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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…
BLS. Medical Assistants. Bureau of Labor Statistics: U.S. Department of Labor, 2009.
Retrieved on February 23, 2012 from http://www.bls.gov/oco/ocos164.htm
Keir, Lucile et al. Medical Assisting 5th edition, Thomson Delmar Learning: Thomson
Corporation, 2006. Retrieved on February 22, 2012 from http://www.delmarlearning.com/companions/content/0766841464/curriclum/KeirSetUpdate.pdf
All Medical Assistants
The importance of customer service in a tertiary healthcare setting
As you all know, the healthcare industry has been transformed in substantive ways as a result of the Patient Protection and Affordable Care Act and the growing need for timely recordation of services rendered in order to attain appropriate reimbursement of physician services and overall expense reimbursement for the medical facility. This memorandum explains how and why customer service is the one thing that sets their organization apart from their competitors.
Importance of Customer Service from Medical Assistants' Perspective
Please know that our organization appreciates your unwavering efforts to provide the best possible medical care to our valued patients. Medical assistants are on the forefront of the provision of this care, and we need your support to ensure that your services are compensated appropriately. This is in everyone's best interests because unplanned turnover can cost this organization…
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…
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.
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…
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…
Lloyd, H. (2010). Workers' compensation: a brief history. Florida Department of Financial Services. Web. Retrieved from: http://www.myfloridacfo.com/wc/history.html on 1 November 2011.
Minnesota Board of Nursing. (2010). Nurses and prescribing. Web. Retrieved from:
http://www.state.mn.us/mn/externalDocs/Nursing/NURSES_AND_PRESCRIBING_090904125323_Prescribing%20FAQ2.pdf on 1 November 2011.
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.
Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Medical Assistants, on the Internet at http://www.bls.gov/oco/ocos164.htm (visited October 17, 2011).
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 http://www.bls.gov/oco/ocos102.htm (visited October 17, 2011).
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…
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.
Medical trauma triage management requires skillful curriculum development, which in turn depends on an assessment of needs and an anticipation of potential barriers to implementation. The initial needs assessment has revealed required resources of about four or five medical services providers such as physician assistants and nurse practitioners. Support personnel may be provided, but an additional challenge will arise when implementing the curriculum in a real world setting such as a trauma center, emergency room, or intensive care unit. Adequate space and time must be carved out for the curriculum implementation, without disturbing standard operating procedures. At the same time, improving trauma triage management will ultimately facilitate patient service delivery and maximize care outcomes, goals that should continually be communicated to the institutional administration as well as all participants in the program.
Each phase of the ADDIE model, an industry benchmark for curriculum development, "requires constant evaluation," (Allen, 2006, p.…
Allen, W.C. (2006). Overview and evolution of the ADDIE training system. Advances in Developing Human Resources 8(4): 430-441.
Bass, E.B. (n.d.). Step 1: Problem identification and general needs assessment.
Swanson, R.A. & Holton, E.F. (2009). Training and development practices. Chapter 12 in Foundations of Human Resource Development.
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…
Personal Digital Assistants in Healthcare
Current Applications and Future Trends in the Use of Personal Digital Assistants in Healthcare
Today, healthcare practitioners enjoy a wide range of digital equipment that can help them provide more efficient healthcare services, including laptop computers, cellular telephones and personal digital assistants, or PDAs. These devices have been used in various ways by clinicians to improve their ability to deliver more timely and accurate diagnoses and treatments, and it is clear that the use of these devices will continue to increase in the future. The purpose of this study is to provide a current snapshot of how personal digital assistants are being used in various healthcare settings, including military and government tertiary facilities and the use of PDAs on the battlefield in times of war, but with a specific focus on how PDAs are being used in nongovernmental healthcare facilities today. To this end, a…
Blow, F.C., Barry, K.L., Walton, M.A. et al. (2006). The efficacy of two brief intervention strategies among injured, at-risk drinkers in the emergency department: Impact of tailored messaging and brief advice. Journal of Studies on Alcohol, 67(4), 568.
Cieslak, D.M., & Van Winkle, M. (2004). Carry your office in the palm of your hand; a pocket-size device is your computer when you're on the road. Journal of Accountancy, 198(2), 52.
Corbett, M.L. (1996, January). Choosing the perfect PDA: Personal digital assistants help busy professionals. Black Enterprise, 26(6), 34.
Greisler, D.S., & Jackson, J.R. (2000). The changing nature of physician power: Understanding physician power and its future. Journal of Power and Ethics, 1(4), 260.
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 patients…
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…
Mattison, M. (2000). "Ethical decision making: The person in the process." Social Work,
Reamer, F. (1995). "Social work values and ethics." New York: Columbia University
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…
Furthermore, the supervisor must have a keen understanding of the laws and guidelines of the institution so that he can help in interpreting them to the staff. During the interview, there were times when directions were asked of the manager from the employees on how to go about tackling a problem. Sometimes the problems were so technical requiring the quoting of laws. I realized that this is a vital part of the managerial skill that has to be cultivated in order to make an effective manager. Also as the manager was doing his rounds, I realized that many people were asking him to solve their problems, be it social or technical, therefore, a leader should be have the ability of solving problems in a logical and reasoned manner and also be able to motivate people towards the efficient completion of tasks.
Learning about human resource is vital to understand about…
Veo, P. (2010). Concept mapping for applying theory to nursing practice. Journal for Nurses in Staff Development, 26(1), 17-22.
Kingma, M. (2006). Nurses on the move: global health care Migration and the economy. Nursing Leadership, 19(2), 92-94.
Morgan, J.C., & Lynn, M.R. (2009). Satisfaction in nursing in the context of shortage. Journal of nursing management, 17(3), 401-410.
Redman, R.W., & Potempa, K.M. (2009). Nursing education in human resources in: A worldwide crisis. Collegian: Nursing Journal of the Royal College of Australia, 16(1), 19-23.
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.).
A c) the most…
Kotler, P., & Keller, P. (2003). Marketing Management (12th Ed.). Upper Saddle River: Prentice Hall.
Kotler, P. (1986). Principles of Marketing. Englewood Cliffs, New Jersey: Prentice-Hall.
How to Write a Marketing Plan (2007). On the Internet at: www.knowthis.com/tutorials/marketing/marketingplan1.htm. Retrieved March 22.
Information on Sales Promotion (2007). On the Internet at http://en.wikipedia.org/wiki/Sales_promotion.Retrieved March 22, 2007.
To demonize the concept of universal healthcare with the word 'rationing' "buys into the myth that we don't have rationing of medical services now. But we do. It takes many different forms. It is commonplace for health insurance companies and HMOs to deny patients beneficial treatment. They find a variety of excuses for doing so, and may not openly admit it, but we all know that it happens. Medicare rations drugs by requiring co-payments that many patients can't afford. Emergency rooms ration care by making people wait so long in line that some just give up and go away" (Singer 2011).
