...Carers time sheets Nurse On Call - FAX: NURSE ON CALL 01 4062079 / 01 4965690 Email: carersaccounts@nurseoncall.ie DayDateHospital/Client name & AddressWard DetailsStart time (24hrs clock e.g. 08.00)Finish time (24 hrs clock e.g. 20.00)Breaks taken total MinsActual hours workedAmount €Signed By Person in Charge Please print name alsoMonPrintTuePrintWedPrintThuPrintFriPrintSatPrintSunPrintTimesheet should reach NOC by 21:30 Monday evening TOTAL **TIMESHEETS MUST BE FILLED OUT CORRECTLY IN ORDER TO PROCESS PAYMENT** [pic] Payment and time sheet information. St James Hospital’s, Dublin. Shifts get paid from St James's signing in sheet only (shifts properly signed in only will be paid. People must be signed in and signed out) Their shifts are paid two weeks later directly into bank accounts. Apart from the above Clients all time sheets that were received before 21:30 Monday evening will be paid that week .You will receive your payslip on the Friday. Please ensure you have your pin in order to retrieve your payslip.Time sheets received after 21:30 Monday evening will be automatically put into next weeks payroll. Receipt of time sheets will not be verified sorry, ensure we receive them .Either scan and email or post them that's the most reliable route. If you...
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...between nurses has been an important process in clinical nursing practice. Allowing nurses to exchange vital patient information to ensure continuity of care and patient safety. Therefore, the chance of potential communication gaps causing an error is high. According to the Joint Commission, communication is the primary cause of medical errors, with handoffs accounting for 80% of these errors [ (Zhani, 2012) ]. The most commonly practiced model of report takes place in the staff room, at the nurses’ station, or other locations away from the patient’s bedside. However, more institutions are implementing the Bedside Report hand-off model to communicate patient care information. Research articles has identified the benefits of bedside report in conjunction with structured reporting tool (e.g. SBAR) as: (1) improvements in patient-centered care and nursing services, (2) less chance of medical errors, (3) decreasing the length of stay in patients [ (Chaboyer W, 2009) ]. Upon observing the shift to shift report in SMMC, it was evident that some nurses failed to provide effective communication and did not utilized the SBAR format tool as stated in the hospital’s guidelines. Hand-off reports were being done in the nurse’s station and along the unit’s hallways. Fatigue and distractions contributed to ineffective communication. As a result shift reports are often unstructured, repetitive, and lacked consistency in the type of information provided by each individual nurse. According...
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...care changes resulting from decreased reimbursement an aging population, and technology the nursing professions responsibilities morphed from the bedside to the board room. In the last two decades a substantial increase in nurses in senior level positions in hospitals or other facilities reflects the need for nurses to obtain advanced degrees to meet the demands of heath care as a business. In a report published 2010, by the Robert Wood Johnson Foundation, and the Institute of Medicine (IOM) the summary report clearly identifies the need for nurses to participate fully as partners to improve the nation’s health care system(“The future of nursing: leading change, advancing,” 2010). To that end, in order for nurses to participate actively in shaping the health care system nurses need education in what many consider as non-traditional nursing subjects, such as finance. In response to the need for education in finance nursing curricula include at least one course as an under graduate, and one on the post- graduate level. Together these courses provide both academic and practical knowledge the nurse manager can translate readily to manage an organization or an individual nursing unit (Finkler, Kovner & Jones, 2007). For nurses to begin to understand generally accepted accounting principles (GAAP) recognizing that accounting shares two similar domains with nursing, science, and art. Though this concept may seem counter intuitive at first as accountings...
