...Today was the orientation of the pediatric rotation of clinical. My clinical group and I were introduced to our instructor Dawn Witty. Upon arrival we introduced ourselves, as she shared her background with us also. Shortly after, our instructor provided us with the safety information of the hospital. This information was helpful to me because I had no idea what code silver was, because of this helpful information provided, I am know more knowledgeable about the hospitals protocol on safety. Our instructor also provided us with a tour of the floor and informed us on where to meet each week for our clinical rotation. Today I was provided with helpful information necessary for the completion for my clinical rotation, I was also informed on what is to be expected as a...
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...Introduction The purpose of the report is to gain new insight, first hand, by doing an interview with a health care manager who is currently working in the human resources field. Students were instructed to conduct an interview with someone of their choice, with a few stipulations. The human resource manager had to be currently working in the field of human resources, had to be in person and could not be someone at your current place of employment. This was an opportunity for students to reach out and network with someone that will give a different perspective for them. The interview was conducted at Greenwood Pediatrics with Gery Lee. The report goes into detail about Gery’s educational background, Gery’s managerial style, advice, and more. This is important because it really exemplifies real world application about what the Human Resource Management in Health Care course is all about. Background on Interviewee Gery Lee completed his undergrad degree at UNC Greeley in Sociology. He started off by working for nine years in medical billing management. He...
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...ALARA Concept for Performing Pediatric Head Computed Tomography With the advancement in Computed Tomography (CT) imaging technology and image acquisition is the importance of patient safety, particularly in pediatric imaging. CT has become one of the most popular diagnostic tools used in the clinical environment. In some facilities, CT scans constitute as much as 67% of the patient's annual exposures to ionizing radiation (Furlow, 2012). Physicians and technologists alike must be knowledgeable on how to perform the ALARA principle on their patients in order to deliver the least amount of radiation dose possible while achieving diagnostic quality images. Image Gently Campaign Image Gently and the Alliance for Radiation Safety in Pediatric Imaging has launched a campaign to increase the awareness of the importance of applying the ALARA principles when imaging pediatric patients with Computed Tomography. The Image Gently web site is a source of valuable information for parents of pediatric patients, physicians, technologists, and radiologists. The web site offers pediatric protocols as well as tracking mechanisms for parents of pediatric patients to keep track of their child's dose from clinical CT examinations. The web site offers educational resources for technologists through on-line presentations for continuing education in pediatric CT scanning describing techniques that technologists can employ to reduce dose to their pediatric patients. An example of one of...
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...Individual Strategic Communication Plan Power/Politics Communication OL610 (Paula DeMaio) Quinnipiac University Community Access Imaging Grant: A Progress Report for the Seedlings Foundation and Quinnipiac University December 19, 2015 Executive Summary: Renewal of Community Access Imaging Grant: A Progress Report for Quinnipiac University and the Seedlings Foundation Community Access Imaging (CAI) is a free clinic operating in conjunction with Quinnipiac University, the Seedlings Foundation and community health care partners. This clinic provides highly supervised, specialized diagnostic imaging exams to uninsured individuals of the surrounding communities. The clinic is currently funded for three years. Annual clinical progression reports discussed with benefactors, CAI staff and Quinnipiac administration will determine if renewal of funding will be provided for the continuation of the clinic. . Analytical Methods: To determine the clinics total patient volume since commencement, data was collected from the coactive system. This system provides economical storage and convenient access to images from multiple modalities and total exams performed (CoActiv Enterprise Image & Data Management, 2009). We were able to calculate the percent increase of patient volume. In assessing percent increase, we calculated the annual patient volume of years 2014 (330 patients) and 2015 (460 patients). We took the difference, 130 and divided by the original number of...
