...Case Study 1 “Rashad attended the team meeting with all the rest. When the topic of role clarification for assistive personnel came up, he stated that he thought part of his role was to anticipate the needs of the patients for toileting and personal hygienic care. Robin, one of the staff RNs in their psychiatric care group home, raised her voice as she firmly stated, “You are only an aide. That is in the RN role. We don’t expect you to think, just to do what we tell you to when we tell you.” Rashad sat quietly without responding because he needed to keep his job but began his plan on how he’d make Robin pay for her statement. Maybe he wouldn’t do anything without being told.” (Hansten & Jackeson, 2009). Answer In question number one the two types of communication used, were aggressive and passive. Aggressive was used when the Registered Nurse (RN) undermined the aide by belittling him with a raised tone, and comments such as,” you are only the aide”, “ we don’t expect you to think, just to do what we tell you to do.” (Hansten & Jackeson, 2009). This type of communication often carries a tone of superiority, messages of blame, and labeling often times causing the other person to feel humiliated and hurt. Rashad may perhaps have feelings of anger and revenge. Rashad may perhaps try to think up ways to get back at the nurse instead of help her or him complete her or his tasks. This type of communication suppresses the ideas and feedback from others. It evokes passive aggressive...
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...Reducing the risk of surgical site infection Joy Ibeh Walden University NURS 4001, Section 7, Research & Scholarship for Evidence-base practice September 7, 2014 Reducing the risk of surgical site infection A surgical site infection is a preventable event and also a national concern. There are numerous publication on national awareness and guidelines for infection prevention in different surgical settings. The benefit of providing information and acquiring knowledgeis to prevent patient mortality rate by following the national clinical guideline. Therefore the purpose of this paper is to discuss information from the the clinical practice guideline for preventing and reducing the risk of surgical site infection. Practice Setting Problem The Practice seting problem chosen for this assignment is reducing the risk of surgical site infection by using clinical practice guideline. Surgical site infections (SSI)is an infection patient acquired from hospital after surgery, It has a significant representation of healthcare associated infections. According to Center for Dieases Control and Prevention (CDC) SSI is defines as “ an infection that occurs after surgery in the part of the body where the surgery took place.” (Spruce, 2014). The author, Spruce (2014) addressed the mortality rate of surgical site infection and further noted that SSI is the second most prevalent healthcare associated infection that are estimated to be 40% to 60% preventable. Spruce reported that $28.4...
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...Principles of Healthcare Reimbursement Anne B. Casto, RHIA, CCS Elizabeth Layman, PhD, RHIA, CCS, FAHIMA Copyright ©2006 by the American Health Information Management Association. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, photocopying, recording, or otherwise, without the prior written permission of the publisher. ISBN 1-58426-070-X AHIMA Product No. AB202006 Ken Zielske, Director of Publications Susan Hull, MPH, RHIA, CCS, CCS-P, Technical Reviewer Marcia Loellbach, MS, Project Editor Elizabeth Lund, Assistant Editor Melissa Ulbricht, Editorial/Production Coordinator All information contained within this book, including Web sites and regulatory information, was current and valid as of the date of publication. However, Web page addresses and the information on them may change or disappear at any time and for any number of reasons. The user is encouraged to perform his or her own general Web searches to locate any site addresses listed here that are no longer valid. AHIMA strives to recognize the value of people from every racial and ethnic background as well as all genders, age groups, and sexual orientations by building its membership and leadership resources to reflect the rich diversity of the American population. AHIMA encourages the celebration and promotion of human diversity through education, mentoring, recognition, leadership, and other programs. American...
