Emergency oom Management
Diagnose the root causes of the complaints about the clinic.

In the recent number of days, the number of the patients visiting the clinic has slowly but drastically increased. In contrary to the past days, the sick patients requiring serious attention from the doctors and the available physicians have increased. In the past, most of the patients only consulted the doctor regarding the disease and infection and acquired appropriate advice and prescription of the most vital medication to use. For this reason, a small 15-bed Emergency oom designed and constructed to cater for the seriously injured patients that required full medical attention from the physicians (Kavaler & Spiegel, 2003). The lack in the number of patients that required operations and keen scrutiny from the doctors is what promoted to the construction of the 15-bed Emergency oom. The poor attendance of the sick patients to the hospital checkups also discouraged…...

mla

References

Auerbach, P. (2007). Management Lessons from the E.R.: Prescriptions for Success in Your

Business. New York: Simon and Schuster

Egol, K.A., & Strauss, E.J. (2012). Emergency room orthopaedic procedures: An Illustrative guide for the house officer. New Delhi: Jaypee Brothers Medical Publishers.

Kavaler, F., & Spiegel, A.D. (2003). Risk management in health care institutions. Sudbury,

Another statement regarding the health problem of a patient is the possible diagnosis which tends to declare about a problem that the patient most probably has. Although due to lack of information an accurate diagnosis is not possible. Further on there is an actual diagnosis is the diagnosis of a health problem that the patient has and nursing care can be beneficial for the patient. Moreover a syndrome diagnosis and a wellness diagnosis is when multiple nursing diagnoses are observed and to describe the characteristic of the patient when at a high state of wellness respectively (Wikipedia).
Collaborative problem on the other hand "is an actual or potential health problem (complication) that focuses upon the pathophysiologic response of the body (to trauma, disease, diagnostic studies, or treatment modalities), and that nurses are responsible and accountable to identify and treat in collaboration with the physician" (Anonymous).

Hence it should be noted that…...

mla

References

1) Henry L. Shapiro. "Collaborative Care Effective in Addressing Psychosocial Issues" [online website] Available at   on 05/09/2005]http://aapnews.aappublications.org/cgi/content/full/17/6/284 [Accessed

2) Gregory E. Simon et al. "Cost-Effectiveness of a Collaborative Care Program for Primary Care Patients with Persistent Depression" [online website] Available at   on 05/09/205]http://ajp.psychiatryonline.org/cgi/content/abstract/158/10/1638 [Accessed

3) Anonymous. "Collaborative Treatment (Split Therapy) vs. Integrated Treatment: A Clinical Monograph" [online website] Available at   on 05/09/2005]http://64.233.167.104/search?q=cache:8gVdYplbuWEJ:https://www.magellanprovider.com/providing_care/clinical_guidelines/clin_monographs/2005split.pdf+common+situation+in+which+collaborative+care+is+provided.&hl=en [Accessed

4) Anonymous. "Nursing Diagnosis" [online website] Available at   on 05/09/2005]http://64.233.167.104/search?q=cache:Zv4NkXxXt-MJ:www.gc.edu/Library/e_reserves/TeamNursing/rnsg1171_F04/shea/diagnosis.pdf+nursing+diagnosis+and+collaborative+problems&hl=en [Accessed

(Cole; amirez; Luna-Gonzales, 1999)
The Nurse Practitioner -- NP is a registered nurse -- N having additional education in health assessment, diagnosis and management of illnesses and injuries, inclusive of ordering tests and prescribing drugs. NPs deliver a range of health services to people across all ages, families, communities and groups. Their practice stresses on the health promotion and prevention of illness. They are regulated to undertake comprehensive assessment of health, diagnosis and treat health problems, to order and understand the results of diagnostic and screening tests like ultrasound and mammography and to suggest drugs and medication. NPs deliver care in varied health settings, starting from community clinics and health centers to hospitals, medical practices, nursing homes and home care environments. (Canadian Nurses Association, 2006)

6. Summary and conclusions:

ENA is the registered body of Emergency Nurses with the objectives of promoting excellence for emergency nursing and promoting quality emergency care, acting…...

