...liable for patients who fail to be compliant with discharge instructions? II. No. A hospital cannot be held liable for patients who fail to be compliant with their discharge instructions. III. Facts 1. In order to prove negligence or medical malpractice, the plaintiff must prove the: A. The requisite standard of care. B. A deviation from the standard of care C. A causal connection between the deviation and the claimed injury. 2. The hospitals rules, regulations, and policies do not establish a standard of care. However, a hospital’s failure to follow its own rules, regulations, and policies is evidence of negligence. 3. Discharge instructions can be construed to be part of a hospital’s rules, regulations and policies. 4. Unclear, or ambiguous discharge instructions can place the hospital at risk for increased liability for negligence if a casual connection can be made to a patient’s injury. Therefore, to protect itself, hospitals should be proactive in establishing clear discharge protocols and individualized discharge instructions. IV. Review of the Law In the case of Earline Therry, et al v. State of Louisiana, through the Department of Health and Hospitals and University Medical Center of Lafayette, Louisiana, a summary judgment was granted for the defendants based upon the plaintiff’s inability to establish a causal connection between a breach of the standard of care and any resultant injuries. In this case, Mrs. Therry accused the Defendants of negligence...
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...outlined in a “means test” in accordance with The Bankruptcy Abuse Prevention and Consumer Protection Act of 2005 (BAPCA) (Twomey & Jennings, 2014, pp. 748-749). A Chapter 7 Bankruptcy “means” test is performed by the state in which one is filing for bankruptcy. In shaping his voluntary decision, in which Andy petitions the court and files for a Chapter 7 Bankruptcy on his own accord, Andy’s “means” testing would be determined by the state of Florida’s median family income. If Andy’s disposable income is equal to or less than Florida’s median family income, then Andy could move forward to petition the court for Chapter 7 Bankruptcy. For the purpose of this case study, we will use the median income for Orange Park, Florida and consider Andy’s household to be 1 since it is not known if Andy claims his dependent child on his federal income taxes. The Bankruptcy Means Test Calculator for Orange Park, Florida (Clay County) calculated Andy’s median income at $2222.22 monthly based on his annual salary of $40,000. In Clay County, Florida the median income for one member household is $3445.00 monthly, which puts Andy below the median income, and able to move forward with his petition (Relational Vision, LLC., 2014). Each state has a calculator specific to their requirements, as well as exclusions for veteran’s with disabilities of 30 percent or more. In addition, a means test is not the only factor judges take into consideration in determining if a Chapter 7 Bankruptcy is...
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...CHAPTER I INTRODUCTION A. Background of the study According to Jordan, childbearing is universally treated as a life crisis event. In most societies birth and the immediate post partum period are considered a time of vulnerability for mother and child. It is a time of ritual danger for the entire family. Most societies tend to have certain sets of practices and beliefs in childbirth. Practices and beliefs of each society have common goals namely, the maintenance of well-being and preservation of life of a new mother and her newborn. Confinement is the period after the birth and is perceived as a critical condition for a mother. At this period, women are considered to be in a weakened state due to the loss of blood during the delivery of the baby. Because a woman is weak, she is susceptible to all sorts of all illnesses and diseases. Therefore, there are a number of cultural practices which must be observed in order to gain strength and to avoid illness.[i] The puerperium is a time of great change which spans a period of transition from the pinnacle of experience of birth to the assumption of the joys and responsibilities of family life. Well-integrated post-natal care has an important role to play in assisting this transition and launching the family in their new life together. The puerperium is a period of 6 weeks which begins as soon as the placenta has been expelled. During this time a number of physiological and psychological changes take place: ...
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...and mitigating the adverse impact of cancer on the child and his or her family giving a more holistic approach to care. From this case study, one can immediately notice that family Cauchi have passed through a lot of hardships over a short period of time. Over three weeks they have faced the diagnosis of cancer, prolonged hospitalisation, and a disrupted routine, together with surgical and invasive procedures, intensive treatment along with adverse side-effects, as well as changes in the child’s body image and in his habitual personality. In its first section, this assignment will give an overview of the initial diagnosis and acute phase of the leukaemia treatment. In light of literature, the following section will discuss and evaluate interventions carried out to prevent, reduce and manage adverse side-effects, in order to maintain the overall physical health of the child. Subsequently, the impact of the illness experience on the child, sibling and the parents is addressed from a psychological, social and spiritual point of view. The nurse’s role in providing support, information and education throughout hospitalisation, as well as in preparation for discharge, is outlined. Admitting the child to the oncology unit As soon as the diagnosis was made, John had to be transferred from the normal medical ward to the specialised paediatric oncology unit. The parents tried to put up brave faces in front of their child. However they could not hide their sadness in their...