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...Communication Style Case Study Scenario 1 In the first scenario, the writer illustrated an aggressive, passive-aggressive, and passive communications styles. The staff registered nurse (RN), Robin, responded by being aggressive. She was very inappropriate and unprofessional. She raised her voice to tell the assistive personnel, Rashad, in front of his team members that he is only an aide, and his role is just to follow orders. She humiliated and downgraded her team member by conveying a message to him as well as to the rest of the team that assistive personnel are not important part of the interdisciplinary team because they do not need to think but need to do what they are told to do. Rashad first responded by being passive. He did not say anything to Robin because he was afraid he would lose his job. Rashad’s plan was to make Robin pay for how she behaved by not doing his job until he is told what to do. He was being passive-aggressive. First, Rashad’s silence can be perceived as agreeing with Robin in regards to assistive personnel not being important. Second, by being passive-aggressive and planning on not doing his job will not only get him in trouble but also will jeopardize patient’s health and well-being. He needs to further clarify his job description and assigned duties by talking to Robin and his supervisor. Scenario 2 In the second scenario, Pamela, the school nurse, was being nonassertive. She was a good nurse by following up on Brigite, a volunteer, and making...
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...attributes or characteristics of the concept. * Concept Analysis of the Surgical Wound Infection ? I will like to identify patients conditions and other factors contribute to the development of Surgical Wound infections. * Determine the aims or purposes of analysis The purpose is to understand the effect of environment in surgical wound infections. Prevention of infection requires the application of the principles of microbiology and accept practice. Measure of this concept is based on the stages of wound healing and the Centers of Disease Control and Prevention guidelines defining surgical site infection as occurring 30 days postoperative. * Identify all uses of the concept The Merriam-Webster Dictionary was used to explore the general definition of surgical wound infection Surgical of or relating to the process of performing a medical operation: of or relating to surgery. Wound an injury that is caused when a knife, bullet, etc., cuts or breaks the skin. Infection is the act or process of infecting someone or something: the state of being infected. The Oxford English Dictionary (OED) was also used to explore the definition. Surgical relating or used in surgery. Wound is an injury to living tissue caused by a cut, blow, or other impact, typically one in which the skin is cut or broken. Infection is the process of infecting or the state of being infected History of Surgical Wound Infection Hippocrates (Greek physician and surgeon, 460-377 BC), known...
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...Ebony Stewart May 7, 2014 Estimating Health Care Associated Infections and Deaths in U.S Hospitals as Oppose to Medical Malpractice Epidemiology Introduction This study was conducted for two important reasons. Deaths in the United States as well as an estimation to provide information for the number of healthcare-associated infections (HAI) were the purpose. The data sources used were 1) National Nosocomial Infections Surveillance 2) National Hospital Discharge Survey and 3) American Hospital Association all of these sources were used by Centers for Disease Control and Prevention’s. HAI occur in many different healthcare settings: acute care within hospitals, same day surgery centers, long-term facilities, and ambulatory outpatient care in health care clinics. HAI has resulted from and adverse reaction to toxins and evidence of infection isn’t presented during time of admission to hospital. Surveillance has also been a research base for HAI. NNIS is an ongoing system that has collaborated with CDC to monitor data on HAI”S and other nosocomial infections. It covers intensive care units, high risk nursery, and surgical patients. A major goal of NNIS is to develop data to prevent and control nosocomial diseases. NHDS was designed to meet needs of patients from non-federal hospitals that stayed only for a short period of time. The data collected from these surveys is collected to examine the importance of public health. The survey is conducted in three difference...
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...Communication Style Case Study Effective communication is essential in building trust, respect, and creating an environment where ideas and problem solving take place. There was a survey done in a study showing 79% of the participants indicated that workplace respect was seriously lacking in the United States. The participants commented that if people communicated respectfully to each other, like they do their patients, there would be an increase in workplace satisfaction (Hansten & Jackson, 2009). There are three case studies, which will be analyzed by identifying passive, assertive, aggressive, and passive-aggressive communication styles. A personal senerio will be included and discussed. It was apparent in the first case study Robin, the RN was showing aggression towards Rashad the nurse’s aide. The RN and the aide had attended a meeting discussing their role clarification on the unit. Rashad spoke up and clarified his role as anticipating the needs of patients needing assist to the bathroom and help with personal hygiene. Robin then abruptly stated, “You are only and aide.” “It is the RN role to anticipate the needs of the patient. “You need to do what we tell you” (Hanston & Jackson, 2009). This communication of aggression by the RN demonstrated no respect to Rashad. Rashad felt put down, but in the back of his mind he was feeling revengeful. The communication style he was demonstrating was passive communication. He was not assertive in communicating...
