Patient Quee Management

D-Met with the patient upon request. Upon meeting with the patient, the patient appeared upset and addressed her frustration in this writer's office. According to the patient, she's upset with her PCP forcing the patient to admit herself to the psych. ward to get on medication. Failure to do so, her PCP will complete the medication protection for her electricity. The patient owes over $3000 and with the protection, her light company cannot turn off her lights. Please note, the patient was pacing back and forth and getting emotional. This writer consolet he patient and validated her feelings. According to the patient, she reports that CMHA informed her that she in order to get into their clinic, an evaluation is needed whereas the evaluation can be completed at a hospital; however, the patient is worried about being admitted. Please note, the patient denies any suicidal or homocidal ideation when questioned.

Establishment of reduce wait times as a culture in the hospital involves implementation of staffing policies among others that would reduce the wait time. Automated systems can be used to reduce time spent in the registration process. The disadvantage of this strategy is that it is costly and requires high initial capital to implement. Incorporation of preferences of the patients requires the health administrators to determine the issues that affect the patients hence increased waiting time. A system can be established to enable the cardiac care patients make appointments when faced with issues that are less critical in order to reduce wait time. However, this strategy will require the community hospital to incur additional costs during the registration process. Revamping the process of front-line scheduling enables the personnel of the community hospital to adhere to demand and supply when scheduling treatment procedures which are not life threatening. This will reduce the number of emergency cases. The negative force of this strategy is that it will make most patients to prefer hospitals which do not revamp its front-line schedules (Sullivan,

As a result of this, when one patient takes longer to process, the Arrival Queue becomes a bottleneck. Patients begin to stack up behind one another while they wait for the other patients to be processed. This is point in the process that needs improvement. By fixing the time it takes to process each patient and removing or reordering certain steps, the cycle time could be reduced and the bottleneck eliminated.

Jenny is an patient advocate" "Always verifies medication orders" "Always performs double checks and is conscious" "Never afraid to speak up, does what is right for the patients needs, attentive to her patients" "Repeats verbal orders, always verifies med dosages, asks improtant questions" "Alerts MD, CN and team leader of critical patients, always supporting new hires as well as nursing students by answering questions" "Anticipates patients and family needs" "helpful to peers" "always leadning a hand" "constiently checking on patients Qhr/VS, Throuogh documation" "Curteous to patient and family" "always addresing patients needs" "Actively checks on patients" "Always addressing patients concerns" "Answering any questions thoroughly" "Gives accurate/detailed report" "Asks patients if they needs anything before leaving patients rooms" "Patience" "Great bedside manner" "Jenny uses theraputic communication" ' Actively listens and addressess patients concerns" "Jenny is always paying attn to detail, she always thinking and acting in ways of safety (for patients and staff)."

Within this case study I am going to use two of the Chapelhow et al. (2005) enablers to discuss and reflect on the care of a patient I have been involved with on placement over a period of 5 weeks. ‘Enablers are the essential and underpinning skills that come together to provide expert professional practice’ (Chapelhow, C et al. 2005, p.2). These include; assessment, communication, documentation, risk, professional decision making and managing uncertainty. The enablers work together to provide a holistic approach to the care of patients in health care settings. I am going to focus on and discuss two of the enablers, linking them both together, which will be assessment and communication as I believe these two enablers can be related most to my patient.

This assignment will critically discuss the nurse’s role in assessment and care planning for a patient in a case study. Confidentiality which is required by the NMC (Nursing Midwifery Council, 2008) and the Data protection Act (1998) will not be broken through out the assignment because the case study used is a scenario not a fictional character. The care plan will focus on Jean’s incontinence needs using The Roper, Logan and Tierney model (2000).

Using time-motion studies will give the team a complete assessment of the patient flow from registration to dismissal from the emergency room. Time-motion studies will involve a step-by-step measurement of the length of time the patient spends in each phase of the process. Examining the cycle times over several days can identify the time bottlenecks are occurring in the patient flow process and at what stage. The goal of capacity planning is to ensure that patients move along the shortest and least costly path by avoiding as many delays as possible (Rechel, Wright, Barlow, & McKee, 2010). Using capacity planning will systematically guide the team through analysis of the demand and availability of resources.

