...The Impact of Shift Work on Nurses The Impact of Shift Work on Nurses The purpose of this paper is to discuss nursing shift work and its impact on nursing staff health and family life. The position of the International Council of Nurses is quoted below. It is their position that shift work is detrimental. Position Statement: “The International Council of Nurses (ICN) recognizes that many nursing services must be accessible on a twenty-four basis, making shift work a necessity. At the same time ICN is very concerned that shift work may have a negative impact on an individual’s health, ability to function, immediate support group and the continuity of care, thus affecting the services provided” (ICN, 2007). The impact of shift work on nurses affects productivity at work. Nursing leaders should also encourage work place cultures that respect nurses’ days off and vacation time, promote nurses’ prompt departure and allow nurses to refuse to work overtime without retribution. Traditional eight hour shifts are becoming a thing of the past, twelve hours days and night shift are the norm providing flexibility and a balance family life. Because of unforeseen circumstances such as nurses calling out, change in patients’ condition, short staff on the schedule which was posted two weeks ago, hence the reason twelve hour shift becomes an unplanned longer shift. According to the article in the Journal of Nursing Law, “Compounding the situation nurses work long shifts and often have...
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...------------------------------------------------- Medical Malpractice in Nursing Homes By: Molly Hix Medical malpractice occurs on a daily basis to innocent patients. Today, malpractice continues to increase in nursing homes due to the shortage of qualified staff. Malpractice is when a hospital or any type of healthcare happens through neglect to a patient. Neglect might occur when the diagnosis is wrong, treatment or even aftercare. The number of malpractice cases is on the rise in nursing homes due to the lack of employee to patient ratio leaving patients to suffer and employees on the verge of lawsuits. Back in 1986 a report by the Institute of Medicine was released stating that residents were receiving negligent care. They were likely being physically or mentally abused as well as having all their rights ignored by the caregivers. In 1987 Congress decided to pass a legislation to establish rules and standards for nursing homes. Even though the legislation was passed the nursing homes along with the caregivers were still violating these rules. This regulation was established to make sure patients were receiving the correct care in a professional manner. This meant that the caregivers were required to actively use the available resources to get the proper training to further the patients’ lives and well-being. Fast forward to year 1999, the U.S General Accounting office found a lack of treatment in nearly one- third of all nursing homes. Stated in this report they...
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...CAREER PLAN Brandy's Personal Career Development Plan I. Personal Goals a. Long Term Goals i. My long term goal is to obtain my Master of Science degree in Nursing. This goal will be accomplished by January 1, 2015. ii. My long term goal is to obtain a position at a hospital as Nurse Practitioner. This goal will be accomplished by June 1, 2016. b. Short Term Goals i. My short term goal is to obtain my Bachelor of Science degree in Nursing at Jacksonville University. This goal will be accomplished by October 15 2014. ii. My short term goal is to finish 20 credits of study by March 31, 2013. II. Mentor: Melissa Iglesias, NP Melissa Iglesias works under an internal medicine physician at Kendall Regional Medical Center. III. Title/Name of chosen role: Family Practice Nurse Practitioner I have created my personal career development plan to reflect my educational goals. I would like to obtain my Masters of Science degree in Nursing so that I may assume a role of Nurse Practitioner. This will be accomplished by staying committed to my education and accomplishing the above mentioned goals. a. Degree Level Master's of Science in Nursing or Doctorate in Nursing b. Role Responsibilities i. Obtains detailed medical histories and performs complete physical examinations ii. Provides diagnoses and recommended treatment plan ...
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...CASE 1 Incidental Finding Janet Lewis was a registered nurse at Hillside Community Hospital. She had been working numerous extra shifts to cover hours from vacant positions. On top of that, she was a single mother of a child with developmental disabilities, which frequently left her exhausted. Janet had no family to assist her, and she was new in town. Her work schedule did not allow time for socializing, so she had not yet established any close friends to help in times of need. Saturday afternoon, Janet was looking forward to going home after working 72 hours that week; she had just three more hours until she could go to bed. Next thing she knew, two of the second shift nurses called sick, and Janet agreed to cover for one of them. The shift was relatively quiet and uneventful until one of Janet's patients was found unresponsive in his room: a code blue at the end of her shift. Janet normally reacted very well in these situations, but she was barely coherent from lack of sleep. The patient had developed severe bradycardia. The physician attending the call requested atropine. Janet was having trouble focusing, so she asked the physician to clarify; again, atropine was requested. She grabbed a vial from the crash cart, inadvertently reading the label from the vial next to the one she grabbed: lidocaine. She drew up the ordered amount and handed it off to the doctor. The patient's condition worsened. The physician demanded more atropine. Janet was still holding the lidocaine...
