Inpatient Rehabilitation Facility Case Study

During my clinical rotation during my last semester of nursing school, I was able to work one on one with a BSN degree nurse named Judy in the ICU. Judy had three years of experience in the ICU setting. She had been a medical surgical nurse prior to her ICU transfer. The ICU at this hospital consisted of two associate degree level nurses and two BSN level nurses on my shift. I rotated three days in this particular ICU. I worked with Judy all three days of my rotation. I was excited about being placed with her for she seemed knowledgeable and skilled. We were given a male post trauma patient to work with all three days. This patient was a 30 year old male admitted for trauma related injuries and was considered unstable and was to be monitored in ICU. This patient had been involved in a motor vehicle accident and

I first want to thank you for the work you all do in keeping the units in the hospital staffed. I am hoping you can clarify and help me understand a situation that occurred Monday night with Raylene Colvin. Raylene, who is a CICU nurse and new off orientation this week was pulled to ED, and replaced in CICU with Christina Thomas, an ICU PRN nurse. When Raylene was a float, she was not ever orientated to ED and she states she had only functioned as a resource nurse twice while in the med/surg/tele float pool position. Raylene also states she took the role as resource on Monday night. Additionally, she was sent home in the middle of the night around 2 am, because ED no longer needed her while Christina worked in CICU. I am having a hard

The National Survey on Drug Use and Health reported in 2010 that approximately 8.88% of North Carolina residents used an illicit drug in the month prior to the survey. At the time the survey was taken the national average was 8.82%. Likewise, the rate of drug-induced deaths in the state was higher than the national average. Meanwhile, drug and alcohol rehab enrollments for cocaine addiction decreased in 2011, while marijuana addiction rehab admittances grew. Statistics from 2011 show marijuana as the leading drug of abuse among North Carolina drug rehab enrollments. This was followed by other opiates (include prescription drugs), cocaine/crack cocaine and heroin.

She had four violations. Not only that, she was a drug addict. She was addicted to Methamphetamine and accused of fraud and deceit when renewing her nursing license. In addition, she stole an entire box which contains100 units of Ice 29G1/2 Insulin safety syringes. She also failed to disclose the reason why she was terminated from her job. While renewing her nursing license, she was asked if she had ever received termination from any job and she stated no. She did not state any reasons for her actions. But from my own view, she does all these things under the influence of the drug. The stealing of syringes was because she does inject herself the drug she uses. Therefore, she needs syringes to perform the task. Not only that, she also knew that her actions are not right and that maybe the reason behind not disclosing or answering questions wrongly when renewing her

The five factors that are highly influenced to the rapid growth of ambulatory services. In order to reach the initial purpose to reduce the health care service cost, government and private sectors have been initiating many actions on the ambulatory services. Therefore, the ambulatory care has been moved quickly to the freestanding and independently owned facilities because of those factors.

As the manager, it’s important not to assume and instead ask “why would Jane not do what she agreed to.” Going into the discussion with a nonjudgmental mind set will help steer me away from jumping to conclusions and accusing Jane. I want to start the discussion off safely, I’ll state facts and describe what is being observed then discuss what is expected. Asking “can you see how these behaviors can be hostile and make the working environment more difficult for everyone including yourself?” I want to make the change in behavior motivating and easy. To do this I will create a plan complete with WWWF (who, what, when, and follow-up). Jane will delegate using the 5 rights of delegation to nursing staff to be more specific in what she expects of them to accomplish their tasks. This will leave no room for confusion or misunderstanding. Jane will have a week to practice these delegation skills and then we will meet again on Friday before the start of the shift to discuss how this is

On 12/14/2015 SC received call from Beninati home care RN from Mercy Home Health stating that Pa is refusing to go to any of her post hospital and rehab follow-up visits. And is eliciting SC help to encourage Pa to go to her appts. SC end call the Beninati and called Pa. SC asked Pa how she was feeling and if she has any unmet needs at the time Pa stated that she is doing ok but nurse is trying to make to the doctor and “I don’t feel good so I don’t want to go”. SC informed Pa that the nurse aim is to help her to get and stay well faster by encouraging her to follow up with the doctor to make sure all is well. SC informed Pa that when she is not feeling well that is the best time to see the doctor because she describe better because they are

