Intravenous Therapy or IV
Fluids are introduced intravenously into the body in order to replace supply and electrolytes (Pearson 2010). These are large amounts of fluid, electrolytes or nutrients administered to a patient who needs them and cannot take them orally. Medication is also administered intravenously by a physician or by a nurse. The physician informs the nurse on the type, amount, and the rate of the solution to be injected. The nurse is responsible for carrying out the physician's exact instruction to start the therapy and other responsibilities attached to the instruction. State laws specify which health care professionals can start an IV and administer it. Some States allow medical assistants with advanced training and physician supervision to start an IV. Medical assistants, however, should be aware of the risks as they are not trained to push IV medications. Although they become acquainted with IV therapy, it is not a…...
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BIBLIOGRAPHY
BLS. Medical Assistants. Bureau of Labor Statistics: U.S. Department of Labor, 2009.
According to the work of Fulford (1994) in an Oxford Practice Skills Project eport "Three elements of practice (ethics, law and communication skills) are approached in an integrated teaching programme which aims to address everyday clinical practice. The role of a central value of patient-centered health care in guiding the teaching is described. Although the final aim of the teaching is to improve the actual practice, we have found three 'sub-aims' helpful in the development of the programme. These sub-aims are: increasing students' awareness of ethical issues; enhancing their analytical thinking skills, and teaching specific knowledge. (Hope, 1994)
In the work of Miles, et al. (1989) entitled "Medical Ethics Education: Coming of Age it is stated that "medical ethics education is instruction that endeavors to teach the examination of the role of values in the doctor's relationship with patients, colleagues and society. It is one form of a broad curricular effort…...
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References
Fryer-Edwards, PhD (2005) Tough Talk: Helping Doctors Approach Difficult Conversations - Resources for Teaching- Domains for Small Group Teaching Prelude 3 Department of Medical History and Ethics University of Washington School of Medicine.
Siegler, Mark MD (2001) Lessons from 30 Years of Teaching Clinical Ethics AMA Journal 2001 October.
St. Onge, Joye (1997) Medical Education Must Make Room for Student-Specific Ethical Dilemmas" Canadian Medical Association Journal 15 Apr 1987, 156(8).
Hicks, L. et al. (2001) Understanding the Clinical Dilemmas that Shape Medical Students' Ethical Development: Questionnaire Survey and Focus Group study. BMJ Journal 2001;322-709-71- 24 march 2001.
Medical/Nursing Education
Nurses are required to make many immediate decisions in their assigned duties. Unfortunately, in recent years, patient care has often been compromised as a nursing shortage crisis has escalated to epic proportions. Increased patient loads have resulted in often hasty nursing decisions as responsibilities and hours worked have increased. Although precious time must be spread thin to accommodate higher numbers of patients, nurses must exercise their morals through consistency in ethical behaviors. According to Peggy Chinn (1), "Many ethical issues, such as end-of-life decision making, have increased in complexity. Other issues, such as advocacy and choice, have changed in certain respects but are more clearly centrally situated within nursing's ethical domain."
As a result, nurses are held accountable for a variety of decisions in nursing practice and in many instances, a patient's life depends on such decisions to survive. Gastmans (496) states that "Generally, the goal of nursing activity is…...
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References
Chinn, P. (2001). Nursing and ethics: the maturing of a discipline. Advances in Nursing Science
Erlen, J. (2001). Moral distress: a persuasive problem. Orthopaedic Nursing 20(2): 76-80.
Erlen, J. (2001). The nursing shortage, patient care, and ethics. Orthopaedic Nursing 20(6):
Gastmans, C. (2002). A fundamental ethical approach to nursing: some proposals for ethics education. Nursing Ethics 9(5): 494-507.
Ethics Case Study: Medical Law and Ethics
Jerry McCall is Dr. William's office assistant. He has received professional training as both a medical assistant and an LPN. He is handling all of the phone calls at the office while the receptionist is at lunch. During this period of time, a patient calls and says he must have a prescription refill for Valium, an antidepressant medication, called in right away to his pharmacy, since he is leaving for the airport in thirty minutes. The patient notes that Dr. Williams is a personal friend and always gives him a small supply of Valium when he has to fly. No one except Jerry is in the office at this time.
Does Jerry's Medical Training Qualify Him to efill the Order?
