Student Nurse Laura

Orem – "creative effort of one human being to help another human being."

Archive for February, 2015

Body Mass Index

Posted by Laura on February 28, 2015

Body Mass Index

BMI

BMI2

 

At work we are looking at BMI in connection with Medicare Incentives. I created these charts using the National Institute of Health’s BMI charts. Thought I would share here.

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Healthcare Statistics

Posted by Laura on February 26, 2015

Formulas of Occupancy

BED OCCUPANCY PERCENTAGE – Total number of inpatient days for a given period x 100, divided by, Available beds x Number of days in the period

BASSINET OCCUPANCY PERCENTAGE – Daily NB census (IP service days), divided by, NB Bassinet Count for that day (x100)

DIRECT BED TURNOVER RATE – Total number of discharges for a period, divided by, Average bed count for the same period

INDIRECT BED TURNOVER RATE – Percentage of occupancy x Days in the period x100, divided by, Average length of stay

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Healthcare Statistics

Posted by Laura on February 24, 2015

Terms of Percentage of Occupancy

INPATIENT BED COUNT – The number of available hospital inpatient beds both occupied and vacant on any given day

BED COMPLEMENT = BED COUNT = BED CAPACITY

TOTAL BED COUNT DAYS – Sum of inpatient bed count days for each of the days in a period

NEWBORN BASSINET COUNT – The number of available newborn bassinets, both occupied and vacant on any given day

BED COUNT DAYS – Counts the presence of one inpatient bed (occupied or vacant) that is set up and staffed for use in one 24-hour period

NEWBORN BASSINET COUNT DAYS – Is the number of available hospital bassinets both occupied and vacant, on any given day

INPATIENT BED COUNT DAY – One inpatient bed set up and staffed for use and either occupied or vacant, during one 24 hour period

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Another Name is…

Posted by Laura on February 22, 2015

Kassebaum-Kennedy Law

Public Law 104-191  1996

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What is another name for

Posted by Laura on February 21, 2015

Health Insurance Portability and Accountability Act of 1996  ????

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Reflective Journaling

Posted by Laura on February 19, 2015

 

I have to do reflective journaling with an online digital clinical program. After I complete the day’s activities, I need to write in my reflective journal. My instructor has access to this and wants us to include specific areas for improvement, what we learned and how we can apply it in our practice. She wants to know the moments of

      AHA!!   

LEARN is an acronym to help guide my journaling. I’ll be using these five steps: Look back, Elaborate and describe, Analyze the outcome, Revising my approach, and New approach.

L – Looking back

  • Recall the experience. Reflecting shortly after the experience will help.
  • Describe what transpired. Who was involved?

E – Elaborate and describing

  • What subjective and objective factors contributed to the experience?
  • What did I say or do? What were my actions? What bothered me? What didn’t feel right?

A – Analyze the outcome

  • Was this experience a positive or negative experience for me and why?
  • Did I make assumptions? Why did I intervene as I did? What other choices did I have? What happened as a result of my actions?
  • What internal and/or external factors influenced me?

R – Revising my approach

  • As a result, what will I continue to use in practice, what am I satisfied with, and could I have done differently?
  • Was there other choices? What do I need to do better? What do I know now, that I did not know before?

N – New approach

  • Try the revision out. Do I need to change my practice, gain more knowledge? What did I learn from this experience? What will I be able to do now that I could not do before? How will I find opportunities to include my new point of view into my clinical practice? How will I evaluate the success?

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Criteria of expected outcomes can be done SMART

Posted by Laura on February 17, 2015

S – Specific

M – Measurable

A – Achievable

R – Realistic

T – Time phased

Gina is to obtain clear lung fields by using her medication as prescribed. Her goal will be obtained when her lungs are not wheezing, but have normal lung sounds upon auscultation at end of shift

CDC. SMARTobjectives. Retrieved from: http://www.cdc.gov/healthyyouth/evaluation/pdf/SMARTcards.pdf

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Patient Census

Posted by Laura on February 15, 2015

Patient Census are important for budgeting resources, but there is a difference in terms. 

Census Taking

  • Daily inpatient census: The number of inpatients present at the census-taking time. Add any inpatients who were both admitted after the previous census-taking time and discharged before the next census-taking time
  • Inpatient census: The number of inpatients present in a healthcare facility at one consistant given time

Service Days

  • Inpatient service day: A unit of measure equivalent to the services received by one patient during one 24-hour period. Does not matter if they weren’t there for the full 24 hrs.
  • Total inpatient service days: The sum of all inpatient service days for each of the days during a specified period of time, such as for the month.

 

Upcoming Math

Calculation of Inpatient Service Days

Calculation of Transfers

Recapitulation of Census Data

Average Daily Inpatient Census

Average Daily Newborn Census

Average Daily Inpatient Census for a Patient Care Unit

 

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Evidence for Trail

Posted by Laura on February 13, 2015

DDS3

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CONSENT AND AUTHORIZATION USED TO BE INTERCHANGEABLE

Posted by Laura on February 11, 2015

 

Current use under the AHIMA now states:

Consent is permission for treatment, payment, or healthcare operations

vs

Authorization is permission granted by the patient or the patient’s representative to release information for reasons other than treatment, payment, or healthcare operations

Another,

Authorization to disclose information – allows healthcare facility to verbally disclose or send health information to other organizations (the patient or legal rep has signed the authorization).

 

Sayles, N. (2013). Health Information Management Technology: An Applied Approach. Current edition. Chicago, IL. American Health Information Management Association.

 

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Federally Funded CARE, Federally Funded AID

Posted by Laura on February 9, 2015

medicare medicaid

 

info retrieved from: Healthcare.gov

http://www.hhs.gov/answers/medicare-Medicaid/medicare-medicaid/difference-medicare-medicaid.html

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Basic Concepts in Healthcare Information Management

Posted by Laura on February 7, 2015

SPC

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Leading Causes of Death in the US

Posted by Laura on February 6, 2015

Have you thought about the leading causes of death in the US?

Back in 2009, the 8th leading cause of death was due to medical errors. An average of 195,000 deaths annually in the US (Watson, 2009). According the Joint Commission, the near-miss sentinel events such as catching medication errors before administration to patients, are non-reviewable sentinel events. Meds given, which don’t cause death or loss of function, and unsuccessful suicide attempts are a few others. The Joint Commission requires a root cause analysis and action plan for reviewable events. Some of these areas are the paralysis, coma, death, or major permanent loss of function (Watson, 2009). If we can practice better communication skills, we can help make a change in the a leading cause of death in the US.

Currently the World Health Organization shows, in order,  the top 15 causes of death in US:

Heart Disease

Cancer

Stroke

Lung Disease

Accidents

Alzheimer’s

Diabetes

Influenza-Pneumonia

Nephritis/Kidney

Blood Poisonings

Suicide

Liver Disease

Hypertension/Renal

Parkinson

Homicide

Data Retrieved from WHO, and

Watson, D. (2009). Sentinel events. AORN Journal, 90(6), 926-929. doi:10.1016/j.aorn.2009.11.043

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What is the ANA’s Position on Current Legislature?

Posted by Laura on February 1, 2015

Current legislature in congress is posted at this site. The site shows how the ANA stands in each Bill. How do you stand? How does your congressman stand? What has happened to some of issues in Congress? Play around with the site and see what you can find.

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