Psychiatric hospital

I been working at Montefiore hospital for 17 years as a head cashier/office coordinator. I was hired as a cashier, but since Montefiore acquired other facilities in the past 5 years, I got promoted to the office coordinator where one of my job descriptions is to train and help out other cashiers with different issues. My daily duties include processing payments from different departments in order for the facility to check and balance. I check to make sure that each department proves out and…

This time her vital signs were absent, her skin was warm without mottling, and the pupils of the eye were dilated but reacted slowly to light. Cardiopulmonary resuscitation was instituted without success, and Cindy Black was pronounced dead. Departure from professional standards of nursing care: In every nursing malpractice case the defendant nurse's conduct is measured against that of a reasonably prudent nurse under the same or similar circumstances. Departure from the professional standards…

medical assistant to notify the doctor of the patient’s change in status. An x-ray tech will perform a CT scan if needed and a respiratory therapist may be called to help assess with the geriatric patient’s dyspnea. If the patient is admitted to the hospital, once she is stable, she will moved to the appropriate floor for treatment and continued care during her admission. After she is established, more team members may include: a social worker who can assist with home care, financials and long…

“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…

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…