Physician Admission Order – Alice Owens, Director of Pharmacy
In February, Alice presented to the committee proposed changes to the Physician Admission Order. During the discussion, the Physicians also proposed additional changes that Alice would make to the form. A request was made by Dr. Simon to revise the form and place copies in the Physician mailboxes so that they could review.
During the March Med Staff committee meeting, Alice presented the revised form to be approved. During the discussion of the revised form, additional changes were requested. The committee agreed to approve the form with the changes. Alice will present the revised form with changes to the Form Committee.
Recommendation: A motion was made by Dr. Simon to approve the Physician Admission Order form with the proposed changes. The motion was seconded by Dr. Hines, and unanimously carried.
NEW BUSINESS:
Policies & Procedures:
Copies of the revised policies and procedures were presented to the committee. Changes on each
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Joint Commission requires that there be 2 identifiers for patients with special diets. The recommended changes included: (1) Nursing is to ensure all patients have an armband. A patient on a special diet is to receive a colored sticker for patient armband. (2) Patients with Special diet orders who receive their meals in the cafeteria will be accompanied by staff, and encouraged to line up at the front of serving line. Patients on special diets will be identified using two patient identifiers: a colored sticker on patient’s armband, and a patient photo, (which is initially brought to the cafeteria by nursing staff or tech), and maintained in a ring binder at point of food service (Acute, and Poplar West). (3) Patients receiving special diet trays on the unit will be clearly identified, trays will be clearly identified, and Nursing will verify that patients receive the correct meal
A Mini Nutritional Assessment (MNA) was completed on Anne. The MNA is a tool used to provide a rapid assessment of elderly patients’ nutritional status. The MNA is made up of simple measurements and a few brief questions that can be completed by the patient in no more than ten minutes. The nutritional status of a patient is evaluated using a two-step process to accurately determine a patient’s nutritional status (McGee
Springfield General Hospital (SGH) is committed to high quality healthcare for patients, and providing tools to support physicians, nurses and pharmacists. SGH leadership approved the computerized physician order entry (CPOE) system as a solution to reduce prescription errors, and the results of the CPOE project are disappointing. The data show increased prescribing errors after implementing the CPOE; resulting in increased costs for adverse drug events, rather than the planned cost reduction (Spector, 2013). This change management plan provides the SGH board of directors and executive management team pragmatic steps to increase quality for patients by assessing the root issue of hospital
The following are excerpts from the referral packet given to this evaluator by the DSHS case manager George Nelson:
When the committee was deciding whether or not to control the station’s fax cover sheets, I immediately gave guidance to the committee by sharing my experiences from the PCA inspection last year and provided insight into forms control by explaining what it is supposed to accomplish. Furthermore, I pointed out that all of our cover sheets need to have a specific regulatory language on them and that this regulatory language must be on all outgoing cover sheets from any VA facility. I have also shared my expertise on EOC/Privacy rounds noting that there were several different fax cover sheets found throughout the facility in violation of current privacy guidelines. At the next meeting, I am getting ready to share my research on a formal forms approval process for every form at this facility. Research I conducted over the phone and online with other VA facilities in the VISN, shows that the regulations for forms and templates only extend to medical forms and I believe this will allow us enough room to have a locally governed forms control process here that formally approves and numbers any non-medical forms, posters, or flyers posted at this facility. This will keep unauthorized information from getting posted anywhere in the facility because we will have a formal form number on all approved
When residents have been allowed to participate in their diet decisions, they have been found to have increased appetites and enjoyment of food, both of which are equated with quality of life. Alternatively, strict diets have been shown to result in lower intakes leading to weight loss and undernutrition. (Dorner, Niedert, & Welch, 2002). Offering a wide variety of foods with 24/7 access to allows active participation in choosing their own diet. Eliza Jennings homes were assured resident health was not compromised as a result of person-centered care by performing regular Accu-Checks and other diagnostic checks to monitor the health of the residents (“Case Studies in Person-Directed Care”,
Also, we discuss alternate gatherings that are specified for this situation. The doctor's facility is one of the invested individuals. Hospital facility didn't acknowledge Ruth's kidney as a paying technique for her surgery. In addition, Ruth mentioned that she
The medical secretary, registered nurses, licensed practical nurses, and physicians communicated consistently and appropriately so that all staff could effectively complete the actions required of their respective roles. I noted the strong relationship between the nurses and the physicians. The nurses held a heavy influence on the physician’s decisions regarding a situation, because the nurses were the ones conveying pertinent information related to the patient’s status. Based on the information provided, the physician would make recommendations and provide guidance to the nurses. The physician’s directions were then carried out by the nurse, influencing the nurse’s plan of care for his/her
In conclusion, It is therefore important that all healthcare workers involved in direct patient care should appreciate the value of providing their patients with adequate nutritional education and be familiar with the possibilities for providing nutrition support if needed for example Meals on Wheels that provides nutritious meals to home bound older adults who are unable to prepare meals for themselves and have no one able and/or willing to provide meals for them as this organization does uses a balanced nutritious meal that meets USDA recommended daily dietary
8 draft of the case which showed us where we needed additional data to complete the study. With this
After all the commitments that a pre-medical student has done, the result of all of the hard work lies on the power of his or hers personal statement to convince the admissions committee that he or she is worthy of becoming a physician. All admission committees work highly selectively to bring only those who are better fit to their professional school. The admission committee of the University of Maryland School of Medicine consist of highly educated and experienced faculties including Milford M. Foxwell, Jr. MD (Associate Dean for Admissions) and Sandra Quezada, MD (Associate Dean for Admissions).
• The patient must provide a written request to their physician, signed with two witnesses present.
... the importance of prevention of falls for the patients on the unit (Roussel, 2013). Further evaluation would establish if the plan set was successful in decreasing the amount of falls or if the plan need to be revised. If changes need to occur the written guidelines should be revised and shared with the staff so that revision that will take place.
Patients that follow food practices will be given the tools to be able to select...
... sure to let staff know and that R.M. wanted it ordered with each food tray. The patient also ate the majority of his lunch with little need to urge to have more bites by staff.
Greetings to the pharmacy admission committee, I would like to thank you for taking the time to review my admission letter. My name is Johnny Dinh and I am from Phoenix, AZ. On any given day, whether good or bad, I can picture myself working as a pharmacist to assist with the health and well being of people. This passion of mine of becoming a pharmacist has dwelled in me since I can remember. There is so much sickness and disease in the world today; so to be a part of the solution, I chose pharmacy so that I can recommend the safety, to educate, dispense prescription, counsel patients, and work with patients on general health. The reason why I chose this profession is because I want to be of service to this world and do good.