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...‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 4 RECOMMENDED TEXTS/RESOURCES ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 5 DIDACTIC EXPERIENCE ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 6 IMPORTANT LOCATIONS ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 7 OBSTETRICAL SERVICE: FLORIDA HOSPITAL AND WINNIE PALMER HOSPITAL ‐‐‐‐‐‐‐‐‐‐‐‐ 8 GYNECOLOGIC AND GYNECOLOGIC ONCOLOGY SERVICES: FLORIDA HOSPITAL AND WINNIE PALMER HOSPITAL ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 11 COMMUNITY WEEK AND SPECIALTY CLINICS‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐14 TIPS FOR A SUCCESSFUL OB/GYN ROTATION ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 15 LOGGING PATIENT ENCOUNTERS (THE PATIENT PASSPORT) ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 16 CLERKSHIP ATTENDANCE POLICY ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 19 CLERKSHIP OBJECTIVES ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 20 THE CASE PRESENTATION ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 22 ETHICS CASE WRITE‐UPGRADING POLICY ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 23 GRADING POLICY ‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐‐ 24 GRADING CRITERIA...
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...P. McFadden, MD, Vipul N. Nanavati, MD Corresponding Author: Francis G. O’Connor, MD Introduction A 10-year-old male was referred to the office after falling onto his left shoulder while playing football. At presentation, he denied any numbness, tingling or loss of sensation of his left upper extremity. Examination of his shoulder girdles revealed an internally rotated left shoulder and shortened clavicular distance. He did have a visible deformation of his left clavicle when compared to the contralateral, uninjured side and had excruciating pain to palpation of the clavicular and sternoclavicular area. The patient had full flexion and extension at the elbow. Shoulder deltoid was intact as were internal and external rotation of his shoulder. Furthermore, the patient denied being short of breath, feeling dizzy, or with difficulty swallowing. Radiographs of the left clavicle and sternoclavicular joint (SCJ) at the initial visit were remarkable for a posterior dislocation of the clavicle. A magnetic resonance imaging (MRI) study of the left clavicle and SCJ revealed that it was posteriorly displaced and edema was present at the fracture site. The physeal attachment to the manubrium was intact. Furthermore, the anterior portion of the clavicle was abutting the brachiocephalic and left subclavian vein (Figure 1). The patient was admitted and a closed reduction was attempted. Postoperatively, the patient developed paresthesia of the fingers of...
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...Hand Hygiene Practices in a Neonatal Intensive Care Unit: A Multimodal Intervention and Impact on Nosocomial Infection Barbara C.C. Lam, Josephine Lee and Y.L. Lau Pediatrics 2004;114;e565; originally published online October 18, 2004; DOI: 10.1542/peds.2004-1107 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://pediatrics.aappublications.org/content/114/5/e565.full.html PEDIATRICS is the official journal of the American Academy of Pediatrics. A monthly publication, it has been published continuously since 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...
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...Quality of Red Blood Cells Isolated from Umbilical Cord Blood Stored at Room Temperature Mariia Zhurova, 1 John Akabutu, 2 and Jason Acker 3 ,* Author information ► Article notes ► Copyright and License information ► ------------------------------------------------- Abstract Red blood cells (RBCs) from cord blood contain fetal hemoglobin that is predominant in newborns and, therefore, may be more appropriate for neonatal transfusions than currently transfused adult RBCs. Post-collection, cord blood can be stored at room temperature for several days before it is processed for stem cells isolation, with little known about how these conditions affect currently discarded RBCs. The present study examined the effect of the duration cord blood spent at room temperature and other cord blood characteristics on cord RBC quality. RBCs were tested immediately after their isolation from cord blood using a broad panel of quality assays. No significant decrease in cord RBC quality was observed during the first 65 hours of storage at room temperature. The ratio of cord blood to anticoagulant was associated with RBC quality and needs to be optimized in future. This knowledge will assist in future development of cord RBC transfusion product. Go to: ------------------------------------------------- 1. Introduction Fetal and neonatal anemias are among the most serious complications of pregnancy and postnatal development. The causes of fetal anemia include immune haemolytic disease [1],...