The recent decimation of many retirement funds means that more and more members of the elderly are eligible for both Medicare and Medicaid. The elderly on fixed incomes often struggle to afford medications not currently covered within the provisions of Medicare because of the "doughnut hole" in…
Kane, Robert, Rosalie Kane, Neva Kaye, Robert Mollica, Trish Riley, Paul Saucier, Kimberly
Irvin Snow & Louise Starr. (1996). Managed care.
Retrieved August 12, 2011 at http://aspe.hhs.gov/Progsys/Forum/basics.htm
Leonard. Sean. (2011). How to fix Medicare. Salon. Retrieved August 12, 2011 at http://www.salon.com/technology/how_the_world_works/2011/05/25/the_long_march_to_healthcare_reform/index.html
Nursing Leadership and Management
Organizational Analysis -- The Organization
The hospital is well recognized and has been named a top 100 Heart hospital and top 100 hospitals nationally. The organization also has a nationally ranked children's hospital that has newborn and pediatric intensive care services. Sanford Medical Center is a level II trauma center that is supported by AirMed transport services that cover a three-state area. The services offered within the facility include:
• 3D Mammography
• Allergy & Immunology
• Behavioral Health
• Breast Health
• Dermatology & Cosmetic Services
• Diabetes & Endocrinology
• Ear, Nose & Throat
• Emergency Medicine
• Family Medicine
• Palliative care
• Laboratory and Pathology
Sanford Medical Center is a not-for-profit rural health facility. The facility does partner with the community to bring health and healing to the…
The nurse must 'read' the patient's personality, and know whether acting firm or sensitive is the best way to deal with the individual. A nurse must always comport herself in a professional manner, but needs to take a different tone with a child vs. An adult; a person in a dissociated state vs. A man experiencing chest pains. Communications decisions, much like medical decisions, must often be undertaken in a split second. The first few minutes of the encounter can set the tone of the entire client-nurse interaction, even the tone of the patient's entire experience on the unit.
Effective communication is also required with other healthcare professionals on the unit, including but not limited to doctors, other nurses, and physician's assistants. 'Triage' -- deciding what patients and procedures are of highest priority, establishing standard operating procedures to deal with being short-staffed, and using time and resources in an effective…
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,…
Altman, S.H., Shactman, D., & Efrat, E. (2006, Jan/Feb). Could U.S. hospitals go the way of U.S. airlines? Retrieved September 1, 2012 from Proquest.com Web site: http://search.proquest.com/docview/204650663/138ED25BFA63A547161/5?accountid=28844
Amalberti, R., Auroy, Y., Berwick, D., & Barach, P. (2005, May 3). Five system barriers to achieving ultrasafe health care. Retrieved September 1, 2012 from Proquest.com Web site: http://search.proquest.com/docview/222267835/138ED3FE9A36E21E74A/6?accountid=28844
Dewan, S., & Sack, K. (2008, January 8). A safety-net hospital falls into financial crisis. Retrieved September 1, 2012 from Nytimes.com Web site: http://www.nytimes.com/2008/01/08/us/08grady.html?pagewanted=1&_r=1
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…
Hahn, Kaye (1998) "Health Related Issues and Challenges of Women and Children In a Migratory WorkForce." Online at Medical College of Georgia Available: http://gain.mercer.edu/grha/migranthealth.PDF.(1/11/03)
Lanzendorfer, Joy Silent Suffering North Bay farm workers face a healthcare crisis." Online at Metro PublishingFrom the May 30-June 5, 2002 issue of the North Bay Bohemian. Available: http://www.metroactive.com/papers/sonoma/05.30.02/farmworkers-0222.html .(1/11/03)
Pinkerton, James. (May 2002). "Health Care: Crisis at the Border." Online at the Grande Valley Bureau Houston Chronicle. Available: http://namiscc.org/Advocacy/2002/BorderCrisis.htm .(1/12/03)
Stanley, Eduardo. March 27, 2001."Farm Worker Survey Uncovers Health Problems, Abuses." Online at New California Media. Avaialble: http://www.ncmonline.com/content/ncm/2001/mar/centralvalley.html .(1/10/03)
The theory has three factors:
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…
Organizational esponsibility and Current Health Care Issues
Ethics is the assessment and research of the human habits in regard to moral concepts, particularly those in a certain team, occupation, or specific organization (The Free Dictionary, 2012). People deal with lots of ethical/moral problems everyday and how they react might result in significant and legal ethical/moral ramifications. In the healthcare market, having approaches for making ethical/moral choices is a necessary part of the task. This paper will provide a circumstance that happens in a medical workplace and if the choice of the medical assistant will have an effect on the decision-making procedure, which can bring about legal and honest complexities.
The situation provides a skillfully experienced medical assistant and Licensed Practical Nurse (LPN) working in a clinic or medical workplace as a workplace assistant. Alone in the workplace and in charge of the phone calls throughout lunch, the assistant gets…
Bagheri, A. (2012). Elements of human dignity in healthcare settings: the importance of the patient's perspective. Journal of Medical Ethics; 38:12-729.
Bureau of Labor Statistics. (2009). Medical Assistants. Retrieved on October 31, 2010 from, http://www.bls.gov/oco/ocos164.htm
Buzzle. (2010). Medical Assistant Job Description. Retrieved on November 1, 2010 from, http://www.buzzle.com/articles/medical-assistant-job-description.html
Fremgen, B.F. (2009). Medical Law and ethics (3rd. ed.) Upper Saddle River, NJ: Pearson Prentice Hall.
Ethical Responsibilities: Avoid Putting Organization at Risk
The 1996 HIPAA (Health Insurance Portability and Accountability Act) helps millions of U.S. employees and family members transfer and carry on with the same healthcare insurance coverage even if they jump jobs or get fired; decreases abuse and fraud in the health sector; mandates confidential use and protection of sensitive patient health details; and mandates sector-wide healthcare data standards when it comes to processes like electronic billing (California Department of Health Care Services, 2015). HIPAA's enactment made healthcare practitioners who can view and share patients' sensitive personal information legally liable (Medical Assistant Certification, n.d.). A few professional and ethical actions to be considered by new medical assistants include:
Contracts are voluntary arrangements between two entities wherein explicit promises are made. Contract elements are vital to physicians, nurses, etc. as healthcare services are delivered under different kinds of medical contracts (Chapter 3, n.d.).
In this second phase of my 'career training in life, for over a year after I pursued a career in the medical field, I have developed administrative skills such as medical records/data management and preparation and processing of relevant medical forms and documents. Currently, I have been exposed to other responsibilities such as patient education and quality control and documentation.
