Scope of Practice: Overall, Dr. Jaen’s main responsibility is to administer anesthesia to patients before surgery. Surgery includes a wide variety of procedures. Anesthesiologists even administer anesthesia to young children and neonatal patients prior to diagnostic tests such as MRIs. For intensive care patients, anesthesiologists are often responsible for ventilator and airway control. In addition, anesthesiologists have the authority to prescribe drugs to patients. Dr. Jaen mentioned that she prescribes medications, however she does not prescribe chemotherapy drugs to cancer patients based on personal experience. Interaction with Pharmacists: An anesthesiologist’s interaction with a pharmacist can vary based on their practice site. Dr. Jaen
Justin is the registered nurse that has been given the handover for Kelly Malone’s postoperative care in the surgical unit. Kelly Malone is a 49 female patient who has had a septoplasty and a right ethmoidectomy. Justin is working with Kelly to identify Kelly’s needs in order for Kelly to be discharged from the hospital. Kelly’s postoperative observations were a temperature of 36.2 degrees celsius; heart rate of 68 beats per minute; respiratory rate of 18 breaths per minute, blood pressure of 111 systolic over 73 diastolic millimetres of mercury; oxygen saturation at 93 percent of room air and a self-rated pain score of two out of ten. Kelly has a history of ‘not being able to breathe well through her nose’ and a history of disturbed sleep.
I will be assigned to a new patient next week, and I will make sure that I will know everything about all the medications the patient takes. That will be done in order to know what I am going to be administering and how dangerous it will be if any of them are administered incorrectly. I will make sure all preventable complications will not occur. In order to do that, I need to know the function of the medication and what they are really for based on the patient’s diagnoses.
Case Conceptualization #1 Assessment When developing a culturally-responsive assessment for this client, there are several significant pieces of contextual information that a clinician should inquire about in order to obtain a better understanding of the client’s experiences. By asking the following questions will enable the clinician to acquire an in-depth understanding of the client’s racial and cultural identities, experiences with racism and discrimination, and how these experiences have influenced the client’s worldview: You identified yourself as American and Puerto Rican. Describe what being American/Puerto Rican means to you? Describe any positive and negative feeling you have towards your being American and Puerto Rican?
If the patient needs surgery, the OB/GYN can perform the surgical procedure. “They are licensed to perform surgical procedures when necessary” (How to become a gynecologist). An OB/GYN does many different duties on the job. If needed, the gynecologist can perform surgical procedures.
I would maintain the patient’s privacy. I would instruct the cleaning worker to keep the floor dry every time. I would make sure that every examination and reviews were done prior to surgery. I would check the patient’s record carefully before administering drug. I would confirm patient’s sensitiveness to any kind of allergic reaction and consult with doctors if needed.
After observing these providers, I became increasingly intrigued by the profession. After a lot of research into this profession and shadowing multiple anesthetists, I knew I had found my calling. During my time at the Children’s Hospital, I learned that the Anesthesiologist Assistant is a skilled medical professional who works as part of the anesthesia care team in the operating room and receives direction from an Anesthesiologist. They have an extensive amount of training in the induction and maintenance of different anesthetics and also advanced monitoring techniques that allow them to keep the patient safe throughout the procedure. They are skilled providers who have training in inserting invasive catheters used for monitoring patient’s vitals, trained in advanced airway and life support techniques, and prepare an anesthetic plan with the licensed Anesthesiologist.
RELATED CASES: None SUPPORT DOCUMENTS: None On 10/21/2015, Sarah Hopkins contacted Pasco Sheriff`s Office by telephone to report a Petit Theft. Ms. Hopkins advised sometime between 1800 hours on 10/19/2015, and 0800 hours on 10/20/2015, an unknown suspect stole a bank envelope out of her purse that contained twenty $5.00 bills. Ms. Hopkins stated her son took her to the bank on 10/15/2015, where she obtained $450.00 in cash, separated by denomination and divided into four envelopes as $200.00 in twenty dollar bills, $100.00 in ten dollar bills, $100.00 in five dollar bills and $50.00 in one dollar bills.
In this case, the mother, Melissa tries to control her 17-year-old son, Matt’s decisions regarding his girlfriend Shelly, whom she believes is a bad influence due to a dismissed drug charge she was arrested for. Melissa and her husband Mike are also concerned that Matt’s grades will only be good enough to get into a community college. Furthermore, Melissa does not want Shelly to come over and instead wants to go out to eat as a family. Matt does not want to break his plans with Shelly and is upset that his mom is constantly judging her without actually knowing her. Besides his girlfriend, his sister Mia has gone through his computer and found porn.
The significant changes of the Canadian mouthwash market in the three years would be those competitive changes. Scope was the market leader in Canada since the brand been launched and approximately 12 percentage market share in the Canadian mouthwash market. On the other hand, in 1988 there were two competitors mouthwash brand enter the market: Cepacol and Plax. Especially, Plax was success and gained a 10 percentage share and became a threat to Scope. Based on the research, the major reason that made Plax became success is its strong image on the “remove plaque/healthier teeth and gums” attributes.
My recommendation would be a role focused intervention for the Red Carpet. Few policies govern employee behavior at the Red Carpet. Human resources is not valued by its employees. The focal point of role focused intervention is to create improved compatibility between the demands of the role and expectations associated with it. A structured exercise which identifies the purpose of the role, defines what should be achieved, and how the role contributes to the goal is a role analysis.
An investigative case study into the hypothesis that a child with Special Educational Needs achieves more in the classroom when given 1-1 support from a qualified adult, (teaching assistant or teacher). In terms of what the child can achieve in the lesson, the work that they produce and their overall understanding of the task. Background This research is important as Stoke-on-Trent has a high percentage of pupils with Special Educational Needs compared with the figures for the rest of the country and this figure is set to rise over the coming years as the number of children being classified as SEN rises. In 2009 the national statistics set Stoke as having an average of 3.3% (Stoke-on-Trent Children and Young People’s Needs Assessment, 2009)
Target looks towards a more improved step A newer look into the store Target is being put forth to get it to work with more force and with connotations that look clear and forwards you towards a more comprehensive way to solve your ever standing problems you insist on. It will be a store that has leverage provided by its staff and other delivery personnel considering a planned out sale and promotions which is what you maintain with reputation of your company you are fulfilling to be a member of as there is a solution expected. It is a website way of making buys that Target has followed through for past decade or so that has made them second largest providers of consumer goods you have planned to try as your family store has inception of providing
This is an initial meeting with the mother to get some information about the family. WYP Ngo introduced Wraparound to the mom and went over some of the mom 's questions about Wraparound. The mother is a single parent with two kids (the youth and the sibling). The youth is verbally and physically aggressive toward the mother and the sibling. WYP Ngo gathered some of the needs of the mother.
Stakeholder perspective shows the relationship with stakeholders. The companies need to consider that their actions can affect others because it requires that their utmost attention to, manage, and satisfy their interests. It personalizes the open-system perspective. It identifies specific people and social entities in the external environment as well as within the organization. It recognizes that stakeholders relations are dynamic and they can be negotiated and managed, not just taken as a fixed condition.
Problem Foundation/Theoretical Orientation/Literature Review The problem with the agency’s data management system, Sigmund, impacts Sovereign’s clinical team. When a new clinician comes on board the only training received for Sigmund are about a dozen videos. These videos are extremely out of date and do not review half of what is essentially needed to properly use Sigmund. Without the clinician receiving a full understanding of Sigmund, the clinician may feel like they are wasting time, and possibly feel unworthy to be in the field.