Saturday, March 14, 2020
Information Systems in Healthcare Essay Example
Information Systems in Healthcare Essay Example Information Systems in Healthcare Essay Information Systems in Healthcare Essay This system is used to help all the professionals In the building whether It be the hospital, clinic, or outside of the hospital for example the visiting nurses and hospice. You will read about the Healthcare facility, ho exactly uses the information stored in the Epic system, whom that can access the medical health information, about the system, and read about a women who shared her opinions and also, her own personal experience with the Epicure EMMER System. Healthcare Facility The facility is the Aurora Health Care Hospital in Kenosha, Wisconsin its a not-for- profit organization which was formatted in 1984 and now has branched off into 15 hospitals, 185 clinics in 80 communities throughout Wisconsin and northern Illinois with over 30,000 employees. The Aurora hospital In Kenosha serves a city population of approximately 168,000. While there are two other hospitals in the city of Kenosha the Aurora Hospital has the only S. A. N. E. Program and sees about 100 patients a year. This S. A. N. E. Program works on an outpatient basis with a room that is within the emergency room area. The room Is made up with pale green painted walls a nice love seat and pictures on the wall and then an exam table on the other side in the corner. The idea is to try to make the patients as comfortable as possible. Most of the Aurora hospital is working toward Magnet status and to meet all COACH standards. Aurora Health Care-Kenosha has their Stroke Accreditation, Who uses this medical information? The portion of the Epic system that is access for the S. A. N. E. Program is very sensitive information and is therefore made so that only a very few can access this information. Medical records can be retrieved if the patients request it in writing and if its subpoenaed by the court or an attorney for a trial. Any S. A. N. E. May pull up the record to add something to her own charting or to review a chart that she has to testify in court on or for peer review by another S. A. N. E. Nurse. Admitting can only pull up the part of the EPIC chart that allows them to admit the patient and discharge hem in the system they are unable to see anything else to do with these types of patients. There is also a page in the EPIC record for billing that the billing people may pull up but like admitting they cannot open any other part of these EPIC records. The system is made with safe guards so only S. A. N. E. Nurses can open these records regularly. How is information access? All but a few consents are on the electronic EPIC system at Aurora for the S. A. N. E. Aerogram. Meanwhile the few paper consents that are still on paper are signed by the patient and then sent to medical records where they are scanned into the EPIC yester, so they can be seen along with all other records when needed. The electronic system of EPIC is on the desktop stations, handheld tablets, laptops, and on workstations on wheels (WOW). EPIC EPIC is a privately employee owned and held health care so ftware company founded in 1979 by Judith R. Faulkner. Originally, headquartered was in Madison, Wisconsin and then EPIC moved to nearby Verona, Wisconsin in 2005. EPICs market focus is the large health care organizations. EPIC offers an integrated suite of health care software databases. Their applications support functions are related to patient are, including registration and scheduling, clinical systems for doctors, nurses, emergency personnel, and other care providers in addition, systems for lab technicians, pharmacists, and radiologist and then billing systems for insurers. The Epicure EMMER is known for being fast and physician friendly, integrated access and revenue systems to simplify administration throughout the healthcare system. The one patient, one record approach improves care in the hospital, physician group and for the patient through access to their records via My Chart linking them to the same chart used by their doctor (Epic System Corporation, 2013). S. A. N. E. Exams until September of 2012 were all done on paper charts that took a great deal of time and work as they were about 16 to 18 pages long. In September 2012, Auro ras S. A. N. E. Program went live on EPIC with electronic charting and documentation for both records and anatomical drawings. Over half of the S. A. N. E. Nurses had never used electronic charting before and they all picked it up very fast with only a six hour class on how to use the system. The EPIC system is used to connect with the pharmacy to order medication so that they can pull them out and give them to the patients. They also connect to the lab so that they can order labs and x-rays as needed, and can connect with the admitting and billing departments so that all medical records are complete and patients are billed correctly for their support personnel with little problem to report (Order, 2013). EPIC has improved and made the exams run much smoother stated Donna Lee Order URN BBS SANE-A SANE-P program coordinator for Aurora Health Care- Kenosha. Donna felt that it had cut their exam times by an hour and a halloo two hours due to the fact that they didnt have to write out all of their paperwork. It has also been a great help to the law enforcement and the District Attorney to not have to try to read and figure out what th e nurses written on their reports due to different hand writing skills. With EPIC print outs on the computer it is easy to read