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...Canyon University NRS-451V September 28,2014 Executive Summary Patient education is crucial to improve quality of patient care, increase healthy behaviors and improve health status. Nursing and patient interaction plays a very important role, and part of a nurses’ job is to educate the patient (Ferguson et al., 2013). Educational programs such as nursing groups would be of great benefit to implement at Aurora Behavioral Health facility. The following content will provide the purpose, target audience, benefits and more details on why implementing this programming will benefit this facility and improve quality of care. Purpose of Programming The main purpose of this programming is to improve patient health and slow down disease deterioration. This also gives the patients a chance to express some of their worries or concerns regarding the treatment or medication they are getting. This type of population already has a challenging time understanding their own condition and or state of mind, not all of them but most of them since they are mentally challenges due to their psychotic disorder. This programming also serves the purpose of nurses developing a therapeutic relationship with their patients, often times nurses will be able to pick up if there is a change in behavior, which can become a very important hint when related to a patient that is severely depressed. Overall increased customer satisfaction is the end goal. Target Audience The target audiences are psychotic...
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...licenses. Complaints against any licensed professional can be made to the License Board by anyone including a patient, a client or customer, an employee, an independent contractor, a partner or spouse or anyone who believes they have been negatively affected by your actions. These complaints are often based on allegations of negligence, malpractice, fraud, sub standard service or care, mistreatment or abuse and/or incompetence. Allegations may also be related to criminal charges such as drug or alcohol abuse, theft, fraud, violence or sexual assault. While the South Carolina Department of Labor, License and...
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...The journey of becoming a Nurse Practitioner Imagine a world where healthcare is not just a service, but a deep personal journey guided by empathy and expertise. Let’s explore a journey that goes beyond boundaries, shaping a tomorrow where healthcare is not just practiced, but is truly felt. In the complex realm of healthcare, Nurse Practitioners appear as the anchor, playing a crucial role that expands beyond the limits of traditional medical practice. As we navigate the strong passage of this profession, an intense and life-changing journey unfolds. A journey marked by continuous professional growth, a quantity of diverse opportunities, and a deep sense of purpose within the ever evolving landscape of healthcare. Choosing the path to become...
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...Health Law Assignment One Due Date: 4 September 2013 Legitimate health care practice in New Zealand (NZ) is without exception multifaceted, complex and challenging for both registered and non-registered health providers. This is in part because, despite common misconceptions, the interpretation and application of both legislation and judge made law is not absolutely objective or even static within our legal system, and because health law incorporates civil and criminal law (among other specialities). The Code of Health and Disability Services Consumers' Rights 1996 (the Code) is legislation central to our legal health practice in terms of complaint resolution and quality control; in addition the Crimes Act 1961 has become more relevant since 2012. This essay sets out to critically analyse a case (10HDC01344), (see appendix one) in which the Code was deemed to have been breached, and in which the Crimes Act 1961 is relevant. This includes a critical analysis of possible wider legal implications, with a specific application to military paramedic practice. The Health and Disability Commissioner Act 1994 (the Act) was born as a result of an enquiry into unethical research practices within the National Woman’s Hospital. Arguably even without this incident such legislation was necessary for progress in the ‘no fault’ environment of the accident compensation scheme of the time (Godbold & McCallin, 2005; Dew & Roorda, 2001). The Act legislated for a change from trust...
