Anchor Home Health Care has an immediate opening for a Full-Time Registered Nurse, licensed in the state of Indiana, with one year of nursing experience. Essential duties and responsibilities include evaluating/assessing the health care needs of the patient and make recommendations for admission into agency services. Admit patients for services in the home utilizing Anchor’s admission guidelines. Develop and implement the plan of care for each patient, in cooperation with the patient’s physician and the professional disciplines providing services, addressing the patient’s specific needs, home situation, and family/household unit. Re-evaluate and record the patient care needs of the acutely ill and/or chronically ill at each home visit and obtain necessary revisions from the patient’s physician as needed.
Reflection – Handover During my time on placement so far I have encountered the handover of patients between nurses coming on and off duty every single day. The purpose of this essay is to reflect on this event. The purpose of reflection is to promote desirable pactise though the practitioners understanding and learning about his/her lived experiences (John 1995). I have decided to use the first handover that I saw being given for this reflection. It was my first placement on a rehabilitation and palliative care ward.
Facility administrators need to establish a balance between providing a safe environment, while at the same time providing each resident with opportunities for choice, control, and individuality (Kane & Kane, 2001). The staffing levels of professional nurses in a nursing home are not as high as that of a hospital; however, nursing homes have registered nurses on duty that perform assessments, administer medications, perform treatments, and interact with families and physicians, to name some of their many responsibilities. Nursing home residents often become ill. In 1997, there were 1,465,000 nursing home residents and 2.1 million elderly nursing home discharges due to hospitalization and death in the United States (Gabrel, 2000). When a resident is observed to have a condition change, the nurse performs an assessment and makes a decision whether or not to notify the physician and the resident’s family or guardian.
Treatment plan “Approximately 28%–58% of individuals with heart failure (HF) suffer from cognitive impairment, commonly identified as difficulty with concentration and/or memory” (Bauer, Johnson, & Pozehl, 2011 p. 577). Mr. P needs a treatment plan that he will be able to adhere, considering his cognitive decline. His wife should be included in his treatment plan and will have to become a leader from now on. When Mr. P admitted to the emergency department, nurses provide basic care in order to sustain life. Nurses should be recording vital signs, order appropriate laboratory work ups, put Mr. P on oxygen via cannula, put him on I&O, administer prescribed medications, and strict daily weights.
Sometimes in most cases a particular family member is trained by nurses to provide hands on care, and to supervise the patient around the clock. Many patients in hospice have been discharge to either home or nursing home if the disease goes into remission meaning if the cancer(s) somehow have subsides. Hospice was not designed to end hope for the patient or their family but to make the expected/unexpected death as comfortable and peaceful as possible. Hospice is not only for the elderly and cancer patients but it is for the young, the chronically ill. Hospice has a huge impact on our health care system the life expectancy is increasing tremendously. This is statement released by a group of physicians who did a research study on hospice.
The program would use case managers and a database tracking system to enhance patient access to regular healthcare services, connect patients to regular healthcare services and help combat logistical interference in getting the right care. Solution: Identification of potential clients: If the patient indicates a basic need (for food, shelter, etc.) during a visit to the emergency department the attending nurse or physician can initiate a referral to the case management program by giving the patient information about the program and placing an order in the chart. The case managers and program director receive weekly reports of these
CLINICAL OBSERVATION. I was observed on the ward today by .............. for one hour. During this time I performed a set of patient observations, tested a patient’s blood sugar levels and aided a patient change his clothes and sit in his chair. Regarding the patient observation, I firstly explained to the patient what I was going to do then proceeded to gain the patients consent by asking them if I could check their blood pressure, the patient verbally consented by answering “yes”. I confirmed the patient’s identity by asking them their name and date of birth.
Via Christi Clinic includes more than 200 doctors practicing in more than 40 specialties in Sedgwick, Harvey and Butler counties ("Via Christi Clinic", 2015). They target their patients throughout their many clinics to use their immediate care locations when needed. Via Christi Clinic targets their existing patients to use their Immediate Care so they can save then time and money over using an ER, because minor illnesses are kept waiting at the ER to give priority to patients with life-threatening conditions. Co-pays are also less for Immediate Care and Via Christi Clinic Immediate Care offers online check-in at Wichita locations. In order to target consumers who do not see a primary care physician in the clinic, they advertise on television, radio, print ads and through social
The determination to facilitate the veteran in the Lake City VAMC places the chart in a holding area. The pre-anesthesia nurse picks the chart up three days prior to the scheduled surgery. One it arrives back in her hands the chart moves through a verification phase and is reconciled with the surgery schedule for accuracy. On the scheduled day the veteran arrives he or she is taken into a preoperative area (ambulatory care) and readied for surgery. The operating room calls for the veteran the veteran is transferred via stretcher.
The researchers obtained a written approval from the ethical committee of the military education and research hospital and got approval from the nursing department as well. They also explained to the participants the study goals and methods with face-to-face communication. They received oral and written consent from the nurses that participated. The data collection form consisted of two parts and was designed to report the perspectives of nurses on medication errors. The first part of the questionnaire consisted of seven questions regarding the participants age, departments, educational levels, work positions, work intervals, average hours worked per month and shifts.