I came to know how the system works while people are seeking health care services from ER. When patients arrived in ER, they are categorized based on their acuity level from 1 to 5 by triage nurse at triage room. Triage level 1 are the patients who need immediate care and doctor must see them immediately. Triage level 2 are the patients who needs immediate care and doctor and nurses must see them with in 15 minutes of their arrival. Triage levels 3 are patients who need care soon and doctor and nurses should see them within next 30 minutes or so.
Kevin Hyer has been working for Nittany Regional Medical Center for three years as a registered nurse. Kevin is also the Union steward for his ward of the hospital. In this paper I will explain the rationale behind my decisions; finding nurse Kevin innocent of insubordination and the intent to put a patient’s safety at jeopardy According to Ms. Martinez, Nurse Kevin refused a lawful and direct order from her to move a patient from a gurney to a bed post operation procedures. Both the Hospital and Ms. Martinez also felt that there was another direct violation. Through the hospital and Ms. Martinez’s eyes Kevin neglected the patient; leaving the patient in the gurney for an unacceptable duration of time for another staff member to move.
A PICC line is placed in a vein antecubital area or upper arm. The PICC line is about 18 to 24 inches long with the tip extending into the superior vena cava. Midlines are used as a short-term intravenous (IV) for patient's requiring peripheral access for more than 5 days but less than 4 weeks. Only drugs and solutions that can be safely infused through any peripheral catheter should be infused through a midline catheter. PICC lines are indicated in patients requiring several weeks to 6 months of IV
| Accreditation Audit: AFT Task Three | Stephanie Clements | | | Western Governor’s University | | Evaluation During the audit prior to the Joint Commission visit, a Surgical Patient Tracer Worksheet was completed. Some of the questions that were asked are “Show me the patient’s admission assessment (or initial nursing assessment). When is the assessment done? By whom? Can an LPN do an admission assessment?” The notes/deficiencies identified by the auditor are as follows: “History and Physical not done within 24 hours of admission (>72 hours)”.
Emergent need for dialysis 2. Starting hemodialysis with a catheter rather than with a fistula or graft 3. Starting dialysis as an inpatient rather than an outpatient During the months surveyed in 2009, some 70% of all patients starting hemodialysis fit some or all of these criteria. Notably, of the remaining 30% virtually all had been enrolled in the Chronic Kidney Disease Management Program. Importance of vascular access for cost containment Multiple studies have shown that a fistula is the best on most cost-effective vascular access, followed by a graft, and that having a catheter as hemodialysis access is by far the worst, having not only the highest initial cost, but also the highest re-admission rates for serious events such as catheter-related bacteremias, which in most cases have to be born by the hospital system given that a large number of patients are uninsured or underinsured.
Hospital Acquired Infection (HAI), or as it is sometimes referred to as Nosocomial infection; is an infection occurring in patients after admission to hospital that was neither present nor incubating at the time of admission. This student will discuss the role of the nurse in preventing hospital acquired infection while on clinical placement, define HAI, and look at the causes of HAI and how it is spread. This student will also show in order to minimise these risks, systems must in place, understood and implemented by all concerned. Plowman (1997) claimed that, 6,000 deaths per year are caused by HAI, with significant financial costs for the NHS and personal costs for patients’ families. Other factors include separation from family, anxiety, sense of isolation and stigma.
The principles used in ethical decision-making and the Nursing and Midwifery code of professional conduct will also be discussed. The writer will be looking at a scenario within her practice exploring some legal and ethical issues that arises during practice, adhering to confidentiality at all times. A summary of the main points will be discussed in the concluding part of this essay. In this essay, the writer will explore a scenario of an elderly patient who had a hip fracture was admitted into the ward from the accident and emergency unit. Her medical history included advanced senile dementia and severe heart problems with a ‘DO NOT RESUSCITATE ORDER”.
Treatment should be repeated in about 4 weeks time and all clothes, towels etc. should be washed seperate from other residents. Any type of infection in a nursing home for the elderly can be dangerous because they might have a low immune system so they haven't got the physical strength to fight it and therefore sadly there is not always a good out come. We as carers
Reflection During this week at clinical placement at St. Michael’s hospital my partner and I were required to talk to a patient in Respirology Department in order for us to get an idea of patients’ experiences at the hospital and of how to approach them. After putting on masks and gowns, we went into the patient’s room, which was followed by a brief introduction. Then, my partner and I took turns asking questions about the patients stay at the hospital, history of his medical condition, and his life outside the hospital. However, I quickly ran out of questions to ask and I had to stop and think of something new to inquire every time the patient was done answering the previous question. My partner seemed to have the same problem.
2.2 An admission interview is crucial in any situation where the patient is seeking a consultation or where they have to be treated. At the abortion clinics staff nurses have to ask all relevant questions such as demographical characteristics, general health (allergies) and financial circumstances (medical aid, employment). The nursing staff must collect this information so that the patients next of kin may be contacted in the event of something going wrong, the patients address for the bill to be forwarded to and for future communication purposes, medical aid details (if applicable) so that the patient may claim back from them after treatment and general health issues so that the health professionals initial approach may be correct. The history-taking interview is essential at the abortion