Uzgent

treatments the patient wishes to receive, and will be carried out in the event where the patient

The RUC will be able to provide treatment to patients suffering from non-life threatening conditions and the most common illness, including pneumonia and flu, fevers, upper respiratory infections, sprains and strains, lacerations, contusion, and also necessary screening test, such as High Blood Pressure, mammogram, diabetes. Since the late 1980s and early 1990s, hospitals have looked to facilities such as RUCs as a means to reduce rate of inappropriate ED utilizations by triaging patients to less acute settings. The ED is not the most appropriate care setting for many patients, such as elderly patients and young children. Non-urgent patients account for well over 10 percent of the average ED’s caseload, and semi-urgent cases account for another

With an estimated 64 million people having seen the Institute of Medicine’s reccomendations on the future of nursing within the first year of its release, it is arguably one of the most influential pieces of medical literature of the 21st century, leaving a lasting impact on healthcare and paving an innovative path forward for the nursing profession. The institute of Medicine (IOM) is a nonprofit, unaffiliated orginazition. Its purpose is to provide advice to the government and private sector in order to make an informed health decision. The IOM was established in 1970, and for the past 40 years, the organization has been answering the nation’s most pressing questions about healthcare.

My preceptor had explained to me the process involved in care planning for a patient on the unit, the doctor will do the majority of the assessment, the nurse carries out the risk assessment and completes Roper Logan and Tierney nursing assessment which is the nursing model used by the Louth/Meath services. The nurse also carries out an admission checklist. When the patient has been admitted and the

21. Report any unusual or major changes in your patient’s health, cleanliness, physical care, actions and

    The modern day emergency room is a department that is constantly busy. In the hustle of caring for patients, there are some details of the patient’s care that can be overlooked in a standard phone report to the accepting nurse. With this in mind, a change is needed so that there is an optimum patient outcome for each and every one of the people that walk through the doors of the emergency room and get admitted.

Mandated nurse staffing plan would require appropriate staffing levels given the unit, acuity of patients as well as the level of experience of the registered nurse. This would result in both patient and nurse safety, with overall satisfaction in delivery of care. The staff committees will implement policies, evaluate and correct errors. In addition, Staff planner (the secretary) will report daily for each unit and for public the licensed number of registered nursing staff for each shift. (“Sec.1899C.(2)Secretarial responsibilities pg6/11). This reduces overworked nurses. Thereby increasing accountability for institutions to plan within house, diminishing negligence and increasing safety of patient and nurse.

Patients arriving in the ED are triaged by a nurse then placed in an ED room according to their acuity. After being evaluated by a physician, the patient is either released to home or admitted. When the decision is made for the patient to be admitted, a request for an inpatient bed is placed to nursing administration who then assigns an available bed. If there is not an appropriate bed available, the patient must remain in the ED bed. This effectively reduces the capacity of the ED causing the department to either divert patients or patients will leave without being seen. Every patient who is diverted or leaves without being seen is lost opportunity cost to the hospital.

Individuals involved in the ordering of the services must review the patient’s diagnosis, signs, symptoms, disease ICD-9/ICD-10 CM for medical necessity to determine if an ABN is necessary.

The nursing field is becoming more challenging now our days than the ancient times, too many challenges and high expectations of care needed by our communities and family at large. Nurses are being required to take on much more care giving responsibilities as well as document management. Striking a balance between providing a good quality of patient care and maintaining a proper assessment and documentation with regards to State and Federal regulations are become overwhelming particularly for (ADN’S) who are limited in their scope of education to perform such tasks. ADN’S face some difficulties in performing

While touring with Dr. Willig, we observed the general process of a physician who rounds for an internal medicine service on 9 South, one of UAB’s Internal Medicine floors.  The physicians rounding on this particular floor are considered “Adult Specialists” per Dr. Willig.  Patients are routed to 9 South through a variety of entry portals into the health system: the Emergency Department by way of EMS, ED walk-in patients, ambulatory surgery patients requiring post-op admission, or by direct admission from an outside hospital.   Dr. Willig explained that direct admissions are routed through Bed Control who is responsible for deciding where a particular patient will be placed within the hospital.  This decision is made using clinical judgment in reference to each patient’s particular illness/disease process as well as Teletrac, UAB’s software for tracking the clean status and availability of their patient rooms (Willig, 2017).

The hospital’s current practice is that the nurse or tech should round on the patient every hour asking the patient if they need anything for pain do, they need to reposition, do they need any of their possession moved and if they need to go the

As approximately 78% of the nurses in practice in 1965 were graduates of hospital-based diploma programs, concern was expressed regarding the impact of the document on the status of these nurses. (Levinski, 2013). Therefore, in 1966, the ANA Board of Directors approved the publication of a brochure A Date With the Future which interpreted the meaning of the position paper for graduates of hospital schools of nursing. The brochure stated:

This also resulted in low nurse to patient ratio compared to other similar hospitals (0.44)

inflow of patients is higher than the available beds. You are treating an elderly man who is breathless and cyanosed. While you assess whether he has chronic obstructive pulmonary disease or heart failure, he becomes drowsy and starts gasping. You quickly intubate him with some difficulty, prolonging his period of hypoxia, and put him on ventilator support. You then get a phone call from a senior consultant in the hospital that an important social activist is about to arrive with chest pain and will need to be admitted. You are directed to