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...multiple different areas. For example, hospitals, military oncologists, pediatric oncology, medical oncologists, surgical oncologists and many more. There is a wide variety of jobs that relate to oncology in the hospital. The oncology clinical nurse specialist is a registered nurse that has obtained a master’s degree. This specialist has a variety of roles. They include giving direct patient or family care, nursing research related to cancer patients and discuss treatment as well as side effects of the treatment. In order to become an oncologist with the United States Army you must be an active member. The potential oncologist has to obtain a license to practice medicine in the United States of America, District of Columbia or Puerto Rico. They must be able to obtain a board certification. A...
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...Communication Style Case Study Communicating Style Case Study According to The Effective Communication website (2012), “Communication skills include both verbal and non-verbal messages that people use when interacting with others. These messages can include such things as words, phrases, facial expressions, sign language, body language, gestures and voice tones” (para.1). The concept sounds quite simple but would there be hordes of books and countless seminars on communication, if it were that simple? The ability to communicate effectively can be difficult and this may be why, it is sometimes referred to as the art of communication. People communicate using different styles and a good communicator needs to be aware of these styles. The ability to effectively manage differences continues to baffle many, as illustrated in numerous current events. The ability to identify different communication styles and to understand one’s own communication style could be a very beneficial tool. O’Neil and Hansten (2009) described three different styles of communicating; passive, aggressive and assertive and/or a combination of styles, such as, passive-aggressive. By using three separate scenarios, O’Neil and Hansten (2009), successfully illustrated the differences of each. This paper will analyze each of these scenarios; while identifying the style or styles of the communication utilized. The author will also apply the same analysis, with an experience of her own. She...
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... Table of contents page Case Study: Peace Memorial Hospital: Downtown health Clinic …….………………. 3 Executive Summary …………………………………………………………………….. 3 Environmental Aspects …………………………………………………………….. 5 Demographics …………………………………………………………………….. 5 Politics …………………………………………………………………….. 7 Competition …………………………………………………………………….. 8 Marketing …………………………………………………………………………….. 9 Objectives …………………………………………………………………….. 9 Strategies …………………………………………………………………….. 10 Tactics …………………………………………………………………………….. 10 Four Ps …………………….…………………………………………….. 11 Product …………………………………………………………… 11 Price …………………………………………………………………… 11 Place …………………………………………………………………… 11 Promotion …………………………………………………………… 12 Marketing Information Systems ……………………………………………. 12 Conclusion …………………………………………………………………………….. 13 References …………………………………………………………………………….. 14 Marketing Audit Case Study: Peace Memorial Hospital: Downtown health Clinic Peace Memorial Hospital (PMH) is one of six independent, nonprofit, general...
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...Communication Case Study Sandra Brown HCS 350 February 23, 2015 Frances Johnson Communication Case Study Communication Case Study Effective communication in the healthcare setting is vital to provide optimal care to patients. Delegation requires clarity and precision for effectual outcomes. Complete understanding of the task delegated yields greater outcome for patients and staff performance. In the first scenario, Rashad is attending the team meeting and tries to clarify his role as assistive personnel. He presents to the nurses that they would be able to rely on him to help with their patients during the shift for hygienic care and toileting. He is quickly discounted by one of the staff RNs, Robin, who raised her voice and firmly stated, "You are only an aide. That is in the RN role. We don't expect you to think, just to do what we tell you to when we tell you." Robin at this point is displaying an aggressive style of communication. Rashad quietly sat without responding because he was in fear of losing his job. Passive communication presents here. Rashad then started to plan on how he would make Robin pay for her statement by not doing anything without being told.(Hansten & Jackson p. 283. 2009).Rashad at this point starts to display passive aggressive communication style. Communicating using an aggressive form can be very ineffective and disrespectful. The nurse made Rashad feel like he was not valuable to the team. This aggressive style of communication discomforts...
