Pediatric Patient: A Case Study

On Tuesday 06/27/2017, veteran Mr. Saenz walked very angrily in my office with his wife about 11:00 AM. I greeted them and offered to sit down; Mr. Saenz and Mrs. Saenz were very upset and asked me where they need to go as they have VA examination, they both said “nobody tells them anything; they have been sitting in waiting room”. They told me that the lady on the desk told them to come to me.

PER REPORTER: Kristen said a report was made on Sonny by another registered nurse (Becca) who also works for the Pediatric Clinic on January 5, 2018. Kristen said she tried calling to follow up on the report which was made by Becca by called CPS in Forrest County. However, Kristen said there were no Social Workers there for her to speak with regarding the report. Kristen said Sonny was scheduled to come into the clinic on yesterday January 15, 2018 to have his weight checked. Kristen said Sonny has poor weight gain due to his mother not waking up in the middle of the night to feed him. Kristen said the child’s mother was a no show for the child’s appointment on yesterday. Kristen also said there is history documented in the family’s hospital

Nurses are in charge of administering medications, often more than one medication, and most of the time they have multiple patients. Being in charge medication passes pose a massive threat to errors (Huges,

Edwards and Axe (2015), found that nurses not only need to understand the issues related to the administration of drugs given but also aware of the full medication journey. The journey starts with the doctor writing the prescription, pharmacist looking over the medication and putting the order together, then nurses double-checking before giving it to their patient. Drug errors can occur at any point, nurses need to be on their toes at all times while giving medication. Drug errors can include the wrong quantity being prescribed, the drug being intended for another patient, poor labeling and storage, and out of date drugs NPSA, (2007). Jones and Treiber (2010) found that illegible or unclear physician handwriting and staff not following the five rights had the highest percentage of why drug errors occur.

One of the many responsibilities of a nurse is administering medications. Improper transcription, dispensing, administering, and reporting can result in medication errors. The article Simple Steps to Reduce Medication Errors recognizes how detrimental errors can be to the patient and the facility (Chu, 2016). An error in medication can lead to an extended stay for the patient, resulting in serious harm or death.

Children with special health care needs (CSHCN) are considered children who “require health and related services of a type or amount beyond that required by children generally” (McPherson, et al., 1998). CSHCN live with conditions ranging from HIV to autism spectrum disorders to diabetes. Every year approximately 750,000 CSHCN transition from pediatric to adult care in the United States (Scal & Ireland, 2005). Unfortunately only about 40% of CSHCN receive transitional care as of 2010 (McManus, Pollack, Cooley, McAllister, Lotstein, & Strickland, 2013). This paper will focus on the barriers, benefits and strategies in improving access to transitional care for CSHCN.

In a similar case, “ASHP Guidelines on Preventing Medication Errors in Hospitals,” was experienced prescribing error incorrect drug or instructions for use of a drug product ordered or authorized by physician; illegible prescriptions or medication orders that lead to errors that reach the patient (1993). Another problem that might occur at the doctor’s office the doctor might misunderstands the patients concerns or symptoms and misdiagnose the patient. Sometimes accidents might occur and the patient might not get well and goes back to see the doctor and the doctor to correct their mistake. When mistake takes place there should be a monitoring and managing action plan should be put in place. An appropriate and correct statistical thinking required to apply the statistician’s finding for improving the prescription process by the pharmacist in this process is lacking and that is the root problem for the prescription issue in this process. Another problem that ties in with this problem is the doctor handwriting; the person that enters the prescription may not understand what it says. They assumes it says something totally different written and that is another reason why it is important for the verification of the prescription with the doctor. The problem is a common-cause variation as the right statistical thinking is the inherent requirement of the prescription process (Horel & Snee,

As was previously stated, I am highly interested to work for this company as a physician assistant or researcher; however, after performing this analysis, I got a bit skeptical because I believe about the saying, “if it sounds too good to be true, it probably is.” However, am also aware that this saying is not always correct, so I did not let my cynicism and suspicion to keep me away from excellence and opportunity. Therefore, I concentrated on finding answers from outside sources; in this case, I found the Glassdoor webpage. As a consequence, I find out that The St. Jude Research Children’s Hospital has 323 reviews from current and previous full-time and part-time employees. The overall rate is currently at 4.6 out of 5.0, 94% of the people

