Ms. Costa Nursing Leadership

Improved Essays
3. Ms. Costa has served as a clinical leader and a teacher to other nursing staff by role modeling new practice changes to ensure improved patient care. For example she provided guidelines for nursing home nursing staff in order to communicate timely and appropriately patients’ blood sugar values as well as to assure accurate medication treatment. This action has provided precise and more frequent exchange of information which guarantees correct insulin dose adjustment and diabetes management preventing from errors and potential for further diabetic complications. Additionally nursing staff with whom Ms. Costa interacts receives impromptu education as needed which broadens their knowledge in diabetes management.
For example Ms. Costa frequently
…show more content…
Ms. Costa has used her leadership skills while working in her department under unusual circumstances of being short staffed. First of all this situation has placed Ms. Costa in a position of coordinating the clinic while addressing appropriate scheduling of patients , being a resource to other staff in the department ( providers, fellows , MSA ) as well as to other medical staff in the hospital beyond her specialty. Secondly she has been a major support and resource to newly hired NP who never worked in VA system. Thirdly Ms. Costa has been leading CGM clinic independently which requires organization skills and ability to perform procedure. By doing so she has been an influential person of the department , sustaining smooth , efficient and patient focused clinic …show more content…
Costa integrated in her practice such as:
- creating a result letter template for department to improve patient and provider communication regarding lab results as per policy in the VA hospital. This has also improved time management in the clinic.
- assuming insulin pump downloads scanning process which she initiated and established with the cooperation of Rene Burns chief of HIMS. This change provides information accessible to all anyone involved in patient care as well as reinforces proper documentation.
- promoting proper and effective patient scheduling by Endocrinology MSA which eliminated discrepancies with scheduling , helped properly to utilize appointment time, decreased no- show rate by 50% , avoided veterans being lost of follow up so critical in diabetes management.
- following consults for Endocrinology in order to respond to the need of other departments in timely manner which avoided delay of patient care and treatment.
- creating lab reminder slip to improve appointment's effectiveness by having lab results ready for provider in order to make proper decision and to plan accurate treatment.
- maintaining insulin titration program by organizing and receiving

Related Documents

  • Improved Essays

    The Louisiana Health Information Exchanged (LaHIE) launched in 2011 is a secured, standardized electronic system that allows for the sharing of important health information within the state and eventually across states. They are partnered with Orion Health a software company that works globally with companies to meet their software needs. LaHIE has a web-based access system that allows access to health records with an iPad, personal computers and PC networking. It has a Hybrid Program meaning it uses a paper record system as well as electronic system that helps the state with overwhelming health care expenses improving in the electronic access and sharing of medical records using a network that is secure and confidential. This program also…

    • 735 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Country Villa Westwood, where I had worked as a nursing supervisor for 100 patients and 35 nursing staff since 2012, has had a transition in organizational switch from the paper charting to Electronic Medical Records. In order to resolve the frequent issues for incomplete care plan for each nursing diagnosis on new charting system and for discrepancy of medication order on paper MAR (Medication Administration Record) and written notes of physician’s order, I had held additional in-service meetings every week to ensure consistent and correct use of MAR as a permanent chart record, which documents all medications given following MAR verification and to ensure correct nursing care plans according to each of patients’ medical status. All licensed…

    • 173 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    SIHMDS

    • 684 Words
    • 3 Pages

    SIHMDS implements a wide range of communication methods in order to disseminate information within the work place. The method of communication depends on the information which is being relayed and the distance of communication. The communication methods can also vary based on the situation. One of the most common forms of disseminating information within the workplace involves vocal communication. This form of communication can be used to directly resolve a situation between members of staff regarding a sample or inform a member of staff about information they have acquired.…

    • 684 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Introduction The purpose of this project was to obtain data that could identify ways to improve clinical documentation and the amount of queries sent to physicians for conflicting, incomplete, or nonspecific documentation. The specific data that we were analyzing over a three month period was the documentation for meeting Sepsis criteria. The information in the report was obtained from the collected data and benchmarked within the facility. First, our mission statement is to evaluate physician documentation by identifying opportunities for improvement to help drive case mix index and improve patient outcomes.…

    • 510 Words
    • 3 Pages
    Decent Essays
  • Decent Essays

    How Health Care Companies Manage Potential Patients As the Internet and technology transform how patients seek medical help and information, health care companies are changing their marketing techniques. Specifically, health care companies now rely on the principles of patient lead management to oversee potential online patients. What is Patient Lead Management? Patient lead management is a systematic process that manages the sales pipe line for health care companies.…

