Shared the same room with the 1st patient. • May 21, 2015: monitoring begin for symptoms • May 25, 2015: developed symptoms • May 25, 2015: transferred to nationally designated medical center • May 25, 2015: tested positive for MERS-CoV • Risk Factors: o Close contact with anyone who is experiencing a fever, cough or shortness of breath and has traveled from the Arabian Peninsula within the past fourteen days should monitor their health beginning with last day of exposure and seek medical attention if they become ill (U.S. Department of Health and Human Services, 2015). o Close contact or within six feet with a confirmed case of MERS. Monitor health for fourteen days beginning with the last day of exposure.…
According to the article, Registered nurses ranked fifth of all occupations resulting in a musculoskeletal injury and Nursing assistants reported 25,010 cases, the highest for any occupation (ANA, 2013). Why is this? Construction workers or manufactory workers deal with heavier equipment and are in usually more dangerous situations than healthcare workers are. Two high risk tasks One high risks task I can think of would be transferring patients.…
Ramona, thank you for writing about falls. The way that you detailed your step by step preparation was perfect. You wrote that you were going to discuss with a trusted leader to establish critical pieces of information that were worthy of a presentation. This is part of the American Nurses Organization Executive (AONE) Competencies Relationship categories which is collaborating with leaders in determining needed patient care (2015). When you are preparing for the meeting by reviewing current data and peer reviewed journal articles, these are meeting the Standard 2 Scope and Standards of Practice for Nursing Administration, “the nurse administrator analyzes the assessment data to identify problems, issues, and trends” (ANA, 2016, p. 37).…
d) For memory loss I would ensure that the resident has access to clock/calendar, establish daily routine with him, explain each activity/care procedure prior to beginning it. I would also give him two choices then presenting decisions. I would also use cueing to assist the…
This care plan shows how a nurse’s thinking and actions are molded to fit a patient’s needs. Patient’s Story C.A. is an 89 year old female who is a resident of the Newcastle Place long term care facility. She grew up in Chicago as an only child with her parents. She attended high school and then went on to work as a…
This module contained A LOT of information but it coincided with last week’s discussion as well! This week we discussed the major types of health care providers and professionals (ranging from physicians, clinicians, RN’s, LVNs, ect.) within long-term care facilities. One thing that I thought was very interesting was the fact that long-term cares administrators, if they are indeed the general manager, are on 24/7 call all year round. Although this makes complete sense, I just never realized how demanding the position could be!…
Risk Management/PI: Rachel Beal, COO Dashboard: Acute: Seclusions: July: 4 – 2.18% August: 13 – 7.78% September: 3 – 1.69% Holds: July: 6 – 3.26% August: 17 – 10.17% September: 3 – 1.69% Patient Aggression No Injury: July: 2.18% August: .06% September: 7.87% Patient Aggression Injury: July: 5.98% August: 16.76% September: 2.81% Elopements: July: 1 – .54% August: 0% September: 0% Falls: July: 2 – 1.09% August: 1 – .06% September: 0% Medication Variances: July: 7 – 4.38% August: 8 – 5.06% September: 8 – 5.11% RTC: Seclusions: July: 0% August: 0% September: 0% Holds: July: 16 – 11.81% August: 23 – 18.41% September: 17 – 15.48% Patient Aggression No…
The current budget in the department allows for four RN, three LVN’s, and two CNA’s. The current staffing plan costs the department roughly $2160/per twelve hour shift. Adjusting for an employee who is going to be on a leave of absence can be difficult to manage. The nurse manager has approximately eighteen shifts she needs to ensure coverage. One option to fill the vacancies for the 6 week absence of one of the RN’s would be using an agency nurse or per diem.…
The Nurse Executive Guide Summation When hospitals undergo mergers and acquisitions, senior leaders and administration find themselves focused on the importance of the “proverbial ball.” Technical and financial details are in the forefront and become the main focus for success. However, failure many times is not in the financial loss of the consolidation. It occurs after the fact, when cultural clashing arises. The author of this paper’s literature review showed many examples of how organizations will often take their people for granted and do not realize how much of an impact employee morale can have on the bottom line.…
Exploring the Accelerated Nursing Program Introduction to Nursing Karissa Rice University of Missouri – Kansas City Over the years, nursing has become a growing field. There has been talk since I can remember in high school about the shortage of nursing. The field is requiring more nurses as previous nurses are retiring and a variety of field’s are expanding. The shortage is still seen today, it is thought the nursing shortage will become more serious within 10 years (Ellis & Hartley, 2012, P.33).…
Since 2005, without much success, the Minnesota Nurses Association (MNA) has been encouraging hospital chief executive officers and/or administrators to set a baseline minimum staffing standard or create policy to protect patient safety (Minnesota Nurses Association, 2017). In 2010, the Affordable Care Act (ACA) implemented a new model of healthcare delivery and payment that was designed to improve quality and reduce costs, but as a result, cost control pressures have been put on nurse staffing levels in order to reduce nurse labor hours and their associated costs (Avalere, 2015). With a goal of making a case for sufficient nurse staffing levels and/or models, the American Nurses Association (ANA) teamed up with Avalere to conduct a targeted review of published literature, government reports, and other publicly available evaluations of nurse staffing and patient outcomes (Avalere, 2015). Their key findings with appropriate nurse staffing included: nurse staffing models should consider the number of nurses, the nurse-to-patient ratios and staffing should be adjusted to account for unit and shift level factors; helps to achieve clinical and economic improvement in patient care; improves patient satisfaction and patient quality of life; decreases/reduces: medical and medication errors, patient mortality,…
According to Stem Cell Reviews, it is estimated that as many as 128M individuals in the United States, or 1 in 3 people might benefit from regenerative medicine. Those statistics are eye-opening for the nurse life care planner because regenerative medicine will eventually become a viable treatment modality for so many of those individuals with whom the nurse life care planner is called upon to assist with preparation of a future care plan. Regenerative medicine is the process of creating living, functional tissues to repair or replace tissue or organ function lost due to damage or congenital defects (Wikipedia 2014). Regenerative medicine includes applications that affect many tissues and organs in the body, including the nervous system.…
The promotion of health and disease preventive services are predominating in the Australian health care system for obesity. The principles underlying both of the models mentioned above support cultural safety and person-centered care in the nursing practice. In further, the principles underlying health promotion supports person-centred care as it focuses on the determinants of the individual’s health (Crisp, Taylor, Douglas, Rebeiro, 2017, p.66). In that regard, when an individual’s health and well-being is being promoted, the focus is predominantly on the issues that are most relevant to the person’s life. This means that individual, lifestyle and environmental factors are taken into consideration and thus, the nursing practice staff are able to address their health priority and meet their respective health needs.…
The role of the NP is nursing practices in the emergency that need refer to the hospital, primary medical care, continuously home health care for non communicable disease. The work practice that must consider acts of vocation legislature and morality decision making was emphasized from human resource development by developed the competency of NP for patient, family, and the community. ( the committee operates cooperation strategy for develops the system of primary care service,…
Hispanics make up about sixteen percent of the population (Bastable, 2014). Most people erroneously classify this group under one umbrella . To teach people in the Hispanic community, it would be imperative to know the background of the group I am going to teach. By this I meant, are they all from Puerto Rico, Cuba, Mexico, etceteras. Even though all Hispanics are classified under one group, their customs varies from one country to another and to effectively teach and engage this group I would break the group up according to their country of origin as this would help avoid any stereotyping of any group.…