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PPR Chapter 4 & 5
Terms in this set (83)
What is the healthcare system?
the organization of people, institutions and resources that deliver care services to meet the needs of target populations.
The hospital system include
Pharmacy, specialists, Primary Car physician, DME services, therapies, school and many more
funded and owned by local, state or federal governments and receives money from the government.
owned by investors. Their goal is to earn a profit.
often community hospitals, sometimes linked with a religious denomination. Their main goal is to provide services to the community.
to prevent disease through regular physical exams and health screenings and to care for patients general health by diagnosing and treating wide variety of conditions.
Forms of Primary Care
Obstetrics and Gynecology
health services to which primary caregivers refer clients for consultation and additional testing
Forms of Secondary Care
federal and state funded
Healthcare is paid for by
Medicare, Medicaid, Private Insurance companies and private pay.
Patient Protection and Affordable Care Act (PPACA)
2010 U.S. law that requires virtually all citizens and legal residents to have minimum health coverage and requires employers with more than 50 full-time employees to provide health coverage that meets minimum benefit specifications or pay a penalty. During Obama Presidency.
US Healthcare system is based on which fiscal approach?
Ability to pay determines access to healthcare
Legal risk must be considered when providing care
Medical Marijuana New JErsey
not federally funded
Why is it important for nurses to have some understanding of healthcare issues in the united states?
to know how to treat your patient and where to send your patient
often influences the services the agency can offer to the public
Healthcare agency policies
determine what services you can provide that will be reimbursed by payers
Cognitive, eating, speaking, swallowing (dysphagia)
deals with waist down. Walking, Standing
diets, weight management
medication dispense, regulation
Deals with upper body. washing, showering
What do you need in order to deliver safe and high quality care?
There must be educated professional to administer the care. There must be a continuous supply of equipment and resources such as linens, food and medications. Support or ancillary services are also essential to the delivery of high quality safe care.
both managing care and managing others
Supporter and source of information for the patient
teach patient as outlined in nursing care plans. your intructions should be guided by agency protocols and instructions of an RN
explore feelings with patient about illness and wellness
Communicator of patient assessments to RN
as support staff, identify a problem that needs examination or evaluation
part of a team providing care patients
Public Health Departments
prevent diseases through education, screening, and immunizations
Types of Patient care
Long Term Care
Health Care Regulations
methods designed to control quality of health care and the cost
Health care approval
describes the minimum regulatory standards that a facility must meet to admit or treat patients.
Health Care accreditation
a process in which an accrediting agency uses their standards of excellence to examine the operation of a health care facility.
Accreditation is Mandatory
for a facility that receives MEDICARE and MEDICAID funds from patient care or other federal/state government money
Primary Health Care provider
must be licensed by the state in which they practice their profession
State licensing Boards
regulate the practice
American Osteopathic Association (AOA)
The professional association of osteopathic physicians, surgeons, and graduates of approved colleges of osteopathic medicine that inspects and accredits osteopathic colleges and hospitals
The Joint Commission (TJC)
An organization that accredits 90% health care organizations and programs An independent, non-profit organization.
To continuously improve healthcare for the public.
TJC Vision Statement
All people always experience the safest, highest quality, best value healthcare across all settings.
Program intended to prevent financial loss to the organization or facility
an event or occurrence, incident or accident that has lead to or may lead to client harm
Most commonly occurring medical error sentinel events that affect healthcare organizations can include the following medical errors:
Adverse drug reactions
the retention of foreign body
wrong procedure/ treatment
Personal Wuality of Healthcare workers
The best equipped healthcare facility is no better than the team that runs it and delivers care
Professionals work in parallel, each discipline works towards particular client goals, with very little overlap between disciplines
Decisions are determined by the group working directly with the client. Team goal setting is an important feature of this model.
Newer model in which the client has a PCP.This approach represents the concept of the multi skilled health practicioner
Case Methods (Private Duty Nursing)
the nurse cares for one patient whom the nurse cares for exclusively.
What was the first type of nursing care delivery system?
Private Duty Nursing
a task oriented method where in a particular nursing function is assigned to each staff member
Total Patient Care
the nurse is responsible for the total care of the patient during the nurses working shift.
a modification of team and primary nursing.
The charge nurse is responsible for assigning the patients to the team members, as well as being knowledgeable of their care plans.
The Goal: to work democratically.
the specialty that integrates nursing science with multiple information management and analytical sciences. A field that combines nursing and computers
is a computer science plus information science
deals with the processes of storing and transferring information
Americas Nursing Association
Mission- Nursing advancing in our profession to improve health over all. ANA includes Advances certification of RNs, accreditation of continuing education programs, participation in public policy issues, development of an economic and general welfare program, promotion and support of research activities, publication of journals, pamphlets and multimedia.
Who first recognized Nursing Informatics and when?
The American Nursing Association in 1992
How does today's technology increase safety?
It allows for audits with who did what and when with Login ID's and passwords.
What does Nursing informatics focus on?
Patient Care Data
Education for self, patients and families
Locating research to improve patient care
Scheduling and management of care
Critical thinking and reasoning
What is the meaningful use of Nursing Informatics?
to utilize data within EHR in a meaningful way. To access and retrieve data that is timely, safe, efficient and patient centered.
Health Info Technology for Economic & Clinical Health Act. Part of ARRA American Recovery and Reinvestment Act of 2009. Additional privacy regulations on top of HIPAA, breach notification rules & stiffer civil and criminal penalties for security violations
Who controls HITECH Act?
The department of Health and Human Services
requires ePHI transmission must be through secure method and you have reasonable belief that it will be delivered to the intended recipient
Identifiable Health Information
Social Security Number
Physical Health Condition
Mental Health Status
Health Care Payments
the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions
When working you will be caring for more than one patient. Most facilities have EHRs that contain the patient information. Some of this information will be needed by your daily care. How will you keep needed information for each patient without compromising confidentiality?
Some nurses use report sheets or cards to take notes throughout the day. Record suggestions and come prepared to discuss with others.
Types of Medication Administration Errors
wrong medication due to mis-identification
IV rate too fast
wrong concentration/ dosage
wrong route of administration
types of prescribing errors
disregarding altered physiology, allergies or previous drug reactions
unaware of best practice recommendations
Ergonomics Most common injuries
Muscle and Eye strain
the use of electronic information and telecommunications technologies to support remote clinical healthcare, patient and professional health related educations, public health and health administration
Remote patient monitoring
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