Non Telemetry Nurse

Non Telemetry Nurse
Having not enough staff increases the stress level of nurses impacting their job performance. According to
Peterson (2001), Nursing shortage include the increasing age of working nurses and the potential for
retirement; the aging of nursing faculty impacting the capacity of nursing schools; and poor wage
compensation. I work on a medical surgical floor; we can take up to thirty seven patients. On our floor if we
are telemetry nurse than we get four patients, and if not telemetry nurse than five patients. The acuity levels
of these patients' are too much it can be either telemetry or non telemetry. Usually on our floor we have two
charge nurses, but one day I was scheduled to be charge but a staff member called in sick. She had the flu.
That ... Show more content on Helpwriting.net ...
Then I received a new admit with telemetry I had to give that patient away to get this new telemetry patient.
This patient was from skilled nursing facility (SNF). The patient was being admitted with pneumonia and
sepsis. When received patient from the emergency room, who had multiple wounds to whole body. Literally
it took me and certified nurse's aides one hour take pictures, due to patient being confused and combative
with us. It was fourteen hundred (1400) not gone to lunch. The charge nurse could not help me or watch my
patients, was busy with transferring patients to another facility. And we did not have a break relief nurse.
Hospital was already short staff of nurses. They called nurses come in, but unfortunately no one came. With
having high acuity patients', not enough nursing staff, and having exposure to this stress over time leads to
nursing burnout. With the Affordable Care Act the health care has experienced an increase in the number of
new patients' in the emergency room. Some of these patients that are coming into the emergency rooms have
chronic illnesses that were ignored and now require more care. Due to increase in patients the wait times and
patient loads have also increased for nurses and
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Case Study: Telemetry Volunteer
Telemetry Volunteer October 2015–Present Ongoing Contribution
As a Telemetry Volunteer in the extremely busy Telemetry Department of Scripps Prebys Cardiovascular
Institute, La Jolla, CA, I have enthusiastically contributed to date over 300–hours to evening shifts in support
of Telemetry Technicians, hospital staff, cardiovascular patients, stroke patients, and family members. More
specifically, when not gradually increasing my knowledge of EKG telemetry and heart rhythms by closely
observing cardiac monitors (while remaining in the background), I provided extra patient care in accordance
with hospital protocols by: Maintaining, organizing, and delivering clean telemetry boxes and batteries;
adjusting patient EKG leads; replenishing supplies; ... Show more content on Helpwriting.net ...
At this medical clinic, in weekly sessions, we gradually led our clients towards group sharing, identifying
issues, defining goals, and evolving treatments in order to help them overcome drug dependencies and
relapses. Overall, in this cross–training role towards a future position as a Medical Assistant, the additional
valuable medical experience that I obtained at the Bronson Medical Centre as an Addiction Counselor
solidly increased my future ability to professionally assist patients with substance abuse problems in a
clinical

Reflection Paper On Telemetry
This week in Telemetry I mainly got to observe a patient on the first day and talk to a telemetry nurse the
second day. On the first day I was assigned to a nurse named Missy. She was not very busy at the time so I
got to observe a man on dialysis. The dialysis nurse's name was Chris, and he told me all about what dialysis
is. Dialysis is a machine used when someone's kidney is not working. Since your kidney is what cleans your
blood, that is one of the things that the machine has to do for you. The nurse also told me that the machine
removes fluids and can add electrolytes. He said that a patient is on average on dialysis for anywhere from
two to four and a half hours. The fistula is where the machine attaches to your body and is where a vein and
an artery are sewn together. Chris was explaining to me what the fistula feels like, he said that is feels like a
pulse, but much stronger. It is not that the rhythm is any different, the pulse just feels stronger. The patient
told me to grab a glove and feel his fistula but the nurse told me I don't really need to because I would have
to put a gown and gloves on just to feel the pulse. The next day we were in telemetry we got to talk to a
telemetry nurse, Matthew. He explained to us a lot about the different floors in the hospital and how
telemetry is mostly for people with heart or respiratory issues, which is why they have to be hooked up to the
machine. The machine they are hooked up to looks mainly at their heart beat. He

Practicum Learning Agreement Essays
University of Phoenix Material
Practicum Learning Agreement | | | | | * Practicum Goal: * Prevent further complications in respiratory
distress by educating the nurse on the use of CPAP and BiPAP to support the patient population with acute
respiratory distress and other chronic respiratory illness. |
* Complete this column for Week One – NUR/590A | * Complete this column for Week Two – NUR/590A |
* Complete this column for Week Two – NUR/590A | * Complete Before Midpoint Review | * Complete
Before You Start NUR/590B | * Learning Objectives | * Learning Strategies | * Evidence of
Accomplishments | * Midpoint Review
(at 30 hours of Practicum Project) | * Outcome–
To Be Completed ... Show more content on Helpwriting.net ...
| * Learning Objectives | * Learning Strategies | * Evidence of Accomplishments | * Midpoint Review
(at 30 hours of Practicum Project) | * Outcome–
To Be Completed Prior to Starting NUR/590B | * 2.0 Create a program outline in relation to the specific
learning needs regarding the use of CPAP or BIPAP from the learning needs assessment * * | * 2a) Review
current hospital policy and procedure of the CPAP and BIPAP use on a telemetry unit * * * * * * * 2b)
Analyze needs assessment in developing a program outline with mentor and make changes as suggested * *
* 2c) Administer the program outline that includes: objectives, program outlined, handouts, and power point
presentation with speaker notes | * 2a) Document review of hospital policy and procedures in practicum
journal * * * * * * * * 2b) Submit a copy of the needs assessment program outline with changes in the
practicum journal * * * * * 2c) Document review of program outline with mentor in practicum journal * * *
* * * 2d) Submit program outline and power point presentation with speaker notes in

Edema Case Studies
This patient is an 80 year old female who required inpatient hospitalization due to: She was brought by the
ambulance to the Emergency Department with complaint of chest pain for the past week, worsening over the
past 2 days. She also had non–productive cough, nausea, diaphoresis, shortness of breath, and bilateral
inspiratory crackles with mild expiratory wheezing in her lungs, as well as one plus pitting edema on the
lower extremities. Her medical histories were significant for diabetes mellitus type 2, hypertension,
hyponatremia, status post for PCI or coronary artery bypass graft with pacemaker, and a recent hip fracture
status post left hip replacement. In the Emergency Department, her vital signs included a blood pressure of
150/78mmhg, and a respiratory rate of 24 breaths per minute, with an oxygen saturation of 95 % on 3 Liters
of oxygen per minute. She had a troponin I of 227 and BNP level of 1539 (noted as elevated). At that time,
she was given aspirin to chew, sublingual nitroglycerin , 40 mg of IV Lasix, morphine, was placed on
oxygen which helped with her breathing , telemetry monitoring, and EKG was done.

