...Concierge Nursing Concierge care is a new avenue for nursing. Concierge nursing stems from the relatively new concept of concierge medicine involving physicians. Concierge medicine limits the number of sick people in a practice and doctors and the patients have contractual agreements for services. The services can include house calls, 24-hour access to the physician, same-day appointments, longer appointment times, free check-ups, and telephone and e-mail consultations. The opportunity for discussion at this time involves concierge nursing via the web. Internet access for health questions is the manner, by which a large majority of individuals seek answers. Concept Statement Imagine living in a world in which every person has access to his or her own personal health care professional 24-hours a day. Situations and circumstances arise constantly, in which, people would welcome advice and direction from a trusted resource. Solicitation for advice from a health care professional happens every day through friends, family, and even strangers. “HealthCare Concierge” addresses this overwhelming need. Benefits and Positioning The benefits of the concierge nursing advice will give individuals the chance to ask particular questions to help meet the needs of patients and their families. The advice given can also help reduce the use of emergency rooms if the questions receive effective answers. In addition, the benefit of this service will require highly trained nurses who specialize...
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...ad Administrative Ethics HCS/335 Health Care Ethics and Social Responsibility February 22, 2015 William Bross Administrative Ethics When it comes to administrative ethics in the health care field, this is where ethics issues are being dealt with on a constant basis. The hard part is of keeping the ethical line between what is right and legal is not an easy thing to figure out. In this article, it talks about patients' confidentiality, and in this article it is about critical care providers are often privy to confidential information in the course of the clinic. The dilemma can arise when confidential information is requested by family members or friends of the patient. The Critical care nurses must be aware of the regulations regarding confidentiality, as well as situations where the use and disclosure of protected health information are permitted. (Critical Care Nurse.2012;32[5]:61-65) This is where the critical care nurses must take the Health Insurance Portability Accountability Act (HIPAA) laws on how important they are in the health care field, and to make sure that use the line between what is right with the confidentiality for their patients. When it comes to the health care field there are privacy and confidentiality that needs to be enforced to the areas where it comes patient privacy and confidentiality. However, in this paper the legal and ethical issues that arise from both sides, when each party is bound by separate laws, as well as what happens...
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...HOW TO USE CLASSICAL MANAGEMENT APPROACH IN UTILIZING ACCIDENT &EMERGENCY DEPA RMENT? BY ZAHRA AHMED EBRAHIM Master in Business Administration General Management Organization and Business Management Open Asia e University 2011 Introduction Background of the Study A number of approaches to the structure and management of organizations developed during the late 1800s and early 1900s .The early philosophies are traditionally labelled classical theory while the later approaches include systems theory and contingency theory. The classical approach to organization focuses efficiency through design. Eleanor and Phillip (2009) kept four elements to build classical theory: division and specialization of labour, chain of command, organizational structure, and span of control. The first element emphasised about dividing the work reduces the number of task that lead to proficiency and specialization. The second element is the chain of command which is meant the hierarchy of authority and responsibility within the organization. However, the collaboration between staff and there managers improve the efficiency and productivity of the unit. Moreover, the third element is organizational structure that describes the arrangement of the work group. The design of the Organization is intended to faster the organization survival and success. Finally, the span of control addresses the pragmatic concern of how many employees a manager can effectively supervise. The later approaches...
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...Professional Roles and Values Danielle Cote Western Governors University Professional Roles and Values Nursing in the 21st century has evolved immensely since the days of Florence Nightingale, not only with medicines but also with the care of patients. Because of these changes and growth the code of ethics was developed and regulatory agencies were created to help and guide nurses. There are numerous professional nursing organizations, many catering to a nurses personal career choice. As an Emergency Room Nurse belonging to the Emergency Nurses Association, one of the many professional nursing organizations, has proven to be an asset to my career. Their mission is to advocate for patient safety and excellence in the emergency nursing practice, (ENA 2015) which differs from the Board of Nursing. The Board of Nursing serves as a regulatory board, overseeing the practice and licensure of each nurse. Some professional nursing organizations, such as NSO, provide liability insurance to nurses. Other benefits of professional organizations may include free CE, preferred pricing on exams, resources, and networking. Being a member to both of the above organizations has given me peace of mind and continuous learning and growth in my nursing career. PNO functions are different from regulatory agency such as a regulatory agency has the power to revoke a nursing license or bring legal actions against a nurse but a PNO are mainly resources to enhance nurses. Every nurse is faced with...
