The role of the emergency department physician primarily involves in overseeing the patient’s treatment and planning from admission to discharge. This will also involve a physical assessment, notation of clinical history and possible prescription of medication. In an acute scenario they need to stabilize the patient and evaluate them in order to rule out life threatening problems and identify what is causing the patient’s symptoms. Use of resources and gathering information from the patient they need to be able to suggest next course of action, whether the patient requires further tests and needs to be referred elsewhere or are okay to be cleared.…
The collaborative model used by Kaiser Permanente to implement change in the medical practice involves forming a group of cross functional teams from multiple hospitals to design and implement improved care protocols. This process involved distinct action periods through repeated cycles of (1) designing what process change could be made to improve performance, (2) making the change, (3) testing whether the change resulted in the desired impact, and (4) deciding whether to adopt the change, modify the process or abandon the change.…
There are five star points in the ACE model, discovery, evidence summary, translation, integration, and evaluation (Bondmass, 2014). Discovery is the primary research studies search and evidence summary is the synthesis of the primary research like in a systematic review (Stevens, 2013). Translation is forming the data into a guideline that in the next step, integration, can be positioned into practice (Stevens, 2013). Once integration takes place, evaluation of the outcomes of the EBP process can take place (Bondmass, 2014). The ACE star model fits the quality improvement (QI) initiative because it offers the user the ability to discover the problems, use evidence from the literature, translate the evidence obtained and integrate it into a useful process in reducing 30-day readmission rates. Utilizing the ACE star EBP model, APNs have the ability to evaluate the QI impact through several viewpoints, how the process impacted the nursing care of patients, as well as the financial impact for the organization (Appendix…
There must be an implemented of the safe medication administration by a double checking of the high risk medication to prevent any over dose administration of medications to the patient. It should be standard policy enforcement regulation in the matter of the proper stocking of the rooms with the functional equipment such as: oxygen, suction, gloves, masks, etc by the staff to ensure the safe and prepared environment in the case of emergency in the Emergency Department. It would be necessary to constantly evaluate the system to ensure that there are no kinks, and if there is any so the necessary changes can be made. Implementation of the intervention will generate a system which is more unified and it is based upon the effective and proper training and communication among the staff to practice in their duty in order to maintain the highest safety in care of the…
During my career, I have worked in the different emergency departments cross country. Every day I come across patients with low-income, homeless, different cultures, and nonspeaking patients. The fears and barriers discussed are still real today. Many are seeking treatment because their health is threatened, Provide the wrong name and addresses because of the inability to pay. The need for translation for those nonspeaking or deaf patients has significantly improved translators are now certified, use of monitor/ screen where there is a live translator for any language. Now implementing ED case managers and navigators to assist patients with discharge with clothes, filling prescriptions, meal tickets, a token for the bus, patient information…
1. The hospital is already working at capacity but with a pandemic the hospital will experience an influx of patients than normally expected. One issue will be how to handle all of the new patients and their families visiting…
When looking at the intake process of patients, into a medical facility, it is an obvious realization that we have made progress in making the patients experience proficient and pleasant. However there is always room for improvement in any type of facility. How many times have you been to the doctor and waited long than 20 minutes? Have you ever been rescheduled because you were 20 minutes late? This paper will provide a simplistic strategy that will help the implement to improve patient efficiency to minimize the patients wait time. This strategy will not only help new patients, but it will provide convenience during check in for new patients.…
The primary needs and expectations of patients revolve around easy accessibility at St. John Hospital for in-patient and out-patient service. Medical emergencies remain available round the clock for treating the injured or severely ill patients. Patients want the best possible treatment for acute disease, surgery, and various illnesses. Specialist doctors, caring…
The emergency department may experience the most diverse events. Reaction from staff must be prompt and with continuity of the team. The ER staffs have the necessary certificates to obtain employment. Management creates teams who connect with each other. Due to the extreme risk of the ER department, “…teamwork is a critical component of a safe health care system.” (Weaver, Salas, Lyons, Lazzara, Rosen, Diaz, Granados, Grim, Augenstein, Birnbach, & King p369, 2010). Excess errors in immediate treatment, for example trauma, will destroy the trust in the community. Avoidance of persons needing treatment will bring financial disaster to the entire facility. Litigation will increase bringing the facility to bankruptcy.…
The second core competency that is important to me is Quality Improvement. A responsibility of my position as an application analyst is to build order sets within the electronic medical record. I belong to a multi-disciplinary team of pharmacists, nurses, administrators and providers that are continually analyzing medication order sets for improvement in patient outcomes. Our committee uses a Quality improvement model to make enhancements to our order sets using The Plan-Do-Check-Act. “The Plan-Do-Check-Act (PDCA) cycle is shorthand for testing a change –by planning it, trying it, observing the results, and acting on what is learned” (The Massachusetts Nursing Core Competencies: pg. 20, para 5). The committee discusses a change that needs to be made to the order set, the change is implemented, and data collect on the change, if the outcome of the change is positive no action is required. However, if the change is not what was expected, it is taken back to the committee.…
I am a Registered Nurse who works on the IV team and provides venous access for patients during the hours of 7pm to 7am at the only hospital in Owensboro, Kentucky. We are an extremely busy organization who has a bed limitation of 300. Keeping the patients safe and to do no harm is a promise we all strive for (Clancey, 2011). By giving medications in a timely manner is a way of providing safety. Patients expect quality care and this nurse wants to provide the best treatment in the most efficient and efficient manner. Regrettably, there is an area of decreased productivity which is causing a delay in intravenous medications. Patients who we consider "frequent flyers" or who have long-standing medical issues such as diabetes, pancreatitis, renal failure, chronic obstructive pulmonary disease, or heart disease tend to have many readmissions. Grievously, this means these patients likely have poor intravenous access. If I am not…
The system of emergency medicine is often abused. From 911 calls, to visits at an emergency room (ER) we are experiencing an overload of non-emergency patients, causing the systems to become backed up and consuming money and time from all people involved. This abuse largely stems from the general public not being properly educated with the true functions of the system. Thus, seeking alternate systems would be beneficial in several ways.…
Medicine has changed in the past years in many ways. With the change and inventions of new cures, technology, and less invasive procedures, medicine has become a whole different world. Though there has been many enhancements that increase the productivity and treatment outcomes in medicine, the delivery method and care has changed along with it, and not for always for the best. Hospitals are what people find security and safety from all illness and diseases they have come across, but with the change of the economy and budget cuts, the first thing to cut is patient care and service. When people think of hospitals they think of long lines, waiting for hours for a simple procedure or question, medications that aren’t helpful and no care or relationship with the doctor. Patients get less time with physicians and more time with physician assistants and nurses. Many hospitals and clinics have made it known at the first meeting that after the initial appointment, the remainder of appointments will be either with the nurse practitioner or physician assistant. With less care and relationship from the physician, patients start to wonder why pay high dollar for less service, and that’s where the issue arises.…
When patients are rushed to the ER, doctors and staff are pressured to quickly diagnose and treat the problems and move onto the next patient. Unfortunately, the current process for treating patients in the ER has led to a 25% rate of misdiagnosis or delayed diagnosis incidents.…
In this project, I am going to use the PDCA cycle to obtain the IATA license and solve the above weak points and consequently improve my service quality level.…