Another recommendation for the host facility would be to alter the method that medical services are provided. Other literature pointed out that the daily presence of a physician or mid-level health care providers decreased the number of hospital transfers of nursing home residents (Ackermann & Kemle, 1998; Joseph & Boult, 1998; Intrator, Zinn, & Mor, 2004). The mid-level provider could be a physician assistant or nurse practitioner. An experiment by Kane, Keckhafer, Flood, Bershadsky & Siadaty (2003) demonstrated that nurse practitioners managing a group of residents “prevented the occurrence of some hospitalizable events, but its major effect was allowing cases to be managed more cost-effectively” (p. 1430). From a cost standpoint to society and the government, the decreasing number of hospital transfers lowers the expense; however, to the facility, fewer Medicare days, lowers their revenues and abilities to improve their facilities, hire staff, and pay other expenses.
This goal targets the prevention of mortality from health care-associated infections caused by several different drug resistant organisms, surgical related infections, and infections of the bloodstream related to catheter insertion. Catheter insertion requires regular practices that include hand sanitation before catheter operation (Singleton, 2008). The concern of this goal is the prevention of infection. Utilization of hand cleaning guidelines that are provided by the World Health Organization and Centers for Disease Control and Prevention is required in hospitals. 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).
Identify priority nursing care to prevent potential complications following this type of surgery. * Maintain respiratory function * Maintain circulatory function * Promote elimination and adequate nutrition * Promote urinary elimination * Promote wound healing * Achieve rest and comfort 3. Discuss treatment modalities for potential complications as identified above * Push fluids to promote elimination * Hemorrhages may need surgical correction * Apply O₂ 4. Discuss the standard of nursing care when transfusing any blood product. * Verify that an order for the transfusion exists.
In section 5 of the Mental Health Act is used by a doctor or nurse, who believe that a patient has a mental health need, they can prevent someone leaving hospital who is an inpatient receiving hospital treatment. A final provision is called the supervised community treatment. This allows someone who has been detained under certain sections of the Mental Health Act 1983 to be discharged from hospital under a Community Treatment
Grades 1 to 5 determine how the infection reacts to treatment such as oral or intravenous antibiotics, removal of pins and surgical curettage. The Checketts-Otterburns Grading System (Ghecketts 2000) grades infections from 1 to 6, where 1 represents slight redness/little discharge and 6 represents the presence of infection after removal of the fixator. Ward (1998) provided a simple classification NURSING
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.
It is has been called "the process whereby more and more of everyday life has come under medical dominion, influence, and supervision", and "defining behavior as a medical problem or illness and mandating/licensing the medical professionals to provide some type of treatment for it". Medicalization can occur on at least three distinct levels: conceptual, institutional, and interactional. On the conceptual level, a medical vocabulary is used to define the problem at hand; few medical professionals need to be involved, and medical treatments are not applied. On the institutional level, organizations may adopt a medical approach to treating a particular problem. And on the interactional level, medical professionals diagnose and provide treatments.
of antibiotic Bacitracin (Reference for all the answers to question 3 = and ) 4. Some antibiotics are referred to as being broad spectrum and some as narrow spectrum. Give a named example of each type of antibiotic and explain what these terms mean. Broad spectrum: An antibiotic that is effective against a wide range of infectious microorganisms which includes both gram positive and gram negative bacteria is called as a
Refer to chapter 7, “Techniques for Managing Safety,” in Risk Management in Healthcare Institutions: Limiting Liability and Enhancing Care. 2. Identify two major categories of risk in your health care organization. 3. Explain how you would apply the three elements of risk management that you selected in the “Elements of a Risk Management Program” assignment.
Clearing up bodily fluids after an accident from floor with achti chlor so that any harmful bacteria is killed. ac[1.3] describe how to complete an incident report form – If an incident has happened or if you notice there is risk of an incident occuring you need to fill in an incident form. These are located at the nurses station. It contains all the information needed to help resolve any risk and audited to stop the same risk from re-recurring. An incident form is split into different sections these are:- 1a Patient or staff details, this is the person affected by the incident and will contain their name, address, date of birth and if staff job title and division.