Maternity
Study Guide #1 Maternity Chp 1-5, 14 (Dynamics, A&P, Pregnancy) 100 pts
Wade/Fall 2011 NAME______________________________ 1) Discuss the advantages and disadvantages of freestanding birth centers.
The advantages are that they offer a homelike atmosphere. They have conveniences such as a kitchen for family members. The disadvantages are that many freestanding birthing centers do not have adequate technology and medical care readily available if complications to the mother or fetus arise.
2) Define the different types of healthcare systems (PPO, HMO, etc.)
Health Maintenance organizations (HMO’s) - Provide total healthcare for members. Most of the cost savings come from efforts to reduce hospitalization days and hospital admissions.
Preferred Provider Organizations(PPO’s) - A contract with a network of providers (physicians and hospitals) to provide services at a discounted rate to its members. Patients may use non-PPO providers, but they must pay those expenses out of pocket. Monthly payment premiums are required in managed care health plans.
3) Discuss the proper use of a clinical pathway and the nurse’s role in its success.
The proper use of a clinical pathway improves the quality of care and reduces hospitalization time. Clinical pathways are designed from evidence based standards of care concerning the expected progress and timelines for the specific patient diagnosis They are essential component of managed care that promotes coordination of the healthcare team, resulting in high quality patient care delivered in a more cost-effective timeframe.
The nurses role include carrying out independent nursing assessments, teaching, and interventions; carry out medical orders given by physicians or other healthcare providers, along with following or using as a guide the recommendations from nutrienists, social workers, or other community agencies involved in the patients care. The nurse will then document the care on the clinical pathway and report any
Wade/Fall 2011 NAME______________________________ 1) Discuss the advantages and disadvantages of freestanding birth centers.
The advantages are that they offer a homelike atmosphere. They have conveniences such as a kitchen for family members. The disadvantages are that many freestanding birthing centers do not have adequate technology and medical care readily available if complications to the mother or fetus arise.
2) Define the different types of healthcare systems (PPO, HMO, etc.)
Health Maintenance organizations (HMO’s) - Provide total healthcare for members. Most of the cost savings come from efforts to reduce hospitalization days and hospital admissions.
Preferred Provider Organizations(PPO’s) - A contract with a network of providers (physicians and hospitals) to provide services at a discounted rate to its members. Patients may use non-PPO providers, but they must pay those expenses out of pocket. Monthly payment premiums are required in managed care health plans.
3) Discuss the proper use of a clinical pathway and the nurse’s role in its success.
The proper use of a clinical pathway improves the quality of care and reduces hospitalization time. Clinical pathways are designed from evidence based standards of care concerning the expected progress and timelines for the specific patient diagnosis They are essential component of managed care that promotes coordination of the healthcare team, resulting in high quality patient care delivered in a more cost-effective timeframe.
The nurses role include carrying out independent nursing assessments, teaching, and interventions; carry out medical orders given by physicians or other healthcare providers, along with following or using as a guide the recommendations from nutrienists, social workers, or other community agencies involved in the patients care. The nurse will then document the care on the clinical pathway and report any