Reviewing the common errors and issues nurses are faced with can help reduce the amount of overall medication errors made. A study in a Swedish hospital revealed great insights about what exactly goes wrong during medication administration by registered nurses. The study was conducted in a 1000 bed university hospital; samples were taken from three separate units. “For the purposes of this study, MA accuracy was defined as a medication dose administered exactly as ordered by the doctor.” (Gunningberg, Poder, Donaldson, &, Swenne, 2014)

In the beginning it talking about how we can use this book. It explains how these activities will help us engage, so that what is learn can be applied in real patient care. It gives us a list of what is expected of us as dental hygiene professionals. For example, how we are supposed to understand the disease process. It tells us that there are fifteen case studies, to which we will be implementing the dental hygiene process of care to. It goes on talking about the organization of the book. Pediatric cases will be children or adolescents with mixed dentition. The adult cases will have complex periodontal circumstances. The cases with medical conditions or that are associated with aging will be geriatric patients or older adults. Then special needs patients can possibly be those who suffer from abuse or addictive

Kids Emergency Doctor - is a new casual puzzle toy, where we will have to engage in responsible business - to engage a girl named Molly treatment. The poor girl attacked by microbes, and she was not feeling well because of this. Take her to the doctors who treat ear, nose and throat - are used for this professional doctor tools, and in breaks between physicians device costume show, or solve puzzles unpretentious style "Find the

I work in a medical surgical area where we get lots of inpatient admissions and it is a challenge for nurses to keep an accurate medications list. When an elderly patient gets admitted she usually has no clue about the names of the medicines she takes, they mostly say I take three white pills in the morning and a blue pill at night. Obtaining the correct information about the medicines is very crucial for the continuity of care for the patient. When we get the incorrect information it alters the stability of care (Sluisveld, Zegers, Natsch, & Wollersheim, 2012). The initiation of medication reconciliation (MR) designed to avoid any errors on medications that patient is currently taking and to improve communication. But most of the time it gets complicated when we receive a new patient to our unit without having it updated like if the patient was previously got admitted for a surgery and the surgeon held Plavix during the hospital stay and never had it resumed upon discharge. It is the responsibility of the discharge nurse and also the physician to clarify the medicine before sending patient home. MR requires the help of the medical team in different levels including physicians, pharmacists and staff

This study represents one year follow-up of two prospective groups of patients. Group A (potentially septic wounds-peritonitis) included 80 patients, 64(80%) males and 16 (20%) females. Group B (Aseptic wounds-IPHge) included 80 patients, 60(75%) males and 20 (25%) females. All patients (160) of group A and B underwent urgent midline laparotomy. As regard to socio-demographic data which are shown in table(1). There was insignificant difference between the two studied groups regarding gender [as shown in fig.(2)], residence and country. Both studied cohorts included more men than women. The mean age of group A was 39.14 years(15-77) versus 29.83 years(15-75) in group B (P=<0.0001)[as shown in fig.(1)]. 54(67.5) patients were

As a member of the health care system, part of the registered nurse’s day-to-day function is the administration of medications to patients. Bullock and Manias (2014) mentions that nurses give drugs directly to the patient, therefore, nurses are the last link in the medication administration cycle. It is the nurse’s responsibility to make sure that the six rights of medication administration are practiced for safe and adequate medication management. These six rights include Right patient, Right drug, Right dose, Right route, Right time and Right documentation (Tollefson & Hillman, 2012). The nurse can prevent medication error by observing the 6 “Rs” of medication

As the head physician at Johns Hopkins University Center Infirmary, I must inform you of an urgent matter regarding the presence of four different diseases that hold the potential for an outbreak on your campus. These four diagnosed diseases are meningococcal disease, Epstein–Barr virus, streptococcal pharyngitis, and influenza virus B. Currently, nine students are independently affected by one of these illnesses and if the campus does not take precaution immediately, the number of infected students can quickly double within a day.