Service Encounter: There is a sensible service culture in Shouldice. Training in Shouldice technique is important since the procedure could not be varied. The patients, who were experienced hernia operation in Shouldice, can return their normal daily lives much before the other patients that had experienced the similar operation at other hospitals. And the recurrence rate for all operations performed at Shouldice is about 0.
The Unique Selling Point of the Hospital
“There is No Substitute for Experience”. Shouldice Hospital has been dedicated to the repair of hernias for over 55 years. The trained team of Shouldice Hospital surgeons have repaired more than 300,000 hernias with a greater than 99% success rate.
Popular television paint a glorified image of doctors removing the seriousness of medical procedures. In the non-fiction short story, “The First Appendectomy,” William Nolen primarily aims to persuade the reader that real surgery is full of stress and high stakes decisions rather than this unrealistic view portrayed by movies.
In the book Complications, Atul writes about his experiences as a surgical residents and demonstrates a point of view of surgery that does not idealize it, but instead displays the actual pressure and complexity it actually is. Atul Gawande speaks to fellow surgeons, surgeons to be or simply those who believe that the study of surgery is just memorizing procedures, nonetheless it’s so much more complex due to the fact that every case that arrives is different. He is able to portray the complexity of surgery by putting his readers in heart racing situations faced by doctors, explaining step by step procedures, giving his personal stories of cases he has assisted in at the hospital as a resident. Atul Gawande appeals to his reader’s attitude
Sinclair hospital is a part of six hospital network which have other medical offices and as well as clinics. The hospital is an acute medical facility with 305 beds, per year it attends to 6300 inpatient, 17000 emergency patients, 8500 outpatient and 13600 clinics visit. Inpatient visit is where patients stay and sleeps in the hospital as they receive treatment. Other terms used in the hospital includes inventory visit this occurs when a patient comes to the hospital and receives an outpatient surgery e.g. appendectomy and goes home after a short recovery period.25000 case of diagnostic
Hinkle, J., Cheever, K., & , (2012). Textbook of medical-surgical nursing. (13 ed., pp. 586-588). Philadelphia: Wolters Kluwer Health
If you could think about how many stars there is up in the sky, that is how many possible surgeries there is. I have chosen to do the topic “Orthopedic” Surgical Technician. The medical terminology “Ortho” means “bones”. The term “orthopedics” means
Hospital Corporation of America (HCA). Staff Analysis Statement of Problem HCA, after following a conservative financial policy since its establishment, has entered the new decade preparing to make some changes in order to realign their financial strategy and capital structure. Since its establishment, HCA has often been used as a measure for the entire proprietary hospital industry. Is it now time for the market to realign their expectations for the industry as a whole? HCA has target goals that need to be met in order to accomplish milestones in the future.
More often than not positive patient outcomes come from these procedures, but not without challenges along the road to recovery. Recently I had a patient that underwent a bowel resection with establishment of an end colostomy for the treatment of her diverticulitis. Fortunate, the procedure went without complications from a surgeon’s point of view, but sadly this was not the case for the patient. Caring for this patient postoperatively presented great opportunity for me to practice presence. The pain and suffering my patient was experiencing had nothing to do with the mechanical aspect of her surgery, but rather the emotional craters created by discovering her colostomy bag. For the patient, a colostomy was the absolute worst case scenario. New colostomies require frequent attention from nurses; checking for viable tissue, emptying output, and watching for signs of infection. Each time I assessed the ostomy humiliation and shame consumed her spirit and body. After the second flood of these emotions, I stopped dead in my tracks, pulled up a chair and asked the patient “how are you feeling”. A constant stream of tears ran down her face as she expresses to me the fear she has in telling her significant other that she will forever have “a bad of feces” on the outside of her abdomen. My heart cried for her! I couldn’t imagine how she must feel. As a woman, she previously viewed her body as a sacred part of her that she was able to share with her partner, but she no longer felt beautiful and sexy, but rather a disgrace. Her painful emotions struck my heart like a bolt of lightning, how was I supposed to help her see the beauty of this colostomy? In the end, it was my time and patience coupled with positive affirmations that relieved her fears of the unknown. I had every opportunity to place ignorance at the frontline of my care and ignore the obvious
Shouldice Hospital provides low-cost medical service in its area of specialization. Use of the Shouldice Method allows patients to recuperate fast (patients get discharged within 3 days of operation). The Hospital optimises the use of its available resources, like surgeons, nurses, medical infrastructure, administration and maintenance facilities. It also manages to keep operating costs low by keeping capital investment in rooms and equipments very low.