While Jerry's medical training qualifies him to receive a prescription order and transcribe it accurately for other nurses or physicians to implement or transmit to a…...
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References
Lloyd, H. (2010). Workers' compensation: a brief history. Florida Department of Financial Services. Web. Retrieved from: on 1 November 2011.http://www.myfloridacfo.com/wc/history.html
Minnesota Board of Nursing. (2010). Nurses and prescribing. Web. Retrieved from:
Nowicki, M. And Summers, J. (2004). Reducing your credibility liability. Healthcare Financial Management, 58.4: pp. 94-97. Web. Retrieved from: ProQuest Database.
Jerry McCall Dr. Williams Office Assistant
Licensed Practical Nurses and Medical Assistants: Legal and Ethical Implications
According to recent reports from the U.S. Bureau of Labor Statistics, medical assistants and licensed practical nurses (LPN) are two of the fastest growing jobs in the country (Bureau of Labor Statistics, 2010). In an effort to save costs, the demand for these professionals is increasing in both in-hospital and outpatient settings. The licenses and registrations, however, remain unstandardized; while LPNs are required to receive a license, some medical assistants receive a one or two-year degree and still others are only trained on the job. The responsibilities and restrictions of the profession are likewise only loosely regulated and vary between states. This has both ethical and legal implications for patient care. The following case scenario illustrates these ramifications and discusses the appropriate course of action for medical assistants working in a clinical setting.
The Case:
Jerry McCall is…...
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References:
Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Medical Assistants, on the Internet at (visited October 17, 2011).http://www.bls.gov/oco/ocos164.htm
Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Licensed Practical and Licensed Vocational Nurses, on the Internet at (visited October 17, 2011).http://www.bls.gov/oco/ocos102.htm
Couch, C., Minchella, K., Walker, R., Watson N. Occupational Analysis of the CMA (AAMA). (2008). American Association of Medical Assistants, 2007-2008. Available from http://www.aama-ntl.org/resources/library/OA.pdf .
Ferrell, C.W., Aspy, C.B., Mold, J.W. (2006). Management of Prescription Refills in Primary Care: An Oklahoma Physicians Resource/Research Network (OKPRN) Study. Journal of the American Board of Family Medicine, 19, 1, 31-38.
Internal rate of return is 72%.
Conversely, Proposal 2 operates at a $150,000 deficit for its first year of operation. Totals costs for the CT scan equipment are $1.1 million ($500,000 variable costs from $500 per patient and $600,000 fixed cost for insurance and equipment leases) while revenue for year one is only $950,000 (from per visit payments of $950 per patient). One thousand patients are expected in year one of operation. The initial cost of investment for Proposal 2 was $50,000 putting the total budget deficit for Proposal 2,-year 1 at $200,000. Total costs for year two are $1,350,000 while gross revenue reaches $1,425,000. This presents a positive cash flow of $75,000 however because of the loss of $200,000 in year one, net profits for year two are negative at $125,000 ($200,000 [year one net profit] - $75,000 [year two cash flow]).
Like Proposal 1, Proposal 2 becomes profitable over…...
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Sources
Fridson, Martin S., and Fernando Alvarez. Financial Statement Analysis: a Practitioner's Guide. New York: John Wiley & Sons, 2002. Print.
Friedlob, G. Thomas., and Franklin James Plewa. Understanding Return on Investment. New York: Wiley, 1996. Print.
Hofstrand, Don. "Understanding Cash Flow Analysis - File C3-14 December 2009." Iowa State University Extension. Web. 15 Mar. 2011.
Professional DevelopmentMedical Device Sales: Career SummaryMedical device sales is a career path in biomedical science that combines technical knowledge with business knowledge. Professionals in this field serve as important intermediaries between manufacturers of medical devices and healthcare providers. They are not just sales people: they actually help to introduce, inform, present, explain, and sell new and innovative technologies and tools that can be used to improve patient care. According to the Bureau of Labor Statistics (BLS), medical device sales representatives typically earn competitive salaries, with median earnings around $85,000 annually, and they can also benefit from performance-based incentives.The role requires one to have a working knowledge of the biomedical sciences. But one also needs exceptional communication skills. Problem-solving and interpersonal skills can also be exceedingly helpful as potential clients tend to present obstacles to a sale. Sales representatives have to understand the clinical applications of their products so that they…...