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...his condition she told him that Dr. Martin cannot see to him because of his packed schedule. The professor asked for a referral to go to the HealthCheck Clinic but the nurse declined claiming that Dr. Martin is not willing to send him there and was instead prescribed with medicine for the diarrhea. The prescription was placed in the pharmacy for the professor to pick up. Unsatisfied, the professor called up Candy, the director of the Employee Benefits Office, but Wendy picked up and relayed everything to Candy who then expressed her surprise and distress over the situation. She too did not understand that the request for a referral was denied as the professor asked for it. The professor picked up the medicine from the pharmacy, drove home, took a pill, and went to bed. The following day the diarrhea was under control but the gastric discomfort was still a problem. He decided to go to work but in the afternoon he gave up and went home. He called Dr. Martin’s office and once again Betty answered the phone. She informed him that the doctor is out all afternoon and still claimed that the doctor refuses to refer him to HealthCheck. Betty believed that Dr. Martin would want the professor to go to the emergency room. Beyond irritated, the professor decided to go to HealthCheck himself without a referral to figure out what was wrong with him. Almost immediately after explaining to the reception all that has happened and how he felt, he was...
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...Emergency Care Group Marketing Plan April 1, 2009 TABLE OF CONTENTS 1.0 EXECUTIVE SUMMARY 3 2.0 SITUATION ANALYSIS 3 3.0 MARKET ANALYSIS 4 3.1 Market Demographics 4 3.2 Market Trends 4 3.3 Market Growth 4 4.0 COMPETITIVE ANALYSIS 4 5.0 FINANCIAL OVERVIEW 4 6.0 MARKETING PLAN 6 6.1 Marketing Objectives 6 6.2 Marketing Strategy 6 6.3 Action Plan 6 6.3.1 Products and Services 7 6.3.2 Pricing 7 6.3.3 Advertising and Promotion 7 6.3.4 Distribution 7 7.0 FINANCIAL ANALYSIS 7 8.0 CONTINGENCY PLANS 8 Difficulties and Risks 8 Worst-Case Risks 8 REFERENCES 9 Financial Appendix 10 Table 1 – Emergency Care Group Pro-Forma Income Statement 10 Table 2 - Emergency Care Group - Revenue Forecast 11 Table 3 - Emergency Care Group - Expense Forecast 11 1.0 EXECUTIVE SUMMARY 2.0 SITUATION ANALYSIS 2.1 Company Analysis 2.1.1 Strengths • Continous growth over the past seven years • Owner had experience in small rural hospitals and with staffing companies • Contracted with an extensive pool of credentialed emergency physicians • Offered value-added services such as quality assurance and education to Emergency Departments (EDs) • Four cross-functional regional teams that was composed of a recruiter, credentialer, and a scheduler 2.1.2 Weaknesses • Profits were flat during company’s growth period •...
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...is influenced by social and economic structure that determines the quality of care provided to each individual. According to Lambert, almost every poll showed that a majority of American are insured and appear to be happy with their health insurance to a large extent, “The bill still passed”. This paper analyzes how quality of care is affected by organizational, culture, structure, governance, and social responsibility. Health news situation Brook Dale hospital, a hospital located in Brooklyn, New York, has been the subject of media scandal in November 2007. The scandal began when a hold man, black, 70 years old came to the emergency room alone for a pathology dominated by: dull pain near the navel or the upper abdomen (right ileac fossa), loss of appetite, vomiting, abdominal swelling, fever 102 degree. 24 hours after his arrival in the emergency room no physician neither medical staff did help out the patient. His color, age, and his loneliness do not play in his favor. A report of House Select Committee on Aging has suggested between one million and two million older Americans experience mistreatment each year. The department of Public Health...