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...Consistent Daily Weighing Important of Cardiac Patients Student’s Name Institution Consistent Daily Weighing Important of Cardiac Patients In almost all parts of the world, cardiac-related problems are one of the most leading causes of death (Windale, 2010). The term cardiac problems often connote a deadly disease, silent killer and/or a type of illness related to diabetes, stroke and coronary heart disease. Studies conducted reveal that chronic heart failure and other forms of cardiac disorders account for high hospitalization and high mortality rate (Bushnell, 1992). According to Windale (2010), the three most prevalent types of cardiac problems, which are based from the World Health Organization statistics, are in the form of diabetes, heart failure and coronary artery diseases. People from various countries suffer from this threatening problem, and it often manifests in the form of angina or chest pains. Windale pointed out that such disorder is associated with cultural lifestyle of various nations (2010). Patients with cardiac problems often seem to have lowered functional and physical impairment, decreased quality of life (QoL), increased caregiver responsibilities, especially during hospitalizations (Remme & Swedberg, 2001). Increased hospitalizations for cardiac patients are one of the results of the problem. However, compliance to intervention strategies often poses a greater problem for the healthcare community. Such intervention...
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...3.3 CHARACTERISTICS OF HANDOVER Laxmisan et al (2007) conducted an ethnographic study involving analysis of emergency department handover in a US hospital. The study found that interruptions within the emergency department were prevalent and diverse in nature and that there were gaps in information flow due to multi-tasking and shift changes. The communication process is complex and cognitively taxing during and after team handover, that can compromise patient safety. The study also discusses the need to tailor generic electronic tools to support adaptive processes like multi-tasking and handoffs in time constrained environments. Arora et al (2005) conducted interviews using the critical incident technique to handover failures between inpatient physicians in a US hospital. The study interviewed 26 interns and found 25 discrete incidents. The 21 worst events are described. Omitted contents and failure prone communication processes were identified as a major category of failure in communication. These may result in inefficient or sub-optimal care, leading to patient harm....
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...how the care would differ. Education The profession of nursing began with Florence Nightingale in the 1800’s where she established the Nightingale School for Nursing in 1860 in London (Creasia & Friberg, 2010, p. 4). Since then the profession of nursing has grown immensely across the United States and abroad. In the United States of America the ADN requires two years of formal education covering general courses (Orsolini-Hain & Waters, 2009, p. 267) while the BSN requires four years of formal education covering “a more in-depth treatment of the physical and social sciences, nursing research, public and community health, nursing management, and the humanities” (Rosseter, 2011, ¶ 4). Despite the educational level of registered nurses, all are required to take and pass the National Council Licensure Examination (NCLEX). As stated by the American Association of Colleges of Nursing (AACN) “the NCLEX tests for minimum technical competency for safe entry into basic nursing practice” (Rosseter, 2011, ¶ 4). So essentially in the United States, the profession of nursing only requires minimum competencies to care for patients no matter their location, whether in a...
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...how the care would differ. Education The profession of nursing began with Florence Nightingale in the 1800’s where she established the Nightingale School for Nursing in 1860 in London (Creasia & Friberg, 2010, p. 4). Since then the profession of nursing has grown immensely across the United States and abroad. In the United States of America the ADN requires two years of formal education covering general courses (Orsolini-Hain & Waters, 2009, p. 267) while the BSN requires four years of formal education covering “a more in-depth treatment of the physical and social sciences, nursing research, public and community health, nursing management, and the humanities” (Rosseter, 2011, ¶ 4). Despite the educational level of registered nurses, all are required to take and pass the National Council Licensure Examination (NCLEX). As stated by the American Association of Colleges of Nursing (AACN) “the NCLEX tests for minimum technical competency for safe entry into basic nursing practice” (Rosseter, 2011, ¶ 4). So essentially in the United States, the profession of nursing only requires minimum competencies to care for patients no matter their location, whether in a facility or in their home. Only being...
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...Professional Nurses Advocating for Baccalaureate Degree as Entry Point Into Practice RG Grand Canyon University NRS-430V March 23, 2013 Professional Nurses Advocating for Baccalaureate Degree as Entry Point Into Practice There are currently three paths to become a practicing registered nurse. All three routes end with the graduates of each program sitting for the same licensing exam, the NCLEX-RN. The baccalaureate nursing program is a 4-year degree offered at senior colleges and universities. It includes a more in-depth study of the physical and social sciences, nursing research, public and community health, nursing management and the humanities. BSN educated nurses are believed to be the most well-prepared of the three programs to meet the demands of the nation’s changing and more challenging healthcare needs.(“Fact Sheet: The Impact of Education on Nursing Practice”,2012) A study of the history of the available programs: the 3-year diploma usually provided by a hospital, the 3-year associate degree typically obtained at a community college, and the 4-year baccalaureate degree available at a senior college or university sheds light on the differences in competencies each educational path produces. To begin, is interesting to note that the diploma and associate degree programs were a result of hospital needs and a shortage of nurses available to meet those needs. Those programs were never intended to produce professional nurses capable of filling complex decision...