Plan of Action: Monitor and Alarm Fatigue
Monitor fatigue has been an issue ever since the technology to monitor patients was developed. The problem
has gotten worse as technology has advanced and the number of alarms in the hospital increased. The
average ICU has "over 40 different alarms" (Sendelbach & Jepsen, 2013). Monitor fatigue is related to any
type of monitoring device used in the hospital making the scope of the problem rather large as monitors
range from bed alarms to telemetry monitors. In June 2013 the Joint Commission approved new "National
Patient Safety Goal NPSG.06.01.01 in clinical alarm safety for hospitals and critical access hospitals (The
Joint Commission, 2013, p. 1)." One of the first goals of the hospital was to identify the alarms most at risk
for ... Show more content on Helpwriting.net ...
Your paragraph(s) should be professionally written, single spaced with APA formatted citations and
references (there is a reference textbox at the end of this form. Use it for your references).
Nurses are so inundated with various buzzes and beeps from numerous alarms that they sometimes are
desensitized, and nurses to alarms fail to respond to alarms in a timely manner if they respond at all. This is
called alarm fatigue. Nuisance alarms are often called false positive alarms and are one of the leading causes
of alarm fatigue. These alarms normally do not result from a patient having an adverse condition are often
considered annoying because they get in the way of patient care (Graham & Cvach, 2010). Basically, alarms
go off falsely so often they have created a "cry wolf" effect as caregivers start to mistrust the alarm system
(Cvach, 2010). As stated previously, alarms fatigue is a large problem with such huge risk to patient safety
that The Joint Commission made clinical Alarm Safety one of their Goals for 2014.
What are the implications of the problem? What will happen or not happen if the problem is not resolved?
Write 1–2 paragraphs discussing the implications with supporting examples. Your paragraph(s) should be
professionally written, single spaced with APA formatted citations and references (there is a reference
textbox at the end of this form. Use it for your references).
With alarms going off constantly, it is easy for a nurse to become

Tc Research Paper
               
TIC: THERMAL IMAGING CAMERA     
     In the mid–1980's, the thermal imaging camera (TIC) was introduced
into the firefighting market as another tool to aide in their ability to save lives, including their fellow
firefighters. However, since its introduction there have been numerous discussions whether or not the TIC
has a place in the firefighter's arsenal of tools. It is claimed that the TIC is "...one of the most
spectacular applications of technology introduced into the fire service since the steam engine..."
(http://www.avadtech.com). The problem with such a hi–tech tool is that it has ... Show more content on
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Along the same lines, a fixed camera with pan–tilt–zoom capability can be placed inside a burn building
during a training session and can be controlled from a remote location.
     From an application standpoint, the telemetry system might include the
ability to operate multiple cameras in a single scene. For example, in the case of a search & rescue,
there could be multiple camera–men looking for victims. In this case, the command center can keep track of
individuals inside by seeing the same image in the telemetry system as the firefighter sees in his camera. In
other applications, the telemetry system might be required to be secure. In other words, there are situations
where the transmitted information should only be received by the intended party and not be picked up by a
local television crew or other unintended users.      Another application of
the telemetry system is on ladder trucks. Typically, a ladder truck that has a hose attachement is used to spray
water from the roof. The problem is that the water is sprayed without knowing exactly where the water is
going. Consider a situation where a TIC on a pan–tilt–zoom control can be placed on the end of a ladder. At
the bottom of the ladder, the firefighter will then be able to see where the water from the hose is being
sprayed and be able to control the water stream.

The ARPN Consensus Model
According to the ARPN Consensus Model, there are three core courses that educational programs must
provide; these courses are: advanced pathophysiology, advanced pharmacology, and health assessment
(Holley, 2016). While entry–level nurses are trained in these areas, the APN is further trained in creating a
diagnosis differential, anticipating which medications will be appropriate, and utilizing a more thorough
assessment. In my current role as a floor RN, I know why I am giving certain medications and what they are
used for and I am able to identify and report abnormal clinical findings. As an APN student, I am learning
how to take these abnormal findings and create an advanced plan of care that involves identifying and
treating the cause.

Nursing Ethical Dilemmas
This case is purely about the legal and ethical implications of nurse T.C and her nursing manager of
telemetry unit, nurse F.J. This nurse T.C has worked in a highly stressful environment before but her
behavior has only recently deteriorated and become emotional with the occasional outbursts and
uncontrollable crying. Her behavior put the legal issue of non–maleficence at risk for her patients as it would
cause emotional stress on them. However, the legal issue that really matters is her case is that of defamation
of her character as well as disclosure of her private and confidential mental state information by F.J to other
nurse managers not in the unit she worked and to even the subordinates. F.J was only justified to release the
information to the DON and no one else (Griffith & Tengnah, 2017). This is a serious legal issue that can
cause T.C to sue F.J as it ... Show more content on Helpwriting.net ...
F.J was not supposed to tell everyone about the behaviors of T.C and especially about her crying in her office
before she was dismissed from her duties in the telemetry unit. This was confidential information and as her
supervisor, she should have sent her to counseling instead of sending her home (Griffith & Tengnah, 2017).
The other ethical issue involved justice, specifically being fair to her being new to the profession, which
justifies her nervous behavior. This would have called for a lenient action being taken on her instead of the
conclusion made by F.J who was a nurse manager and who had experience with such cases in the past. The
fact that T.C had worked under other stressful situations in the past should have been an indicator that she
was not stressed by the job but simply nervous about making any mistakes (Wheeler, 2013). Her personal
opinion and assessment should have been taken into consideration before the final decision of dismissing her
without the problem being solved being undertaken by the nurse

Nursing Sensitive Indicators Are Defined By The American...
Nursing–sensitive indicators are defined by the American Nursing Association (ANA) as "indicators that
reflect the structure, process and outcomes of nursing care" (ANA, 2014). These indicators help define how
nursing care is given by measuring the amount of nursing staff, skill level of the nursing staff, and the
education level of nursing staff. These indicators depict the quality of care provided to patients and the
outcomes of the care provided. Careful tracking of these indicators provides evidence for keeping current
practices or for implementing new policy and procedures. A formal set of indicators measuring the impact
nursing interventions have on patient care was not implemented until 1998 (Montalvo, I. (2007). With the
establishment of the National Database of Nursing Quality Indicators (NDNQI), hospitals and other care
settings are able to assess how nursing interventions impact patient outcomes, quality of care, and the overall
work environment in health care facilities. Nursing–sensitive indicators are a quality improvement measure
used to determine how the quality of nursing care is evaluated in hospitals and other healthcare facilities.
Nurse sensitive indicators allow healthcare facilities to evaluate how the care they are providing is following
evidence–based practices and how they can improve their practices to achieve better patient outcomes. The
American Nurses Association is promoting these indicators as the definitive standards for patient care

