With today’s technology and the specialized skills of doctors, nurses, and therapists, patients who need long term care of acute problems can obtain these services at institutions known as postacute care providers. One type of facility that falls under this title is the Long Term Acute Care Hospital (LTACH) (Munoz-Price, 2009, p. 438). This paper will discuss services provided by LTACHs, the role of the Chief Nursing Officer (CNO) in these facilities, and Medicare reimbursement effected by patient satisfaction surveys.
This position is located at the Minneapolis VA Health Care System in the Primary & Specialty Medicine Service Line, 3K Stepdown Unit. This is a 21 bed medical stepdown unit from ICU to acute medicine or surgery. This unit serves as an important component of the continuum of care in the Medical Center. The purpose of the unit is to provide nursing care to veterans experiencing acute medical/surgical problems; or patients requiring close 24/7 observation, skilled nursing care, cardiac monitoring, cardiac continuous cardiac IV medications, insulin drips, close respiratory monitoring and specialized procedures.
For adequate nursing care, leadership must be applied at all levels of nursing practice. The nurses form the leaders in their patient care activities. The nurses form the players of implementing the interventions that are goal driven with the aim of making the health status of the patient better. The position that nurses serve as leaders in their practice as well as the dynamics that revolve around the nursing leadership.
Nurse leadership critically affects the healthcare environment and the way nurses fulfill their duties in the professional practice. In nursing, leaders bear a great responsibility when delivering services and care to the needy patients so that they enjoy their stay at the facility. Nurses ensure safety and promote health in patients through the optimal contribution in healthcare services and the entire field. Nurse leaders motivate colleagues to move forward towards reaching common goals, and they also serve as role models. Nurse leaders seek not only to fulfill all assigned tasks and responsibilities, but also promote positive changes for the medical facilities. In order to succeed, nurse leaders should possess relevant qualities and
As I found on the website; “www.missionstatements.com” on the healthcare Mission Statement on St. Michaels Hospital on their Slogan that says; “Leading with innovation Serving with compassion”. I found that hospitals on itself rarely care about the emotions of the patience, and only care about administering medicine like a robot, without actual human interaction, as a number, as only one more. I have encounter several situations where for example, I recall I Mexico, my grandmother got sick, and had to be institutionalized in a hospital, he attention to her was woeful. And yet I remember gotten sick also, on my travels to Mexico and gotten the best quality attention that I can expect. At the end depends on luck I supposed.
Hospitals have been discovered from as early as 4000 BCE. These hospitals were more of “last resort” facilities; reserved for those dying or who had an infectious disease. They were more focused on caring for the patient instead of trying to heal them. Hospitals were mainly established by religious organizations and were staffed more with monks and nuns than professional doctors. At the end of the Middle Age, hospitals moved away from religious institutions to charity driven facilities. By the 1800’s advancements in technology and science changed hospitals and the staff to more professional doctors and nurses focusing on surgical procedures (Hospitals, 2017).
St. Peter’s University Hospital is located in New Brunswick, New Jersey, and was founded November 1st of 1869 by four Sisters of Mercy, a catholic organization whose heritage stretches to Dublin in the mid nineteenth century. Although the four Sisters come to the United States with eighty cents between them, the “first building was made possible by a generous donation of $15,000 from the family of Peter Cagger, an attorney” who had died and in whose namesake the hospital still carries.14 When one casts their gaze to today, one finds that “St. Peter 's health system serves more than 30,000 inpatients and more than 200,000 outpatients annually.”14 The organization employs 2,800 healthcare professionals and support personnel, and more than
Originally established to deliver health care for former United States citizens, the American Hospital of Paris is a leader in service delivery and research. Although in Paris, the United States government has recognized the facility as an American institution since 1913. The institution is one of the most prestigious facilities in the world and leads the medical field in procedural and technological advancements.
Elizabeth Healthcare is one of the oldest and most respected medical providers in the Greater Cincinnati area, serving Northern Kentucky for over 150 years. St. Elizabeth Healthcare includes five main campuses, 60+ remote facilities, over 314 physicians and more than 7,300 associates.
Through out my undergraduate years, I worked at Moravian village of Bethlehem as a Certified Nursing Assistant (CNA). As a CNA, I passionately cared for elderly and demented patients as well as post surgery patient by helping them with activities of daily living which include grooming, bathing and other hygienic needs of the patient while at the same time gathering vital information about the patient’s condition and relaying that information to the nurses and doctors. In addition, I also assisted the nurse in taking patient vital signs and handling of patients’ health data according to HIPAA guidelines. Over the years, I have gained valuable patient communication skills, clinical skills and treating patients with compassion and empathy while respecting their individual believes.
From the St. Joseph Health career website, I was delighted to learn about the Clinical Nurse I position at St. Joseph Hospital. I am highly interested in the position and fascinated about having the opportunity to incorporate spirituality and faith into my nursing practice. Saint Joseph Hospital’s strong faith-based culture has built an environment of healing, compassion, and high-quality care, and it is this unique culture that appeals to me the most. I know my strong nursing education, bilingual skills, and community experiences make a well-qualified candidate for the position.
Nightingale Community Hospital (N.C.H) has, for a number of years, been the hospital of choice for patients and family who seek superior and excellent and professional care for themselves and their loved ones. As a premier hospital in the region, it has a reputation of having an unwavering commitment to constantly improve its standards of operation so that its patients can always be assured of having unsurpassed healing and care services in the hospital.
According to Dr. Lucy Cuddihy (Traits of Nursing Leadership 2015) nursing leadership includes understanding your role as a nurse for the sake of patients. While working in the hospitals, nurses are always on display and usually become role models through the way they present themselves, how they react on situations and how they communicate to perform effectively in a multidisciplinary team. Hence, the simple tasks that nurses perform in hospitals express their leadership traits which can influence patients and colleagues directly or indirectly.
Nurses are guided by nurse leaders who provide motivation and inspiration for the nurses to become successful in their practice. Nurse leaders are passionate about what they do and have a clear vision of their goals and how to achieve them. In addition, they are trustworthy and show respect to others. They have good time-management and organizational skills, and are excellent communicators. Nurse leaders are committed to excellence and empowers staff to become a better provider for the patients.