More importantly, as a medical assistant, I have acquired important skills and knowledge about tasks that will equip me in my plans to become a nurse. I have been trained to know general medical tasks such as vital signs, setting-up and preparing clinic/hospital facilities, equipments, and materials (such as injections, prescription refills, instrumentation, bandaging, sterilization procedures, and chemical disinfectants). I have also become adept at accomplishing skill- and knowledge-specific medical tasks, which includes diagnosis determination and testing and utilization of medical tools and equipments (phlebotomy, vision testing, prenatal and GYN…
Nursing is one of those professions that provides the opportunity not only to further oneself on a professional level, but also on a personal level. It provides the individual with the opportunity to connect with others by providing a platform of health care, while also providing a helping hand that promotes not only short-term healing, but also long-term well-being. This makes nursing one of the most caring professions, as it provides the nurse with the opportunity to use his or her skills, and also to lend a hand above the duties of simple physical health care. In this way, nursing extends to caring for the whole person rather than the physical being alone. This is one of the major factors that has attracted me to the profession throughout my life.
According to Limon (2001), there are four central concepts that are central to the metaparadigm of nursing, including the person…
Kocisko, D. (2010, Jan 23). Counselor, patient advocate, researcher, teacher -- and nurse: A Nurse's Journal. Retrieved from: http://www.cleveland.com/healthfit/index.ssf/2010/01/counselor_patient_advocate_res.html
Limon, C. (2007). The Components of the Metaparadigm for Nursing. Nutrition and Health Hub. Retrieved from: http://smalldogs2.com/NutritionHealthHub/The_Components_of_the_Metaparadigm_for_Nursing.html
Health Information Technology Systems Life Cycle or HIT systems life cycle has several broad categories. One such broad category is EH or electronic health records. EHs are patient-centered, real-time records. They allow users to get information instantly wherever and whenever it is needed. Simply put, EHs are computerized, digital versions of a patient's paper charts. EHs contain the medications, radiology images, test and lab results, immunization dates, medical history of a patient and offers access as well to evidence-based tools a provider may use to make decisions concerning a patient's care. Not only does it offer streamlining and automation of the providers' workflow, it also increases accuracy and organization of patient information.
Security and maintenance is the end phase of any basic system development life cycle. The entire process is used to recognize, examine, and design information systems (Vallette & Caldwell, 2013). In order to aid in accomplishing such an…
Ajami, S., Ketabi, S., Isfahani, S., & Heidari, A. (2011). Readiness Assessment of Electronic Health Records Implementation. Acta Informatica Medica, 19(4), 224. http://dx.doi.org/10.5455/aim.2011.19.224-227
Joukes, E., Cornet, R., de Bruijne, M., & de Keizer, N. (2016). Eliciting end-user expectations to guide the implementation process of a new electronic health record: A case study using concept mapping.International Journal Of Medical Informatics, 87, 111-117. http://dx.doi.org/10.1016/j.ijmedinf.2015.12.014
Vallette, M., & Caldwell, B. (2013). Patient and Provider Perspectives on Electronic Helath Record (EHR) Information Access and Rights. Proceedings Of The International Symposium Of Human Factors And Ergonomics In Healthcare, 2(1), 64-68. http://dx.doi.org/10.1177/2327857913021013
Wright, L. (2014). Thinking holistically about EHR selection and implementation. Behavioral Healthcare, 34(1), 18-21. Retrieved from http://go.galegroup.com/ps/anonymous?id=GALE%7CA364855467&sid=googleScholar&v=2.1&it=r&linkaccess=fulltext&issn=19317093&p=AONE&sw=w&authCount=1&isAnonymousEntry=true
The purpose of effective communication is to co-ordinate efforts towards achieving team goals, enhancing quality of meetings for information to be shared, decisions collectively made, and for there to be shared understanding about the tasks to be performed. A necessary component of team work is establishing shared meaning of the work, and appropriate means of delivering high quality consumer care (Borrill et.al, 2000).
Effective healthcare centers heavily rely on effective communication for them to live up to their missions. Productivity at the workplace improves when information flawlessly flows from one level to another. It leads to more tasks completed, consequently leading to the fulfillment of goals. In the workplace too, effective communication usually has a positive effect on employee performance through increased morale, higher retention rates and the overall productivity at the workplace. According to Aramyan (2015), it also leads to reduced misunderstandings, increased empowerment and truthfulness, as well as…
CPOE primary use to manage cost and quality in the physician and pharmacy interaction?
An electronic process that enables providers of health care to manage the results of orders entered in to a computer electronically is known as Computer Provider Order Enter or CPOE. In line with the reports of Institute of Medicine (IOM) titled, "To Err is Human: uilding a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century," CPOE has commanded increased attention. Hospitals should be rewarded for introducing prescription systems as recommended by Leapfrog Group, which is a coalition of private and public providers of health care benefits. In ever-rising numbers, Health care systems are implementing CPOE as a way of improving both the quality of patient safety and care. The implementation of CPOE is, however, not only an information technology innovation, but it also encompasses delivery of health care…
Agency for Healthcare Research and Quality. (2015, Febuary). Computerized Provider Order Entry. Retrieved from Agency for Healthcare Research and Quality: http://healthit.ahrq.gov/key-topics/computerized-provider-order-entry
Centre for medicare and medicaid services. (2012). Stage 2 Eligible Professional Meaningful Use Core Measures Measure 1 of 17. Centre for medicare and medicaid services.
Classen, D., Avery, A., & Bates, D. (2007). Evaluation and Certification of Computerized Provider Order Entry Systems. Journal of American Medical informatics Association, 48-55.
Eslami, S., Abu-Hanna, A., & De. Keizer, N. (2007). Evaluation of Outpatient computerised physician medication order entry systems: A systematic review. Journal of American Informatics Association, 400-406.
Mirror" by Connie Panzarino
The Me in the Mirror" is an autobiographical work written by Constance Panzarino, a writer, activist and artist who talked about her life as a disable cause by the rare disease Spinal Muscular Atrophy Type II. Connie Panzarino was born on November 26, 1947 in Brooklyn, New York, and her book chronicles her life as a child growing and living with the said muscular disease. The book is divided into different sections that focus on various topics, and her narration is not a chronicle of her life from childhood to adulthood, but rather, Panzarino touched various aspects of her life as a disabled person. In addition to her struggle for physical mobility, her book speaks of her struggles also as a woman who is disabled, as an individual doing passionate work for her fellow disabled individuals, and most importantly, her fight against the concept of "Ableism,"…
Strategic Planning May Successfully Aid the Patient-Centered Medical Home Model's Implementation and Value to Our Health Care System
How Using Strategic Planning May Successfully Aid the Patient-Centered Medical Home Model's Implementation and Value to Our Health Care System
In 1967, the AAP (American Academy of Pediatrics) introduced the concept of Medical Homes. These homes were at first assigned for obtaining children's medical records. Several decades later in 2002, the Academy expanded its policy statement on the concept, making it more comprehensive, accessible, compassionate and culturally-effective. The new policy also changed the focus of medical home from the child to the family. The ACP (American College of Physicians) and the AAFP (American Academy of Family Physicians) have also developed their own patient-care models which they refer to as "advanced medical home" and "medical home," respectively (PCPCC, 2007).
Many health care experts agree that the basic components of medical home definition include…
AHIMA. (2013). Assessing and Improving EHR Data Quality. Journal of AHIMA, 84(2), 48-53.
