The expected outcomes are standards against which nurse judges if goals have been met. Evaluation of client response to nursing care requires the use of evaluative measure simply as the reassessment of patient symptoms. Vital signs and auscultation of breath sounds. Observation of client skill performance and discussion of how they feel. Lab results such as chest x-ray to confirm whether pneumonia diagnosis is still present.
Identify current patient safety goals for one health care setting NPSG.07.06.01 Use proven guidelines to prevent infections of the urinary tract that are caused by catheters. Managing indwelling urinary catheters according to established guidelines is crucial for patient safety. It is important that health care providers are securing catheters for unobstructed urine flow and drainage, maintaining a sterile system for urine collection, and replacing the system when required. These things, along with collecting urine samples, are all examples of how to implement the evidence-based guidelines to ensure safety and quality health care to patients (The Joint Commission, 2015). In my facility, the safety of our patients is our top priority.
In additional to the original threaded discussion, level one codes are based on the documentation used for CPT. The Healthcare portability and protection act (HIPPA) of 1996, mandated that all claims be reported using HCPCS. HIPAA made HCPCS codes mandatory for billing and coding. It is also very important that every claim and any medical information is done through and acted by HIPPA regulation to ensure the patients privacy. When a patient first visit a medical facility a copy of the notice of privacy must be provided to the patient, this will explain how to exercise his or her rights under HIPAA.
Scope of Practice of the MA in the Emergency Base on the role of a MA until provider is able to treat/assess a patient I should help maintain a smooth-running emergency. I would assist by taking vital signs, maintain medical histories and prepare patients to see doctors, I would observe the patient and make them feel as comferable as possable.Make sure nothing is getting wrose and keeping the patient clam (Emergency Room Medical Assistant: Educational
1. What is your understanding of the Advance Directive for Healthcare and how does your facility (current or past) deal with the issue? There are two different types of Advance Directives, a Health Care Power of Attorney and a Living Will. An advance directive is a proactive legal document a patient fills out in advance making their wishes know in regards to complicated health care decisions in case they are unable to make the decisions for themselves for some reason. This document appoints a health care power of attorney to make the decision on the patient behalf if they are unable In my facility, we ask all patients or their representative upon admission if they have an advance directive in place.
Since the patient is suffering from a sinus infection, I would tell the patient to continue taking the Sudafed. Sudafed is used to treat nasal and sinus congestion or congestion of the tubes that drain fluid from your inner ears. Case 3 1. Albuterol is a bronchodilator that relaxes muscles in the airways and increase airflow to the lungs. This is an inhaler that may need to be shaken up before use.
This medication only comes in tablet form and should be taken at the same time daily. Theophylline does not work right away and should never be used as a quick relief medicine or inhaler. A patient should always use a beta-agonist to help alleviate sudden onset shortness of breath. This is primarily used as a maintenance drug for patients who have trouble breath caused by an ongoing lung disease. Theophylline should only be used as prescribed due to the potential serious side-effects, and should be monitored regularly after
Patients who are admitted into the hospital confide in the health care professionals to do the right thing on time all of the time. Accreditation of health care organizations signifies compliance with a set of standards, reassuring the public that quality and patient safety is being met. In the United States, accreditation is voluntary and must be approved by the Centers for Medicare and Medicaid, CMS, for the health care organization to receive payment from Medicare or Medicaid (Myers, 2012). According to Ellis and Hartley (2012), the Joint Commission was established by the American Colleges of Surgeons and Physicians, the American Medical Association, and the Canadian Medical Association in 1951. It is a voluntary, non-profit organization
It is extremely important that every patient has the opportunity to control the care they wish to receive in case of medical emergencies. These wishes may be addressed through legal documentation, known as advanced directives. Through the use of advanced directives patients can appoint a healthcare proxy, express their living will, and make decisions about hospice and palliative care. Advanced directives allow patients to make decisions that may be hard for their families, and their providers to make during this difficult time. “A living will spells out what types of medical treatment a person wants at the end of life if he’s unable to speak for himself ("Power of Attorney, Living Will, and Advance Directive - AARP").” When patients become
Policy and Procedure CAUTI Prevention Policy Name: Catheter Associated UTI Prevention Purpose: To identify causes and take measures for the prevention of Catheter Associated Urinary Tract Infections (CAUTI) in the healthcare setting Population: Healthcare members and patients who are caring for a urinary catheter either at home or in the hospital setting Introduction: The mission of this policy is to inform healthcare workers of the proper procedures to follow in regards to the prevention of catheter associated UTI’s in the hospital setting. In order for this mission to be accomplished, all workers must follow this policy in the clinical and work environment. The main goal is to prevent unnecessary catheter associated infections. Procedure:
This RSBI is calculated based on the principle that patients breathing is better when it is deep and slow and worse when it is slow and fast. In order to assess the efficacy of patients respiratory effort RSBI is calculated from the ratio of tidal volume to the respiratory rate. If the respiratory rate is 12 and the tidal volume is 400 RSBI=12/0.4=30. An RSBI less than 80-100 is considered ready for liberation. However, this index should not be the only
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.
The importance of medication therapy adherence is an important subject. The current recommendations for treatment of those with symptomatic heart failure are a combination of ACE inhibitors, beta-blockers and diuretics to control blood pressure (Chojnowski, 2006, 38). Upon discharge and at follow-up appointments, the nurse should interview the patient about these medications. The discussion should include generic and trade names, times of administration, side effects of each medication and reasons for taking each one. If the nurse finds these medications are not ordered, she should discuss her findings with the health care provider promptly.
A certified registered nurse anesthetists (CRNA) is an advanced practice nurse who works together with anesthesiologists, surgeons and other physicians and medical professionals to deliver anesthesia for medical and surgical procedures. CRNAs administer anesthesia before, during, and after surgical, therapeutic, diagnostic, and obstetrical procedures. They also provide pain management. Patient Assessment – The CRNA will perform an evaluation of the patient and talk with them about their procedure. They may refer the patient to other specialists if they have conditions that might affect the anesthesia experience.Anesthesia Plan – This plan notes the various medical conditions to be aware of for anesthesia and recommends the type and levels of anesthesia for the procedure.