Clinical documentation improvement (CDI) “...is improving the quality of documentation to help ensure an accurate and complete reflection of the patient’s care‚ comorbid conditions‚ and treatment- which impacts severity of illness (SOI) and risk of mortality (ROM)” (Custodio et al.‚ 2013‚ p. 56 ). This is an important topic for health care facilities and physicians to ensure it is done well so that the quality of care‚ reimbursement and financial aspects are correct. “There are several other factors
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Clinical Reflection 1. Recall the activity‚ idea‚ or event that gave you the most intense learning “high”. What was it about this situation that was so exciting or pleasing? Working with actual patients is completely different than studying at the tech center and doing labs or bookwork. I liked having an actual connection with the patients while feeling professional. It was hard to be professional with the other students studying at JATC because we are all so close and it is weird to treat a friend
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patient. I believe that having 4 patients allows me to spend enough time with my patients and get all of my cares completed in a timely manner. I think if I had any more than 4 patients‚ I wouldn’t get the chance to get to know my patients like I do
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The title of chapter 20 is a brief summary of what this chapter is about in its entirety‚ "How Procedures Improve the Opportunity to Learn". The key idea is that a well-managed classroom promotes and improves student learning. A well-managed classroom is not something that will stick out to an outsider‚ but can be observed by how smoothly a classroom runs. A well organized classroom comes down to a couple main things: the effectiveness of the first day and classroom procedures. Effective teachers
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Is Machu Picchu being managed sustainably? Machu Picchu is in the Peruvian Andes‚ more than 2‚400 metres above sea level (see figure A). The ruins are on a high ridge‚ surrounded on three sides by the Urubamba River approximately 610m below. Built by the Inca civilisation in the middle of the 15th century‚ it was abandoned in the early 16th century due to the Spanish invading the continent. It is thought that they never found Machu Picchu. No one knows what the site was actually used for and how
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Description of the Activity: Mrs. K was an 82 year old admitted to the hospital for sepsis. She had a medical history of HTN‚ MI‚ COPD‚ and dementia. I took care of her Thursday to Sunday. Mrs. K was a DNR. Mr. K‚ was her husband‚ and had stayed by Mrs. K’s side and slept by her bed in a chair every night. The first two days I was with Mrs. K she was hooked to IV antibiotics‚ fluids‚ and TPN. She was somewhat responsive but only she had to take the couple of oral medications she had ordered
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The purpose of clinical supervision is to help teachers understand their practice better and self-reflect on their instruction. Principals and teacher colleagues serve as clinical supervisors and their job is to help the teacher select goals to be improved‚ teaching issues to be addressed‚ and give feedback to help increase the teacher’s performance. Ultimately‚ clinical supervision is a framework for helping teachers research their practice. There are five general steps to the clinical supervision
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Clinical reasoning Clinical reasoning involves nurses learning and practical experience to play. Any errors or misjudgement can lead to various adverse conditions (Levett-jones et al‚ 2010). Identification of patient problems‚ understanding his situation‚ collecting information and cues followed by processing the information and identifying the key problems‚ establishing goals‚ taking action‚ evaluation of outcomes‚ and reflection is what forms the clinical reasoning cycle. All these areas should
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Based on the situation I encountered during my clinical‚ decision making in clinical settings is a judgment to be made on the patient care and as nurses‚ our judgment on patient care must be professional. We also need to be aware of the possibilities of our actions and decision. Clinical decision making does not only rely on the individual‚ but in a health care setting‚ the decision doesn’t just come because looking at my situation‚ I didn’t ask any other nurses about their opinion but I was just
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1SA1a. During my clinical rotation a significant change I noticed in a patient was a decrease in blood pressure while exercising. Prior to exercise my patient had a blood pressure of 115/60mmhg. While running on the treadmill his blood pressure had dropped to 82/55mmhg. I alerted the nurse of his blood pressure immediately after taking the blood pressure. The nurse was aware and said it has been ongoing. We assessed the patient who was lightheaded‚ gave him some water and told him to stop exercise
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