4. A 68-year-old male presents to the office complaining of pronounced weakness on the right side of his body and slurred speech for the past 24 hours. Based on the examination, the physician orders an MRI to investigate a possible transient ischemic attack (TIA). The range of codes that would be used for this patient would be Codes 390-459 because the treating physician ordered and MRI to rule out a transient ischemic attack. These codes are for Diseases of the Circulatory System 5.
5) The focus on the pathology report is the Gross Findings, Microscopic findings, and the pathological diagnosis. 6) The three types of radiology diagnostic procedures would be roentgenograms(basic x-ray), CT scan(computerized tomography scans) and MRI scans(magnetic resonance imaging scans) 7) Six section headings contained in the dismissal summary would be 8) Aged reports are discharge summaries and emergency room notes, usually are not required in the patients file before other measures can be taken in terms of his or her treatment. The turnaround time usually is 72 hours. 9) Stat reports such as radiology and pathology reports are almost always dictated by someone other than the attending physician. 10) The paragraph format is all combined into one paragraph and the separate line format has the review of symptoms on each individual line.
In preparing to administer intravenous albumin to a client following surgery, what is the priority nursing intervention? (Select all that apply.) A) Set the infusion pump to infuse the albumin within four hours. Feedback: CORRECT B) Compare the client's blood type with the label on the albumin. Feedback: INCORRECT C) Assign a UAP to monitor blood pressure q15 minutes.
30) Examples of “never events” include, but are not limited to the following: • Death due to administration of wrong medication • Wrong surgery procedures conducted on the wrong patient and/or wrong body part • Patient abduction • Handing an infant patient to the wrong person during discharge NQF has compiled a list of 28 “never events” that is used in many states across the nation. These states, along with the Joint Commission, require such events to be reported by hospitals within a timely manner after an incident. Along with the report, a root cause analysis is required to determine the pattern of error(s) that contributed to the “never event” in hopes of improving health care systems, and thereby, preventing further occurrences. Efforts to increase accountability and prevent future errors
• Established patient on Lithium presents for routine blood work to monitor therapeutic levels and kidney function. A nurse reviews the results and advises the patient that tests are normal, and no change in dosage is indicated. This patient is an established patient that needs routine blood work. For this scenario I would choose code 99211 because this patients an established patient and has no changes. • A 62-year-old diabetic female presents for check-up and dressing change of on left foot.
D) Daily enemas will be needed to help achieve a bowel movement. The nurse is discussing autonomic dysreflexia with Jonathan, his girlfriend, and his mother. To evaluate the teaching, the nurse asks Jonathan to explain what it means. 22. Which statement by Jonathan indicates an understanding of autonomic dysreflexia?
Patient is visiting aunt and was brought into the ER and was mini-altered. Patient was given Geodon and Haldol to calm him and EKG was done. EKG showed A. fib with heart rate as high as 170. He was put on Cardizem drip and admitted for further evaluation. The patient denies symptoms of any chest pain, fever, nausea or vomiting.
Case Study: JIT at Arnold Palmer Hospital Managing Operations across the Supply Chain – GSCM 206 1. What do you recommend be done when an error is found in a pack as it is opened for an operation? The most basic and immediate solution is to get another pack and order a replacement as soon as possible. Even though the Arnold Palmer Hospital uses the JIT system, they do have spare surgical packs for emergencies but they are bulky, must remain sterile and take up a lot of space. By adopting the JIT system, these types of errors are known instantly and the delivery company can be notified within a day so they can ascertain the reason for the error and take appropriate action to correct the error and ensure that the spare surgical pack is replaced.
CMS in 2008 created a list of hospital-acquired conditions that are non-reimbursable because they were considered to be preventable (McNair, 2009). Included in this list are Surgical Site Infections (SSIs) following coronary artery bypass grafting, bariatric surgery, laparoscopic gastric bypass, gastroenterotomy, laparoscopic gastric restrictive surgery, and orthopedic procedures involving the spine, neck, shoulder, or elbow. HACs are preventable conditions that are not present when patients are admitted to the hospital, but become present during the course of the patients’ stay (Conventry Healthcare, 2009). SSIs are the second most common type of adverse event occurring in hospitalized patients, and an estimated 40 to 60 percent of these infections are thought to be preventable. Adverse events as defined on pg.
There was no radiation and no serious side effects. Magnetic resonance imaging revolutionized medical imaging. An MRI is the same as a computerized topography (CT) scanner as it releases cross-sectional images of the body. Looking at images of the body in cross section can be compared to looking at the inside of a loaf of bread by slicing it. Unlike a CT scan, MRI does not use x-rays.