...Falls and Risk Management Margaret Simon NUR 492 April 25, 2016 Dr. Rachel Gonzales Falls and Risk Management In the hospital setting falls are prevalent for various reasons. According to Sullivan (2013), “Risk management is a component of quality management, but its purpose is to identify, analyze, and evaluate risks and then develop a plan for reducing the frequency and severity of accidents and injuries” (p. 77). This paper will address falls as a risk management issue; discuss methods to identify patients as a fall risk, methods to implement to reduce falls, and how to inform all staff of seriousness of fall issue. Furthermore, a comparison of three other facilities and their methods will be discussed and compared to the VA hospital's plan of action. Hospital Plan for Identifying Falls Every patient that enters the hospital is required to have a fall assessment on the admission, and if the staff feels a patient's status has changed, it is completed again. The fall assessment template addresses cognitive status, hearing and vision issues, and gait and balance problems. Other information collected is his or her ability to use assistive devices such as canes, walkers, and crutches. Other information gathered is a medication list, a history of falls, and medical conditions such as vertigo. Another major issue is the environment at home, not enough lighting, rugs, stairs, and animals. In the hospital setting the number of falls is increasing clutter...
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...The Big Book of Huddle Energizers Ideas to enliven your huddle Contributed by employees of Citibank Singapore Table of Contents Service Value # 1 – Make Each Interaction Personal ................................................. 6 Energizer: Hebrew Numerology ................................................................................... 6 Energizer: Brain Teaser ............................................................................................... 9 Energizer: Human Treasure Hunt............................................................................... 10 Energizer: Secret Hat Trick ........................................................................................ 11 Energizer: Accentuate the Positive............................................................................. 11 Energizer: Name Game.............................................................................................. 11 Energizer: Heart to Heart ........................................................................................... 11 Energizer: Guess my Body Language ........................................................................ 11 Energizer: How to Say Hello in Different Languages ................................................. 12 Energizer: Good Morning Game ................................................................................ 12 Service Value # 2 – Maintain A Professional Image ...................................................
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...Change in Nursing Practice Jamie L. Eden Walden University NURS 4001-5, Research and Scholarship for Evidence-based Practice November 16, 2013 Change in Nursing Practice A patient who is admitted to a facility may be alert, oriented, and independent in ambulation. Add on intravenous (IV) tubing attached to a pole, a telemetry monitor, a foley catheter, and new medications for the patient. This patient now has fall risk factors. The purpose of this paper is to describe and evaluate change in preventing falls in the hospital setting. Falls in Hospitals Patient safety is number one in hospitals. Every staff member that comes into contact with a patient should always have the question, “Will the patient be safe?” in the back of their mind. Mistakes do happen just as patients do fall in hospitals even with prevention strategies. There are between 700,000 to 1,000,000 falls in hospitals in the United States (Preventing falls in hospitals: A toolkit for improving quality of care, 2013). If a patient falls any number of serious injuries could occur, such as bruising, lacerations, fractures, hemorrhaging, and even death. The costs of treating a patient for injuries as a result of a fall while in the hospital is not reimbursed by Medicare as of 2008 (Preventing falls in hospitals: A toolkit for improving quality of care, 2013). Not only will the facility not get reimbursed for costs related to the fall, the patient may likely have a longer length of stay and could potentially...
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...Running Head: Problem Formulation and Identification Paper Introduction Defining the process of problems occur within the management of each company. Recognizing how the objective will frame the problem and provide process to work through the solution. Companies have metrics to measure forces of influences, and quantitative data determine the scope of the problem and how to resolve issues. Most companies use solving skill methods to address managerial decision, identifying the issue and formulating steps to brainstorm all phases of the solution (Paul & Elder, 2006). Problem Formulation and Identification Marilyn Brandy Everyone knows that within this fast pace world an organization is going to always have problems that have to be determined, there are many of unlike kinds of determination creating procedures that a business could employ to help determine these issues. This document will explore most of the unlike kinds of determination creating procedures with demonstrations from not one, but four businesses. Many of the unlike companies and their determination creating procedures change extraordinarily. The Stanford facility payroll and the organization boss in a wholesale organization appear to withdraw aspects in a resembling way because the most important consideration has to be drafted, revised, worked on, determined, and completed before it could be finalized. The YMCA determination creating procedure also resembles in that the issue could...
