St Vincent Hospital Case
St. David’s South Austin Medical Center (the “Hospital”) has received a letter from John Craven, an attorney representing former Hospital patient Ramona Reeves. Mr. Craven states that the Hospital’s entering into a Settlement Agreement with GEICO Insurance Company after the Hospital’s receipt of Ms. Reeves’ “HIPPA (sic) Revocation/Cancellation of Prior Authorization” constituted a wrongful disclosure of her individually identifiable health information (“PHI”). You have asked us to evaluate whether the provision of billing information and/or entering into the settlement agreement with GEICO violated HIPAA. The answer is no.
On June 9th, 1994 in the evening, both Nicole Brown and Ronald Goldman are stabbed to death in Nicole’s home. Her children were just upstairs sleeping. The two were found outside with multiple stab wounds to each person. There were also defensive wounds on Nicole’s hands and arms. In addition to that she had a big hole in her neck where the larynx could be seen.
ST.BONAVENTURE, NY (Apr. 1st, 2016) — AJ Loughry sits on a green couch in the center lounge on the 4th floor of Devereux Hall. He sips his coffee, looking out the window as he reminisces about the roughest night he’s encountered at St. Bonaventure University. The night in question involved the school’s medical emergency response team, better known as MERT. “My friend and I were drinking and at some point someone called MERT,” said Loughry. “Security came and tried to take my friend to the hospital despite us both protesting it.
It It f It frustrates me what Dr. Anna Pou had to go through with the lawsuits of the Memorial Medical Center incident. As Healthcare professionals, being sued for making the rightful decision for the patient and the hospital is unjust. Healthcare professionals like Dr. Pou, have taken the Hippocratic oath, and one of the promises made within that oath is “first, do no harm”. Hospital’s should not be so quick to make such an important decision of pressing charges to their faculty; more trust should be placed in them. In addition, she made it clear her intentions were just to ‘‘help’’ patients ‘‘through their pain,’’ on national television.
Columbus and the Holy Grail What is one of the most historic moments of U.S. history, is also the most horrid one. The notorious Christopher Columbus, was the captain of that moment. In school, they teach all the admirable things about him, but what they failed to say was all the things he did that were so dreadful, they make your stomach churn. Although he made an abundance of admirable discoveries, the heinous outcomes roughly weighed the same.
The idea of shift work is a common one, but for nurses this is not a simple changing of staff during a certain time, change of shift signifies a time of purposeful communication between nurses and patients, in order to promote patient safety and best practices (Caruso, 2007). During this time, there is the possibility for this critical opportunity to relay important information to become disorganized by extraneous information, rather than concentrating on the needs of the patient (Sullivan, 2010). Often the patient is left out of the conversation, and is not a part of the process. Patients and families can play an important role in making sure these transitions in care are safe and effective (AHRQ, 2013).
Paradise Hill Medical Center – Case analysis 1. Recognize the background: the key of this step is to understand the medical issues involved. The medical issue in the Paradise Hill Medical Center (PHMC) was that 22 oncology patients received excessive doses of radiation therapy. The patients have not been informed yet that they received and overdose of radiation. The CEO alleged that it was the responsibility of the medical staff to inform the affected patients, and the medical team decided not to inform them about the error.
Mandatory overtime is an issue faced by many nurses across the nation. It is seen as a solution to the nursing shortage crisis; however, it is not a sustainable solution as it has led to an increase in medical errors, increased patient mortality, decreased job satisfaction, nurse fatigue, and deficits in nurse’s work performance. Several states have enacted or are considering laws to prohibit this problem. According to Rubenfire, “This is something that's been going on in hospitals for a very long time,” Ruben noted. “But it is not as focused on as much in the past.”
During the extended hospital stay, the cost of treatment also increases, sometimes by about 61 percent of the normal charges for treatment (Guse et al., 2015). Evidence based practice has shown evidence that hourly rounding can decrease the general hospital stay significant while at the same time cutting down the cost of treatment through reduction of falls. Nurses against this change complain of increased commitment on other duties, making it difficult for them to attend to their patients within the hour (Marquis & Huston, 2015). It should, however, be understood that hourly rounding may never be successful without teamwork. The absence of one nurse during the hourly rounding should be substituted by another nurse without regular complaints about personal patients.
“Riverside Pediatric Associates” Case Study Week 15 Questions and Answers Kellie R. Fowler Terra State Community College “Riverside Pediatric Associates” Case Study Week 15 Question and Answers Question 1. Assume you are Sanchez or Hudson and plan to implement immediate organizational change within the practice. Where would you start? What steps would you take? Daft, R. L. (2014).
Our nurses are being over worked and understaffed and no one is saying anything! There are mountains of evidence that show the adverse relationship between subpar nursing care and patient outcomes. Many people work overtime to make that overtime money because the hospital is usually understaffed. But because patient outcomes really depend on nurses to be in tip top shape, I think it is extremely important that hospitals eliminate working overtime. That is why I am asking policy makers to cosponsor the bill S. 1132: the Registered Nurse Safe Staffing Act of 2015.
Secondly, communicating with co-workers that the evening shift is under staffed. Implementing that each shift start with a team huddle to provide effective communication and team building. The company at the assisted living facility should do the following: update to electronic medication administration records (eMARs), obtain scanning devices for medications, or create a new system in which the medication is administered to the client at the bedside. Lastly, the CM should start the shift by planning the evening and prioritizing most important duties that need to be completed by the end of the shift. Planning is extremely important and can help a person under a lot of stress stay calm and organized.
Therefore, to have effective nursing care, I will undertake 4 discharge patients, 1 low care patient and 2 postoperative patient; distribute 1 low care patient and 2 discharge patient to another RN; allocate 3 low care patients and 2 postoperative patients to the EN; and assign 6 postoperative patients to AINs. We do not need to pay much attention on 4 low care patients, because they have either has surgery on a previous day or are about to have surgery on a future day, which means we can concentrate on caring postoperative patient and doing patient discharge plan, as well as EN and AINs can take patient loads with too much
Short-staffing in hospital settings makes for busier,
Short staffing is one of the many challenges nurses encounter in the work environment. The impacts can be detrimental primarily to the patient’s outcome. To examine the effects of short staffing, research was conducted on 36,539 hospital inpatients to evaluate the amount of those exposed to an understaffed shift and how many patient outcomes resulted in a NSO (Twigg, Gelder, & Myers, 2015). NSO’s are nurse sensitive outcomes based on the nursing care provided to the patient. Patients exposed to short staffing had an increase of greater than one chance of NSO’s compared to patients not exposed (Twigg et al., 2015).
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