Emergency room physicians are on the front lines in a crisis, caring for everyone from trauma victims to sick kids. An ability to think quickly and care for a wide variety of patients makes them valuable assets at every hospital. It also brings some perks. When sudden illness or acute injury strikes, patients turn to hospital emergency rooms for immediate medical assistance. An ER doctor, or emergency medicine specialist, is a physician who diagnoses and treats illnesses and injuries in a hospital emergency room or other urgent care setting. Emergency medicine is a financially rewarding career, and it also comes with the reward of saving lives. ER doctors require intensive training to know how to shoulder their intensive responsibilities.
Historically (before 1880s), only few hospitals were originated in some big cities of U.S. Initially, the hospital system mainly run by religious organization and it served a primary purpose of palliation. According to Shi and Singh (2010), the function of hospitals at that time was more of “social welfare” (such as taking care of homeless people and helping those without families) than practicing medicine (p.56). Over the years, the functionality and the services offered by the hospitals has changed dramatically. However, it’s primary function to treat sick individuals has remained the same. Nowadays, hospitals also function as a research center, a medical educational institution, and is a major source of employment in the community (Sultz
Hospital for Special Surgery (HSS) is a private hospital that specializes in orthopedic surgery and the treatment of rheumatology conditions. According to the employer handbook, the mission of HSS is to “provide the highest quality patient care, improve mobility, and enhances the quality of life for all and to advance the science of orthopedic surgery, rheumatology, and their related disciplines through research and education. [HSS] does this regardless of race, color, creed, sexual orientation, or ethnic origin”. On the other hand, the vision is to “lead the world as the most innovative source of medical care, the premier research institution, and the most trusted educator in the field of orthopedics, rheumatology, and their related disciplines”. (Employee Handbook, 2016)
Hospitals, long term care facilities, and mental health all serve as healthcare arenas serving the population in various ways. The hospital provides the most critical type of care, for the seriously ill. Hospitals originally served the poor and ill, but over time with the progression of technology and medical service specialties, they have grown to become healthcare meccas with many outlets. Over the past 30 years the degree of rigor of clinical practice and the scope of scientific knowledge has escalated greatly, and the hospital has become a center of high standards, scientific applications, and advanced technological capability (Williams & Torrens, 2008). The increasing shift of services to an ambulatory care arena facilitated by technological advancement itself has left the hospital with an evermore complex base of patient care, higher acuity, and higher costs (Williams & Torrens, 2008). Markets have changed, pricing pressures have increased, and consumer and payer expectations have evolved for hospitals, changes are constant in the medical arena, and hospitals are no exception.
The healing hospital paradigm primary focus is on a holistic approach and addresses healing the whole person physically, emotionally and spiritually. Healing hospitals also take into consideration the whole person’s body, soul, mind and spirit and their environment as part of their healing and recovery process. In a healing hospital, a holistic approach and a family-centered environment is crucial to the patients’ healing process. A healing hospital must embrace three important components such as an environment that fosters healing, a combination of technology and work design and providing a loving care culture (Eberst, 2008). This paper will discuss concepts of a healing hospital, the relationship that spirituality plays in the patients’ healing and recovery as well as challenges and barriers of creating a healing environment.
Striving to help any person in need that crosses my path is my goal in life because I love giving back to my community and interacting with new faces. I know that someday I will look back at all the things I did throughout my life and I would be glad to say I helped make a difference in the life of a family that really needed the help. My desire is to one day have a PHD as a General surgeon; this career is an important factor in today’s society because as a General surgeon a person focuses on the abdominal contents of a person’s body. Without General surgeons, many people that are in need of abdominal surgeries would most likely end up with horrible pain all their life or even worst ended up dead. A general surgeon has the potential to change not only their patient’s life, but the lives of the patient’s family. General surgeons give people of today’s world a fighting chance to not only live longer, but see life in a different view and appreciate it more. The career of a General Surgeon plays an important role in today’s society because it keeps society from falling apart with the spread of illnesses and diseases.
Surgical nursing or operating room nursing is very important in health care since, they do not only work with the patients before surgery (preoperatively), besides, they also work with the patients in their recovery period (intraoperatively), as well as the post-operative period (postoperatively). Like all other nurses, surgical nurses need to graduate from a two or four degree program in nursing, and must pass a national licensing exam, qualifying them as a registered nurse. Besides, nurses are train and specialize in different capacity. Furthermore, a nurse can become certified in the medical-surgical care if they so desired. Offer by the Medical-Surgical Nursing Certification Board and the American Nurses Credentialing