This document provides an orientation for student nurses on their clinical rotations at various health systems and academic institutions in Humboldt and Del Norte counties in California. It outlines the responsibilities of student nurses, including reading all orientation material and passing online quizzes before beginning clinical rotations. It also describes the roles and scope of practice of registered nurses, licensed vocational nurses, and nursing assistants to help students understand what they are allowed to do under supervision.
Abstract
To assess the patient satisfaction level in emergency
department of a level 1Trauma Centre in India.
Shallu Chauhan, Dr.Deepak AgrawaL.
JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi-110029, India
Introduction
Patient satisfaction is an important indicator of the quality of care and service delivery in the
emergency department (ED). The objective of this study was to evaluate patient satisfaction
level in the E.D. of a level 1 Trauma Centre,AIIMS,New Delhi.To determine the effects of
actual waiting time,perception of waiting time,information delivery and expressive quality on
patient satisfaction.
Methods
This study was carried out for 2 months during all shifts mostly for those patients who triaged
as green.We made two groups:1) control group{ not explained anything to the patient} and
2) test group{patient explained for time management & treatment}. Patients/relatives were
asked to complete the questionnaire prior to discharge. For the first month, eight questions
were based on descripitve information were distributed to the control group { questions
including explanation of procedures to the patient,communication of staffs,problems faced
by patient/relatives, and overall patient satisfaction level}.Then, following second month
another study questionnaire included 11 questions based on a Likert scale concerning
waiting time{ie,overall time management,waiting for X-ray or C.T,scan,review by doctor, for
discharge & treatment},promptness & behaviour of staff and cleaniness of hospital given to
the test group.
Observation
Ninety patients who attended our ED were included in this study.The perception that waiting
times for placebo injection & T/t were less than expected was associated with a positive
overall satisfaction rating for the ED encounter[p is 0.033] as compared to actual waiting
time.Actual waiting time were not predictive of overall patient satisfaction. The highest
satisfaction rates were observed in cleaniness of hospital in both the groups and most of them
rated it as very good. For overall treatment, in control group 34% rated as poor & fair and
67% rated as good and very good,whereas in test group only 22% rated as poor and fair
but78% rated as very good and excellent.At the same time,both the groups were rated as
good for overall time management but they were not satisfy with the time taken by doctor
to review the reports and 33% rated as fair in control group and 22% rated as fair in test
goup.The assigned waiting time for particular physician to review a report was 60minutes
but average time taken to consult a particular physician was >60mins which mostly occur
in control group.The overall satisfaction rate was dependent on the mean waiting time. The
highest waiting time for a low rate of satisfaction of patient was 180minutes and for very
good level of satisfaction was just 15minutes. In control group,30% and 17% of patients
rated as fair and poor
LTHTR HCA 438 RC7430 Job Description and Person Specificationmwalsh2015
The Person specification is very important when it comes to the application and interview - The person who is shortlisting will be looking at the person spec and YOUR application at the same time, to see if you are what they are looking for. They are using the person spec to tell you what they are looking for - It is YOUR job to ensure they can see that YOU ARE the person for them!
Refugee Health 101 with focus on Syrian Refugeesnatalielovesey
A quick summary of the primary care approach to Syrian refugees arriving in Canada, based on the Canadian Collaboration for Immigrant & Refugee Health Guidelines.
Abstract
To assess the patient satisfaction level in emergency
department of a level 1Trauma Centre in India.
Shallu Chauhan, Dr.Deepak AgrawaL.
JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi-110029, India
Introduction
Patient satisfaction is an important indicator of the quality of care and service delivery in the
emergency department (ED). The objective of this study was to evaluate patient satisfaction
level in the E.D. of a level 1 Trauma Centre,AIIMS,New Delhi.To determine the effects of
actual waiting time,perception of waiting time,information delivery and expressive quality on
patient satisfaction.