mla

References

Canadian Nurses Association. (2007) "Becoming a registered Nurse." Retrieved 18 September, 2007 at http://www.cna-nurses.ca/CNA/nursing/becoming/asacareer/default_e.aspx

Canadian Nurses Association. (1999, Jun) "RN Education: Graduate Programs." Retrieved 18 September, 2007 at http://www.cna-nurses.ca/CNA/nursing/education/graduate/default_e.aspx

Canadian Nurses Association. (2006) "The Regulation and Supply of Nurse Practitioners in Canada." Retrieved 18 September, 2007 at http://www.cna-nurses.ca/CNA/documents/pdf/publications/Nurse_Practitioner_Workforce_Update_2006_e.pdf

Cole, Frank L; Ramirez, Elda; (2001, Feb) "Standards of Practice for the Nurse Practitioner in the Emergency Care Setting." Emergency Nurses Association.

ut let's look at this resolution in a bit more depth. riefly, processes like full capacity protocols, bedside registration, bypassing triage, adding staff during increased volume, setting up a separate "line" for treating simple fractures, lacerations, etc., establishing turn-around-time (TAT) goals for procedures and patients, can go a long way to begin to cure the problem of overcrowding (ACEP, 2008, p. 10).
Full-capacity protocols. Here is a typical full-capacity protocol from Stony rook University Hospital and Medical Center in New York:

"POLICY: When an adult patient requires admission to an Acute Care Unit from the Emergency Department and that area cannot accommodate that patient because of lack of sufficient beds, the patient will be admitted to the next most appropriate bed. In the event appropriate hospital bed utilization has been maximized, and the number of admitted patients holding in the Emergency Department has prohibited the evaluation and treatment of incoming patients…...

mla

Bibliography

ACEP. (2008, July 25). Emergency department crowding: High-impact solutions. Retrieved September 18, 2009, from American College of Emergency Physicians:  http://www.acep.org/workarea/downloadasset.aspx?id=37960 

ACEP 3. (2006, September). Approaching full capacity in the Emergency Department. Retrieved October 9, 2009, from American College of Emergency Physicians:  http://www.acep.org/workarea/downloadasset.aspx?id=8852 

American Hospital Association (AHA). (1999). Hospital statistics. Health Forum. Chicago, IL: AHA.

Bachenheimer, E. (2008, December 4). A necessity, not an option: Rethinking ED systems.

There is a need for the nurse to be proficient and efficient in her work, because ED's are experiencing an increasing number of patient visits, and there are normally more patient's waiting to be seen than is appropriate for the size of the facility's ED (GAO, 2008).
If we compare the patient flow and the speed with which the ED nurse must work in order to accomplish her responsibilities and duties with those of a surgical nurse; we would rapidly find that the pressure on the ED is much greater on a patient flow capacity. The surgical nurses' patients are scheduled, not random, except in the case of a surgical emergency. The ED nurse must often deal not just with the patient, but with the patient's family too. The surgical nurse has little interaction with the patient, or the patient's family, and does not see the patient flow that is…...

mla

References

GAO 2008. Hospital Surge Capacity: Not Ready for the "Predictable Surprise," United

States House of Representatives, Committee on Oversight and Government

Reform, March 25, 2008.

Numerator: number of patients for whom administration of low-dose glucocorticoids for septic shock was determined in accordance with a standardized ICU policy over the first 24 hours following the time of presentation

Denominator: total number of patients with septic shock

*Low-dose glucocorticoids refer to a daily dose of 200

300 mg of hydrocortisone or equivalent.

Quality Indicator No. 6:

Administration of drotrecogin alfa (activated) for severe sepsis and/or septic shock in accordance with a standardized ICU policy over the first 24 hours following the time of presentation.

The percent of patients for whom administration of drotrecogin alfa (activated)

for severe sepsis and/or septic shock was determined in accordance with a standardized ICU policy over the first 24 hours following the time of presentation.

Numerator: number of patients for whom administration of drotrecogin alfa (activated) for severe sepsis and/or septic shock was determined in accordance with a standardized ICU policy over the first 24 hours following the time of…...

mla

References

Evans, C. & Tippins, E. (2007). The foundations of emergency care. Maidenhead, England:

Jacoby, D.B. & Youngson, R.M. (2005). Encyclopedia of family health, vol. 14. New York:

Marshall Cavendish.

