IPPE Institutional Rotation Final Reflection My spring semester rotation, from January 13 to April 21, is at South Texas Regional Medical Center located in Jourdanton, TX. It’s a small hospital with a capacity of 67 beds, providing medical, surgical and emergency care for the population of 4,000 in Jourdanton and 10,000 in adjacent city Pleasanton. My preceptors include Dr. Claudette Leiker, the pharmacy director, and a group of clinical pharmacists.…
Enclosed is my resume for consideration of the PRN- Phlebotomist position posted in Tanner Health’s careers section. This positon is of great interest to me because it would enable me to utilize my skills and experience in a hospital setting. My education and work experiences have certainly prepared me to contribute to Tanner Health System. I have done my externship at Quest Diagnostics. I also worked at Phoebe Putney Memorial Hospital.…
This writer address with the patient about his UA result dated on 5/15/2017 as there were mutliple reschedule and cancellation from this writer and the patient. This writer address with the patient about the opiate and benzo use. The patient was admit that he haven't relapse on any benzo since his last conversation with this writer and honestly feels that the benzo could potentially have been in the "dope." This writer discuss the seriousness with the patient about his recovery and discuss clinical intervention with the patient. First and foremost, this writer discuss with the patient about his depression but according to the patient, he is not depress anymore.…
If following the recommendations of the Joint Commission, the RCA for Mr. B’s care would include 24 questions about the scenario and then after answering and filling in the data each would be identified as a root cause or not. For the intention of this paper, and considering lack of essential data with this scenario, the paper will just move in sequence order of events as presented. First thing to take into consideration is Mr. B’s vital signs, physical assessment, and previous health history. The given information appears accurate and within normal limits.…
At1101 hours, this writer contacted Juvenile Processing Center to ascertain if M-1 was in their custody, this writer spoke with Officer Hopkins of the Metropolitan Police Department, Juvenile Processing Center unit he advised negative for M-1 being in their custody. At 1103 hours, this writer contacted Child And Family Services Agency, this writer spoke with hotline worker 28 operator who advised there is currently an open investigation with this family for abuse, she also advised M-1 was not currently with their agency physically. At 1109 hours, this writer spoke with Ms. Kisi Washington, the court appointed custodian maternal aunt of M-1. She reports M-1 has not returned home, nor has she heard from her.…
4. What medication would you suggest including dosing, medication education and counseling would you provide? (25pts) My prescription for Mr. RS would be Alprazolam 0.5 mg three times daily along with Zoloft 25mg daily. Titration on Zoloft to be increased to 50mg by the end of the first week and further increased to 100mg after another week.…
*What additional questions would you want to know to help clarify diagnoses and also to direct treatment? I would want to know a little more about the relationship the patient was in. How long had they been together? If it were a newer relationship, that feeling of being “bored” may not be as significant. I would want to ask about past relationships that the patient has had feelings of being “bored” in other relationships?…
Psychosis CBLA Anthony M. Wehry Arizona State University College of Nursing and Health Innovation Psychosis CBLA Select a client with a diagnosis of Schizophrenia or Schizoaffective Disorder. Student Name: Anthony M. Wehry Date of assessment: 13NOV2014 Client initials: T.G. Psychiatric/Medical Diagnosis:…
For my Brown Bag Assignment my participant, JR, was found within my family. I was aware JR took daily medications due to his recent heart bypass surgery in June 2015 and met with him. JR is 62 years old and takes seven medications daily. The medications he takes are Metoprolol, Valsartan, Amiodarone, Atorvastatin, Clopidogrel, Metformin and Rivaroxaban. He takes the same three medications for three years now and the same four medications since his bypass surgery.…
Leo is a 14 year old Hispanic/African American male that has been referred to the agency for Wraparound services due to the severity of his issues by the Department of Children and Family Services. Leo has had a case open with the Department since he has been 9 years old. Leo has a sibling who is also identified in need of intensive services due to the trauma that they have both experienced in their early youth. This client has been diagnosed with Unspecified Mood Disorder with chronic PTSD and ODD.…
• With every new patient request a PMP report needs to be ran to be reviewed/approved by MD/NP. This will be done by Autumn. • With every controlled substance new rx or refill (including phone calls) a PMP report must be completed, signed and scanned into that patient’s chart. • The first PMP of any patient needs to be ran for a 365 (1 year) period. • Each PMP following needs to be run from last pmp date to today’s date.…
All other systems reviewed and are negative; denies a headache and stomachache. Denies suicidal or homicidal ideations or intent. He will continue with the current medication regimen of Vyvanse 10 mg and Zoloft 25 mg tablet daily. The patient will stabilize symptoms through compliance on medications. The necessity of compliance was emphasized and understood by the…
Jennifer McNab of Pioneer State Mutual Insurance Company referred this file for medical case management. Instructions were given to meet with Susan Iversen and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 10/24/16 I met Ms. Iversen at her home. She is alert and oriented.…
Susan takes two psychiatric medications. The first is a 20 mg Prozac (Fluoxetine) pill which she takes once a day in the morning to help with her depression. The second is a 1 mg Ativan (Lorazepam) pill which she…
Imagine lying on a hospital bed, deathly sick, waiting for blood test results. Months have passed since the sickness set in and it has been getting worse and worse as time has passed. Being unaware as to what is wrong, there was no other choice but to go to the hospital and get blood drawn. After enduring countless different procedures and tests, none of them coming back with any results that are unsatisfactory, but being well aware that there is something seriously wrong, the decision to visit a phlebotomist was reached without much thought behind it.…