Mr. Barua is a 42-year-old gentleman from Bangladesh who presents with chest tightness, shortness of breath, and tachycardia. Dr. J.K. McClean of cardiology is evaluating his heart condition. The patient has had the recent onset of hemoptysis. He was treated for tuberculosis in Bangladesh 15 years ago. This has prompted the concern of whether his treatment for tuberculosis was adequate or whether there is another cause for his hemoptysis. The duration of his tuberculosis treatment was apparently adequate, according to his wife, but no records are available. In addition, the patient had thrombosis of the axillary artery treated last year at Hillcrest. He had an embolectomy and has been on Coumadin since. INR is significantly elevated at 16. Nonetheless, because of the cavitary lesions that are seen in the right and left upper lobes, the possibility of tuberculosis has been raised. Ancillary history was given by the patient’s wife, Nupur, with the patient translating for her from the Hindi language.…
(JVD) with the head of the patient’s bed elevated 45 degrees. The nurse knows this finding…
PMC facility has been going through a remolding phases for over eight months. PMC offers six examination rooms. Each room permits the use of a handicap patient. PMC has an X-ray room and laboratory. The office in the front of the building with a front desk for convenient to the patients check-ins. Our front entrance has been remolded for installation of large automatic doors. PMC has one bathroom that has been expanded and fitted with a new toilet and sink. PMC has used antimicrobial material throughout the clinic PMC has also updated and installed fire and smoke systems throughout the clinic.…
It came into the spotlight following the BBC programme Panorama secretly filming within the hospital, and raised much concern about the abuse that was taking place. Terry Bryan a senior nurse working at Winterbourne View reported his concerns firstly to management at the hospital and then to The Care Quality Commission (CQC). His concerns of abuse were not listened to in both cases, and decided to approach the BBC.…
The areas listed above as Priority Focus Areas for Nightingale Hospital have been evaluated using Internal Audit data. The following findings have been documented:…
Lt Col J Taylor, Senior Medical Officer and Liz Thurley RGN for their time and…
The undercover footage showed staff repeatedly assaulting and harshly restraining patients under chairs. Staff gave patients cold punishment showers, left one outside in near zero temperatures, and poured mouthwash into another's eyes. Staff repeatedly taunted and teased residents despite already being reported.…
The need to correctly document medical records, apply appropriate billing codes, and accurately charge payers for medical procedures and services is essential for today’s medical facilities. Physicians rely on medical insurance specialists to process claims so that they can be reimbursed for their services. This essay will emphasize the importance of correctly submitting claims for reimbursement, as well as, how compliance plans are put in place to benefit everyone involved in the billing and coding process.…
Rather than focus on the discrepancies found within each unit, we will look at the trends that affect the hospital’s compliance with the Joint Commissions recommendations regarding patient care. Armed with the trends, we will then explore staffing patterns and how they relate to patient care in order to establish a plan that will assist our hospital to minimize patient safety issues as they relate to falls, pressure ulcers, pneumonia, and the general safety of our patients.…
history or what is going on with a patient or resident and allows their privacy to be protected.…
This interview took place at the HIV Clinic of the XYZ Hospital. The clinic is on the sixth floor of a hospital, and is broken into…
Fleck believes that a frank and serious discussion with Consuela about the need for universal precautions, plus monitored through training in correct wound care fulfills a reasonable duty to warn regarding Carlos’ circumstances. Proper equipment like gloves and other necessary equipment are provided to observe universal precautions. Fleck further concludes that if Consuela is…
I was on my third day of residential care placement; the staff had just started to take turns for their morning tea break so I took the time to catch up on my case study patient’s medical history in the nurses’ station. Within a few minutes the Manager of the rest home ran in to gather the blood pressure machine and bandages. She informed another student nurse and myself to “take these to Max’s (pseudonym) room NOW, while I call an ambulance”.…
A nurse has a finite number of hours in a shift to complete an ever-growing number of tasks for each patient. In a shift, those tasks could include the administration of medication, physical assessment, patient and family teaching, personal needs, conferring with physicians, supervision of support staff and charting. Charting is critical, because every nurse had heard “If it you didn’t chart it, you didn’t do it.” How many of us have realized on the drive home that we didn’t record Mrs. Smith urine output or document a dressing change?…
Arsula Samson was an 80 year old mother of four. She developed pneumonia and checked in to Good Hope Hospital, Birmingham to be treated in the intensive care unit. While being treated for low serum potassium levels her nurse Mrs. Lisa Sparrow, RN entered an incorrect time frame on the infusion pump giving her a fatal amount of potassium chloride in one hour instead of over five hours. I will walk through this incident and illustrate the areas in which checkpoints that are set up for nurses should have been utilized to avoid this unfortunate event.…