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...Image Quality Assurance Manual Atlantic Urology Revised 11/01/2013 1.0 Quality Assurance Program………………………………………………………………… 1.1 Introduction………………………………………………………………………………………….. 1.2 Quality Assurance Committee……………………………………………………………. 1.3 Technologist’s Role……………………………………………………………………………. 1.4 Radiologist’s Role……………………………………………………………………………….. 1.5 Medical Physicist’s Role…………………………………………………………………….. 2.0 Important Points……………………………………………………………………….. 2.1 Maintenance…………………………………………………………………………………. 2.2 Evaluation and Review…………………………………………………………….. 2.3 Training…………………………………………………………………………………….. 2.4 Quality Control Records………………………………………………………… 2.5 Alternative Phantoms………………………………………………………….. 2.6 Alternative Procedures…………………………………………………………………… 2.7 Occupational Dose……………………………………………………………………….. 2.8 Patient Dose………………………………………………………………………………. 2.9 Action Limits………………………………………………………………………………. 2.10 SMPTE Pattern…………………………………………………………………………. 2.11 Monitors Used for Interpretation………………………………………………. 3.0 Technologist’s QC Section…………………………………………………………… 1.0 QUALITY ASSURANCE PROGRAM 1.1 INTRODUCTION A well-designed, documented, and executed quality assurance program in a medical imaging department is essential to producing consistent, high-quality diagnostic images. This facility, Atlantic Urology, qualifies as a diagnostic imaging facility because it deploys a 32-slice Siemens computed tomography machine to evaluate...
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...RESUMES WHAT IS A RESUME? A resume is a custom designed, written summary of your background. It provides a thumbnail sketch of your education, experience, and qualifications to a prospective employer. An effective resume targets a specific type of position and relates your skills and experience to that position. WHO WRITES A RESUME? A resume is written by anyone seeking employment, both part-time and full-time. Although there are companies that provide resume-writing services, the most effective resumes are written by the job seeker--after all, who else knows you, your qualifications, and your experiences better--someone you just met, or you? WHAT IS THE PURPOSE OF A RESUME? A good resume (in combination with a cover letter) will provide you with an interview. The employer will select applicants on the basis of how well their skills match up with the job requirements. Sometimes, the difference between getting an interview and being placed in the “no” pile is a well put-together resume. GENERAL RESUME GUIDELINES: Length: • A one-page resume works for the recent graduate. If you have extensive work history, two pages are reasonable. Remember to limit pertinent to what is important to the current job objective. Appearance: • Developing a well organized, readable layout determines if it gets read! Direct the reader’s eyes to the format. • Avoid dense text appearance, which is difficult to read. • Use high-quality white or off-white paper--stay conservative...
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...PHYSICAL ASSESSMENT EXAMINATION STUDY GUIDE Nursing Assessment 1. Part of Nursing Process 2. Nurses use physical assessment skills to: a) Obtain baseline data and expand the data base from which subsequent phases of the nursing process can evolve b) To identify and manage a variety of patient problems (actual and potential) c) Evaluate the effectiveness of nursing care d) Enhance the nurse-patient relationship e) Make clinical judgments Gathering Data Subjective data - Said by the client (S) Objective data - Observed by the nurse (O) Document: SOAPIER Assessment Techniques: The order of techniques is as follows (Inspect – Palpation – Percussion - Auscultation) except for the abdomen which is Inspect – Auscultation – Percuss – Palpate. A. Inspection – critical observation *always first* 1. Take time to “observe” with eyes, ears, nose (all senses) 2. Use good lighting 3. Look at color, shape, symmetry, position 4. Observe for odors from skin, breath, wound 5. Develop and use nursing instincts 6. Inspection is done alone and in combination with other assessment techniques B. Palpation – light and deep touch 1. Back of hand (dorsal aspect) to assess skin temperature 2. Fingers to assess texture, moisture, areas of tenderness 3. Assess size, shape, and consistency of lesions and organs 4. Deep = 5-8 cm (2-3”) deep; Light = 1 cm deep C. Percussion – sounds produced by striking body surface 1. Produces different notes depending on underlying mass (dull...
