...Home Health Chart Audit Review-Report 2011 GRANT/CATRON COUNTIES | |1st Q |2nd Q |3rd Q |4th Q | |60 day cycle sheet (in chart & frequencies consistent w/Dr.’s orders) |Met |Not met |Met |Not met | |60 day cycle sheet (in chart & frequencies consistent w/Dr.’s orders) |Met |Not met |Met |Not met | 60 day cycle sheet (in chart & frequencies consistent w/Dr.’s orders) |Met |Not met |Met |Not met |Met |Not met |Met |Not met | |a. Skilled nursing | | | | | | | | | |b. Physical therapy | | | | | | | | | |c. OT | | | | | | | | | |d. MSW | | | | | | | | | |e. HHA | | | | | | | | | |Original Intake in chart | | | | | | | | | |Initial Assessment-completed w/I 48 hrs after referral or discharge from referring facility | | | | | | | | | |Face to Face ‘s –effective 4/1/20 | | | | | | | | | |HABN’s | | | | | | | | | |BIPPA’s | | | | | | | | | |Medicare secondary payer worksheet- completed, signed, dated | | | | | | | | | |Consent for treatment- completed, signed, dated | | | | | | | | | |Privacy notice acknowledgement- completed, signed, dated | | | | | | | | | |Financial responsibility & insurance verify. | | | | | | | | | |Written 485-completed & signed by clinician | | | | | | | | | |Witten 485-goals signed off | | | | | |...
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...Personal and Professional Healthcare Communication HCS/350 January 9, 2012 Personal and Professional Healthcare Communication Personal and professional health care communication is critical in a professional working environment rapidly changing. Communication collaboratively is more effective than individually. Relevancy of effective personal and professional healthcare communication with others benefit and contributes to a better health outcomes. The lack of personal and professional healthcare communication contributes to poor outcomes. Theories and principles of therapeutic communication greatly benefit the healthcare setting, patients, and the healthcare professionals. Define Healthcare Communication Healthcare communication is defined as a process that facilitates interdependence among members of a healthcare group or unit. Communication has multiple meaning and comes in many ways, and this process enhances the shared ideas within the healthcare setting. Healthcare communication is important, it is narrow in scope, and it concerns the individuals with healthcare related information. Healthcare interaction between individuals that communicate can be verbal, nonverbal, oral, or written. Communication can be personal or impersonal issues dealing within healthcare settings. “In health communication, the focus is on specific health-related transactions and factors that influence these transactions” (Northouse & Northouse, 1998, p. 3). Healthcare communication is not...
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...Delegation Example in a Health Care Setting Presentation * The delegation model or process * The delegation issue in your work place * The stakeholders in their different health care roles * How you choose the right stakeholder for the job At the completion of this presentation the learner will know the delegation model process, be capable of identify issues in the workplace, how to choose the appropriate stakeholder to complete the job, and the stake holders in their different health care roles. By using a possible occurrence that can happen in the work place as an example we will walk through the delegation process. * How you communicate with the stakeholders * How you resolve conflict * How you know when to give feedback * How you evaluate the problem solved * Relevant recommendations With communication being the most important aspect of delegation, we will discuss how to communicate with the stakeholders, resolving conflict, different ways to know when to give feedback, different evaluation methods to problem solve and relevant recommendations. * Know Your World * Know Yourself * Know What Needs To Be Done * Know Your Delegate * Communicate * Resolve Conflict * Feedback/Evaluate First, we will need to know what the definition of delegation is. According to Hansten and Jackson (2009), the National Council of State Boards of Nursing states that delegation is the “transferring to a competent individual...
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...Continuing Education Effective Delegation: Understanding Responsibility, Authority, and Accountability Christine Mueller, PhD, RN, FAAN, and Amy Vogelsmeier, PhD, RN The obligation to provide safe, quality care creates challenges and concerns when registered nurses (RNs) delegate duties to unlicensed assistive personnel. These challenges and concerns are magnified in today’s health care environment of shrinking resources; patients with complex, chronic conditions; health care settings with high patient acuity rates; and the use of sophisticated technology. To make safe, effective delegation decisions, RNs must understand the responsibility, authority, and accountability related to delegation. Delegation decisions must be based on the fundamental principle of public protection. This article describes effective delegation by presenting the factors affecting delegation, explaining when and what an RN can delegate, and describing the delegation process. Learning Objectives ⦁ ⦁ ⦁ Identify three factors that affect delegation. Discuss what registered nurses can and cannot delegate. Explain the steps of the delegation process. N ursing’s Social Policy Statement (American Nurses Association [ANA], 2010), the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001), and individual state nurse practice acts (NPAs) underscore the responsibility, authority, and accountability of registered nurses (RNs) for their nursing practice. The RN’s obligation...
