located on the notes tab and should be read for details that may not be included in the proper location. Where do we find consult information?? Does the patient have any clinical reminders?? Where are inactive problems located??? Do all active problems trigger Clinical Reminders? Yes or No Explain Clinical Reminders Clinical reminders are decision support tools that assist health care providers and health care systems to implement recommended actions and practices. Reminders can direct clinicians
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Introduction As a first-year student‚ my love and desire for being a nurse and my background in health have enabled me to face the challenging moments in nursing. My first clinical placement started at one of the busiest hospitals (Gynecology/ Urology/ Plastics/ Head & Neck) ward. Due to my lack of experience and according to the NMBA registered nurse standards‚ I had to follow my scope of practice which was limited to bed making‚ observation‚ shower the patient and simple help. However‚ my focus
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For my clinical experience today I shadowed an RN‚ at the Ashe County Health Department. The RN was participating in the flu clinic today. She administered many flu vaccinations. Most of the individuals that came in today for the clinic were over the age of 65 and were given the high dose flu vaccination. The RN also worked with a Spanish interpreter during several visits throughout the day. She would first assess a Spanish speaking individual’s ability to speak English‚ then if deemed necessary
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The federal government has mandated that all medical records need to be converted to electronic form by 2014. Providers also have to prove their meaningful use of electronic medical records. Starting in 2015‚ Medicare and Medicaid payments will be reduced‚ starting at 1% for not complying with this mandate. Federal grants and funding were made available by the American Recovery and Reinvestment Act to assist health care providers to adopt electronic medical record format. As a result of the mandate
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good time because all of the students are tired form a long day and most of the other girls are anxious to go home. I even stayed late with Marnie several times to understand how to fill the concept map. Only on the last few days before the end of clinical I found the other sample ones on blackboard were actually what was required. 4. I was assisting the nurse to do the tracheotomy care‚ afterwards I went write the charting of what happened but I didn’t know that the proper terminology was to write
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Clinical Summary and Flow Chart Substance Abuse History: The patient’s is a thirty eight year old single woman. Her drug of choice is alcohol. She had her first drink at age 13 at which time she would sneak drinks at family gatherings and sometimes on the weekends with friends. At age 18 she started to drink more frequently and greater amounts‚ about 8-10 drinks‚ on each occasion. At times she would pass out. She noticed her drinking becoming a problem around the age of 28. She was drinking
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Clinical Reflection in ICU For the purpose of this essay I will give a descriptive account of what implementation means within the Roper‚ Logan and Tierney (1986) nursing process. I will describe what implementation involves for the nurse and will be focusing on one aspect of the holistic care given to my patient whilst on placement. I have had the opportunity to see a stroke patient today - she wasnt under the stroke team but her MRI came back with 2 right Cerebellar infacts and CT results showed
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As I reflect on my rotation of Nursing Science II on a medical surgical floor at Thompson Hospital‚ I begin my rotation with a notion of I am not certain what to expect‚ but I am expecting to be dealing with many different illnesses and with some patients who have multiple co-morbid on top of the illness that brings them into the hospital. So‚ to reinforce my knowledge of surgical illness and my assessments‚ I am looking for similarities and differences that I have observed from our practices back
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EHR technology for electronic exchange of health information to improve quality of care‚ and 3) The use of certified EHR technology to submit clinical quality and other measures (Centers for Medicare & Medicaid Services‚ n.d.). Meaningful use requires using the EHR for structured data collection‚ e-prescribing‚ health information exchange‚ clinical decision support‚ patient engagement‚ security assurance‚ and quality reporting. The goal of the Act is to get all health care providers on board
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During my placement setting while working with my buddy nurse and the continual direction from my clinical instructor‚ I have been assigned to care for a 85 year old female patient that was admitted with Urinary Tract Infection (UTI) and Failure to Cope (FTC). On the clinical day before I was told that she would be discharged on the following day. I also review her chart and saw the discharged order from the doctor and a keep component that I read is that she would be leaving the following morning
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