A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation. Thus, I will discuss the impact of inadequate nursing documentation that leads to malpractice lawsuits. Purpose of Medical Record Documentation Understanding the purpose of medical documentation was the first step in teaching how to prevent inadequate documentations that leads to liability and malpractice lawsuits. Monarch (2007) supports the purpose of Medical Record Documentation as the following: • Substantiating the health condition or illness or presented concern for the patient. • Effective communication among health care staff.
This same protocol inadvertently restricted phlebotomy personnel from drawing blood out of the heparin locks, forcing them to initiate another needlestick procedure. Needs Excessive needlesticks are leaving patients angry and bruised. By addressing this problem immediately, we can help restore patient confidence and staff credibility. We must reduce the number of needlesticks are patients are receiving and eliminate any protocol that inherently or inadvertently increases the number of needlesticks. Scope The proposed plan includes a detailed assessment of methods, personnel requirements, training (including costs), feasibility, and expected results.
The knowledge of foundations and history of nursing provide a way to show just how important change and evolving something for the better can be. Nursing has come a long way and change is important to better the career and the outcomes for patients. The dynamics of the workplace and nursing staff have since evolved from the foundation. The education involved in nursing has made major changes. The treatments, equipment, and technology used from the beginning to present day has also changed and improved.
Mitigating Lateral Violence: Design for Change in Practice Stacy Lacaillade Chamberlain College of Nursing NR451 Capstone Course 28 November, 2010 Design for Change in Practice Evidenced based practice (EBP) is an empowering process for improvement in the health care professions. Rosswurm and Larrabee (1999) credit the research studies which used meta - analysis, randomized clinical trials and systematic studies of patient outcomes over the last few decades as having started this shift from the “tradition of intuition – driven practice…to the new paradigm of evidenced based practice” (p.318). However, evidence has encountered a certain amount of difficulty being implemented into practice, thereby necessitating the use of a model when implementing a change based on evidence into practice. This paper will discuss the six steps in the Rosswurm and Larrabee (1999) model for implementing change as they apply to the necessary change of mitigating lateral violence in the nursing work place. Step 1: Assess This step of the change process begins with the identification of a problem.
Nursing shortages and the need to cut costs in health care organizations has led to an increase in the use of Unlicensed Assistive Personnel to perform tasks which RNs performed in the past (Kleinman & Saccamano, 2006, p.164). Effective delegation is necessary to provide patient care. The RN must know the laws of the state (nurse practice act) regarding tasks that may be delegated and also be aware of any organizational policies which spell out tasks which may be entrusted to UAP (Finkelman, 2012, p. 402). The RN maintains accountability, responsibility, and liability for the task which is delegated (Finkelman, 2012, p. 404; Kleinman & Saccomano, 2006, p.166). Using critical thinking and nursing judgment, the delegating RN must determine which tasks may be safely delegated, and communicate the task to be performed, instructions, and expectations to the appropriate, competent UAP (Finkelman, 2012, p.408-410).
The call to form the primary care workers, including advanced practice registered nurses, especially nurse practitioners. The call to build the primary care workforce, will increase as access to coverage, service settings, and services will increase under ACA. Nurses are good in assisting transition from hospital to home, preventing medication error and reducing rates of infection. In short the product of the report if followed, would rise the number of nurse practitioners and doctorate level nurses to deliver health care treatment for some patient who are looking for treatment and are unable to find a health care provider ready to take
I believe these traits personally are important to have when entering the nursing field. I want to be the kind of person that can give patients the physical and emotional support that they need to face whatever problem that may arise. School is the place I need to go to be provided with the knowledge and proper qualification to provide the proper care to the patients. The medical field to me is fascinating to learn how our environment, DNA and what we eat affects our health. For example, I had read that a poor diet that is low in antioxidants and environmental exposure to toxins can damage the DNA in the cells and years later show up as cancer.
18-19). These early hospitals provided shelter, food and aid to the sick and infirm, under the direction of the local priests and physicians. While the art of nursing was practiced during this time, it was also a time of great superstition and cruelty, with illness being attributed to evil spirits and witchcraft, often resulting in the barbaric treatment of the ill and mentally disturbed (Funnell Koutoukidis Lawrence 2010, pp 4-5). It was during the nineteenth century, that progress was made in the field of medicine and a more complex understanding of disease and ill health was formed (Funnell Koutoukidis Lawrence 2010 p5). Due to the patriarchal structure and gender bias of the time, the science of medicine was considered solely a male field of expertise.
Here, we talk about the philosophy of nursing profession which to me should not be any different from the above scenario. The definition of nursing by the American Nurses Association include "protection...prevention of illness and injury, alleviation of suffering (ANA, 2004 p.7) is meant to provide direction, clarify value... (Masters, 2009 p.47). My main nursing value is to treat others the same way you wish to be treated. The nursing profession exposes us to come in contact with human beings either in their joyous moments as in delivery of new babies or in their worst moments like when they receive the worst diagnosis they could ever imagine. This is when nursing goes from being a "job" to a personal calling.
She then talks about how John Donne explains how the body is a fortress and he says we get sick when something invades our body. Sontag goes on about different metaphors until she states that illnesses were created because of identification of small organisms. The use of microscopes helped see the invader that caused these illnesses. She says it strengthened military metaphors because the body and medicine could fight these diseases. She uses the disease tuberculoses as an example and then goes in an idea of war against disease.