working at a doctor’s office.

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Read Directions Thoroughly and use speaker notes.   Please remember you are informing your manager the advantages of using EHR to store patient  information

Imagine you are currently working at a doctor’s office. You are approached by the office manager who asks you to develop a more effective way of storing patient information.

Create a 10 to 15 slide presentation for your office manager informing him or her of the advantages of using electronic health records (EHRs) to store patient information. Be clear, concise and use examples to support your responses.

Include the following in your response:

  • An APA formatted title slide and reference slide
  • Discuss the functions and advantages of using EHRs.
  • Discuss three to four documents found in patient records.
  • What is the purpose of each form?
  • Discuss the workflow from check in to check out using an EHR system.

Cite a minimum of one outside resource such as a textbook or required reading article.

 

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diversity in healthcare

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search the article, “All of Us: Embracing Diversity in Healthcare.”

Based on your research, summarize your thoughts and provide answers or comments to the following questions:

  • Discuss diversity in healthcare with examples and support from your research.
  • Summarize any cited special characteristics and problems in the workplace regarding diversity.

Read The Cultural Integration and Workforce Diversity Scenario and answer the following questions:

  • As you begin to develop your plan of action, what important  considerations will you address to improve the communication and  collaborative effort among the group?
  • What perceived or real barriers do you anticipate based on the wide  diversity of the staff and patients? For example, do seasoned and newly  graduated staff members develop team cohesiveness immediately? How can  language barriers between the team impede proper communication across  department lines?
  • What potential conflicts can arise when you do not understand or accept cultural, gender, ethnic, or age diversity?
  • Develop four important steps for how you will implement your plan to  improve communication and acceptance of various cultures and diverse  workers for each of the perceived or real barriers for staff and  patients.
 

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policy making process

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 elect a policy that was created to address a public health problem. Then, using the readings for the week, the South University Online Library, and the Internet, respond to the following:

  • Describe the phases involved in the policy making process
  • Describe how you would apply the policy making process to a current public health policy issue.
  • Summarize the policy-analysis process, explaining its purpose and the benefits and disadvantages.
  • Differentiate the tasks in the policy making process from the tasks in the policy-analysis proces
 

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continuity of care after discharge.

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One of the greatest ways to improve patient’s outcomes is to establish continuity of care after discharge. With shorter hospitals stays it is crucial that patients are not left alone and have professional supervision and health maintenance in outpatient and home settings. It seems to be a huge problem when patients get discharged from the hospital and do not get follow up care. Social workers and case managers solely responsibility is to ensure that patient’s have a smooth transition from acute hospital care to home based healthcare. Many hospitals and nursing homes collaborate with home care agencies and make sure that patients receive all necessary nursing care, physical and occupational therapy and assistance with ADLs if needed. That approach ensures that patient’s outcomes will only improve and reduce hospital admission and re-admission rates. According to the article, “ the 2010 Affordable Care Act launched in the United States included financial incentives for providers to continue making a positive contribution to patient outcomes beyond the day of discharge. For instance, Medicare reduces provider compensation if patients are readmitted within 30 days of discharge.” ( Health Management , 2017) It has been evident that socioeconomic factors, such as low-income, poor education, public housing increase the rates of hospital re-admission rates. Patients who live in those environments require more supervision and support in order to increase their positive health outcomes. Community health nurses, social workers are responsible to ensure that people who have these disadvantages receive quality healthcare, support and education to ensure that all their health needs are met.