and helps the process of going to court and making it so much easier. While Donna says there is still some problems with doing the anatomical drawings on the EPIC program they are learning the inns and outs and getting better every day at it. The company worked with the S. A. N. E. Program and their paper charts to set up the electronic program and anatomical drawings. They are planning on making a few changes this September 2013, for which they have found issues with but wanted to work with it for a year to find out all the little bugs first but states for the most part everyone is very pleased with the EPIC system (Order, 2013). Conclusion Aurora Healthcare went online with EPIC in September 2012. EPIC appears to be a user friendly system used by the physicians, nurse, and ancillary staff who all seem to be very pleased with the EPIC system after simply working out a few bugs that they had come across. The strengths of the program are the patients health information an be accessed by any healthcare provider at any site that is within the system. Plus, patients in Aurora can access their own information by going to my chart online giving the patient more access to their own healthcare information. The weaknesses they are finding is that every provider whether they are on a laptop, tablets, desktop stations or the moving work station (WOW) is that they are spending more of their time looking at screens instead of looking at the patient and making eye contact and giving them all of their attention. However, due to this issue of not being able to give attends their personal face time, some of the care providers have hired medical assistants who now follow them and do all of their dictations and typing so that they can continue to give their patients their full and up most attention and their personal face time the patients deserve.
Wednesday, February 26, 2020
Demand and Supply Analysis Term Paper Example | Topics and Well Written Essays - 750 words
Demand and Supply Analysis - Term Paper Example Economists assume all factors are held constant (ie do not change) except one ââ¬â the price of the product itself. A change in a factor being held constant invalidates the ceteris paribus assumption. (Riley, 2006) There is an income effect when the price of a good falls because the consumer can maintain current consumption for less expenditure.à Provided that the good is normal, some of the resulting increase in real income is used by consumers to buy more of this product.à (Riley, 2006) There is also a substitution effect when the price of a good falls because the product is now relatively cheaper than an alternative item and so some consumers switch their spending from the good in competitive demand to this product. (Riley, 2006) Firstly, there is a profit motive. Whether the increases in market prices (for example, after a surge in demand), it is more advantageous for companies to increase production. Signs of higher prices for companies that can increase profits by market demand. Production and cost: With increasing production, increasing production costs of a company, so a higher price is necessary to justify the additional production and cover the additional costs of production. New competitors enter the market: rising prices create an incentive for other companies to enter the market leading to increased supply. The price where the demand and supply meet is known as equilibrium price or market price. This is the point where the buyers and sellers come together at a common point. In a market a good will always be traded at its market price as this maintains equilibrium between the supply and the demand. (Sloman, 2006) The outward shift in the demand curve causes a movement (expansion) along the supply curve and a rise in the equilibrium price and quantity.à Firms in the market will sell more at a higher price and therefore receive more in total revenue. Similarly a backward/inward shift creates the opposite
Monday, February 10, 2020
Actions Speaks Louder Words Assignment Example | Topics and Well Written Essays - 500 words - 1
Actions Speaks Louder Words - Assignment Example To attest that I have changed physically, some of my friends five years was not able to recognize me now. 5. These sports include chess, swimming etc. Of the two kind of sports, I enjoy playing individual sports more than team sports because I can play it anytime compared to team sports where I have to wait for other people before I can play. 6. For me, the best age to marry is around age 30 to 35. It is because during that time, I have already gained enough experience in life and have enjoyed my single life. By that time also, I have already enough savings to afford a family of my own. 7. A good teacher has to be an authority in the subject that he or she teaches. He or she should also be understanding about the different learning style of students. To be an authority in a subject meant that he or she is knowledgeable about the subject and has the credentials to back it up. A good teacher should also be able to know the best way to teach a student. For example, there are students who learn best through experience while there are others who learn better with the use of visual aids. 8. I do not agree that haste makes waste. Doing things quickly does not necessarily mean that one is bound to make a mistake. For example, finishing a term paper quickly does not mean that I am bound to make mistakes or doing it wrong. It is just I happen to know the topic by heart. 9. The most difficult aspects of learning a new language is learning its proper pronunciation.
