A 16-gauge IV catheter was inserted, and a lactated Ringer’s (LR) infusion was started. The triage nurse obtained the following history from the patient and his wife. C.W. has had idiopathic dilated cardiomyopathy (IDCM) for several years. The onset was insidious, but the cardiomyopathy is now severe, as evidenced by an ejection fraction (EF) of 13% found during a recent cardiac catheterization.
Benson is a case of malpractice. “Malpractice, as distinct from the type of error that is the focus of the Institute of Medicine’s report implies a greater degree of individual culpability. Examples might include the physician who ignores the procedures in place to protect patients from error such as the time out to confirm that the patient about to undergo a procedure is, in fact, the patient scheduled for the procedure” (Zientek, 2010). This is malpractice because there was a duty owed to the patient to amputate the left leg. The breach of duty was the failure to amputate the correct limb.
Yet thousands of people die each year or escalates billions of debt to the health care system in the U.S. annually to fight them. According to the CDC these types of infections can be identified and isolated by cultures and laboratory testing. But to aid in helping battle the infections throughout the healthcare industry The Joint Commission has place accreditation requirements and various tools to reduce the infection rates in the healthcare field. Integration of Central Line Catheter Purposes
In the United Kingdom cystic fibrosis is a very common disease, and the cystic fibrosis trust claims that around 8,000 people suffer from it in the United Kingdom. The cystic fibrosis trust also claims that over two million people in the United Kingdom are carriers of the gene that causes the disease. They estimated that around one in every twenty five people carry this defective gene. In the United Kingdom causasian people with cystic fibrosis have a life expectancy of around thirty one years old. But with a baby born today with cystic fibrosis the chances are that they could live much longer,due to the improvements which are being made medically.
Task 7: Secondary prevention clinic This morning on the 17th September 2013 at the Hospital I attended the secondary prevention clinic, were patients with hypertension had to attend. One of the first patients to attend the clinic was a male and he is 49years. He was first presented to the hospital’s emergency department after an accident at work. This accident caused the patient to have two broken ankles which later lead to a myocardial infarction (MI) within a two hour period due to a possible ischaemic event within heart, suggesting ischemic heart disease. A clot busting drug Streptokinase was administered immediately to disperse the thrombus.
Hospitals must also submit reports of injury and death to patients that result from infections that were acquired while staying in the hospital (2009 Hospital National Patient Safety Goals, 2008). Conferring to the Centers for Disease Control and Prevention, annually, more than a million people suffer from an infection acquired while receiving services in a health care organization. By following the hand hygiene guidelines provided by the World Health Organization or Centers for Disease Control and Prevention, prevalence of infectious diseases passed from staff to residents will be significantly reduced (National Patient Safety Goals effective January 1, 2012). This results as a consequence of patient safety. Evidence-based practice solutions include health care
When the lymphatic fluid does not drain properly due to the blockage, the fluid builds up and the swelling continues. Lymphedema is most commonly caused by damage or removal of lymph nodes as part of cancer treatment. (http://www.mayoclinic.org/diseases-conditions/lymphedema/basics/definition/CON-20025603). Using the Medi-port has helped her to preserve the veins in her right arm to be used for blood draws, et cetera, in the
In the given case study, for instance, future provision of moderate sedation and additional backup must remain a mandatory exercise. Second, involves gathering of data and available evidence as a means of highlighting the occurrence of events, a behavior, or even condition (Clark &Taplin, 2012). According to most hospital regulations and ethics, when a patient begins to exhibit complications, it is upon the nurse and the ED physician to note the symptoms and offer appropriate treatment. Further examination of this scenario reveals a number of hazards/errors, i.e., shortage of qualified nurses, unfamiliar with appropriate medication dosages, the current procedure for conscious sedation was not followed, and the most fundamental hazard is the inability of the staff to prioritize and inform the administration (Nursing Supervisor) of the situation in the ED. The emergency department still failed to abide by medical ethics of practice.
Data, Information, Knowledge, and Wisdom Congestive heart failure (CHF) is very serious chronic condition with a high mortality and morbidity rate among the elderly population. According to the Centers for Disease Control and Prevention, approximately 5.7 million people have heart failure and there are 550,000 million people newly diagnosed each year in the United States. In addition, approximately 287,000 deaths a year are related to heart failure (CDC, 2012). Today, ED physicians want to quickly and accurately identify patients with suspected CHF in order to confirm diagnosis, determine the cause, severity, and treatment. Brain natriuretic peptide (BNP) is a hormone in the blood that is secreted by the ventricles and atria in response to cardiac overload.
According to the U.S. House of Representatives, majority of nursing homes do not have enough staff to meet the levels recommended by federal officials; the levels recommended are 3.45 nursing hours per patient daily. Senior’s usually lose their primary care physician, who is most familiar with the patient’s medical history and conditions, when they enter a nursing home. As a result of entering a new living environment, elders are given a doctor who has minimal knowledge when it comes to their medical history, and unfortunately physicians in nursing homes have an overload of patients and are constantly in a rush. Under federal law, physicians in nursing facilities are only required to see the resident once every thirty days for the first ninety days after a new patient is admitted to the nursing home. After the