Comment 2( Answer the teacher for my post, now I need to answer to him)

I agree that nurse staffing has been an issue. I recommend that you do some research regarding the California staffing levels and the outcomes of implementing that system. You may find that there is not a lot of information on the subject. Have you ever wondered why all stated did create mandatory staffing ratios? Food for thought. Thanks for your post

 

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BBF exposures

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A problem in nursing that still needs to studied is the prevention of blood and body fluid (BBF) exposures. An article in American Nurse Today by (Mitchell & Parker, 2015) reveals that 49% of all BBF exposures happen to nurses with 48.6% of these occurring at bedside or in the patient’s room. The ICU and ED were second and third. The BBF accounted for did not just come from the patient but also IV leaking tubing/bags, feeding and ventilator tubing breaking or spilling, indwelling catheters, wound irrigations and even broken gloves. The most prevalent exposure was urine at 90.2%. Blood 67.9%, other fluids 18.6% and sputum 12.4% followed respectively. The eyes had the highest exposure at 62.4% followed by intact skin at 39.9% and non-intact skin at 13.5%. So, with all these statistics, with high numbers, I find it very alarming that BBF prevention is still not getting much attention. Sure, accidents happen but the least the hospitals can do is implement the use of better quality gloves and eye shields and masks should be stocked in all rooms and not just the contact carts. Perhaps better medical devices that are resistant to penetration would suffice as well.

If I am wrong, please share your thoughts. Although I know there may be hospitals that are already implementing better BBP prevention methods.

Comment2.

Nursing research is used to study both dilemmas and problems. A dilemma that is frequently seen is staff to patient ratios that are not equal to work load and that can turn a nurses response to be overworked leading to compassion fatigue. Nurses may experience compassion fatigue, which is the combination of burnout, psychological and physiological responses to prolonged chronic emotional and interpersonal stressors and secondary traumatic stress (STS), which is health care workers’ responses to vicarious exposure to trauma arising from treating patients who have directly experienced traumatic or extremely stressful events (Kelly & Todd, 2017). High intensity environments with poor staffing are seen in the area I work in. Right now we are offering incentive pay to pick up extra shifts. Due to the stress and poor staffing ratios, no one seems eager to pick up. The motivation behind the lack of effort is due to stress, not getting breaks, insufficient support and lack of patient empathy.

I believe compassion fatigue should be studied more in the health care setting because it can have major consequences for nurses, the healthcare organizations itself and the outcomes of the patients healing process with teaching and care.      We have a large turnover on our floor due to it is a hard unit to work on. Being a surgery floor it is constant admits and discharges and we at times have the support staff of a admit nurse on duty to help out. Labor is stretch with nurses having five to six patients at times which is a real concern in my opinion for safety.  Healthier work environments have relatively better communication, collaboration, safety, and patient satisfaction. I believe that more research into compassion fatigue could help not only with patient satisfaction but helping nurses feel like they are helping others and want to continue with the practice they are in.

 

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fallacious arguments

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Read section on “Commercials” & answer and submit questions on p. 126 #1, 2 in no less than 500 words.

1. what fallacious arguments are evidence in these commercials? Are some forms of fallacious arguments more prevalent than others?

2. Can a picture or a vidoe on an image be “fallacious” or is it an example of associating produces with images in a way that encourages people to make fallacious inferences? (if you buy a car,” for example,”you will have fast and inttractive  life surrounding by lots of rich attractive people

 

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through sexual contact

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A 19-year-old client comes into the clinic to learn his test results. He was exposed to HIV through sexual contact 2 weeks prior and is relieved to learn that his results are negative.

a. Given what you know about the virus, explain why it is important to have follow-up tests in 3, 6, and 12 months?

b. While teaching the client, what other assessments would you perform based on his exposure to HIV?

 

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Customer Experience Management

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Please respond to the following: “Customer Experience Management”

  • Examine the potential mutual benefits that are afforded to health care organizations and their respective customer populations when health care organizations design and manage all-encompassing customer experiences. Provide an example of such potential mutual benefits to support your rationale.
  • Appraise the value of the innovation guidance for the assembly and management of customer experiences provided by Bernd Schmitt’s CEM framework. Provide at least two (2) specific examples of CEM framework that apply within a health care organization with which you are familiar.
 

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lung disease

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Twin brothers living in the same household have almost the same lifestyle. They eat the same food, exercise five times a week, and meditate regularly. However, the younger twin learned recently that he has been diagnosed with lung disease. Based on your readings and research so far, what could have contributed to this diagnosis? Provide in-text citation(s) to support your explanation.

 

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