Premium Essay

Aft Task 3

In: Business and Management

Submitted By Kailae
Words 610
Pages 3
AFT Task 3

As our Joint Commission audit approaches, Nightingale Community Hospital has conducted a tracer patient survey to assess our compliance. The tracer methodology tracks a selected patient's care from admission to discharge, allowing us to evaluate our systems of providing care and to ensure that we are meeting the Joint Commissions standards of providing safe, quality healthcare.

Our tracer patient was a 67 year old female who presented with a fever and drainage five weeks after an open hysterectomy. She was admitted for a suspected postoperative infection,. She underwent another surgery to treat the abscess that formed from the initial surgery and had a central line inserted for long-term antibiotics. She is scheduled to go home with home health overseeing her antibiotic therapy.

This tracer patient has shown that there are areas of our patient care that we need to improve upon in order to be in compliance with the Joint Commission standards.

According to The Joint Commission (2014) compliance with standard PC.01.02.03 requires that a history and physical examination be done within 24 hours of inpatient admission and prior to surgery. In the case of this tracer patient, the history and physical was completed more than 72 hours after admission. Further, this patient underwent surgery two days after admission, prior to the completion of a history and physical exam.

The history and physical examination is a very important tool in a patient's care. It provides information regarding the patient's overall condition as well as potential risk factors that may affect the planned course of treatment. The history and physical allows the treatment team to determine if any additional interventions are required to reduce risk to the patient. The fact that this fundamental aspect was delinquent in this patient's care is unacceptable and a corrective

Similar Documents

Premium Essay

Aft Task 3

...Accreditation Audit: AFT Task 3 Western Governor’s University Abstract AFT Task 3 allows the examination of data from a patient while hospitalized at Nightingale Hospital and utilizes a tracer methodology to identify trends, patterns, and pertinent problems for healthcare improvement. We plan to develop a corrective action plan to address the organization’s improvement while maintaining compliance from a Joint Commission standard. Accreditation Audit: AFT Task 3 Nightingale Hospital is preparing to devise a mock tracer methodology to assess the organizations’ current compliance with Joint Commission Standards. A tracer methodology follows a patient through the course of care and evaluates all aspects of care (Joint Commission E-dition, 2014). This method allows a quick overview of a patient through the flow of a system in order to evaluate the effectiveness of the process flow. Our mock tracer patient is a sixty seven year old female whom recently underwent an open total abdominal hysterectomy secondary to menorrhagia and uterine fibroids. The patient presented back to the emergency room one week postoperatively with complaints of a subjective fever of 100.2 degrees Fahrenheit and incisional drainage described as yellowish-green in color. A CT scan of her abdomen was performed in the emergency room and revealed a peri-umbilical abscess. The surgical team was consulted and an incision and drainage of the abscess was performed. Infectious disease physicians determined...

