MDA Medical Director's Report

Day 2 (OB) – Vaginal Birth and preparation for birth. Hanging Pitocin, and Lactated Ringers, and being able to watch an epidural insertion.

I was very one sided as I walked into a AA meeting. I thought that the meeting where boring and little bit too much for people who wont to stop drinking. I couldn’t understand why people look forward to these meeting when they can simply talk to someone at home. Nevertheless, I was wrong. Hearing these people story who suffer from alcohol addiction was very heart breaking. I remember one story about this man losing his son to car accident. The only way he dealt with the pain of losing his son was to drink. He stated ever night he drunk him self-asleep. He was so adamant about telling his story because if it wasn’t for the hospital staff he would have lost his life. Alcoholism is an addiction to the consumption of alcoholic liquor or the mental illness and compulsive behavior resulting from alcohol dependency. alcohol is the main common substance abuse in the united states. The reported show over 16.3 million adults over 18 years older had a least try alcohol in the life time. 71 percent reported that they drank in the past year. 4.7 percent of people ages 18 or older reported that they engaged in binge drinking in the past month. 6.7 percent reported that they engaged in heavy drinking in the past month. 50 percent of marriage fell due to the spouse drinking uncontrollably (Burke, 2015)

ACS also partners up with many different support groups which help patients through their cancer journey. The groups include: Reach to Recovery, Man to

On Friday, November 20, 2015, Investigator Clyde Wheat and I met with Nursing Manger John Wagoner and Lead Charger Nurse Rachel Tarpley on Division 8900, in regards to medication missing from the narcotic lockbox, located inside the 8900 Oncology Pyxis West Room. Wagoner stated the medication was stored in the lockbox Monday, September 21, 2015, at approximately 2345 hours. The medication belonged to Patient Ieremia Fualau. The medication contained approximately sixteen (16) Oxycodone and (17) OxyContin.

JFK medical center offers extraordinary services for various of age. Working with the latest technology and clinical programs, JFK offer residents throughout Atlantis and Palm Beach County with access to quality patient care. Throughout the years, the medical has we brought extraordinary discoveries to the medical field. Some of the top services JFK medical center offers are Heart and vascular care, Breast care, Neuroscience institute, Emergency care, Spine care, Cancer institute, Outpatient therapy, and clinical studies and research.

Currently, the Alvin C. York VA Medical Center utilizes a poorly implemented and poorly designed incentive program. The current inventive program rewards the majority of employees solely based on a yearly evaluation. The terms of the evaluation are set by human resources employees including the criteria for what constitutes an adequate performance level. Ideally, this evaluation rating system should be developed by individual supervisors so that departmental and unit goals can be effectively achieved. After all, the purpose of an organization exists to reach the organizations goals (Nassar, 2007). There are some general incentives that appear to be effective incentives for acute care nurses. These general incentives include providing adequate

Jones Regional Medical Center is a huge academic health center with 900 beds and are known for its research and teaching hospitals. Additionally, the IT staff at Jones supports 300 applications and 12,000 workstations. The center uses Technology Med (TechMed) for their admitting system. The system includes registration, inpatient charge, payment entry, master patient index, admission, hospital billing, and more. The TechMed system has been accessible since 1998; Jones is beginning to plan a replacement of this systems because of the fragility of the software (Wager, 2013).

The U.S. spends more resources on healthcare than any other nation. Yet, the The Commonwealth Fund (2014, para. 1) claim the U.S. health system consistently ranks last or near last relative to other industrialized nations regarding health outcomes. Consequently, insurance companies are adopting a value-based reimbursement system aimed at containing costs and improving clinical outcomes (U.S. Department of Health and Human Services, n.d., para. 35).

When you need health care, you don’t want to skimp. CCN General Medicine at the Boston Road Medical Center is known as the premier health care provider in the Bronx. A part of the Boston Road Medical Center, a primary care health center offering pediatrics, internal medicine, dentistry, and other specialties, CCN General Medicine uses a patient-centered medical home approach.

The American medical association, or known as AMA, is a lobby group that group that is well organized, professional association that is focused on practicing U.S. physician members and the general public. AMA has a professional opinion that's they can use to help push their agendas over members of the congress to sway rulings in their favor.

The letter is dated July 2, 2015 and states the doctor is cleared to return to the practice of medicine with monitoring under the MPHP. There are 6 guidelines and recommendations noted.

The unhealthy chubby moveable image is possessed by those who merely eat, sleep, eat, and play games for a significant amount of time. It is consequently not surprising to predict that those images would soon not be moveable in the both the physical and mental sense. Those words may hurt them, may demolish their disposition, but at least may provoke their inner perception that they are the ones who hold their destiny not the ones who insult them by the cover. A number of obese children has increasingly grown up day by day whether the factors could the low standard quality of food, the unguarded security, or lack of exercise. New England Journal of Medicine has published an article that delivers the small-yet-significant change in percentage of severely obese children from 4% in 1999-2004 to 6% in 2011-2012. Two percent may sound simplistic and minimal; however, the change importantly indicates that this number has been growing in the past few years and will be growing gradually in the consecutive years if everyone merely and narrowly thinks that obesity is nothing but itself. Pediatric Gastroenterology and Director William Muinos and Pediatrics and Health Policy Management Professor at University of North Carolina at Chapel Hill Asheley Skinner together write an article called “Obese Kids at Higher Risk for Heart Disease, Diabetes” not only to educate the readers the correlation between obesity, heart disease, and diabetes, but also to instruct them and their children the

Gadsden is located in the northeastern corner of Alabama and is the county seat of Etowah County. It is 60 miles

American Medical Association (AMA) represents the nation of doctor’s. It was founded in 1847 by a group of physicianswho worried about the society's education for health, believing that this education was not an adequate level for the quality of a nation. AMA ensures that schools dedicated to medicine are teaching to an adequate level as well as increasing educational standards.It is considered one of the longest associations of medical specialists and medical students in the United States.

One challenge I was faced with while on CE I, was while working with a patient she was talking badly about one of the receptionist. The patient calling the receptionist incompetent, since the receptionist had messed up the patient’s appointment time for the second time in two weeks. I was put in an uncomfortable position because I did not want to be rude to the patient, but also did not want to be apart of the patient talking badly about my coworker.