Intensive Care College Essays Samples For Students

Introduction

The emergency department provides the urgent services to the ill patients. In the emergency department, the doctors provide the enhanced care to the patients when they are in the critical situation. With the advancement in the technology, the health care professionals provide the advanced treatment to the patients in the emergency department (Petrillo-Albarano & Little, 2010). On the other hand, intensive care units are also called ICU. The patients who are in a critical condition are admitted to the ICU. At first, the patients are treated in the emergency department, but if they cannot recover from the emergency department they ...

Leadership Shadowing Experience

Introduction
Nurse shadowing is an effective way for nursing students and people interested in getting into nursing as a career to get experience on day-to-day activities of a nurse. Shadowing involves following an experienced nurse and learning through observation and asking questions. This report is a shadowing experience for an intensive care nurse leader. The report covers the observed management and leadership styles, problem-solving skills, communication skills, interpersonal relations, and workplace diversity. Further, the author compares the management theories taught in school with the concepts applied in the clinical setting.

Management Style

The nurse I shadowed is a nurse manager at an intensive care ...

Ethical Issues on being both Professional and Human: One Women’s Journey Paper

Introduction
Awareness has been heightened in the recent past over the need to take account of the patients’ experiences during illness. Their friends and relatives have are also affected during this hard times and have stories of heart break from pain inflicted when they see their ill friends and family. The stories from this people provide a good means for the generation of logical ideas about the medical practice, the effects and experiences in good health and illness, and the issues of morality. Often, they are particularistic and highly dynamic. This is so because the readers are engaged at a ...

Of principal concern is the prevention and control of ventilator-associated pneumonia (VAP) by medical practitioners in intensive care units (ICUs). VAP is one of the most frequently reported infections acquired by patients under mechanical ventilation healthcare. Ventilator-associated pneumonia (VAP) persists to be a frequent and potentially deadly complication of ventilator care (Chulay, 2005), often occurring within environments characteristic of the intensive care unit (ICU) that are high-tech and high touch. Patients who are ventilated and intubated present the unique challenge for critical care registered nurses (RNs) to incorporate evidence-informed practices concerning the delivery of high-quality care (Crunden, 2005).
Ventilator-Associated ...

The healthcare sector in the U.S has significantly reviewed and modified its technical, policy and structural capabilities to help improve quality of outcomes and patient safety. There has been so much focus on the need to ensure that the healthcare system achieves the optimal value for money though eliminating the cases of illnesses, infections and injuries that have previously occurred within the settings. Despite these measures, the cases of hospital acquired Illnesses and infections have been rife. This has been associated with poor outcomes namely, high mortality rates, high morbidity rates and more glaringly the erosion of the public ...

Introduction to healthcare-associated infections

Hospital associated infections (HAI) a patient safety issue of concern to all hospitals
The Joint Commission considers the reduction of hospital-associated infections as an essential intervention in the provision of safe patient care.
Prevalence of HAI as reported in Magill et al. (2014)

In 2011, 722,000 HAIs were reported in American acute care hospitals

One in every twenty-five hospital patient gets at least one HAI on any given day
More than 50% of the HAIs occur outside intensive care units
Effect of HAIs on health care system
An estimated 75,000 HAI patients die while hospitalized (Magil et al., 2014)
HAIs lead to longer length of stay
HAIs are associated ...

According to the joint commission 2001’s healthcare standards, every patient is supposed to be assessed for pain before any medical step is taken. Pain assessment and management are essential for any healthcare services to be of top quality. There are several ways used to determine the scale of pain among children and adults. They include the verbal way where the patient is asked to rate the scale of the pain he or she feels on a verbal scale from no pain to worst pain, observing the facial impression of the patient, and also using a numeric scale where the patient ...

Point 1

Article 1
The first article selected, Burden of Hospital Acquired Infections and Antimicrobial Use in Vietnamese Adult Intensive Care Units, highlights a situation where patients tend to experience economic burdens associated with hospital-acquired infections. Phu et al (2016) provide readers with a background analysis of the impacts associated with such types of infections especially on matters associated with health care costs. One key aspect that the authors note when undertaking their study is that Vietnam lacks a national surveillance system for hospital-acquired infections. Thus, the number of infections occurring on an annual basis, especially when dealing with public hospitals, ...

Abstract

According to the Centers for Disease Control and Prevention, central line-associated bloodstream infections lead to the deaths of thousands of people every year in the United States. These infections actually represent about 10% of all hospital-acquired infections translating to about 71, 900 infections per year in US hospitals. Also, this condition adds billions of dollars to the total health care system costs. However, these infections are actually preventable. This paper analyzes literature related to this topic and tries to establish the best method for solving the problem of central line-associated bloodstream infections. The paper suggests the standardization of central ...