AHIMA Board of Directors. (2011). New View of HIM: Introducing the Core Model. American Health Information Management Association.
AHRQ. (n.d.). Defining the PCMH. Retrieved March 11, 2016, from Agency for Healthcare Research and Quality: https://pcmh.ahrq.gov/page/defining-pcmh
Alexander, J. A., Paustian, M., Wise, C. G., Green, L. A., Fetters, M. D., Mason, M., & Reda, D. K. (2013). Assessment and Measurement of Patient-Centered Medical Home Implementation: The BCBSM Experience. Annals of Family Medicine, 11(1), S74-S81.
Nursing Practice Expected to Grow and Change
Ageing of population and healthcare providers, coupled with reforms to healthcare, will raise demands for professionals in the field, also expanding existing professionals' required skill sets and roles. Physicians, physician assistants, nurse practitioners, nurses, and medical assistants are included in this growth area. Fortunately, healthcare is characterized by a swiftly expanding and large workforce (with 23000 new entrants every month, nationally); this sector progressed even in recent economic recessions (Survey, 2013). Registered Nursing (RN) is one of the leading U.S. occupations which is projected to grow 26% and add the highest number of jobs by 2020 (an estimated 1.2 million RNs overall), as per U.S. ureau of Labor Statistics (Survey, 2013). This stems from a projected rise in demand, as well as a need for replacing the current ageing RNs. Nursing careers are being pursued in America increasingly; the number of students enrolled…
Buerhaus, P., DesRoches, C., Applebaum, S., Hess, R., Norman, L., & Donelan, K. (2012). Are Nurses Ready for Health Care Reform? A Decade of Survey Research. Nursing Economics, 329.
Dunbar-Jacob, J. (2011). The Changing Role of Nursing in Health Care Reform. Pittsburgh: Pitt Nurse. Institute for Nursing Centers Survey (2008). Retrieved from http://nursingcenters.org/PDFs/INC%20Highlight%20Report%2010_6_08.pdf.
NURSE-MANAGED HEALTH CENTERS. (2011). Retrieved from: http://www.nncc.us/pdf/NMHC_Quality_Standards.pdf
Pohl, J.M., Tanner, C., Barkauskas, V.H., Gans, D., Nagelkerk, J., & Fiandt, K. (2010). Nurse-managed health centers' national survey: Three years of data. Nursing Outlook, 58(2), 97-103
clinical nursing professionals require self knowledge as well as expertise in order to be successful in their field using Patricia Benner's book as a background. It has one source.
Clinical professions today require experts. In a clinical setting both nurses and doctor are equipped with information which will validate their presence for patient care. A critical understanding of the processes of diagnosis, treatment and monitoring of the patient is imperative as they are responsible for the patient care outcomes. Nurses today are playing a critical role as intermediaries, more knowledgeable than an attendant but with less expertise than the physicians themselves. Nursing is no longer a comparatively inferior career but a highly sophisticated field requiring clinical expert skills to carry out patient care duties. They are responsible for making on the spot decisions; act as coaches for aspiring nurses; specialize in certain areas such as rehabilitation, injuries, administrative nurses etc.…
Benner, PE (1984). From Novice to Expert: Excellence and Power in Clinical Nursing Practice. Menlo Park, Calif: Addison Wesley Publishing Co, Inc.
Health Information System
Promoting Action Design esearch to create value in healthcare through IT
ecently there has been varying proof showing that health IT reduces costs while improving the standard of care offered. The same factors that had caused delays in reaping benefits from IT investment made in other sectors (i.e. time consuming procedural change) are also very common within the healthcare sector. Due to the current transitive nature of the Healthcare sector, new IT investment is likely not going to provide maximum value unless this new investment is backed up with a total reform of healthcare delivery. The overall ability of healthcare IT value researchers to add value to practice will be severely limited as a result of the traditional ex-post approach to measuring IT and the fact that government spurs significant investment. It may be risky to generalize or compare results from traditional IT value research with those…
Fichman, R., Kohli, R., & Krishnan, R. (2011). The role of information systems in healthcare: Current research and future trends. Information Systems Research, 22(3), 419-428.
Goh, J.M., Gao, G., & Agarwal, R. (n.d.). Evolving work routines: Adaptive routinization of information technology in healthcare. Information Systems Research, 22(3), 565-585.
Hoffnagel, E., Woods, D., & Leveson, N. (2006). Resilience engineering: Concepts and precepts. Abingdon: GBR: Ashgate Publishing.
Jones, S., Heaton, P., Riudin, R., & Schneider, E. (2012). Unraveling the IT productivity paradox lessons for health care. The New England Journal of Medicine, 366(24), 2243-2245.
Introducing Alexa Madison
Basic facts from her childhood
Basic facts from her adolescence
Basic facts from her young adult life
Issues related to race
Detailed analysis of race-related issues in Alexa's life
acial identity in a multicultural society: the factors that help create an individual's racial identity and membership in a specific social group based on race or ethnicity.
Implications for social status; in particular, the self-perception of African-Americans vs. The expectations placed on African-Americans
Link to external sources to present Alexa's life in the broader context of African-American culture, life, and history.
The 2008 film Crips and Bloods: Made in America is about gang warfare and violence in Los Angeles, but the underlying message is that problems impacting black communities in the 21st century have their roots in institutionalized racism.
(a) Alexa might not have had any interaction with gang members, but her experiences reflect…
Anderson, E. (1994). The code of the streets. The Atlantic. May 1994. Retrieved online: http://www.theatlantic.com/magazine/archive/1994/05/the-code-of-the-streets/306601/
Crips & Bloods: Made in America (2008) (excerpt, 41 min.)
Epstein, C.F. (2007). "The Global Subordination of Women." Pp. 283-302 in The Spirit of Sociology: A Reader, 3rd ed., edited by Ron Matson. Boston: Pearson.
Lareau, A. 2010 . "Invisible Inequality: Social Class and Childrearing in Black Families and White Families." Pp. 611-626 in Mapping the Social Landscape: Readings in Sociology, 6th ed., edited by Susan J. Ferguson. New York: McGraw Hill.
One instance where the doctor had influenced governance in the community hospital's organization plan was when the hospital had been unable to accommodate the increasing number of patients. Because most of the health care staffs in the hospital are similarly providing their medical service in other hospitals, as with the doctor, there was not enough time for the organization to plan to work on the improvement of the management planning. But, for our doctor interviewee who has a commitment in the delivery of good health care service, he volunteered to organize the management planning and improvement of the organization's structure. However, the doctor did not just individually govern the management planning. Instead, he promoted shared governance within the organization wherein everyone was able to contribute in the improvement of the framework and structure of the community hospital. A body of model employees and staffs were formed to exercise the authority…
The Role of the General Practitioner/Family Physician in Health Care Systems: A Statement From Wonca. Retrieved on Sept 3, 2005, from Online. http://www.globalfamilydoctor.com/publications/Role_GP.pdf.
2004). Shared Governance: Hartford Hospital's Experience.