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...research has indicated that higher educated nurses are better prepared for the more demanding and complex roles nurses are to take on in today’s health industry. Stated in the AACN Fact Sheet employers are identifying a link between the level of education and better patient outcomes and lower mortality rates. Associate Degree in Nursing The Associate Degree in Nursing was designed in the 1950s by Mildred Montag in response to the nursing shortage after World War II (Creasia 2011). The program was intended for those who desired to become registered nurses in a shorter period of time and at a more economic cost. The ADN program is offered in community colleges and some four year establishments across the country. The ADN program usually takes about two to three years to complete and graduate students can become registered nurses by sitting for the NCLEX-RN. Associate degree nurses are educated with technical skills for patient care at the bedside; this includes assessing the patients, administering medications, and educating patients and their families (to name a few). They are able to work in community hospitals and long-term health care settings. Providing direct nursing care to or coordinate care for a limited number of patients in various health care settings is the primary role of the ADN, according to the Texas Board of Nursing (BON). Even thought the AND programs are the major point of entry into nursing (Creasia 2011), many ADN nurses are inadequately prepared for the leadership...
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...evolving. Registered Nurses are a vital part of the existence of all communities. Nurses are required not only at inpatient hospital settings, but in schools, offices, community health settings, nursing homes, administration, and the list goes on! Despite both baccalaureate and associate prepared nurses taking the same board exam to practice nursing, educational advancement can contribute to the care of patients in all of these settings and aide in a more optimal outcome. The bachelors- prepared programs educate students on all the same topics as an associate- prepared program does. However BSN programs teach in further depth and promote professional growth. The difference in quality of patient care between the two degrees may not easily be observed to the clientele. However, much research proves that there is a correlation in patient outcome and the level of nursing education. One example of differing in the outcome of patient care is education. Promoting wellness and educating against disease and illness is an integral part of the nursing field. The baccalaureate- degree nurse is further prepared to promote wellness within communities and targeted populations. By individualizing a plan of care with interventions such as screenings, education and immunizations, a nurse can aid in the prevention of increased diseases and conditions (Sept., 2014). In order to education the client or patient population, a nurse must be educated themself. A baccalaureate prepared nurse “uses evidence...
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...when communication is not clear (Pronovost et al., 2003). When Nurses or doctors do not know how to properly care for their patients, then these patients cannot recover in an appropriate time frame (Pronovost et al., 2003). “At baseline less then ten percent of nurses and residents understand the goals of care for the day”(Pronovost et al., 2003, para. 2). After the implementation of a daily goals worksheet 95% of nurses and residents understood the goals of care for the day, length of stay was decreased, and other critical care patient problems were decreased. (Pronovost et al., 2003). Jean Watson’s human caring theory was the foundation of the daily goals, created in Johns Hopkins Hospital, in 2003. The daily goals sheet was developed in a 16 bed surgical oncology ICU to improve patient outcomes by improving communication between the members of the healthcare team (Pronovost et al., 2003). Transpersonal relationships and a caring relationship were used when creating the Daily goals sheet (Fawcett & DeSanto Madeya 2013). Daily goals were used in the ICU setting, with any patient population that may present to the ICU with an acute or chronic problem (Fawcett & DeSanto Madeya 2013). Content and format of the tool. The daily goals sheet integrates the understanding of the plan of care with nurses and physicians (Pronovost et al., 2003). After the rounds are completed, the nurses and physicians answer a sheet consisting of two questions, the understanding of goals of care...
