Introduction:
I decided to do my study on something I already knew a little about. I work for
Dignity Health in Chandler, Az. I work in the nursing support and float pool office.
I do staffing and handle sick calls, one of the other departments in and under our
department is patient placement. They sit in an office that is adjacent to ours it does
have a door but it is usually open so we can talk to each other about important things
pertaining to the hospital. They have two desks that sit side by side. Upon the desks
sit their telephones and computers. The computers have two screens because they
must have several programs up at a time in order to figure out where to place the
patients. They do not have any windows
…show more content…
Patient Placement
Method:
I chose to observe rather than do interviews, since i work right by the department
within ear shot distance. I am able to watch what they do and how they do it, and
when they do it. I wrote down some things they said so I could have some quotes.
I also paid attention to the times when they get busy and how they handle things.
Observations:
I observed how they really have to have two computer screens. The patient placement
people need to be able to see what beds are available and what types of patients are
coming into the emergency room that will be admitted to the hospital. They placement
people have phones with multiple lines in order to handle the influx of phone calls. They get
calls from doctors, charge nurses and the emergency room, they also get calls from my
department Nursing Support. They call my department and tell us when a floor is getting
full and may need another nurse or when a floor is getting a patient that needs sitter either a
suicide sitter, psych sitter or a safety sitter. The patient placement people take care of the
whole hospital.
…show more content…
The patient placement people must learn what
doctors like, charge nurses like and what the house supervisors like and want on what
types of floors. You can not just go put a medical surgical patient on a medical surgical floor
just because it is a medical surgical floor. The patient placement people must figure out
how hard the patient is and go from there, they may need to go on a floor that takes medical
surgical and telemetry patients. They must remember what floors doctors like, some
doctors have problems with certain charge nurses so they must remember that and not
place their patients on those floors. I think so much of these people for what they must
know and remember. The patient placement people are a calm breed, they have to have a
temperament that does not blow up. They can not get flustered with chaos, they must
flourish in chaos. They must always have each others backs and help each other or else it
would never work. They make two hospitals work together , Mercy Gilbert and Chandler
Regional. The patient placement department is the heart of both
spiritual that was talked about. I think that if the nurse's and the patients had a
The nature of the work is very similar for the C.N.A. and L.P.N. A C.N.A. work includes performing routine tasks under the supervision of nursing staff. They answer call bells, deliver messages, serve meals, make beds, and help patients eat, dress, and bathe. Aides also provide skin care to patients, take pulse, temperature, respiration, and blood pressure and help patients get in and out of bed and walk. They also escort patients to operating rooms, exam rooms, keep patient rooms neat, set up equipment, or store and move supplies. Aides observe patient’s physical, mental, and emotional condition and report any change to the R.N. Likewise the L.P.N. provides basic bedside care. They take vital signs such as temperature, blood pressure, restorations, and pulse. They also treat bedsores, prepare and give injections and enemas, apply dressings, apply ice packs and insert catheters. L.P.N.’s observe patients and report adverse reactions to medications or treatments to the R.N. or the doctor. They help patients with bathing, dressing, and personal hygiene, and care for their emotional needs.
First and foremost, Sunshine Generations has consistently met and exceeded both State and Federal Nursing Home regulations and standards. We have Nursing Home inspections conducted annually which includes the residents’ rooms and appearance, the living spaces, staff qualification and attributes, food and nutrition, and last but definitely not the least, overall safety and care. We specifically employ a “two-in, two-out rule” which means for every 2 nurses required by state and federal law, there are 2 more nurses assigned per day. This is to insure proper medical care and to reduce the chance for medical errors. This gives us the highest standard of care not commonly seen in the industry. A team work approach is also employed where staff physicians, nurses, nurse aids, and family have a say in the treatment and care of our residents. At any point any staff member or family member...
To provide a high quality of care where patients needs are met consistently, as well as benefiting nurse workload and patient assignments.
...ping them to be able to understand their patients and what it takes to help them to heal.
The Hospital has a capacity of 89 beds. There are 5 operating rooms where 33 to 36 operations are performed on an average day. The Hospital follows a 5 day week. It employs 12 full-time surgeons, 7 part-time assistant surgeons, and one anaesthetist. The nursing staff consists of 22 full-time and 18 part-time members. An operating team consists of a surgeon, an assistant surgeon, a scrub nurse, and a circulating nurse. A surgeon's typical day begins at 7:30 A.M. and ends by 4:00 P.M. Each surgeon typically performs 3 to 4 operations each day.
Billiann replied, “An average day is started by getting a report from the previous nurse on the health status of the patient, any new orders that need to be completed, and overall health care plan. I then assess each patient and give medications as needed. If there are any new health concerns during the assessment or throughout the day I notify the physician. I always have my stethoscope, pulse ox, normal saline flushes, tape and scissors on me. Most needed equipment is already in the patient’s room.”
Health care organizations are focused on providing high quality and safe patient care. There are numerous organizational factors that may directly affect patient care and outcomes, but one of great importance is nurse staffing. Low nurse staffing levels are a major problem that I have encountered during both my clinical and management experiences. There is a significant relationship between inadequate staffing levels and adverse patient outcomes; however, as I observed during my experiences, there may be increased awareness about this issue, but it has not been sufficiently addressed. In order to ensure patients’ safety and positive outcomes, as well as to improve nurse satisfaction, it is imperative to effectively address low staffing levels.
...urses need to be aware of facility protocol, personal beliefs, and not let their own desires and obligations be placed upon patients who have the right to make their own decisions.
Thousands of nurses throughout the nation are exhausted and overwhelmed due to their heavy workload. The administrators do not staff the units properly; therefore, they give each nurse more patients to care for to compensate for the lack of staff. There are several reasons to why
Prioritizing care is one of the first things that nurses learn in their career. Prioritizing requires critical thinking whether it comes to discharging a patient, caring for a patient, or delegating a task to a LPN or CNA. As the charge nurse they must look at the whole picture and not just the tasks that need to be done. The charge nurse is the one makes the assignments for the individual nurses, so if there happens to be a float nurse from a different department they might give them the patients with the lowest acuity depending on the nurse’s experience. The charge nurse must know which patients could be discharged if there was an emergency to arise or not enough hospital beds for those patients who need to be admitted. For example, the nurse is not going to recommend someone who came in with a heart attack; they would most likely recommend someone who is two days post op and is being discharged to a rehab facility in a couple of days. It is the charge nurses duty to make that everyone providing great and safe care to the patient.
Advocacy in action paper is to examine various issues in nursing staffing in the hospital and the impact of this issue on the patient’s care and patient satisfaction. Every nurse role and mission is to take care of a patient and advocate for a safe and healthy work environment. It is very important for all nurses to work together, successfully advocate for nurses and the profession to achieve a safer work environment. My role in this paper is to advocate for improvement, practicing safe in the hospital to improve patient satisfaction and reduction in nurse burnout.
In her current position, she is responsible for six RN’s, three licensed practical nurses (LPN), five CNA’s and two support staff members. They are currently looking to add several more positions to the payroll. Martinez joined this agency two...
example, patients who are going in for major abdominal surgery, or even normal childbirth. Nurses
hospital staff to ensure patient has the best possible outcome, setting up plan for patient care and