Retrieved on Sept 03, 2005 from Online. http://www.nursingworld.org/ojin/topic23/tpc23_2.htm
Strategic Recommendations for a Reduction of Operating Costs for Burn Care Unit
Burn Care Unit is a healthcare organization operating the 40-bed unit. Since its formation, Burn Care Unit business has been profitable with an increase in revenues, however, the organization has faced challenges in recruiting the professional nurses, which forces them to adopt the Baylor plan. The plan is an overtime policy that adopts 36 hours pay for nurses who work for 24 hours on the weekend. Nurses who work for 60 hours in the weekdays are paid the equivalent of 70 hours. However, the company has recorded high cost of operations because of the policy. Moreover, Burn Care has incurred $800,000 in nurses' payrolls because of the Baylor plan, and based on the recent increase in the costs of operations, the accountant has suggested that the CEO should discontinue the Baylor Plan to reduce the costs of operations.…
education at Valencia College, where I am studying to be a respiratory therapist. I want to continue my education, with the hope of attending the University of Central Florida. The University of Central Florida does not offer a Bachelor of Science degree in respiratory therapy, but does offer a wide range of degrees related to the medical field. I intend to pursue a B.S. In Health-Sciences, Pre-Clinical undergraduate degree. I feel that this will give me the educational background I need to place me in a competitive position for graduate or professional training, while exposing me to a wide variety of occupations in the medical field.
The four-year university that I have selected is the University of Central Florida in Orlando, Florida. It is a competitive university with a student body of just under 50,000 (49,900) students (Petersons, 2013). The average in-state tuition rate seems reasonable at $6,247 per academic…
Bureau of Labor Statistics. (2013). Respiratory therapists. Retrieved March 7, 2013 from the Occupational Outlook Handbook website: http://www.bls.gov/ooh/healthcare/respiratory-therapists.htm
Petersons. (2013). University of Central Florida. Retrieved March 7, 2013 from Peterson's website: http://www.petersons.com/college-search/university-of-central-florida-000_10000671.aspx
University of Central Florida. (2013). Health-sciences, pre-clinical. Retrieved March 7, 2013
from University of Central Florida website: http://www2.cohpa.ucf.edu/health.pro/prospective_students.shtml
Chemically restraining the patient without requirement is bad treatment but that was not the only thing that happened. The technician without any reason sexually abused the patient and removed all clothing even though that is not present in the protocol. As mentioned earlier, the protocol is to remove any sharp items. If I was there in this case, I would have not sedated the patient and talked to the patient about the problem. As stated earlier, the patient desperately needed therapy and did not require sedation. Therefore, I would treat the patient with counseling and therapy and mild anti-depressant medication. Seeing how the patient was a vulnerable, she would be monitored to see if she displays any suicidal tendency. egardless, the patient's privacy and dignity would be well preserved.
What I Like About This Job
For all those who have the passion to serve the humanity and take care of…
Anonymous (2007). American Association of Psychiatric Technicians.
Anonymous (2012). Psychiatric Technicians and Aides. Bureau of Labor Statistics.
Bhugra, D., Sivakumar, K., Holsgrove, G., Butler, G. And Leese, M. (2009). What makes a good psychiatrist? A survey of clinical tutors responsible for psychiatric training in the UK and Eire. World Psychiatry, 8 (2), pp. 119-120.
Brown, J.S and Tooke, S.K. (1992) On the seclusion of psychiatric patients. Soc Sci Med,
Obesity, Prevention and Control in Teens
Obesity refers to accumulation of harmful body fat levels, with excessive loose connective adipose tissues relative to lean body mass (Donatelle, 2002). One of the causes of obesity is high calorie consumption and the individual's inability to burn up the consumed calories. Obesity is said to be the outcome of imbalance of food consumed with energy expended (Venes, 2005). However, there are also considerable studies demonstrating genetic and metabolic deficiencies and disorders in cases of obesity; these include an inactive mechanism by which the body signals 'satiety', as well as deficiency of important proteins that turn off 'hunger'.
Obesity is presently the second reason for preventable deaths in the U.S., after tobacco consumption (Flegal, Carroll, Orden, & Johnson, 2000). Moreover, obesity is considered to be the leading cause for preventable deaths on a worldwide scale. In accordance with a study conducted by the World…
Beyea, C.S., & Slattery, J.M. (2006). Evidence-Based Practice in Nursing: A Guide to Successful Implementation. Marblehead: HcPro, Inc.
Bray, G. (2003). Contemporary Diagnosis and Management of Obesity and the Metabolic Syndrome. In Third (Ed.), Handbooks in Health Care (Third Edition ed.). Newtown, Pennsylvania.
Donatelle, R. (2002). Health: the Basics (6th ed.). (6th, Ed.) Los Angeles, CA: Pearson Education.
Flegal, K., Carroll, M., Orden, C., & Johnson, C. (2000). Prevalence and Trends among U.S. Adults. JAMA, 288(1723-7).
Vocera communication system
Vocera is a contemporary marvel introduced in the healthcare industry to transform communication strategies between staffs and patients. In simpler terms, one should think of Vocera as a hands-free phone, a pager, a Bluetooth or even as walkie-talkie that provides instant communication through a wearable communication devices and speech recognition technology. It can also symbolize a central computer that controls the wireless communication via the personal Vocera communication devices referred as badges. After trying various ways and strategies to use in transforming communication between the healthcare providers and patients in case of emergencies, the last resort was to implement a Vocera communication system. Vocera healthcare communication system resembles a viable way of using existing Wireless Local Area Network (WLAN) that supports voice communications. The diagram below shows a diagrammatic view of Vocera (Surhone, Timpledon, Marseken, 2010).
Nurses were already using the Electronic sunrise system but it was…
Surhone, L., Timpledon, M., Marseken, S. (2010). Vocera Communications, Chicago: VDM
Healthcare System -- Linkages and Alliances
The healthcare system is a complex but integrated system that allows patients, providers, pharmacists, insurance agencies, hospitals, and regulators to all come together so that the needs of each are met. This paper will select one healthcare delivery organization in the U.S. that provides care to patients and discuss the relationship between this organization and the other stakeholders in healthcare -- in particularly how it links and aligns with these stakeholders.
As the Institute of Medicine (2009) points out, "healthcare delivery organizations play a critical role because of their ability to drive practice trends, set standards, and influence smaller practices by sharing information, resources, and guidelines." This is something that Humana Care Delivery Organization is able to help achieve through its extensive network within the overall Humana family. By employing a balanced team, innovative pioneers, and using great locations to reach the population it…
Workflow is a term that is utilized to refer to processes or steps undertaken to complete a specific task (Mastrian & McGonigle, 2015). In a healthcare organization, this concept refers to initiatives undertaken to provide patient care services. This essentially means that workflow is crucial towards the achievement of organizational goals since it plays a critical role in the accomplishment of desired tasks/activities. Given its significance to realization of organizational objectives, organizations conduct workflow analysis to help identify workflow patterns that maximize effective resource utilization and reduce those that do not add value. Workflow analysis process is carried out using several tools to examine workflow processes and shed light on potential areas for removing waste. This paper provides a workflow analysis through flowcharts of medication administration in a community health center.
