Hs/532 Week 1 Case Study

I care about providing the best holistic healthcare I possibly can for my patients through evidence-based practice. I respect individuals’ race, socioeconomic class, gender, and sexual orientation. I work well with others and I strive to help create a good working environment where people can communicate, ask questions, learn new information, and feel respected. With this New Graduate Nurse Residency Program, I hope to be exposed to many different clinical situations. I hope to further develop my clinical leadership skills and to gain new knowledge.

The Institute of Medicine (IOM) has a strong stance on nurses and leadership. They believe that nurses are a vital component to health care system and nurses in leadership roles can have a positive impact on such. Nurses are in all sorts of roles within the health care systems ranging from a staff nurse, nurse managers, to advance practice, all the way to congress (Finkelman & Kenner, 2013). In addition, they even serve in the boardroom within some health care organizations. Leadership doesn’t necessarily mean a nurse in a manager position, but a nurse who has an influence on staff.

Technology is used in the health care system to chart patient health information, communicate with the interprofessional team, and monitor plan of care. The nurse, upon licensure, recognizes the importance of computer literacy and the effect technology has on patient outcomes. The use of technology can hinder or help the patient based on its use. For this reason,

It is now week two of interning back at this endoscopy center. I don’t consider this week two but just a continuation. I experienced myself violating HIPPA. I could not believe that I was very carless with a patient’s electronic health record. I was dealing with two different patients side by side when they were laying down after they had gotten their endoscopy procedure done. They were resting a little after the medication and I had the computer on wheels moving around. This computer on wheels abbreviated, as ‘cow’ is very beneficial to the doctors since they move it with them, as they are moving around in the office. However, this computer on wheels was left on with a patients record and I was turned around to assist the next one. I was being observed when I am in this section of the center. The doctor that was observing did not tell me that I was violating HIPPA until after. He told me that I should be more careful. I could not believe myself that I did such a thing as

As the current trend continues with Nurse Practitioners practicing at the primary and acute care levels, it is imperative that nurse practitioners should definitely be a large part of the committee by the IOM through their Health Care Quality Initiative (Berenson et al.,

With new technology, new evidence based practice, and new tools, procedures and medications being introduced at increasing and steady rate. This change to health care presents an important task to nursing as well as other health care professionals that directly relates to patient care and

Healthcare providers are able to use these advancements in technology to provide healthcare services to patients from a distance. This provide ease of access and flexibility to patients. Telehealth services compared to in-person visits, has the potential to save millions of dollars (Kvedar, 2014). However, there are quite

Hsm 541 (Week 6) You Decide Middlefield hospital served a variety of patients with the best care. However from the past couple years it has been having some problem due to the new big hospital in the city. Since the arrival of the new hospital in the area our hospital has been losing its patients and we are getting more of uninsured/underinsured patients. In order for me to improve our financial situation of the hospital, we need to work as a team and be competitive against the new hospital in town.

Though it seems that it was specifically made for nursing, it serves as a broader picture by ways of improving the access to healthcare, lowering the cost of it, and improving the quality of care. For this purpose the IOM report has set fundamentals changes such as the transformation of nursing education, practice, and leadership. For the remainder of this paper this paper I will elaborate on how the IOM report impacts the nursing

The watershed “IOM Initiative on the Future of Nursing” report encompasses a four pronged approach or some might say, a challenge to the whole profession of nursing. the challenge to be better educated so that we can provide the highest quality of care to our patients, the push to encourage health care professionals to achieve higher levels of education. The initiative to have a stronger voice and presence in guiding the direction of how the health care landscape in this county. All of these factors come into play in the ever changing landscape of our health care system. Now more than ever nurse leaders have a great opportunity to have a profound impact on health care policies and decisions that will eventually decide which direction our current health care delivery system takes.

Camilli (2014), asserted that educational delivery is being carried out in innovative and convenient ways, including the use of simulation, virtual classrooms, distance education, podcasts, web conferencing, and online assessments. Information and communication technologies (ICTs) can be easily recognized as standard components of the nursing process and daily nursing practice, appearing as electronic assessments. Furthermore, nursing students are gaining increasing exposure to technologies during undergraduate studies which includes increasing volumes of electronic health records (EHR), digital diagnostic tools, health monitoring, and reporting equipment, barcode scanning, as well as mobile and hand-held documentation devices. This skills can be applied to clinical setting such as using EHR to follow up patient laboratory results and relay critical lab values to the physician. Also, barcode scanning can be used to prevent medical errors by giving the correct medications to the patient and also prompts the EHR for any related allergies to the medication that is prescribed during treatment or hospitalization.

Week One Discussion Two Response to O 'Neill The addition of nurse leaders in the executive suite is essential in facilitating the perception that nurses are critical decision makers in the health care industry. Furthermore, it is imperative that a formal succession plan is incorporated in organizations to assure strategic leadership, quality care, and operational effectiveness incorporate nursing at the uppermost level of decision and influence (Trepanier & Crenshaw, 2013). The Chief Nurse Executive role is evolving as a tactical authority in acquiring a major influence on our nation’s health care delivery systems and clinical outcomes (Bradley, 2014). As health care shifts and changes, nursing must be at the forefront to assure optimal influence

Nurses bring an expertise and experience that addresses every one of those roles expected from boards. In 2009 there was a Gallup poll among national opinion leaders such as university faculty, insurance executives, corporate executives, health services leaders, government leaders, and industry thought leaders. The results of that poll not only identified the opinion of those leaders that felt nurses needed to have more influence in areas of patient care and safety but also found that the general opinion of nurses was one of the most trusted sources of health information (Institute of Medicine, 2011). The IOM goes on to say that due to nurses regular connection to patients as well as their unique understanding of the science of medicine, this provides a unique capacity to undertake a leadership role in the boardroom.

Telehealth offers real-time communication where a patient consults with a physician or where a nurse practitioner consults with a specialist through a link. In such cases, the patient can access primary care without going to the clinic. Reaching patients at home saves not only travel times and related practitioners and patients expenses but also improves patient survival as well as recovery. Effectiveness of the TELEHEALTH (ethical-legal issues) The effectiveness of telehealth technology is affected by issues of ethics, costs of infrastructure and legal issues.

They are able to connect, communicate and coordinate across multiple departments, professional opinions and voices, and the daily schedules of patients. Advocating and designing care with the patient and family is a true skills set and cultural attribute that adds tremendously to a culture of safety and patient – centeredness but requires the most able leadership to build these bridges across the many professionals engaged in care. Building this culture is a leadership challenge and there is no one in my experience better able to make these changes than nursing leaders ( Maureen Bisognano, 2009). Nurses should not just be at the bedside or within the nursing community but must be involved as leaders and decision – makers throughout the healthcare system. As Maureen Bisognano (2009) points out, the best nurses are accomplished envoys among different players and interests involved in direct patient care, which is a skill needed throughout organizations and businesses, not just in hospitals or