The APN and K.S. will need to report her results of chlamydia today to the Florida Department of Health to ensure that all other sexual partners are informed of infection to seek
My career goal is to become a diagnostic medical sonographer, or an ultrasound technician. Each day as an ultrasound technician will bring new surprises. In the morning a sonographer could be conducting an OB/GYN ultrasound, helping an excited first-time mom see her fetus developing in her belly. Then, then in the next procedure your trying to calm an old woman as she waits to see if her tumors have grown. The days of a medical sonographer are never dull but are challenging, fast-paced, and rewarding.
In order to improve the quality of care and patients safety, the employee should operate within their scope of practice. Due to the incident which took place earlier, I would make sure the correct policy and procedure are put in place to eliminate any unauthorized staff from prescribing any form of medication. Medical assistants (MAs), are not license to prescribe medication (American association of medical assistants, 2017). The MAs administrative duties and clinical duties will be clearly outlined in the policy and procedure book. As the nurse practitioner, I would initiate a telephone triage line, which will give the patient access to a licensed personnel after hours.
After a fall, the nurse assesses the patient to identify the impact and whether a significant injury is present. Corrective measures are introduced, treatment plans are reviewed and modified as necessary by the treatment team. The process measurement shows the variations in quality and is taking place in the “now” thus offering more immediate indications of quality care (Donabedian, 2003). Depending upon the aftermath, the level of observation might change to a more restrictive level. PCC comes to play into the event of a fall because the goal of the nurse is to restore the patient to an optimal level of wellness as defined by the patient (Butts & Rich, 2015).
A mock survey is an investment in the facilities ongoing readiness. The knowledge they gain from the process and the changes make, not only bring them closer to survey success, but help achieve the ultimate patient safety goals. To reduce doubt and confusion, the educational packet for each clinician included a direction sheet outlining the purpose, the unit assignments, the time frame, the steps to follow in the process, contact persons for questions and a list of attachments for references. (Seigel, H.; Bileschi, C.,
I found the Q-tip test to be very cost efficient and quick to diagnose the patient. I agree with the plan. Based on the symptoms and the Q-tip test, stress incontinence is the most likely diagnosis. I personally would have had the patient leave a urine sample for UA and C&S to rule out the differential diagnosis of
I will be assigned to a new patient next week, and I will make sure that I will know everything about all the medications the patient takes. That will be done in order to know what I am going to be administering and how dangerous it will be if any of them are administered incorrectly. I will make sure all preventable complications will not occur. In order to do that, I need to know the function of the medication and what they are really for based on the patient’s diagnoses.
A rare cause of Acute Respiratory Distress Syndrome (ARDS) - Mycoplasma pneumonia in a middle aged women Case History A 66-year-old female presented to the Emergency Department of Sri Jayewardenepura General hospital with generalized weakness, faintness, and progressive worsening of difficulty in breathing over a week prior to admission. She also had dry non-productive cough, general malaise with myalgia and a low grade fever. She had consulted a GP and treated with salbutamol and steroid inhalers on outpatient basis. However, since her symptoms became more and more troublesome, she was admitted to the hospital.
The nurse will have to reassess these goals continuously, to ensure that any new problems are identified early and can be incorporated into the care planning for the patient. A review of the Care Planning for the patient needs to be evaluated to ensure that all nursing interventions are effective. (Rita Funnell, 2005) 3. What barriers do clients with a chronic condition face? (200 words).
After caring for Max, I found myself reflecting on the situation at hand and how I could utilize it to expand my nursing skills. From this reflection process, I had many crucial nursing skills reinforced, including the importance of monitoring IV lines at least once every hour to ensure there are no issues (Jantzen, 2014, p. 978), in addition to keeping IV lines organized to prevent tangling and/or confusion. This reflection process also presented me with the idea that if my patients are alert and oriented times three, according to the Glasgow Coma Scale (Jensen, Stephen, Skillen, & Day, 2012, p.717), I could ask them to notify me or any other nurse if they believe there is an issue with any of their IV(s) so that the situation, whatever it