Common Event in My Organization
The organization I work for is a community health center that provides…
difficult because I was being introduced to everything. I had no idea that being a nurse meant integrating information for so many diverse fields. When I finished the week I had learned and grown so much as an individual and as a nursing student. I learned that I needed to be acquainted with various subjects in order to pull information and reference things that could help me perform my duties as a nurse. I also learned of the many new topics of interest in current healthcare and how a field like genetics could play a role in medicine and treatments. The focus of nursing is quality improvement and the first week helped me understand how to pursue quality care.
The second course week I learned how to build processes that promote quality improvement as well as safety in healthcare delivery. I had to learn how to be a leader and…
Gibbon, S., Joseph, G., Mozersky, J., Zur Nieden, A., & Palfner, S. (2014). Breast Cancer Gene Research and Medical Practices. Routledge.
Glazer, G., & Fitzpatrick, J. (2013). Nursing leadership from the outside in. New York: Springer Pub. Co.
Lilley, L., Collins, S., & Snyder, J. (2015). Pharmacology and the nursing process (p. 98). Elsevier Health Sciences.
Loma Linda University are particularly attractive and meaningful to you and why you have chosen to apply for advanced education.
It is clear from the information materials available that Loma Linda University seeks to foster a holistic development of those who choose to join its programs. The University is committed to global respect for the diversity of humanity in line with God's intention. Loma Linda serves the world community through promoting living healthy including sharing the Good News. The consistent commitment of the university to serve both local and international community with education and a spiritual touch is what inspired my zeal to seek to become a member of the institution (LLU, n.d.).My central objective, since graduating from MCPHS, is to upscale my grades so as to present a formidable application for admission into the neonatal and pediatric practitioner program for nurses. I'm currently enrolled at Regis College; pursuing a…
LLU. (n.d.). Mission and Values. Retrieved from Loma Linda University: http://home.llu.edu/about-us/mission-and-values
Wehrhahn, N. (2014, June 08). All things simple. retrieved from: http://nataliawehrhan, blogspot.com/2014/06/lli.html
Patient Electronic Access
The objective of this study is to investigate the application of the electronic health record at the inner City health hospital. The goal of implementing the program is to allow patients to have easy access to their health data and information to assist them sharing their health information with other healthcare and personal care providers. This study investigates the application of Measure 1 Stage 1 for the City Health organization. Following the benefits of the electronic health records, the City Health has decided to implement the new program. The program will allow patients to access their information on demand through PH (personal health record). However, the City Hospital will be able to derive benefits from the program by setting aside $170,000 for the implementation costs and $90,500 maintenance expenses. Moreover, the City Hospital should organize a training program for the staff to make the program be successful.…
ASCRS (2015). Patient Portal Requirement in Meaningful Use Guidance for Providers. ASOA.
CMS (2016). EHR Incentive Programs in 2015 through 2017 Patient Electronic Access. EHR.
Department of Labor (2015). Computer and Information Technology Occupations. Occupation Handbook Outlook.
Fleming, N.S. Culler, S.D. Mccorkle, R. et al. (2011). The Financial And Nonfinancial Costs Of Implementing Electronic Health Records In Primary Care Practices. Health Affairs. 30 (3): 481-489.
" Nurses in Indiana are also represented by the American Nurses Association, headquartered in Washington, D.C. And the International Council of Nurses, based in Geneva, Switzerland. These organizations now investigate health facilities and help control the wages of nurses.
Governments can sometimes improve market outcomes, according to the 7th principle of economics. The state government is busy helping improve the shortage situation in the state of Indiana. The Indiana Department of Workforce Development has recently developed something called the Strategic Skills Initiative (SSI), which has identified three occupations which may develop shortages. The three occupations include registered nurses; the other two are pharmacists and pharmacist technicians. If it follows national trends, the largest shortage is expected to be in nursing, where there is a desperate need for 250 more workers in the state. Because of this, SSI is giving funds for adding faculty to the schools of nursing at Purdue…
Allen, D.E. (1950). History of nursing in Indiana. Indianapolis: Wolfe Publishing Company.
Bendul, B.F. (2006). Vital signs strong for vital industry: Health Services in Northwest Indiana. In Context. Vol. 8, No. 8. Retrieved January 10, 2008 at http://www.incontext.indiana.edu/2007/august/1.html .
Buerhaus, P.I., Staiger, D.O. And Auerbach, D.I. (2004). New signs of a strengthening U.S. nurse labor market? "Health Affairs Journal. 17 Nov 2004. Retrieved January 12, 2008 at http://content.healthaffairs.org/cgi/content/full/hlthaff.w4.526/DC1 .
Greenhouse, S. (2005) Lagging wages amid growth puzzles economists. San Francisco Chronicle. 12 Apr 2005. Retrieved January 10, 2008 at http://www.sfgate.com/cgi-bin/article.cgi?file=/chronicle/archive/2005/04/12/BUGCUC6H4K1.DTL&type=business
That sense of security is very important for someone who wants to come out of school and then feel secure about one's employment for the next forty years.
There are a couple of things that do not appeal to me about the health care profession. One of them is that the corporate culture seems very rigid and bureaucratic. There is a lot of paperwork and everything is very exacting. This is something that does not necessarily appeal to my personality, which is oriented towards the problem-solving aspect of the profession. Another thing that does not appeal to me about health care is that many positions require long working hours. This is okay when I am young, but I also envision a time when I will have a family and not want to work so hard so that I can see my children grow up. My uncle said some things that…
BLS.gov. (2012). Occupational Outlook Handbook, 2010-2011 Edition. Retrieved March 7, 2012 from http://www.bls.gov/oco/ocos326.htm
Future of Nursing
Increase the proportion of nurses with a baccalaureate degree to 80% by 2020.
In my opinion, quality nursing care can be ensured by decreasing the number of mistakes made and issues arising out of carelessness -- those examples when proof-based nursing care is not given -- and that data has direct connection to the educational preparedness of nurses. Statistics reveals that proportionally, a 10% rise in BSN nurses in the hospitals caused 4% decline in the chance of death (National Advisory Council on Nurse Education and Practice, 2010). So raising the number of nurses with BSN is an encouraging trend.
Double the number of nurses with a doctorate by 2020.
Presently, only less than 1% of nurses hold a Ph.D. degree. In view of the statistical anticipation, by 2020, significant shortage in the numbers of nurses is expected (health resources and services administration, 2004), the human resource…
Aiken, L., Cheung, R., & Olds, D. (2009). Education policy initiatives to address the nurse shortage in the United States. Health Affairs, w646-w656.
Edwards, D. S. (2012, March 28). An 80% BSN workforce by 2020? Retrieved from Reflections on Nursing Leadership: http://www.reflectionsonnursingleadership.org/Pages/Vol38_1_Edwards_IOM%20Report.aspx
Feeg, V., & Nickitas, D. M. (2010). Doubling the Number of Nurses with a Doctorate by 2020: Predicting the Right Number or Getting it Right? Nursing Economic, 109-125.