Thursday, January 30, 2020
Dance script Essay Example for Free
Dance script Essay Dance is something that everyone knows about, but not many people understand. As an avid dancer and competitor for over ten years, Iââ¬â¢ve learned to embrace the many forms of dancing in this world. Itââ¬â¢s hard to put a single definition on dance ââ¬â ââ¬Ëit is graceful, it is feminineââ¬â¢ ââ¬â because there are just too many types of dancing, each with a unique style. What I can say right now, is that dance is a discipline that requires immense control of the body to accurately communicate the intent of the dance, but it is also flexible enough to allow individual emotions and personalities to shine through. Today, I would like to explore with you four very different types of dance: ballet, Chinese, ballroom, and hip hop. 1 Ballet is an art form that originated in the 15th century during the Renaissance. As you can see from the picture, the ballerina wears pointe shoes ââ¬â basically regular ballet shoes (hold shoe) with a box on top. The ballet shoe is usually made of satin or regular cloth, is sometimes covered with leather on top, and has leather soles for good traction. The ballerina also wears the tutu, which used to be heavily adorned (and therefore very heavy), but designs have been simplified and streamlined as much as possible to give the feeling of weightlessness. An important component of ballet is the line. Just as in math, lines go on forever, ballet enforces the concept of line both in the hands, in the legs (hence the importance of pointing), and in the combination of the two. People traditionally think that ballet is an exclusively female art form, but through the years, men have been able to add a combination of gymnastics and other stunts to make it a dramatic experience. 2 Chinese dance is something that I find very hard to pinpoint with one description ââ¬â as you may know, Chinaââ¬â¢s history huge, and there are many different types of Chinese dance from the different Chinese regions. One thing I can confidently say is dancing with props is common. In this picture, the girl dances with ribbons that are usually over ten feet long for each arm; in the next picture, a Mongolian dance, the dancers dance with real porcelain bowls and often with cups (like these), and chopsticks; in this picture, a Dun Huang dance, though the dancers are empty handed right now, it is very common for them to pick up a flute or another type of Chinese musical instrument. Another thing that is emphasized in Chinese dance is femininity. While in ballet, the chin is always up, the body extended to the most extent, in Chinese dance, the chin is usually tucked to symbolize a sense of shyness. Thatââ¬â¢s not to say that Chinese dance is not as dynamic as other types of danceâ⬠¦maybe another short clip may help? 3 Ballroom is honestly one of my favorite types of dances, and today, Iââ¬â¢ll be talking about Latin dance specifically. Latin dances are made up of samba, rumba, chacha, jive, and pase doble. The difference between the dance styles is the emphasized beat, (give example), and therefore, its rhythm. One of the biggest differences between ballroom and other forms of dances is its emphasis on hip motion, how the hip controls the leg action, and vice versa. Also important is the process through which the weight is transferred between feet ââ¬â vertically or horizontally. Speed and sharpness are factors that are crucial to being a good ballroom dancer, and part of the agility comes from the interaction between the partners. Resistance from the male (not even a push), signifies changing direction, lowering the hand preps for a turn, and such. Costumes are generally tight and minimal, but usually decorated with sequins and tassels, to make sharp turns more noticeable. 4 Finally, hip hop is a form of dance that originated on the streets of cities, and is closely connected to breakdancing. For many dancers, shoewear only includes sneakers, but more professional dancers often use danzsneakers, which provide good ankle support, arch support, and a flat top for toe stands. Hip hop often focuses on bodily isolations and gymnastic feats ââ¬â backflipping is common. Mostly, hip hop conveys a sense of attitude and independence. Itââ¬â¢s a very new art form in comparison to the others, and we are yet to see where it will take us. 5 So weââ¬â¢ve talked about four different types of dance ââ¬â ballet, Chinese, ballroom, and hip hop. But keep in mind that there are so many more ââ¬â jazz, modern, lyrics, just to name a few. Next time you see a dancer, donââ¬â¢t immediately dismiss their art as just a girl sport, but realize that it is a discipline that takes an entire lifetime of practice and training to reach a grace and flexibility unparalleled in most other sports. Perhaps you may want to try dance yourselfâ⬠¦Iââ¬â¢m sure it will be a life changing experience.