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...[pic] ICAK-USA Research The Following is a Compilation of Applied Kinesiology Research Papers Published in the Collected Papers of the International College of Applied Kinesiology for the year 2005-2006 -- Edited by Scott Cuthbert, D.C. Functional Systems Approach to Central Nervous System Evaluation Richard Belli, D.C., D.A.C.N.B. ABSTRACT Objective: This study investigates the clinical utility of testing functional systems within the central nervous system, compared to testing individual motor nerves with manual muscle testing. Design: Private practice. Study Subjects: Patients were examined by the treating chiropractor from his existing patient pool. Methods: Chiropractic management was decided on by the treating chiropractor. A series of twelve tests were designed to discover disorders of functional systems within the CNS. The tests described were to evaluate the function of 12 systems: 1) spinal cord, 2) myelencephalon/reticular formation, 3) vagal system, 4) trigeminal motor system-muscles of mastication, 5) vestibulospinal system, and bulbo reticular area, 6) reticular formation, 7) diencephalons and gait locomotion system, 8) mesencephalon, 9) cardiac sympathetic autonomic system, 10) pyramidal system, 11) limbic system, 12) sensory system. Results: This chiropractic approach tests the nervous system after provocation of functional systems...
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...Running head: Muscle Repair after Injury Muscle Repair after Injury Dee Gooseby Exercise Science Lenoir-Rhyne University Date Submitted: December, 2013 Introduction One of the most common injuries in sports of both genders is the tearing of the Anterior Cruciate Ligament, ACL. Each year there are over 200,000 reported cases of a torn ACL (Kim & Smith, 2009). Out of the 200,000 reported cases, an ACL reconstruction was performed in 175,000 of them with the majority of the procedures ending successfully, but failure rates averaged from three percent to high as 10% - 25% (Bogunovic, 2013). An ACL injury usually occurs while doing a move you have performed over a 100 times (Kidzworld). In other cases, a torn ACL is normally caused by getting hit extremely hard on the side of your knee, overextending the knee joint or by quickly stopping and changing direction while running (Kim & Smith, 2009). The ACL is the ligament that connects the tibia to the femur, and when it becomes torn it usually swells and produces a sharp pain immediately. Since the ACL is a pivotal aspect to a person’s knee, it is very important for scientists and doctors to figure out a sufficient way to heal it. Normally when an ACL is diagnosed as torn, the first step of the healing process is to go through a couple weeks of rehab before surgery to help strengthen the quadriceps and hamstring muscle. The most common ACL procedure consists of taking a ligament from the patella tendon or the use...
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...2006 National Institute of Standards and Technology Technology Administration • Department of Commerce Baldrige National Quality Program Arroyo Fresco Community Health Center Case Study 2006 National Institute of Standards and Technology Technology Administration • Department of Commerce Baldrige National Quality Program Arroyo Fresco Community Health Center Case Study The Arroyo Fresco Community Health Center Case Study was prepared for use in the 2006 Malcolm Baldrige National Quality Award Examiner Preparation Course. The Arroyo Fresco Community Health Center Case Study describes a fictitious nonprofit organization in the health care sector. There is no connection between the fictitious Arroyo Fresco Community Health Center and any other organization, either named Arroyo Fresco Community Health Center or otherwise. Other organizations cited in the case study also are fictitious, except for several national and government organizations. Because the case study is developed to train Baldrige Examiners and others and to provide an example of the possible content of a Baldrige application, there are areas in the case study where Criteria requirements are not addressed. CONTENTS 2006 Eligibility Certification Form ………………………………………………………………… Organization Chart ………………………………………………………………………………… 2006 Application Form …………………………………………………………………………… Glossary of Terms and Abbreviations ……………………………………………………………… Preface: Organizational Profile P.1 P.2 Organizational Description...
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...Review of Literature A systematically oriented and driven presentation of relevant literature and research studies concerned with respect to phenomenon underling the present study, such presentation had included almost all issues related to care of fracture that treated with external and internal fixation. Part I: Historical Prospective of Beginning and use External and Internal Fixation. Part II: Traumatic Bone Injury: 2.2.1. Causes of Fracture. 2.2.2 Pathophysiology of Fracture. 2.3. Types of fractures. 2.4. Clinical Manifestations. 2.5. Diagnostic Tests. 2.6. Phase of Bone Healing. 2.7. Complications of Fracture. PartIII: Treatment and Management of Fracture by External and Internal fixation . 2.3.1.External Fixation Method....
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