Khan, Z.U. & Salzman, G.A. (2006, November). Sepsis: Review questions. Hospital Physician, 27-28.

Electronic Health ecords in an Emergency oom Setting
Using EH in an Emergency room setting and its impact on patient safety

Using electronic health records in an emergency room setting and their impact on patient safety

Electronic health records or EHs are computerized systems by which medical records can be stored. They often improve quality of care provided by enabling health care workers to focus their energy and time to providing care rather than retrieving and filing records. They also provide other benefits including ease of storage, modification and retrieval of medical records. This is because they provide a search facility that is better than the paper-based record system. Secondly, they also require less amount of space to store records since the records are stored electronically. Another major benefit of electronic health records is that they allow sharing of records. These records can often be compressed and shared with other health care…...

mla

References

Greenhalgh, T., Potts, H.W.W., Wong, G., Bark, P., & Swinglehurst, D. (2009). Tensions and Paradoxes in Electronic Patient Record Research: A Systematic Literature Review Using the Meta-Narrative Method. The Milbank Quarterly, 87(4), 729-788. doi: 10.2307/25593645

Kumar, S., & Aldrich, K. (2010). Overcoming barriers to electronic medical record (EMR) implementation in the U.S. healthcare system: A comparative study. Health Informatics Journal, 16(4), 306-318. doi: 10.1177/1460458210380523

Pagliari, C., Don, D., & Singleton, P. (2007). Potential of electronic personal health records. BMJ: British Medical Journal, 335(7615), 330-333. doi: 10.2307/25690019

Raghupathi, W., & Kesh, S. (2007). Interoperable Electronic Health Records Design:Towards a Service-Oriented Architecture. e-Service Journal, 5(3), 39-57. doi: 10.2979/esj.2007.5.3.39

Atlanta Medical Center Emergency oom Discharge
According to reports approximately 9 out of 10 adults experience "difficulty using the everyday health information that is routinely available in health care facilities, retail outlets, media, and communities." (Health.Gov, 2011) Limited health literacy is linked to: (1) poorer health outcomes; and (2) higher health care costs. (Health.Gov, 2011) In addition, limited health literacy affects the ability of the individual in: (1) searching for and using health information; (2) adopting healthy behaviors; and (3) acting on important public health alerts. (Health.Gov, 2011) Health literacy is reported to be dependent on both individual and systemic factors including those as follows: (1) communication skills of professionals and laypersons; (2) professional and lay knowledge of health topics; (3) culture; (4) demands placed on public health and healthcare systems; (5) Demands arising from the situation or context. (U.S. Department of Health and Human Services, 2011) Cultural and linguistic competency…...

mla

References

Health Literacy Basics (2011) U.S. Department of Health and Human Services. Office of Disease Prevention and Health Promotion. Retrieved from:  

Asthma and ER utilization
Asthma

Asthma is a particularly debilitating condition. Asthma is characterized by a tightening in the chest with difficulty in breathing and wheezing. This difficulty in breathing can result, at best, in a decrease in quality of life and the inability of carry out normal function. At worst, the symptoms of asthma can lead to death. Incidences of asthma have increased significantly in the last twenty years. This is perhaps due to increase in urbanization, industrialization and the accompanying pollution. This pollution can also be due to the increase in dust and waste from automobiles. While the effects and symptoms of asthma are well-known and studied, the causes of asthma are not known. They are, at best, unclear. This is because indicators vary from person to person. It is important to understand the basic mechanism of an asthma attack. A discussion of the triggers of asthma will come later.…...

mla

Bibliography

ALA. (1998). The American Lung Association Asthma Survey. Washington, D.C.: American Lung Association.

ALA. (2002). Trends in Asthma Morbidity and Mortality. Washington, D.C.: American Lung Association.

AsthmaInAmerica. (1998). Asthma in America., Ronca and Bucuvalas, Inc. And Glaxo Wellcome Inc. Retrieved January 4, 2004, from the World Wide Web:  http://www.asthmainamerica.com/ 

Awadh, N., Chu, S., Grunfeld, A., Simpson, K., & FitzGerald, J.M. (1996). Comparison of males and females presenting with acute asthma to the emergency department. Respir Med, 90(8), 485-489.

