End Stages Of Chronic Kidney Disease

Checked vital signs, administered medication as schedule, and reported accurate recording of patient weight while gathering collected routing specimens for the immediate supervisor.

We then load trolleys with the necessary paperwork and go from patient to patient, checking which paperwork needs replenishing and noting down what time physiological measurements etc. need doing and tidying the bed areas.

One you should wash your hands if there is a place close by, if there is not a place close by use hand sanitizer, two put on gloves, having a sanitary field could help keep you and the patient safe, three checking the could help the EMS or know how long they have been out and what to do if the patient worsens, four you would do a primary survey which would be checking the circulation, airway, and breathing, (CAB) for short. Call EMS and begin CPR if needed, five you should ask them if they have a headache, dizziness, feel sick to their stomach, or lack of their surroundings, six have them repeat a series of numbers, recite the months backward, remember three words or objects for five minutes. You could do the Romberg test and tandem gait test which would be increasing their activity level for a little bit, have them run a short distance do five pushups without getting a headache or feeling dizzy, seven if they are unable to perform any of the above

AT 7.15AM I CLOCK IN AND TAKE MY COAT AND BAG OFF AND LOCK THEM IN MY LOCKER SO I AM READY TO START MY SHIFT STRAIGHT AWAY, EVEN THOUGH I SOMETIMES SOCIALISE WITH SOME OF THE STAFF I WORK WITH I ENSURE I AM IN THE RIGHT FRAME OF MIND TO WORD PROFFESIONALLY WITH THEM AND NOT PERSONALLY SO THAT WE ARE ABLE TO WORK AS PART OF A TEAM AND ARE ABLE TO DO THE JOBS THAT WE ARE EMPLOYED TO DO, THEN I WILL WALK INTO THE DINING ROOM TO WAIT FOR THE NIGHTSTAFF WHO ARE ON, ONCE ALL THE STAFF FOR THE MORNING SHIFT HAVE ARRIVED THE SENIOR MEMBER OF THE NIGHT SHIFT WILL GIVE HANDOVER TO ALL THE STAFF WHO ARE STARTING THE MORNING SHIFT. THEY WILL GO THROUGH THE LIST OF RESIDENTS

These include, but are not limited to, taking patient vitals manually and electronically (blood pressure, pulse rate, respiration rate, temperature, high and weight). I have experience in performing pregnancy tests, glucose tests, Strep tests, Flu tests as well as collecting and testing urine and feces. I have also had the practice of patient safety as well as safety for myself and my co-workers. I learned the importance of proper documentation and how it is crucial to a practice.

-Interview patients for medical histories and chief complaints, measure vital signs, and review medication lists

My duties include treating my patients by using a variety of methods, including chest physiotherapy and aerosol medications. All while recording my patients progress. Also, I teach my patients how to use treatments and equipment, such as ventilators and oxygen tanks. I love that I have the option to work at a hospital or a

Did part D and E, (as I was afraid that the other patients would cancel their appointments due to the weather).

I arrived at clinical 0630 and picked up patient information the morning of. I reviewed all assigned diagnoses, medications, labs, and orders with my assigned students, and we discussed our plan for the day. We both took report from the patient's nurse and then Elizabeth presented at preconference. Kala shadowed the Nurse Lead and I helped Elizabeth with brief changes, pericare, and vital signs. I continued to check on both Elizabeth and Kala throughout the day. Last, lunch and then post-conferance.

The ER has a variety of patients come through the department, but everything depends on the severity of the condition to whom is seen first. Patients with chest pains will be seen first rather than a patient with a stuffy nose. When the patient first walks into the facility they are greeted by the nurse at the window. The nurse then will call them in and do an assessment which is the triage part of the ED. Triage is the first person you see when you enter and the one who set you up in a room. Triage assesses the severity of the patient and they decide along with the facility's policy who should be seen first. When the patient has been assigned a room a nurse then will enter and assess the patient's condition with a more focused assessment. The nurse then will hook the patient up to the blood pressure machine with the O2 monitor. Then the nurse will take a temperature to include the assessment of

The beginning of the day in the ambulatory setting starts with a Medical Assistant performing quality assurance tests on the Glucometers and INR machines. Once each device indicates PASS, placed on the docking station, so the results are transferred electronically to the central lab. The MA’s immediately start rooming patients, obtain vital signs with a Dynamap machine that is in Sync with the Electronic Medical Record giving the Physicians the capability to see the vitals before entering the room.

The patient may come from outside to the front desk for registration, depending upon their schedule of treatment Front desk nurse calls PCA passes patient information to pick up the patient. PCA takes the patient to Same Day Surgery area for Pre-op, helps patient settle down in available bed and takes general vital information. Later RN does basic checkups followed by Physician and anesthesia having face to face discussion with the patient. After completing the preoperative treatment if the patient needs block line then the patient is transferred to PACU area for block by PACU RN or else Operating Room staff RN’s & anesthesiologists comes down to Same day surgery area to transfer patient into

Like a perfect automaton, the nurse proceeds to measure vital signs and note her findings with as little human interaction with you as is possible. After the nurse has completed her tasks, you must wait until the doctor pops his head in, nurse's records in hand. The doctor then proceeds to ask you some variation of the stock doctor question: "What seems to be the problem today?"

Chronic kidney disease (CKD) is an irreversible condition that progresses causing kidney dysfunction and then to kidney failure. It is classified by a GFR of <60mL/min for longer than 3 months. There are five stages of CKD: Stage 1 has kidney damage but has a GFR ≥ 90. Stage 2 has mild damage and a GFR of 60-89. Stage 3 has moderate damage and a GFR of 30-59. Stage 4 has severe damage and a GFR of 15-29. Stage 5 is also known as end stage renal disease (ESRD), this is kidney failure with a GFR of ≤ 15 and theses patients are typically on dialysis or in need of an immediate transplant. The leading cause of CKD is diabetes. Hypertension is also a major cause. Since most DM patients have HTN,

According to the Centers for Disease Control and Prevention (CDC) 2010, 10% of adults in the United States have chronic kidney disease (CKD). That is estimated at about 20 million people. People with CKD may not feel any symptoms in the early stages, so treatment most likely has not been started. When a person often finds out they are in need of treatment, they may already be in kidney failure or end stage renal disease (ESRD). This paper will discuss the reimbursement mechanisms presented in the Sullivan article, the economics of providing ESRD treatment from the organization's point of view, patients options and potential trade-offs related to cost, quality, and access to