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...specific point ii. Secondary: Common requirements for the area This checklist can be used for practical guidance. The assessor should not limit the assessment only to this checklist and can add more points based on their experience and observations. This will help out in updating this checklist and making it more comprehensive in the 2nd version Version 1 Issue Date: 17/05/11 Page 2 of 53 NABH Assessment Checklist CONTENTS Clinical Areas S. No Department/Area Page Number 1. Emergency and Ambulance 5 2. Out Patient Department 6 3. Wards 7 4. Specialized wards 11 5. Palliative Care 12 6. Dialysis Unit 13 7. Intensive Care, Neonatal/ Paediatric ICU and High Dependency Units 14 8. Operation Theatre 17 9. Recovery Room 19 10. Endoscopy 20 11. Rehabilitation 22 12. Imaging: X Ray/ USG/ CT Scan/ MRI 22 13. Nuclear Medicine 24 14. Cardiac Catheterization lab 25 15. Laboratory: Haematology/ Microbiology 16. Blood Bank 27 17. Radiation therapy/Radioactive drugs 28 18. Nutrition 29 19. Research 30 20. Hospital Infection Control 30 Version 1 Biochemistry/ Issue Date: 17/05/11 Pathology/ 26 Page 3 of 53 NABH Assessment Checklist Non Clinical Areas S. No Department/Area Page Number 1. Document Review 32 2. Quality...
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...I have been tremendously fascinated by medicine and during my time at Harlem my passion has thrive even more. I have witnessed different types of cases. I have seen cooperative patients as well as uncooperative patients. I have learned from each one of them. As a PA it is important to know how to treat each patient with the same respect you would want to be given. One of the many cases I came across was during a night shift. I had just entered the Emergency room. Attending Physician had spotted me and he directed me to follow him. I saw in room 28. Young woman looked severely pale and scared. She wanted to know what had happened to her. In that moment the Physician informed her that she had ectopic pregnancy and it has been ruptured. Patient...
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...[PROBLEMS IN THE EMERGENCY DEPARTMENTS OF PAKISTAN] ADVISOR: MR OMAR AZIZ BABAR GROUP MEMBERS: ABSHAM MEHBOOB (08-0014) AGHA MUREED AHMAD (08-0636) HAMZA AHMED JALAL (08-0282) NABEEL ATIQ SYED (08-0141) SYED ALI HAIDER SHAH (08-0176) SUBMISSION DATE: 07-05-2012 This project is solely the work of the author and is submitted in partial fulfillment of the requirements of the Degree of Bachelors of Business Administration EXECUTIVE SUMMARY Our FYP project is based on the issues in the emergency department of health sector of Pakistan on which we are conducting a research work. As we hear about the problems that occur in this department of health sector and the difficulties that people face we will be looking into the depth of these issues and try to highlight the key points that create such a situation. Our main objective is to find the gap between the perception and reality. We go about in our project first giving a brief introduction of the emergency department of health sector according to the secondary data that we collected. We also discussed the techniques, strategies and standard operational procedures i.e. SOP’s according to which emergencies should operate. Moreover we also discussed emergency ethics that are the first and foremost base to determine how the doctors are expected to behave with...
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...find contentment with my career path, I finally settled into a career as a real estate broker. In this position, I found I really had a passion for helping people. While the real estate market was slowly turning into a desolate wasteland, my desire for becoming a nurse was starting to rekindle. In the meantime, I had become pregnant. Going into the hospital for my fourth standard induction, I felt scared as any mother would but confident in how things would go. After all, it wasn’t my first go around. When the induction started at midnight, I anticipated getting a good night’s rest and then welcoming my new bundle of joy in the am. However, just one hour later, I was rushed in for an emergency c-section. The next morning, holding my beautiful son, the physician made this statement “If it wasn’t for your nurse going above and beyond what she needed to do with her watching the monitors for 10 minutes longer than our protocol, we would not be having a good morning.” My nurse saved my son’s life, and in turn saved mine. Because I wanted to have that same impact on someone else, when my son was three months old, I began my journey into nursing school. Back to School Returning to school with four children, the youngest being an infant, a household to maintain, and still working was not the easiest thing I’ve done....