Words: 528 - Pages: 3

Free Essay

767 Manual

...¦57-31-01 ¦ ¦CHAPTER 57 TAB ¦ 201 DEC 22/09 01 ¦ 401 APR 22/01 01 ¦ ¦ ¦ 202 AUG 22/09 01 ¦ 402 APR 22/02 01 ¦ ¦WINGS ¦ 203 AUG 22/09 01 ¦ 403 APR 22/02 01 ¦ ¦ ¦ 204 AUG 22/09 01 ¦ 404 BLANK ¦ ¦EFFECTIVE PAGES ¦ 205 AUG 22/09 01 ¦ ¦ ¦SEE LAST PAGE OF LIST FOR ¦ 206 AUG 22/09 01 ¦57-41-56 ¦ ¦NUMBER OF PAGES ¦ 207 AUG 22/09 01 ¦ 401 APR 22/05 09 ¦ ¦ ¦ 208 AUG 22/09 01 ¦ 402 AUG 22/01 01 ¦ ¦ ¦ 209 AUG 22/09 01 ¦ 403 APR 22/09 03 ¦ ¦57-CONTENTS ¦ 210 AUG 22/09 03 ¦ 404 APR 22/09 03 ¦ ¦ 1 DEC 22/09 AWW ¦ 211 AUG 22/09 03 ¦ 405 DEC 22/08 02 ¦ ¦ 2 APR 22/09 AWW ¦ 212 AUG 22/09 03 ¦ 406 DEC 22/08 09 ¦ ¦ ¦ ¦ ¦ ¦57-00-00 ¦57-05-06 ¦57-41-57 ¦ ¦ 1 DEC 22/06 01 ¦ 201 DEC 22/09 01 ¦ 401 APR 22/03 01 ¦ ¦ 2 DEC 22/01 01 ¦ 202 AUG 22/09 01 ¦ 402 AUG 22/08 02 ¦ ¦ 3 FEB 10/94 01 ¦ 203 AUG 22/09 01 ¦ 403 APR 22/03 01 ¦ ¦ 4 AUG 22/99 01 ¦ 204 AUG 22/09 01 ¦ 404 AUG 22/08 02 ¦ ¦ 5 AUG 22/99 02 ¦ 205 AUG 22/09 01 ¦ 405 AUG 22/08 02 ¦ ¦ 6 BLANK ¦ 206 AUG 22/09 01 ¦ 406 AUG 22/08 02 ¦ ¦ ¦ 207 AUG 22/09 01 ¦ 407 AUG 22/08 01 ¦ ¦57-05-03 ¦ 208 AUG 22/09 01 ¦ 408 BLANK ¦ ¦ 201 DEC 22/09 03 ¦ 209 AUG 22/09 01 ¦ ¦ ¦ 202 AUG 22/09 06 ¦ 210 AUG 22/09 01 ¦57-41-58 ¦ ¦ 203 AUG 22/09 06 ¦ 211 AUG 22/09 01 ¦ 401 AUG 22/08 03 ¦ ¦ 204 AUG 22/09 06 ¦ 212 AUG 22/09 01 ¦ 402 AUG 22/08 03 ¦ ¦ 205 AUG 22/09 05 ¦ 213 AUG 22/09 01 ¦ 403 DEC 22/09 02 ¦ ¦ 206 AUG 22/09 05 ¦ 214 DEC 22/09 03 ¦ 404 DEC 22/09 04 ¦ ¦ 207 AUG 22/09 06 ¦ 215 DEC 22/09 04 ¦ 405 DEC 22/09 04 ¦ ¦ 208 AUG 22/09 05 ¦ 216 BLANK ¦ 406 AUG 22/08 04 ¦ ¦ 209 AUG...

Words: 40075 - Pages: 161

Premium Essay

Airframe

...Miniature Aerial Vehicle – Airframe characterization R. Shivkumar, Hemendra Arya & K. Sudhakar Department of Aerospace Engineering Indian Institute of Technology Bombay Powai, Mumbai – 400076 e-mail: arya@aero.iitb.ac.in Abstract: Airframe design is an important step in the development of mini aerial vehicles. Airframe design means the shape and size of the aircraft. Issues related to mini aerial vehicle design are discussed in the paper. In this paper a case study of design of a 0.6 m fixed wing aerial vehicle is presented. This case study also brings out the requirement of various tools to conduct such an exercise. Introduction: Significant interest is being shown by academic institutions in research activities related to Remotely Piloted Vehicles (RPV’s) and Unmanned Aerial Vehicles (UAV’s). Flying platforms and their design with suitable payloads reinforce classroom education while exposing students to a host of flight related problems and issues of systems integration. There has been a long felt need to bring students, especially in the field of engineering, closer to the complexities and risks in dealing with actual systems. The Department of Aerospace Engineering, IIT Bombay has decided to make headway in this direction by developing remotely piloted aerial vehicles as experimental platforms[1]. The various disciplines required for such a design activity are aerodynamics, performance, structures, stability, control and propulsion. Each of these designs are different compared...

Words: 4590 - Pages: 19

Free Essay

Class Rules

...may be thought of in the future and to mention every suggestion that has been ruled illegal in the past. When considering anything in connection with the boat or its sails or equipment which is not within established practice in the Melges 24 Class or involves the use of a material not previously used or accepted by the class or is not clearly covered by the class rules, plans or specification, you must assume that it is illegal, and must obtain a ruling from the Class Technical Committee before attempting it. A.2. ABBREVIATIONS. A.2.1. ISAF. MNA. ISAF Member National Authority. ICA. International Melges 24 Class Association. NCA. National Class Association. ERS. The Equipment Rules of Sailing. RRS. The Racing Rules of Sailing. A.3. AUTHORITY. A.3.1. The international authority of the class is the ISAF which shall co-operate with the ICA in all matters concerning these class rules. A.3.2. Neither the ISAF, an MNA, the ICA, an NCA, the copyright holder or an official measurer is under any legal responsibility in respect of these class rules. A.3.3. The Copyright Holder shall be Reichel & Pugh Yacht Design Inc. A.4. LANGUAGE. A.4.1. The official language of the class is English and in case of dispute over...

