The Hospital Readmission Reduction Program (Affordable Care Act) From Oct 2011- Oct 2012, CMS is tracking each hospital’s readmission rate. In order to calculate this rate, they are looking at Medicare Fee-for-Service residents that are discharged from the hospital and whether or not they are readmitted within 30 days. The Diagnosis that CMS is Currently tracking on any resident from a nursing facility that is discharged from the hospital with: Heart Failure, Pneumonia, and Acute Myocardial Infarction (Heart Attack), COPD will be the next tracked diagnosis. If a resident is discharged from the hospital with a tracked diagnosis, and goes back to the hospital within 30 days for any reason, excluding planned or elective procedures, that counts as a readmission. If a resident is discharged from the hospital with Heart Failure, Pneumonia, Acute Myocardial Infarction (Heart Attack) And goes back to the hospital for ANY reason within 30 days, that increases the hospital’s readmission rate and will give them a payment penalty.
Based on the chart review, client was previously stabilized on Clozaril 100 mg BID during her last hospitalization. Clozaril was decreased to 100 mg daily approximately two weeks prior to the hospitalization (unclear reason). Since then she’s been reportedly decompensating which is evidenced by decline in overall psychosocial functions and escalating depressive symptoms. Client reports being under increased stress due to concerns about the loss of her daughter to DCF. Client also reports having increased depressive symptoms, AH and SI for approximately two
And after a year she took early retirement. This is not a good way to retire and her life will never be the same .A study was done showing that by increasing nurse staffing by one additional RN per patient-day would avoid seven cases of hospital-acquired pneumonia in ICU patients, and less risk for development of late-onset ventilator associated pneumonia. (Penoyer, 2010, pg.1525) In my area of specialty postpartum unit, three years ago we were assigned five couplets that mean charting on ten patients. Since AWHONN reviewed this unsafe practice we are now assigned three couplets. Let’s not forget we are charting on six patient mother and baby.
Legal Memo Sara Thompson Kaplan University Intro to Legal Analysis and Writing PA205 Prof Heather Valdes To: Attorney Valdes From: Paralegal Sara Thompson Date: 7/18/2015 Re: Our new client Natalie Attired; denial of unemployment benefits for alleged misconduct. Statement of Facts: Natalie Attired was a waitress at Biddys Tea House. In July, 2010 Natalie Attired filed for unemployment benefits in which she was denied for alleged misconduct. In May, 2009 Natalie Attired began employment at Biddy’s Tea house. During her time there she was given work performance evaluations every 3 months.
Height: 160.5 cm Mass: 59.4 kg Temperature: 36.7 0C Respirations: 13 per minute Blood Pressure: 118/76 mm Hg During her conversation with the doctor regarding her past medical history, Anita said that she had developed severe eczema about 5 years ago and mononucleosis the previous year. From April of the current year, she found that she felt fatigued quite often, frequently experienced diarrhea, myalgia and arthralgia. Her family doctor had referred her to an allergist who found negative reactions to a multitude of substances. Because her symptoms were so severe, more specific testing was done 2 months later. An enzyme-linked immunosorbent assay showed positive reactions to gluten, spelt, albumin, lactose, barley and rye.
Rough Draft for “Quiet Revolutions: The CRNA Scope of Practice” by: Sandra Tunajek, CRNA, ND In the article by Sandra Tunajek "Quiet Revolutions: The CRNA Scope of Practice", Tunajek starts by giving the origins of the first nurse anesthetists in America’s healthcare system. Nurse anesthetists have come a long way from their days in the battlegrounds of the Civil War, when nurses first provided anesthesia to patients. Today they are the main anesthetic source in the healthcare, providing anesthetics to millions of patients each year. For over a century, Certified registered nurse anesthetists (CRNAs) have continued to develop and perfect their craft. Due to technological and medical advances anesthesia related deaths have dropped from 2:10,000 (1980s) to 1:250,000 (today).
Patients undergoing coronary angiography between October 2005 and December 2007 (n = 3927), at LDS Hospital (Salt Lake City, UT, USA), McKay-Dee Hospital (Ogden, UT, USA), and Intermountain Medical Center (Murray, UT, USA) who were enrolled into the database registry of the Intermountain Heart Collaborative Study[3] were evaluated for 30-day and 1-year death using previously defined risk categories. [1] A second population of patients undergoing coronary angiography between October 1993 and April 2005 (n = 10 413), from only LDS Hospital (Intermountain's flagship hospital until October 2007) was utilized to validate the associations discovered in the first population. This study was approved by the Intermountain Healthcare Institutional Review Board. Primary disease endpoints studied herein included HF, MI,
Attired worked for Biddy’s Tea House for about three months. During this three-month period, Ms. Attired mentioned to another employee that her boyfriend wanted her to get a tattoo. The employee cautioned Ms. Attired that would not be a great idea because if the tattoo were visible she would possibly be fired.
Finally, the sixth stage looks at the identification and development of future learning skills. Description of patient The care setting where the nurse/patient relationship was formed, was a 20 bedded, single sex, male ward. The ward cared for clients that had a diagnosis of Dementia with challenging behaviours. A patient I will call Phil, to maintain confidentiality (The NMC Code of Professional Conduct, 2004) had been on the ward for approximately 3 months. I had already spent two weeks with Phil and had developed a good
ENGL 227 Professional Writing Complete Class https://hwguiders.com/downloads/engl-227-professional-writing-complete-class/ ENGL 227 Professional Writing Complete Class ENGL 227 Assignment Week 1 DeVry Scenario: You are an upper-level manager in a large metropolitan hotel. One of your assistant managers, Jeff Clarke, has left you a voicemail message requesting emergency leave for the upcoming holiday weekend. Here’s what the message stated: I’m calling to request emergency leave again for this weekend. I know I’ve had three emergency leaves in the last two months, but my grandma isn’t feeling well again, and she really needs me to take care of her. I’ll be in later tonight for my shift.