The three hospitals that were identified acute care hospital, long-term care hospital, and teaching hospitals. Acute care is a medical treatment at a hospital which is short-term care. Acute care is where a patient is evaluated for a brief but serious episode of illness such as trauma, disease, and recovery for surgery. Acute hospitals are normally provided in a hospital by multiple personnel using medical supplies, equipment, and pharmaceuticals. An acute care hospital is known as a short-term hospital with medical staff and the necessary personnel to help provide with diagnosis, and treatment and care of a wide range acute circumstances. In the acute hospitals, most incidents are reported to the Reporting and Learning System. Long-term care

Canyon Transitional Rehabilitation Center is a skilled nursing and therapy rehabilitation facility that offers a variety of long term and short term care options for clients. The facility is using a hybrid system to maintain their medical records. They are working towards an electronic medical record, however, it has been a slow process. The majority of the medical record is still in paper form.

After analyzing the potential solutions, it is highly recommended to the city council that the absolute best solution is to create a rehabilitation clinic. As stated before, this clinic will provide controlled doses of heroin, partnered with an education course on the drug, and supply clean needles for drug use to prevent the spread of disease amongst users. The courses provided by the clinic will serve as one way to do away with the stigma given to those addicted to heroin and in turn, draw more people to the clinic for rehabilitation. As stated before, only 1% of the 8.9% of americans that use drugs attempt to enter recovery. To de-stigmatize heroin use and increase this percentage, the clinic will also serve as a community center. It will

Hi Thelma. How are you? Great research study proposal. I am currently working in the long-term/acute rehabilitation unit. Our hospital is constantly looking for ways to improve the patient’s safety. Last year we had too many falls in our unit. We used the qualitative research approach to identify the factors contributing to fall, and in finding solutions to reduce risk of falling and injury. Fall data were obtained from incident reporting. The chair person of the performance improvement was also involved in investigating and reviewing the problem. In our case, when the occurrences of the falls were reviewed, 6 out 8 of the patients were trying to get to the bathroom or the bedside commode. Most cases of falls are the elderly, patients with

Turn on any news channel today and you'll see drug abuse is rampant. This is no exaggeration. According to the National Institute for Drug Abuse, over 23 million Americans search for a rehab center near me. Knowing what to look for and ask is a vital part of the recovery process.

Many times low income families have to choose between their health or their income. There is no statutory right for employees to take time off work to attend medical appointments such as visits to the doctor, dentist or hospital therefore many times a persons financial obligations outweigh the need to see their primary care provider . Some families opt to go to the emergency room instead of going to outpatient care because it might be more convenient, they can solve the problem in less time and the co-pay may be less. The overall cost of a primary care provider was higher because of the additional time and expense required for specialty visits or additional testing recommended by the primary care provider.

As an employe of Evergreen health and rehabilitation center. I am concerned what little knowledge our staff have upon completing their oreition course. the nurse staff should be able to know all procedure and be able to follow them. I am asking for your helping in changing the way employees are trained for the safety of our residents.As you aware our company has been under great stress with not having enough staff to fulfill our required duties.However, that is even more of reason to ensure are staff understand how and why we need to follow company and state guidelines. I am proposing that we have our staff not only complete orientation but be quiz on the policy and presureds for our company, I am also asking that we have set people to train

I was very familiar with the physical rehabilitation setting because I work in a subacute rehab setting as a nurse’s aide (NA). I like how Dawn Bolen presented the information about this setting. There is not much that I still wonder about this setting. I liked how she included that patients need to complete 15 hours of therapy and what her typical day is like. I think it was awesome that University of Michigan Hospital has a karaoke night and how patients can leave the hospital floor and do therapeutic activities outside of the hospital. At the hospital I work at, patients have to complete 15 hours of therapy but they either do bedside therapy (grooming, bathing, and dressing) or go to the gym to work on coordination, motor skills, etc. I