Running Head: ORGANIZATIONAL SYSTEMS 1
Organizational Systems
RTT1
Western Governors University
Pam Turner
Septemer29, 2014
Running Head: ORGANIZATIONAL SYSTEMS 2
A).
Nursing-sensitive indicators reflect the structure, process, and outcomes of nursing care. (Nursing-Sensitive, 2014.) The skill level of the nursing staff, the supply of nursing staff, and the education or certifications of the staff are all used to measure the structure of nursing care given to any given patient. Patient outcomes, which are improved by a greater quality of care, are said to be nursing sensitive. Some examples of
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The staff could also have done something different so as not to have to use restraints on the patient. A sitter could possible have been brought in to sit with the patient. A family member could have been asked to sit with the patient. More frequent rounds to check on Mr. J. could have been implemented. Any of these issues have the potential to extend the patients length of stay in the hospital. The restraints have the potential to make the patient more agitated, thus increasing his risk of injury. Understanding the nursing-sensitive indicators can greatly contribute to a better outcome for all patients.
B). Knowing the hospital data on specific nursing-sensitive indicators could greatly help with patient care in a hospital. If your hospital has a high incidence of falls, the data collected on the falls can help the nurses and staff to understand why the falls happen. Is it because they have a high population of elderly patients? If so what is the hospital doing to counteract the incidences of falls? What measures have they put in place to decrease the incidence of falls? The same can be done with pressure ulcers. The staff can look at the data collected and get an idea of why the
Running Head: ORGANIZATIONAL SYSTEMS 4
pressure ulcers are happening. Again, is there an abundance of elderly patients?
| The business itself does not retain any profits. 100% of profits remain with the owner and is considered personal income.
Florence Nightingale, considered the founder of modern nursing, first began to establish nursing as a profession during the Crimean War. Since then, nursing theorists have continued to expand on the thought that patients are made up of more than just the symptoms they present with, Abraham Maslow, Carl Jung, Dr. Larry Dossey and Dorothy Johnson, but none more so than Jean Watson. She developed a theory of human caring that contained several core concepts, these concepts lay forth the ground work for how we, as nurses, should care for a patient. These concepts included transpersonal caring relationships (going beyond ego to higher “spiritual” caring
The healthcare systems of Switzerland and the United States are quite similar in some aspects and vastly different in others. In Switzerland, the healthcare is universal and available to all. It is provided by private individual insurance companies and subsidized by the government when needed. Basic health insurance is required to be purchased within 3 months of residency or after birth and is an individual’s choice as to what carrier they choose. Of course, there are exceptions to this mandate but they are very few.("Healthcare in Switzerland," “n.d.”, para. 1) Because of this requirement, 99.5% of the population in Switzerland has
We know that he had sustained an at home fall. We learn that he has a history of pain and a prescription for oxycodone for back pain. We know that his vital signs on admission appear stable; he was not showing any signs of respiratory distress. As we look at the staff that was listed that day we do get the sense the hospital may have been short staffed. Staffing report shows there was one MD, one RN and one LPN managing at least 4 patients including- one patient was a child. Evidence based research has proven that the nurse to patient ratio is directly related to the patient outcomes (Stanton, 2004). It is important that we consider the staffing level that this rural ED as we know short staffing can be blamed for not being able to take the full amount of time needed to do a proper health history. A detailed health history is an imperative part of the care process; it is used by the staff to accurately assess any acute changes that may take place in the patient throughout their stay.
Nestled in Southern Indiana just west of Louisville, Kentucky and south of Indianapolis, Indiana is Dubois County, Indiana. Dubois County is comprised of the towns of Birdseye, Ferdinand, Holland, Huntingburg and Jasper. Of those towns, Jasper is the largest and is the county seat (Kelly School of Business, 2014). Over fifty-two percent of the population consists of adults ranging from 25-64 years of age (Kelly School of Business, 2014). The leading cause of mortality in this county is heart disease, cancer, suicide and injuries (Memorial Hospital and Health Care Center & Dubois County Health Department, 2011).
In September of 2012, beginning in the country of Saudi Arabia, hospitals began seeing increased cases of a respiratory virus never before seen in humans. They named it Middle East Respiratory Syndrome, or MERS. MERS is a viral respiratory illness caused by the coronavirus. It was originally thought to have started there in Saudi Arabia. It was not until later that they were able to trace the origin back to Jordan starting in April of 2012. All outbreaks of MERS have been traced back to originating from the Arabian Peninsula (CDC, 2015a). Unfortunately, it is not known exactly how MERS was contracted in humans, but it is believed to have come from an animal source, probably from camels. Strains of MERS
American Academy of Pediatrics and American Academy of Family Physicians article regarding acute otitis media is a filtered resource. It is an appropriate source for nursing practice because; it establishes clinical guidelines to diagnose and manage AOM. It also establishes guidelines when to treat the signs and symptoms of AOM, watchful waiting, or to treat with an antibiotic. This article is classified as an evidence based guideline because, it reviews multiple research literatures in a systemic manner and provides
are a nursing-sensitive indicator which can lead to patient dissatisfaction, maybe not realized by the patient with
Embrace new technologies to improve efficiency, maintain environmental stewardship through green practices and sustainable operations, support continuous improvement of the business processes, develop employees’ capability, and provide excellent customer services.” (Hillsborough County, 2015)
These are often for local newspaper ads. The downside to the supplier is that their competitor may also offer an advertising allowance and receive a more desirable location within the ad. This is something that would have to be clearly negotiated.
I performed a SWOT analysis on the current AEnergy technology infrastructure. A SWOT analysis is a technique and opportunity for a thoughtful overview of where things are good and where things need improvement. SWOT stands for Strengths, Weaknesses, Opportunities, and Threats. I’ve reviewed our system for all four of the SWOT attributes to give the following summary and suggestions.
Over the past decades, various studies world-wide have been conducted on the connection of nursing quality indicators and their outcomes. The
As staff was quickly working to connect the patient to the monitor, obtain IV, EKG and labs the physician was assessing the patient. Shortly after we began our routine process of treatment for this patient he became unresponsive and pulse was lost. Since everyone was already in the room we were able to begin CPR immediately and obtain a pulse within 2 minutes. The gentleman was then rushed to the cath lab where they were able to perform interventions and open up the blocked arteries.
The nurse who was looking after that patient was not aware of the request for transfusion until
patient disability, prolong hospitalization, and even death are related to falls, invasive procedures and medication administrations. For those reasons, I believe that it is important for a nurse to have a caring heart and great organizational skills in order to keep a patient safe.