Emergency Psychiatric Workflow Exercise
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Kaiser Permanente has been equipped since 2007 with Health Connect; which is the largest private electronic health record implementation in the world. This is a highly sophisticated electronic program that integrates inpatient, outpatient, and clinic medical records with appointments, registration, pharmacy, and billing for all kaiser members. In addition, this electronic program includes an entire medical library with a whole set of care support tools which are accessible to doctors, nursing staff and patients (Kaiser Permanente, n.d.). At kaiser permanente; nurses are expected to print out “the after-visit summary” (AVS), which contain the doctor recommendations for each patient that we see.
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Origins of this Facility: In Morris Plains New Jersey the “Greystone Parks Psychiatric Hospital” is located. This facility goes as far back as 1876 in which this facility was operated from an older building and under different circumstances. Never-the-less this facility became over crowed, housing 7000 consumers and employing 14 000 staff members. During this period, patients were free to walk around the facility and patients who were in the “backward wards” were more symptomatic.
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Each department of the hospital must work together to ensure the safety of all patients, visitors, and staff. Environmental Management Services (EMS) and the ICD work together closely, and the ICD must communicate effectively with each area of the hospital to ensure everyone is on the same page with policies, protocols, etc. By attending various departmental meetings such as domiciliary safety and sepsis control, I am now better able to explain the role of different systems in the analysis of public health problems. Everyone and every department is accountable to someone
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Most of the material and tools require some knowledge and training for the job. Interactions with others A few individuals you will have to interact in the medical field may include staff, patients, doctors, nurses, medical assistance’s, pharmacies, governmental agencies, unions, community leaders, and organization. As well as family members, director of nursing, admission counselors and other medical
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The topic of my capstone project is to educate other members of the team such as respiratory therapist, pharmacist, and radiology technicians about the scope of practice and the role of the nurse practitioners in different settings including the emergency department. Many of these co-workers have a lack of information about the skills, duties, and responsibilities of the nurse practitioners and sometimes this can delay treatment for patients due to clarifications for orders. If the roles of the nurse practitioners are explained and clarified to other members of the team the treatments for patients can be executed faster, but also “Advanced Nurse Practitioners can have a positive impact on other staff members by improving knowledge, skills
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Being a psychiatrist or having the knowledge of or a degree in psychology it can open doors to many other jobs dealing with people and how you have to think about how they think. I could be a correctional officer which has the job of Monitoring prison inmate populations. This responsibility includes supervising inmates’ activities and participating in rehabilitation and counseling for inmates. which makes corrections work more than suitable for psychology degree bearer. Then there is also the job of a Psychiatric technician which assist clinical professionals and patients with many different tasks.
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From talking to and observing a physician assistant in the emergency department of Rhode Island Hospital, I have been informed of basic questions held for the patient such as, "How are you feeling today, what is bothering you", "How long has this been going on for?", "Any chance that you are pregnant?", and "Have you recently been out of the country?". Physician assistants then perform a physical examination of the patient and establish a basic treatment plan. Observations have shown me that charting is a major part of a PA in the emergency department and other departments. I learned that this is where a description of the patient is recorded and it is also where the plan for treatment is written. After examination, a physician assistant takes the important role in ordering and interpreting tests depending on the patient's conditions.
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As an infection preventionist and the sepsis champion at our facility, I have utilized this model to implement the use of new sepsis order sets that are founded on evidence based practice. I used scientific research
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The bedside nurse manages writing and updating the whiteboard each day using a templated board, the displayed information includes day and date, the names of the patient, bedside nurse, and primary and attending physician, family member 's phone number, diet, pain management and mobile numbers for Nurse, Charge Nurse and Nurse Assistant. This simple strategies is driving our thresholds to our benchmarks at an accelerated
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This must be concise and well-understood, otherwise patient safety is compromised. In addition to my first aid responsibilities, I am also a Cadet Corporal at the Buckingham St John Ambulance Unit. This position involves leading and instructing a group of cadets at weekly meetings, as well as teaching sessions to the whole unit. Working as part of the Leadership structure at St John Ambulance has contributed to the improvement of my teamwork and public speaking skills, as a significant amount of collaborative planning is required to make sessions run
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When these components are applied appropriately in a supported environment, conclusive patient outcomes are produced from leading clinical decisions (Melnyk et al.,
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Introduction As of 2019, an estimated 1 in 3 adults in the United States meets the criteria of a diagnosable mental health disorder (Banh et al., 2019). The Improving Mental Health Access from the Emergency Department Act of 2021 aims to increase mental health treatment, reduce the stigmatization of mental health patients in the healthcare setting, and allocate more resources and funding for the provision of quality follow-up care. While the proposed bill offers a solution to increasing and benefiting mental health services in established emergency departments, there is a clause that would disproportionately affect underfunded and underserved hospitals. Section 2: B3 of the bill states that a qualifying department must have “arrangements in
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It is important to act based on the developed plans and evaluate its effectiveness. It is important for ED physicians and primary care doctors to develop strategies to improve the shift of care for patients that approach the emergency room to after primary care physicians. (Schneider & Schneider,
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Many psychiatric patients are hospitalized in psychiatric centers, according to the prediction of World Health Organization, their numbers will increase by 15 percent till 2020 [1]. The health and well-being of patients is health care providers’ first priority, and they face challenges to provide quality and safe care in changing conditions, promoting the quality and safety is a constant challenge for them [2-4]. Safety is one of the important areas of health care quality (safe, patient-centered, effective and based on evidence, efficient and fair) [3]. Patient safety is one of the challenging subjects in the area of health care and is very important in different areas of nursing such as educational and clinical [5].
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Investing my time in the care of my patient gives the opportunity to not only assist them in a difficult situation, but also to learn more about their diagnosis and the treatment, while comparing it to what we have learned in class. For example, I had a patient that suffered from Sickle Cell Disease and came to the ER during a crisis. Correlating this case to the books and the content learned in class, these patients receive at least 1000 mL of fluids, pain medication, and oxygen. Additionally, I had a patient with meningitis. This individual presented with common symptoms such as nuchal rigidity, muscle pain, fever, and chills.
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