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...godThe House of God Study Guide The House of God by Samuel Shem (c)2014 BookRags, Inc. All rights reserved. Contents The House of God Study Guide 1 Contents 2 Plot Summary 4 Chapter 1 6 Chapter 2 7 Chapter 3 8 Chapter 4 9 Chapter 5 10 Chapter 6 11 Chapter 7 12 Chapter 8 13 Chapter 9 14 Chapter 10 15 Chspter 11 16 Chapter 12 17 Chapter 13 18 Chapter 14 19 Chapter 15 20 Chapter 16 21 Chapter 17 22 Chapter 18 23 Chapter 19 24 Chapter 20 25 Chapter 21 26 Chapter 22 27 Chapter 23 28 Chapter 24 29 Chapter 25 30 Chapter 26 31 Characters 32 Objects/Places 35 Themes 37 Style 39 Quotes 41 Topics for Discussion 43 Plot Summary Roy G. Basch is a new intern in internal medicine at a hospital called the House of God. He begins his internship under the tutelage of the Fat Man, a second year resident who has some crazy ideas as to how to take care of patients. According to the Fat Man, there are two types of patients: the dying young and gomers. Gomers are elderly, demented patients from outside nursing homes who barely qualify as being human and who, the Fat Man says, never die. Only the young are sick enough to die at the House of God. Roy starts his internship fairly scared. He meets his fellow interns, Potts, Hyper Hooper, Chuck, Eat My Dust Eddy and the Runt—all scared and new to internship and patient care. Roy gets assigned duty with Chuck and Potts under the Fat Man on an internal medicine ward. Each takes turns...
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...and maintain federal and state health-care legislation and regulations ɀ Comply with established risk management and safety procedures ɀ Recognize professional credentialing criteria CHAPTER OUTLINE ɀ ɀ ɀ ɀ Medical Law and Ethics OSHA Regulations Quality Control and Assurance Code of Ethics ɀ HIPAA ɀ Confidentiality Issues and Mandatory Disclosure OBJECTIVES After completing Chapter 3, you will be able to: 3.1 Define ethics, bioethics, and law. 3.2 Discuss the measures a medical practice must take to avoid malpractice claims. 3.3 Describe OSHA requirements for a medical office. KEY TERMS abandonment agent arbitration assault authorization battery bioethics breach of contract civil law contract crime criminal law defamation disclosure durable power of attorney electronic transaction record ethics expressed contract felony fraud implied contract law law of agency liable living will malpractice claim misdemeanor moral values negligence Notice of Privacy Practices (NPP) Privacy Rule protected health information (PHI) Security Rule subpoena tort treatment, payments, and operations (TPO) uniform donor card use void 37 ram4577X_ch03.qxd 4/16/04 11:50 Page 38 OBJECTIVES (Continued) 3.4...
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...needs of individuals and populations. The health care industry is one of the world's largest and fastest-growing industries. Consuming over 10 percent of gross domestic product (GDP) of most developed nations, health care can form an enormous part of a country's economy. For purpose of finance and management, the health care industry is typically divided into several areas. As a basic framework for defining the sector, the United Nations International Standard Industrial Classification (ISIC) categorizes the health care industry as generally consisting of: 1. Hospital activities 2. Medical and dental practice activities 3. "Other human health activities". This third class involves activities of, or under the supervision of, nurses, midwives, physiotherapists, scientific or diagnostic laboratories, pathology clinics, residential health facilities, or other allied health professions, e.g. in the field of optometry, hydrotherapy, medical massage, yoga therapy, music therapy, occupational therapy, speech therapy, chiropody, homeopathy, chiropractic, acupuncture, etc. The Global Industry Classification Standard and the Industry Classification Benchmark further distinguish the industry as two main groups: 1. Health care equipment and services, and...
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...the publisher. No patent liability is assumed with respect to the use of the information contained herein. Although every precaution has been taken in the preparation of this book, the publisher and author assume no responsibility for errors or omissions. Nor is any liability assumed for damages resulting from the use of the information contained herein. ISBN-13:978-0-7897-2706-9 ISBN-10: 0-7897-3706-x Library of Congress Cataloging-in-Publication Data Rinehart, Wilda. NCLEX-PN exam cram / Wilda Rinehart, Diann Sloan, Clara Hurd. -- 2nd ed. p. cm. ISBN 978-0-7897-3706-9 (pbk. w/cd) 1. Practical nursing--Examinations, questions, etc. 2. Nursing--Examinations, questions, etc. 3. National Council Licensure Examination for Practical/Vocational Nurses--Study guides. I. Sloan, Diann. II. Hurd, Clara. III. Title. RT62.R55 2008 610.73'076--dc22 2008000133 Printed in the United States of America First Printing: February 2008 Trademarks All terms mentioned in this book that are known to be trademarks or service marks have been appropriately capitalized. Pearson Education cannot attest to the accuracy of this information. Use of a term in this book should not be regarded as affecting the validity of any trademark or service mark. Warning and Disclaimer Every effort has been made to make this book as complete and as accurate as possible, but no warranty or fitness is implied. The information provided is on an “as is” basis. The...
