Anthony Sandoval has extensive experience in clinical healthcare and administration from his service as a senior treatment provider and clinical operations specialist in the U.S. Army. He supervised clinical care for over 900 soldiers and managed medical readiness for over 1,000 soldiers, achieving readiness rates of 97-99%. Sandoval also has experience teaching emergency healthcare procedures, performing minor surgical assistance, prescribing medications, and ordering lab tests. Currently, he is seeking new opportunities to utilize his expertise in areas such as emergency healthcare, medical administration, tactical operations, and teaching.
Health Care Delivery System in India at Primary Secondary & TeritaryVamsi kumar
Health Care Delivery System in India at Primary Secondary & Teritary by Abdul Rehman, Aditya Upadhyay, Students of Medical Lab Technology (MLT) Galgotias University
Health Care Delivery System in India at Primary Secondary & TeritaryVamsi kumar
Health Care Delivery System in India at Primary Secondary & Teritary by Abdul Rehman, Aditya Upadhyay, Students of Medical Lab Technology (MLT) Galgotias University
CLINICAL GOVERNANCE: AS DRIVE FOR PATIENT SAFETY.Ruby Med Plus
The focus on patient safety is an international phenomenon. Patient safety is an integral component of the quality of care. The governance of patient safety‘encompasses panoply of regulatory processes that directly or indirectly intend to manage, prevent or limit iatrogenic events in oral health care services. The Influence of Health Inquiries on Clinical Governance Systems in a case Study of the Douglas Inquiry focus on patient safety within the health industry, which has led to the extensive adoption of the term clinical governance. This term is used to describe the systems and processes that a healthcare organization has in place that add to the maintenance of patient safety, accountability and responsibility for patient safety. The introduction of clinical governance is therefore aimed at improving the quality of clinical care at all levels of an organization by consolidating, codifying, and standardizing organizational policies and approaches, particularly clinical and corporate accountability. (Scally, 1998). Clinical governance demands a major shift in the values, culture and leadership, to place greater focus on the quality of clinical care and to make it easier to bring about improvement and change in clinical practice. Clinical governance helps in examining and measuring patient outcomes to ensure optimum quality of care (Balding, 2005).
We are delighted and excited to share some of the great work that has been taking place across Wessex to support the WHO World Patient Safety Day. The objectives of World Patient Safety Day are to increase public awareness and engagement, enhance global understanding, and spur global solidarity and action to promote patient safety.
Early Mobility Among Pediatric Ventilated ICU patients: in 2015 a comprehensive Respiratory therapy protocol for intubated patients was implemented with a dynamic pediatric healthcare organization; with monitored patient care outcomes, ventilator weaning, and minimizing patient waste while on life support without the placement of a tracheotomy etc.
In the presentation, a summary of initiatives to be taken by hospitals in different areas for patient safety have been described for the knowledge, practices and implementation of patient safety initiative by hospital managers/Administrators.
CLINICAL GOVERNANCE: AS DRIVE FOR PATIENT SAFETY.Ruby Med Plus
The focus on patient safety is an international phenomenon. Patient safety is an integral component of the quality of care. The governance of patient safety‘encompasses panoply of regulatory processes that directly or indirectly intend to manage, prevent or limit iatrogenic events in oral health care services. The Influence of Health Inquiries on Clinical Governance Systems in a case Study of the Douglas Inquiry focus on patient safety within the health industry, which has led to the extensive adoption of the term clinical governance. This term is used to describe the systems and processes that a healthcare organization has in place that add to the maintenance of patient safety, accountability and responsibility for patient safety. The introduction of clinical governance is therefore aimed at improving the quality of clinical care at all levels of an organization by consolidating, codifying, and standardizing organizational policies and approaches, particularly clinical and corporate accountability. (Scally, 1998). Clinical governance demands a major shift in the values, culture and leadership, to place greater focus on the quality of clinical care and to make it easier to bring about improvement and change in clinical practice. Clinical governance helps in examining and measuring patient outcomes to ensure optimum quality of care (Balding, 2005).
We are delighted and excited to share some of the great work that has been taking place across Wessex to support the WHO World Patient Safety Day. The objectives of World Patient Safety Day are to increase public awareness and engagement, enhance global understanding, and spur global solidarity and action to promote patient safety.
Early Mobility Among Pediatric Ventilated ICU patients: in 2015 a comprehensive Respiratory therapy protocol for intubated patients was implemented with a dynamic pediatric healthcare organization; with monitored patient care outcomes, ventilator weaning, and minimizing patient waste while on life support without the placement of a tracheotomy etc.
In the presentation, a summary of initiatives to be taken by hospitals in different areas for patient safety have been described for the knowledge, practices and implementation of patient safety initiative by hospital managers/Administrators.
January-February 2016 • Vol. 25/No. 1 17
CPT (R) Gwendolyn Godlock, MS-PSL, BSN, RN, AN, CPHQ, is Field Representative Nurse
Surveyor, The Joint Commission, Oakbrook, Terrace, IL.
CPT Mollie Christiansen, BSN, RN, AN, CMSRN, is Clinical Nurse Officer in Charge, Burn
Progressive Care Unit, United States Army Institute of Surgical Research, Joint Base San
Antonio Fort Sam Houston, TX.
COL Laura Feider, PhD, RN, is Dean, School of Nursing Science and Chief, Department of
Nursing Science, Army Medical Department Center and School, Health Readiness Center of
Excellence, Joint Base San Antonio Fort Sam Houston, TX.