Invaluable Lesson Learned
Invaluable Lesson Learned
After working in an emergency department for eight years you get to know the "frequent flyer". These are
the patients that come in multiple times a month for either the same thing or a variety of chief complaints.
The true reason for their visit is usual non–medical and so they are discharged after there symptoms have
been addressed. For this reason they are placed in medical surgical beds in order to conserve resources.
Chest Pain Every Day
A woman in her early 60's rolled up to the emergency room rapid triage area in her motorized scooter stating
"I have chest pain and I need to see a doctor." I recognize this woman as a patient who frequents the
emergency room about three to five times a month with the same chief ... Show more content on
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I remember justifying my decision by telling myself you've only been a triage nurse for a year or the
emergency room was very busy and we needed those telemetry beds for "sick" patients. However, I knew the
truth was I had a bias towards patients that used the emergency room for other things than medical
emergencies. I had adopted the unfortunate attitude that was not only common in the emergency room but
throughout the hospital. I realized at that point if I was going to be the caring, compassionate, Christ like
nurse that I had set out to be in nursing school who was an advocate for her patients, doing the right thing no
matter how difficult. Then I was going to have to find a way to be heard and still keep the respect of my
fellow nurses. After reading the first chapter in Crucial Conversations and looking back on the last eight
years of nursing I was pleased to find out that I'm not alone in this struggle. Patterson et al. summarized it
perfectly, "You don't have to choose between candor and your career." (p. 10) I'm hopeful not only that this
book will help me take the next step in learning how to have more success in future crucial conversations.
But that I'm able to change the current dismissive attitude toward frequent flyers and other patients with
non–medical

Power Case Study Of A Registered Nurse
Power Case Study
Chris is the manager of the telemetry unit. On this particular unit, a problem exists with the staff and their
poor morale. The morale issue has a variety of reasons, including a very busy workload, demanding
physicians who are not as collegial as they could be, and a high turnover rate of new people who leave
within a year. Almost half of the staff has been employed on the telemetry unit for more than 10 years. The
new people who are leaving are not necessarily new to nursing, however, because a registered nurse must
have a minimum of 1 year of experience to apply for a position on the unit.
When Chris asked those who resigned why they decided to leave, many of them said that they felt powerless
in their daily work.

Information Systems : Patient Care Technologies Essay
Informations System – Patient Care Technologies Angeli F. Christian Chamberlain College of Nursing RN
Information Systems in Healthcare NR–361 Mari Pantoja–Smith September 25, 2016 Informations System –
Patient Care Technologies Patient care technology (PCT) has been evolving over the past decade. Nurses are
still expected give focused patient safety and quality care and display compentencies within an increasing
technical environment. ""High touch" is now high–tech, as hospitals and health systems equip nurses with
new tools and sophisticated nursing technologies intended to enhance care, improve safety while meeting
health reform criteria for meaningful use" (Niemeier, S., & Suchomski, R., 2011). This influence will not
decrease in the future, but rather increase. A PCT topic chosen for that has been around for long time is
clinical alarm safety in acute and critical care health care settings. No matter area of nursing practice area, all
nurses need to understand the significance of clinical patient alarm safety and hazards. Clinical alarms warn
nursing of immediate or potential adverse patient conditions. Alarms must be accurate, intuitive, and provide
alerts which are readily interpreted and acted on by nurses in an appropriate fashion. The Joint Commission
has updated the standards hospitals must follow for their patient alarm systems in 2016 (White, 2015).
Positive Example When I used to work as House Supervisor in Long–Term Acute Care (LTAC) facility five

ICU Nursing Case Summary
DICUSS THE COLLABORATIVE ROL OF THE CRITICAL CARE NURSE I enjoyed my time shadowing
in the ICU, there was a lot going on even though the patient load was only two. Unlike the patient
assignments on Med–Surg, the ICU nurses work out whom they'll be caring for during morning report.
Generally each nurse will have 2 –sometimes 3– patients. However, the nurses need to collaborate with each
other when someone is going on lunch break or needs to accompany a patient off the floor for imaging.
During this time their patient load will then increase to incorporate the other's. Additionally, this includes the
tele–tech's breaks. Which is a little more difficult, as one person must be supervising the telemetry monitors.
Besides telemetry, the ICU nurses coordinate a lot with Respiratory Therapy. RT is an integral member of the
ICU healthcare team as they monitor the patients whom require ventilators. RT offers their advanced
knowledge for the pulmonary system to assist with the progress and care of the client ... Show more content
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Clients of the ICU, being high acuity patients, face numerous barriers to their mobility. That being said, early
ambulation is one of the key components towards a speedy recovery. PT's role is to promote and facilitate
increased activity for the patient. However, sometimes scheduling can become a challenge for doing so. With
so many healthcare personnel working towards a better outcome for the client there moments where "there
are too many cooks in the kitchen." For example: the primary RN is preparing the patient for a procedure,
while doing so, RT enters to complete a nebulizer treatment. Then PT arrives to preform passive ROM
exercises. PT and RT's services are sometimes complicated to coordinate as they respond to all the
departments. Although, if the nurse is aware of what the care for the day will look like, s/he can plan with the
other services when a better time might

Leadership : A Nurse Manager Of The Telemetry Floor At The...
Introduction Leadership is an important part of almost all profession. It is no surprise that the role of nursing
profession evolving, with that evolution, leadership is becoming more and more important. Leadership
establishes an environment that foster personal and professional growth. Nursing is a profession that put
huge emphasis on leadership skills. Leadership is such an essential part of our health care system, which can
greatly impact the quality, accessibility and affordability of health care. Leadership establishes an
environment that foster personal and professional growth. The purpose of this paper is to discuss the
leadership skills in the nursing field exemplified through Mr. FG, a nurse manager in one of the best south ...
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FG, personal communication, March 1, 2015). The telemetry floor manager is responsible for all aspects of
the unit's operation and management. Mr. FG main job duty is to ensure the floor runs smoothly without any
obstacles while providing the best possible patient care. Mr. FG currently has 78 employees (including
charge nurses, staff educator, staff nurses, nurse aids, and secretaries) who report to him and he is directly
responsible for. Mr. FG delegates some of the daily functions of the unit to the charge nurses, so that the unit
runs smoothly while he focuses on other important his other duties. Mr. FG consider himself very
professional and approach his staff member in a very professional manner and expects his staff maintaining
the same professionalism with him and other team member. He also expect his staff to work as team and
resolve any issue on the floor to the best of their ability in this manner. Even though his position as a
manager on the floor to lead the team, but whenever there is a problem, he would like his every single
member of his staff to be onboard to come up with a solution. Encourages everyone to talk to him whenever
they feel the need and known for maintain an open door policy (Mr. FG, personal communication, March 1,
2015). Mr. FG reports directly to Chief Nursing Officer and the vice president of patient care services.