Standards-Based Approach

I was assigned to offer nursing care to a patient with intra-aortic balloon pumping (IABP) that needed a detailed cared. The name of the patient was Jassim, aged 63 years old; diagnosed with post-operative myocardial infarction. The indication for IABP was supported by the presence of acute left ventricular failure post cardiac surgery. The patient had low cardiac output syndrome after cardiac surgery. Having received training on the care of patients with IABP, I was confident that I would provide safe and effective care. However, it turned out to be a little challenging than I had expected. My aim ...

Communication with families and critically ill

<Lecturer’s Name and Course Number>

Introduction

Critical illness is a lived experience that is sudden and often than not, affects the sufferer or the patient and the family. The condition of the patient throws the family of the patient into a crisis. The critically ill patients normally fall into a situation of total confusion whether at the beginning of their illness or after they have been treated, and they are emerging from a comma. The confusion that they have can be lasting or momentary. The confusion and the various stress levels normally affect the communication between the critically ill patients and their ...

The complexity of healthcare settings demands that care organizations have a definitive manner in which care is delivered. There are many forms of care delivery methods in nursing, but Finkelman (2012) outlines various distinct methods: total patient care/case method, team nursing, primary nursing, progressive patient care, functional nursing, care and service team models, among others. Some of the models are no longer in use in nursing practice, but they have made a significant contribution to the current models. Also, some of the models have maintained their main characteristics, but have been adapted to fit the modern demands of healthcare.
...

The critical care units of hospitals treat frequently treat patients by administering oxygen via the insertion of tubes into tracheostomies, the nose, or the mouth; nosocomial infections may result, leading to ventilator-associated pneumonia, or VAP (CDC.gov, 2015). The infection is not generally associated with non-sterile techniques during insertion, but rather from tube contamination. The nosocomial infection is most often diagnosed in intensive care departments and research has been directed toward identifying methods of oral care as a means of prevention. Comparisons of the effectiveness of sodium bicarbonate swabs with that of chlorhexidine swabs have been made and the hospital ...

Introduction

The intensive care unit is one of the risk prone areas in hospitals. The unit handles pretty complex patient cases and as such disasters and accidents are somewhat inevitable. This underscores the need of having sound disaster management mechanisms within this unit to insulate the hospital from various effects of disasters. Disaster management mechanisms are installed as proactive measures to shield the hospital from the devastating effects in the event of a disaster occurrence. As exemplified by Jamieson and Biddison (2014)-“Disaster Planning for the Intensive Care Unit: A Critical Framework. In The Organization of Critical Care” it is ...

(Author)

Abstract

Unplanned extubation can be defined as the premature removal of ETT. It can be deliberate or accidental. Usually, it is caused by mechanical ventilation, which is the common process in neonatal intensive care unit (NICU). Unplanned extubations represents fourth most common adverse event in NICUs in North America. Unplanned extubation can result in several complications such as acute cardiorespiratory deterioration, bronchospasm, hypotension, ventilator-associated pneumonia, and subglottic stenosis. Duration of intubation, short length of ETT, less common use of sedatives and muscle relaxants, and time spent out of bed in the hand of parents, i.e. movements, are some of ...

A request was sent three weeks prior to the interview date seeking audience with this advanced professional nurse. Within one reply a positive reply was given with a date and time agreed upon by interviewer and interviewee. The purpose of the interview was to evaluate Mrs. C.R’s awareness of Continuous Quality Improvement (CQI) and how it was implemented in the intensive care unit. After a brief greeting the conversation began. Her major concern was hand washing adherence regarding cross contamination within the intensive care unit since nursing burns entail surgical asepsis. Therefore any type of infection can cost the patient’s ...

Induction of labour refers to “the process of triggering uterine contractions prior to the onset of spontaneous labour.” Induction of labour is regarded as successful if it leads to normal delivery of the baby. In the period between 1990 and 2009, the percentage of women in USA doubled with the rates of early term induction increasing from 2% to 8% in the same period . Despite claims that the induction of labour has adverse effects has on the mother and the foetus, the rise in women that undergo induced labour makes me interested in studying these effects. This essay shall ...

Approximately 8 million healthcare workers in the U.S. are working in environments that place them at risk of exposure to hazardous drugs (Centers for Disease Control and Prevention, 2012). The risk to healthcare workers increases yearly as new non-antineoplastic pharmaceuticals are added to the National Institute for Occupational Safety and Health’s alert list of hazardous drugs (Connor, MacKenzie, DeBord, Trout & O’Callaghan, 2014). The addition of new hazardous drugs requires continually updating of procedures to prevent an increasing diverse range of potential exposures (Connor, et al., 2014). The purpose of this paper is to examine the study of ...

1, why was this study done?

According to Al-Thaqafy et al. (221), the ventilator-Associated Pneumonia (VAP) is one of the leading causes of mortality and morbidity in the intensive care units (ICUs) on the patient who have been mechanically ventilated. This condition has the potential of increasing health burden to the critically ill patients due to the long hospital stay and the high cost of treatment. Although several techniques have been employed to curb this illness, the mortality and morbidity rates associated with VAP keeps rising due to lack of a definite strategy on how to address this disease. Therefore, this study was done to ...

