...weight is needed because many medication doses are based per Kilogram (Kg). This also gives a baseline to indicate weight gain/loss during therapy. The age of the client is of importance because of the effects age has on metabolism of drugs. If the older client can’t metabolize drugs effectively, the chance of drug toxicity is increased. The patient needs to be monitored and the medications titrated to therapeutic blood levels to ensure safety. Taking vital signs (V/S) before drug administration will give the nurse a baseline to guide therapy. It can also be an indicator of when medications should be held, or of possible adverse reactions to a drug. Knowing any cognitive barriers will help the nurse in making safe choices for the patient. The education of the patient may need to extend to family members or care takers. If the patient cannot identify adverse reactions, the teaching will have to be shared with whoever is around to identify these signs and symptoms. The life-long and numerous medications that accompany RA can be difficult to manage. Someone besides the client may need to administer medications. The nurse can explain the use of pill dispensers, setting alarms on telephones, or boldly marking a calendar for use in remembering doses. Due to the metabolism of these...
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...Nosocomial infections refers to infections acquired during hospitalization, with symptoms usually occurring within forty-eight hours after admission. The origin of nosocomial infections can be attributed to the following: - Bacterial flora already present in the patient; - Microorganisms from the environment through transmission from: carriers colonized at admission, admitted to wards without undergoing surveillance, isolation or eradication of the germ(s); patients who have developed the infection but who have not been isolated;contact with contaminated objects and surfaces; medical personnel, usually via their hands; invasive procedures such as the installation or maintenance of a device(1). The current probability of infection in health-care facilities is relatively high, and the risk of death is not negligible. Data from the National Institute of Health (NIH) indicates that 4 million such infections occur in America every year, causing around 37,000 deaths. According to a study carried out by the Global Patient Safety Challenge: Clean Care Is Safer Care, at any one time more than 1.4 million people in the world are suffering from nosocomial infections. In developed countries, there is an incidence of 5%–10% in the total number of inpatients. Hospital infections are also a major economic challenge for public health-care systems due to the impact they have upon health-care costs(2). For example, infection by MRSA (methicillin-resistant Staphylococcus aureus) prolongs...
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...not submissive to human mismanagement or fatigue. Mechanics used to automate process can produce an abundance of data in an everlasting feedback loop that can be used for performance enhancement and optimization. Due to the above mentioned reasons healthcare play an important role in Internet of things. Remote monitoring, smart sensors, activity trackers, wearable biometric sensors, medication dispensers, smart beds, glucose monitors are some of IoT’s modest beginning in the field of healthcare systems. The significance of IoT is healthcare is commendable. For eg a wearable device attached to a patient can tell him if his heart-rate is going haywire or has dwindled in taking care of himself. Prevention is a principal area of focus as health care outlays are bound to grow nuts in the future. One point that has to be kept in mind is security. Security once compromised can have very dangerous consequences. For eg the lack of EHR integration is a problem to address. Smart pills is one way IoT has impacted healthcare. The pills flux inside the stomach and route signals to the sensor worn on the...
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...Abstract An electronic bar code medication administration was a system developed and successfully implemented in a 118-bed Veterans Administration hospital in February 2000. Known as Barcode Medication Administration (BCMA), this software proved useful in generating fast and accurate medication administration as well as online patient medication records preservation. The application created by the Eastern Kansas Health Care System in association with Colmery-O’Neil VA Medical Center has been modified a number of times to meet the general requirements in all U.S. Veterans Health Administration medical centers. The implementation of Barcode Medication Administration software has enabled electronic bedside administration of medication of medications. Online Barcode technology is revolutionizing medication administration more aspects than originally thought, and is such a blessing to the business industry in terms of cost cutting. To be honest, the force driving the momentum in the adoption of the new systems has been majorly based on financial, rather than safety concerns. The fee for- service compensation systems has done exceedingly well in increasing revenue to hospitals resulting from additional technology-related charges levied on patients for each dose dispensed (Cohen, 2002). From the evidences adduced in this research, bar code technology seems to hold great promise for general improvements in medication safety and efficiency. Nevertheless, evidence so far is limited...