Master's prepared nurse interview Essay
Master's Prepared Nurse Interview
Stephanie Bakker
Grand Canyon University: NUR 502
October 15, 2014
Master's Prepared Nurse Interview
Introduction
Due to the demands of an evolving health care system and an emphasis in health and wellness, Master's
prepared nurses are in demand. What does a Master's prepared nurse entails? According to the American
Association College of Nursing, Master's prepared nurses obtain a higher level of learning as well as key
competencies and skills. The ultimate goal is to achieve positive patient outcomes resulting in an overall
improved health care system. The purpose of this paper is to provide insight on a Master's prepared nurse
conducted through an interview. My interviewee has obtained an MSN ... Show more content on
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Her passion grew more as the years went by. The next step that followed was an advanced nursing degree.
Graduate Education
My interviewee obtained her Master's in Informatics at the University of Phoenix in 2013. Transitioning into
the Master's program was seamless since this school was where she obtained her BSN. The online route was
most efficient and that is the route she pursued. The University of Phoenix Master of Science in nursing
degree program is accredited by the Commission of Collegiate Nursing Education (University of Phoenix,
2014). The goal of this program is to equip nurses to function in leadership roles in a variety of settings.
Additionally, nursing theories and evidence–based practices are fundamental guidelines in this program that
will help shape the future of nursing thus impacting the health care system (University of Phoenix, 2014).
More specifically, the informatics program afford students to gain knowledge in data management and
information technology in regard to the health care setting (University of Phoenix, 2014).
According to my interviewee, the Master's graduate program as compared to the undergraduate program was
more challenging but yet rewarding. This was attributed to the fact that she had a strong passion for
informatics and wanted to obtain a higher level of education.
Present Position
As a Nurse Informaticist, the interviewee felt that she has been

Uchealth Character Analysis
Jennifer always comes to work dressed according to UChealth's standards. She is very respectful to all her
cohorts, support staff and visitors. She always presents herself in a professional manner. Jennifer is one of
the most professional techs we have. Her attitude is always positive and she never complains about her job.
She is very consistent in her work ethic, and her chart audits show that she takes pride in her job. She does
right even when no one is looking. She can deflect issues with RNs easily, because her demeanor is so calm,
cool and collected. I appreciate her ability to create such a calm atmosphere everywhere she goes! Jennifer
respects and does her best to follow UCHealth core measurements. She never violates HIPPA.

Diagnosis Of The Population, Discerning Accessible And...
Description of the population, discerning accessible and target populations. My research study is to
determine whether the application of universal MRSA surveillance screening in a non–ICU in acute care
setting will result to decreased risk of infection in the hospital patient. eligibility criteria including inclusion
and exclusion criteria; MRSA screening will be eligible or conducted on patients admitted in
telemetry/medical surgical unit. Patient must be 18 years old and above to be included in the study. All
patients who were previously identified as MRSA carriers or having a history of MRSA infection, and
patients who are admitted for 24 hour observation, as well as same day surgery will be excluded from the
study. discussion of sampling bias; There is a high risk bias due to study limitations and source of
population. MRSA screening will only be conducted on patients with greater than 48 hours estimated length
of stay, below 18 years old, and patients who have a history of MRSA. Missed opportunity for more
extensive data due to the exclusions of other patients admitted in the telemetry/medical surgical unit.
sampling design (probability versus nonprobability); I used a nonprobability design, because it does not
involve random selection method. I am using the consecutive sampling, which "involves recruiting all of the
people from an accessible population who meet the eligibility criteria over a specific time interval or for a
specified sample size"

Pharmacist Collaboration
Spiritual support can be used for families when the patient is not physically or mentally doing well. Or when
the patient themselves request it for comfort and extra support during a difficult time in their life. Nurses
collaborate with spiritual support when families can use extra support during a difficult time or when
patients request it themselves. Dietitians are qualified health professionals who promote healthy eating
lifestyles tailored to individuals based on medical condition so they can eat a healthy balanced diet. Nurses
need to collaborate with dietitians to see what patients' can and cannot eat. Lab technician collect and
analyze test samples that are requested by physicians. They create records based on results found and then ...
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Pharmacist dispenses medications based on doctors order along with discussing medication usage and
contraindication. Nurse pharmacist collaboration occurs to improve medication safety in a timely manner.
Physical therapists help patients improve movement along with managing pain. Collaboration occurs when
documents are needed for the therapist that will be helpful in providing treatment and to decide what
treatment will be best for the patient during this time to improve movement and pain. Physicians perform
history and physical to determine a diagnosis and come up with a treatment plan for the condition.
Radiologist technologist work with diagnostic imaging to help determine the cause of the patient's illness.
Nurses collaborate with radiologist technologist to review results and see what caused the condition to occur
and the best way of treating it. Respiratory therapist work with patients who have trouble breathing so
collaboration occurs to assess the breathing to see whether it is being treated or if the plan of care needs to be
changed to prevent the breathing problems from getting

Chronic Alcohol Intoxication: A Case Study
PRINCIPAL DIAGNOSIS: Acute and chronic alcohol intoxication.
OTHER PROBLEMS: Chronic obstructive lung disease, depression, anxiety, history of seizures related to
acute and chronic alcohol intoxication (number 1), benign prostatic hypertrophy (BPH), panic disorder and
tobacco use disorder.
ALLERGIES: NO KNOWN ALLERGIES.
OPERATIONS(/)PROCEDURES: No invasive procedures were performed during this hospitalization.
REASON FOR ADMISSION: Patient presented to the urgent care area, brought by a friend. Patient is
requesting detoxification.
SUBJECTIVE: Patient states he has been drinking 18 beers a day, states, "I blew it."
OBJECTIVE: Vital signs: Blood pressure 106/62. (Pulse 95). Respirations are 20. Temperature is 97.5.
Patient weighs 150 pounds. (Pain is)(0) (___) (0/10). ... Show more content on Helpwriting.net ...
Crackles are noted in the lungs throughout. Heart is regular rate and rhythm with a rate in the 90s. Patient is
on telemetry. Bowel sounds are active x4. Denies abdominal tenderness. Skin is dry and intact.
LABORATORY: O2 saturation on 3 liters on ___ [DATE] was 92%. On ___ [DATE] on 2 liters 94%, and on
2 liters on the ___ [DATE] (at) 97%. Telemetry on ___ [DATE] shows normal sinus rhythm. Patient off the
ward very often (and) smokes. The patient was discontinued from telemetry.
HOSPITAL COURSE: Patient was admitted to the hospital for detoxification on routine detox orders and
placed on telemetry. Patient progressed safely and without incidents and is ready for discharge today ___