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...Organization Studies http://oss.sagepub.com ‘Subterranean Worksick Blues’: Humour as Subversion in Two Call Centres Phil Taylor and Peter Bain Organization Studies 2003; 24; 1487 DOI: 10.1177/0170840603249008 The online version of this article can be found at: http://oss.sagepub.com/cgi/content/abstract/24/9/1487 Published by: http://www.sagepublications.com On behalf of: European Group for Organizational Studies Additional services and information for Organization Studies can be found at: Email Alerts: http://oss.sagepub.com/cgi/alerts Subscriptions: http://oss.sagepub.com/subscriptions Reprints: http://www.sagepub.com/journalsReprints.nav Permissions: http://www.sagepub.co.uk/journalsPermissions.nav Citations http://oss.sagepub.com/cgi/content/refs/24/9/1487 Downloaded from http://oss.sagepub.com at SAGE Publications on July 31, 2009 1487 Authors name ‘Subterranean Worksick Blues’: Humour as Subversion in Two Call Centres Phil Taylor and Peter Bain Abstract Phil Taylor University of Stirling, UK Peter Bain University of Strathclyde, UK This article engages in debates stimulated by previous work published in Organization Studies, and more widely, on the purpose and effects of workers’ humour and joking practices. The authors emphasize the subversive character of humour in the workplace, rejecting perspectives which see humour as inevitably contributing to organizational harmony. Drawing on methodologies, including ethnography, which permitted...
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...THE POWER OF HABIT Duhi_9781400069286_2p_all_r1.j.indd i 10/17/11 12:01 PM Duhi_9781400069286_2p_all_r1.j.indd ii 10/17/11 12:01 PM HABIT W h y We D o W h a t We D o and How to Change It THE POWER OF CHARLES DUHIGG Random House e N e w Yo r k Duhi_9781400069286_2p_all_r1.j.indd iii 10/17/11 12:01 PM This is a work of nonfiction. Nonetheless, some names and personal characteristics of individuals or events have been changed in order to disguise identities. Any resulting resemblance to persons living or dead is entirely coincidental and unintentional. Copyright © 2012 by Charles Duhigg All rights reserved. Published in the United States by Random House, an imprint of The Random House Publishing Group, a division of Random House, Inc., New York. RANDOM HOUSE and colophon are registered trademarks of Random House, Inc. ISBN 978-1-4000-6928-6 eBook ISBN 978-0-679-60385-6 Printed in the United States of America on acid-free paper Illustrations by Anton Ioukhnovets www.atrandom.com 2 4 6 8 9 7 5 3 1 First Edition Book design by Liz Cosgrove Duhi_9781400069286_2p_all_r1.j.indd iv 10/17/11 12:01 PM To Oliver, John Harry, John and Doris, and, everlastingly, to Liz Duhi_9781400069286_2p_all_r1.j.indd v 10/17/11 12:01 PM Duhi_9781400069286_2p_all_r1.j.indd vi 10/17/11 12:01 PM CONTENTS PROLOGUE The Habit Cure GGG xi PA R T O N E The Habits of Individuals 1. THE HABIT LOOP How Habits Work 3 31 60 2. THE...
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...Needs Assessment for Quality In order for a hospital to survive the competition in today’s healthcare world, a hospital must be aware of opportunities to grow and reduce costs and be supported by Total Quality Management Process. The TQM process helps the hospital to create new products, ensure the standards of quality and client satisfaction and deliver improved services. In addition, the TQM process also helps in improving a company's bottom line profits by increasing operating efficiencies, eliminating waste, and creating working conditions conductive to productivity and company growth. The employees must work in healthy environments, which maximizes their efficiencies and enables them to perform at their best levels. In both the short-term and long-term, the quality improvement process pushes the company from different angles to achieve strategic goals and plans. One of the important processes of patient care is proper medical documentation and updated medical records. Description of chosen process Accurate and complete medical documentation is the responsibility of medical transcriptionists. However, the challenges to medical transcriptionists and the medical transcription industry are complex and varied. Pressures associated with cost, demand, workforce limitations, technological development, globalization, policy and awareness issues come together to create a picture that changes depending on one’s perspective and point of view. Trying to assemble these factors...
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