Words: 9693 - Pages: 39

Premium Essay

Interpreting Laws and Court Decisions

...Interpreting Laws and Court Decisions Interpreting labor and employment laws, as well as court decisions, can be a tedious task at best. The laws set in place are constantly changing and use language that is not easily deciphered by the average working American. The United States Labor laws cover the binding legal connection between the employers, their employees and the employee labor unions. Within the borders of the United States; it is generally know that employers and labor unions do not see eye to eye on most issues regarding labor and employment laws. Labor laws can address one of three different situations: “A union attempts to organize the employees of an employer and to get the employer to recognize it as the employees’ bargaining representative; (2) a union seeks to negotiate a collective bargaining agreement with an employer; or (3) a union and employer disagree on the interpretation and application of an existing contract between the two. Within these three situations, specific rules have been created to deal with rights of employees and employers.” (Labor Law, 2005) The third situation is often seen more times than not; thus creating an everlasting rift between the two parties. In the case study 1-1 of our text, Reinstatement and Back Pay Remedy for Illegal Discharge, it seemed like a common sense; open and shut scenario. My initial thoughts without any research had me thinking there was no way an employer would need to reinstate an unlawfully terminated...

Words: 932 - Pages: 4

Free Essay

Report

...OPERATION OF MASS BALANCE Typically checks involve verifying that the static weight condition of component balances within a specified range. If the control surface has either too much weight ahead of or behind the hinge line, the control surface may flutter during flight. In extreme cases, flutter causes oscillations that progressively increase in amplitude, which ultimately can cause the pilot to lose control of the aircraft or could cause a catastrophic structural failure. The balance check is done with the control surface remove from the aircraft and assembled as specified in the manufacturer’s instructions. Generally all the mounting hardware and components contained within the control surface should be installed in their relative positions. Once assembled, the control surface is placed on balancing madrels within a draft-free room. The mandrels are positioned under the hinge points in a way that allows the control surface to pivot freely without dragging or binding. A balance beam or jig is then installed to determine the moment arm required to balance the control surface. The beam consists a graduated measuring scale in which weight can be moved to bring the control surface to horizontally level position or other position specified by the manufacturer. Once in the proper position, the distance that the weight is located ahead of or behind the hinge line is recorded and checked against the manufacturer’s specification. If the moment arm exceeds the manufacturer’s specification...

Words: 2872 - Pages: 12

Free Essay

May Bay

...AIRCRAFT STATUS BÁO CÁO TÌNH TRẠNG MÁY BAY A/C STS ETOPS B ADD Raised Date MEL Reference MEL Limit Concession Operation Limit Defect/ Event Description/ Additional Information A141 M X B1165 03-Aug-11 FAA8100-9 41548 FH (31/07/12: 40045 FH) AFT cowl skin LH T/R of LH ENG damaged. C/O temp repaired I.A.W EO 3141.11 B1226 16-Dec-11 25-20-01 NA Flex LT AT seat 1H, 4K, 4AC broken B1341 24-Jul-12 21-25-01-01 03-Aug-12 141-07-1/12, Date:02-Aug-12, Exp:08-Aug-12/Strictly follow conditions of MEL B777:item 21-25-01-01 Recirc fan 3SC + 3C + LDGs ASSY RPL From 06-Aug-12 to 27-Aug-12. 2. Server P/N:1303576-100 was robed to CLR ADD of A142 on 08-Aug-12. A142 S X B1105 AMM 49-11-00 CHK EVERY 90 APU HRS APU OIL CONSUMPTION NEED TO BE CHKD EVERY 90 HRS A143 S X B1225 09-Jun-12 25-25-02-01A N/A Seat 55K lock pin missing B1240 05-Jul-12 AMM 78-31-06-200-803 extend to 36917 FH (14/08/12: 36471 FH) LH thrust reverser thermal insulation on RH engine torn A144 S X B1265 26-Jul-12 38-10-01-01 23-Nov-12 Water gauge at AFT portable water service panel is damaged A145 S X A146 S X B1187 23-Jul-11 72-31-07 Next ENG overhaul 07 fanblade platform of LH ENG temp repaired with silicon rubber A147 S X B707 27-Oct-10 AMM 70-00-00-200-801 Next ENG overhaul 02 bolts at POS 06 & 09 o'clock of L/H ENG between LPT and turbin center frame broken B1020 09-Aug-12...