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...Brothers & the Largest Pill Mills in South Florida Abstract This paper examines the legality and ethics of the George brother’s pain medication clinics in South Florida. It explains the legality of the pain medication supply that is available for consumers that medically need it and how its source can also be an easy access to addicts. Although it is considered legal, is it ethical? In this paper we study different theories in ethics, including Kantian and Utilitarian ethical models. These models provide clear analyses that guide us in deciding if pain medication distribution from pain clinics is ethical. Finally, we review and conclude if the George brother’s pain medication clinics were acting socially responsible within their communities. Given the rise of pain medication abuse and illegal reselling, pain clinics in South Florida should adhere to strict rules to provide services to those that need it and not turn their businesses into pill mills. Introduction Purposes of Paper The intent of this paper is to provide a detailed and analytical examination of the George brother’s pain medication clinics. Throughout this paper all approaches will be examined such as the legality and ethics of the case, and how social responsibility plays a role. In the past few years in South Florida, there has been a rise of pain medication addiction and the reselling of these narcotics. Pain medication clinics have done more harm than good to our communities especially ones...
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...ancient physicians healing process, but they did occasionally set a broken bone, stitch up an open wound while using opium as a pain killer. Today in the early 21st century hospitals are much different. Hospitals can cover the full spectrum of health care from major surgery to minor injuries acquired in emergency situations. Physicians are highly trained and most of them specialize in some area of medicine that uses hi-tech equipment to help them. Nurses no longer just take vital signs and tell the patient that the doctor will be with you in a few minutes even though they know it will be more like a few hours. Nurses provide a number of preventive and primary health services, take care of minor injuries and illnesses, and prescribe medication. Hospitals have same day surgery where patients arrive in the morning have surgery and are back in their own home by night-fall. Basically hospitals are one or more large buildings where sick or injured people can receive medical or surgical care and most of the time as an inpatient. Everyone takes risk every day of his or her life and the chance of a negative impact is increased by the number of unintelligent choices they make. Risk can be defined as the uncertainty of results derived from a choice or objective. Quality can have many definitions, such as the condition of an object or situation, and it can be measured by its ability to satisfy a need. In hospitals risk is associated with potential errors that can cause a patient...
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...A STUDY OF PREGNANT WOMEN AND HEALTH WORKERS KNOWLEDGE ON MALARIA PREVENTION AND TREATMENT GUIDELINES DURING PREGNANCY Ritah Francis Mutagonda, B. Pharm. Master of Science by Research in Pharmacology and Therapeutics Thesis Muhimbili University of Health and Allied Sciences October 2012 i A STUDY OF PREGNANT WOMEN AND HEALTH WORKERS KNOWLEDGE ON MALARIA PREVENTION AND TREATMENT GUIDELINES DURING PREGNANCY By Ritah Francis Mutagonda, B. Pharm. A thesis submitted in fulfillment of the requirements for the Degree of Master of Science by Research in Pharmacology and Therapeutics of Muhimbili University of Health and Allied Sciences. Muhimbili University of Health and Allied Sciences October 2012 ii CERTIFICATION The undersigned certify that they have read and hereby recommend for acceptance by Muhimbili University of Health and Allied Sciences a thesis entitled “A study of pregnant women and health workers knowledge on malaria prevention and treatment guidelines during pregnancy” in fulfillment of the requirements for the degree of Master of Science by Research in Pharmacology and Therapeutics of Muhimbili University of Health and Allied Sciences. ……………………………………………………………………………………………… Professor Appolinary A.R. Kamuhabwa Supervisor Date: …………………………………………. ……………………………………………………………………………………………… Professor Siriel Massawe Co – supervisor Date: ………………………………………… iii DECLARATION AND COPYRIGHT I, Ritah Francis Mutagonda, hereby solemnly declared that...
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...WHO Guidelines on Hand Hygiene in Health Care: a Summary First Global Patient Safety Challenge Clean Care is Safer Care a WHO Guidelines on Hand Hygiene in Health Care: a Summary © World Health Organization 2009 WHO/IER/PSP/2009.07 All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: permissions@who.int). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable...