Cardiac Telemetry Monitoring System
Bill Siwicki article (Siwicki, 2017) in Healthcare IT News speaks about AT&T and Zywie Inc. teaming up to
offer a highly secure and easily accessible telemetry monitoring system. Zywie Inc. developed a cardiac
monitoring system called ZywiePro. This system offers holter, event or Mobile Cardiac Telemetry all in one
device that is used to detect cardiovascular arrhythmias. This device can monitor patients at a minimum of 1
day and a maximum of 1 month. If an irregular rhythm is suspected by the ZywiePro system, it is wirelessly
transmitted through the AT&T network (Siwicki, 2017). This device offers several great benefits to
healthcare providers. This includes being able to access the program on any AT&T device at any time. As we
all know, providers ... Show more content on Helpwriting.net ...
Cardiovascular arrhythmias are common among both males and females and over a wide age range. As a
former cardiac nurse, I know firsthand how often people develop new and reoccurring irregular rhythms.
These patients would be ordered a cardiac monitoring device, such as the ones that were mentioned above.
However, without access to advanced technology systems such as ZywiePro, there is a risk for adverse
outcomes for both the providers and the patients. For example, the patient with a standard telemetry
monitoring system would have to turn in the device, wait for the results to be read, and then return to the
office to discuss the results and management options. This becomes time consuming, costly, and
inconvenient to both the provider and the patient. In addition, it delays treatment. I believe with the evolving
healthcare demands and increasing shortage of providers, we need to take advantage of the technology that
has been designed to meet our healthcare needs. ZywiePro has been designed to do just that. It offers
immediate diagnostic results that makes communicating and treating patients more

Changes And Changes Of Healthcare Organizations Essay
Changes in Healthcare Organizations
Cheri McCarthy
Wilkes University
Introduction Organizational changes occur rapidly, especially in this era of healthcare reform. It is therefore
imperative that nurse executives be prepared to manage the changes necessary to make healthcare
manageable, affordable, and of the highest quality. Change is important in organizations to allow employees
to learn new skills, explore new opportunities, and exercise their creativity in ways that ultimately benefit the
organization through new ideas and increased commitment (Shirey, 2013). In addition, organizational change
has a significant impact on those who are undergoing it, and thus introducing change can be a complex
process. However, following a theoretical framework can provide a foundation for making informed
decisions that allows for better control over the outcomes of the changes (Mitchell, 2013). There are many
different change management models, but one that has been used successfully in health care, and specifically
to address the adoption of technological innovations, is John Kotter's process for transformational change.
This paper will identify a recent change implemented in my organization and discuss how Kotter's Change
Theory applies to it.
Telemetry Monitoring Equipment Process Change
Telemetry monitoring has been proven to improve mortality in certain disorders where cardiac dysrhythmia
is likely or possible (Dressler et al., 2014). However, studies

Design For Change Proposal : Implementing Hourly Rounding
Design for Change Proposal: Implementing Hourly Rounding
Improving patient safety and increasing patient satisfaction while in the hospital is an ongoing issue in
hospitals. Developing a plan to make changes within hospitals is the first step in accomplishing this task.
The design plan for change is to improve patient safety, decrease risk of falls and increase patient satisfaction
by implementing intentional hourly rounding for older adult patients (over the age of 65) admitted to a 40
bed telemetry unit at an acute care hospital. For each hourly round preformed a preselected group of question
will be asked by the nurse or nurse's assistant as well as informing the patient when the next hourly round
will be conducted.
Change Model Overview
The John Hopkins Nursing Evidence–Based Practice Model describes how practice, education and research
are the foundation for professional nursing. Practice is first, nurses need to question the basis of their
practice and utilize an evidenced based approach to validate or change their current practice. Next is
education, nurses' education is basic in the beginning however with ongoing education nurses are able to
gain new knowledge and skills throughout their careers. Finally is research, research generates new
information for the nursing profession and allows for improvement of practice based on scientific evidence
and research. (Dearholt & Dang 2012, p. 34–40).
Practice Question
Step 1: Recruit Interprofessional Team
An

Fault Analysis Essay
No plagiarism detected 5.1.3 Device Data Collectors Multiple Device Data Collectors are continuously
collecting, aggregating, and sending local telemetry data to the Data Store. 5.2 Fault Injector Fault injector is
used to induce random fault at will to the both ping service and device data collectors. 5.3 Data Store The
Data Store used to holds the network topology information, local telemetry data, as well as the ping data
collected from devices and other components of the network. 5.4 Learning Agent module: The learning agent
helps to capture the behavior of the system on different faults scenarios injected by using the fault injector
and a non–faulty scenario as well. These are analyzed and stored by using the following flow in the ... Show
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The third phase is the learning phase where in the data is fetched from the data store and then forwarded for
further analysis to the machine learning block. The machine learning block uses the random forest algorithm
to analyze the data that is being fetched by the learning agent after which it analysis report is sent back
where in it is used to create the diagnosis function which is the required output The above figure shows the
UML diagram; our project contains six major classes namely Node, FaultInjector, PingMap, MonitorAgent,
LearningAgent and MachineLearningBlock. The MachineLearningBlock class is sub–class to the
LearningAgent class. This handles all the functions from injecting faults, requesting for the TCP statistics,
and analysis by the machine learning block. The above sequence diagram shows how the monitoring agent
interacts through the steps stated above, we can see that initially the monitoring agent sends a signal to the
ping map to deploy the monitoring agent into the selected nodes, then the fault injector injects random faults
into the nodes containing the monitoring agent and then the monitoring agent request for the TCP statistics
of these inject nodes and then the node replies with the TCP statistics and later on these statistics are stored
in a log file and stored into the data–store.