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...Delegation in nursing is the most evident but yet most overlooked of management skills. Integrating this ability is an essential constituent within the scope of the nursing practice. The American Nursing Association (2006) defines delegation as, “The transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome”. With the anticipation of the baby-boomer generation and the utilization of unlicensed nursing assistive personnel (NAP) on the rise; how will healthcare prepare for such conditions? By distinguishing the nature of communication as well as personal interaction during delegation, may better clarify how both roles work together to carry out patient care and...
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...communication has been shown to produce better health outcomes, greater client satisfaction, and increased client understanding. This paper will show communication styles from a personal perspective and three other scenarios within the healthcare setting. The discussion will focus on why communicating effectively is important in health care and how the outcome of these interactions could improve staff relations and impact patient care. A Personal Perspective: The clinic has six RNs and one aide, two teams came together due to a department merger. Moral was low, control was lost and as a result, an "us versus them" mentality became evident from the onset. Everyone was in passive aggressive mode on a daily basis. Everyone had strong personalities. The tension was palpable. The team was split in half and with no team spirit and no team efforts the problem has never been solved. Now conflict is a natural part of a human relationship; however, unresolved conflict interferes with success in meeting goals (Boggs, 2011). Boggs (2011) also reported a workplace survey that noted 79% of healthcare workers found that workplace respect was lacking and if healthcare workers respected each other as much as they respect their patients the workplace setting would significantly improve. One can agree with that survey because in this instance no doubt the patients are well cared for, and the staff is competent....
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...emotions. In order to maintain a collegial form of communication and not contribute to his anger, the best response would be in ISBARR. ISBARR allows for members of the interprofessional team to communicate in a professional manner (Weiss & Tappen, 2015). ISBARR is an acronym for introduction, situation, background, assessment, recommendation, and read-back. Within giving ISBARR, I would include the time the blood for the lab report was collected and sent for analysis. Also, I would be active in trying to solve the current problem. In this situation with an angry physician, ISBARR ignores the attitude of the doctor and focuses on the patient and their needs. 2. Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?...
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...Professional Health Care Communication Professional Health Care Communication There are many different modules of communication in healthcare. Communications relays feelings, and thoughts through a series of verbal and non-verbal cues. In the healthcare setting effective communication among the healthcare team is crucial. It allows for minimal miscommunication, and safe quality care of the patient. The lack of communication results in healthcare providers missing important information which can lead to misunderstanding or wrong interpretations of the patient’s needs and/or expectations. Poor communication affects both healthcare professionals and patients. Patients may not understand their rights and the choices available to them if communication is not clear, concise and correct. (Arnold & Boggs. 2011). Additional exploration will show of how relevant effective professional healthcare communication is to health outcomes, and how the lack of effective personal and professional communication contributes to poor health outcomes. “Healthcare communication is concerned with the application of communication concepts and theories to transactions that occur among individuals on health-related issues” (Northhouse, 1998). The healthcare spectrum is a broad entity that encompasses roles of healthcare providers ranging from community outreach programs, to physician’s offices, hospitals, and individuals working in the community, to the insurance companies, and includes individuals...
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...2003, p. 268). Accountability is defined as, "being responsible and liable for actions or failure of actions of oneself or others in the context of delegation" (NCSBN, 2009). This is in reference to the nurse's legal liability for the actions taken and patient outcomes. Accountability and responsibility are different, as responsibility belongs to the person doing the task and accountability belongs to the person who assigned the task. The nurse is both accountable for the task being completed and is also responsible for the patients in their care. (RCN, 2010) Accountability and responsibility are two essential parts of delegation. DeWits and O’Neill (2014) define delegation as "transferring the authority to perform a selected nursing task in a selected situation to a competent individual ". When delegating, the registered nurse (RN) allocates nursing tasks to health care assistants (HCAs) while still remaining accountable for the patient and the task that was assigned. Delegating is a management technique that is used to provide more efficient care to patients. (NCSBN, 2009) Permitting HCAs to take on nursing responsibilities allows the nurse to complete other tasks that need to be completed; however, delegation is done at the nurses' discretion and is a personal choice. Nurses need to make careful decisions regarding delegation, taking into account the skill and training of the HCA, the difficulty and risk of the task, and the patient's condition. The expected outcomes, a time...