Words: 3589 - Pages: 15

Premium Essay

Accreditation Audit

...Accreditation Audit AFT Task 1 Roland Helmuth Western Governors University Accreditation Audit AFT Task 1 Medication Management A. Compliance Status I will be reviewing three specific areas dealing with medication management. They are the following with the correlating Joint Commission Standard following each one: 1. The hospital plans its medication management process, (MM.01.01.01). 2. Label all medications, medication containers, or other solutions on and off the sterile field, (NPSG.03.04.01). 3. Reduce the likelihood of patient harm associated with the use of anticoagulation therapy, (NPSG.03.05.01). In review of standard MM.01.01.01, I see that Nightingale Community Hospital (NCH) has a policy that speaks directly to this standard. The elements of performance are met by the policy that is in place and includes further information to make this important standard compliant with Joint Commission standards. In review of standard NPSG.03.04.01, I do not find the NCH has a policy that addresses this. Seeing that NCH has surgical and sterile procedures performed at its facility this standard needs to have a policy in place. The basis of this is patient safety related to the five rights of medication administration; Right patient, Right medication, Right dose, Right route and Right time. Even in a controlled environment of a surgical suite, this is vital to any procedure performed. In review of...

Words: 1711 - Pages: 7

Free Essay

Lack of Oxygen

...straight-and-level flight and in slow flight. Use actual angles of attack. Typical light aircraft wings stall at 18-22º. How can you enter a spin? Wing exceeds critical angle of attack with yaw acting on aircraft (uncoordinated). That is, a stall when in a slipping or skidding turn. Danger of base to final turn—cross controlled stall leading to spin. The high wing has the greatest lift due to the greater airspeed, and overall less drag and lower angle of attack. The low wing has the least lift (due to lower airspeed) and greatest parasitic drag due to its higher angle of attack. Center of gravity affects the spin characteristics. An aft CG makes spin recovery more difficult. The worst case is the aircraft may enter into a flat spin if CG is too far back, making recovery impossible. Center of gravity affects the spin characteristics. An aft CG makes spin recovery more difficult. The worst case is the aircraft may enter into a flat spin if CG is too far back, making recovery impossible. Phases of a spin: • Entry—pilot provides input for the spin • Incipient—aircraft stalls, rotation starts to develop; may take 2 turns in most aircraft, usually 5-6 seconds •...

Words: 1893 - Pages: 8

Premium Essay

Importance Of Stowage

...in an aircraft or ship in a manner that provides optimum safety for the vessel and the cargo, giving maximum space usage, and allows easy access to cargo at the point of offloading. The ultimate responsibility for the stowage of cargo rests with the Master. In practice, while the Master retains overall responsibility, the supervision of stowage of cargo normally is delegated to the 1st Officer. His task is to see that neither the vessel nor her cargo is damaged. Furthermore he is responsible for safe handling, loading, including custody of the cargo throughout the voyage. Above all, he must ensure that the safety of the vessel is not imperiled by the carriage of cargo. His aim must be to have the...

Words: 1727 - Pages: 7

Free Essay

Maintenance Concept

...NP2000 Introduction The NP2000 is variable-pitch aircraft propeller designed for a variety of medium to heavy duty cargo and passenger aircraft. The propeller is equipped with state-of-the-art electronic control, all composite blades, and individual line-replaceable blades. Compatible with most Allison and Rolls Royce engine installations. NP2000 Maintenance Concept The NP2000 propeller system maintenance concept is based on phase inspections according to the number of flight hours. The interval of these inspections is 500, 1,000, 1,500 flight hours. Because of planning purposes, these phase inspections contain periodic maintenance tasks, which would be otherwise performed according to calendar time. Exceptions are inspections such as Pre-flight inspection, Post-flight, conditional, and turn around inspections that are performed at the (O) level. NP2000 Main Features Main features are introduced below: * Compatible with Allison and Rolls Royce engine installations. * Electronic control. * Individual line replaceable blades. * Reduced maintenance costs. * Fewer mechanical parts. * Higher reliability. * Reduced noise. * Lower vibration. * Reduced feather drag. * Tighter speed governing. NP2000 Basic Data * Diameter 13 ft 5 in * 5100 SHP rating, 5610 SHP growth * 1106 RPM Maintenance Levels A traditional three-level maintenance concept, consisting of Organizational level (O), Intermediate level (I) and Depot level...