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...LaTrice D. Narcisse Lnarcisse7@gmail.com Leadership & Organizational Behavior MGMT 591 Effective Internal Communication Professor Joseph Neptune February 22, 2015 Abstract Proper communication with any company is imperative to its daily operations and employee morale. Communication is defined as purposeful activity of exchanging information and meaning using various techniques or natural means. Large companies can lose sight of this as they grow and grow outside of their center of operations. When any company acquires additional business and begins to run it in a different culture it is important to know how that culture or environment thinks, acts, and responds before setting up shop. If this is properly done then this prevents the possibility of misinformation or a misrepresentation of the information being relayed. There are several basic activates that can provide a solid foundation to and for management in a good communication process. Managers should hold monthly meetings with all staff together; this provides a sense of teamwork and necessary information gets to everyone at the same time. Managers should also weekly or bi-weekly meetings with all managers. These types of meetings should be held regardless if there is a problem or not. They are to support the exchange of ideas and questions, to gain clarity. Each location should have their own processes while staying true the company’s goals and any standard practices that already in place. AmeriHealth...
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...Group Behavior within St. Jude Children’s Research Hospital Throughout our society there is defiantly a lot of categorizing of people. Rather it is in schools, friendships, sports, religious groups or within organizations everyone belongs to a group. “Being able to understand the dynamics of group behavior allows one to manage individuals and groups more effectively in a workplace.” (Losh, 2011) Throughout this paper will see how St. Jude Children’s Research Hospital came about and how teamwork and trust has kept this organization together. However we will also examine the problems within their group behaviors that could impact their group productivity and some recommendations to resolve these problems. St. Jude Children’s Research Hospital is one of the only hospitals in the world that is fully a not-for-profit organization. From the very beginning this organization was built on teamwork and trust. Without knowing the history of this organization and how it was created it would be hard to understand why teamwork and trust was and is so important. Danny Thomas was the founder of St. Jude Children’s Research Hospital in 1962. (AboutUs, 2013) St. Jude’s was developed after keeping a promise during one of his prayers to the St. Jude Thaddeus. (AboutUs, 2013) At this time his life he was a young struggling actor just trying to make it big. He was big on religion and always prayed to the St. Jude Thaddeus during good times and bad times asking for help and guidance in...
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...work together if the whole unit, i.e. company, is to be successful (Break down barriers, 1994). The Japanese were inspired by the work of Deming and Peter Drucker, and they have worked to develop two operational methods that serve to break down the barriers between departments. These methods are known as Quality Function Deployment (QFD) and Cross-functional Management (CFM). QFD is a system that translates customer specifications into what is required in each stage of the production process, from research through sales and service. CFM breaks it down even further by separating the activities related to the company's goals for quality, costs, volume and delivery. If the activities/tasks that are assigned to each department/stage in the process are completed according to the overall plan and company goals, then the goals will be achieved. Success is a direct result of the cooperation and coordination between the departments (Break down barriers, 1994). The purpose of this paper is to briefly illustrate why breaking down barriers between departments and functional areas in organizations is crucial to their success. In the past, many companies have allowed departments to operate in silos. Rather than working together, the employees within individual departments...