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...Holy Cross of Davao College Sta. Ana Avenue, Davao City A Feasibility Study of Putting up an Herb Sago Manufacturing At Obrero St. Davao City A Research Paper Presented to the Faculty of Business Administration In Partial Fulfillment of the Requirement in FM-E4/MM-E4 Submitted By: Calzada, Liza D. Cutab, Jean L. Guinita, Marjea G. Masillones, Maita Lou L. Mayon, Roselie Ann B. Olea, Charlemagne C. October 2013 TABLE OF CONTENT * Acknowledgement * Executive Summary * Project Background * Company Description * Distinctive Skills * Uniqueness * Protection * Management and Personnel Feasibility * Personnel * Organizational Chart * Salary and Benefits * Pro-Forma Contract * Management Proposal * Theory Y * Facilities * Manpower * Services * Seminar * General Company Policies * Systems and Forms Design * SSS form R-1 * Request Form to Leave * Leave Application Form * PhilHealth CF1 Form * NBI Application for Employment Form * Members Data Form (MDF) * Marketing Feasibility Summary * Marketing Description * Demand * Demand Figure Data * Projected Demand Figures * Supply * Supply Figure Data * Projected Supply Figure * Demand and Supply Analysis * Demand and Supply Figure * General Marketing Practices ...
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...1948. PEDIATRICS is owned, published, and trademarked by the American Academy of Pediatrics, 141 Northwest Point Boulevard, Elk Grove Village, Illinois, 60007. Copyright © 2004 by the American Academy of Pediatrics. All rights reserved. Print ISSN: 0031-4005. Online ISSN: 1098-4275. Downloaded from pediatrics.aappublications.org at University of Southern Queensland Library on August 5, 2014 Hand Hygiene Practices in a Neonatal Intensive Care Unit: A Multimodal Intervention and Impact on Nosocomial Infection Barbara C.C. Lam, MBBS, FRCP(Edin, Lond.), FRCPCH(UK), FHKCPaed; Josephine Lee, RN, MSN; and Y.L. Lau, MD (Hons), FRCP(Edin, Glasg. Lond.) FRCPCH(UK) ABSTRACT. Objective. Health care–associated infections persist as a major problem in most neonatal intensive care units. Hand hygiene has been singled out as the most important measure in preventing hospital-acquired infection. However, hand hygiene compliance among health care workers (HCWs) remains low. The objective of this study was to assess the frequency and nature of patient contacts in neonatal intensive care units and observe the compliance and technique of hand hygiene among HCWs before and after the implementation of a multimodal intervention program. Methods. The nature and frequency of patient contacts, the hand...
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...Note: The underlined text has been personalized by the author of the module. Feel free to delete or modify the text if you would like to insert your own stories. Slide 1: Title Slide Thank you for joining us for Module 1: Introduction to Community-Oriented Primary Care (COPC). My name is Winston Liaw, and I am an Assistant Professor in Family Medicine at Virginia Commonwealth University and teach at the Fairfax Family Medicine Residency Program. Slide 2: Disclosures for Continuing Medical Education (CME) (No accompanying text) Slide 3: Agenda In this module, we will be reviewing the definitions that pertain to COPC, COPC’s history, the benefits of engaging in COPC, the steps involved in COPC, the barriers in implementing COPC, and the reasons why you should involve learners in this process. Slide 4: Objectives By the end of the module, I hope that you will be able to define COPC, list 3 seminal figures in the history of COPC, state the steps involved in COPC, list the potential members of a COPC team, state the barriers to initiating COPC activities, and provide an example of a COPC activity. Slide 5: Maezie This is my daughter Maezie. We have loved getting to know her. But with my wife and I working full time jobs and not having family in the area, we have had to rely on relatives in our extended families, friends, neighbors, and the occasional stranger and have been constantly reminded that it really takes a village to raise a child. Slide 6: Marriage of...
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...LEAN HOSPITALS “Mark Graban’s book has documented what is now happening in hospitals all across America as we learn to apply the Toyota Production System methodology to healthcare. This book lays out the nuts and bolts of the lean methodology and also describes the more difficult challenges, which have to do with managing change. Graban’s book is full of wins—these are the same type of wins that are happening at ThedaCare every day. I wish I could have read this book six years ago, as it might have prevented some of the mistakes we made in our lean transformation journey.” — John S. Toussaint, MD, President/CEO ThedaCare Center for Healthcare Value “Coupled with a foundation of alignment and accountability, the ideas in this book provide a powerful tool to help hospitals get closer to the goal we want – perfect care.” — Quint Studer, CEO, The Studer Group, author of Results that Last “Mark Graban is the consummate translator of the vernacular of the Toyota Production System into the everyday parlance of healthcare. With each concept and its application, the reader is challenged to consider what is truly possible in the delivery of healthcare if standardized systems borrowed from reliable industries were implemented. Graban provides those trade secrets in an understandable and transparent fashion.” — Richard P. Shannon, MD, Frank Wister Thomas Professor of Medicine, Chairman, Department of Medicine, University of Pennsylvania School of Medicine “There is an...
