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Case study： the mifflin dunder regional hospital
Case study： the mifflin dunder regional hospital
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Case study： the mifflin dunder regional hospital
Case study： the mifflin dunder regional hospital
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The data collected was over four weeks, from May 11, 2015 to June 5, 2015. Ten hours days four days a week for a total of 160 hours. The average patient volume assigned to the nurse was 8-10 per day. The method of recording was checks made on a calendar with brief notations of the conversation between the nurse and the patient care technician. CHECK (C)
State-mandated nurse-to-patient ratios remains a controversial topic in healthcare. Sufficient nurse staffing is key to ensure adequate patient care, while scarce staffing effects patients’ safety and puts nurses at risk for burnout. Determining nurse-to-patient ratios in nursing facilities remains a challenge for the nursing profession. There are many factors to consider when determining staffing methods, such as cost, nurses’ satisfaction, patient outcomes and safety. Mandating ratios is one attempt at ensuring nurses’ workloads do not exceed what is needed for adequate patient care and safety.
H1: Care Hope Awareness, Sacramento, CA H2: Care Hope Awareness ( Nurturing Growth Education) is a treatment center in Sacramento, California. Care Hope Awareness is a treatment center that focuses on substance abuse services. Their Program is Substance Abuse Treatment.
Bay Area Care Team is a home health care institution that is located in San Francisco, California. Their services include home visits by skilled nursing staff, physical therapy, speech therapy, home health aides, consulting clients on medical and legal rights, assisting families to cope with a terminally ill loved one and teach them to be caregivers, and helping individuals maintain maximum independence. Bay Area Care Team is licensed by the State of California. Bay Area Care Team is a home health care institution that is located in San Francisco, California. Their services include home visits by skilled nursing staff, physical therapy, speech therapy, home health aides, consulting clients on medical and legal rights, assisting families to
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
1. What is the problem? What were the underlying causes of this problem? The problem was happened because of the new knowledge management application, which was designed to copy information across network automatically, which also led to the main switch and consequently to the system collapse.
During the extended hospital stay, the cost of treatment also increases, sometimes by about 61 percent of the normal charges for treatment (Guse et al., 2015). Evidence based practice has shown evidence that hourly rounding can decrease the general hospital stay significant while at the same time cutting down the cost of treatment through reduction of falls. Nurses against this change complain of increased commitment on other duties, making it difficult for them to attend to their patients within the hour (Marquis & Huston, 2015). It should, however, be understood that hourly rounding may never be successful without teamwork. The absence of one nurse during the hourly rounding should be substituted by another nurse without regular complaints about personal patients.
After a review of all information, including the most current assessment, as outlined below, Healthfirst is changing the services you currently receive. We are approving a total of 13 hours per week for personal care assistance support. You live with your daughter who is willing to provide support. Your recent home assessment was done on 07/17/2015 of your activity of daily living abilities, including your medical history and current diagnoses. A mistake occurred in the previous personal care service authorization.
Based on the case study on pages 36-37 of our text and looking at the individual and financial needs of Don and Mary, I feel that they should both live in Assisted Living Facilities. According to our textbook, Assisted Living Facilities (ALF) provides assistance and supervision of activities of daily living for 24-hour. It offers more independence and privacy, a greater choices of services, and more involvement of direct care workers. (McSweeney-Feld & Oetjen, 2012, p. 25). As their care needs change, they can also opt to live in a Continued Care Retirement Communities (CCRC) which according to the book are residential complexes for seniors that offers housing options and comprehensive nursing care with their changing needs.
individual, thereby keeping other staff informed and aware of current situations within the workplace. Also it is important that the information is recorded, as it may be called upon for legal reasons. All communications are confidential, and on a “need to know”, basis. 2.1 Demonstrate how to establish the communication and language needs, wishes and preferences of individuals.
Due to hospital care reaching an all-time high in America, we need nurses now more than ever before. Currently in America, we have an issue with nurses having too many paperwork to fill out. In the article “We Need More Nurses” by Alexandra Robbins argues we need more nurses in the hospital. Nursing shortage has been a common issue throughout the world. Because of this issue others are being affected in many different ways.
Each morning patients came in for assessment and the treatment team developed or altered existing treatment protocols. I longed to be part of this team, working to stabilize each patient so they could return home to pursue their goals. The nurses stood out to me as the team members at ground zero in the unit, working directly with patients, and advocating for them in meetings. As a Nurse Practitioner, I will provide this same standard of holistic care to my patients, taking into consideration their biological, social, psychological and cultural needs while developing and implementing treatment decisions.
3.1 ‘Contracting out’ services ‘Contracting out’ services from the state to independent providers is identified as a main process of marketisation of care across welfare states. For example, Knapp et al (2001) argue that contracting out of services is one of the major changes of social care in 1990s in England. The ‘contracting out’ process shows trade-offs between actors in the care diamond in terms of care provision, financing and regulation. Private providers of care for older people are increasing due to ‘contracting out’ care services from the state provision to both for-profit and non-profit providers (Greener, 2008) and spontaneous participation of private providers into the care provision market.
Large patient loads combined with a stressful work environment affects nurses’ abilities to provide quality healthcare. Patient safety should never be compromised. It is our responsibility to learn from research and improve our current nurse staffing ratios. Nurse staffing is key and affects all other outcomes. Without nurses administering the right treatment at the right time to the right patients, all other healthcare interventions are not effective.
Wheeling hospital collected data for patient satisfaction was collected from 4/1/2016 to 3/31/2017. Wheeling hospital completed 1779 surveys in this period with a response rate of 26%. This was a bit shocking due to more people taking the survey than previous thought. The state average of patient’s reporting their nurses communicated well is 81%, while the national is 80%. The hospital’s average was only 77%, and was not very shocking due to the importance of nurses being advocates for their patients.