“Some experts believe that large, multispecialty practices, which combine primary care physicians and a range of specialists in the same practice, are the organizational structure with the greatest potential to provide consistently high-quality care” (Liebhaber & Grossman, 2007). With our recognitions and experience that our staff would attain their skills could become fully advanced which would lead other medical centers wanting that skill of our winning ways or a current staff member resigns…
Meniscal Tears and Osteoarthritis are major issues among people in the United States especially among the older demographic, usually right around the age of 45 and older. It is an issue that affects over a million US citizens, leaving many problems with pain in their legs especially around there knees. Many people who have osteoarthritis often suffer from Meniscal tears as well. With such pain among them, most people look for assistance from a doctor. With the assistance of a doctor, the patient…
& Gillespie, 2014). Again, perhaps the biggest contribution to regulate ED crowding has been the Input-Throughput-Output conceptual model; it helped in the realization that it is not only an ED problem but is a multidimensional issue within the hospital (Bellows & Gillespie, 2014). This model has also led to the realization that ED crowding is a patient flow issue as much as anything and it is now being looked at throughout the whole organization; this has greatly developed the discussion of…
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) evaluates hospitals on their compliance of pain control of patients, in particular the emergency department. Many hospitals that I have worked at feel that they have to give the patient what they want for pain or will face the consequences of retribution from JCAHO. Patients are very aware of this standard that has been set so if they do not feel their pain was treated appropriately they threaten to call JCAHO to report…
surge and the environmental culture change for employees. There has been an increase of leadership development in the health care settings. Leaders are moving towards a value-based model, clinical coordination and efficiencies. By 1910 American hospitals had become modernized with antiseptics, cleanliness and use of medication for pain relief. There was growing cultural influence for the medical profession. Physicians’ incomes were higher and had become prestigious. By the 1930’s the…
to another unit for further treatment (Gary Medical Center, 2012; Hirshon et al., 2013; Hospitals Today, n.…
important in the age of modern medicine. That said the transition to hospice care could be a confusing, emotional, experience for both the patient and the caregiver. There has become increasing awareness of this issue, which is evident in the amount of hospital readmissions of hospice patients. Researchers addressed this issue with an article titled “Rehospitalization of Older Adults Discharged to Home Hospice Care,” (Goldenheim et al., 2014). The article focuses on readmission within 30…
Population The patient population that will be focused on in this assessment is an adult surgical unit. This surgical unit has 30 beds. The surgical unit provides care to a wide variety of patients that include general surgical patients to trauma patients. Half of the unit is designated for general surgical patient care, and the other half is for surgical intermediate patient care. On the general surgical side, the nurse ratio is 5 patients to 1 nurse. On the surgical intermediate side of the…
Expansion Pocahontas County Healthcare Background Pocahontas County is lacking a complete healthcare system. This county has one hospital facility which includes 25 critical access beds. This facility also houses the community clinic for laboratory tests, and x-ray services. Because of the rural status and the lack of a continuum of care for the community, Pocahontas Memorial Hospital is considering creating a comprehensive satellite health clinic. This clinic would be located closer to the…
Nursing Educator Interview I recently had the opportunity to sit with the Nursing Educator at my local hospital to ask her a series of questions regarding her profession. During her 30 years as a nurse she has gained a plethora of knowledge, experience and critical thinking skills. As a nurse holding a masters degree in the science of nursing, she actively uses her clinical abilities within the acute and critical care unit while also successfully functioning as a nursing educator. After 5…