Essays on Triage

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This case study presents J.W., a patient who went to the emergency room of the Community Hospital due to a persistent and severe headache over the last couple of days. Patient displayed signs and symptoms that her condition required blood testing and a head CT scan. However, Nurse Jackie, the nurse assigned to handle the patient’s case, only charted the symptoms but did not act on it or report it. The triage nurse, together with Nurse Jackie, also interviewed J.W. about previous neurological problems, headaches, or incidences of cerebral hematoma. But due to J.W.’s disorientation caused by ...

The United States health care structure

The United States of America health care system has different features that make it unique among other industrialized nations. The U.S. health care structure created many controversies from health care stakeholders because it lacked uniformity. Americans lacked universal health care coverage before the enactment of the Affordable Care Act (ACA) in 2010. Currently, the U.S. health care structure functions under four major categories namely: Illness prevention; health promotion and maintenance; rehabilitation and long-term care; and diagnosis and treatment (Black & Chitty, 2014). All four functions play different roles in improving health and well-being of Americans in all states and from ...

Emergencies in healthcare centers and hospitals are a common occurrence and require nurses and healthcare workers to be forearmed to competently handle casualties. Disaster drills are an effective and efficient way of gauging the level of preparedness of a hospital’s staff, equipment, and systems in handling mass casualties (Emergency Medical Services Agency, n.d.). Moreover, mass casualty drills meet the requirements of the Joint Commission on Accreditation of Healthcare organizations (JCAHO) falling within EC 4.10.2 and EC4.10.15. Additionally, it is a mandatory requirement within the California State Code for hospitals to annually participate in the Emergency medical Services Survey ( ...

1.0 Without putting the figures you cited into a spreadsheet, it is quick to appreciate the fact that the medical costs of obesity is clearly higher than the cost of implementing the research project. The net obesity cost (NOC)-to-project implementation cost (PIC) ratio of 10.2 [$1,429 / $140] is convincingly high. A patient’s annual savings from obesity cost can virtually finance this project implementation estimate. However, it is unclear to us if the cost of implementing the proposed exercise prescription protocol (EPP) or the actual implementation of EPP by the patient, using the necessary equipment and ...

INTRODUCING EMERGENCY SEVERITY INDEX (ESI) FOR BETTER PATIENT OUTCOME

Introducing Emergency Severity Index (ESI) for Better Patient Outcome Introduction to ESI The core objective of various triage tools across the emergency department attributes to the systematic prioritization of the patients in accordance with the severity of their clinical conditions in the context of determining the period until which the patient might wait in the emergency department before his/her evaluation by the healthcare professionals (Gilboy et al., 2011). The nurse professional after executing a focused assessment of the patient determines the waiting time and accordingly provides a triage acuity level of the patient in the emergency department. The patient ...

Utilitarianism is an ethical principle that dictates that actions are ‘moral’ only when they contribute towards the betterment of the greatest number of people in society or what is often referred to as the ‘greater good theory’ . When considered within the context of Disaster Management and Response, utilitarianism implies that the ideal course of action is one that will allow the maximum number of victims to be rescued, treated and saved. The ethical and moral dilemma this creates is what criteria should medical and rescue personnel use in order to determine which individuals are more worthy of receiving help ...

The Problem of Delayed care in Paediatric Emergency Rooms

Statistics indicate that children are among the heaviest users of emergency rooms. In America, for example, more than 800,000 children require care from the emergency department (ED) daily. These cases translate to more than 31 million cases of pediatric emergency cases annually in America alone (Barata et al., 2015). There are many concerns regarding the preparedness s of the ED to handle this influx of patients. It is easy to point out that delay in care is a real concern given the big number of patients and the lack of proper training or supervision of the emergency care ...

Stroke can be termed as a therapeutic emergency and care delivered within the first hours in determining a patient's long-term prognosis and recovery. Substantial evidence has demonstrated a considerable reduction in mortality and disability with timely response in acute stroke care, comprising antiplatelet treatment stroke unit. Uptake of evidence-based care is inconstant of frequently less than optimum. For instance, among patients suffering from ischemic stroke, levels of therapy with venous recombinant tissue-form plasminogen activator are comparatively minimal in Australia (7%), and US (5%) compared with Canada (12%) and specified European countries (Middleton & Grimley, 2014).

EVALUATION

Method This was a data ...

Abstract

At the healthcare facility or setting and particularly in the emergency department patients will present with different or varying needs. Considering the chronic scarcity of resources or personnel within the settings, healthcare providers have to prioritize the needs foe the patients. That means determining those that require urgent care, those that can be managed in the mid-term and those that can wait for much longer periods of time before being managed (Hoyt, 2016). There are ethical issues that make the triage system a case for worry; on one hand, the probability that patient’s status may rapidly change and ...

Capstone project

Stoke is among the most widespread health problems that affects a considerable number of individuals. Epidemiological data indicates that stroke is among the key health problems that is associated with severe disabilities and increased mortality as well as morbidity. According to CDC about 795,000 individuals suffer from stroke very year in the United States and most of these incidences are ischemic stroke (Centers for Disease Control and Prevention, 2015). Additionally, stroke is associated with various health as well as economic consequences such as increased health expenditure and long-term disabilities. However, providing the relevant and suitable interventions and care ...