MEMO From: Joshua A. Burger (Gibbs), Phlebotomist, Genesys Regional Medical Center To: Office of Susan K. Kolka, Hospital Administrator, Genesys Regional Medical Center Subject: Excessive needlestick complaints and proposed corrective action 11/11/2009 Introduction Statement of Problem Inpatients of Genesys Regional Medical Center are complaining of excessive needlesticks during their stay at our facility. After receiving dozens of complaints, policy changes were made to allow the patients to receive a heparin lock as standard procedure, but the complaints continued. To promote patient comfort, safety, and well being, the hospital needs to take immediate action to reduce the number of needlesticks that our patients must endure
Noncompliance, due to the several steps and time pressure, and variation in the manual method is believed to be at fault. It was decided to trial the use of SwabKit® in early 2010 on the critical care units, medical-surgical units, and step down units. They used the caps on central venous catheters (CVCs), peripherally inserted central catheters (PICCs), and peripheral intravenous (PIVs). The trial was successful, so they decided to implement use of the kits hospital wide in July 2011. After a two month adjustment period, the hospital began to record data on the use of SwabKit®.
They will also need to monitor for any side effects or adverse reactions to his medications and report them to his physician as needed. Family members will need to ensure Mr. Trosack has adequate supplies for dressing changes and blood glucose monitoring. Mr. Trosack will need transportation from the hospital and to follow up appointments and physical therapy. The family will need to evaluate whether or not the safety issues discussed above have been resolved and may need to collaborate with the occupational therapist to ensure Mr. Trosack can safely move around in his apartment. They will need to provide groceries and take out the trash daily as Mr. Trosack is unable to do so.
Additionally, the medication information is updated in the patient’s medical record and easily available for follow-up visits. A major advantage of CPOE functionality is built-in clinical decision support. Alerts appear when orders are entered for medications or treatment that may cause an adverse reaction to a drug or drugs that had previously been ordered for that patient. The same applies to dosing errors—if a care provider ordered 250 mg of a drug for a 10-year-old patient, but maximum dosage is
All healthcare workers are required to report anything that affects the environment If there are any issues with the clinical environment for example any of the equipment we use is faulty or needs calibrating then we inform our Practice Manager who will make the necessary arrangements for equipment to be either sent out or for someone to come in and check over the equipment in the practice. If we require new equipment it’s always useful to attend relevant training courses where relevant information on who we can approach in regards to assessing our equipment is given out for example just recently I attended a course on INR Monitoring and Warfaring Dosing this allowed me to meet an advisor who can check over our machines when they aren’t working to the standard the practice sets out. By attending this course I was able to pass the details of the advisor over to our Practice Manager who has now arranged for her to come in and check over our equipment. The best way to investigate into where we can report and adjust our environment is by attending courses, it is always essential to keep up to date with relevant protocols as they constantly change so attending courses will enable us to keep working to the standards that is expected and help keep us up to date with relevant companies who are there to help. 1.4 – Describe the impact of environmental changes on resources including storage and use.
EBT1 TASK 3 Research Integration and Outcome Evaluation Deborah Tyrrell-Turner Western Governors University A1. Procedure Studies have shown that the procedure of shaving a surgical site prior to surgery increases the likelihood of postoperative surgical site infections. Studies have indicated that shaving the surgical site before surgery can cause a change in or loss of protective skin flora at the incision line, as well as micro trauma of the area increasing the colonization of bacteria, (Celik & Kara, 2007). The Institute for Healthcare Improvements, (IHI) has recommended the avoidance of shaving surgical sited unless it is absolutely necessary for the procedure. They recommend using clippers to remove hair before surgery, outside of the operating room, (IHI, 2013).
At Hospital XYZ, during the morning period of 8am to noon, the wait time from when a physician orders an X-ray to the time the patient returns from having it done is too long as this is when most of the X-Ray orders are given and there is a backlog of patients. During a process mapping exercise, it is determined that a large number of orders given during this time were "catch all" orders, where the physicians are ordering them just to be on the safe side. In order to fix this problem and not the symptom, the hospital should: Complete in-service training about the "catch all" orders 5. Workflow and process mapping should occur in the middle to late planning stages of an EHR implementation because you will have figured out all of your "bugs" by then.
The Essential Health St. Joseph’s Medical Center goals are the highest quality of care, patient safety, patient satisfaction, wellness, and happiness of the patients. According to Essentia Health St. Joseph’s Medical Center (2009), “our mission is to provide a comprehensive, team-based program of high quality, patient centered heart care” (Cardiology, Para 1). Ethical principles are goals within the organization. The ethical theories are applied to try to make the organization to become successful. The goals of the ethical principles are respect for autonomy, beneficence, justice, and least harm.
They will double check to make sure all information is the same or if anything needs to be changed, like your address, phone number, and your insurance provider. Some will take a copy of your insurance card every time you visit, and some will take it only when you change your policy. A new or established patient can sign an assignment of benefits statement so the physicians can submit the claim for the patient and receive the money faster and save the patient from doing all the
Equipment in the clinical environment must be decontaminated appropriately after every use and before moving on to another patient.. Chloral clean should be made according to given method too much water or very less water makes it less effective. 2. Explain the purpose of cleaning schedules. Cleaning schedule is important as it explains staff and patients and visitors- who cleaned, what is cleaned, what time and day cleaning happened, how often cleaning happens, whether something nedds to be cleaned daily, weekly or monthly. 3.