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...U.S. Bancorp Aaron.o.wilson@hotmail.com Final Course Project GM591: Leadership and Organizational Behavior Keller Graduate School Professor Donna Darr April 10, 2012 Aaron Wilson Introduction: U.S. Bancorp was founded in 1863 and is the 5th largest commercial bank in the United States, whose current chairman, CEO and President is Richard Davis. U.S. Bancorp is located in 25 states and has 60,000 employees with 3,085 bank branches, 5,053 ATMs, and 17.5 million customers. U.S. Bancorp is a publically traded corporation on the New York Stock Exchange its ticker symbol is USB. Unlike many other banks U.S. Bancorp did not suffer during the economic downturn, and was one of a few banks that did not need a TARP loan. U.S. Bancorp prides itself and is committed to providing service that meets the demands of their customer, and high quality and innovative products. Some products offered at U.S. Bancorp include checking and savings accounts, credit cards, loans, and online banking. According to The Keynote Systems survey U.S. Bancorp is ranked #1 in online overall customer experience; Fortune named U.S. Bancorp #1 most admired superregional bank. For the past six years in January U.S. Bancorp has had an all employee event where employees learn about previous year’s performance, as well as learn about new employee benefits, initiatives, and are celebrated for continued customer service scores. At the employee event U.S. Bancorp introduced MobileMerchant, which allows small business...
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...Personal and Professional Health Care Communication Linda Osayamwen HSC/350 November 9, 2011 Bachelors in Nursing Personal and Professional Health Care Communication Introduction Health care communication facilitates inter-dependence among healthcare members. It involves sharing ideas and thoughts with physicians, student nurses, nursing peers, patients, families and other inter-disciplinary healthcare members in a professional manner. Effective healthcare communication is important in care delivery because it enhances higher outcomes, patient safety, patient compliance to treatment, creates trust, utilization of healthcare and, satisfaction. Definition of Health Care communication Health care communication is defined as the process in which an individual is able to collect and process adequate or basic health information needed to make the right health care decisions. Communication is the process of sharing information using a set of common rules (Northouse & Northouse 1998. p.2). Relevance of effective personal health care communication with other health care professionals, clients and patients. Health care communication in intrapersonal context refers to our inner thoughts, beliefs, feelings, and, our self-talk about issues that influence our health directed behaviors (Northouse & Northouse 1998. p.4). Personal communication is vital in health care communication, starting from the first encounter with the patient throughout...
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...Change in Practice: Preventing Hospital Associated Infections April Shannon Walden University NURS 4000 Section 04, Research and Scholarship for Evidence-Based Practice November 18, 2012 Change in Practice: Preventing Hospital Associated Infections Benjamin Franklin was quoted as saying “an ounce of prevention is worth a pound of cure.” With the increasing costs of healthcare and the emergence of multi-drug resistant organisms this truth still resonates today. Hospital associated infections (HAIs), have been a complication in hospitals for many years. The purpose of this assignment is to address this problem in nursing practice, and discuss evidence on practices that will address this issue. The problem Hospital associated infections (HAIs) can be defined as an infection acquired in hospital by a patient who was admitted for a reason other than that infection. An infection occurring in a patient in a hospital or other healthcare facility in whom the infection was not present or incubating at the time of admission. This includes infections acquired in the hospital but appearing after discharge, and also occupational infections among staff of the facility (central line associated bloodstream infections, catheter associated urinary tract infections, surgical site infections, ventilator associated pneumonia, etc.) (World Health Organization, 2002). HAI’s have become one of the leading caused of hospital related deaths in the United States. However, these infections...
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...Research shows that strong communication between patients and their nurses leads to greater patient satisfaction, better outcomes and safety, and lower healthcare costs. When this line of communication is lacking, patients are less likely to seek the needed care, and are more likely to experience differences in the plans of their respective practitioners. Also, it is important to ensure patients are able to provide informed consent for all of their treatments, which can only be accomplished through successful communication. Finally, patients have a strong desire and right to have their wants and opinions made a priority when developing their plan of care (Paget et al.,...
