The activity, I performed and relates to this outcome is the rounds with the hospital team (pharmacist, nurses, physicians, physician assistant and pulmonologist) in the ICU department during my hospital rotation in my second year of pharmacy in spring quarter. In this activity, I had to accompany with my preceptor pharmacist during their daily rounds with other health care professionals where, I was able to interact with other health care professionals. During this activity, individuals from all different professions gather all the information about patient including chief complain, treatment plan, how patient responding with current plan and then discuss about improvement plan if necessary for patient. For example, nurses will provide information
General Practices Affiliates is considering an offer from Titus Lake Hospital to join under a provider leasing model. Under a provider leasing model, Titus Lake Hospital is purchasing General Practices Affiliates’ services. The practice will retain control of personnel, management, and practice policies. Titus Lake Hospital submitted financial reports to assure transparency during the lease agreement process. The following analysis will discuss whether Titus Lake hospital is a viable financial partner for General Practice Affiliates, possible implications of the lease, and recommendations.
Hospitals are busy places, and with so much going on it is hard to believe that mistakes are not made. However, there are some accidents that should never happen. Such events have been termed ‘never events’ because they are never supposed to happen. This term was first introduced by Ken Kizer, MD, in 2001 (US, 2012). The Joint Commission has classified never events as sentinel events and asks that hospitals report them. A sentinel event is defined as, “an unexpected occurrence involving death or serious physiological or psychological injury, or the risk thereof” (US, 2012). Never events are termed sentinel events because in the past 12 years 71% of the events reported were fatal (US, 2012). Because these events are never supposed to happen, many insurance companies will not reimburse the hospitals when they occur. A study in 2006, showed that the average hospital could experience a case of wrong-site surgery, one example of a never event, only once every 5 to 10 years (US, 2012). This study illustrates how rare a never event is. Hospitals do not want these never events to happen any more than a patient does. To help prevent these errors, hospitals have created policies that, if followed, will minimize the possibility of a mistake. The consequences of never events are devastating and because of this the goal is to make sure that they are eradicated from hospitals and medical facilities.
The demands on health care providers to provide the best quality care for patients is increasing. With added responsibilities and demands on our health care workers, it is hard not to become overwhelmed and forget the reason and purpose of our profession. However, there is a way where all professionals can meet and come together for a common cause, which is the patient. A new approach to patient care is coming of age. This approach allows all health care professionals to collaborate and explore the roles of other professions in the hope of creating a successful health care team.
...to communicate with your patient in order for them to be updated with their family’s sickness. And also have compassion towards them. You are likely to see a lot of injuries and scenarios play out among patients that have been admitted to the hospital. There are many achievements in this field that you may accomplish. And priorities that you have to deal with. For instants your time you have to adjust your schedule.
...r investigation and then devise a plan for best possible action recognizing the rights of the patient and its benefits followed by the application of the chosen intervention with positive outcome in mind (Wells, 2007). Delivery of excellent and quality of care at constant level (NMC, 2008) must be marked in any responsibilities and duties of the care provider to promote exceptional nursing practice
It’s very important that the units that are supportive of evidence based practices instill the idea of the patients being as important as family members or close friends in order to carry out the best practice. These would be good areas for individuals of the team to reflect during meetings. What is means to care for patients as a close friends or family members and what areas they can improve their practice; For instance, long term care nurses taking the time to ensure that all of their bedridden residents are turned every 2 hours to prevent bed sores.
On Wednesday, April 18th, I attended my Acute Care evening clinical at Hays Medical Center. At the beginning of the clinical, Professor Keil assigned us to a nurse and patients. I followed a nurse with 5 patients. We then went down to the floor to wait for report. My nurse, Brittany, and I received report on all five patients from the day shift nurses. After receiving report, we went through patient’s medications and wrote down the medications that we would be passing that evening and at what time. After receiving report and writing down medications, we began.
It is with great excitement that I submit my application to the pharmacy residency program. Through my experiential training I have developed an interest in critical care medicine and I plan to pursue it as my specialized training. The involvement of multiple disease states and fields of study, and the countless opportunities for multidisciplinary practice is what drives my interest in the field.
The hospital’s goal is to focus on primary acute care and other patients concerns in the Emergency Department. There is a large amount of people in the community needing care. The measurements that are being used to impact improvements are reliable. The health care professionals, doctors and nurses have to be willing to work together as a team to help take care of patient’s needs. What is needed to sustain these improvements are passionate, caring and unique health care professionals who come together to help make a difference in someone’s life.
Examples are beneficial to deliver a concrete demonstration of the concept (Rodgers,2000). The following incidence discussed in the article demonstrated a real hospital experience of a patient who had undergone surgery. The patient suddenly developed cardiac decompensation, a code blue’ was called by her assigned nurse, to get the help from other multidisciplinary team to assist in cardioversion. She helped in handing multiple vasopressors and assisted in placing an arterial line. In this stressful movement, the nurse provides care and comfort which reassured the patient and family. She never left the patient’s bedside, who expertly manages multiple drips, a ventilator and an IABP at the same time. She was the model for compassionate professional whose actions illustrate many of the characteristics of patient satisfaction with nursing care recognized in the literature. She was gentle, caring and focused on her patient. She demonstrated technical skill and proficiency as she administered the various medications, helped in the cardioversion, and handled the ventilator and IABP efficiently. Knowledge helps focus attention on more pertinent aspects of the clinical presentation. Patients report satisfaction with nurses who prove efficiency in professional skills concerning procedures, tests, administering medications and clinical
While I was working in the hospital, my clinical area of specialty was the Coronary Care Unit (CCU). This area focuses on the care of a critically-ill patient with heart issues such as myocardial infraction, endocarditis and heart-failure and patient’s response to treatments. After a patient’s course of care in the ICU, he or she is being transferred down the level of care. However, there are some cases where a patient
As a leader it is imperative to let go of the past while being engaged with the present and looking beyond the precipice of the now (Porter-O’Grady & Malloch, 2018). With 11 years of intensive care (ICU) bedside experience, I’ve seen wide-ranging changes in patient care. Starting with how patients are now cooled after a cardiac event, to how medications are handled and exposed of, even how family engagement is encouraged during patient rounds and cardiac events. These changes have
Before any drug administration, I will first assess that the medication ordered is the correct medication. I will assess the patient’s ability to self-administer medications and determine whether a patient should receive a medication at a given time. I will administer the ordered medications correctly and closely monitor their side effects. I have to educate my patient and family about proper medication administration and monitoring. I will not delegate any part of the medication administration process to nursing assistive personnel. I have also learnt to apply nursing process to medication administration.
As a healthcare professional, effective communication is arguably the most important trait to have next to patient care. The ability to communicate efficiently can make or break you as a respected healthcare professional, but even more importantly it can alter the patient’s treatments and the fluid transition from pre hospital to hospital care. Patient advocacy is one of the major keys in communication for a pre hospital caretaker in particular. We as pre hospital personnel need to paint a clear picture of our patient’ condition in order to accurately treat our patients and forewarn the receiving hospital of what they are about to have at their doorstep. In the words of a 10 year mobile intensive care nurse, “the most important aspect of radio contact by the paramedic is the ability to accurately describe what the priority
Prepared ahead of time, patient’s are taught what to expect from report and know they will have an opportunity to present any concerns they have after pertinent information has been addressed (Evans et al., 2012). In addition to making introductions, time spent in the patients room can be an occasion to also visually check for safety, verify intravenous administration rates and review the plan of care over the next few hours. Making these introductions, and reviewing the plan of care, eases the anxieties of patients that may occur during the period of standard report in which staff not visible (Evans et al.,