Why? d. What teaching interventions would you provide to the client after the change in prescriptions you recommended? (List at least 3 interventions) 2. Mary S. is an attorney (who is 48 years old) who has suffered from epilepsy for about 25 years and is taking the medication phenytoin. You are looking at her electronic medical record and note she has missed several of her quarterly MD appointments.
Each short chapter focuses on an aspect of her experience, and these are arranged in kind of chronological order, so as to tell her story of the people she met and the treatment she received. Kaysen's memoir was originally published in 1993, but it portrays events from 1967 to 1969. She signed herself into McLean Hospital at the age of 18, and stayed for nearly two years. Over 20 years after, she hired a lawyer to get access to the medical records giving her diagnosis, and some of these are published in the book. She questions whether she received appropriate treatment, but her answer to her own question is not clear--she certainly does not come out swinging the battle-ax of antipsychiatry.
WGU Accreditation Audit RAFT Task 2: Root Cause Analysis of a sentinel event A Root Cause Analysis (RCA) of a sentinel event is completed to immediately investigate and respond to possible inductions involving the death or injury of a patient. (Joint commission, 2013). Purpose of this report - To execute a Root Cause Analysis for a Sentinel Event occurrence at Nightingale Hospital. Sentinel Event - Child Abduction Date of Issue/Incident – Thursday September 14, at 12:30 PM Background of Issue/Incident - A three year old female patient was brought to Nightingale Hospital by her mother for an outpatient surgical procedure. The mother asked the pre-op nurse how long the procedure would take, because she had to tend to another child and would need to leave for a short while.
Time Line Numbers of Nurses Needed Total Attrition Retired Quit Discharged Hired Three Years Ago 590 45 20 20 5 NA Two Years Ago One Year Ago Current Year Next Year Year After Next 600 610 620 625 637 50 55 60 65 70 20 20 20 20 20 25 30 35 40 45 5 5 5 5 5 55 60 65 65 77 Total Nurses to be recruited in the next two years: 65+77 = 142 Q.4: WHAT ASSUMPTIONS ARE YOU MAKING IMPLICITLY IN THIS EXERCISE – I.E. FIGURE OUT CHANGES IN THE HOSPITAL AND IN THE OUTSIDE ENVIRONMENT THAT MAY MAKE YOUR FORECAST INCORRECT? • WE ASSUME THAT IN CURRENT YEAR THE NUMBER OF OVERNIGHT PATIENTS IS 1950 • WE ASSUME THAT THIS YEAR THE PATIENTS PER NURSE WILL BE 3.15 • HIRING AND RECRUITMENT OF NURSES IS DONE AT THE BEGINNING OF THE YEAR AND THE TREND WILL CONTINUE FOR NEXT YEARS AS WELL • NURSES QUIT, RETIRE OR DISCHARGE AT THE END OF THE YEAR • THE NUMBER OF PATIENTS PROJECTED WOULD BE SAME • NO OTHER HOSPITAL IN VICINITY FOR NEXT YEARS • THE NURSES WOULD BE AVAILABLE FOR HIRING • ATTRITION RATE REMAINS AS PREDICTED • THE PROJECTED VALUES ARE BASED ON THE FIGURES PROVIDED AND CHANGE IN ACTUAL MAY LEAD TO CHANGE OF
The study population was made of 1543 women (mean age 27.7 years) recruited from four urban hospitals in Utah, USA. Patients reported their height, pre-pregnancy weight, and pregnancy weight gain immediately postpartum; their body mass index (BMI) before pregnancy was also calculated. At 6–8 weeks after delivery, patients received a self-administered questionnaire by mail that contained the Edinburgh Postnatal Depression Scale. The study found that obese women were older, less educated, and more frequently parous and non-Hispanic whites, compared with women of normal weight. In here, we can see the post-birth physical and metal effects.
Running head: SENTINEL EVENT ROOT CAUSE ANALYSIS 1 Sentinel Event Root Cause Analysis Kalleen Campbell Accreditation Audit Task 2 April 20, 2013 SENTINEL EVENT ROOT CAUSE ANALYSIS 2 SENTINEL EVENT ROOT CAUSE ANALYSIS 1. Identification of Process This report was received regarding an event that requires investigation: The pre-op nurse told the mother that once Tina went to the OR, her surgery would take about 45 minutes and then she would go to recovery and she would be there at least one hour. The mother told the nurse that once Tina went to the OR, she needed to run a quick errand involving an older sibling and would return in time to pick her up once she got out of recovery. The mother gave the pre-op nurse her cell phone number with instructions to contact her if Tina got out of surgery sooner than expected. Tina’s mother returned to pick her approximately 2 ½ hours later and found that Tina was discharged 30 minutes earlier.
REFLECTION: Communication with Dementia Patient During my rotation in Care of Elderly on Sarratt Ward, WGH, we once had a patient with severe dementia. She came in with a chest infection and had been unwell for two weeks and therefore not mobilized during that period of time. Previously she was walking with supervision of one. She was living in a residential home and for her to be able to go back there she was expected to be able to walk again with minimum assistance of one. The nursing staff reported that her chest infection had resolved and she was now more alert.
Gina knew that prenatal care should start before getting pregnant, but she did not know the medical system in the U.S.A. Therefore, she only went to see a doctor after eight weeks into her pregnancy. Gina visited her obstetrics and gynecology doctor once a month until the 8th month, around the 32nd week. After 32 weeks, the doctor asked her to visit every two weeks. She visited her doctor every week after the 36th week until the labor.
I chose the topic of Alzheimer’s to do my interview on. I work at a nursing home and always deal with people who have Alzheimer’s. One resident, Lois, who I have been spending a lot of time with at work suffered from a stroke about a month ago at the age of 82. Her body was not affected by the stroke but her memory was. She now is being treated as though suffering from Alzheimer’s.
An estimated 30%-50% of all new RNs elect either to change positions or leave nursing completely within the first 3 years of clinical practice (AACN, 2003; Aiken, Clarke, Sloane, Sochalski, & Silber, 2002; Cipriano, 2006; Cowin & Hengstberger-Sims, 2006). While an abundance of data exist regarding the RN who stays at the bedside, few studies have explored the perceptions of the RN who decides to leave clinical nursing. Understanding factors associated with RNs’ practice decisions is the first step necessary in developing effective nursing-retention strategies. Purpose The purpose of this study was to identify the factors influencing the decision of RNs to leave clinical nursing practice. Nurses who had elected to leave clinical nursing were interviewed at the setting of their