their care within 1…
When I think of the emergency department (ED) I think of chaos, blood, trauma, and death. The emergency department experience was something I was not looking forward to. When I think about fields of nursing that I would like to try, the emergency department was not on the list. I am glad to report that this clinical experience has changed my feelings about working in the emergency room.…