Higher Level Trauma Hospitals: A Case Study

For example interest rates, the cost of raw materials including fuel, the number of sales or orders that we make and in turn all of these rely on other factors. The best therefore that can be done when developing a budget is to look at all the factors that are likely to affect the budget and decide how to take account of each one. If there is a previous budget (last year or last month) then it is sensible to look at how this has been achieved or not as the case may be, and what factors affected the outcome. If we are looking at monthly budgets it might be a better comparison to look at the same month twelve months ago as well as the previous months. The more factors we take into consideration when estimating a budget, the more accurate our budget will be.

I really enjoyed this article, as it went into effective financial planning. The 2 major categories of cost are total charges (the patient's bill) and the cost of providing services. These 2 costs can be defined mathematically in the following indices: average revenue per patient day and the cost per patient day.

What is the impact of historical trauma on a particular client population? How can Trauma Informed principals be used to reduce the impact of historical trauma on specific clients?

In the third case study, Sarah suffered from sexual assault when a stranger broke into her home. Like physical abuse, sexual abuse is an interpersonal trauma, which causes the most severe outcomes because the trauma is intentional. Sarah feels ashamed and guilty about the assault. She questions whether she should have resisted the attacker more when he began advancing at her. She also feels as though it is her fault for playing her music to loud which caused her to not be able to hear the intruder. After the attack, she has felt stupid and dirty and she has begun withdrawing from others including her husband and children. She thinks about the event constantly and imagines different scenarios happening. She has started experiencing intrusive

Imagine the following scenario: A 43 year old male and his 41 year old wife have just finished celebrating their twentieth wedding anniversary at a local restaurant. The husband had a cocktail at the bar while waiting for the table, and then had a couple of glasses of wine with dinner. After dinner, the happy couple drive their vehicle home on a snow covered highway. The car begins to swerve on the ice and enters oncoming traffic and hits a semi cab head-on. After an extended extraction of the driver by paramedics, the driver is found to be unconscious, has multiple head lacerations, chest contusions from the steering wheel, and his left leg is bleeding profusely from a compound femur fracture. The female is conscious, in shock, and states that she is 36 weeks pregnant and has pain in her abdomen. Both victims are flown via helicopter to the nearest level 2 trauma center where 2 teams of emergency room doctors, trauma surgeons, respiratory therapists, x-ray technologists, phlebotomists, chaplains, social workers, and of course, trauma nurses, are waiting to assess the patients and provide life-saving care. This scenario is not the exception in a level 2 trauma care center of the emergency-room, it is the average situation that a trauma nurse will find his or herself in every day. Because of the fast paced situations that require split-second critical decisions, the advanced life support training that is required, and the often unrewarded care, a career in trauma

Tulsa Memorial Hospital (TMH) is one of the nine acute care hospitals that serves in the general population area. Historically, it has been highly profitable due to its well-appointed facilities, excellent medical staff, good-standing reputation for quality care and its ability to give individual attention for each of its patients. The hospital, in addition to its inpatient services, operates an emergency department and an urgent care center located two miles from the hospital across the street from a major shopping mall.

A strong operating and capital budget should align with the strategic goals of Creekside Community Hospital, as well as ensure operational efficiencies and financial longevity. Planning capital purchases continually and for future years will allow Creekside to be competitive, which is a crucial factor in capital budgeting (Gapenski & Reiter, 2016). Vianueva (2011) suggests an inadequate capital budget process leads to a key problem area for hospitals. Cost allocation is a vital component of the capital budget process. Costs must be allocated to the appropriate departments or areas where they are incurred, as well as where revenues are generated. With Creekside Community Hospital exhibiting higher inpatient costs than outpatient costs, the hospital leadership should ensure accuracy so that managers have the information necessary to make sound, financial decisions currently and in the future related to staff support, equipment and supply purchase to name a few.

Trauma is one of the many issues facing children of all ages today. Trauma can be defined as any negative experience that causes a child psychological or emotional stress or damage. Exposure to trauma can hinder development in many areas for children, including brain development, social development, and emotional development. The purpose of this study was to determine what impacts trauma-informed care practices had on students in a second grade classroom. Throughout the study all students had access to a calm corner, which is a place they could go if they were feeling overwhelming emotions. Students participated in daily morning community meetings. Students were also taught direct

In 1636 U.S. veteran administration hospitals were made to help and take care of the war veterans that come in injured or ill. Also, the bills for this should be taken care of so there are no worries for the most part, but none of this is happening the way it should be or how the system was created to be. Veterans are turned away and avoided by the U.S. veterans hospitals, they have a big thirst for money that has not been quenched and because of this, the veterans that come in are not being treated properly and this effect is turning out very negative.

Realigning the Trauma Services Department to incorporate a Trauma Services Coordinator is a cost effective and innovative way to expand the injury prevention program at St. Anthony North Health Campus. Shifting the scope of the Trauma Registrar to that of a Trauma Coordinator will enhance the current outreach program with the improved job description. Furthermore, there will be better compliance with regulatory agencies, as well as an active pursuit to attain national goals to improve the health of all Americans, fulfill the mission of Centura, and realize the visions of the hospital. Most importantly, there will improved attention to the ever-growing needs of the community in regard to injury and violence prevention.

On 02/012016, at approximately 1833hrs, Officer Estimond unit 3610 was dispatched to a reported subject urinating inside of the train located on the southbound platform at Doraville station.. Once Estimond made contact with Mullins, he realized that Mullins was staggering and unable to stand alone. Officer Estimond also smelled the scent of alcohol coming from Mullins breath. Mullins was arrested for Drunkennes and transfered to Doraville city jail. Doraville refused to intake Mullins because of his drunkenness. officer Estimond returned with Mullins back to Doraville Station and called for an Ambulance to respond. Dekalb EMS #54 arrived, treated Mullins on scene and decided to transfer Mullins foR further evaluation to Northside hospital.

Your benefit package offers medical, dental, vision, life and accidental injury insurance. Stronger Memorial Hospital also provides sick, vacation and personal leave. We have a generous 401K plan, gym on premise, personal trainer, and free medical services for you and discounted services for family members. Your Human Resources department is responsible for administering and servicing these benefits as well as manage your pay. We are responsible for employee’s guides or handbooks. A handbook is a guide to our policies and should be your first resource for your questions. Stronger Memorial Hospital is dedicated to meeting and exceeding the customers' needs by consistently being the highest paying employer in the metro area. The Human Resources

On Saturday, August 22, 2015, at approximately 1220 hours Blue Ridge Parkway Communication Center notified me of a motor vehicle collision with injuries located in Virginia at milepost 180 along the Blue Ridge Parkway. A single motor cycle operator had applied brakes, skidded and laid the motorcycle down in an effort to avoid colliding into a truck. The operator was transported by ambulance to Northern Hospital of Surry County, NC. The operator suffered a broken left humerus, broken left rib, punctured left lung and possible spleen damage. The operator was then transported to the Baptist Trauma Center in Winston Salem, NC.

This type of funding helps determine hospital budgets and hospital management allocate resources within organization.

The personnel budget, being the largest part of the operating budget, consists of multiple factors such as the average daily census, patient acuity, personnel required relating to full-time equivalents (FTEs), as well as productive and non-productive hours. The supplies include medical and office supplies, minor equipment, orientation and training, and travel expenses. Although budgets are based on assumptions, using the previous year’s expenses for personnel and supplies, helps the nurse manager/leader to accurately predict the next year’s budget.