The Emergency Department At St. Agnes Hospital Essay

“Code Blue, ER. Code Blue, ER”. I can still hear that calm, unalarmed voice over the intercom. Seconds later, John Doe, a 50-year-old male, is rushed in through the double doors of the Emergency Room with an EMT pounding on his lifeless chest. Although the medical staff had been preparing for some time, it still appeared like a scramble to resuscitate this man’s life. It was my first shift as a medical scribe; I had no idea what to expect. While paramedics shouted the jargon-filled report, the surrounding chaos was quieted by the physician who maintained the room's composure. The instant the pulse was obtained, I was overcome with a foreign feeling that can only be described as pure exhilaration as if the epinephrine injected into the patient manifested its effects on me.

Nearing the end of my shift in the Emergency Department, I was requested to accompany a patient while the nurse readied the discharge papers. Upon entering the bay, I met a very small and fragile patient who was anxious to go home. Conflicted between my primary duties and responsibilities to complete training for two inexperienced volunteers, I decided to put forth my interests in teaching by demonstrating compassionate care to my trainees. Although the patient repeatedly refused my assistance, I gave my best effort to calm her as I cloaked a warm blanket around her. As I listened to her confide in me of all of her hospital anxieties, I was shocked from the lack of quality care she had received which made her feel more sick after the first

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

Pulling off the ramp, we turned onto Church Hill Road responding on a priority one for the cardiac arrest. I tried to review my field guide en-route to the call, but all I could see were flashing lights reflecting off the guide’s pages and crowds of cars moving over for our wailing sirens. Within three minutes we had arrived on-scene and it was clear that our patient was not in cardiac arrest; however, his 12-Lead EKG and oxygen saturation were marginally reassuring and pointed to an active heart attack. At this point in my EMS training I was a BLS provider, but had adequate knowledge to assist Kathy. Instinctively, I went right to work and loved every second of it. The concept of formulating a differential diagnosis in the field and testing that theory is one of the principle factors that kept drawing my back to EMS. In addition, I developed an unparalleled appetite for knowledge, stemming from my desire to get every differential diagnoses right. Coming to this realization early in my EMS career, we [healthcare providers] frequently forget that patients often lack the medical knowledge provided to us through years of training. Behind CT Scans and MRIs are patients with questions. Having the ability to provide compassion, sympathy and reassurance to a patient is a central part to their recovery and survival; therefore, we [healthcare providers] need to be able to care for our patients on a holistic level, focusing less on the disease and more on the

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.

There are many components to a hospital or medical facility. All of them are necessary to have a properly functioning environment. The emergency department of a hospital is a fast paced world. You have to be constantly on your toes and prepared for whatever may come through the doors. There are many people that work in an emergency room to make it run smoothly. Techs, nurses, CNA’s, LVN’s, and doctors all work side by side to help those who are critically injured. Without all these people it would be complete chaos.

Meanwhile, elsewhere in Habersham County, Tom was feeling slightly nervous as he exited the staff lounge and entered the hustle and bustle of County Hospital’s ER to begin his first shift as an RN. The first few hours of his shift passed slowly as Tom mostly checked vital signs and listened to patients complain about various aches, pains, coughs, and sniffles. He realized that the attending physician, Dr. Greene, who was rather “old school” in general about how he interacted with nursing staff, wanted to start him out slowly. Tom knew, though, that the paramedics could bring in a trauma patient at any time.

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’.

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

Being only a measly volunteer for my high school HOSA (Health Occupations Students of America) program, I am not allowed to participate in much, leaving a lot of down time. I hear the sound of rushed feet pacing up and down the light brown, wooden floors, and the white, florescent lights blind any who dare to gaze up. I am only here to observe surgeries and injuries, yet so far I have only managed to observe impatient nurses streamlining up and down pallid hallways. I glance upward to a clock staring at me from right across the room. It glares 8:48. I moan, realizing I have another thirty minutes before I have to head to school. I turn my head when I hear in the distance an unusually loud herd of frantic feet. Moments later the double doors blast open, paramedics, doctors, and nurses all surround one speeding bed. The transition from utter silence to sudden action throws off my relaxed and daydreaming mind, as I see the ominous bed hurdle its way into an open room down the

The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT

As with any other department or unit, the least invasive measures are attempted firsthand and invasive measures are reserved as a last resort. With that being said, it has been shown that dexamethasone sodium phosphate for injection (DSPI) is effective given orally as well as the intramuscular route (Toledo, Amato, Clarke, Reitz, & Salo, 2015). So when dealing with pediatric patients the oral route is preferred. The problem arises when there has not been proper training beforehand for the staff that administers the medication. Many pediatric urgent care clinics stock DSPI, and the vial is intentionally and clearly labeled for injectable use only. So if a provider requests this medication to a new nurse or a nurse that does not have prior

Last year The Urgent Care Department faced a 2.4 million budget deficit. One of the main sources of premium time was RN overtime. In able to improve budget status, RN ratio was decreased by 1 FTE. RN Triage was supported instead by an LVN III for the evening and weekend shifts. Since LVN III scope of practice shares some similarities with RN scope of practice, some of the duties that were delegated to LVN III included: data collection for patients in the triage schedule, start IV’s, IV Hydration, draw blood, perform clinical procedures (EKG’s, Breathing Treatments, vital signs monitoring etc..) and assist with emergency room transfers. This idea was welcomed by our nursing team ( RN’s and LVN’s). The RN’s felt supported and the LVN’s

The unit and facility I chose for this paper is the emergency department at St. Mary’s Medical Center in Evansville, Indiana. I chose this unit because it is where I work full-time as a registered nurse. St. Mary’s emergency department (ED) is a Level II Adult and Pediatric Trauma Center that is open twenty-four hours a day and seven days a week. The nurses are all certified in basic life support (BLS), advanced cardiac life support (ACLS), and pediatric advanced life support (PALS). The majority of the nurses are also certified in trauma nurse core curriculum (TNCC). The nurses work eight or twelve-hour shifts. Nurses are either weekend-option meaning they only work weekends or must work every third weekend.