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...Professional Health Communications Paper By wandacasby | Personal and Professional Healthcare Communication Wanda Casby University of Phoenix HCS 350 Health Care Communication September 20, 2010 Ana M. Cinco, MSN, RN, CNS In today’s world, effective communication is an essential component of life. It is a mean for expressing thoughts, feelings, opinions, and concerns. In the healthcare setting effective communication among the healthcare team is crucial. It allows for minimal miscommunication, and safe quality care of the patient. When good communication is missing, health professionals can misunderstand or be ignorant of patient’s needs and expectations; furthermore patients may not understand their rights and the choices available to them” (University of Wolverhampton, 2007). The purpose of this paper is to provide information on healthcare communication and how effective personal and professional healthcare communication can affect other healthcare professionals, clients, and patients. In addition, this paper will provide information on how relevant effective professional healthcare communication is to health outcomes, and how the lack of effective personal and professional communication contributes to poor health outcomes. And finally, theories and principles of therapeutic communication in the health care setting will also be explained. “Healthcare communication is concerned with the application of communication concepts and theories to...
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...transactions. Those transactions can be verbal or nonverbal, oral or written, personal or impersonal, and issue oriented or relationship oriented, to name a few of their characteristics (Northouse & Northouse, 1998). The objective of this paper is to present information on health care communication and how the relevancy of effective personal and professional health care communication can affect other healthcare professionals, clients, and patients. Additionally, this paper will provide information on how the relevancy of effective professional health care communication is to health outcomes and how the lack of effective personal and professional communication contributes to poor health outcomes. Last, theories, and principles of therapeutic communication in the health care setting also will be clarified. Among many definitions, health care communication can be labeled as a method, which permits the health care provider and patient to articulate and provide data, opinions, and thoughts in an effort to build a mutual perceptive about a particular health concern. Moreover, in the health care setting, another definition of health communication consists of vital strategies to enlighten the public about health apprehensions and to maintain significant health issues on the public plan. The way one communicates affects everything in health care. Whether speaking to patients and family members, discussing in a group meetings, and so forth, communication is how one learns information, teaches...
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...nursing philosophy, impact and concepts of the Nursing Code of Ethics and how it applies to Nursing as a profession, the concept of patient centered care, use of technology in documentation, and the leadership aspects that are considered as a new graduate. Leadership aspects entail team leading, delegation, and role transition from graduate to RN. This is the point of view of the author and information given here will be both objective and subjective. Nursing Philosophy In a previous paper written, the reflection of this student’s own nursing philosophy seemed to coincide with that of Florence Nightingale as well as Dorothy Orem. Orem’s school of thought leans toward the nurse having a large hand in aiding a patient to achieve total self-sustainability. Dorothy Orem’s theory is actually three separate theories that work synergistically. These theories are the theory of self-care, theory of self-care deficit, and the theory of Nursing systems. This works well for a patient, when achieved, due to the self-care aspect. Someone whom is actively involved in their own progress displays an inherent will to do well by oneself. This promotes compliance which can be a large barrier in healthcare. Education is an extremely important aspect in all of nursing but even more so in this philosophy. Florence Nightingale paid close attention to the surroundings of the patient. By doing this she became the first...
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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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...that correlate with leadership skills. The situational theory, on the other hand, gives significance to the particular situation for a leader to be effective. Contemporary type of leadership seems to be the practice of modern kinds of leaders. The contemporary theory of leadership combines the leaders, his/her followers, and the situation at hand for leadership to be effective. Our group all agree that the Kaiser Permanente Ambulatory setting practices both the contemporary and trait theories of leadership. We have seen leaders and managers appointed to their positions based on their attribute from people they know and some appointed based on support from their team members. The nurse leaders especially are selected based on how involved they are with their teams, how they manage conflicts and their performance on fiscal responsibility. The nurse leaders are recognized as followers of the mission and vision of the organization, that is, providing quality and affordable care for members and the vision for the organization as a leader in healthcare in the country. Leadership Theory of Each Key Player in KP Ambulatory Care Nursing Practice The Department Administrator (DA), Provider/Physician (MD), Registered Nurse (RN), and the Licensed Vocational Nurse (LVN) are our key players in our leadership change proposal. Being the department head, the administrator has the ultimate responsibility for the operations of the clinic. The DAs are selected based on trait theory, that is,...
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...you are in charge iii. Situational-contingency theories 5. 6. These theories consider the challenge of a situation and encourage an adaptive leadership style to complement the issue being faced. Assess, assess, assess 7. You are typically democratic; you assess the situation and change your style based on what the situation is. iv. Transformational theories 8. 9. Inspires, motivates, empowers, mentors, provides intellectual stimulation and promotes creativity b. Motivational Theories v. Hierarchy of needs 10. 11. Low level needs will always drive behavior before higher levels needs can be addressed. For example, pain level, nutrition, and energy level need to be considered before delivering patient education. vi. Two-factor theory 12. 13. Must have good working conditions as well as recognition and achievement. High salary alone is not enough to create job satisfaction. vii. Expectancy theory 14. 15. Providing specific feedback about positive...
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