Reflection on Cpa

I after receiving report the Rn and I went to the morning huddle or team meeting. The morning huddle includes MD’s, social workers, case manager, charge nurse/ DON and chaplain. In this meeting the Rn gives report for all her patients to the interdisciplinary team, and they together identify patients who are making progress in managing their pain or tolerating their symptoms, and they have to be re-evaluated for the need of hospice care and patients who are actively dying or who need to have their meds change.

In the first scenario, I was in the role of the primary nurse. After receiving report, I prioritized patients based upon need and visited Mr. M first. The report mentioned he was having difficulty breathing, and seemed confused throughout the night,

In every profession there are changes that propel how tasks are done; nursing is no stranger to this. One of the biggest changes that have come into nursing’s daily events is how report hand-offs are being done. Gone are the days of taped report that each off going nurse must tape about each patient and the oncoming nurse must listen to. Nurses are now being encouraged to move their report to the bedside, in front of the patient (Trossman, 2007). It is very important to know how this can affect the patient and even the nurse’s schedule. With every change, there are positives and negatives that can finalize the decision to keep or forego

Typically, the brief report from the off going nurse includes a summary of the client’s current

The last experience I recall involved a nurse who back then was undergoing a cardiovascular operation. Despite the difficult moment that the patient went through, we tirelessly went with him till the operation became successful, and the growth that developed in his body got dealt managed. The patient became thankful as he left the hospital because we saved his life big deal.

The emphasis on improving bedside reporting is crucial today, when it is more than ever necessary for the health care institutions to operate at higher efficiency levels. In the absence of bedside reporting, nurses are frustrated as they spend 40 minutes reviewing patient data; patients also get frustrated (Ostermeier and Clair, 2008). Bedside reporting has the ability to improve nurse and patient satisfaction and support the overall quality of the medical act.

Bedside reporting involves giving information or a report to the oncoming nurse in the presence of a patient. This method gives the patient an opportunity to ask questions and get clarification regarding his or her care. Bedside reporting increases patient satisfaction, quality of healthcare and nurse-to-nurse responsibility. Hospitals need to design a better handoff process that can easily reduce patient risks and increase patients’ involvement in their care. Emergency rooms shift reports usually take place at the nursing station of every patient care area. The departing nurse gives information verbally to the oncoming shift. Therefore,

As it is report is given at the nurses station, conference room, or hallway. These reports are given face to face with the receiving and exiting nurse, sometimes report is given over audio-tape or is written out for the oncoming nurse to read.

A company had a beginning balance in retained earnings of $44,500. It had net income of $7,500 and paid out cash dividends of $6,000 in the current period. The ending balance in retained earnings equals:

This post will discuss two ethical accounting dilemmas that could occur in the CPA profession. For each dilemma, it will explain how the dilemma could be resolved based on logic and reason. It will then support that proposed resolution through support from the American Institute of Certified Professional Accountants (AICPA) Code of Professional Conduct.

Communication between nurses at report change is essential. The next nurse needs the most important information whether it is as Situation-Background-Assessment-Recommendation (SBAR) that the Institute for Healthcare Improvement (n.d.) outlines to use or in another form. The case of Rio Grande Regional Hospital Inc v. Villarreal discusses how one nurse breached the standard of care because the record reflects that from the time Hermes was given the double-edged razor until he died neither Nurse Bergado nor any other nurse checked to see how Hermes was doing in the bathroom” (Find Law for Legal Professionals, 2016). At Baylor Scott & White at All Saints, we have a policy that each patient is rounded on physically every hour.

Nursing theorist, Imogene King’s theory of goal attainment can be applied to bedside reporting. One major concept of King’s theory listed by McEwen & Wills (2011) is nursing; a process of action, reaction, and interaction whereby nurse and client share information about their perceptions in the nursing situation. The nurse and client share specific goals, problems, and concerns and explore means to achieve a goal (p. 163). When mutual goals have been identified, means have been explored, and nurse and client agree on means to achieve goals, transactions will be made, and goals achieved (Lane-Tillerson, 2007). Once the patient’s goal(s) are achieved then

Scottsdale Healthcare is an organization of magnet status and is continuously striving to find ways in which to improve patient satisfaction and quality of care. As of October 2011, Scottsdale Healthcare implemented bedside report in order increase patient satisfaction providing the patient and family knowledge in regards to their condition and plan of care in order to set goals for the patients recovery and gives them the ability to ask questions. Prior to bedside report taking effect, management gathered all employees from the unit going over what is to be expected and how bedside report was not only taking effect on our unit alone, but hospital wide. Nursing leaders knew that they had a situation at hand due to the fact that nursing staff was so comfortable in giving report at the nurses station and did not want to wake the patient or deal with a family member, but they remained positive and encouraged staff that this would dramatically change our satisfaction scores. In maintaining patient satisfaction scores, the hospital would qualify for reimbursement from Medicare. The nurse

Several of the roles which I observed this morning were expected: the nurses took vitals for incoming patients, performed focused assessments, and were the main communicators between family, the patient, and the physician. I realized when the first patient came in around 10:00 am, the RN’s role in assessments, gathering blood work, and carrying out all the necessary steps to situate and stabilize the patient as soon as possible. It was incredible seeing the nurses work together, in sync, in those first moments when the patient was brought in. And though expected, I appreciated seeing just how much communication was held and information was gathered from the patient or family members by the nurse. Jessica asked the right questions from both parties, while still showing incredible empathy and not making the whole situation seem rushed and flustering. I understood this as another essential role of the nurse in the ED; he or she must maintain even in such a fast-paced environment empathy and focus in each interaction.

To over view the knowledge we learnt from accounting theory and practice, the main thing I can conclude that is the tendency of accounting will shift away from technical way to people’s behaviour way. By understanding what should do, we should ask why and how we could improve and change it into a better way. This essay aims to explain how the theoretical material that we learn in lectures can be developed under a real practical manner.