Wheeler Clinic Reflective Essay

D-This writer placed the patient on hold to address her poor attendance at CRT IOP. According to the patient, she had stopped going due to an individual at the IOP by the name of "Tammy." The patient says, " We use to get high together and everytime I see her, she always talk about getting high...... I can't deal with that........ but, I am exploring Wheeler Clinic and I'mma do a walk in on Monday....

D: Client was on time for intake appointment. Together, discussed the assessment recommendation and barriers to successful treatment outcomes. Client reviewed and signed of all treatment admission paperwork, including treatment agreement, ROIs, THS treatment policies, THS alcohol drug Services patient rights, THS patient responsibilities, THS health and safety information, THS counselor disclosure information, patient grievance procedures, THS HIV/AIDS information, THS notice of privacy practices, referral to Quit smoking, and marijuana policy. Treatment plan was developed, which was focused on Dim 4, 5, and 6; focusing on developing readiness to change, identifying relapse potential, and building a strong family and social support system.

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.

I: CM guided client through ISP goals. CM inquired about client’s upcoming LAMP VASH appointments. CM discussed and encouraged client to get his driver’s license. CM praised client for being honest regarding drug use but also encourage sobriety. CM administered Beck Depression Inventory and review results.

Good Morning all, The confusion continues… Per the DOE, the Admin Supports are now required to the complete the Inpatient reporting class via TLC (RPT0-can be typed in the search field on the TLC page). Users will need to register and choose all of the classes associated with the registration before clicking on the submit button. Once they have completed all of the required classes and passed the assessment Epic security will be notified and access will be granted.

The Patient Assessment is one of if not the most important skill and tool in the in the career of an Emergency Medical Technician. EMS stands for Emergency Medical Services this is like the genus or the foundation and Paramedic, Advance Emergency Medical Technician (AEMT), and Emergency Medical Technician (EMT) are like the spices. Each of these spices has different ranges of the skills they are allowed to perform but each one has to go through one common step and that is the Patient Assessment. There are five steps to the Patient Assessment those steps are Scene size-up, Primary assessment, History taking, Secondary assessment, and Reassessment. Step One: Scene size-up 1.

D-The patient missed Orientation II and reports she was stuck in traffic. This writer informed the patient about calling the clinic to inform the facilitator that she was running late; howevfer, the patient reports that her boyfirend as her phone as why she was unable to call. The patient signed treatment contract due to the missed Orientation and also, non-compliance with UDS testing. The patient and this writer agreed to completed Orientation II on Thursdays whereas this writer completed Orientation I as it pertains to the policy and procedure of the clinic-importance of attending all scheduled appointment, i.e. medical and individual sessions, daily dosing, hold list, Breathalyer, notifying Nursing regards to prescription medication and patient 's to notify PCP about their

contacted insd and reviewed claim handling, insd shared his experience and felt that he needed to rate the service he received based on the overall handling, he felt that the adjuster who inspected the vehicle was wonderful as was the others throughout the process but being a firefighter and being responsible for communicating information and it being logged he was upset that all information regarding the clmt was provided at FNOL and why it was not recorded and communicated was not acceptable. He did not want to wait to get vehicle fixed for fear of rust developing on vehicle and had to pay the $500.00 deductible He indicated we did not contact his witness who was a Pastor and should have been contacted. reviewed file that we did contact the witness who provided the correct tag information and we were able to locate the information for clmt based on that

Recently, time was spent observing and waiting at a doctor’s office. The practice is a small, one doctor general practice. Sign-ins are done on individual slips of paper, and left on the counter, then patients sit and wait until called. In the waiting room, the doctor tried to mitigate aggravation for those waiting by providing a television, a variety of recent magazines, and various medical brochures.

You are a new nursing student who has been hospitalized for injuries from a major car accident. Earlier today, you were told the fracture in your right leg will require complicated surgery to repair and extensive rehab to recover. There is a question as to whether you will ever regain full use of this leg. The surgery is scheduled for tomorrow morning. Tonight you are alone in your hospital room and the night nurse has just come in.