An Example Of An Improvement Project, Tools Used, And The...
1.3. Provide an example of an improvement project, tools used, and the outcomes that can be shared and
spread to other health care providers. As the patient safety officer, I am involved in the frequent root cause
analysis (RCA) that result in improvements due to a retrospective response to specific events. Likewise, I am
involved in many patient safety and quality initiatives where information from occurrences is used to
improve quality, such as the falls prevention program, hospital–acquired pressure ulcer prevention,
medication safety to name a few. These are broader approaches for improvement using a collaborative,
multidisciplinary effort directed at improving the quality throughout the organization rather than a specific
reaction ... Show more content on Helpwriting.net ...
The group was led by myself and included members of a multidisciplinary team of all units involved in the
telemetry process including the managers, nurses, monitor technicians and clinical engineers. This group
selection afforded us an opportunity to share successful approaches, discuss barriers and create specific
strategies acknowledging variation and where in the process steps it could be eliminated. Multiple barriers in
the process were readily identified and the team would meet on a bi–weekly for several months to discuss
each process step and decided on countermeasures. An example of one risk recognized was an interruption in
the ECG data recorded between the emergency department and the data recorded in the telemetry units. This
step revealed a possible loss of data and possible incorrect patient identification of data upon arrival to the
unit. The solution was to involve clinical engineering to create a seamless record for recording the cardiac
ECG rhythms from the emergency room to the inpatient bed. The team scored each FMEA step, agreed upon
the risk score threshold for each actionable items, and finalized the approach. Measurement of post FMEA
showed a reduction in events an important part of evaluating the success of the implemented steps. The
action items were shared with the system NPSG alarm teams and applied where applicable. Additionally, all
system facilities share event data on a twice weekly review

New Horizons Spacecraft
The most dramatic moment in the interplanetary New Horizons spacecraft's nine–plus year mission came
today (see video below) when, after a planned, many–hour silence, it phoned home and all systems were
confirmed healthy. Thirteen hours after its flyby of the farthest planet in the solar system, Pluto, New
Horizons confirmed that all was well and reams of data had been recorded.
The video focuses on New Horizons Operations Manager Alice Bowman, affectionately referred to even in
official communications within New Horizons Mission Control as "Mom." Bowman has been the steady
hand guiding the mission for years. Among many other things, she has reviewed every line of instruction
code sent to the spacecraft.
The decades–long anticipated signal ... Show more content on Helpwriting.net ...
As Principal Investigator Alan Stern said, today marks the end of "the historic first era of planetary
reconnaissance.
The approach to the Pluto system over the last few days has yielded previously unexcelled images of the
planet, as well as its moon, Charon (pronounced equally as "Sharon" or "Karen"). But Stern promised the
next few days will bring forth much better photos, with ten times the resolution of previous images.
New Horizons Administrator John Grunsfeld explained that now begins a 16 month stream of data, detailed
observations New Horizons has recorded about the Pluto system. With untold discoveries about to be
revealed "This really is the beginning," he said.
New Horizons still has many years of fuel and power. It will continue its more–than–10–year mission,
exploring the primordial material of the Kuiper Belt. When asked by a young person what the mission will
do now that the big event of the Pluto flyby has happened, five–time space shuttle astronaut Grunsfeld said
the interplanetary spacecraft will–in a nod to Star Trek–"go where no New Horizons spacecraft has gone
before."
In attendance at one of today's press conferences was a group of children, all of whom were born the day
mission was

Alarm Fatigue Research Paper
Alarm Fatigue Prevention
Medicine is an always evolving field, and continues to grow in the pursuit of people health benefit. As time
has passed better research studies, discoveries, treatments and improvement of patient outcomes has been the
pride of the medical field. However; despite all the improvements in medical advancement, preventable
medical errors have become a major problem in the field. About a decade ago, the Institute of Medicine
(IOM) investigated and created the report To Err Is Human: Building a Safer Health System, in that report
the IOM came to the conclusion that approximately 98,000 people has died yearly in the United States as a
consequence of an preventable medical error (RWJF, 2011). Some of these errors are caused

SPF Baboons Case Study
To dissect out the role of hTBM expression for extending the cardiac xenograft survival, three xenografts
from donor pigs not expressing (GTKO.CD46) were transplanted in SPF baboons using previously used
anti–CD40 (2C10R4) antibody based immunosuppression. All heterotopic cardiac xenotransplantation's
were done without any technical difficulty or perioperative complications. Transplanted recipient baboons
were successfully extubated immediately following surgery and were active, eating, and generally well soon
after the operation. Use of left ventricular telemetry implant and serial echocardiograms confirmed vigorous
xenograft contractility following transplantation. All the recipient baboons maintained their hemoglobin,
hematocrit and RBC ... Show more content on Helpwriting.net ...
In contrast, both IgM and IgG non–Gal antibodies were increased when xenograft rejection was triggered by
withdrawal of anti–CD40 (2C10R4) antibody in a previous experiment (4). Besides our earlier report, Anti–
CD40 (2C10R4) antibody treatment is also shown to be associated with the prevention of induced anti–pig
humoral immune response in pig hematopoietic cell transplantation in baboon (18). We have previously
reported a shorter cardiac xenograft survival (median 71 days) from GTKO.hCD46 donor pigs along with
anti CD154 antibody based immunosuppression (2). Perhaps by using clinically available anti CD154
antibody along with GE pigs expressing hTBM will allow faster clinical transition. However, Anti–CD154
antibody has been shown to cause thromboembolic complications which may limit its clinical application.
Anti–CD40(2C10R4) antibody blocks the same CD40/CD154 pathway without causing thromboembolism
and has also been shown to prolong the graft survival in both the xeno and allotransplantation setting by us
(4) and others (12) (19) but this agent is not currently approved for clinical use. In our recently reported
study (4), low doses of anti–CD40 (2C10R4) antibody treatment and early withdrawal it from the
immunosuppressive regimen resulted in poor xenograft outcome (20). In the current study, despite of high

Telemetry Monitor Technician
Last year during my final semester of my senior year, I was blessed to have the opportunity to be an intern in
the program of study I wanted to go into. Without any doubt in my mind I chose to intern at the hospital in
our town, Hugh Chatham Memorial Hospital. Once I chose my intern site, I then got to choose what area I
wanted to work in. I chose to intern in the ICU, because I knew I would learn the most in that area. Almost a
year later and after getting CNA certified, I got offered a job as a CNA/ Telemetry Monitor Technician in the
ICU. Being a Telemetry Monitor Technician, I would watch and observe the heart rates and beats of the
patients in the ICU on two computer screens. If something was abnormal in a rhythm, I would make note of
the abnormality and notify the nurse. Having already interned and seeing how the telemetry monitors
worked, I thought I would not have to learn anything more about the monitors than what I already knew.
Seeing how the heart would beat, and all the different things that can go wrong with the heart was very
interesting to me. During internship I was never allowed to really get the hang of being a monitor tech,
because of hospital policy. Little did I know, I ... Show more content on Helpwriting.net ...
I learned the different keys and buttons on the monitors, and what they were used for. I also learned what
exactly to do if something was abnormal with a patient's heart, and what the patients monitor will look like if
their heart slows down, speeds up, or misses beats. Even though I am understanding more about being a
monitor tech, I still am furthering my education in this literacy by working with the head monitor tech on
and off the days I work. In a few weeks, I am taking a class to become officially certified as a Telemetry
Monitor