Wednesday, January 22, 2020
Styles of An Occurrence at Owl Creek Bridge versus The Tell Tale Heart :: essays research papers
The authors, Ambrose Bierce of 'An Occurrence at Owl Creek Bridge' and Edger Allan Poe of 'The Tell Tale Heart' have unique styles to pull the reader into the story. Both authors use unreliable narrator and imagery to allow the reader to picture and follow the narrator's way of thinking. In the Tell Tale Heart, the man is very repetitious and his psychotic behavior is what intrigues the overall dark madness of The Tell Tale Heart. In Occurrence at Owl Creek Bridge Bierce uses illusions to allow the reader to follow wherever his ideas lead which also intrigues the overall dark madness effect. After the old man is dead and under the floorboards the police arrive, and the narrator remains calm and his "manor had convinced them.?Villains!" "Dissemble no more! I admit the deed! -- tear up the planks! -- Here, here! -- it is the beating of his hideous heart!" The narrator of "The Tell Tale Heart" shows that he is unreliable. Concluding the questioning by the police, the narrator had a sudden fear and assumed that the policemen have heard the old man?s heart beat. Not only the narrator could hear the old man?s heart beating, but it is assumed (from the audience perspective) that the police could hear the narrator?s heart beating. The narrator listening to the old man?s heart beat is a replacement of his own consciousness that brought out the guiltiness for murdering the old man. In the last three paragraphs of An Occurrence at Owl Creek Bridge told by a third person point of view, Farquhar is being hanged by the rope, and when the rope is undone, Farquhar escapes and sees the light of the river. The light in this particular story represents a warm bright light from heaven. On other hand on the complete opposite side, in The Tell Tale Heart the light (lantern) signifies fear of the eye. However the narrator reveals that Farquhar?s escape is a hallucination that lasts only from moment the rope breaks his neck at the end of the fall. In the Tell Tale Heart, Poe uses many figures of speech such as Anaphora at the beginning of a clause throughout the whole entire story as the narrator becomes calm and mad about the crime the narrator committed. A couple examples are: ?I heard all things in the heaven and in the earth.
Tuesday, January 14, 2020
Medication Administration Essay
The intended use of medications is meant to improve a personââ¬â¢ health, it is very important the individual administering medication or self-medicating use the drugs correctly, by following the doctorsââ¬â¢ instruction for the medication prescribed. Medication is given to diagnose, treat, and prevent illness. Medication can be very dangerous, which can potentially cause harm or even deaf if itââ¬â¢s not used properly. Administering medication requires the understanding of how the medication is to enter the body such as orally, transdermal, or intravenous. It also requires the knowledge of when the medication needs to be administered, the possible side effects, and its toxicity. Doctors, nurses, and a few other professionals are trained and licensed to safely give medication and it is imperative they do it without harm. Training for professionals also includes proper storage, handling, and disposal of the drugs. Nursing responsibilities for drug administration includes the Three Checks and the Rights of Medication Administration. The nurse also has the responsibility of the medication to be given. Before administering any medication, rather the medication is known or unfamiliar it is the issuer responsibility to know about or why the medication is to be given. Knowing the mode of action will ensure that the medication given is appropriate for the patientââ¬â¢s diagnosis. Itââ¬â¢s also the nurse responsibility to know the side effects of and the contraindications for the medication, as well as the antagonist, safe dosage range, interaction, with other drugs, precautions to take before administering, and the proper administration techniques. The Three Checks states that the label on the medication package or container to be given should be checked three times during the preparation and administration. First check, read the label when reaching for the medication. Second, after retrieving medication from the drawer and compare it to the CMAR. And thirdly, read the label when replacing the medication or before giving the unit dose medication to the patient. Medication error is due to the wrong drug, the wrong timing, the wrong dose, and the wrong route. According to the Food and Drug Administration (FDA 2009), the wrong route of administrating medication accounts for 1.3 million injuries each year. Read more:à Administer Medication and Monitor the Effects An article published in September issue of the Journal of Patient Safety estimates there are between 210,000 and 400,000 deaths per year associated with medical errors. This makes medical errors the thirdà leading cause of deaths in the United States, behind that comes heart disease and cancer. To prevent medical errors always follow the Three Checks and most importantly the Rights of Medication Administration. The ââ¬Å"Rights of Medication Administrationâ⬠helps to ensure accuracy when administering medication to a patient. When administering medication the administer should ensure they have the Right Medication, Right Patient, Right Dosage, Right Route, Right Time, Right Route, Right Reason, and Right Documentation. Also remember the patient has the right to refuse, assess patient for pain, and always assess the