Benefits
o Consolidate and standardize inventories- The variety of items ordered and stocked in the surgery departments results in an overabundance of different products with inconsistencies in sizes and packaging. In the case of this hospital having multiple surgery departments supplies are scattered, and even the same supplies stocked in the departments. This causes inventories to require extra time for assembling materials disbursed throughout the surgery department. Damaged or outdated stock on shelves could be caused by overstocking and hoarding of supplies and instruments. "Cost containment pressures and quality improvement initiatives have prompted healthcare organizations to consolidate these inventories, standardize on certain supplies,
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Having staff input into the system is important for encouraging the team approach. When employees are more proficient and confident, they are better able to carry out their tasks and contribute to the success of the case cart system. Effective training and continual in- services will help make a case cart system successful. Communication between surgery department and sterile processing will also enhance the success of the system. It’s up most important to develop systematic and effective guidelines and to review and revise these guidelines on a regular basis. Job descriptions should be written. Policies and procedures manuals and infection control techniques must be documented and implemented. Procedures must also be developed to allow for changes in OR schedules, for emergencies, and for cancellations. o Emergency cases must have equipment available at all times. The surgical area should house basic case carts to handle any emergency case that arises. o Specialty carts should be stocked with instruments and supplies to support specific surgical
Clear Lake Hospital is a not-for-profit hospital in Iowa. It operates 230 beds and provides acute care. The area, which the hospital is located, is a summer destination with vacation homes and fishing activity. The hospital carries more than 10,000 different items of inventory. These items have different price, order lead times and stockout costs. The new hired Chief Financial Officer, Julio Ruiz, believes that the system used for maintaining the inventories results carrying excess inventories. He bases his assumption on the fact that when the hospital faced occupancy rates near to 100 percent, incidents or even possibility of stockout did not occur.
Typically, in current healthcare, case management assist in dissolving fragmented care for consumers, assisting in the progression of care. For example, in a hospital setting, patient care delivery provided by a combination of a surgeon, hospitalist, and a medical specialist allows for pathways of inefficient continuity of care. A case manager evaluates the entire treatment plan, managing complex care, and limiting the lack of continuity among providers (Daniels & Frater 2011). Collaboration with physicians’ decisions on clinical services and implementing accurate delivery of services by the facility exhibits strength of a case management program. However, limitations exist if physicians’ or administration do not allow the case management a respected position in decreasing healthcare fragmented delivery. Consistently, evaluation of medical goals, recommended clinical services, and patient treatment plans making sure they are in correlation with evidence based protocols and treatments, actually will improve healthcare quality, reducing length of stay and costs (Daniels and Frater 2011). Additionally, strengths of a typical case management program allow decrease in duplicate testing, improved discharge planning, and connections of ancillary departments. Case management programs assist in deleting
This may seem like a small task, but it required all of the time we had devoted to working with them. In order to better understand the complexity of the work that was carried out, one must look at how Medshare collects the medical supplies that they send to countries in need. Medshare collects medical supplies from hospitals and even large corporations for a variety of reasons. By collecting from medical supplies distributors and hospitals Medshare is also diverting large amounts of medical products from landfills. As we worked at Medshare, we sorted medical supplies from large corporations as well as surplus supplies that could not be used in hospitals and then counted, weighed, and boxed individual components. What truly shocked myself and my other group members was the fact that often manufacturers will find a box that is misprinted or has a cut in the side and contains gloves for example that is unable to be sold to hospitals or consumers and is then therefore thrown away. The gloves inside the faulty packaging are perfectly fine and able to be used, but simply because the box does not follow the company 's standards for packaging it is thrown away to fill up a landfill near by. Medshare strives to environmentally stop the unnecessary disposal of perfectly good supplies into landfills while putting to
During my clinical rotation at the Veterans Administration (VA) Hospital in Birmingham, Alabama I was able to manage the task of developing an effective electronic documentation template for the Ambulatory Surgery Facility (ASF) within the VA hospital. The ASF focuses on providing surgical, diagnostic, and preventative procedures in a same-day care setting. This facility offers veterans the convenience of having procedures performed safely outside of the inpatient hospital setting.
Surgical technologists are members of the surgical team who work in the operating room with surgeons, nurses, anesthesiologists, and other personnel before, during and after surgery. Techs are basically considered the surgeons “right hand man”. They may prepare a patient for surgery by washing, shaving, and disinfecting where the incision may be. They arrange the equipment, instruments, and supplies in the operating room according to the preference of the surgeons and nurses (Ferguson 537). During the operation, they count all equipment used, and hold retractors and cut sutures as directed. Following the operation, they may clean and restock the OR and sterilize the used equipment (Ferguson 538).
Finally, effective operations managers must realize that short-term gains at the expense of their partners (e.g., patients, physicians, payers) will almost certainly translate into long-term difficulty. As we move toward a more effective delivery system with less demand for resources, we will see vast shifts in how care is delivered. (Henderson, 1995)
Case Management Case management has become the standard method of managing health care delivery systems today. In recent decades, case management has become widespread throughout healthcare areas, professionals, and models in the United States. It has been extended to a wide range of clients (Park & Huber, 2009). The primary goal of case management is to deliver quality care to patients in the most cost effective approach by managing human and material resources. The focus of this paper is on the concept of case management and how it developed historically, the definition of case management, the components of case management, and how it relates to other nursing care delivery models.
