I have a conversation with Mrs. Johnson and see if she is willing to go into a facility. You have to let the client be a part of the service plan. I will verify if Mrs. Johnson has the capacity to make her own decision and level of care from her primary care physician. If she has the capacity and Mrs. Johnson is now willing to go into a facility. I will speak with Mrs. Johnson to see if she has any children or family to assist with care and if she does see if someone could move in with her to provide care.
Although it is the patient’s right to refuse treatment, it is our duty as doctors to educate the patient about her condition, the possible complications, and the benefits of treatment if she agrees to receive any. The doctor should also exlain different management options, blood transfusion or iron supplements. The patient should also understand the risks of her condition in case she decides to get pregnant. Counselling should also be done by asking the patient why she refuses receiv9ing blood transfu=on. The patient for eg may have had a negative experience at a hospital admission and is therefore afraid of the same experience.
Under autonomy the nurse should respect the gal’s decision on terminating her pregnancy. In Veracity the gal who is helpless came to the nurse to seek help, So as a nurse she should provide the right information on the process of an abortion. Under confidentiality the nurse is responsible to protect the gal medical information. She shouldn’t be disclosing the pregnancy to any third parties.
Appropriate discharge needs to be carefully assessed to prevent hospital readmissions. As nurses, we have the responsibility of educating our patients to take care of themselves and manage their conditions at home. Prior to leaving the hospital, nurses ensures that medications, discharge summary and patient instructions have been discussed thoroughly. In general, discharge information should be emphasized on ensuring understanding.
Applying Health Promotion Model to a Practice Problem It was learned from the first part of the paper that problem is inevitable and it is part of daily healthcare practice. One problem focused in the previous paper was about the safe staffing issues particularly about the safe staff level of nurses to patients. In this paper, the issue regarding safety staffing will be recalled by providing a brief summary of what was learned from the previous paper, and a middle range theory will be applied to the said problem. Applying a theory to intervene a healthcare issue can be done in providing nursing care and through the leadership and action of those in the administration of health care services.
• Prior to restraint, nurse must ensure environmental safety • Infant kept under close observation when restrained. a) Guarantee that a physician’s order has been provided or, in an emergency, obtain one within 24 hours after applying the restraint. b) Concern nursing staff will check with physician regarding giving sedation to the patient. In case of sedation/medication, doctor should ensure that the orders are written in patient’s record. In case of verbal orders (if situation does not allow written order), doctor should ensure that he writes orders for medication within one hour.
Information packages can be provided for those unable to attend which after reading have to be reviewed by them with a nurse on duty prior to their own shift. These packages can contain history and reasons of falls and some fall management strategies Graham (2012) . Upon completion of these sessions, the participants should be able to Ø Correctly name the components of Fall response. Ø Correctly complete the Tracking record for Improving patient safety.
(750 words) The HCPC standards of conduct performance and ethics (SCPE) briefly mentioned in part a) set a broad expectation of the type of behaviours health professionals require (HCPC, 2016). Any complaints made by the service user or members of staff about treatment/ healthcare professionals will be compared to the SCPE to allow the HCPC to check if they were treated with the required standards. Thus, suitable disciplinary action can be given; preventing the public being at risk.
Translation Steps 11, 12, and 13, 14: Action Plan An action plan for implementing the pilot program for intentional hourly rounding will begin for the telemetry unit selected. Prior to initiating hourly rounding all staff nurses, charge nurses and nurses assistants will attend an educational in-service provided by the clinical nurse educator on the benefits of hourly rounding, how to effectively complete hourly rounding and who is responsible for the rounding. The education will be offered at set times and is mandatory for all staff to attend. Hourly rounding pilot will begin on the selected unit on the November 1st 2015.
“School nurses frequently work in isolation and do not have the luxury of consulting a colleague in the hallway, so it is vital that the school health resources are evidence-based and current” (DuChateau, Beversdorf, & Wolff, 2015, p. 175).This could be accomplished by the RN preceptor researching and reading current journal articles. It is very important for practicing RN in any setting to stay abreast of current EBP. “The goals of EBP are to provide better outcomes at lower costs while improving patient (student) experiences and nurses’ experience” (Maughan & Yonkaitis, 2017, p. 288). Secondly, I would recommend that the RN preceptor schedules her day to not only perform tasks as they arrive but, devise a clinical flow plan of what tasks need to be completed first.
Today, a medical assistant has asked to speak privately with me, the office manager, about a matter that she is greatly concerned about. She makes an accusation of fraudulent billing that is against one of the medical doctors on staff. The medical assistant alleges that she has noticed recently in the past few months that this particular doctor has repeatedly been upcoding higher evaluation appointment code descriptions for all of his Medicare patients’ appointments. She believes that these visits should have been listed with lower medical description codes for billing purposes. I would thank the medical assistant for coming to me with this information.
In care settings the currently legislations, guidelines policies and protocols relevant to the administration of medication would be: - The misuse of drugs act 1971 - The Medicines Act 1968 - Care Standards Act 2000 - The Health and Social Care Act 2001 The Control of Substances Hazardous to Health Regulations 1999 - The RPS Handling Medicines in Social Care Guidelines The recording, storage, administration and disposal of medication must be adhered by employees in accordance with the current policies and procedures. The policies are in place to protect everyone - training must be undertaken or up-to-date before support workers can administrate any medication.
Health and safety policy Healthy and safety in a general practice surgery aims to keeping patients safe in the surgery. The responsibility of keeping service users safe should be on all the employees. The Health and Safety at Work Act imposes duties on employers and employees to protect individuals. To enable these duties to be carried out (Deepingspractice.co.uk, 2015) GP surgeries have a sharps bin, which is for the disposal of sharp instruments, such as needles. This bin should be kept open and not filled to a certain level because the lives of the patients may be at risk.