Forecast Healthcare Volume
Forecasting is one of the most important activities or processes that guide decision making in several sectors including industrial, economic, and scientific planning. Despite its significance in decision making process, forecasting has obtained little traction in the healthcare industry. However, forecasting patient volumes in emergency rooms and urgent care clinics is important towards decision making regarding the changes in supply of healthcare resources as well as shifts in demand for emergency department resources. According to Batal et al. (2001), a logical approach to the delivery of urgent care services must incorporate considerations of current trends in demand for these services (p.48). The capability to forecast the number of patients in need of care in an urgent care clinic on any specific day is an important process towards promoting optimization of staffing patterns.

It is important to forecast volumes in emergency rooms vs. urgent care clinics since this process helps…...

mla

References

Batal et al. (2001, January). Predicting Patient Visits to an Urgent Care Clinic Using Calendar Variables. Academic Emergency Medicine, 8(1), 48-53.

Weinick, R.M., Bristol, S.J. & DesRoches, C.M. (2009, May 15). Urgent Care Centers in the U.S.: Findings From a National Survey. BMC Health Services Research, 9(79), 1-8.

poor morale in emergency room (R) nurses and identify an empirical approach and research question involving factors that can improve morale in R nurses. Interestingly enough, the United States "has the most expensive healthcare system in the world, [yet] 47 million Americans have no health insurance. Healthcare is the country's largest economic sector…. Four times larger than national defense… yet millions cannot afford to take care of their health needs" (Farrell, 2009, 1). Despite being an international leader in science and technology, what has happened to the entire healthcare system in America? Fifteen years ago the subject was at the forefront of the new Clinton Administrator, but now, despite technological advances and increased modernization, America finds hospital emergency rooms stretched far beyond any reasonable capacity, the inability for many doctors to afford adequate malpractice insurance, costs for procedures escalating, and even those with insurance unable to afford the basic…...

mla

ER nurses supply care in an assortment of settings. At the extreme end of the continuum they must swiftly assess and then stabilize patients who have life-threatening conditions and also be prepared to care for less critical situations. Of course in the ER care is provided along the total age range from infants to the elderly. Thus, nurses in the ER need to be prepared for a fast-paced changing environment. Although most ER nurses work in hospitals they are also found in a variety of other situations ranging from urgent care centers to prisons to sporting events. The workload of ER nurses constitutes a major issue for the morale and efficiency of ER nursing staff as well as the clinical outcome of the patient and patient satisfaction.

There is a great deal of empirical research outlining the factors that can lead to poor morale in ER nurses. Burnout and not feeling appreciated are major contributors to poor morale in ER nurses and are most affected by the nurse's perception of being overburdened by a harsh and demanding workload (e.g., Freeman & O'Brien-Pallas, 1998; Aiken et al., 2002). Carayon and Gurses (2005) outlined four categorizations of workloads in nursing that could affect morale: the unit-level, the job-level, the patient -level, and the situation-level workload. The four levels are not mutually exclusive. For instance, the situation and patient-level areas are embedded within the job-level and the job-level workload can be categorized under the unit-level. Thus, the unit-level would be the macro-level, whereas situation and patient levels could be thought of as micro-levels (Carayon & Gurses, 2005).

As America changed, healthcare has not necessarily followed. Individuals are living longer, and as they age, require different healthcare solutions. In the 1940s, when the average age of death was far lower, many of the cancers and other illnesses of modernity and age had not yet become epidemic (Saad, 2007). So too, with the advances in technology that can discover disease and cure prior to it becoming debilitating have increased as well. Instead, the system has built layer upon layer of bureaucracy that, instead of streamlining the system, causes more bureaucracy and backlog. So, instead of simply establishing a set of universal care that is part of an even bigger bureaucracy, perhaps it is time to set into practice money spent on preventative care and education at the earliest levels, so that as the population

40-year male presented to the emergency room at 11 a.m. In the morning with complaint of pain all over his body. On history, he did not state that the pain was localized; rather he complained that his entire body was aching. The man was asked to lie down on the couch in the emergency room, while I started to review his vitals. His blood pressure was within the normal range; however his pulse and respiratory rate were slightly increased. I also noted that he was perspiring heavily. The moment I asked for his consent to do his physical examination, he started screaming with pain. When I asked him to describe his pain in terms of character and intensity, the main stated that the pain was excruciating and could be labeled as 8 on a scale of 1-10. Just then he asked for a Morphine injection. Right that moment, I…...

