Sanders arrives she evaluates lab results; clotting factors are decreased, along with hemoglobin and hematocrit, and the Apt test is positive. The doctor orders fresh frozen platelets to be transfused followed by a blood transfusion of 2 units packed red blood cells. Dr. Sanders speaks with Patricia, explains the procedure, and obtains informed consent. She then performs crash cesarean section for the twins. Baby B is delivered with no complications and Baby A requires life-saving measures from NICU team, but does not survive.
Response to Compliance Management Scenario Compliance management in a complicated and ever expanding portion of the Health Information Management (HIM) field. As federal, state and local laws are created and revised, HIM professionals must stay current of not only the regulations but also the consequences of non-compliance. Along with federal, state and local laws, attention must be paid to the guidelines of various accreditation and credentialing bodies. Scenario Mistakes, Type of Violation and Preventative Solution There are several mistakes made in the provided Compliance Management Scenario.
This is an invasive procedure and the nurse should make certain that an informed consent that has been signed by the patient is in the chart. During this procedure, a flexible tube is inserted into a blood vessel located in the arm or groin and a dye is then injected that is visible on x-ray (AHA, 2015). If at this point a blockage of any kind is visible, the doctor has the option to place a stent or perform an angioplasty to remove the obstruction. In preparation for the procedure, the patient will not have anything to eat or drink after midnight. The doctor may request that certain medications not be taken the day of the procedure which could include insulin for diabetic patients.
My Observation at the CWC Clinic: The women’s health clinic performs several different test and procedures depending on how far along the patient is in their pregnancy. During my experience I was on the high risk floor and was able to observe several tests including Group B Streptococcus (GBS), and urine dipsticks. GBS can cause infant mortality but is considered normal flora for the mother. GBS can be found in the pregnant mothers’ vagina or rectum.
Hello Mr. Brown. My name is Mary Billiot and I am your physician assistant today. Your doctor ordered some blood work so that we can measure your cholesterol levels. I would like to go over those results with you today. Let us look at your results individually so we can have a better understanding of what each result means.
She had her tonsils removed at the age of 19 and had a fairly significant postoperative hemorrhage 5 days out. She also reports heavy menstrual cycles. On further inquiry with her prior losses she had one D & C and reports that she had bleeding for 3 days after and at least one week with her spontaneous loss. She has never required a blood transfusion.
For example, if I am ill & have had a sickness bug, I would not go to work for at least 48 hours as I can infect my colleagues & also the patients which would then spread around even more as we are in such a close environment. 4.3 Explain the most thorough method for hand washing. The NHS way of thoroughly washing hands is by using soap & hot water. Staff are expected to wash hands on every contact with a patient & also frequently throughout the day.
Also, it can cost a patient’s life and the hospital thousands of dollars. Therefore, all medication errors must be reported following the appropriate protocol to prevent serious adverse events.” Although there are some consequences to each medication error, it is imperative to report it in order to improve patient care and safety. Medication errors can significantly affect patient safety (Elden & Ismail 2016). Medication errors do not only occur during the administration stage, they can occur from the ordering and down to the provision stage (Radley,
Perform a 12-lead electrocardiogram (ECG) as prescribed. We do ECG once a day routinely and a cardiac rhythm strip as needed. Besides providing information on dysrhythmias, the ECG may document post-operative myocardial ischemia that may also affect cardiac output. Amiodarone 200mg tds were given in treating atrial fibrillation. Beta blocker (Metoprolol 47.5 m OD) were given to slow the heart rate and control his blood
After reviewing W.A.’s presentation, what organ systems do you suspect are involved and why? Heart, kidneys, bladder Heart: The BNP level in W.A.’s blood was above normal. A high value of BNP in the blood may show early heart failure in people on kidney dialysis. She also has +2 pitting edema and Crackles in bilateral lower lobes and shortness of breath. As heart failure gets worse, fluid starts to build up in your lungs and other
The last few days I have had the chance to work with Chrystal I wanted to do a quick recap on what we have been able to cover in her training so far and confirm improvement on points Amanda was able to make in her first recap! Chrystal is overall very confident in setting up for appointment, filling out tray covers, getting patients from the front, walking them to the front, and taking photos (we discussed improvements on photos and techniques.) Here are a few appointments we have covered in the last few days. Comfort shorts: She is very eager to jump in!