Mallard Research Paper
Mallard Migration
The mystery of migration patterns of Mallard Ducks is fascinating. Understanding a migratory pattern and
reasons for migration, can help me learn the behavior of a certain species of a duck and help me in knowing
when and where to hunt. Mallard ducks migrate south every year from their breeding grounds. The reason
they do this is the shortage of food in the winter months. As they make their way south, they use many
different paths such as flyways.
Presently, "Mallards are thought to be the most abundant duck on Earth" (National Geographic). In addition,
Mallards are the most common ducks in North America. Mallard duck migration is a mystery currently being
studied by the Missouri Department of Conservation. "The Mallard ... Show more content on
Helpwriting.net ...
Many scientists that have studied the waterfowl migration, have figured out that ducks use the sun, stars, and
stellar maps as visual cues to migrate (Ducks Unlimited). Also, ducks use landmarks such as coastlines,
mountain ridges, and waterways are used as directional cues (Ducks Unlimited).
Some of the nonvisual cues used in duck migration is the Earth's magnetic field, and homing. Since
navigation and migration behavior is very difficult to study, some Mallards have been marked with GPS
satellite telemetry units to aid in the study.
In the spring, Mallards hens will always go back to the same breeding grounds they hatched in and their
mating partner for that year will follow them. They will live here until the winter weather causes a food
shortage and pushes them out. Therefore, this causes them to follow a flyway path

Task 4
| Task 4 | | | Monica DeWitt | | | Current Compliance Status The hospital is compliant in with the National
Patient Safety Goals (NPSG) in the following areas: staff is using 2 identifiers when providing care,
correctly transfusing patients, maintaining a healthy patient care environment by complying with the Center
for Disease Control (CDC) and World Health Organization (WHO) hand hygiene guidelines, continuing
evidence–based best practice to prevent or reduce the risk of catheter–associated urinary tract infections
(CAUTI), identifying patients at risk for suicide. Within the rest of the accreditation requirements the facility
was compliant with the following elements: EM–emergency management ... Show more content on
Helpwriting.net ...
Labeling issues–The lack of labeling as well as pre–labeling can put the patient at risk. The unit sited for this
is the Operating Room. Annual test–This is a basic safety test that is used to ensure patient and staff safety.
The area sited was EOC. Fire Drills– This is vital to ensure staff has practiced emergency procedures. While
auditing the fire drill history it was noted there were gaps in completing the required quarterly drill for each
shift. The third shift lacked a drill in the first quarter and the third quarter. The fourth quarter was lacking a
drill during the second shift. The area sited was EOC. The units that have the greatest opportunity for
improvement include 3E, 4E, OR and telemetry. Staffing Patterns Within the staffing effectiveness report,
most data collected indicated a downward linear trend. This downward trend is a positive outcome.
However, 4E has an upward linear trend which needs to be improved. The linear trend of nursing hours
compared to the number of falls and pressure ulcers indicate an increase in nursing hours do not guarantee
drop in falls or pressure ulcers. The performance trends show a gradual increase in the number of falls and
pressure ulcers. A closer look is needed to identify reasons for the correlation between greater nursing hours
and increased falls. This may be due to a need for increase in nursing staff and limiting the number of hours
the nurse can work

Performance Improvement: Lean or Six Sigma Essay
Performance Improvement: Lean or Six Sigma
Performance improvement is a constant focus in healthcare today to reduce costs and meet the demands of
value–based purchasing and healthcare reform. Healthcare organizations have implemented various
performance improvement methodologies to reduce operating expenses while improving quality and patient
outcomes (Betka, 2012). Many healthcare organizations have turned to performance improvement methods
such as Lean and Six Sigma to manage their costs, productivity, customer needs, and operational growth
(Betka, 2012).
The purpose of this paper is to discuss: (a) overall comparison of the Lean and Six Sigma performance
improvement methods, (b) steps involved in implementing Lean and Six Sigma, (c) ... Show more content on
Helpwriting.net ...
Today Six Sigma is found in many organizations, manufacturers, and businesses that strive to reduce and
eliminate defects.
Steps in Lean Methodology
According to the Lean Enterprise Institute (2009), the steps in implementing lean methodology are as
follows: (1) identify the value, (2) map the value stream, (3) create the flow, (4) establish pull; and (5) seek
perfection.
Lean methodology will focus on waste removal and improving flow time which results in less variation and
standard work (Kubiak & Benbow, 2009). The implementation of Lean techniques involves frontline staff to
identify the current state and determine what the ideal state should look like. A value stream map is created
to allow for identification of all steps in a process and where waste exists (Dickson, Anguelov, Vetterick,
Eller, & Singh, 2009). Ideas for improvement from the frontline staff are implemented by pilot phases which
are a constant work in progress until the ideal state is achieved (Dickson et al., 2009). Job Instructions are
then created to educate all staff and create standard work.
Steps in Six Sigma Methodology
The five phases involved in the Six Sigma methodology according to the Agency for Healthcare Research
and Quality (2013) are: (1) define, (2) measure, (3) analyze, (4) improve; and (5) control.
Six Sigma methodologies focuses on reducing variation to eliminate defects and have a standard output with
less inventory (Kubiak & Benbow, 2009). Implementation of Six

Real-Time Analysis
Solution to the Problem An innovative solution to combat this issue is to have real–time monitoring for
athletes deemed high risk. This may be done by creating a synthetic shirt, which is currently worn by many
athletes during activity already, that has three EKG leads and a telemetry unit built in the material. It would
be imperative to have the leads, wires, and telemetry streamlined to reduce bulkiness, especially since the
device would be worn under pads in sports like football and hockey. A second step would be to develop a
smart phone application that can wirelessly monitor each player's cardiac rhythm by a trained sideline
medical professional. This application would have real–time analysis monitoring for a concerning rhythm
that ... Show more content on Helpwriting.net ...
Historically, when SCA does occur, the most successful outcomes happen when there is early
implementation of defibrillation attempts and advanced cardiac life support, including advanced airways,
cardiac stimulating medications, and post–cardiac arrest hypothermia protocols (Piper & Stainsby, 2013). In
other words, there is only a short window of opportunity to initiate life saving measures before irreversible
damage occurs to the cardiac muscle.
Additionally, having the telemedicine option provides immediate medical consultation in areas where
resources are limited. Often, best practice methods take time to be adopted due to skepticism of the change,
with rural areas traditionally lagging the most. The telemedicine provider can be trained based on the latest
research, essentially bringing the top experts to the scene of the event. The biggest disadvantage would be
the large monetary costs of the start–up. Research and development of the EKG shirt and of the smart phone
application, distribution of the product, hiring telemedicine providers, and implementing an effective
marketing campaign are some of the obvious major costs. One could argue that the relatively low estimated
incidence rate would not justify the overall monetary cost. Unfortunately, the costs would project past the