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...The Issues Arising From the Department of Veteran Affairs Victor N. Ijoma Texas Southern University Abstract The issue of veteran’s affairs is a very important aspect to who we are as a nation. There are thousands of men and women who put on uniforms to go and defend our rights thousands of miles away, they have fought to make our dreams of living free and equal a reality and I believe we owe them the least of caring for them when they return home. The situation currently going on in the Department of Veterans Affairs is a nightmare, veterans being denied care, not being able to receive adequate support when they come home is a national disgrace to us. The effect of not being able to attend to the need of our veterans is a very dangerous trend, and unless we take the matter as an emergency situation, the very strength of our armed forces will start to lose its glory. The most important means of making sure we are taking care of our veterans is by looking into the laws and policy that currently govern the department so as to find a more responsible approach to making these laws and policy’s even better. The veterans Affairs being the second largest department in the federal government, it is crucial to have a budget big enough to be able to sustain old working programs and implement new programs in order to help give our veterans the very best care they have earned and desire. Department of Veterans Affairs As early as 1636 when the pilgrims of Plymouth Colony were...
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...Communication Style Case Study First Scenario The first scenario is describing an aggressive behavior from a staff RN (Robin) towards an assistive personal (Rashad) who was just expressing his opinion during a team meeting. Robin intimidated Rashad with her aggressive comment to the point that made Rashad feel frustration, but Rashad did not respond her back; he stayed quietly. Instead, his response was passive-aggressive when he began to plan how to take revenge in future working situations. If I could improve this communication, I would do the following changes: Perhaps, she had a bad day that she explodes against Rashad, but she should not let her personal feelings to interfere with her interactions with others. Definitely, she needs to be more respectful. She needs to learn to calm down and relax before expressing her opinions. She should not raise her voice, neither to interrupt or made offensive comments about others responsibilities; she should not sub-estimate the role of others. In sum, she needs to understand the concept of effective communication within teamwork. In the other hand, Rashad was apparently passive, but very frustrated because he was afraid to respond to that comment. He should understand that he is an important part of the team, and his role is equally important than hers. He should tell her with normal tone of voice that this is not the appropriate way to talk to him; we all deserve respect, and state the purpose for being together in the meeting...
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...Medical Technology MEDICAL TECHNOLOGY VOL ATILE INDUSTRIES? A SAFE HAVEN for Novumed Spotlight Novumed Spotlight Novumed Spotlight The Benefit of Expansion into Medical Technology financial crisis 2008 2009 2010 2011 Segment comparison at Agilent 2008 - 2011, in US$ M. Source: Agilent annual reports, Novumed Life Science Consulting In 1999, several business units were spun off from global computer technology provider HewlettPackard to form Agilent, with approx. US$ 8 billion in revenues. This spin-off marked the largest initial public offering in the history of Silicon Valley. Initially, Agilent’s revenues came predominantly from the sales of its electronic test & measurement and semiconductor business units. With its strong ties to the communication industry, specifically the internet, Agilent’s stock was valued highly. Despite this high regard, management decided not to focus solely on its core sectors, by creating a life sciences business unit in 2000. A wise decision in retrospect. The life sciences and chemical analysis units now collectively generate half of the company’s sales, and allowed Agilent to remain profitable despite the collapse of the electronic measurement unit’s profits during the financial crisis. As one of many examples, this illustrates the growing importance of the medtech segment, which is gaining attention of industry groups from various sectors. What factors make medical technology so attractive? Which industries...
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...care. Social care tasks are focusing on support of inhabitants of local communities in case of poverty and are to prevent exclusion. Social care includes activities such as analyses of the local environment, the economical status of community members and making decisions on financing or co-financing of help measures requested by individuals. The social care budget is also playing a role in financing health services for the unemployed (from the central budget) and the homeless/uninsured (from the local community budget). From the central social care budget money flows to the National Health Fund (NFZ), which is the central insurance institution in Poland, and is further disseminated among the 16 regions of Poland in which branches of NFZ are located. From the local community budget, moneys are paid directly to selected health care units. Due to the yet unfinished implementation of family medicine, primary health care in Poland consists of two dimensions or care models: the old Semashko model with its group out-patient units and the family medicine model. Nowadays both dimensions have equal representation in the health care system: First, part of primary health care – the remaining Semashko model – is organized based on out-patient units. Traditionally, these units consisted of different parts: general-internal medicine; pediatrics; surgery; OBGYN; district nursing care and in many cases dental care. Care in each of these parts was provided by specialists of each particular...
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