US Preventative Service Task Force (SBIRT) Analysis

It is unfortunate that the consequence of Julie Thao’s decision to work overtime to help the hospital actually did the opposite by affecting her health and caused a fatal medical error. I completely agree with your 3 weapons against healthcare harm: leadership, safe practice, and technology. As Advanced Practice Nurses, I strongly believe we must to be accountable, responsible, and approachable in order to be an effective healthcare role model and leader. Our priority should always be patient safety as we assess, diagnose, and implement interventions. APNs should conduct continuous research for self-knowledge, to educate staff members, and to educate the patients. Like you had mentioned, patient education is important so they are aware

Reflect upon the clinical problem that you have identified in your area of nursing practice (as identified in Module 1). Critically appraise the research and summarize the knowledge available on the clinical problem.

Physicians and Hospitals go hand in hand when it comes to the medical care of patients, and it is this relationship that allows the patients to receive the care they need and deserve. It is also this relationship that we as health care administrators need to understand. In order to fully understand this relationship we need to define the concept of the integrated physician model. We also need to explain the importance of clinical integration in the strategic planning process, and the dynamics of and controversies surrounding accountable care organizations and alternative approaches to the current health system. I will also explain the advantages and disadvantages for hospitals and physician’s models. All of these things are important for health care administrators to understand about the relationship between a physician and the facility they work at.

As the baby boomer generation reaches retirement, which the numbers will double by 2030. they are wondering if there will be health care as they grow into their golden years. They are looking towards the government for the answer. With the cost of healthcare continuing to rise, the government which its divided Congress needs to come together to get healthcare on solid ground and make sure there is enough for everyone for years to come.

Nursing Shortage is a problem we all should be aware of. There are many factors that may lead to a nursing shortage, such as having stressful and unsafe working environments, and our nurses are being overworked. This is a problem we should be aware of because it is affecting the patient care. Nurses would not have enough time to stay with a patient if they have more patients to worry about. Nurses play a big role in our hospitals and communities, “Nurses play significant roles in hospitals, clinics and private practices. They make up the biggest health care occupation in the United States. Nursing job duties include communicating between patients and doctors, caring for patients, administering medicine and supervising nurses ' aides”(study).

As it is, practices are struggling to meet the October 1 ICD-10 compliance deadline. Assigning ICD-10 codes before then will cost real money.

Internal. To best disseminate Braden screening internally, it is important to include all acute care staff nurses, charge nurses, nurse administrators, case managers, unlicensed assistive personnel and involved hospital administrators. It is also important to include the acute care physicians, so that they are aware of the problem and intervention on a collaborative basis. A series of lunch and learn sessions, where staff members from each acute care shift can be exposed to the problem (including the prevalence of HAPUs in the acute care setting), the Braden Scale Screening solution, as well as an overview of benefits, costs and savings. This would be an opportunity to gain rapport with staff, and gain traction with early-adopters who will be key to ensuring a culture of taking the intervention seriously, as well as following the protocols and reporting procedures. That meeting would then be followed by a more specific presentation that will detail the steps of the assessment and intervention process with the staff nurses during a formal in-service training that should be able to be conducted in two to three hours. The use of a video or graphic

The clinical question for my article was based on quantitative search, nurse to patient ratios must increase to improve safety and the clinical question that is identified in the quantitative research article is how to increase nurses to patient ratio in order to improve patient safety and quality of life especially in older adult patients.

The Agency for Healthcare Research and Quality (AHRQ) is not an association that I was familiar with prior to this post. AHRQ’s mission statement is to improve the quality, safety, efficiency, and effectiveness of healthcare in America (Agency for Healthcare Research and Quality, 2015). Like many other associations, such as Healthy People and the Robert Wood Johnson Foundation the goal is the same, which is to better healthcare in America. While every association offers something different, the AHRQ offers a great tool for healthcare providers such as nurse practitioners. Some of the tools offered include continuing education events and up-to-date clinical guidelines and recommendations. Due to the fact that guidelines in healthcare change

Nursing burn out is at an all-time high. Hospitals are adding more and more to what nurses do on a daily basis and nurse to patient ratio is forever changing. In Jill’s situation, she was a very happy nurse placed in a horrible situation. ICU nursing is not the easiest, and Jill definitely got the bad deal of the deck with she started working on the ICU floor. Nurses and physicians were overwhelmed and burn out, setting a very stressful atmosphere for everyone including Jill, making it hard for Jill to be happy in the decision she made to become and ICU nurse.

“If we 're going to do better for our patients, we need to create a health care system that addresses the needs of everyone, especially our sickest patients, and those who struggle to make ends meet." Said by Dr. David Blumenthal, the president of the Commonwealth Fund. As we all know, the U.S. health care system is unique compared to the other modern and more civilized nations. The U.S. does not have systematic healthcare system, no universal health care system, but U.S. have an enacted legislation mandating healthcare coverage for almost everyone. U.S. have national health service, a single-payer national health insurance system, or a multi-payer universal health insurance fund, the U.S. health care system can best be described as a hybrid

Electronic prescribing allows the medical practitioner to send a patient's prescription electronically to the pharmacy. This allows providers instant access to a patient's eligibility and medication history. An electronic device allows the medical practitioner to quickly review a patient's other prescriptions and conditions, flagging the physician if the dosage is incorrect or if there are any contraindications to prescribing that specific drug. For instance, suppose Physician A prescribes Ibuprofen 800mg to a patient on Thursday due to a migraine. The same patient presents to Physician B at the same practice the next day with wrist pain seeking more painkillers. The device should tell Physician B that the patient already has a sufficient dosage of painkillers.

There are several ways that technology is transforming health care. Empowering patients to manage their condition leads to better disease outcome and reduction of hospital visits; hence, reduce health care cost nationwide.

The Centers for Disease Control and Prevention (CDC) is the premier source of information on issues of health, safety, and security that threaten the welfare of Americans both locally and abroad. The Centers for Disease Control and Prevention combats disease manifesting from countless etiologies by conducting vital scientific research and disseminating this information to protect our nation from costly and detrimental threats to our health, as well as responding immediately whenever such hazards arise.

Past research has focused on on the use of the SBIRT__________; however, did not review the association between the BAC level and the effective treatment interventions for patients to change their drinking behaviors, reducing re-hospitalization. Based on the review of literature, it can be hypothesized that the higher toxicology levels in patients receiving care in the STICU department at MCV will be associated with higher alcohol related intervention needs as suggested by the SBIRT. Additionally, we hypothesized that these results will vary by age, older patients screening higher on the SBIRT, than younger patients for more intensive interventions. In addition, a comparison review will look into the level of impairment in the patients who