patient for signs of effects. Medication administration is not just giving medicine to a patient; it also involves observation of how the patient responds to the drug after administration. As a nurse or health professional weââ¬â¢re trained to know medication effects. Knowing how medication move through the body and what effects the medication has or what adverse effects may occur is most important when preventing medication errors. Medication mishaps can occur anywhere in the distribution system such as monitoring, administering, dispensing, repacking, or prescribing. The most common cause of errors occur when administering a drug happens when there is poor communication, problems reading directions, medical abbreviations or hand writing misunderstood, poor procedures or teachings, job stress (most common), and lack of product knowledge. It is difficult to reduce or eliminate medication errors completely when information is absent, inaccurate, contradictory, or simply not reported. It is not exact that every medication error will cause harm, but think about the undetected errors that will. The undetected errors administering medication makes assessing the effectiveness of medications errors challenging and hard to prevent. Any nurse that has made a drug error knows how stressful the situation can be. The increasing demands and the amount of patients during work load can increase the chances to drug errors. Being overworked can affect concentration and competence, which can be exacerbated by erratic working hours and stress, while complacency can also lead to mistakes. While nurse fatigue is commonly cited caused of drug errors, others include illegible physiciansââ¬â¢ handwriting. Drug errors also miscalculations, over-dosing and under-dosing. Checking calculations and identifying any shortfall in your knowledge i s a qualified ensures to keepà from making a mistake. In 1995, the FDA established the black box warning system which alert the prescribers to drugs or drug products with increased or serious adverse reactions or potential safety hazards, or those that may cause serious harm or death. It appears on the prescription drug label to call attention to the seriousness or life-threatening risks of the drugs being used. Before a drug can be used in the United States, the drug manufacturers and other research organization that develops a drug must show the FDA results of testing of the drug developed before it used by patients. The Barcode Medication Administration system (BCMA) is an electronic program used by the nursing department. The nurse is able to validate and document the administration of medications by using a computer and barcode scanner, which is linked by a wireless network to the electronic MARS. BCMA is an integral part of the health record; all information is documented with a time stamp for improved accuracy of clinical information. An alert is sent if the scanned medication does not match the medication order for the patient. Another method used is automatic medication dispensing system, which are computerized systems that allow nurses to access client medication by using a password to enter the system. The computer controls and manages the distribution of drugs. References 1. Comprehensive Nursing Care, Revised 2nd Edition. (2012). Ramont, Reberta P.; Niedringhaus, Dolores M.; Towle, Mary A. 2. Medication Error Reports. (2009). Food and Drug Administration. Retrieved May 19, 2013, from www. Fda.gov/Drug Safety/Medication Errors 3. Medication errors, handoff process and information quality. Chiru, Alina M; Baxter, Ryan. Business Process Management Journal 19.2, (2003): 2011-2016
Monday, January 6, 2020
Analysis Of The Poem Sebastian - 1652 Words
Sebastian was perched calmly on the roof of the aged warehouse, legs hugged closely to his torso to keep warm against the tranquil, autumn breeze. A glimpse of morning sun was seen peeking through the split between two grey, miserable clouds, signalling the start of a new day. Sprawled out before him were a vast array of city skyscrapers and the first signs of the morning rush hour, with cars already starting to queue up on the recently paved roads. Contrasting to this were the monochrome residential suburbs behind him, where a crowd of houses were arranged on worn-down concrete streets. The dangerous heights were ignored by the boy as he sat motionless, gaze fixed on the distinctly coloured trees, their colour palette melting from yellow ochre into burgundy and brown shades. A single leaf dropped. It descended down gracefully, as if it were a golden angel coming down from heaven. In that moment a girl, wandering on the roads just below him had caught his eye. She was humming a simple tune softly to herself as the boy watched from above in awe, wondering if the song inside her headphones was as great as her ineffable beauty. She looked like someone had cropped her straight from a magazine; her flawless facial features fully complemented by her perfectly proportioned figure. Bleached blonde locks billowed behind her like warm streaks of light in the coolness of the season. Watching her pass the buildings below him, Sebastian finally moved after hours of sitting on thatShow MoreRelated Essay on Twelfth Night: A Gender-Bending Journey1574 Words à |à 7 Pagessituation of the beloved as an object of unattainable perfection for the lover to praise. Olivias speech is in rhymed couplets separating it, along with Violas response, from the typical blank verse of the rest of the play as if they were intended to be poems standing on their own. 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