Patient Room Case Study
What about the physical layout of the unit and that patient room? How do you think that the physical layout facilitates, or hinders, the CRRT practice?
Interviewee: In general, the CRRT circuits are short, but that is for good reason, and it keeps them from getting sicker and hypothermic because all of the tubing is exposed to the air. You kind of have to finagle where you want the machine. It is usually pretty challenging, not challenging, but it can get pretty cultured if you have a patient that is on a ventilator, CRRT machine, Bare Hugger to keep them warm, and whatever else you want to add to the room. The more devices you add, the more crowed it gets. Most of the rooms are good sized.
Interviewer: The limited space in the patient room when you put the CRRT machine in.
Interviewee: Yeah, it is a big machine, and it doesn’t take kindly to being moved very much, and also
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Interviewer: Yes.
Interviewee: I think that the environment can be difficult because the patients are so sick, so things like ancillary staff to help. Like, we place a line to do CRRT, but the x-ray tech is busy and we need to verify the placement before we can start them. We send a lot of labs for CRRT and that can affect your workload and it can be difficult if we are waiting on labs to make these pretty important changes in their care. That type of thing can be a challenge environmentally.
Interviewer: Being a float, do you notice any changes across the units you have worked in?
Interviewee: Yeah, a little bit. In general, it has to do with the population. Like on 12K, their population is usually renal failure to heart failure. The cardiac insult has led to the renal insult, and so there is a difference in medications they are using to repair the original problem. On medical, a lot of times it is sepsis, so you are not a cardiac indicator for what is happening and more antibiotics and that type of
Davidson Room 319: A Case Study
353 Words | 2 PagesAt 11:35 on August 27, 2016 (8/27/2016) RA Eric Lovett was walking down the 3rd floor of Davisson doing his 11:00 round when Davidson room 319 was noticeably loud therefore prompting him to knock on the door. Resident Gillian (ID....) opened the door. Resident Nate billings (ID...) then projectile vomited prompting RA Lovett to enter Davidson room 319.
Room 362's Case Summary
381 Words | 2 PagesRoom 362 was prescribed 200 gm of Lactulose (Constulose) every six hours. This medication is a synthetic sugar that is used to treat constipation and improve ammonia levels by reducing them in patients with hepatic disease. In Room 362’s case, he was prescribed this medication in order to reduce the amount of ammonia within his blood. Lactulose withdraws the ammonia from the blood into the colon where it is removed from the body in feces ().
Nt1330 Unit 6 Lab Report
74 Words | 1 Pages1. What area/aspect of this setting is the most challenging? 2. In the setting, you work in, is there a certain population of patients you see more? How does this affect you?
Staff Room 620 Dayroom Observation
378 Words | 2 PagesOn the indicated date and time I Deputy Garcia #618055 was assigned to staff station 620 at North County Correctional Facility (NCCF) when I heard a loud thud which is consistent with that of fighting. I saw Inmate Lopes, Juan #3456712 (later identified as suspect/victim 1 (S/V)) and Inmate Henry, Chuck #2345678 (late identified as suspect/victim 2 (S/V)) on the ground by the day room punching each other on their face and torso. I put a radio broadcast of a minor 415 inmates in dorm 623 with my county issued radio (minor 415 is a common radio code in our facility which indicates a fight is in progress or just occurred). I also requested additional personnel, Sergeant and Senior to my location. I ordered S/V1 Lopes and S/V2 Henry to stop fighting and they complied.
Case Study Heritage Valley Medical Center
540 Words | 3 PagesBackground statement: Heritage Valley Medical Center has had a wonderful reputation for providing excellent health care services to their community. Initially, their community was 80% Caucasian, 40% African American, and 5% Hispanic. However, in the last 5 years, the population has changed to more minorities and the whites have moved out to the suburbs. This caused the Center’s occupancy rate to go down 40% because many of their traditional, more affluent, private-pay patients had left the neighborhood. To bring in revenue, they campaigned to bring in more Medicaid patients.
Ambulatory Clinic Case Study
593 Words | 3 PagesEvaluation Team Marcia Durity, Durity LLC will oversee the study and aid the general physicians, family medicine physicians, internists and gastroenterologist at each doctor’s group office and Ambulatory Surgical Centers in Coral Springs, FL and Parkland, FL to implement this evaluation. Data Collection Management The following data will be collected: patient age, gender, socio-economic status, and patient preference for either the CT colonography or the colonoscopy procedure or willing to undergo a procedure that you did not prefer. This is evaluated on the Likert questionnaire by addressing feelings about several issues such as the process for cleansing the bowel, light exposure to radiation, risk of internal injury, sedation use, inserting devices within the body, embarrassment, noninvasive, pain, discomfort, comfortable, bloating, cramping, waiting times before and during the procedure, convenience, and the ability to drive and return to work after the procedure. First and foremost, the office manager, the HIT technician and Ambulatory Surgical Center Staff must have Microsoft EXCELsoftware on their computer 6 months before the beginning of the study.