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...barriers that they saw and then came up with ways to fix the barriers in order to establish better team work between the sub-departments within the lab. The teams went back and implemented the new team building ideas and the results have been great. Introduction Working in the medical field can be a rewarding experience, when you see the patients feeling better, returning to the comfort of their homes and life as they know it. However, it can also have its challenges. I work in a medical lab at a children’s hospital and within the lab we have departments consisting of support staff (phlebotomy, specimen processing, and reference lab), chemistry, hematology, coagulation, microbiology, pathology, histology, flow cytometry, blood bank and research. Knowing that the majority of our patients treatments are based on their lab results, we have to all work together as a core lab (a team of one) in order to get our patients results out in an efficient and timely manner. “The team concept implies a shared mission and collective responsibility” (Gafa, Fenech, Scerri & Price, 2005). But because we have such poor team work within the various lab departments, there is usually a delay in getting results out in a timely manner. This affects our turnaround time and most importantly patient care. So if I could change...
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...all barriers that they saw and then came up with ways to fix the barriers in order to establish better team work between the sub-departments within the lab. The teams went back and implemented the new team building ideas and the results have been great. Introduction Working in the medical field can be a rewarding experience, when you see the patients feeling better, returning to the comfort of their homes and life as they know it. However, it can also have its challenges. I work in a medical lab at a hospital and within the lab we have departments consisting of support staff (phlebotomy, specimen processing, and reference lab), chemistry, hematology, coagulation, microbiology, pathology, histology, flow cytometry, blood bank and research. Knowing that the majority of our patients treatments are based on their lab results, we have to all work together as a core lab (a team of one) in order to get our patients results out in an efficient and timely manner. “The team concept implies a shared mission and collective responsibility” (Gafa, Fenech, Scerri & Price, 2005). But because we have such poor team work within the various lab departments, there is usually a delay in getting results out in a timely manner. This affects our turnaround time and most importantly patient care. So if I could change one thing...
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...Introduction The majority of overweight children become overweight adolescents which leads them to become overweight adults. The bureau’s recommendations included treatments that included the family as well as the child. Research shows that overweight children are likely cause from lack of parental support or guidance the proposed solution provides the grounds for families to become active in each others lives as well as teaching the children to take charge of their outcomes as well. The goal of any preventive measures for obesity is to look at behaviors, medical goals and weight goals. Permanent change and weight loss should be the ultimate goal, not quick fix treatments for rapid weight loss. The goal of this project is for the children involved in the study to lose 10-20% of body weight and for the child and the family to have necessary tools, such as recipes, ideas, act ivies, and positive behavior patterns, in order to keep the weight off. Daily as well as weekly weigh-ins for the children will monitor their results. A staff member will administer the quizzes to the children and in the last four weeks two staff members will administer the quizzes one to the families and one to the children. Goals are 10-20% of being body weight and 90-100% on daily quizzes. After successfully completing first course take plan with outcomes around to neighboring doctors, clinic, and hospitals, in hope of building community success and to share the importance of early intervention and the...
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...Unspoken Love A Far Off Place by Laurens Van Der Post is an incredible story of adventure and surviving against all odds set in the 1970s. It centers on Francois, a fourteen year old boy, growing up in the interior of Africa on his farm with only his mother since his father passed away the year before. Nonnie, a young Portuguese girl, was friends with Francois whom she met the year before for a few weeks before having to go off to boarding school while her family’s house was being built close by to Francois’s. The night Nonnie returns Francois hears a special animal call in code during the middle of the night from Xhabbo, a Bushmen that Francois had saved from a lion trap a year and a half before. Francois knows the call is urgent and as he is sneaking out runs into Nonnie, who thinks it is time to go on their morning rounds of the farm not knowing that it is still the middle of the night. Resulting in Nonnie going with Francois to meet Xhabbo, who explains that Francois’s farm is entirely surrounded by a guerrilla army. Francois’s home is massacred and no one lives except for him, his hunting dog Hintza, Nonnie, Xhabbo, and Xhabbo’s wife Nuin-Tara. The only way to safety is to cross the Kalahari Desert to make it to the coast due to the army slowly taking over the entire surrounding area. They discover the only way to survive is to trust and depend on one another. The most significant interpersonal communication topic expressed when reading A Far Off Place is the power of haptics...
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