Introduction In this case study, they have eleven amazing hospitals that apply the 90 minute or less to repair blood flow to the heart. With these eleven hospitals, they have figured out how to maintain a speedy treatment to save lives. It is important to know the culture of these hospitals to have great employees that are inspired to keep this treatment successful. All eleven hospitals share the same physical characteristics to supply fast and operative treatment. These eleven hospitals make sure in delivering a great place to work and save lives. With the culture, being very organized they doctors and nurses can perform their duties to their patient insuring that they save lives.
What values appear to be driving the doctors and nurses in the hospitals to treat heart attack patients? Within all hospitals heart attack patients come first, they are the most important patient. With the well-organized hospital, the nurses and
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With heart attack, a patient can get worse by the minute with their 90 minutes or less strategy, they can save a patient’s life rapidly. This can help decrease the amount of damage to their heart muscles. It is also important that the employee’s work habits should match the team culture. For example, if just one doctor or nurse has a disagreement with another co-worker over treatment or does not let the other employee’s weigh in on the outcome of a patient can damage the trust of the team. Then the teamwork of the staff in the hospital could decrease and make that environment more vulnerable to mistakes causing a patient to die. With having a well culture work place employees share the same values of treating the patient in a timely matter to make sure they do less damage than they have to (Ivancevich, Konopaske, & Matteson, 2011).
What types of events could change or alter the strong team culture in the hospitals depicted
The primary concern for Mr. Miller would be preventing further ischemia and necrosis of the myocardial tissues, preventing serious complications such as cardiac dysrhythmias and heart failure, as well as relieving his chest pain that radiates to his left arm. Preventing further ischemia and necrosis of the myocardial tissue will help prevent the development of heart failure due to myocardial infarction, whereas relieving his pain will help reduce his episodes of shortness of breath, and will also help to reduce any anxiety and restlessness he may be having from being in pain and short of breath.
Hardwiring Excellence gives a general map for creating a culture focused on service, leadership, accountability, and employee and patient satisfaction. While Studer provides firm foundations and ideas, at points the reader is left wanting more in-depth explanation. Overall, Studer’s text emphasizes strategies to capitalize on a hospital’s most positive aspects, and how to motivate employees to use these strategies.
- The health care team should do everything they possibly can to care for the patient before they give up treatment. The health care team should provide top care to every patient and the treat the patient as they were treating their mom, dad or grandparent.
The staff, physicians and board members were not ready to fail. They didn’t want to abandon all those who depended on their services, but they also knew closing the hospital's doors would hurt
Of the two representations of the “Tell-Tale Heart”, the live action version is best. The live action was more accurate to the original story than the animated version was. The animated version was mostly for entertainment and got some facts wrong. In the live action, he killed the man in the same way and it had all the narrative of the story. The narrator wasn't Poe, like he was in the animated version. He disposed of the body the same and acted the way the character did in the original book. In the live action, the old man’s eye was completely covered by the film. He also panicked the same way as the book.
Cardiomyopathy, by definition, means the weakening of the heart muscle. The heart is operated by a striated muscle that relies on the autonomic nervous system to function. Cardiomyopathy is diagnosed in four different ways based on what caused the illness and exactly what part of the heart is weakened. The four main types of cardiomyopathy are dilated cardiomyopathy, hypertrophic cardiomyopathy, restrictive cardiomyopathy, and arrhythmogenic right ventricular dysplasia. One other category of cardiomyopathy that is diagnosed is “unclassified cardiomyopathy.” Unclassified cardiomyopathy is the weakening of the heart that does not fit into the main four categories.
Furthermore, there should be enough trust between the nurses and physicians where they can easily put aside their egos and ask for a second opinion when they have any doubts concerning a patient's safety. This was clearly exemplified when the nursing staff attending to Lewis Blackman failed to contact the physician when various side effects arose; instead they tailored the signs to fit the expected side effects. Even after Blackman’s health was deteriorating, the nurses remained in their “tribes” and never once broke out of it to ask for help. The entire hospital was built on strong culture of remaining in their tribes instead of having goals oriented towards patients care and safety.