It is not easy to solve this problem, but somebody has to put their autrhoity on the table. One way to help with wait-times could be to work more organized. When we go to our local hospital there is just one emergency section, I think that there should be more emergency areas and each one should have different degree of urgency, even tough most hospitals have fast track areas to take care of non-urgent patients. So maybe the less severe in one area and the really crucial ones in another.

In order to eliminate the inefficiencies witnessed in many public and private hospitals that serve a number of patients, an integrated approach to handling the daily workload is necessary. There is need for all departments within the hospital to work closely together in ensuring more effective and efficient service deliveries. In this paper, a planned change is going to be carried out involving designing a new system that incorporates all the departments within the hospital. This includes the surgery department, pediatrics department, dentistry department, nursing department, pharmacy departments, laboratory and testing department, X-ray and Physiotherapy departments, Equipment maintenance and Engineering department, Information Technology

Determining what is considered an appropriate plan of care for a patient has always been an area that has taken on large ethical consideration, especially when the patient does not see eye-to-eye with health professionals in the suggested direction of care. Having a congenital disorder resulting in intellectual and developmental delays has the ability to impact the way an individual may process information. Once this part of an individual’s mental capacity is impaired, it may significantly influence the extent to which this person is able to make rational decisions, especially if they are not aware of the potential consequences of their actions. Taking a paternalistic perspective, and choosing to intervene through abortion and sterilization is the proper solution, as it will likely result in more good for Kelly in the long run, than it will if is allowed to continue with the pregnancy, and raise the child.

The aim of the essay is to demonstrate the process of a patient assessment and care plan formulation in accordance with the assignment instructions. It is based on a case study, which illustrates a patient who has a diagnosis of paranoid schizophrenia, the patient was admitted to a medium secure hospital unit, please see appendix for more details of the case study. The pseudonym Peter will be used to address the patient to maintain confidentiality as required by the Nursing and Midwifery Council(NMC,2008).Firstly the essay will explore the philosophies of CPA; Care Programme Approach and then demonstrate the assessment of a patient with an assessment tool and including the formulation of a care plan.A KGV assessment tool was utilized(Lancashire,1998).In addition,the essay will examine and analyse the strengths and limitations of principles and philosophies which underpin existing service models for instance biopsychosocial model which is applied in mental health care delivery.Subsuently the essay will demonstrate an in-depth analysis of holistic assessment principles within mental health care.Futhermore the essay will analyse collaborative working in relation to planning and

Research by Alaeddini, Kai Yang and Reddy (2011) have attempted to predict the no-show probability of individual patient based on available historical data of clinic. In research, they have used analytical technique like logistics regression to predict no-show probability of patient with data of over 3 years. Other studies have focused on open access appointment scheduling. The technique is found to be effective in reducing patient waiting time and appointment lead time. It allows patient to book appointment just before 1 or 2 days. BY considering all problems, it can be concluded that it is challenging to build outpatient appointment scheduling system with capability to handle every problem and work well under all circumstances.

I do well with patient interactions, I am very comfortable with starting the conversation and interviewing the patient regarding their chief complaints. I also do well with soap notes during clinical. I document directly in patients’ chart at the clinical setting. I am getting more comfortable with the system each day; my preceptor has given me positive feedback on my soap notes documentations. I need to improve on the planning portion of the clinical, I have difficulty with HEENT system. It seems hard to distinguish between the antibiotic choices and who to prescribe antibiotics per guidelines. I also have difficulty with all the procedures that we encounter during clinical. I don’t have a clear knowledge of what to do with the procedures.

Capacity issues are something hospitals are facing more and more every day. Patients who have been admitted wait sometimes for hours up to days for a bed to open up on an inpatient unit. This delay takes up bed space and resources in the Emergency Department leading to increased delays for others to be seen. Waiting to be seen is a huge dissatisfier to our clients and can pose a safety risk when patients are not seen quickly.

A twist on the "patient's perspective" approach is to describe a time when medicine failed to save or heal someone close to you. The purpose of this tactic would not of course be to rail against the medical profession, but rather to show how a disappointing loss inspired you to join the struggle against disease and sickness.