F. The uninsured are increasingly using the ED for their non-emergency needs.

III. The effects of emergency room overcrowding can be deadly.

A. Boarding patients, or keeping already treated or stabilized patients in the ED, prevents patients from receiving the inpatient care they need.

B. Long wait times and inefficient service can mean loss of life

IV. Possible solutions demand health care system overhaul.

A. More efficient hospital registration would streamline emergency room procedures.

B. Standing orders would allow nurses and EMTs to proceed on critical care without doctors.

C. Special fast-track and sub-waiting areas would alleviate hallway overcrowding.

D. Re-budgeting will allocate more funds to emergency admissions.

E. Reducing non-urgent visits via universal healthcare initiative would reduce unnecessary use of the emergency room.

F. Increasing hospital capacity for acute inpatient needs would replace boarding.

G. Hospitals can add support staff during critical hours....

Effects of Short-Staffed Nursing in Emergency ooms Effects of Short-Staffed Nursing in Emergency oomsIntroductionThe emergency departments efficiency is a critical component of delivering quality and safe care within the health sector. The utilization of the emergency department significantly increased minus the corresponding increase in the available emergency services (amsey et al. 2018). As a result, to attend to the increased demand, it is proper to evaluate the various factors contributing to care delays (Schull et al. 2003). Scholars have established multiple hospital features associated with worse emergency rooms or emergency room time on ambulance plus emergency room crowding, hospital occupancy, the proportion of emergency department patients admitted, treating Physicians level of training, elective surgical admission number, socioeconomic status of the neighborhood, decreased nurse staffing, access to expedited diagnostic testing, and hospital occupancy.However, there is a lack of relevant data to connect hospital occupancy to overcrowding. According to Schull et al.,…...

mla

ReferencesChan, T. C., Killeen, J. P., Vilke, G. M., Marshall, J. B., & Castillo, E. M. (2010). Effect of mandated nurse-patient ratios on patient wait time and care time in the emergency department. Academic Emergency Medicine, 17(5), 545-552.Chang, A. M., Cohen, D. J., Lin, A., Augustine, J., Handel, D. A., Howell, E., ... & Sun, B. C. (2018). Hospital strategies for reducing emergency department crowding: a mixed-methods study. Annals of emergency medicine, 71(4), 497-505.Forster, A. J., Stiell, I., Wells, G., Lee, A. J., & Van Walraven, C. (2003). The effect of hospital occupancy on emergency department length of stay and patient disposition. Academic Emergency Medicine, 10(2), 127-133.Lambe, S., Washington, D. L., Fink, A., Laouri, M., Liu, H., Fosse, J. S., ... & Asch, S. M. (2003). Waiting times in California’s emergency departments. Annals of emergency medicine, 41(1), 35-44.Lucas, R., Farley, H., Twanmoh, J., Urumov, A., Olsen, N., Evans, B., & Kabiri, H. (2009). Emergency department patient flow: the influence of hospital census variables on emergency department length of stay. Academic Emergency Medicine, 16(7), 597-602.Polevoi, S. K., Quinn, J. V., & Kramer, N. R. (2005). Factors associated with patients who leave without being seen. Academic Emergency Medicine, 12(3), 232-236.Ramsey, Z., Palter, J. S., Hardwick, J., Moskoff, J., Christian, E. L., & Bailitz, J. (2018). Decreased nursing staffing adversely affects emergency department throughput metrics. Western Journal of Emergency Medicine, 19(3), 496.Rathlev, N. K., Chessare, J., Olshaker, J., Obendorfer, D., Mehta, S. D., Rothenhaus, T., ... & Litvak, E. (2007). Time series analysis of variables associated with daily mean emergency department length of stay. Annals of emergency medicine, 49(3), 265-271.Recio-Saucedo, A., Pope, C., Dall’Ora, C., Griffiths, P., Jones, J., Crouch, R., & Drennan, J. (2015). Safe staffing for nursing in emergency departments: evidence review. Emergency Medicine Journal, 32(11), 888-894.Schull, M. J., Lazier, K., Vermeulen, M., Mawhinney, S., & Morrison, L. J. (2003). Emergency department contributors to ambulance diversion: a quantitative analysis. Annals of emergency medicine, 41(4), 467-476.Wiler, J. L., Handel, D. A., Ginde, A. A., Aronsky, D., Genes, N. G., Hackman, J. L., ... & Fu, R. (2012). Predictors of patient length of stay in 9 emergency departments. The American journal of emergency medicine, 30(9), 1860-1864.