National Advisory Council on Nurse Education and Practice. (2010, March). Addressing new challenges facing nursing education: Solutions for a transforming healthcare environment. Retrieved from http://www.hrsa.gov/advisorycommittees/bhpradvisory/nacnep/Reports/eighthreport.pdf
Leadership Style & Theories, Self-Assessment
esources: Leadership in Organizations, Organizational Behavior
To be understood and be believed as fully accountable, any individual must convincingly convey an affective as well as truly influential vision of the future for the organization, or subdivision / sub-directive of this organization, to project that needed charisma. When the subject in question can align his or her behavior alongside the principles of these values as a charismatic leader, then, is the first step to conquer in being believed to live up to the depiction projected. This individual must display a character for everyone in the room to befriend; must draw the imagery of that charismatic personality that everyone will both want to resemble or simulate in style, as well as assist in the here-and-now.
Compare and contrast leadership theories in the textbooks to gain understanding of relevant theories to your leadership approach:
Conger, J.A., & Kanungo, R.N. (1987). Toward a behavioral theory of charismatic leadership in organizational settings. Academy of Management Review, 12, 637-647.
Conger, J.A., & Kanungo, R.N. (1988). Charismatic leadership. The elusive factor in organizational effectiveness. San Francisco: Jossey-Bass.
Conger, J.A., & Kanungo, R.N. (1992). Perceived behavioral attributes of charismatic leadership. Canadian Journal of Behavioral Science, 24, 86-102.
Conger, J.A., & Kanungo, R.N. (1994). Charismatic leadership in organizations - Perceived behavioral-attributes and their measurement. Journal of Organizational Behavior, 15, 439-452.
Community Colleges & Universities -- Comparisons
hat are the major differences between community colleges and four-year colleges and universities as far as financial and academic appropriateness for students? For millions of Americans, community colleges have an enormous advantage over four-year colleges and universities -- but what are those advantages? This paper will examine those and other issues relating to the community college vs. A four-year college / university.
Community Colleges and Universities - Comparisons
There are an estimated 2,604 four-year colleges and universities in the United States, according to data in U.S. News & orld Report. There are an estimated 1,151 community colleges in the U.S. As well. Of those, about 1,000 are public community colleges, and the remainder are funded through private channels (American Community Colleges).
The original intent of a community college (in the past they were called "junior colleges" but that title had a slightly un-dignified sound…
American Community Colleges. "Consider a Community College When Studying in the United
States." Retrieved October 10, 2011, from http://www.americancommunitycolleges.com .
de Vise, Daniel. "More university students taking advantage of cheaper community college courses." The Washington Post. Retrieved October 10, 2011, from http://www.washingtonpost.com .
qualify as a nurse practitioner in the state of Florida, one must have completed the required education and training for expert knowledge and skills. The process entails acquiring a bachelor's degree or a diploma and associate degree from accredited institution offering the nursing program. There is no licensing exam for one to become an NP as one has already done it after completing a diploma or undergraduate training. The state administers examinations to test the competencies of the NPs. However, they must acquire a license for prescribing drugs or medication. Individuals are eligible to enroll for a national certification exam in their area of specialization to be certified as an NP. The American Academy of Nurse Practitioners and American Credentialing Center certify the NPs (Buppert, 2008).
The Nurse Practitioners of Florida have the freedom to prescribe drugs that include habit forming drugs, harmful to the patient or toxic, and have…
Atlas, S.W. (2010). Reforming America's health care system: The flawed vision of Obamacare.
Stanford, Calif: Hoover Inst. Press Bonewit-West, K., Hunt, S.A., & Applegate, E.J. (2013). Today's medical assistant: Clinical & administrative procedures. St. Louis, Mo: Elsevier/Saunders.
Buppert, C. (2008). Nurse practitioner's business practice and legal guide. Sudbury, Mass: Jones
Personal Nursing Philosophy
My Nursing Autobiography
I have dreamt of being a nurse all my life. My mother and older cousins tell me stories of how I loved to line up my dolls and animals, place bandages over them to nurse their 'injuries' and stick branches in their armpits to have a feel of their temperature. Well, I believe these stories because to this day, these are the very things that keep my life going; I derive so much satisfaction from just being able to help people when they are in no position to help themselves. I took an elective nursing course in high school, where I was supposed to report at the local facility at least once every week to assist in the administration of basic care to patients. This marked the beginning of my career in nursing, and since then, I have logged almost 15 years of experience…
Reed, P. (2012). A Treatise on Nursing Knowledge Development for the 21st Century: Beyond Postmodernism. In P. Reed & N. Shearer (Eds.), Perspectives of Nursing Theory (6th ed.) (pp. 37-46). Burlington, MA: Jones & Bartlett.
Reed, P. & Lawrence, L. (2008). A Paradigm for the Production of Practice-Based Knowledge. Journal of Nursing Management, 16(4), 422-432
Volker, D.L. & Limerick, M. (2007). What Constitutes a Dignified Death? The Voice of Oncology Advanced Practice Nurses. Clin Nurse Spec., 21(5), 241-247
The word means "breath, spirit or wind." So pneumothorax means a collection of air in the thorax (pleural cavity) that leads to partial or complete lung collapse.
3. Gastro is the Greek word for "stomach," and "Entero" means "intestines." Anything ending with ology means it is being studied. So gastroenterology is the study of the stomach and intestines.
4. Cardiac is the Greek word for "heart," and we use the two words interchangeably. "Arrest" means stop in Greek, so arrested behavior means the behavior has been stopped. In this case, the "cardiac" or heart has been "arrested" or stopped.
5. Intraosseous Infusion is made up of two words. Intraosseous is made up of intra-which means "within," os which means "bone" in Greek and eous, which means "the nature of." Infusion is a shot, as liquids are infused into something; in this case it means "an emergency infusion of fluids, blood,…
Taber. Taber's Cyclopedic Medical Dictionary, edition 18. U.S.A.: F.A. Davis Co. 1997.
Kluwer, Wolters. Medical Terminology Made Incredibly Easy. Springhouse, Lippincott, William & Wilkins. 2007.