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...am a Registered Nurse with my Master’s Degree in Business Administration with a concentration in Healthcare Management. My Health will have all different types of staffing from an Office Manager to a Medical Assistant. My Health offers patients the opportunity to get affordable healthcare treatment in the comforts of their home. I will be discussing the form of my business and also comprised in this paper will be a balance sheet and an income statement. My Heath is a home healthcare agency ran by business partners Stephanie Robinson, Ashley Manns and I, Ashlee Burns. Stephanie Robinson is a Nurse Practitioner that has ten years of experience. Ashley Manns has been a practicing Medical Assistant in a medical office setting for five years. I am a Registered Nurse that has three years of experience in nursing with a background in administrative and insurance reimbursement work. I also have my Masters in Business Administration with a concentration in Healthcare Management. My Health is going to provide affordable medical attention to patients in the comforts of their home. The My Health staff will be checking on the patient a couple of days throughout the week depending on the severity of the patient’s illness. The staffing will consist of a Nurse Practitioner, two Registered Nurses, two Medical Assistants, one Office Manager and one Secretary to begin with. Staffing will increase depending on the patient count and the growth of the agency. A Nurse Practitioner is...
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...professional approach. The nursing role is to help provide safe and healthy environments where health is the central focus while assisting that person to live in optimal health (GCU, 2011). Nursing practice includes health promotion, disease prevention, early detection of health deviations, prompt and adequate treatment of the human response to acute and chronic illness, and compassionate care for those experiencing death. (GCU, 2011). The American Association of Colleges of Nursing Fact Sheet (9/22/2014) documents several studies that show a corresponding link between hospitals that have a larger percentage of BSN and graduate level nurses employed and lower mortality rates, fewer medication errors, and positive outcomes. Per the AACN fact sheet (9/22/2014) the facilities that employ mostly BSN nurses have fewer readmission rates, shorter lengths of stay, less post-operative complications like deep vein thrombosis and pulmonary embolisms to name a few. According to the AACN fact sheet (9/22/2014) the nursing education level was significantly linked to patient outcomes. Although theory and science behind nursing is lacking in the ADN program, the emphasis is placed on clinical...
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...patients. The Nurses holding BSN degree have shown that they have decreased the risk of patient’s death. This topic will focus on the differences between ADN and BSN nursing care, based on the example of treatment a patient receives from both types of nurses. Associate Nurse An Associate degree nurse is a nurse with 2 to 3 years nursing training. Graduate of this program is qualified to take the NCLEX to become a registered nurse. An Associate degree nurse has many roles such as teaching the patient about their conditions, assessing the patient’s condition, care plans, doctors’ orders, treatments, and medication. Some of the responsibilities that ADN nurses have are supervisory of the LVN, LPN, CNA, and other healthcare workers. ADN nurses thrive with more independence along with more complex situations with lots of ill patients. Baccalaureate Nurse A Baccalaureate Nurse is represented as a nurse with 4 to 5 years nursing training. Graduates of this programs are qualified to take the NCLEX exam to become a registered nurse. BSN nursing includes the role of assessing, communicating, teaching, leading, critical thinking, providing care, and strong communications between nurses, doctors to go along with great problem solving. BSN nursing practice including health promotion, early detection of health deviations, disease prevention, and adequate treatment of the patients and response to acute and chronic illness. BSN VS. ADN NURSES Nurse’s...
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...Mortality For the first time, the way a nurse documents have been linked to a patient’s mortality. The title of this article is called the Relationship Between Nursing Documentation and Patients’ Mortality. The focus of this study is to identity the association with nurse’s optional documentation and hospital mortality and how they are benefit each other for a set of risk- stratified acute care patients. Having an early recognition of a patients status followed with effective communication by the health care members has lead to a decrease in hospital mortality. It was found that nurses document optional data in the electronic health record (EHR) flow sheets. That is where they record any concerns they may have and to report abnormal data. The definition of optional documentation is recording vital signs more often than required, and entering in comments in the textbox that is associated with the data findings. The reason for optional documentation is the nurses concern for the patient’s current status deteriorating and leading to death. Optional documentation shows the nurses general concern and surveillance for a patient who may be dying. Then by documenting using the EHR it enables the patterns of documentation that are clinically significance to be detected and alerts the health care provider. The role of a nurse is to provide quality of care to each patient they have and to decrease the mortality rate as much as they can. Nurses are in direct consistent contact with the...
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