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...The bestowed rights of humans have been distorted throughout time. Regarding all who deserve the same privileges as others, compassion is not shown with respect. Given that times are changing, it is only right that everybody follows suit and makes the necessary alterations to equalize all humans. I believe, if individuals are more informed on Gay Rights such as marriage, adoption and the military discussion of Don’t Ask Don’t Tell (DADT) maybe we can fight to give same-sex couples the opportunities that the rest of the population have. The first and topic to establish a more equal world is same-sex marriage, collectively known as Gay Marriage. Marriage throughout time has been instituted as opposite sex only unions. As of March 18, 2011 a Washington Post-ABC poll stated that fifty-three percent of Americans are pro gay and lesbian marriage, which is up from thirty-six percent in 2006 (HRC,2011). Comparing homosexual marriages to heterosexual marriages stand to be very equal in all aspects. Both are considered loyal, devoted partners who are active and committed to their community. The advantages given to these unions are very beneficial to all involved. Not just for income sake, but health issues too. It is proven that when in a marriage, humans tend to live longer and healthier lives. So it is shown that marriage in any form is better for the world in general. Looking at the laws as they stand, in 2011 there are six participating states in America that allow the union of...
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...interview provided, a child Tina was admitted into the hospital on September 14th by registration. Insurance and demographic information was collected by registration. The patient then went to pre op with his mother for outpatient surgery. The pre op nurse then prepped the patient for surgery by having the mother sign the consent form, changing into appropriate surgical attire, and starting the I.V. The pre op nurse told the mother the procedure would take about 45 min and then the patient would be in recovery for at least an hour. The mother had to leave to take care of an errand with her other children and had left her cell phone number with the pre op nurse. She instructed the pre op nurse to call her if her daughter was done sooner. The pre op nurse put down her number in her notebook. After the completion of the surgery, the patient was taken to the Post Anesthesia Care Unit (PACU). Upon arrival in PACU, the mother had not returned. The patient was becoming uneasy that her mother was not back, the PACU nurse had the mother paged on intercom but it was determine that she had not returned. The patient was then transferred to the discharge nurse who was informed that the patient’s mother had not responded to the pages. Several minutes later the discharge nurse was notified that the patient’s father was at main reception. She let him come back and the patient immediately recognized him as her father. After 30 min he offered to take the patient home and the discharge nurse approved...
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...A Case Study Analysis of Foxconn: Perspective of a manufacturing sweatshop in China Boyao Zhang R/W Grad VI University of Delaware English Language Institute May 29th, 2016 A Case Study Analysis of Foxconn: Perspective of a manufacturing sweatshop in China An irreversible trend of economic globalization presents opportunities and challenges in China. Overall, foreign direct investment (FDI) and open trade, two major elements of commercial globalization, have played a crucial role in the international business market in the last thirty years (Lessmann, 2013). To avoid shortcomings, numerous developed countries have established their manufacturing industries in developing countries. Due to the advantages of lower labor cost and abundant resources, China has become the first choice of international manufacturing processing enterprises; therefore, as far as China's economy is concerned, the manufacturing processing industry is a vital element of national income and a crucial part of China's economic structure (Chan, 2013). Nevertheless, although it is indisputable that FDI and open trade have positive effects on the Chinese economy and the development of technology, in recent years, Chinese economic and environmental issues are undeniably caused by economic globalization. (Chen & Ge, 2010; Lessmann, 2013). Foxconn, a representative company of manufacturing industry in China, is a beneficiary and victim of FDI and open trade (Guo, 2012). This case analyzes the labor...
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...Commission, 2015). The event described in the case study is a sentinel event resulting in the abduction of a child. The event begins when a child is admitted to the preop unit for outpatient surgery with her mother. The child’s mother leaves the facility during the procedure, giving instructions for the nurse to call the mother if the procedure was quicker than expected. After the procedure, the child is discharged home by the recovery room staff with her estranged father who does not have custody of the child. The child is recovered by law enforcement in the care of the father, but the potential harm and psychological damage ensued categorizes these happenings as a sentinel event. Personnel/ Personnel Issues There were several people involved in this sentinel event at Nightingale Community Hospital. Here, they are listed along with their roles and any issues involving them in this event: Person | Role in the event | Barriers | Registrar, Katie Jessup | Responsible for initial intake information and consent to treat. | Followed process as outlined. Knowledge of potential information gaps and custodial issues with children could provoke further questioning. Lack of awareness of how her job affects other areas is a barrier. | Admitting Nurse in Preop of Ambulatory Surgical Unit, Gretta Doppke | Admissions nurse. First person to assume care of the child in the facility. Responsible for obtaining information regarding discharge as well as educating the patient and her mother...
