Axia College Material Appendix C Acute Care Patient Reports Fill in the following table with a general description of each type of patient report‚ who may have to sign or authenticate it‚ and the standard time frame that JCAHO or AOA requires for it to be completed or placed in the patient’s record. Four of the reports have been done for you. |Name of Report |Brief Description of Contents |Who Signs the Report |Filing Standard |
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EMERGENCY SERVICE ADMISSION REPORT Patient Name Brenda C. Brenda C. Seggerman Patient ID: 903321 Date of Admission: 03/27/---- Emergency Room Physician Alex McClure MD Admitting Diagnosis Ectopic pregnancy CHIEF COMPLAINT: The patient presents to the emergency room this morning complaining of lower abdominal pain. HISTORY OF PRESENT ILLNESS: The patient states that she has been having vaginal bleeding‚ more like spotting‚ over the past month. She denies the chance of pregnancy‚ although
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Infection Control Policy 2011; Appendix D‚ Clinical Care Protocol 26 Protocol for the care of patients with tuberculosis Policy Profile Policy Reference: Version: Author: Executive sponsor: Target audience: Date issued: Review date: Consultation Key individuals and committees consulted during drafting Clin.2.0 Appendix D Clinical care protocol 26 3.0 Juliana Kotey‚ Senior Infection Control Nurse Director of Infection Prevention and Control All Trust Staff 16 October 2012 September 2015 Infection
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What is patient safety? Patient safety is the absence of preventable harm to a patient during the process of health care (WHO 2004). These could include “errors”‚ “deviations “and “accidents “. Achieving patient safety involves the interaction of all the system components; never residing only in person‚ device‚ or department. It is the core of health care quality. According to the Joint Commission Patient Safety (2004 through 2011). Miscommunication was listed as one of the top contributing cause
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The patient is a 29 year old male who presented to the ED with an intentional overdose of an unknown amount of Tylenol. Patient reports relational issues with his wife as primary contributing factor to he distress. He reports experiencing feelings of depression and mood swings. Patient reports depression symptoms as feelings of worthlessness‚ hopelessness‚ tearfulness‚ isolation‚ insomnia‚ guilt‚ fatigue‚ and sadness. Patient currently denies homicidal ideations and having any visual or auditory
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stay focused and think better. Mr. Smith stresses it is just as a temporary measure so he can excel in his upcoming examination. Dr Wayne listened to Mr. Smith’s story understanding that he was under great stress and on an academic scholarship‚ from a single income family - who were awaiting his qualification so he could assist the family financially. Current literature has shown the Modafinil might assist Mr. Smith focus during the examination period. Dr Wayne explained to Mr. Wayne that as he
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Finding Safe Nurse to Patient Ratios Augsburg College Abstract Determining nurse-to-patient ratios in nursing facilities remains a challenge for the nursing profession. Two main staffing methods that are currently used in most nursing facilities are staffing by patient acuity using patient classification systems and staffing by mandated nurse-to-patient rations. Each method has an impact on patient outcomes‚ safety and overall satisfaction determined from different articles
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decisions for their patients. This paternalistic view has gradually been supplanted by one promoting patient autonomy‚ whereby patients and doctors share the decision-making responsibility. Consequently doctor-patient relationships are very different now than they were just a few decades ago. However‚ conflicts still abound as the medical community and those it serves struggle to define their respective roles. Consent Consent‚ particularly informed consent‚ is the cornerstone of patients’ rights. Consent
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In this modern time‚ the demand for care placement for elderly particularly with dementia patient is increasing thus‚ provision of proper nutrition is very vital. The rate of malnutrition for older people in care homes and hospitals are increasing especially those with dementia simply because the sufferers are not eating enough and this may cause difficulties for the carers. This article discuss some contributing factors that can seriously affect unplanned weight loss‚ how to overcome these problems
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complete the plan of care for a patient within 24 hours of the patient’s admission. b. An advanced practice nurse recommends that a patient who is dangerous to self and others be voluntarily hospitalized. c. A patient’s admission status is changed from involuntary to voluntary after the patient’s hallucinations subside. d. A nurse gives a PRN dose of an antipsychotic drug to a patient to prevent violent acting out because the unit is short staffed. Rationale: 2. A patient states‚ “I’m tired of all
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