Emergency Department Case Study

Any patient brought into the Emergency Department, is first signed in at ED receptionist desk and triaged by a triage nurse, prioritized and brought to patient room by a charged nurse either by wheelchair or stretcher or walking by the patient depending on patient’s illness. A nurse is assigned to the patient. Emergency Doctor comes in and if the patient illness is life threatening it is stabilized and the Doctor orders test such as blood work and x-ray if necessary to be conducted. Based on the test result the patient is either discharged or admitted. Certain times the emergency department is filled with a lot of patient that there is no place to sit and patients keep coming in and creating

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?

S (situation): Hi, my name Kelsey and I am a nurse in the emergency department. I am calling about Shannon O’Reilly’s most recent laboratory results.

The main issue is whether the CAO correctly denied the Appellant’s MA benefits because he is an unqualified non-citizen that does not have an emergency medical condition. In issuing an administrative determination of this issue, the undersigned ALJ reviewed the Regulations governing the MA program as well as applicable case law. The Department’s Regulations define an “Emergency Medical Condition” as:

In his first point Mr. Thomas claims that there is no need to be concerned with important information accidentally being betrayed. He states “All members of the media are willing to hold back information that might jeopardize security”(342). This is just simply not the case, however. For example, in 2003, Geraldo Rivera bent down and began writing in the sand. This writing turned out to be information that was not yet supposed to be disclosed. ''At one point, he actually revealed the time of an attack prior to its occurrence,'' Lt. Mark Kitchens, a spokesman at Central Command(Carr 2003).” Thomas even contradicts himself in the very same paragraph by making us aware of two reporters that had their privileges revoked during Vietnam (342).

The mental/physical tasks involved: Ability to provide expert clinical care in a level II trauma emergency department. Excellent written and verbal communication skills. The ability to faciliate interdisciplinary communication and collaboration. Knowledge in and the ability to implement evidence based practice to facilitate quality improvement, illness and disease management, team coordination, and lateral integration of care services. Ability to perform and teach advanced clinical assessment, health promotion and disease prevention and management. Comprehension and ability to implement horizontal leadership, knowledge management, ethics, healthcare advocacy, and healthcare policy (Bender, 2014).

When focusing on the Centers for Medicare and Medicaid Systems strategies for improvement with unnecessary emergency room visits, a major key area is accessibility to health care at the appropriate health care setting. For many years, there has been the perception that the emergency department is the only place for someone who is uninsured or underinsured can go to receive the needed and appropriate health care, and in some situations that may be the case. (Rhodes et al, 2013, p.394) Due to the decreases in reimbursements for the publicly funded, more and more physicians are opting out to treating these patients, thus leading to an increase in emergency department utilization. According to a study conducted by Rhodes, Bisgaier, Lawson, Soglen, Krug, and Haitsma, this is becoming a greater concern for the

A 32 yo male presents in the Urgent Care via personal vehicle with lacerations to the left eye and right hand following an altercation. The patient is also complaining of chest pain, so a chest x-ray will be performed. The patient received sutures to the left eye and right hand and no abnormalities were detected from the x-ray.

The patient is a 72-year-old female who tells me on August 11th she had a fall onto concrete. She scraped her left anterior shin. She was seen in Myhealth Kittery two times. She was placed on Keflex for which she tells me is a total of 14 days. She tells me the lesion does look a lot better. She has been washing it several times a day. She is not able to keep it covered as she has reactions not only to any type of tape that she uses, but also to bandages themselves. She apparently did receive a tetanus pertussis shot in the urgent care setting. She has not had any fevers. Her major concern today is that there is some swelling of the leg, which the urgent care told was normal, but she wanted

The use of government communication systems to send political charged emails and to make intimidations is illegal and could cost service member’s careers. Senior Enlisted Leaders must be familiarized with partisan political activity rules and regulations in order to identify unethical behaviors and prevent political activity violations. This paper covers the background on a political activity violation and the impact from the member’s actions.

Say two of your employees are in an office with the door closed. They discuss the details of a current project. If some third party put a listening device in the office, the classified material gets exposed through no obvious fault of the

The unit and facility I chose for this paper is the emergency department at St. Mary’s Medical Center in Evansville, Indiana. I chose this unit because it is where I work full-time as a registered nurse. St. Mary’s emergency department (ED) is a Level II Adult and Pediatric Trauma Center that is open twenty-four hours a day and seven days a week. The nurses are all certified in basic life support (BLS), advanced cardiac life support (ACLS), and pediatric advanced life support (PALS). The majority of the nurses are also certified in trauma nurse core curriculum (TNCC). The nurses work eight or twelve-hour shifts. Nurses are either weekend-option meaning they only work weekends or must work every third weekend.

RRMC has excellent resources and capabilities in technology and has renovated, expanded and restructured operations to incorporate the best technological advances necessary. RRMC’s target market has expanded with acute care for patients due to these technological advances. These technological advances included: The complete renovation of the Emergency Department (ED), which included a state of the art CT, and ultrasound imaging, a Diagnostic Center provided MRI, PET and CAT scan services

SSA received a phone call from Verna Goecke with PRPV. Verna shared that it is an ongoing daily situation in which Kaitlyn provokes another resident (KN) and starts making accusations against the resident. She shared that daily, Kaitlyn will go into KN’s room provoke her which triggers KN who then starts yelling and screaming. When Kaitlyn has KN yelling and screaming, she calls her mother and has her mother listen to KN yelling in the background and informs her mother that KN is targeting her. Verna shared that on the previous evening; Kaitlyn called her mother and informed her she had an ear infection. Staff reported to Verna that the Kaitlyn came out of her room with her mom on speaker phone and Karen Kohn was yelling at staff through the phone telling them they were “neglectful” and “abusing” her daughter.

While in Europe, I was a member of an interagency team responsible for drafting U.S. Embassy-Berlin’s diplomatic position, i.e. Note Verbale, with the government of Germany on how U.S. Army Europe would conduct oversight of Support to Intelligence Operations related contracts. Heretofore, these negotiations were routine and resolved at the lowest levels without issue. However, public disclosures about