The exercises and training divisions work with similar divisions in Delaware, Pennsylvania, and Virginia, a Continuity of Operations department designed to work with the federal Department of Homeland Security, and an Office of Domestic Preparedness and Law Enforcement Liaison work with local and federal authorities to coordinate comprehensive disaster planning efforts. (Maryland Emergency Management Homepage, 2006, Official Website)
Different organizations that are involved, how the organizations interact with or are apart of the EOC/What is the responsibilities of each member to the EOC

The federal government, including FEMA (Federal Emergency Management Authority), the Department of Homeland Security, and the state Emergency Management offices of Delaware, Virginia, and Pennsylvania are all involved, as is the National Guard. These organizations do not have specifically delineated legal responsibilities to the state of Maryland's EOC, other than to serve the citizens of the U.S. In the case of the federal government. (Maryland Emergency Management Homepage,…...

mla

Bibliography

Droneburg, John. (2006) "Letter from the Director: John Droneburg III." Maryland

Emergency Management. Retrieved 3 Nov 2006 at  http://www.mema.state.md.us/MEMA/content_page.jsp?TOPICID=domprepare# 

Florida State Warning Point." (2006). Florida Division of Emergency Management. Retrieved 3 Nov 2006 at  http://www.floridadisaster.org/bpr/Response/Operations/swp.htm 

Maryland Emergency Management Homepage. (2006) Official Website. Retrieved 3 Nov 2006 at  http://www.mema.state.md.us/MEMA/index.jsp

1. The benefits of telehealth in increasing access to healthcare services in rural and underserved areas.
2. The impact of telehealth on improving patient satisfaction and outcomes.
3. The role of telehealth in reducing healthcare costs and increasing efficiency.
4. The challenges and opportunities of integrating telehealth into existing healthcare systems.
5. The ethical considerations of telehealth, such as privacy and data security.
6. The potential impact of telehealth on the traditional doctor-patient relationship.
7. The implications of telehealth for healthcare disparities and access to care for marginalized populations.
8. The role of telehealth in addressing mental health and behavioral health needs.
9. The impact of telehealth on....

1. Improved coordination of care: By integrating health and social care services, providers can better coordinate the care and support they provide to patients. This can help ensure that patients receive all the services they need in a timely and efficient manner, leading to better health outcomes.

2. Holistic approach to care: Integrating health and social care services allows providers to take a holistic approach to patient care, addressing not just their medical needs but also their social and emotional needs. This can lead to better overall outcomes and improved quality of life for patients.

3. Better communication and collaboration: Integration of....

To effectively convey the experience of working in an emergency room in a written essay, one should utilize descriptive language and vivid imagery to paint a picture for the reader. Begin by setting the scene - describe the bustling, chaotic atmosphere of the ER with patients coming in with a myriad of injuries and ailments, the constant sound of medical equipment beeping and the hurried footsteps of medical staff rushing to attend to patients.

Next, highlight the emotions and adrenaline rush that come with working in such a high-stress environment. Describe the mix of fear, urgency, and determination felt by healthcare....

Conveying the Intensity and Emotions of an Emergency Room

Working in an emergency room (ER) is an intense and emotionally charged experience that requires a unique blend of technical proficiency, empathy, and resilience. Capturing the essence of this experience in a written essay requires careful consideration of language, imagery, and narrative structure.

Sensory Overload and Chronological Flow:

Begin by immersing the reader in the sensory overload of the ER: the cacophony of sirens, the pungent smell of antiseptic, and the constant movement of medical staff. Use chronological flow to guide the reader through a typical shift, highlighting the frenetic pace and unpredictable nature....