The Emergency Department At Forsyth Medical Center Essay

Nurse Manager Alicia Hubbard, RN, MSN, NE-BC, is the Nurse Manager at Texas Health Plano, Neurology/Telemetry unit. She started her nursing career in 2003 as a LPN. She achieved her BSN and MSN from Arkansas State University. She holds a nurse executive certification (NE-BC), which is designed for current BSN or higher degree, currently holds a mid-level or higher for at least 2 years in the last 5 years (ANCC: American Nurses Credentialing Center, n.d.). She has applied to the DNP program at University of Houston to further her education. Alicia has been has a manager for total of 11 years at several different hospitals with the last three and a half at Texas Health Plano.

Prior to her current role, she worked as an Assistant Director of Nursing for over 5 years at Sun Air Convalescent Hospital and a Sub-Acute coordinator for 1 year. She has been working now at Berkley Valley Convalescent Hospital as Director of Nursing for over 20

The main key issues in case #5 is that the MMG system had not achieved its overall financial performance goals; therefore they experienced a big loss secondly the transition of new leadership became an issue. The difficulties of implementing the MBS business model in the Hospitals and Clinics division also became a very important issue. Having to come up with a strategy to improve the financial side and being able to focus on customers and relationships was not an easy task for them. Hospitals had a different approach of helping customers in

Could you imagine working as a EMT and not knowing what could happen at anytime that you are on the job. As you can tell this job is in very high demand, people are in need of people to run emergency vehicles. Emergency Medical Technicians have been in need since the 1960s, Emergency Medical Technicians have to go through extensive training and meet education requirements to be able to do this job. There are many different things that Emergency Medical Technicians do while on the job, there are also very many levels to being an Emergency Medical Technicians.

When focusing on the Centers for Medicare and Medicaid Systems strategies for improvement with unnecessary emergency room visits, a major key area is accessibility to health care at the appropriate health care setting. For many years, there has been the perception that the emergency department is the only place for someone who is uninsured or underinsured can go to receive the needed and appropriate health care, and in some situations that may be the case. (Rhodes et al, 2013, p.394) Due to the decreases in reimbursements for the publicly funded, more and more physicians are opting out to treating these patients, thus leading to an increase in emergency department utilization. According to a study conducted by Rhodes, Bisgaier, Lawson, Soglen, Krug, and Haitsma, this is becoming a greater concern for the

S (situation): Hi, my name Kelsey and I am a nurse in the emergency department. I am calling about Shannon O’Reilly’s most recent laboratory results.

Emergency room over utilization is one of the leading causes of today’s ever increasing healthcare costs. The majority of the patients seen in emergency rooms across the nation are Medicaid recipients, for non-emergent reasons. The federal government initiated Medicaid Managed Care programs to offer better healthcare delivery, adequately compensate providers and reduce healthcare costs. Has Medicaid Managed Care addressed the issues and solved the problem? The answer is ‘Yes’ and ‘No’.

Beaufort Memorial Hospital, Beaufort, SC is no exception to this rule. With much of Beaufort County and the surrounding counties being rural and with a high poverty rate Beaufort Memorial experiences a high level of underinsured and indigent care. In 2012 the Medicaid

The overall results are presented as a qualitative analysis and it allowed the researchers the opportunity to produce new inputs.

Any patient brought into the Emergency Department, is first signed in at ED receptionist desk and triaged by a triage nurse, prioritized and brought to patient room by a charged nurse either by wheelchair or stretcher or walking by the patient depending on patient’s illness. A nurse is assigned to the patient. Emergency Doctor comes in and if the patient illness is life threatening it is stabilized and the Doctor orders test such as blood work and x-ray if necessary to be conducted. Based on the test result the patient is either discharged or admitted. Certain times the emergency department is filled with a lot of patient that there is no place to sit and patients keep coming in and creating

The budget for this project will be based off of excess funding from the department. Due to the budget for current fiscal year and the next

Throughout the majority of my life, I had dreams of becoming an attorney and did not consider medicine as a profession until much later in my academic career. I had previously pictured myself pursuing a career in intellectual property rights and hoped to become a patent attorney, given my interest in the scientific field. My interest in patent law led me to take science courses that piqued my curiosity. I soon found myself involved in undergraduate laboratory research, focused on discovering new drugs to treat chronic pain syndromes while preventing drug tolerance and limiting the side effects of conventionally used narcotic pain medications. During my last year of college, I was accepted into law school, however I ultimately did not feel that I was truly pursuing my passion and decided to withdraw my acceptance. I then found myself with a college degree and an unclear direction in life, unsure of what new career I wanted to pursue. Shortly after graduating, I discovered a medical scribe vacancy in my hometown's Emergency Department (ED). Working as a scribe in the ED was a profound experience that undoubtedly shaped my career path and inspired me to become a physician and apply to medical school.

NSW MINISTRY OF HEALTH 73 Miller Street NORTH SYDNEY NSW 2060 Tel. (02) 9391 9000 Fax. (02) 9391 9101 TTY. (02) 9391 9900 www.health.nsw.gov.au This work is copyright. It may be reproduced in whole or in part for study or training purposes subject to the inclusion of an acknowledgement of the source. It may not be reproduced for commercial usage or sale. Reproduction for purposes other than those indicated above requires written permission from the NSW Ministry of Health. © NSW Ministry of Health 2012 SHPN (HSPI) 120204 Further copies of this document can be downloaded from the NSW Health website www.health.nsw.gov.au or Emergency Care Institute NSW website www.ecinsw.com.au August 2012

The role of the emergency department is to diagnose and treat acute and urgent illnesses and injuries. Patients are seen in order of medical urgency. The emergency department bases the patients urgency for treatment based on levels. Level 1 is critical and life-threatening. This is usually related to ABC’s (Airway, Breathing, and Circulation). These patients are top priority and require a lifesaving intervention. Level 2 is also considered high priority and can also be life-threatening. Psychiatric patients are considered level 2, and patients arriving to the ED with chest pain. Level 3 patients require resources such as sutures, x-rays, CAT scans, MRI, etc. Level 3 patients are provided treatment services only after Level 1 and 2 have been addressed. The emergency department at CEMC also has a trauma room and a SANE room. The trauma room is equipped with life-saving medications (such as antidotes for drug overdose) and medical equipment. The SANE (Sexual Assault Nurse Examiner) room consists of equipment used to assess a patient who has been sexually assaulted. The equipment takes pictures of the patient for the SANE nurse to later provide to law enforcement. A SANE nurse is a specialty nurse and CEMC has one on call 24/7.

Flashing red and blue lights accompanied by an alarming siren in the distance is signaled when the double doors of the emergency room burst open. Pushed by several nurses, doctors, and other medical staff, a lone hospital stretcher with a bloody, wounded patient flies through the medical center towards the doors to the operating room. This image is what generally comes to mind when you think about an emergency room. Many people believe that the hospital’s emergency room is a dark and scary place. While this is true, the common misconception is that the emergency room is a place clear of humor, when in reality humor is present, even necessary, for many reasons. Many television shows, like the show ER, are based in the setting of the