Essay 2: In what collegiate extracurriculars did you engage? (400 characters)
As Vice President of Phi Kappa Sigma, I co-managed the annual $30k budget, participated in 100+ hours of community service, volunteered for the Rutgers Dance Marathon, raised funds for the Embrace the Kids Foundation, and organized the annual Phi-Esta fundraiser for the Eric Legrand’s Foundation with several other fraternities. I also volunteered for the Leukemia Lymphoma Society.
Essay 3: Did you work for compensation during college during the year or the summer? (300 Word limit)
Yes, every summer I worked full-time. During the summers of my undergraduate career, I worked at Selco Associates, a distribution and warehousing company. There I coordinated with management personnel to provide high quality customer service. I also managed apparel and footwear inventory for major companies and assisted in opening new accounts. This experience helped me to develop communication, organization, and problem-solving skills that I expect to be…...
Also, overall organizational costs have increased as well. Thus, two central questions must be answered. First of all, what is the hospital's ethical policy on a patient's right to die? How can the policy be rectified so that it is coherent with the law and with the director's policies? The assistant cannot alone determine this statement, but can demand that the rights of the patient to refuse or accept treatment for their own physical persons and their children be clearly stated by some organizational manifesto. If there is a coherent organizational policy that the hospital can hereafter adhere to, then patients will have some idea what they are 'getting into' before coming to the hospital, and the board of directors can have some say as to the overall hospital policy. Secondly, regarding the increase of costs, the financial department must be consulted as to how many Medicaid and Medicare…...
Executive Assistant
This case study examines the decision making process from a collective viewpoint. It attempts to resolve issues within a community hospital that have arisen due to failed organizational management, ethical considerations and a poorly established communication system.
Framing the Problem:
Identify the Problem-
The primary problems that exist within Faith community hospital center around the following as outlined by the CEO: (1) a lack of organizational processes that ensure uniformity, (2) a lack of standardized procedures with regard to ethical considerations working in a medical environment, and (3) lack of appropriate communication systems to ensure that everyone is thinking alone the same lines.
At this point in time Faith Community Hospital has developed a mission statement that clearly identifies the organizations mission which is among other things to provide a quality continuum of service to community members.
However variant interpretations of the mission have led to a chaotic management style and organizational foundation…...
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References:
Mattison, M. (2000). "Ethical decision making: The person in the process." Social Work,
45(3): 201
Reamer, F. (1995). "Social work values and ethics." New York: Columbia University
Introduction
Factors related to hospitals and the patient population influence incidents of discharge Against Medical Advice, also known as AMA (Karimi et al., 2014). There is a high rate of discharges against the doctor’s advice after admission into emergency units. There is a need to probe the reasons behind such a trend (Shirani et al., 2010). It should be noted with concern that AMA is a healthcare institutions’ problem across the world because, in cases where children are discharged in such a manner, the blame cannot fall on these children. Children do not contribute to such decisions (Mohseni et al., 2013). Figures show that out of every 65 to 120 discharges from general hospitals across the world, one is a case of AMA. Such action is prone to dire consequences including litigation (Devitt et al., 2000). The scenario is a challenge to physicians across the globe (Taqueti, 2007). It is difficult…...
com and 50 U.S. top distributors) has been properly covered. If there is a discrepancy between expectancies and results, the organization will identify the causes and try to eliminate them.
Still, even if final control is compulsory, the marketing department should periodically check the accomplishment of tasks. Therefore, the plan should prescribe deadlines, budgets, and activities that must be closely obeyed in order to timely detect and remediate potential causes of failure.
A b) for an accurate evaluation of its marketing efforts, Sonic should assess the customers' attitude towards its products before, during and after implementing the plan. Thus, by using questionnaires, the company can find out what changes have occurred as a result of their communication initiatives. Secondly, the success of the marketing efforts could be inferred after calculating several indicators related to the objectives stated in the plan (market shares, sales volume, awareness etc.).
Safety net hospitals have traditionally provided medical services vital to public health. Unfortunately, the recent economic recession has dealt a hard blow to safety net hospitals, even to the point of forcing hospital closures. Fortunately, Health Care Reform has already positively impacted U.S. health care and will even revolutionize American health care in some respects.