Methods
This study was carried out for 2 months during all shifts mostly for those patients who triaged
as green.We made two groups:1) control group{ not explained anything to the patient} and
2) test group{patient explained for time management & treatment}. Patients/relatives were
asked to complete the questionnaire prior to discharge. For the first month, eight questions
were based on descripitve information were distributed to the control group { questions
including explanation of procedures to the patient,communication of staffs,problems faced
by patient/relatives, and overall patient satisfaction level}.Then, following second month
another study questionnaire included 11 questions based on a Likert scale concerning
waiting time{ie,overall time management,waiting for X-ray or C.T,scan,review by doctor, for
discharge & treatment},promptness & behaviour of staff and cleaniness of hospital given to
the test group.
Observation
Ninety patients who attended our ED were included in this study.The perception that waiting
times for placebo injection & T/t were less than expected was associated with a positive
overall satisfaction rating for the ED encounter[p is 0.033] as compared to actual waiting
time.Actual waiting time were not predictive of overall patient satisfaction. The highest
satisfaction rates were observed in cleaniness of hospital in both the groups and most of them
rated it as very good. For overall treatment, in control group 34% rated as poor & fair and
67% rated as good and very good,whereas in test group only 22% rated as poor and fair
but78% rated as very good and excellent.At the same time,both the groups were rated as
good for overall time management but they were not satisfy with the time taken by doctor
to review the reports and 33% rated as fair in control group and 22% rated as fair in test
goup.The assigned waiting time for particular physician to review a report was 60minutes
but average time taken to consult a particular physician was >60mins which mostly occur
in control group.The overall satisfaction rate was dependent on the mean waiting time. The
highest waiting time for a low rate of satisfaction of patient was 180minutes and for very
good level of satisfaction was just 15minutes. In control group,30% and 17% of patients
rated as fair and poor
LTHTR HCA 438 RC7430 Job Description and Person Specificationmwalsh2015
The Person specification is very important when it comes to the application and interview - The person who is shortlisting will be looking at the person spec and YOUR application at the same time, to see if you are what they are looking for. They are using the person spec to tell you what they are looking for - It is YOUR job to ensure they can see that YOU ARE the person for them!
Refugee Health 101 with focus on Syrian Refugeesnatalielovesey
A quick summary of the primary care approach to Syrian refugees arriving in Canada, based on the Canadian Collaboration for Immigrant & Refugee Health Guidelines.
Developing Mental Health Services for Refugee ChildrenYoung Lives Oxford
This presentation explores the challenges and opportunities of developing mental health services for refugee children, paticularly in school-based environments.
Presented by Mina Fazel, NIHR Post-Doctoral Research Fellow, Department of Psychiatry, University of Oxford and
Consultant in Child and Adolescent Psychiatry, Children’s Psychological Medicine, Oxford University Hospitals
My books- Hacking Digital Learning Strategies http://hackingdls.com & Learning to Go https://gum.co/learn2go
Resources at http://shellyterrell.com/emoji
What You Can Learn From LPN Classes.pdfoilviadavis
The curriculum for LPN classes is designed to equip students with the knowledge and abilities needed to carry out fundamental nursing activities. Anatomy, physiology, pathophysiology, pharmacology, nutrition, and early childhood development are typically covered in practical nurse education in LPN weekend classes.
PATIENT ASSIGNMENTS AND NURSING CARE RESPONSIBILITIES.pptxPRADEEP ABOTHU
Patient Assignments and Nursing Care Responsibilities
Functional Nursing:
Functional nursing is a care delivery model in which nursing tasks are divided among team members based on their specific skills and expertise. In this model, each member of the nursing team is assigned specific functions to perform for a group of patients. For instance, one nurse may be responsible for administering medications, while another nurse may focus on vital sign monitoring. This approach aims to promote efficiency by utilizing the specialized skills of each team member. However, it can also result in fragmented care and reduced continuity as different nurses handle different aspects of patient care.
Team Nursing:
Team nursing is a collaborative care delivery model that involves a team of healthcare professionals working together to provide comprehensive care to a group of patients. The team typically includes registered nurses, licensed practical nurses, and nursing assistants, among others. A registered nurse usually leads the team and coordinates care, delegating tasks to team members based on their abilities and scope of practice. This model encourages teamwork, shared decision-making, and a holistic approach to patient care. By leveraging the collective skills and knowledge of the team, team nursing aims to provide high-quality care while maintaining efficiency.
