as utilizing evidence based Practice to provide guidance for staff on a daily basis to ensure that his staff and he are practicing within the scope of practice for registered nurses. Mr. Thathamkulam continues to provide excellent leadership in managing the Eye Clinics. He continuously evaluates the practices in Eye clinics as per Joint Commission Standards, VISN standards, ACC/AHA guidelines, director’s guidelines and identifies deficits and implements changes to meet those standards. The Joint
SECTION E - NARRATIVE SUMMARY Nurse II Nurse Manager Parts A&B of Plan Covered under 9 Dimensions of Professional Performance (Plan Section C) Mr. Thathamkulam RN, MSN works as the Nurse Manager (NM) for Eye Clinic. He has demonstrated excellence in his nursing assessment skills, leadership skills, coordination of care for the internal and external customers, collaboration with the interdisciplinary team, and using evidence based research to guide the practice of his employees to impact good patient/family
Mr. Thathamkulam was an integral part in the space planning process in the eye clinic and took the initiative in making the plans to rearrange the staff rooms to make extra rooms for patient care. With the assistance of the IT team, space planning committee, and interior designing department, staffs were relocated among themselves, in order to accommodate more new staff to meet the growing patients’ care population and maintaining patient rights and Health Insurance Portability and Protection Act
Evolving Practice of Nursing and Patient Care Delivery Models. Speech To my fellow nurses. You are welcome to our professional nurse evolution summit. The United health care system is changing with the nursing profession. Health care cost has doubled, if not tripled in the recent years. The American population is ageing and diseases are becoming more complex. The Patient Protection and Affordable Care Act (PPACA) is one thing that will lead to change worldwide. With signing the PPACA into law, approximately
was no longer showing the same signs of distress. c. Direct care giver A nurse acts as a direct care giver when she provides wound management. Cleaning a wound and changing a dressing are examples of giving direct care to a patient. A woman came in with a laceration above her right eyebrow. The wound was from falling when climbing over a fence, and it was rather dirty. She had a band-aid over her eye, so the nurse removed this to clean the wound using sterile water and 2x2 gauze. All excess
counties in central Iowa. Currently Grinnell Regional Medical Center (GRMC) affiliated clinics attempt to manage DM on the primary care level and then will refer patients to Internal Medicine and/or endocrinology specialists within a larger health care system. By improving the current process throughout the clinics within this network, and creating a streamlined process we can decrease the referral rates to other clinics, decreasing patients
from a registered nurse (r.n.) aspect .The effects on patient centered care can be detrimental for patients and r.n.’s. The work place needs to be a safe place for not only the patients but also the employees. With the rise of new graduate nurses who are employed by the medical facilities, they too are starting to face horizontal violence within the first year on the job, which leads to retention of nurses in the medical field. Horizontal violence will continue to arise if nurses do not stand up
Encounter # 1 Satisfying Service Encounter Date: 17/09/2014 Time: 8:35am Details: At the clinic, the nurse greeted me and attended to my registeration promptly. She informed me of the estimated waiting time and suggested to me that I could go for my breakfast nearby while waiting for my turn. Since I had my breakfast already, I chose to wait. I was warmly greeted by the doctor when I entered the consultation room. His room is simple and neat, there is also a large professonal
Communicate with and complete records for individuals. When I started working with Miss R I read her care plan with great attention to her hearing/vision/communication issues, because misunderstanding between carer and client could potentially lead to poor care standards. It stated that Miss R has good communication skills, her hearing isn’t impaired and her distant vision is good too, however she does use reading glasses. I try to constantly improve my communication skills through various
Aristotle stated “the whole is greater than the sum of its parts”, the same applies in the care of the dual diagnosis of diabetes and mental illness, the intertwining of the two chronic illness increases the blurring the lines of cause and effect, patients diagnosed with serious mental illness are at greater risk for the development of diabetes due and diabetics are at increased risk for depression due to the chronic nature of diabetes. Numerous studies have delved into the health disparities of