Door-To-Needle Time Theory

Depending on the type of office and the patients there in, will determine what electronic health system you will need. Some doctors have patients that need a high level of care and lots of tests and other documented information, like cardiology. Other offices might be able to use a simple program because they don 't have many patients or the patients they do have don 't require extensive documentation. You have to consider the amount of time you may, or may not have to train the staff and get all the information transferred. Once the needs of the facility are determined, it is then important to decide on a system that will coincide.

TWO APPENDECTOMY OPERATIONS 1. Open Appendectomy: This procedure is performed in a hospital and requires the surgeon to make a 2 to 4 inch incision in the outer layer of skin and then through the lower right side of the abdomen over the area of the appendix. The appendix is then cut away from where it’s attached to the colon, the remaining hole is sewn shut, the appendix is removed through the incision, and the incision is stitched closed. For an open appendectomy, the patient is given a general anesthetic and will remain in the hospital for 2 to 7 days. 2.

Healthcare Administrator Positive Outlook on Overcoming Debt Millions of Americans are uninsured from the very young to the elderly leaving them more vulnerable to sickness and disease that may have been prevented if they had regular health screenings covered by insurance. Uninsured Americans are not going into clinics or hospitals until it is to late and their symptoms have become acute, because of their fear of having to pay medical bills that they are unable to afford. These individuals do not have the means to go and seek preventative care as insured individuals would be seen for leaving them more vulnerable to emergency room visits to address their health concerns. Under the Emergency Medical Treatment and Labor Act (EMTALA) patients who come into a healthcare facility have the right to receive medical attention for acute symptoms without being turned away due to their inability to pay for treatment. This epidemic of healthcare facilities treating uninsured patients has financially burdened hospitals and left them with increasing financial debt.

Budgetary constraints are currently limiting our ability to hire more healthcare provdiers, so an ability to utilize licensed caregivers more efficiently would be helpful. By installing a pneumatic delivery system, the hospital system could have the licensed caregivers focus more time on providing excellent care to our patients. There are some noted concerns that using a pneumatic tube system for laboratory specimen delivery may increase the risk of hemolysis in a blood sample (Lima-Oliveira et al., 2014). However, this risk of hemolysis does not pose a substantial harm to patients and is clinically insignificant in the vast majority of cases. This is particularly true in the case of the Alvin C. York Medical Center as the units that would utilize the pneumatic tube system are units that do not serve patients with acute medical conditions.

Reporting chronic understaffing to the Centers for Medicare and Medicaid Services, and the state board of nursing would be an ethical responsibility and the most appropriate course of action. How does your hospital/work area measure up to their staffing standards? Emergency departments across the nation are facing high volumes since the implementation of the Affordable Care Act. In addition, the ability to recruit and hire experienced emergency nurses has declined. Given this adversity, our emergency department is encountering staffing challenges and is not meeting appropriate staffing ratios.

(Muniz, Sethi, Zaghi, Ziniel, & Sandora, 2012) The odds of disinfecting stethoscopes after each use were greatly decreased for healthcare providers that indicated a lack of visual reminders was a barrier to their compliance. To further this theory that visual reminders would increase compliance, a separate study would need to be conducted. Going off of the data the survey indicated, most indicated that visual reminders help them and having them would increase their obedience to this vital infection control task; although, this concept was only stated by the healthcare members and not directly studied to be

Specificity of diagnosis, abnormal lab test and medication is often vital healthcare information in the medical record. Failure to document this information significantly slows hospitals from collecting the correct level of payment. Hospitals should not only target coders for performance improvement given that no level of accurate coding can overcome the lack of documentation. The Doctors that underdocument care and services provided represent the most significant opportunity to increase charge and reflect the severity level and provide adequate defense. When researched, Advisory Boards nationwide has uncovered multiple cases in which improved physician documentation has increased annual by 1.5 million.

People could have a hard time trying to find providers in their areas for their specialty needs, that will also take Medicaid as payment. Most providers do not want to take Medicaid patients because they will not get paid enough for each patient compared to private health care payment. There are some doctors

The problem is that the discharge process on my orthopedic surgical unit is long and drawn out with really no organization to it. The doctors do not place discharge orders by a certain time, making it difficult to get our new surgical patients in their rooms. The doctors also do not always have all their discharge instructions in the discharge summary, and then this causes delays in the timing of the discharge. Proficient and timely discharge has an impact on patient satisfaction levels. The goal would be to have the doctors place a discharge by a certain time, so that the patients can be discharged earlier making them happier and allows for other new surgical patients to get a room faster.

Blood loss is expected in a total joint replacement surgery. However, excessive intraoperative and postoperative bleeding can increase the patient’s risk for delayed healing, prolonged hospital stay, slowed progress with physical therapy, and blood transfusions (Suggs & Holt, 2015). An estimated 13 million packed red blood cells (PRBCs) are transfused every year in the United States with a majority being transfused in surgical patients (Hart, Khalil, & Carli et al., 2014). Reports of transfusion rates range from 18% to 68% in total hip replacements (THR) and 39% to 67% in total knee arthroplasties (TKA), respectively (Hart, Khalil, & Carli et al., 2014). Blood transfusions are not risk-free.

Thank you for your detailed illustration of peripheral arterial disease (PAD). The point of view that I will be sharing with you is the postoperative intervention and rehabilitation of PAD in the acute care setting. Mahameed (2009) describes the indication for invasive revascularization surgery in individuals who failed conservative claudication therapies; acute or critical limb ischemia and lifestyle-limiting claudication. The surgical procedures that are most commonly performed are carotid endarterectomy and lower extremities bypass grafting. Postoperatively, the vascular surgeon refers these patients to physical therapy for early ambulation training.

All of these remarks are true but Patient care; safety and satisfaction should be at the tiptop of their list. What if a Doctor forgets to mention to the patient that they need to prepare their bowels for the colonoscopy they have tomorrow, or the Surgeon forgets to inject a vial of medicine that is crucial to a positive outcome of a surgery? It will not turn out good for the Patient as it could severely injure them and possibly kill them. It will not be good for the Doctor or Specialist as they can be sued for wrongdoing. It will also not be good for the Office or Hospital, as it will give it a bad name.

Without access to healthcare one cannot see primary care physicians, receive preventative screenings or education on potentially harmful habits. One can only hope they remain healthy, and if not they hope to get better on their own without the help of physicians because it’s unaffordable. This is where delayed access to healthcare plays an important role. Preventable and easily treatable diseases become chronic and patients become very ill. Some receive some sort of treatment but sometimes at that point it’s too late, because their access to healthcare was delayed.

For this to happen, nurse practitioners would lead medical practices and teams and tend to numerous patients in hospitals. While doing this, they would be paid the same as physicians. Nevertheless, many physicians opposed this idea. Although 95.6% of nurse practitioners and 76.3% of physicians agreed that nurse practitioners should be capable of performing to the highest degree of their training and that adding them to primary care would improve quality, that was the end of it (Iglehart). Nurse practitioners believed that because they could do the same practices a physician could do, they deserved to earn the same amount of money as physicians.

Medication adherence is the patient’s compliance with the provider’s recommendation with respect to the dose, time and frequency of medicines during the prescribed period of time. Two major reasons for noncompliance include the socioeconomic factors and patient related factors. Patient-related factors include lack of awareness about their condition (Centers for disease control and prevention, 2013). The adverse effects of most of the chronic diseases may not present for years. This fact leads to the tendency to be noncompliant to the treatment by the patients.