    • 502 Words
    • 3 Pages
    Decent Essays
  • Improved Essays

    Grove Medical Case Study Javan Wilkins Davenport University November 10, 2015 Summary Grove Medical Association (GMA) serves central Massachusetts with their medical care needs. GMA submitted their case study for consideration in the HIMSS Nicolas E. Davies Award of Excellence for outstanding achievements of organizations that use health IT to improve patient care. The leadership at GMA identified a need to improve patient care by improving patient follow-up and attendance, along with this need and new regulation for EHRs GMA decided the solution was a state of the art electronic record tracking system. They carefully chose an EHR system that fit their objectives and framework by allowing all physicians to vote on multiple options and chose the highest scored.…

    • 981 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Perform finger stick glucose testing, interview patient and spouse on whether blood glucose testing is being performed correctly and there technique in using a glucometer. Can be delegated to: CNA/ RN Cited Pathophysiology/Rationale for performing this intervention:  Euglycemia is a term used indicate normal blood glucose levels of 70-110 mg/dL requirement for the patient is to fast for >8 hours prior to the test (Peterson PowerPoint, 2015).  Monitoring blood glucose levels on a consistent regimen and regular basis contributes to the effective control and management of type II diabetes. …

    • 662 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Over the past decade, the term fraud has been brought to the forefront of coding and billing practices. Upcoding, unbundling or billing for services that are not documented are serious concerns for practices and payers. In a release from the Centers for Medicaid and Medicare Services, it was revealed that up to 30% of claims paid contained errors. Almost half of these were due to insufficient documentation (Prophet & Hammen, 1998). Ethics plays a big role in every aspect of health care, especially in medical coding and billing.…

    • 1214 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Today many healthcare organizations face challenges regarding the maintenance of documentation integrity in their electronic healthcare records (EHR). Accuracy in documentation is critical for a healthcare organization as it seeks to provide high-quality care for its patients. An electronic health record (EHR), as well as current health information technology (HIT) is important to a healthcare organization in order to provide care that is efficient and safer for its patients. Through accurately completing health records, implementing policies and procedures, and putting safeguards into place within the healthcare organization can improve data integrity in the electronic health records (EHR) system while helping the healthcare organization achieve…

    • 984 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The two methods used to schedule appointments are manually using an appointment book, or electronically using a computer. Scheduling appointments manually are available for a single day or pages that display a week when open. The appointment book format is chosen to meet the needs of the practice. Appointment book is usually done in pencil so that the information can be changed if needed. Electronically using a computer scheduling allows appointment intervals.…

    • 147 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Essay On Medical Coding

    • 520 Words
    • 3 Pages

    Research Coding Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The diagnoses and procedure codes are taken from medical record documentation, such as transcription of physician's notes, laboratory and radiologic results, etc. Medical coding professionals help ensure the codes are applied correctly during the medical billing process, which includes abstracting the information from documentation, assigning the appropriate codes, and creating a claim to be paid by insurance carriers. Education and training is key to becoming a skilled and successful medical coder. The first step coders must take…

    • 520 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    It is important to assess and identify the gaps of knowledge deficits regarding the medication compliance, cardiac diet, enough rest, and dietary supplement. After the gaps of knowledge deficits are identified, specific teaching should be provided to Mrs. Franklin-Jones. For example, since Mrs. Franklin-Jones concerns that she forgot to take medications sometimes, the nurse should instruct her to use a weekly medication divider box and place the box on the dinner table, which will reminder to take the medication whenever she is ready to have a meal. Another good example of teaching for Mrs. Franklin-Jones is to provide print-outs for cardiac diet and research of benefits and risks of drinking bush tea. The nurse should provide comprehensive education regarding the identified gap of knowledge deficits during the discharge…

    • 716 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Diabetic Reflective Essay

    • 771 Words
    • 4 Pages

    Stage (3): Analyzing the Experience: (250 words) I was trying to improve my patient condition by regulating her blood sugar level to reduce the risk of developing complications. After the assist of my tutor to give good health education, Ms.S.K.’s start asking me questions about the complications. I felt happy because she interacts with me.…

    • 771 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    First, the nurse assessed the patient’s needs and the problems of the patient and their family. Second, the nurse formulated a diagnosis and treatment plan for the patient appropriate for the patient’s educational level. Third, the nurse emphasized strategies to help motivate what is necessary for the patient. The nurse planned their teaching during an interrupted time and the nurse used provided pamphlets were written based on a 4th grade reading level. Fourth, the nurse implemented teaching about self-monitoring of blood glucose, exercise, healthy food choices, controlling blood pressure, and insulin treatment if necessary.…

    • 782 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Nephrology Rotation

    • 89 Words
    • 1 Pages

    It was a clinical mandatory rotation in Nephrology. I used to take history, perform physical examination and management and treatment plan regaring different renal problems. I rotated with consultants and residents who were involved in the evaluation of patients with all aspects of kidney disease, secondary hypertension, hypertension in chronic kidney disease. I also managed patients for peritoneal dialysis, hemodialysis, electrolyte disorders, hypertension, nephrotic syndrome, and renal osteodystrophy, chronic kidney disease. I had also performed renal biopsy.…

    • 89 Words
    • 1 Pages
    Decent Essays