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...A1: Sentinel Event Describe the Sentinel Event On September 14 at 12:30pm, pediatric patient Tina was involved in what was thought to be a child abduction. After arriving at the hospital that morning, Tina’s mother checked Tina in with the registrar. The registrar collected Tina’s demographics and insurance information and entered it into the medical records. She made copies of ID’s and insurance cards and had Tina’s mother sign all necessary paperwork for Tina’s surgery. The registrar did not ask for any information regarding the custody of Tina because it was not a part of her job duties. Once admitted, the Pre-op nurse greeted Tina and her mother. The Pre-op nurse had Tina’s mother sign all consent forms for the surgery. She then helped Tina get gowned up and began the pre-op assessment on Tina, started her IV and administered her pre-op medications. According to the Pre-op nurse, Tina’s mother did inform her that she’d be doing something with her son during Tina’s surgery. Tina’s mother gave the Pre-op nurse her name and number, which the Pre-op nurse wrote down in her notepad, so she could be called when the surgery was done. The OR Nurse had very strong feelings on the lack of communication between departments. She said that she has witnessed many issues and seen many problems arise due to a lack of communication and understanding across departments. She strongly believes that working more closely with security would eliminate some of this issues in the future. Following...
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...PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION MS. S.SILBIA DEVI 1ST YEAR MSC NURSING OBSTETRICS AND GYNECOLOGY NURSING YEAR 2007-2009 PADMASHREE COLLEGE OF NURSING GURUKRUPA LAYOUT, NAGARBHAVI, BANGALORE, 560072 RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES BANGALORE, KARNATAKA PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION 1. | NAME OF THE CANDIDATE AND ADDRESS | MS. S.SILBIA DEVIIst YEAR M.Sc. NURSINGPADMASHREE COLLEGE OF NURSINGGURUKRUPA LAYOUTNAGARABHABIBANGALORE-560072 | 2. | NAME OF THE INSTITUTE | Padmashree college of NursingBangalore. | 3. | COURSE OF THE STUDY AND SUBJECT | I year M.Sc nursingObstetrics and Gynecology of Nursing | 4. | DATE OF ADMISSION | 20th April – 2007 | 5. | TITLE OF THE STUDY | A study to assess the Effectiveness Of Self Instructional Module on knowledge of primigravida mothers regarding postnatal care during the early postpartum period in selected maternity hospitals, Bangalore. | 6. BRIEF RESUME OF THE INTENDED WORK 6.1 INTRODUCTION The wealth of the nation is its healthy population. The mother contribution in creating a healthy population is beyond explanation, so mother should be kept physically, emotionally and socially healthy. The processes of pregnancy and birth challenge the woman’s psychological and physiologic coping mechanisms. It is during the puerperium period that the woman must return to the non pregnant state. The pueperium is a period...
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...Nursing 106 Spring 2016 Maternal Child Case Study All questions apply to this case study. You may type or clearly write this assignment. It must be legible. Responses to questions must be in your own words. Scenario M.H. is a three year old boy with cerebral palsy (CP) who has been admitted to your unit preoperatively. He will have surgery for a femoral osteotomy and tendon lengthening to stabilize hip joints and to help reduce spasticity. You are orienting the parents to the unit and have a nursing student assisting you. 1. After getting the family settled, you return to the nursing station, and the nursing student asks you to explain CP and what might have caused cerebral palsy. How would you answer the student’s question? 2. The nursing student asks what the family might have noticed that would indicate CP in M.H. when he was a baby. Which of these findings will you include in your discussion with student? (Select all that apply and state rationale) a. Head lag at 5 months b. Able to sit unassisted at 7 months c. Positive Moro (startle) reflex at 2 months d. Leg scissoring e. Right hand preference at 12 months f. Use of pincher grasp at 9 months g. Increased irritability Case Study Progress You and the nursing student finish a health history with the family and determine that M.H. has impaired vision (wears glasses), speech impairment, seizure disorder, and has had poor weight gain and feeding issues since birth....
