The first thing I would say about today was thought provoking. What I mean by that is it appears that everyone has different organizational skills. Plus not everyone thinks at the same speed or reacts in the same way. Anyways, I noticed throughout today that I was sometimes one step ahead of my nurse. I was even able to help him find different areas of the charting when he got confused, where something in particular was in the charting. The other thing I noticed was they have an electronic charting system, but still have a lot of loose paper. Then when I was looking at the files, it appeared to be unorganized. The main thing that went right today was continuing to stay positive and ask questions. Another thing I was able to ask was about the floors again and ended up with some more information on them. The 2 West area …show more content…
I was able to understand how they documented the medications and the encounters. It was interesting because there documentation system is new; they have only had it implemented for the last three almost four weeks. As I was learning some tricks about the system, the nurse was learning with me. I was able to fulfill my SMART goal regarding the difference between documentation in the hospital setting and the SCCF. The biggest different is the nurses are not constantly checking on the inmates, and when they do that is when they fill out an encounter. The encounter will describe any injuries and what had occurred. Another part of the documentation is scheduling appointments for when the doctor is on sight. They will only have the doctor on sight for one day a week, but at one the doctor was unable to see any of the inmates for an entire month. The other SMART goal I was able to start on, was knowing the top 25 medications given; I started recording some of the medications as my nurse was drawing them up. I wrote down the ones that continued to come
At approximately 1538 hrs. Inmate Shillinger, Sheena MNI# 000421 was in Booking Release cell 105 waiting for a D.C.F visit. Deputy Nurse was walking past cell 105 and observed Inmate Schillinger laying on her left side on the floor stating that she had fallen. Inmate Shillinger was removed from the cell and escorted to the Booking’s Nurses Station and evaluated by E.M.T. Witherell. Inmate Schillinger, Sheena completed her Department of Children 's and Families visit and was escorted back to her assigned housing unit (Medical).
On October 30th, 2015 at 2116 hours, Florida Hospital Security Operation Command (SOC) radioed FHEO Security for a Disorderly Patient ED (51D). Officers Omar Alonso-420, Steven Evans-407 and Carlos Ayuso-415 responded to the call. Upon arrival, Security staff observed Nurse Traci Davila and Dr. William Kotler in Room ED #39 talking and advising patient, Christopher Sheets (MRN: 3028388/Fin: 84773293) about the risk he takes without seeking medical attention. The patient, Mr. Kolter wasn't combative, was just anxious and wanting to leave because he didn't know what happened and also because he didn't have insurance.
It's funny to see those patients write a list of their complaints. It's also funny that miss.ratched is not on top is McMurphy like usual for causing trouble in the ward. It's actually cool that they are going on trips like to the pool. The only thing is that they have to go no matter what.that day when they went to the pool McMurphy was talking to the life guard and it was said that"the hospital is better then a jail". I believe that both are pretty harsh and nobody really wants to experience that.
In the New York Correctional Association’s 2005 report, is was brought to attention that 6.5 full time registered nurses out of the suggested 28.5 positions were not filled. There is also 3.0 full time licensed practical nurses out of 4.0 suggested positions left unfilled. The 23% vacancy of RN’s and 75% vacancy of LPN’s is a large part of why the medical services are falling short (“Fishkill Correctional Facility”, 2005). The nurses that are available are scheduled for extensive overtime, to the point that it is interfering with their family life. This also causes certain patients needs to not be met.
Today I started off different, beginning with resident from room 6 bed 1 Sarah 's patient. When we got there she was already out of bed and in the dining area drinking coffee. As usual my resident wanted to sleep in till about 8:30ish. However she made her bed and night shift did not have any trash bags in the trashcan. Anyways while she was at breakfast we hung her clothes and made her bed.
I did my job shadowing at Baptist Health in Richmond, KY. I worked with the Charge Capture Supervisor Angie Wallace. The system guides the coder through the coding process, covering the full range of situations from complex oncology treatments to repetitive or typical patient encounters. At any time, the coder can view the comprehensive selection of online references to clarify the situation and make appropriate decisions. Today’s shortage of qualified coders requires organizations to identify ways to maintain coding accuracy and consistency.
On this day October 24th, 2016 many events happened at Jessie Trice Community Health Center (JTCHC). As usual, I was exactly on time to start my clinical rotation at 8 am. My rounds were made in the clinic looking for something out of place and improvise with my assistance. A morning huddle was hold at the nursing station. Everyone met to listen to the points Joel Polanco, RN would present.
Documenting the patient's medical information, reduces medical errors that can become a life or death
SBARs strengthen the standardize communication between nursing shifts and other medical professions. This strategy was implemented because of nursing being part of a shared governance (SG) within the Common Wealth of Pennsylvania that has endured several changes based off evidence-based practice, this change is one method that better strengthens the mission, vision and structure of the prison. This SG represents all outlying departments that collaborate to better serve the inmates, employees and the communities which it serves have a voice to implement internal change (Myers, Parchen, Geraci, Brenholtz, Knisely-Carrigan & Hastings, 2013). A second method of is yearly training at the DOC in Elizabeth Town, Pennsylvania. There as a nurse, this author is educated on new gang member tattoos, new contraband substances and ways to combat this as a team with the
During the second week, I was feeling more comfortable and confident working closely with the other health care providers and residents in the facility. The most interesting and enjoyable part of my time at the facility was caring and assisting
Harris warned me of what kind of problems that was going on at the patient’s home before we arrived. The APS (Adult Protective Services) was called on the last patient due to the conditions the patient was living in. Harris only had three days to make a visit to the patient to actually see what is going on. Then, after the APS goes out to evaluate the situation, Harris had to go back to the patient and see what kind of help she can offer to the patient and the family.
The purpose of this discussion post is to describe patient/inmate experience within the medical unit of the prison system of my employer. Furthermore, explain the nurse’s role, along with the inmate experience. In addition, explain this nurse’s understanding of customer service satisfaction in correlation to reimbursement rates from insurance companies. SCI Retreat prison has established an internal method to communicate with inmates regarding their psychological and medical needs to the correctional healthcare team. These forms of communication are sick call slips and grievance forms.
Through both learning experiences, the clients were sedated, therefore minimizing the interactions that I was able to have with them. In saying this, the main reason that I went into the nursing profession was because I love working with individuals and their families and improving their day-to-day lives. I found that in both of these areas you don’t necessarily get to do that in the same context as you would on some of the other units. This was a positive and eye opening experience for me, as it reinforced my “why” in coming into the nursing program and also allowed me insight into areas that might be more of interest to
DOCUMENTATION Documentation plays a very important part in the healthcare delivery system. It serves as a communication tool for all health care providers to ensure that there is continuous, safe, accurate, quality healthcare for each patient. Documentation also serves as protection for nurses, in case of any claim in regard to an alleged act of negligence or malpractice. When documenting nurses should always use factual, consistent, accurate, objective and subjective to ensure the patients progress and health care can be monitored. Nurses should always provide a rationale for any decision made.
When the fieldwork educator has her discussions with the nurses attending a particular patient, the conversation usually revolves around what medications are taking and a brief discussion of side effects. In addition, since pain medication is often involved,There is usually a reaffirmation of exactly what kinds of side effects are possible with a particular painkiller. There 's usually a discussion of the patient’s toileting abilities, appetite, hydration levels, and any other conditions a patient might have that could affect the delivery of