Urgent Care Clinic Case Study
178 Words | 1 PagesAn Urgent Care Clinic is slated to open near the corner of Ke 'awe Street and Au 'ahi Street. The Queen’s Medical Center has 533 hospital beds and about 4,200 employees. It is a major healthcare service provider for the State of Hawaii. The hospital is situated about a quarter mile north of King Street, along Punchbowl Street and is located directly across from the Hawaii State Department of Health.
Nursing Medication Errors
2353 Words | 10 PagesNurses' perceptions of how physical environment affects medication errors in acute care settings Introduction "Medication errors results from the interaction of multiple factors that include regulatory environment, organizational leadership and commitment, management policies and procedures, complexity of tasks involved, work culture, and physical environment" (Chaudhury, Mahmood, & Valente, 2009, p. 229). Health care services that nurses perform in the hospital environments are physically and psychologically intense, which can potentially result in burnout, stress, and medication errors. Crowded and poorly designed work spaces are factors that contribute to staff stress, resulting in the risk of increase medication errors (Chaudhury et al., 2009). Ulrich, Zimring, Quan, Joseph, and Choudhary, 2004 (as cited in Chaudhury et al., 2009) "argued that reduction of nursing staff stress and error by physical environmental dimensions (such as air quality, acoustics, lighting, and so on) can have a significant impact on staff health and efficiency" (p. 230). There is limited research on the how physical environment affects medication errors.
Bed Room Analysis
441 Words | 2 PagesThis room has six large windows spanning the whole length of the far wall, this gives a good daylight factor. As it is a rectangular room this allows the light to fill the entire room. There is a very good skyline component which can be seen at desk height from the far side of the room. This room receives no obstructing components like adjacent buildings which allows the maximum amount of light into the room. The binds at the top of the windows allow the daylight factor to be moderated.
Common Room Observation
1135 Words | 5 PagesThe environment I chose to observe was a Freshman residence hall common room within Millenium Hall. The common room has a five piece couch and chair set that can be easily moved and reoriented. During my observation period the furniture was oriented in an L shape facing a 48 inch panasonic television. The specific area would play host to the floor during the NFC championship. The Philadelphia Eagles are playing in the championship game so a large floor gathering was scheduled.
Observation In The Waiting Room
813 Words | 4 PagesRecently, 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.
The Pros And Cons Of Accommodations In Hospitals
391 Words | 2 PagesAccording to the Americans with Disabilities Act, the hospital is required to make reasonable accommodations. This may include mental or physical limitations. Examples of reasonable accommodations may include adjusting working conditions, schedules, and training material, restructuring jobs, reassigning individuals to different tasks, and providing readers or interpreters (p. 56). However, in some situations an accommodation may have an adverse impact on patient’s outcomes. I feel that this may include any disabilities that may prevent the healthcare worker to preform the tasks as expected.
Patient Observation
68 Words | 1 PagesSince I only did observational duties, I was still able to do minor things that does not deal with me lifting patients or touching patients wounds. While the PT have their patients around their gait belt, I would follow behind with patients wheelchair, since at times the residences become tired quickly than others. Since majority of the residents either stayed in the wheelchair or in bed all day.
Reflection On Preoperative Experience
1217 Words | 5 PagesThe circulating nurse also initiated the time-out. During the time-out, the circulating nurse said the patient’s name, the surgery that the patient was getting, and the limb in which the surgery was being performed on. The other health care professionals agreed that it was the right patient, right site, and right procedure. Throughout the surgery the circulating nurse continued to ensure the safety of the patient by watching the surgical staff and making sure that the sterile field was not contaminated. This nurse’s role also included gathering materials for the surgeon, throwing away trash, and keeping the environment comfortable for the staff.
Carroll University Hospital Case Study Solution
869 Words | 4 PagesBased on this case the cost driver is to properly distribute the direct cost among the different divisions. Dr. Julian would like to control her departments costs by having them distributed fairly among the divisions without affecting the hospital’s reimbursement/revenue. Carroll University Hospital is currently using the standard costing unit, which is based on the cost of bed/day for inpatients. Currently the present cost accounting system that is being used at CUH takes the total direct cost of the departments, then allocates the indirect costs and distributes it among the departments evenly regardless of the actual resources being used in those departments, and without considering that there may be some patients in these divisions that may require more resources than others, this method does not seem to recognize the different activities,
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