On Friday September 2nd, Dr. Tim Thomsen whose expertise is in emergency medicine discussed on field emergency care. Overall, I found his presentation extremely helpful and interesting. One of the biggest things that I took away from this conference is that there is a difference in knowledge of emergency care and experience in emergency care. One can know all there is to know about emergency care, but actually getting hands on experience will determine if one truly knows what they’re doing. As a student this topic can be intimidating but after this conference I realize that it is better to practice now so when a real emergency takes place I can be ready. Another issue that Dr. Thomsen covered was if an athlete with a potential concussion
Dr. Jey Arthur, of Sutter Memorial Hospital, is an idol when it comes to physicians within a hospital’s Emergency Room. During his shift, the entire atmosphere of the Emergency Room changes. Nurses become more interactive with their patients and the patient’s rooms are no longer filled with misery and hopelessness. From the second the patient is assigned a room, Dr. Arthur is constantly visiting keeping the patient well informed and up to date on what the physicians and nurses are doing and their progress. From my time shadowing Dr. Aurther, not a single patient had lost a smile when he left the room. Beyond the care of the patient, Dr. Arthur has established absolute order with those working in the Emergency Room. Dr. Arthur has made himself
Good teamwork is important in a patient centred care. It is a team of health professionals who actively participate, cooperate, interact, communicate expertise, respect, trust and its main focus is to improve patient’s health (Miller, 2008, p.14). Also, the team includes the family of the client and the patient itself (Miller, 2008, p. 15). Therefore, all members have a role to play. For instance, in the nursing practice it involves health promotion and maintenance regarding patient’s health in order to decrease the impacts of negative outcomes (NMBA, 2010). Nevertheless, this can be maintained under the national competency standard (NMBA, 2010). Part of the national competency standard promotes professional responsibility, multidisciplinary approach, critical thinking and client care delivery (NMBA, 2010).
The film, The Waiting Room, paints a clear picture of the variety of obstacles that commonly occur in the emergency department. The majority of patients are uninsured, are using the hospital as their primary care physician, long wait times and communication challenges. This paper will outline challenges displayed in the documentary paired with different ideas working to create a more effective health care experience.
Due to the populations current issues with insufficient healthcare coverage, or complete lack of, many patients resort to the ED as primary access and diagnosis thus delaying treatment even further.As a result, emergency departments are providing treatment for medical, surgical, critical, and psychological emergencies. These extended wait times lead to a deterioration of patient health, discounting of the patients chief complaints with the intention of acting more efficiently, and inadvertently, occasionally, causing the spread of communicable diseases. Emergency rooms by definition are 24-hour care access to healthcare, however they are losing the fairness and impartiality to provide equal service to all patients stemming from outrageous wait
When I arrived SB was in bed asleep. I woke SB up to give SB her medicine, SB received her 7 AM, 9 AM medication and eye drops. Around 10:10 Sheila informed me she was dizzy and needed to use the rest room. SB attempted to get up and to use her walker. SB made it to the hallway and was not able to walk anymore because her walker's back wheel was not working. I assisted SB to the bathroom. When leaving I had to catch SB a few times. I called the emergency line because Sheila was saying she was dizzy and her walker was not properly working. At 11:52 AM I was assisting SB out from the bathroom and I went back into the bathroom to clean up after her. While I was in the bathroom, I asked SB a few times if she was fine and needed any help. I heard
Allow me to kick-off just like you did with strategic management. I could not agree anymore on how important and relevant strategic management is to the field of emergency management. In essence, one could see strategic management as a process of developing constant, and regular continue commitment to the mission and vision of an organization or agency. To maintain a clear focus in the field of emergency management, strategic management is critical for successful mission. Sang Ok (2008) emphasized that emergency management practice requires that more strategic approach and management styles be exploit more than before. This shows that, as the world advance, there
Introduction In 1942 a report by William Beveridge formed the basis of the Labour governments welfare state, so that healthcare would be universally available and funded from taxation. Identifying what he considered the major problems being ‘five giants stalking the land’, want, ignorance, squalor disease and idleness (Naidoo, 2015). As a result, on July 5th 1948 saw the launch of the National Health Service (NHS) by the health secretary Aneurin Bevan at Park Hospital in Manchester. To provide health care for everyone from ‘cradle to grave’ based on three core principles: to meet the needs of everyone, free at the point of delivery, and based on clinical need, not the ability to pay (Naidoo 2015).
I believe that if you asked a group of people to list off issues regarding an emergency department then they would say long wait times throughout the process and being moved around to different areas of the emergency department. From what I have heard the long waits can be associated with waiting to get back to a room, waiting to see a nurse, waiting to see a doctor, waiting to go to radiology or lab, waiting on results, waiting to be discharged, or waiting to be admitted. All of these things in my opinion add up to one main problem, which is patient flow through an emergency department. In my opinion being able to have a controlled patient flow allows for improved wait times and decreased chaos for patients. So there are a few things
Emergency care has always been an important part of history all over the world. It has been said that medical assistance has been around and prevalent since as far back as 1500 B.C. Around the 1700’s is when EMS systems first began to experience large advancements, and ever since then, the field continues to grow and improve every year.
For my clinical observation experience I went to the Emergency Department at JFK Medical Center. The first emergency nurse I was assigned to was responsible for six beds. When I first arrived the nurse explained to me that she prioritizes her care based on urgency and airway problem. Since the rest of her patients were stable, she went to perform a focused assessment on a new patient assigned to one of her beds. This patient came in because he had fallen in the bathroom. As soon as she was finished assessing this patient, she went to the
Working in the emergency department can be easily described as fast placed and at times hectic. Being aware of resource management and learning to prioritize patients are skills that are required to be learned quickly. Once a basic understanding and knowledge of these skills are acquired, nurses are able to build off of them and adapt them however they see fit.
Overcrowding is another major factor in wait times in the emergency department . There is a strong link between overcrowding and length of stay of admitted patients in the hospital. When EMS is bringing in patients, and the waiting room is filling up, so are the emergency department beds. As fast as patients would like to be seen, it is not realistic. There has to be room in the hospital itself. Which means admitted patients that are on the floors have to be discharged or transferred before that bed becomes available so that the patients in the Emergency Department can be moved to the floor. The Emergency Department was created to stabilize patients so that they can be moved to the floor for the rest of their care until these
A disaster is not a simple emergency. A disaster is that point when a human is suffering and has a devastating situation which they themselves need help from others to survive. Regardless if natural or human caused, a disaster causes a vast amount of issues in the community. In the simulation of “Disaster in Franklin County reveals that preparation is key and even with that more can be addressed. A community nurse remains an essential part of the team involved in a disaster including before, during, and after the event.
Emergency management is often described in terms of “phases,” using terms such as mitigate, prepare, respond and recover. The main purpose of this assignment is to examine the origins, underlying concepts, variations, limitations, and implications of the “phases of emergency management.” In this paper we will look at definitions and descriptions of each phase or component of emergency management, the importance of understanding interrelationships and responsibilities for each phase, some newer language and associated concepts (e.g., disaster resistance, sustainability, resilience, business continuity, risk management), and the diversity of research perspectives.
Emergency Medical Services are a system of emergency services committed to delivering emergency and immediate medical care outside of a hospital, transportation to definitive care, in attempt to establish a efficient system by which individuals do not try to transport themselves or administer non-professional medical care. The primary goal of most Emergency Medical Services is to offer treatment to those in demand of urgent medical care, with the objective of adequately treating the current conditions, or organizing for a prompt transportation of the person to a hospital or place of greater care.