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...Accreditation Audit Task 2 Sentinel Event Western Governors University Accreditation Audit Task 2 Sentinel Event Nightingale is a well establish Community Hospital, which has been servicing the community by providing excellent, and compassionate healthcare provides for their patients’ needs. There values statement pledge to themselves and the community, is a commitment to four core values the first being Safety with the quote “We put our patients first”. A1 Sentinel Event As defined by the Joint Commission (2014) a sentinel event is an unexpected occurrence involving death, or serious physical, psychological injury, or the risk thereof. With this said Nightingale community Hospital recently experienced a sentinel event involving the possible abduction of a pediatric patient. As per reported, September 29th a three year old patient come to the hospital for a surgical procedures, accompanied by her mother. During the registration portion of the process the mother completed all the registration paperwork that was required. Along with authorization document, the patient was then directed to the pre-op area where the pre-op assessment was completed. It was at this time the mother informed the per-op nurse that she had several errands she needed to run while her daughter was in surgery, but she would be back to pick her up. The mother asked that if she had not return by the time her daughter surgery was completed to please call her mobile phone, and gave the pre-op nurse...
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...Sentinel Event: Sentinel events are a subset of medical adverse events. Events that require immediate attention are called Sentinel Events. Joint Commission defines a sentinel event as an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Serious injury specifically includes loss of limb or function. The phrase “or the risk thereof” includes any process variation for which a recurrence would carry a significant chance of a serious adverse outcome. Sentinel Event identified by Joint Commission also include infant abduction or discharge to the wrong family. Summary of the Sentinel event in the Case Study: Sentinel event presented in the case study involves discharge of a minor to the wrong family. Joint Commission requires immediate attention to such matters so that it may be avoided in the future. The summary of the event is that a 13 year old teenager, Tina, was admitted for day surgery. Tina was accompanied by her mother. After dropping Tina for the surgery at the hospital, her mother left to run some errands. Before leaving, she left her contact phone number with the pre-op nurse. After the surgery, Tina was inappropriately released to her father when her mother was delayed in returning to pick-up the daughter from the hospital. The hospital staff had no awareness of the family situation. Upon arrival at the hospital after the errands, mother was informed that Tina’s father had picked up Tina from the hospital because...
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...This practice based learning is a case study that involves discrimination towards a patient who is part of the traveling community. This practice based learning is a case study that involves discrimination towards a patient who is part of the traveling population within our society. My group colleagues and I decided to use the same methods of collecting information as in the previous case studies. I feel very frustrated because there is a lot of ignorance within our society, lack of information and understanding of people who disregard others because of were they come from. Firstly I make reference to the NMC’s guidance on anti-discrimination practice; As a qualified nurse I am personally accountable for my practice, and when caring for my patients I must; 1.1 Respect the patient as an individual 1.2 Protect and support the health needs of individuals 1.4 I have a duty of care to patients, who are entitled to receive safe and competent care. 2.3 As a registered nurse I am personally accountable for ensuring that I promote and protect the interests and dignity of patients and clients, irrespective of gender, age, race, ability, sexuality, economic status, lifestyle, culture and religious or political beliefs. 2.4 I must promote the interest of patients. This includes helping individuals and groups gain access to health and social care, information and support relevant to their needs. The NHS is accountable for all acts and omissions that relate to equality and human...
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...“Vision” Magazine: Case Study ------------------------------------------------- Case Study ------------------------------------------------- Peter advertised widely in the media, offering various subscription deals to ‘Vision’, his politics magazine. One deal provided a subscription for three years and required payment of £100 to be made by 30 April. Orders received after that date would be charged at £150.Ray sent an order with a cheque for £100, which he posted on 25 April. His order was not delivered until the afternoon of 30 April because of a postal delay. It was then too late to put the cheque into the bank. Peter processed the order but would not supply any magazines until Ray paid a further £50. ------------------------------------------------- Sara paid £75 for a two-year subscription but, after 13 months, was informed that unexpected increases in costs made it absolutely necessary to charge an extra £15. Peter would not send any more magazines until the additional payment was made. ------------------------------------------------- Tom wrote some book reviews for ‘Vision’. A few months later, Peter told Tom that he could have a free, one-year subscription to ‘Vision’, in recognition of the reviews he had written. Tom received no magazines. IY1 Business & Management, Business Law Name: Arga Thura Group: L3 Candidate Number: 155019 Word Count: 1,897 words This essay will analyse and examine over 3 case studies, in regard to theories and functions of contract law....
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