The Electronic medical record system

Department. Such as, one of the common instances where a verbal order may be given and then the order is
duplicated when the physician gets around to inputting the orders in the electronic medical record system,
which results in the double dose of medication or

the “Latino paradox” 

What is the “Latino paradox”  What factors may contribute to this epidemiological contradiction. What are some behaviors immigrants in the US might engage in that protect their health?
4. What factors contribute to social isolation?
5. Discuss the paradox of the digital divide in healthcare, which exists although individual use of particular technology can create feelings of isolation

Organizational structure of Richmond Community Hospital

Depicting the organizational structure of Richmond Community Hospital where the following people listed below are employed.

You need to list both the employee name and job title.

(Note that IT, HIM, and Patient Accounting Services all report to the V-P of Financial Services.)

Make sure you indent separating from Vice Presidents to Directors,  Directors to Supervisors, and Supervisors to their employees.

 

*******************************************************************************************************************************************************

Ms. Joelle Williams-Director of Nursing

Mr. Paul Nichols-HIM Supervisor

Ms. Lydia Taggart-Vice-President of Corporate Services

Mrs. Margaret Humphries-Board Member

Ms. Lori Rutherford-Lead Coder

Ms. Carleen Hunt-Transcriptionist

Mr. Larry Abbott-Coder

Mr. Jason Hendricks-Director of Payroll & Benefits

Ms. Lisa Conway-Vice-President of Financial Services

Mr. Carl Langley-CEO

Ms. J. P. Carlson-Director of Information Technology

Mrs. Charlotte Richards-Board Member

Mr. Leo Smith-Director of Food Services

Ms. Beth Martin-Director of HIM

Mr. Rupert Jones-Director of Patient Accounting

Mr. Charles Gladstone-Vice-President of Human Resources

Dr. John Radner-Medical Staff President

Mr. Walter Hawthorne-Board Member

Ms. Henrietta Rogers-Release of Information Technician

Miss Caroline Masters-Transcriptionist

Mr. Michael Stevens-Director of Plant Operations

Ms. LeeAnn Miller-Coding Supervisor

Mr. Shawn Lewis-Director of Accounting

Miss Nicole Leonard-Coder

Mr. Thomas Crawford-Director of Employee Development

Mr. Gary Singleton-Board member-President

Ms. Margaret Reynolds-Vice-President of Patient Care

Ms. Cheryl Clements-Transcription Supervisor

Ms. Linda Matthews-Director of Housekeeping

Ms. Ruth Mason-MPI Data Integrity Specialist

Educating a middle-aged African-American man with High cholesterol

The nurse is educating a middle-aged African-American man with high cholesterol. The nurse knows to diagnose the patient as at high risk for a heart attack because based on evidence, the nurse knows that middle-aged African-American men are disproportionately affected by heart disease. What is the most credible source of this evidence?

O An article in a widely distributed magazine on health

O The published opinion of a panel of cardiac surgeons

O A meta-analysis of multiple trials published in an AMA journal

O A series of case studies on middle-aged Americans

Respiratory failure

The patient was admitted for respiratory failure, secondary to a COPD exacerbation. The patient was found down in the downtown public park. You have placed the patient on the setting below and there are orders for Q4 ABG’s. As you come back in to get the scheduled ABG you note that the patient’s peak inspiratory pressure is 42 mmHg and it was reading 30 mmHg immediately after intubation.

Please indicate one possible reason for this high PIP reading.

Taking Warfarin after having strokes.

A patient and the patient’s friend are both taking warfarin after having strokes. The patient’s friend is on a higher dose than the patient. The patient asks for an increased dose, saying, “Isn’t my friend who is getting more going to be better protected against having another stroke?” What is the nurse’s best response?

“We can talk to your physician about getting a higher dose of warfarin if you are concerned about your risk.”

“You should only worry about your own dose of the drug; that’s all that matters. Don’t be concerned about what others take.”

“Your friend needs a higher dose because genetic testing showed that your friend’s body needs more to be effective.”

“The genetic testing you had done showed genes that affect how you metabolize warfarin; this helped us determine the best dose.”

The Ethical and legal issues of advanced directives

Describe the ethical and legal issues of advanced directives including the role and responsibilities of the healthcare surrogate decision-maker.

The Implementation process

Evaluation is an important part of the implementation process. At what point should evaluation begin? At what point should the readjustment process begin? How would you go about determining this? Are these processes the same for every project? Why or why not?

The Blood gas

Please assess the ABG and identify what changes in the patients settings you would like to make based on the blood gas. (Note that the patient’s tidal volume range based on the patient’s Ideal Body Weight is 360-480 mL)

 

Time1130
Machine Settings
ModeVC/AC
Tidal Volume450 mL
Pressure Control—
Frequency14 bpm
Inspiratory Time0.9 sec
Flow Rate—
Pressure Support—
PEEP+5 cmH2O
FIO250%
Alarms
High/Low Press Alarm50 cmH2O
Hi/Low Minute VentilationAlarm15L/min/ 3L/min
High Frequency Alarm30 bpm
Hi/Low Tidal Volume Alarm—
Apnea Alarm—
Patient Values
Total Frequency14 bpm
Inspiratory Tidal Volume450 mL
Expiratory Tidal Volume432 mL
Minute Ventilation6.3 L/min
Peak Inspiratory Pressure24 cm2O
Plateau Pressure
Mean Airway Pressure8 cmH2O
Patient Monitoring
SpO293%
ETCO2
Time
ABG1153
Ph7.27
PaCO268 mmHg
PaO263 mmHg
HCO-326 mEq/L
RT Name

The ‘Measles “disease

Research the details of the ‘Measles “disease using the CDC website and other sources. In a short document designed to explain the PSA to your faculty, clearly describe the disease, explain the chain of transmission and discuss strategies a nurse would use to decrease the spread of this disease.

Include the CDC mandatory reporting requirements for the disease and address how this disease could become a global health issue.

In other words, what might cause this disease to spread from the U.S. to other countries?