Medical Care Services
The current delivery of health care services represents one of the most important subjects for discussion both in the Obama Administration as well as the epublican one and the Administrations that preceded the Bush one. egardless of political color, it must be pointed out that the health care system in the United States does not only depend on the ideological orientation, but also on the people and their own beliefs in terms of human action and interaction. It is a clear fact that "Ten years ago, the U.S. healthcare system was declared "broken," and it has not improved. Fixes promised by managed care have not materialized. Premiums are rising. Hassles for patients and physicians abound. Nearly 45 million Americans are uninsured." (Garson, 2000)
One of the most severe problems facing the health care system in the United States is the discussion that is being held between those…
Garson, Arthur. "Current Perspective. The U.S. Healthcare System 2010. Problems, Principles, and Potential Solutions" 2000. Available at http://circ.ahajournals.org/content/101/16/2015.full#sec-7
ImpediMed. "Pre-emptive vs. Reactive Models of Care: Pre-emptive Care Model Prospectively Managing Lymphedema in Breast Cancer Patients" 2012. Available at http://www.impedimed.com/knowledge-center/health-insurance-providers/pre-emptive-versus-reactive-models-of-care.htm
Yale School of Medicine. "The PA Profession." 2013. Available at http://medicine.yale.edu/pa/profession/index.aspx
medical field is one that is populated with professionals whom non-medical individuals do not think about every day; yet these professionals profoundly affect the care received and in many cases the life or death of an individual being treated by the medical community. Individuals such as a radiology technician, a dietician, or even the assistant who carries medications to patients can be an integral part of a patient's treatment and survival. Emergency Medical Technicians are often the first responders to a trauma or sudden illness and, as such, may be a patient's only interaction with the medical community. In emergency situations, these individuals become especially important and, as a result, have more complex roles to play.
The role of the Emergency Medical Technician, or EMT, is highly involved and constantly evolving. hat is considered proper procedure on one day may change in the next, with advances and discoveries in medical…
Annas, G., 2004. The Rights of Patients. Carbondale, IL: Southern Illinois University Press .
n, Tuma, Dolen-Sewell, Borja and Fleischman 2004. "Ethical Issues Pertaining to Research in the Aftermath of Disaster," Journal of Traumatic Stress, 17:5.
Gillespie, C., 1978. "The EMT Code of Ethics," published online at www.naemt.org/aboutNAEMT/EMTCodeOfEthics.htm
Physician Assistant Program Narrative
Personal Statement: My Motivation towards Becoming a PA
We all have dreams and aspirations. As a young child, my dream was to become a chef. When asked why I wanted to become a chef, my answer was always consistent; "I wanted to delight people by preparing them delicious dishes." As I grew up, I became more informed and my view of the world became clearer -- and it was then that I realized that deep inside, I wanted to end up in a profession that impacted positively on the lives of others. A profession that brought delight to those I interacted with. Then, something happened that completely convinced me that I would most comfortably serve in any of the helping professions. A couple of months after my 10th birthday, my younger brother got bitten by a dog in his face -- right below his left eye.…
The changes in the age demographic of the U.S. As well as the need to reduce overall spending in health care are significant reasons why advanced practice and specialty provision practitioner's skill sets and demands have changed. It is for this reason as well as for patient efficacy that such a subspecialty should be offered at a postgraduate level to AAs. These advanced practice alternative providers can be successfully and efficiently trained to provide services at a significantly lower rate, creating a potential opportunity for more people to receive advanced pain management care in a broader setting. This could only improve outcomes for chronic pain sufferers and broaden the scope of opportunity for AAs and possibly other advanced practice alternative providers. As need continues to rise alternatives must be sought within the system to provide care to patients who will likely need pain management service in growing numbers in…
American Board of Pain Medicine Website. Retrieved February, 21, 2008 at http://www.abpm.org/
Bandlow, D. (1995). M.D. Monopoly: How Nurses Can Help Relieve Spiraling Health-Care Costs. Policy Review, (74), 89.
Block, a.R., Kremer, E.F., & Fernandez, E. (Eds.). (1999). Handbook of Pain Syndromes: Biopsychosocial Perspectives. Mahwah, NJ: Lawrence Erlbaum Associates.
Block, a.R. (1996). Presurgical Psychological Screening in Chronic Pain Syndromes: A Guide for the Behavioral Health Practitioner. Mahwah, NJ: Lawrence Erlbaum Associates.
Currently, I am working as a surgical technologist in two hospitals in Arkansas - Arkansas Children Hospital and the VA Hospital. I do surgical scrub on various cases of all surgical services, general, orthopedics, vascular, ENT, neurology, urology, and burns. To update and enhance my skills, I attended different medical training courses.
Since my youth, I had been in the scene of medicine. At the age of seventeen I was diagnosed with diabetes. Hence, in y sophomore years in college, I did a presentation on diabetes where I provided information on the symptoms, complications, and how to cope with diabetes. During my Junior year, I had family members that were diagnosed with breast cancer, glaucoma, heart attacks and thyroid problems.
Such experiences are my motivations in becoming a Physician Assistant. The feeling that I get from providing medical services is unfathomable and cannot be measured by anything.
Nursing Administration -- Controlling
The FOCUS model requires the nursing administrator to find out what the main problem is, obtain information about this problem, communicate effectively with the nurses and patient, understand the needs of the nurses and the patient, and finally summarize these findings for the patient and nurses Dlugacz, 2009.
In this scenario, the process to be improved is responsiveness and willingness of the nurses to help the patient's situation.
Using the FOCUS model, the nursing leader should identify and clearly define the problem. To do this, they must recognize the role of the patient and the nurses in the situation and prioritize the potential improvements in the process Kreitner, 2008.
They also need to draft this problem statement in a clear way. The problem statement for this scenario is that the nurses feel inadequate in responding to the situation where the patient needs…
Dlugacz, Y.D. (2009). Value-Based Health Care: Linking Finance and Quality. New York: Wiley.
Kleespies, P.M., & Association, A.P. (2009). Behavioral Emergencies: An Evidence-Based Resource for Evaluating and Managing Risk of Suicide, Violence, and Victimization. Washington, D.C., DC: American Psychological Association.
Kreitner, R. (2008). Management. Mason, OH: Houghton Mifflin Company.
Zun, L.S., Chepenik, L.G., & Mallory, M.N.S. (2013). Behavioral Emergencies for the Emergency Physician. Cambridge, United Kingdom: Cambridge University Press.
Fault: An Alternative to the Current Tort-Based System in England and Wales
The United Kingdom
statistics regarding claims
THE NATIONAL HEALTH SYSTEM
OBSTACLES TO DUE PROCESS
THE CASE FOR REFORM
THE REGULATORY ENVIRONMENT
THE RISING COST OF LITIGATION
LORD WOOLF'S REFORMS
MORE COST CONTROLS
THE UNITED STATES
THE INSURANCE INDUSTRY
TORT REFORM IN AMERICA
STATISTICS FOR ERROR, INJURY AND DEATH
THE CALL FOR REFORM IN 2003: A FAMILIAR REFRAIN
THE UNITED STATES SITUATION, IN SUMMARY
NEW ZEALAND CASE STUDIES
THE SWEDISH SCHEME
COMPARISON: WHICH SYSTEM IS BETTER?
FIRST: UNDERLYING DIFFERENCES
TALKING TORT: AMERICAN PECULIARITIES
AMERICANS CONSIDER NO-FAULT
BRITAIN CONSIDERS NO-FAULT
Appendix A THE UNITED KINGDOM
At issue is the economic effectiveness of tort law in the common law legal system of England and Wales, as applied to medical and clinical negligence and malpractice cases. In response to economic concerns and a continual…