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Observation in the emergency room
Observation in the emergency room
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For my visitation research report, I visited the Greater El Monte Community Hospital emergency waiting room located in the city of El Monte. It would have been a one of a kind experience to actually go inside the hospital’s emergency room where the patients are receiving medical treatment and observe their conditions; however nurses from this hospital told me that obtaining a guest pass was out of the question. For the sake and education purpose of the visitation report, I chose to conduct my research observations at this location for the reason that I drive by this hospital on a daily basis on my way to work but never really had the chance to do so. I stayed at the hospital for about two hours and made observations based on people entering the emergency waiting room that were either critically ill or injured, for my report I will discuss about how the emergency room process works as well as what I learned from the …show more content…
Since this was my first time visiting a hospital for educational purposes, I felt it was worth my time going inside a hospital and observe real events that are actually happening. I would need to admit before arriving to the Greater El Monte Community Hospital emergency room, I was unsure of whether I should have chosen a convalescent home or a local health club but a hospital has a group of doctors and nurses working together to treat patients and save lives. It is no doubt that the jobs of doctors and nurses aren’t easy but they are trained to use a lot of their efforts and resources to get the patients conditions back in control. I believe visiting the Greater El Monte Community Hospital would provide me with the information I needed to acquire for my research
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
Because of the lack of organization with the health care providers in Canada, the wait times are too long and can cause serious complications to any condition the patient went in for in the first place. This situation of how the health care system can resolve wait times was brought to the government but they continue to ignore the proposals brought to them. It is possible to resolve the problems of wait times without extreme change and expenses in the health care system. The solution is to be found in the reorganization of the health care providers. Lack of assistance in the emergency room can make ones illness to become worse, therefore, causes the patient to be forced to wait in emergency rooms for an extended period of time and when they are finally seen by a health care provider, the outcome is very poor due to lack of registered staff, physicians and proper assessment(Goldman & Macpherson, 2005, p.40). The objective of this paper is to discuss and critically analyze the conditions of emergency waiting rooms. The specific issue this paper intends to explore is extensive and prolonged waiting times for patients accessing health care, patients who need urgent treatment and the vulnerability of elderly patients and children. With an in-depth critique of the barriers to health care and shortcomings of emergency rooms, strategies will be provided to enhance a health care system that makes it more accessible and efficient.
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
The authors name is Audrey Young and she has received her bachelor’s degree in history from University of California, Berkeley, and an M.D. from the University of Washington, in Seattle. She is board certified in internal medicine and was Assistant Professor of Medicine at the University of Washington. She currently practices hospital medicine at Evergreen Hospital in Kirkland, Washington. She has also published several other books such as, House of Hope and Fear: Life in a Big City Hospital, published in 2009, and
The first step to understand your role as a CNA is to know the difference between a hospital setting and a nursing center. Hospitals provide emergency care, surgeries, and laboratory testing. They care for people of all types of ages and all scenarios. Hospital patients have three types of illness: acute, chronic, or terminal. Acute illness is a sudden illness from which someone is likely to recover. Chronic illness is an on-going illness which there is no known cure. Terminal illness is an illness or injury from which a patient is expected to expire. On the other hand, long term care centers are designed to meet the needs of people who no longer can care for themselves but do not need hospital care. These people are called residents upon their entrance. Care centers provide residents with the right medical, nursing, rehabilitative, recreational, and social services. Nursing centers meet the needs of all kinds of residents from alert, oriented, confused, short term, life long, mentally ill, terminally ill, to persons needing complete care. Besides the differences hospitals and nursing centers have similar standards. They must protect and promote patients or residents rights. Both require high quality care, and a clean and safe setting. The Omnibus Budget Reconciliation Act ...
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.
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.
Katharine Evans,James Warner, Elizabeth Jackson. (2007). How much do emergency healthcare workers know about capacity and consent?.Emergency medical journal. 24 (6), 391-393.
Clientele served with a level of care that is unmatched by almost any other profession. Nurses look after their patients and make sure that they’re being properly taken care of to ensure the quickest recovery time
What comes to mind when you think of at the average United States hospital room? White walls, squeaky green but easy to clean linoleum flooring, frightening medical equipment, a tiny television, and one small chair for visitors are often some of the items that come to mind. Patients are placed in an environment with an institutional feel and little emphasis on aesthetics and are expected to heal, recover and rehabilitate as quickly as possible. The measure of success for healthcare organizations had a primary
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
Although the lives of so many of these patients are not easy, they still find a way to keep going and not give up on their loved ones or themselves. That in itself gives me hope. “The Waiting Room” reveals how difficult a day in the emergency room can be, but in the midst of all the stress still lies a lot of hope. I respect every person in this documentary for sharing their story and perspective because in turn, it has widened mine. No story is the same, but at the end of the day, everyone is just fighting to stay
“What to expect during your hospital stay high quality hospital care,a clean and safe environment,involvement in your care,protection of your privacy,help when leaving the hospital,help when leaving the hospital,and help with your billing claims.”(The patients bill of rights) People need hospitals that treat them and their needs right. Every hospital needs to treat every patient equally or the same way. They should know that they are in a safe and clean environment so they can trust the people around there. If they cannot trust the environment there how are they suppose to trust the people that work there. Hospital care should be the same in every hospital. They should treat patients equally and with the right care. As if they wanted to be treated if they were in the same position as the patients is right now. The patient needs to be treated the same way the doctor or nurses would like to be treated if they were in that ...
Hospitals play an important role in the health care system (Hospitals, n.d.). They are health care institutions that have an organized medical and other professional staff, and inpatient facilities, and deliver medical, nursing and related services 24 hours per day, 7 days per week. Hospitals offer a varying range of acute, convalescent and terminal care using diagnostic and curative services in response to acute and chronic conditions arising from diseases as well as injuries and genetic anomalies. In doing so they generate essential information for research, education and management. Traditionally oriented on individual care, hospitals are increasingly forging closer links with other parts of the health sector and communities in an effort
The goal in all healthcare settings is to provide high-quality care to their clients. Emergency departments (ED) are no different, but are challenged with balancing quality with quantity in a timely manner. Unlike physician offices and hospital floors, EDs do not get to set a limit on the number of patients they see at a time. There is no control over patient arrival, which can and often does result in controlled chaos. The American College of Emergency Physicians (2014) reports “because of the unscheduled and episodic nature of health emergencies and acute illnesses, experienced and qualified physician, nursing, and ancillary personnel must be available 24 hours a day”. Despite the unpredictable nature of emergency medicine, the goal