Telemetry Nurse Essay
What is a Telemetry Nurse? A telemetry nurse is a health care professional whose primary job is to monitor
various life–support monitoring equipment and provide real–time care to patients in critical conditions.
Telemetry nurses are usually nurse practitioners (NPs) or registered nurses (RNs) with specialized training.
What is Telemetry Nursing? Telemetry nurses are progressive care health professionals. As a team, telemetry
nurses are sometimes referred to as an intermediate or transitional care unit. They provide direct observation
and constant care to patients who require constant monitoring for a variety of diseases, such as heart attacks,
renal failure and advanced cancer. However, sometimes these patients progress from a less critical ... Show
more content on Helpwriting.net ...
Telemetry nurses accomplish this through monitoring and reviewing medical data from special equipment
that tracks the patient's vitals, such as heart, breathing and blood pressure rates. At the same time, they
perform traditional nursing duties like administering medications and communicating with patients and
families regarding the specific condition. While some telemetry nurses deal with general conditions, others
specialize in neurological or emergency care. One of the most common specializations is cardiac telemetry.
Cardiac Telemetry Cardiac telemetry nurses specialize in cardiac care and in the use of electrocardiogram
equipment. They must systematically apply their nursing judgment skills to perform assessments designed to
evaluate pain, psycho–social background and patient education needs. Based on this information, they must
identify risks, make diagnoses, generate goals and establish expectations. They must be able to continually
prioritize and implement changing nursing plans according to updates or new information. They collaborate
with patient team members on a daily basis to coordinate care and meet the needs of their patients. What
Education is

Silverhook Powerbook Essay
SilverHook Powerboats: Tracking fast–moving powerboats in real time BUSINESS OPPORTUNITY In
powerboat racing, racers rely on telemetry data from their boats to formulate strategy and make safety–
related decisions. Biometric data is also collected from the drivers. The high speeds and the pounding against
salt water often take toll on–board equipment and drivers. To reduce such risks, monitoring data is fed back
to analytics engines, which provide real–time alerts such as engine performance issues, potential battery
failure or even driver exhaustion. SilverHook Powerboats, maker of some of the world's fastest watercrafts
wanted to use this sensor data collected from racing boats to improve the decision–making abilities and
safety of racers and to enhance the fan experience. The challenge for racers and observers was alike–
keeping track of ... Show more content on Helpwriting.net ...
SOLUTION TO THE PROBLEM The SilverHook team created a solution that streamed data to a cloud–
based analytics solution. The group employed the IBM Bluemix Platform–as–a–Service (PaaS) to launch an
IBM SPSS analytics solution and deliver insights in a useful format to racers and fans. The PaaS enabled the
team to rapidly build applications, pulling data into the cloud and distilling it down to important insights.
The company employed the IBM Internet of Things Foundation (IoT Foundation) service that transported
telemetry data to the cloud. Data was streamed from the vast array of sensors and Global Positioning System
(GPS) trackers directly into the cloud. They then extracted important insights from the flood of data by using
analytic tools within the Bluemix PaaS. A rich visualization front end was developed which delivered
technical information and alerts to the racing team as well as a real–time representation of the race to

Collaborative Nursing Role
Collaborative, innovative nurse with extensive oncology department experience among patients with diverse
backgrounds. Energetic patient advocate skilled in successfully providing quality care, budget and inventory
control, and counseling to both patient and families. Focused team leader with financial acumen, continually
focused on coordination and efficiency across hospital staff to drive proficient patient care practices. Areas
of Expertise include:  Patient Advocacy  Micromedex, Pyxis, Accudose  MTM/API Scheduling 
EPIC, MediTech, Quest  Relationship Building  Trilingual – French, Creole  Bar Code/Scan System 
Staff Training & Leadership  Problem Resolution EXPERIENCE & NOTABLE CONTRIBUTIONS
ORANGE COAST MEMORIAL MEDICAL CENTER

Spoofed Research Paper
For years we have found ways to protect our belongings with security to make sure our phones or computers
aren't hacked, or data isn't stolen from them. Many sUAS are starting to apply security measures, but they
are still vulnerable. An Unmanned Aerial System (UAS) more commonly known as a drone by hobbyists
may be a revolutionary device, but they don't come without there downfalls. While a drone might be able to
maneuver in a tight space or follow you while avoiding obstacles, it is still very seceptible to being hacked,
and could leave it vulnerable for the next few years. Ways drones can be Spoofed: Many drones are
seceptible to being spoofed, and drones that use apps wifi are the the ones that get spoofed. Spoofed is a
fancy way of saying

Utilization Management Paper
Utilization management (UM) is defined a set of techniques used by or on behalf of purchasers of health care
benefits to manage health care costs by influencing patient care decision–making through case–by–case
assessments of the appropriateness of care prior to its provision"[1]
UM is the evaluation of the appropriateness and medical need of health care services procedures and
facilities according to evidence–based criteria or guidelines, and under the provisions of an applicable health
benefits plan. Typically, UM addresses new clinical activities or inpatient admissions based on the analysis
of a case, but may relate to ongoing provision of care, especially in an inpatient setting.
UM describes proactive procedures, including discharge planning, concurrent planning, pre–certification and
clinical case appeals. It also covers proactive processes, such as concurrent clinical reviews and peer
reviews, ... Show more content on Helpwriting.net ...
UM policies may include: the frequency of reviews, priorities, and balance of internal and external
responsibilities.
UM processes may include: escalation processes when a clinician and the UM reviewer are unable to resolve
a case, dispute processes to allow patients, caregivers, or patient advocates to challenge a point of care
decision, and processes for evaluating inter–rater reliability amongst UM reviewers.
UM criteria may be developed inhouse, acquired from a UM vendor, or acquired and adapted to suit local
conditions. Two commonly used UM criteria frameworks are the McKesson InterQual criteria,[2] and the
Milliman Care Guidelines (Milliman is now known as MCG).
UM may be done prospectively, retrospectively, or concurrently.[3]
Prospective review is typically used as a method of reducing medically unnecessary admissions or
procedures by denying cases that do not meet criteria, or allocating them to more appropriate care settings
before the

Non Telemetry Nurse

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