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...Copyediting & Proofreading FOR DUMmIES by Suzanne Gilad ‰ Copyediting & Proofreading For Dummies® Published by Wiley Publishing, Inc. 111 River St. Hoboken, NJ 07030-5774 www.wiley.com Copyright © 2007 by Wiley Publishing, Inc., Indianapolis, Indiana Published by Wiley Publishing, Inc., Indianapolis, Indiana Published simultaneously in Canada No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Sections 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400, fax 978-646-8600. Requests to the Publisher for permission should be addressed to the Legal Department, Wiley Publishing, Inc., 10475 Crosspoint Blvd., Indianapolis, IN 46256, 317-572-3447, fax 317-572-4355, or online at http://www.wiley.com/go/permissions. Trademarks: Wiley, the Wiley Publishing logo, For Dummies, the Dummies Man logo, A Reference for the Rest of Us!, The Dummies Way, Dummies Daily, The Fun and Easy Way, Dummies.com, and related trade dress are trademarks or registered trademarks of John Wiley & Sons, Inc., and/or its affiliates in the United States and other countries, and may not be used without written permission. All...
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...Athens Information Technology Master in Management of Business, Innovation & Technology (MBIT) Management Information Systems E-Health in Greece compared to EU/US and the impact of Big Data in healthcare Prepared by: Athina Klaoudatou Christos Panagiotou Abstract The aim of this report is to describe the eHealth market. The focus is the Greek business landscape, current trends in the market, industry growth, drivers, and restraints, the technologies and the players in various aspects of the field. Data are presented about the evolution of the market and there are descriptions of what Greek companies offer. Moreover implementation measures are presented, along with progress achieved with respect to national and regional eHealth solutions in EU and EEA Member States. Table of Contents 1. The National Health System 1 1.1. Organizational structure 1 1.2. Some facts & figures 1 2. What is eHealth, definitions, areas of application, benefits 5 2.1. What is eHealth 5 2.2. Forms of eHealth 5 2.3. Benefits of eHealth 6 3. eHealth framework in European Union countries 7 3.1. eHealth Action Plan 2012 - 2020 7 3.2. eHealth in the European Countries 8 4. Application of eHealth practices 10 4.1. Electronic Health records (EHR) 10 4.1.1. Examples of current EHR use 10 4.1.2. Electronic Health Record in Greece 12 4.1.3. Summing up 14 4.2. Interoperability 15 4.2.1. Defining Interoperability in Healthcare Systems 15 4.2...
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...Business Continuity Plan Under Development (May 2006) California State University, Stanislaus CALIFORNIA STATE UNIVERSITY, STANISLAUS BUSINESS CONTINUITY PLAN May 2006 Table of Contents INTRODUCTION I. II. III. IV. V. Incident Command System Business Impact Analysis Risk Assessment Business Plan for Localized Business Disruption Business Plan for Pandemics Page 3 Pages 4-7 Pages 8-11 Pages 12-13 Pages 14-15 Pages 16-17 Pages 18-19 Pages 20-36 Appendix IV-A: Power Outage Business Continuity Plan Appendix V-A: Pandemic Flu Business Continuity Plan 2 Final CP 5-30-06 CALIFORNIA STATE UNIVERSITY, STANISLAUS BUSINESS CONTINUITY PLAN May 2006 INTRODUCTION A Business Continuity Plan (BCP) is developed by an institution to plan for and describe how it will respond to and recover from disruptions. These disruptions can be localized threats (e.g., earthquakes, fires, floods, bombs, etc.) or global threats (e.g., Flu Pandemic). As part of the overall Emergency Operations Plan, California State University, Stanislaus has developed, and continues to refine and enhance, a Business Continuity Plan (BCP) for the University. This plan is about maintaining, resuming, and recovering the University’s activities as an educational institution. It considers human factors along with operational issues. The BCP was developed by a team of the University’s senior administrators and department managers representing all University divisions: Business & Finance, Academic Affairs...
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