Lesson 7 Small Group Discussion

When the Hospital Standardization Program established their initial set of minimum standards, one of the prescriptive measures required healthcare organizations to maintain medical records for patient treatment. The necessity of creating, and preserving a detailed account of a patient’s history, laboratory results, and treatment seems rudimentary today. The Hospital Standardization Program made significant advances in enforcing proper documentation. Building on that legacy, TJC strengthened standards involving appropriate medical documentation by including strict timelines for completion. For example, TJC mandates a patient’s History and Physical (H&P) report be completed within 24 hours of admission.

The study provided 24/7 coverage with full time and part time telepsychiatrists. All telepsychiatrists participated in a training program that familiarized them with telepsychiatry intervention. The telepsychiatrist reviewed the mental health patient’s intake information and medical health record. Following the assessment, the telepsychiatrist would give his recommendation to the Emergency Department, and depending on the assessment, the patient would either be discharged home, scheduled for an appointment at a local mental health facility, or

This involved 21 hospitals over the course of one year and required a multidisciplinary team to improve the hospital’s system of identifying and treating delirium in the ICU (Adams, 2015). A patient centered, evidence-based plan was created to decrease incidences and decrease cost to the hospital system. A multidisciplinary team of nurses, physicians, and physical therapists were enlisted to develop the plan CAM-ICU became a part of the electronic medical administrative record flow chart and nurses were trained accordingly. CAM-ICU evaluated several aspects of delirium: “(i) acute change in mental status… (ii) inattention, (iii) disorganized thinking, and (iv) altered level of consciousness” (Adams, 2015). Patients were screened once in the morning and once in the afternoon so that their sleep schedule was not interrupted.

Overview According to the Food and Drug Administration, medication error is a failure in the treatment process that occurs very often and posts a threat to patients. It is clearly frequent and is often avoidable but puts risk to patients. As stated in a report of the Institute of Medicine, there is a 1.5 million cases of occurrence of medication error in the United States every year (Westbrook, J.I., Woods, A., Rob, M.I., Dunsmuir, W.T., Day, R.O. (2010). ).

After graduation I sought out and secured a job in the Surgical Intensive Care Unit (SICU) at Grady. After I felt comfortable with my skills set and experience, I transferred to the Rapid Response Team within Grady in 2010. In August 2013, a new twenty bed OBSERVATION UNIT -Clinical Decision Unit (CDU) was opened with in the emergency room. After visiting this area, I noticed the nurse practitioners solely in control of the area. I witnessed Nurse Practitioners (NP) managing patients with congestive heart failures, (CHF), Diabetes, chest pain, asthma, and many more acute illnesses.

Strong over budget variances in the Hospital came from Radiology ($159k), Cardiology ($93k) and the Lab ($85k). The Medical Group’s June gross revenue approximated budget, with continued strong performance in New London Orthopedics. The Clough Center’s gross revenue was $225k under budget due to the continued decline in the average daily

Abstract Objective: Emergency department (ED) overcrowding is a worldwide problem associated with adverse outcomes. This study was performed to investigate the association between ED overcrowding and the outcomes and quality of cardiopulmonary resuscitation for out-of-hospital cardiac arrest (OHCA). Methods: Prospectively collected data including patients’ demographics, Utstein factors and outcomes on 608 consecutive OHCA patients at a single ED from January 2008 to December 2012 were retrospectively analyzed. The patients were categorized into 4 groups according to ED occupancy rate. The primary outcome was resuscitation outcome, a composite of rates of return of spontaneous circulation (ROSC), survival at discharge and neurological outcome at 6 months.

Course level NUR 427, applies to the extended role of nurses in family centered nursing care for clients and their families experiencing complex health conditions. Emphasis is put on the nursing care and management of complex health issues for patients across the lifespan in a variety of settings and must maintain a C average. To be able to graduate and receive my nursing degree I must maintain a C average and pass the LPN Exam at the end of the four years of nursing school. First time RN’s must receive their license by a final exam, they must take the board exam after they have completed and passed their registered nursing educational courses. The average annual wage for any registered nurse was $67,490.

In 2000, the Royal College of Nursing compiled a quantitative questionnaire survey of 6000 RCN members in the UK, excluding student nurses, focusing specifically at their well being and working environment in the health sector. The findings reveal that over the last one year of the study, 20% of nurses had been assaulted at least once while on job, 12% of nurses had been assaulted at least once a week, and 3% experienced assault on a daily basis. Just under half of the respondents included in the survey (49%) had been harassed and assaulted 2–6 times in the previous year. A statistical report compiled by Poster and Ryan (1993) exhibits in great detail that physical assault is worryingly high In the healthcare settings. Sofield and Salmond (2003) and O’Connell et al.

Introduction: Infection control and prevention is one of the most important issues in hospital practice today, especially with the emergence of drug-resistant bacteria In USA, approximately 99,000 deaths occur per year with hospital acquired infections and in France, the prevalence of hospital acquired infections was 6.87% in 2001 and 7.5% in 2006.In Italy in 2000’s, about 6.7 of hospitalized patients was infected. The overall nosocomial infection rate at Saudi Arabian Military hospital was 4.98 per 100 discharged patients. After construction of an infection control unit, Research Institute in Egypt conducted a surveillance program in a period from September to December 2001and the same periods in 2004 found that the overall nosocomial