The use of supplies is a problem because we are spending too much money on them. We are a world-renowned hospital with very high-end robots and equipment. Therefore, our surgeons demand the best and the higher valued machines and supplies. Cost and quality need to be considered. We do not want the quality of care for the patients to be jeopardized because of inadequate planning in regards to low quality supplies (Sullivan, 2009).
One of many nationwide initiatives to help reduce the occurrence of unnecessary medical errors and adverse events is the use of the integrated Clinical Decision Support System (CDSS). A CDSS is a system that provides the right information to the right person in a right format through a right channel at the right time of workflow to facilitate better decision-making by clinicians, reduce errors, and also to prevent adverse events (AHRQ, 2008). This proposal is a case based CDSS system that provides point of care clinical decision support, ensures five rights of medication administration (right person, right drug, right dose, right time and right route), and is designed to prevent or reduce the occurrence errors and adverse events at Perpetual Order of Saints Hospital (POSH).
During my past couple of weeks at Zarephath, I have continued to take vital signs and note patient symptoms and complaints, but I have additionally had the chance to be involved with the clerical aspect of patient care. I have learned that it is imperative to stay organized or one will quickly get overwhelmed—over three hundred patients equates to over three hundred files. Accidentally misplacing a single file can be pretty catastrophic; one time, this one patient’s file was not where it should have been alphabetically so I spent over 30 minutes looking for it with no luck. Essentially, if a volunteer there accidentally places a file in the wrong place, it is lost forever. The importance of organization in clinical care cannot be emphasized
Time out was done by the anesthesiologist, the circulating nurse, the surgeon, and the scrub tech all pausing before the surgery and verifying the patient’s name and date of birth, the procedure being done, the site and location on the body in which the procedure was being done, and documented the count of all the equipment the scrub nurse had before surgery to compare to after surgery. 5. The patient’s privacy was protected and respected throughout the whole surgical procedure. The staff was very professional and I felt I learned a lot from them during my OR experience. 6. A sponge count is when the scrub nurse counts the sponges that are unused before the surgery she relays this to the circulating nurse and it is documented. After the surgery the count is redone to make sure that there are no sponges left in the patient. 7. The circulating nurse documents the information and signs the chart in the operating room. From pre-op to the operating room the nurses in pre-op gave off report to the circulating nurse by SBAR. From the operating room to PACU the anesthesiologist went with the patient and handed off the patient’s condition and information to the nurse in there. 8. There were no ethical or legal issues that were raised during my observation in the whole surgical process. 9. I learned how the whole operating procedure works from start to finish, all the legal paperwork involved, and how the team interacts and helps each other out to give the patient a safe and
During clinical rotations at Bartow Regional Hospital, Galen students noted on multiple occasions while rotating through the Emergency Department that the rooms were not cleaned by Environmental Services, but the nurses and/or technicians that work in the ER. The staff wiped down the beds and changed the sheets, so the rooms would be ready for the next round of patients who cycled through. Some of the Galen nursing students noted that when the cleaning staff would clean isolation rooms after the patient had been discharged that they would just wear gloves to clean the room, without a gown or other protective personal equipment. The students also observed staff taking medical equipment into the isolation rooms to take vital signs or blood glucose readings and the equipment as not being cleaned before being taken into the next patient’s room.
One of the many categories would be that of the circulating nurse. Ensuring that the operating room is set up correctly based on the preference of the surgeon, the circulating nurse makes sure all the necessary equipment’s are in place, functioning appropriately, likewise ready to go. In addition, the circulating nurse also verifies the patient identity, surgical site, and consent with the surgeon upon entering the operating room to make sure that they are all the same page, before proceeding with the schedule procedure. Yet another function of the circulating nurse is to make sure that the patient is positioned correctly on the surgical table, hooking up the basic suctions needed, and assisting the anesthesiologist or anesthetist during intubation. Moreover, monitoring the overall condition of the
C & C grocery store currently operates under a goal approach. They were committed to customer service and satisfaction. This approach provided the grocery chain with the profitability and growth they strived to obtain. The stores operative goals were attained and the chain had over 200 stores in operation. For years overall performance for C & C was excellent and came with ease. Unfortunately employee development and innovation and change weren't a top priority and it began to show. To remain successful C & C had to outsource and get advice from a team of consultants. The team dissected the company from top to bottom and advised the chain to implement an internal approach to go along with the goal approach. Implementing the internal approach will give the store managers full control of their stores which they do not currently possess. The store managers should be knowledgeable in all areas of the store to be able to fully communicate with staff. It was difficult for the district managers to give each store location the time and attention they needed when they were responsible for several other stores. Giving store managers more responsibility was a terrific idea of the consultants because the store managers have more day to day customer and employee interaction and could better assist needs. C & C was in desperate need of providing employee training and development. Cross training is beneficial for company as well as employees. Employees get the opportunity to learn other job positions and have the ability for advancement opportunities within the company. The company benefits from cross training because it provides flexibility if a store is short staffed, and it provides empowerment. A store full of happy employees from mana...
Circulating nurses must check the expiry date and the integrity of the packaging and wear the correct PPE prior to opening the articles. Each article must maintain its sterility; therefore the setup must be continuously monitored. Instrument nurses must create the sterile field using sterile drapes as they minimise the transference of microorganisms. They must also keep their hands at chest level, as areas below table height can be easily contaminated (Australian College of Operating Room Nurses, 2010).