Acknowledgments: The team would like to thank nursing leaders COL (R) Sheri Howell, for-
mer Deputy Commander of Nursing and Chief of Staff; and COL Richard Evans, Assistant
Deputy Chief Army Nurse Corps, for their support. A special acknowledgment for the former
Chief, Medical Nursing Section, COL Vivian Harris, who remained a staunch supporter, advo-
cate, and cheerleader, the Medical Section nursing staff, and the Center for Nursing Science
and Clinical Inquiry.
Note: The view(s) expressed herein are those of the authors and do not reflect the official policy
or position of Brooke Army Medical Center, the U.S. Army Medical Department, the U.S. Army
Office of the Surgeon General, the Department of the Army, Department of Defense, or the U.S.
Government.
Implementation of an Evidence-Based
Patient Safety Team to Prevent Falls
in Inpatient Medical Units
T
he Centers for Medicare &
Medicaid Services identified
falls as a preventable health
care acquired condition (DuPree,
Fritz-Campiz, & Musheno, 2014). A
large portion of the medical-surgical
inpatient population is aging, and
therefore at high risk for falls (Boltz,
Capezuti, Wagner, Rosen berg, &
Secic, 2013). Falls have physical and
emotional implications for patients,
as well as increased financial costs for
facilities. Nationally, medical units
have the highest rates of falls
(Bouldin et al., 2013). Most notably,
falls can cause significant injuries
resulting in increased length of stay,
unexpected surgeries, and even death
(Williams, Szekendi, & Thomas,
2014). Historically medical-surgical
nurses care for a mix of complex
patients with an array of comorbidi-
ties and patient needs (Carter &
Burnette, 2011).
Literature Review
The literature search was limited
to keyword searches on falls, team-
work, patient safety, nursing, hourly
rounding, and communication. Data -
bases included PubMed, EBSCO,
Agency for Healthcare Research and
Quality, CINAHL, and The Joint
Commission for years 2008-2014.
Use of fall prevention teams was an
emerging evidence-based practice
(EBP) intervention to decrease the
incidence of inpatient falls (Graham,
2012). Consistently, the evidence
demonstrated ineffective communi-
cation, situation awareness, team-
work, assessment, hourly rounding,
and environmental challenges as key
factors related to preventable inpa-
tient falls.
Collectively, research.
1. ANTHONY J.J. SANDOVAL
Cell: (804)647-8015 Email: anthonysandoval25@gmail.com
HE AL TH CARE S P E C IAL IS T
Extensive background in clinical care, including experience in managing and supervising others,
prescribing medications, performing physical andmusculoskeletal examinations, performing minor
surgical operations, sterile techniques, and in ordering and interpreting radiological and laboratory
tests.
Successfully performed administrative duties, to include scheduling patient care for 900+
personnel, organizedandpersonally conducted 1,800+ vaccinations, kept and managed all patient
records, and tracked and managed medical readiness for my company.
AREAS OF EXPERTISE
HIPAA
Microsoft Office
Middle Management
Scheduling
Patient Counseling
Emergency Health Care
Teaching Healthcare Procedures
Tactical Operations
E.M.T Practices
Security Procedures
Course Planning and
Development
PROFESSIONAL EXPERIENCE
SENIOR TREATMENT PROVIDER, U.S. ARMY FEBRUARY 2013-JANUARY 2014
Fort Benning, Georgia
Supervised clinical care for 900+ soldiers
Developedandutilizeda medical readiness program resulting in 97% medical readiness for my
unit
Createdandtaught classes on emergency care, how to perform various physical examinations,
preventative care, sterilization techniques, and field sanitation procedures for 20+ staff
Ordered laboratory testing, radiological exams, and prescribed medications
Assisted a physician’s assistant in performing a variety of minor surgical procedures
Recorded, maintained, and updated both online and paper medical records for 900+ soldiers
Managed and mentored 3 junior medical personnel
Served as on call emergency medical staff
Triaged patients
CLINICAL OPERATIONS SPECIALIST, U.S. ARMY JANUARY 2014-PRESENT
Fort Lewis, Washington
SupervisedEmergency Medical Technicians training readiness for 260 EMTs resulting in a 99.6%
sustainment rating
Managed and reported medical readiness for 1,000+ soldiers leading to 98% of soldiers being
medically ready for duty and assignment
Maintained administrative paperwork for 24 subordinate units
Provided direct support to unit director
Assisted in plans and operations for 90+ personnel
Ambulance Driver | Combat Medic, U.S. Army DECEMBER 2010-FEBRUARY 2013
Fort Benning, Georgia
Managedsafety compliance programs andreporteddirectly to senior unit leadership on health and
safety issues, to include prospective abatement procedures, as needed for 100+ people.
Co-createdandtaught a Combat Life Saver Course to 100+ people with 99% of personnel passing
their first time
Drove, maintained, andwas accountable for an ambulance with medical equipment in value of
$1.5 million while on overseas assignment
Performedpreventative maintenance checks andservices on several vehicles pricedover $55k each
2. Page 2
Conducted and reported inventories of medical supplies
Providedmedical support for shooting ranges, physical exercise, andfor training missions in field
environments
Workedas senior treatment provider under a physician’s assistant on a rotational basis while
overseas
Organized and conducted medical training exercises and simulations for 100+ personnel
EDUCATION
Kaplan University, Indianapolis, Indiana September 2015
Associates of Applied Health Science
Military Training, Fort Sam Houston, Texas July-November 2010
National RegisteredEmergency Medical Technician Certificate
Basic Life Saving Certificate