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January 22, 2020

A patient at your hospital is sent to cardiology for a routine test.

A patient at your hospital is sent to cardiology for a routine test. The patient returns without incident, and you document the time and condition of the patient on return to the room. The next day, you are summoned to the unit manager’s office, along with the charge nurse and unit secretary. The manager describes how the patient was given a dose of Glucophage the morning of the test. The physician wrote an order to hold the Glucophage for 2 days prior to the test because of contraindications between the medication and the intravenous contrast dye. The manager demands an […]
January 22, 2020

A recent trend identified by The Joint Commission (TJC) concerns hospital discharge procedures for heart failure (HF) patients.

A recent trend identified by The Joint Commission (TJC) concerns hospital discharge procedures for heart failure (HF) patients. This information is considered publicly reported data, meaning that the compliance of the facility is available to the public. Seven elements are required for each discharge—diet, fluid restriction, activity level, when to call a physician, time for the follow-up appointment, clear medication directions, and specific signs and symptoms of HF problems (peripheral edema, shortness of breath, activity intolerance). The quality assurance team is charged with achieving 100% compliance with indicators for each aspect of the discharge process. A.   What is the rationale for […]
January 22, 2020

Compare two hospitals in your area using the U.S. Department of Health and Human Services website

Compare two hospitals in your area using the U.S. Department of Health and Human Services website (http://www.medicare.gov/hospitalcompare/search.html). (open in new window) A. What does the information on the website mean to health care consumers? B. What does the information on the website mean to nurses providing care at the institution? C. Scroll down the comparison page to the “Survey of Patient’s Hospital Experience”. How do the percentages compare between the two hospitals? D. Review the “Process of Care Outcomes” measures against the “Survey of Patient’s Hospital Experience.” Are there significant differences between how the patient rated the hospital experience and […]
January 22, 2020

A quality team identifies a problem on an intermediate care unit concerning documentation of ambulation for patients who are postoperative for open heart surgery and are on a routine schedule.

A quality team identifies a problem on an intermediate care unit concerning documentation of ambulation for patients who are postoperative for open heart surgery and are on a routine schedule. Patients are ambulated sporadically, not per the surgery protocol. On closer analysis, it is noted that the ambulation schedule is adhered to during the day shift because the cardiac rehab nurse worked with each patient. However, the evening shift presents problems; there is no documentation of ambulation or sporadic documentation. The quality improvement (QI) nurse notes only 30% compliance in documented ambulation during the evening shift. The QI nurse determines […]
January 22, 2020

Why is it important for the nurse to get feedback from all the disciplines involved with the care of her patient?

Why is it important for the nurse to get feedback from all the disciplines involved with the care of her patient? Be specific, give an example
January 22, 2020

How can effective team communication benefit the patient’s progress ?

How can effective team communication benefit the patient’s progress ? Give an example
January 22, 2020

How can inadequate communication impede the patient’s progress

How can inadequate communication impede the patient’s progress
January 22, 2020

How do you motivate a nurse with compassion fatigue?

How do you motivate a nurse with compassion fatigue?
January 22, 2020

Identifies and explains four of the most significant social political issues in China and in what way they have had an influence on healthcare delivery systems.

Identifies and explains four of the most significant social political issues in China and in what way they have had an influence on healthcare delivery systems.
January 22, 2020

What are fine and gross motor skills?

What are fine and gross motor skills? How do they develop in children? Provide 5 examples of fine motor skills and 5 examples of 5 gross motor skills.
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