Also, the hospital must continue to build trust and keep a clear open form of communication with each employee, the community, and the patients of whom we provide medical services to. This is not always an easy task, but you have to be determined and will-minded that there can be success through productivity if everyone participates as a team. Of course, you will have some employees who feel that they rather work alone, but once they see that teamwork consists of a group, then maybe their demeanor will change for the best and a change will take place within the
It is essential to the human body that the heart pump sufficient nutrient rich blood to the body’s cells, because the body won’t be able to function normally otherwise. When a heart muscle is unable to pump enough blood through to meet the body’s regular demand it is characterized as heart failure. Heart failure can usually be treated through conventional heart therapies and symptom management strategies, however conventional therapies don’t work for all patients with heart failure, this is what is depicted as advanced heart failure or end-stage heart failure. In other words “End stage” heart failure is when the condition becomes so severe that all conventional treatments no longer work, the only treatment that works for end stage heart failure is to have a heart transplantation-surgery to remove a person's diseased heart and replace it with a healthy heart from a deceased donor. However there are two large encompassing problems with this treatment. The first problem is that the patient is subject to shortages in donor organ availability and thus possible further decompensation and potential death while awaiting transplantation. According to the American Heart Association, there are over 500,000 new cases of end-stage heart failure in the United States every year. With only 2200 donor hearts available every year nearly 20-30% of the patients who die while they await a transplant. The second problem with this mode of treatment is that not all patients qualify for heart transplantation. Patients who have another disease in addition to end-stage heart failure do not qualify for heart transplantation. The discrepancy between the clinical need for donor hearts and the total number of hearts available, as well as the lack of treatment o...
...ctors? Besides, if a hospital works like this , doctors should equip with medical ethics such as, doctor should equip with autonomy of the individual, professional justice ,beneficence to everyone and non maleficent. Otherwise, it loss of meaning of this jobs. It is believed that most of the healthcare staff are enthusiastic. However, there are so many annoying social activities staff should attend but that is not include in their working scope.(醫者心) Therefore, even healthcare staff full of conscientious however it scattered the attention or energy by the social activities. Thus the quality of health care gradually decrease.(irrational non humanized)
(Slide 2) What is Cardiomyopathy? If we break down the word we can see “Cardio” which means of the heart, “myo” which means muscle, and “pathy” which means disease, therefore cardiomyopathies are diseases of the heart muscle. (Slide 3) There are 3 main types of cardiomyopathies; hypertrophic, dilated, and restrictive. I will only be discussing dilated cardiomyopathy, which is characterized by the enlargement of the hearts chambers with impaired systolic function. It is estimated that as many as 1 of 500 adults may have this condition. Dilated cardiomyopathy is more common in blacks than in whites and in males than in females. It is the most common form of cardiomyopathy in children and it can occur at any age (CDC).
Observation of the unit interface exemplified the need to identify, understand, and reject WPB with expectation to promote civility and cohesiveness, which would bring about a change to promote the best patient care. Under the auspice of EBP the nurses must rise to the challenge of delivering optimal patient care for it is imperative to evolve. To accomplish this standard a medium is needed for the process. The Iowa Model to improve quality of care considers all facets of the healthcare system, through established seven steps to change; this is one theoretical model to use for the mandate that all nurses must encompass the philosophy of EBP. One viewpoint is, would purging WPB stimulate civility and cohesiveness in the unit to
For a nurse, trying to provide individualized care for a patient is extremely difficult to do, due to dealing with up to 20 patients a day. Assessing a patient’s needs and problems is first and foremost the most important thing for a nurse to do. Nurses are always caught between taking their time with a patient, and sorting out who needs care the most or whose condition is more severe. According to research done by the National Institute of Nursing found on nursingworld.org, patients who received 80% more of their care from RN’s had an 18.7% lower odds of readmission. Under the same circumstances, 1.9% had a shorter length of stay. Additionally, when there is a 10% increase in hiring of nurses, there is also a 10% decrease in the practice’s mortality rate. Some establishments are actually given higher pension compensations for quality of care based on statistics of their patient income and recovery time. This can be based on doctors and their performance, but there are some that are based solely on RN’s as well as the entire nursing staff and their performance with patients. In a private interview, registered nurse Whitney Sharp says “personally, as a charge nurse and a registered nurse, I make sure that the patient is comfortable, is receiving the right treatment and that the patient is monitored at all times. A patient can have a heart attack, loss of breath, or
Oxygen was first admitted to the client with chest pain over 100 years ago (Metcalfe, 2011). Chest pain is a large bracket that can contain many different conditions, but for the purpose of this analysis it is focused manly upon a myocardial infarction. A myocardial infarction is mainly referred to as a heart attack, and occurs when one or more coronary arteries leading to the heart reduce or completely stop blood flow (Tuipulotu, 2013 ). Administering high concentrations of oxygen to patients with chest pain is now embedded in guidelines, protocols and care pathways, even with a lack of clear supporting evidence (Nicholson, 2004 ). High concentration of oxygen means that up to 60% is administered (Knott, 2012). More recent research has suggested that the use of oxygen in this scenario is unnecessary and can lead to unwanted side effects, especially in normoxic cardiac patients (Moradkham & Sinoway, 2010 ). The aim of this comparative analysis is to dismantle and understand both the benefits and risks of the commonly known practice of administration of oxygen to the client with chest pain. Through completing this analysis using recent and appropriate evidence a more improved practice can be given and understood.
This paper also determines how the hospital can increase their cultural strategic thinking,