Incorporating a Workflow in the Clinical Setting

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Creating a Flow Chart: Bradycardia
Today’s healthcare environment is facing tremendous challenges in order to ensure safe, quality care, while simultaneously providing affordable care that is still able to produce revenue. With continuously escalating healthcare demands emerging from the population, healthcare providers and professionals have no choice but to accept these challenges and put forth the best possible approach to meet these demands involving patient care. New ideas for managing tests, medications, procedures, orders and delivery of care must continuously be considered by the healthcare organizations to ensure that the care they provide is appropriate, safe, efficient and cost effective. Periodically providers run into trouble
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Bradycardia Workflow Process
Sinus bradycardia is defined as a heart rate of less than 60bpm in conjunction with normal sinus rhythm. A bradyarrhythmia, on the other hand has a disturbance in cardiac conduction with rate of less then 60bpm (Swift, 2013). Intrinsic and extrinsic etiologies contribute to bradycardia. Intrinsic causes relate to abnormalities in the conduction system, where extrinsic causes include: increase vagal tone, electrolyte imbalance, hypoxia, hypothermia and hypothyroidism (Swift, 2013).
Patients with acute unstable bradycardia may present various signs and symptoms, including fatigue, dizziness, exercise intolerance, syncope, and congestive heart failure. Treatments for the patients with bradycardia are determined by the patient’s overall condition and existing co-morbidities. In cases where the heart rate drops to a rate of 30-40bpm the patient may not tolerate this situation due to reduced cardiac output, decreased myocardial function which will lead to poor perfusion to vital organs (Swift, 2013). In severe cases, bradycardia may lead to asystole, which is why early recognition and treatment of the acute bradycardia is paramount to achieving a good outcome for the patient.
In order to help recognize and treat this condition our organization has created and enforced a workflow chart to assist medical personal to implement the process in
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