Primary Nursing:
Primary nursing is a patient-centered care delivery model in which a registered nurse takes full responsibility for coordinating and providing care to a specific group of patients. The primary nurse develops a therapeutic relationship with the patients, assesses their needs, creates individualized care plans, and provides direct care throughout their healthcare journey. This model emphasizes continuity of care and places a strong emphasis on the nurse-patient relationship. By having a dedicated primary nurse, patients benefit from personalized attention, improved communication, and a sense of continuity in their care.
Case Management:
Case management is a care delivery model that focuses on coordinating healthcare services for patients with complex medical conditions or multiple healthcare needs. A case manager, often a registered nurse, plays a key role in this model by working closely with the patient, their family, and other healthcare professionals to ensure seamless transitions between healthcare settings and to optimize resource utilization. The case manager assesses the patient's needs, develops and implements care plans, advocates for the patient, coordinates appointments and services, and collaborates with various healthcare providers. The goal is to provide comprehensive and efficient care while maximizing patient outcomes and resource allocation.
Each of these care delivery models has its own strengths and weaknesses, and the choice of model depends on factors such as the healthcare setting, patient population, and available resources.
PROFICIENCY REPORT FROM Ms. OPRACTICE Ms. O is a register.docxstilliegeorgiana
PROFICIENCY REPORT FROM Ms. O
PRACTICE
Ms. O is a registered nurse on the inpatient psychiatric unit for (35-37) acute / rapid stabilization of (MH/BS), assigned to evening tour of duty, coed patients with diversified backgrounds at different developmental stages. The patient’s clinical presentation typically presents as acute depression, bipolar, schizophrenia, anxiety, substance abuse problems, and PTSD including psychosocial issues. Ms. O functions as charge nurse continue to demonstrate leadership, greater accountability, and knowledge in the delivery and application of her nursing practice, critical thinking, planning, prioritizing, collaboration, and coordination of skills while guiding, and directing (13-15) staffs in the provision of direct quality nursing care with minimal supervision.
Practice: Applies the nursing process to systems or processes at the unit/team/work group level to improve care. Demonstrates leadership by
Involving others in improving care.
Ms. O applied nursing process to the provision of patient care in order to improve care outcome. Ms. O demonstrated using nursing process in the following ways: completes and implements initial assessment, reevaluation with follow-up based on the patients presenting individual clinical presentation, provides education upon assessment of patient/family’s educational needs, and team for a safe discharge plan. She participates to address the overall holistic function and maintenance of the Veteran’s physical, emotional, and social environment toward the goals of achieving physical survival, self-determination, and autonomous community functioning because of (assessment, planning, monitoring, advocacy, and implementation) contributing to the Veterans full potential. Ms. Oke assist to safely discharge approximately (25-30) patients per week and this discharge performance contributes to helping reduce the length of stay (LOS) as indicated from fy 2014, from (12.3-7.56) days per utilization management. During shift reports as Charge nurse, assist staff with focusing on problem areas unique for the patient’s treatment, behavior, or psychosocial well-being. Monitors and implements crisis intervention for those patients having active suicidal, homicidal or aggressive behavior because of diminishing mental and physical conditions. Implementation of one to one observation, medication administration, or rapid response. Provides goal/wrap-up groups and informal health education in the areas of medication compliance, suicide, smoking, and alcohol cessation while inpatient and upon discharge to patient and family members when applicable. She is competent in administering medications like insulin, and PRN effectiveness f/u within (60-120 minutes), monitors adverse reactions and critical syndromes (Extrapyramidal side effects, Tardive dyskinesia, and Neuroleptic malignant syndrome) associated with this class and use of antipsychotic medications for sustained quality clinical care and ...
role of nurse in medical surgical setting.pptxDrsuhelKhan2
this slide upload for increase the knowledge of nursing student's, and by the help of this students learn about the various roles and responsibilities of nurse in Medical Surgical Setting.
Get all your nursing questions answered with this powerful nursing cheat sheets. For more check this link http://www.domysciencehomework.com/experience-the-benefits-of-our-nursing-assignment-help/
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
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