The Effect of the Closure of Safety Net Hospitals on Public Health
Safety net hospitals, such as Grady Memorial Hospital, serve the public health through providing vital treatment of uninsured, underinsured, Medicaid, and Medicare patients, along with some privately insured patients (Dewan & Sack, 2008). In addition, some safety net hospitals are also teaching hospitals that train medical professionals who contribute considerably to public health. Unfortunately, economic pressures are forcing the closure of some safety net hospitals, resulting in the severe reduction of medical care in certain communities for the "poor and underserved" (Altman, Shactman, &…...
Felland, L.E., Cunningham, P.J., Cohen, G.R., November, E.A., & Quinn, B.C. (2010, January). The economic recession: Early impacts on health care safety net providers. Retrieved September 1, 2012 from Rwjf.org Web site: http://www.rwjf.org/files/research/55109.pdf
healthcare problems facing this nation is that of migrant workers, primarily those from Mexico, who work both legally and illegally on this side of the border. While other immigrant populations are also underinsured and under-treated --most notably Asians -- the Hispanic problem is by the far the most significant because of the shear numbers and the structural poverty which create stagnant population pools too large to ignore.
By allowing this problem to continue, we face the more direct health threat of the Mexican migrant worker population becoming a breeding ground for infectious diseases that can spread quickly into the general population. While humanitarian reasons alone should call for our involvement in solving this problem, we should be aware that the problem is an economic one as well. The Mexican workers, especially since the passage of NAFTA, have become an intergral part of the U.. workforce in that they are performing…...
Equity Theory -- Stated that a person compares their outcomes and inputs with others. Sarah has a meeting to discuss the salary of the whole entire organization. They realized that women were low paid in comparison to the men. Sarah started comparing herself with one of her colleagues saying that she worked harder than him and she has been there longer than him.
Satisfaction performance theory -- Porter and Lawler (1968a) state that it is not a motivational model that had dealt with the relationship between satisfaction and performance. Sometimes any reward that an employee may get is not related and how well he/she performs their job. Although this case does not tell us what type of reward Sarah was getting for her job we can see that her level of satisfaction she had when doing her job. She perceived that a higher degree of effort…...
My honest answer to this question is that, as a medical assistant, it is highly unlikely that I would be establishing the practice’s policy in terms of cancellations and patients who show up without appointments. Generally, the doctor(s) and the office manager establish those policies and the appropriate policies may vary tremendously depending on the type of practice, the demands of the practice, patient utilization, current prevailing conditions (for example, the COVID-19 pandemic could change how a practice approaches drop-in patients), and the patient’s own medical history. As a medical assistant, I would follow the policies and....
Challenges in Transitioning from Admin Support to Medical Billing Transitioning from administrative support to medical billing poses several challenges due to the specialized knowledge and skills required in the medical field. Key challenges include: 1. Medical Terminology and Knowledge: Admin support typically involves general office tasks, while medical billing requires a comprehensive understanding of medical terminology, anatomy, and physiology. Coders must accurately translate medical diagnoses and procedures into medical codes for reimbursement purposes. 2. Compliance Regulations: The healthcare industry is heavily regulated, and medical billers must adhere to a complex set of rules and regulations. Non-compliance can result in penalties, fines, or even....
1. Strong communication skills: Medical assistants must be able to effectively communicate with patients, doctors, and other healthcare professionals. This includes listening to the needs and concerns of patients, explaining medical procedures, and reporting information accurately.
2. Attention to detail: Medical assistants often work with sensitive information and must pay close attention to detail to ensure the accuracy of medical records and patient information.
3. Organizational skills: Medical assistants may be responsible for scheduling appointments, managing medical records, and keeping track of supplies. Strong organizational skills are essential to successfully juggle multiple tasks and responsibilities.
4. Clinical skills: Medical assistants are often involved....
Medical assistants serve as the backbone of the healthcare system, playing a crucial role in providing patient care and administrative support. To thrive in this demanding field, medical assistants require a comprehensive skillset that encompasses both technical proficiency and interpersonal abilities. Here are the essential skills that pave the way for success in the healthcare industry:
1. Clinical Skills: Medical assistants are often the first point of contact for patients, and thus, they need to possess a solid foundation in clinical skills. These include vital sign measurement, patient preparation for examinations, specimen collection, and assisting with minor procedures. Proficiency in these....
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