Critical Care Setting: A Case Study

Nursing care is a dynamic field of practice. The way it looks today is far out greater intense and very structured. It advances itself by the use of nursing theories and evidence based practice. Policies and procedures constantly change with the advancement of technology and science. While caring for the patient in the given case studies, a nurse involved utilizes practical knowledge, a culture care model and transpersonal caring relationship to attain a caring environment (Smith & Parker, 2015).

The number of urgent care clinics in the United States has exploded in the past five years. In fact, the American Academy of Urgent Care Medicine says there are currently as many as 9,300 clinics in the country. It’s very clear that this care model is growing.

The urgent care clinic nurse is treating a client who is experiencing abdominal pain. The client states, “I think I ate tainted food last night.” What should the nurse do after the client states that the food was tainted?

According to the U.S. Department of Health and Human Services (HHS), the aging population is likely to impact the necessary size and composition of the health care workforce (Center for Health Workforce Studies, 2006). There are now 35 million people over the age of 65 in the United States. It is estimated that about 1.6 million older adults will be living in nursing homes with almost half of the residents being over the age 85 years old (Kovner, Brewer, Fairchild, Poornima, Kim, and Jadjukic, 2007). The purpose of this paper is to he identify of facility and number of residents being care for. What would be the role of the nurse practitioner in this facility and the regulatory issues as it supports this role?

According to the American Hospital Association (AHA), Critical Access Hospitals (CAHs) are rural hospitals that receive reimbursements from programs like Medicare and Medicaid. Critical Access Hospitals are part of a national effort to provide equal access to affordable health care to all citizens.

Based upon the information provided, it has been determined that: the requested admission/day(s) is not/or are no longer medically necessary because: After review of the clinical information provided by North Shore University Hospital -Manhasset, the Medical Director has denied your admission to North Shore University Hospital - Manhasset. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. You are a 58 year old male, with a pre-authorized outpatient procedure on 09/02/2015 for a cardiac catheterization with an intervention, which was converted to an inpatient level of care. Based on the Interqual criteria (a decision based program to determine medical necessity) this procedure does not require an inpatient level of care, therefore, it does not meet criteria.

A. A doctor on our emergency veterinary team and support staff are available during regular business hours through the week and extended hours on Saturday and Sunday. We refer immediate care needs after hours to Allied Partners Veterinary Emergency Services in Huntington at (410) 535-9722.

According to the American Academy of Urgent Care Medicine (AACUM), the number of urgent care centers in this country has increased 14 percent to 9,300 centers since 2008. And the results of a 2013 benchmark survey from The Urgent Care Association of America (UCAA) in which 83 percent of urgent care centers experienced growth suggests these facilities aren’t just open to the public, but thriving.

Purpose: It has been well established that use of Antipsychotics (APs) and Benzodiazepines (BZDs) in the elderly population is associated with increased incidence of adverse effects including sedation, falls, and cognitive impairment. The Veterans Health Administration (VHA) introduced the Psychotropic Drug Safety Initiative (PDSI) to improve evidence-based psychotropic drug prescribing for Veterans with mental illness. This initiative aims to address possible issues with pharmacotherapy such as overprescribing, clinical management, and inappropriate indications.1 The purpose of this project is to assess the impact of recommendations made by a pharmacist on the utilization of APs and BZDs in patients with dementia.

When providing care patients should be able to rely on their current care attendant to be attentive and focused, while this isn't always the case. Some patients are learning the ins and outs of outsmart their doctors to gain access to the drugs that they are addicted too. According to Urgentcarenews.com there was recently a post on the internet by drug addicted paient that had created a step-by-step guide on how to scam Urgent Cares doctors. This six step plan created by a patient who scammed his urgent care facility is proof that patients can easily be given the drugs they crave accidently by these care centers. This six step plan includes the following; step one the patient makes an appointment or goes to a care facility most likely a doctor

Caring for an elderly parent is very difficult, especially if you do not have any assistance. This can be very demanding on the family and not everyone is up for this task. Hospice provides a service that takes a lot of this pressure off the family. They are there to provide and cater to the dying patient, so they are comfortable in their last few days before moving on.

Well, I don’t know how traditional government would rule this case, but I know that modern government would agree with the judge's decision based on the fact that the child's is in need of urgent medical care. As for my own opinion, I think the final decision should base on the child herself if she wants to get treatment or not. However, at the age of 12 she is still too young to make her own decision at this point, although her parent cannot refuse treatment due to their religious reason and also because the child cannot decide for herself. I agree with the judge's decision because it’s just the right thing to do. We cannot sit and watch a child in pain of a medical condition when we can give her the proper treatment but refused because

Last year The Urgent Care Department faced a 2.4 million budget deficit. One of the main sources of premium time was RN overtime. In able to improve budget status, RN ratio was decreased by 1 FTE. RN Triage was supported instead by an LVN III for the evening and weekend shifts. Since LVN III scope of practice shares some similarities with RN scope of practice, some of the duties that were delegated to LVN III included: data collection for patients in the triage schedule, start IV’s, IV Hydration, draw blood, perform clinical procedures (EKG’s, Breathing Treatments, vital signs monitoring etc..) and assist with emergency room transfers. This idea was welcomed by our nursing team ( RN’s and LVN’s). The RN’s felt supported and the LVN’s

The organization I will reviewing is the Neonatal Intensive Care Unit (NICU), a sub-department within the Maternal Child Department at Salinas Valley Memorial Hospital. The Salinas Valley Memorial Hospital (SVMH) is a public district hospital in Salinas, California. With 269 hospital beds and 2,132 employees (Salinas Valley Memorial Heathcare Systems, 2016). The district is located in the highly populated Monterey County. Three other hospitals serve this area, one being a county hospital the two other smaller private hospitals. The population SVMH serves is Hispanic by majority, with varied socioeconomic status. Customers are mixed payers with a large percentage of its customers being Medical/ Medicare, but is experiencing, as most healthcare

1) The traditional management style of hospitals have been hierarchical and internally focused. What are the three important challenges that hospitals face to accommodate new payers and consumer expectations?