Words: 649 - Pages: 3

Premium Essay

It302-Unit9-.Doc

...Part 2: Haptic Specifications. Although possibly not needed or beneficial, multiple responses in affirming an action by the user are not particularly undesirable. In many cases the confirmation of an action is not only desirable, but may be mandatory for the benefit of the operator, particularly in the case of a client who has a hearing or vision problem. Feedback from the kiosk to confirm an operation may not only meet the ADA requirements, it may be reassuring to some users who may not need confirmation of an action due to physical reasons, but are simply reassured by having an indication that their actions ware correct and completed. Although the operating system of the kiosk possibly will be capable of additional tasks such as signifying that a keystroke was performed correctly, the use of these features may not be wanted by all users. It would be easy, and probably desirable, to design the system so features can be utilized or not as the user wishes. Through the use of messages, sounds or lighting a key or button when activated for those individuals who need confirmation of an action or others who simply desire a comforting feeling. Actions such as these can be designed as part of the system and provisions made for the user to activate them as desired or needed. Initially I planned for a keyboard to be installed in the lower part of the kiosk. As the plan has progressed I am now leaning...

Words: 1152 - Pages: 5

Free Essay

Case Analysis

...brain is one of the most vital parts of the body. Brain and the central nervous system are interconnected. External action proposes the brain to activate and carry reactionary messages through the connective nerves. Human body movements are controlled by the cerebral nervous system. And this biological and structural functioning of human cerebral system is shattered with disease or infection. Apart from brain injuries and sudden high blood pressure, only biologically inherited syndrome can cause fatal cerebral disease. One of such brain diseases is tumor. Human brain is divided into many regions. The Pineal region is located at the tip of the third ventricle which is made of some fluid filled cavities. The pineal gland has the significant task of secreting melatonin, a hormone which regulates sleep. It also receives signal from the outside environment. Metastasis of the pineal region with tumor formation is rare but holds clinical importance. Pineal Region Neoplasm can be divided into three categories in accordance with the specific cell types. Tumors of the pineal region include both benign pineocytoma and malignant pineoblastoma. There are tumors of the other cells including intra-axial astrocytomas. The germ cell tumors are the commonest ones and it causes Pineal Germinoma. Location of germinoma and types Germinomas are the tumor like accumulation seen in the germ cellular pattern inside the cerebral cavity. They are located in both the pineal and suprasellar region. These cells...

Words: 815 - Pages: 4

Free Essay

Marketing

...check out, and troubleshooting of all orbiter systems. Work well with company and customer quality control inspectors. Trained in OSHA requirements pertaining to safety. Education: Two terms remaining for a BS in Professional Aeronautics Embry-Riddle Aeronautical University - GPA 4.0 * Minor in Management * Minor in Airport Management Certified Aerospace Technician – SpaceTec 3/22/06 * Work shop - Introduction to Composites – 1/18/07 * Work shop - Composite Inspection and Repair – 6/07/07 * Work shop - NDT starting 3/21/09 Work History: June 1996 to March 2009 Sr. Aerospace Technician Lead United Space Alliance 8550 Astronaut Blvd. Cape Canaveral, FL 32920 As the shop lead, I was responsible for the day-to-day operations of the Forward shop in the VAB and at Pad A on 3rd shift. This included works with, develops, plans, and provides work assignments to lower level employees. I also resolved issues according to procedures and established guidelines while maintaining the required training and certifications to perform all assigned duties. . * Functioned as a Task Team Leader * Space Craft Operator – Power up/down the orbiter, worked with all system engineering groups during complex testing and troubleshooting. Position switches in the cockpit as required to maintain orbiter systems. Certified to relieve Flight Crew after landing. * Excellent working knowledge of test documentation * Ability to interpret and work from drawings, schematics...

Words: 939 - Pages: 4

Premium Essay

Fire Prevention and Fire Fighting on Board a Ship

...INTRODUCTION Every year more and more ships are lost through fire and collision. Shipboard fire alone, however, results in more total losses of ships than any other form of casualty. The most common causes of shipboard fire are: maintenance, burning and welding are responsible for nearly 40 percent of all outbreaks. Smoking leads to countless fires that break out when no one expects. Lack of attention, spontaneous combustion and electrical faults are the major causes. The engine room is at special risk from flashbacks in oilfired boilers, leaky pipings carrying oil, overheated bearings and even the accumulation of rubbish (oil rags, dirty oil, tins of oil, etc.). According to Mikhail Grigorevich Stavitskii 1983, if most shipboard fires can be prevented, then who is responsible for preventing them? The answer is that fire prevention is the shared duty of each and every member of the crew. No fire prevention effort or program can be successful unless it involves everyone aboard ship. We have noted that every crewmember is responsible for the fire aboard ship. Similarly, every crewmember has a role in the ship's fire prevention program. Because attitude is so much a part of the fire prevention, it is also the most important part of the fire prevention program. So as with the Fire Figthing, if there is a fire aboard ship, everyone aboard ship must form the emergency response team. According to Lobo Gruppe, Oslo 1987, the emergency response team are consist of the following...

Words: 3686 - Pages: 15