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...In This GUIDE Welcome to Houston Methodist St. John Hospital ___________________________ 2 About Us_______________________________________ 3 Travel Directions____________________________ 4 Telephone Directory ______________________ 5 During Your Stay ________________________ 6-8 Visiting Hours__________________________________ 6 Parking_________________________________________ 6 Cell Phones_____________________________________ 6 Calling Your Nurse______________________________ 6 Telephone ______________________________________ 6 Fire Safety______________________________________ 6 Smoking________________________________________ 6 Electrical Appliances___________________________ 6 Mail and Flowers_______________________________ 6 Gift Shop________________________________________ 6 Spiritual Care___________________________________ 7 ATM_____________________________________________ 7 Patient Meals___________________________________ 7 Snacks__________________________________________ 7 Guest Trays_____________________________________ 7 Vending Machines_____________________________ 7 Cafeteria________________________________________ 7 Financial Expectations for Admissions________ 7 Wireless Internet Access_______________________ 7 Valuables_______________________________________ 8 TV_______________________________________________ 8 Television Channel Listings____________________ 8 Your Privacy & Information___________15 Do You Have Pain? ________________________16 ...
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...response, or QR codes. These codes are placed on stickers, bracelets, and cards for wallets. When paramedics scan the QR code, they gain access to the patient’s health profile, which contains basic personal information, allergies, medications, and emergency contacts. With instant access to this vital information, medical errors are reduced, and the time that they would otherwise spend obtaining this information is cut. Some people believe that this is a wonderful advancement, and it “could benefit so many folks” (Davis), while others are concerned and skeptical about this new technology. Benefits One advantage of utilizing QR codes in emergency response situations is the shortened time spent obtaining vital patient health information. By cutting down time, paramedics are able to make treatment decisions more quickly. “Every second counts during medical emergencies, and quick access to medical information can be the difference between life and death” (Rich). Immediate access to the individuals medical data will allow for more accurate and effective health interventions. Another convenience to quick response codes is the reduced risk of medical errors. Medical mistakes are one of the leading causes of death in the United States. According to a report by the Institute of Medicine, a “reasonable estimate” is that medical mistakes now kill around 200,000 Americans every year( Gupta). With QR...
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...of life among healthcare providers will matter on the quality and safety of patient care. Today the proportion of acute patients entering the health care system through emergency departments continues to grow and the number of patients in the Intensive care unit also increasing. In emergency room department, the Emergency medical services (EMS) workers are primary providers of pre-hospital emergency medical care and integral components of disaster response. The potentially hazardous job duties of EMS workers include lifting patients and equipment, treating acute injuries or life-threatening illnesses, handling hazardous chemical and body substances, and participating in the emergency transport of patients in ground and air vehicles. These duties create an inherent risk for EMS worker occupational injuries and illnesses. Healthcare workers in the Emergency medicine has evolved to treat conditions that pose a threat to life and have a significant risk of morbidity. Work-related stressors in which Emergency Department nurses encounter are numerous as a result of the hectic and chaotic environment in which they work. The main work stressors included the large number and continuous influx of patients, the increased patient acuity, and the lack of skilled nursing staff. Emergency physicians are tasked with seeing a large number of patients, treating their illnesses and arranging for disposition—either admitting them to the hospital or releasing them...
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...Healthcare Ecosystems Barnes Jewish Hospital is the combination of The Jewish Hospital of St. Louis built in 1902 and Barnes Hospital built in 1914. The two hospitals were combined in a merger in 1996 becoming Barnes-Jewish Hospital. Barnes-Jewish Hospital is located in St. Louis, Missouri in the Central West End neighborhood. What started off as a small Jewish hospital in 1902 is now one of the best hospitals in Missouri. It is also the largest private employer of St. Louis with 9,215 employees (http://barnesjewish.org/about/fact-sheet). Barnes Jewish is a teaching hospital that has been associated with Washington University College of Medicine since before 1914. This association guaranteed that the hospital would be staffed with university professors and be a learning environment for cutting edge medicine. Impact on Growth Immigration had a large impact on the growth of The Jewish Hospital of St. Louis. The hospital was built with money from the Jewish community and the board of directors consisted of the city’s Jewish leaders but they wanted the hospital to help everyone. The board promised that the hospital would “afford medical and surgical care and nursing to sick or disabled persons of any creed or nationality” (http://barnesjewish.org/about/history). Over 3 million Jews immigrated to the United States from Europe from 1881 to 1920. The immigration was caused by economic conditions and discrimination that radiated throughout Europe (http://en.wikipedia...
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