Banner health is a non-profit health organization in the U.S with its headquarters based in Phoenix in Arizona. This organization is currently operating in seven states in the country, that include Arizona, California, Alaska, Colorado, Nevada, Wyoming, and Nebraska. The organization is operating 25 acute-care facilities and several other special facilities. Banner health organization is also operating clinics, hospital care, emergency care, hospice, ambulatory surgery centers, rehabilitation services, long-term care, home health agencies, clinical laboratories and primary care (Banner Health, 2013). This organization has made itself unique as a healthcare institution in the sense that it’s committed to ...

The identification of the program of study and professional development plan (PDP) is critical when pursuing graduate study. The PDP and the program have to be in line with the personal and professional goals (Thompson, 2011). This assignment will be highly significant in describing my educational and professional background and look keenly into the professional and personal goals about my course and the practicum.

Educational and Professional Background

My name is XXXX, and I wish to begin with a brief description of my personal life. I currently reside in XXXX. I am married, I have children, and I work in a neonatal intensive ...

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Connected Health: A Review Of Technologies And Strategies To Improve Patient Care With Telemedicine And Telehealth

- Joseph Kvedar1,
- Molly Joel Coye2 and
- Wendy Everett3,*
+ Author Affiliations
- 1Joseph Kvedar is director of the Center for Connected Health at Partners HealthCare System, in Boston, Massachusetts.
- 2Molly Joel Coye is chief innovation officer ...

Introduction

Accountability is one of the key concepts that fortifies the professional practice nursing. Accountability is said to be at the heart of nursing and on an overall scale, it helps in the improvement of nursing practice. The term has often been defined differently in different medical circles but in its most basic definition, accountability is simply a special phenomenon in nursing practice whereby nurses working in any caregiving setting take the credit for, are entrusted with, are blamed for and are also be judged within moral and ethical boundaries (Rowe, 2000 p. 550). This means that the nurse is answerable ...

Budget management analysis

Intensive care units are a costly resource accounting for nearly 10 to 20% of hospital expenses and 1 to 2% of the gross national product in the US. Continuous reforms in the health care sector targeted at improving the quality of health care while lowering its costs have been witnessed over the last several decades. ICUs are expensive mainly they are labor intensive and they involve expensive treatment modalities. The fact that ICUs consume about 10 to 20% of hospital budgets whilst caring for only about 5% of total inpatient populations in hospitals decries the need for containment of costs ...

Hospital Acquired Infections A hospital acquired infection is an infection that is acquired by a patient while receiving treatment in hospital. The patient was admitted in hospital for the treatment of a different disease however on being discharged it is discovered he has acquired an infection during his stay. These infections are known as nosocomial infections. Researchers released a report that stated that hospital acquired infections killed 48,000 people every year. Sepsis and Pneumonia were found to be the most common infections. The hospital discharge records of forty states were examined in the period 1998 and 2006 showing the infections cost $ ...

Introduction:

Nursing is a profession that deals with the taking care of people who are sick or injured. With the vital cases that nurses do seal with at times, like ordering for drugs, subscribing for a patient and administering of the same, they do undergo training to be able to handle such tasks. During their training, they familiarize themselves or get skills that might enable them handle the different cases that might arise when they are practicing their profession in the field. In the process of their medical practice, they do undergo many challenges that affect both their profession and the people ...

The high percentage of death in intensive care unit is always attributed to the withdrawal of life support machine. In Australia, research shows that a significant proportion of deaths that occurred in the intensive care unit preceded a decision supporting the withdrawal of the life support and this is a case in many countries across the globe including Australia. Withdrawal of life support refers to the process of discontinuing critical care treatment for a patient who is terminally ill, and the decision can be made by the family, government or doctor (Way, Anthony, & Curtis, 2002). The family can make ...

The use of skin care bundle among hospitalized adult sick people can reduce the risk of skin breakdown compared to standard care of practice
Pressure ulcers are a common problem in acute care hospitals, specifically among obese patients in intensive care units. Pressure ulcers or sores are common, serious but preventable health issues in the healthcare system. Pressure ulcers are associated with low quality of life, increased expenditure, increase hospital stay, and poor health outcomes (Bhattacharya & Mishra 2015). Hospital-acquired pressure ulcers (HAPU) are preventable if repositioning and turning techniques. However, the evidence on the effectiveness on these techniques is ...

Abstract

Medication errors are common medical errors in healthcare settings that often lead to patient harm. Medication errors transpire during ordering, administration, and transcription of medications. Healthcare information technology is a promising strategy for prevention of these errors. In this paper, an article that reports on the application of technology to prevent medication errors was analyzed. The article is entitled “Effect of bar-code technology on the safety of medication administration”. It is authored by Poon et al. (2010) and reports on the methods and findings of a study that examined the impact of the use of eMAR technology on rates ...

English II-Pre Ap

Introduction
Assisted suicide is a term used where doctors knowingly provided a patient or helps a person commit suicide. This can be done through inducing lethal drugs to the patients. Assisted suicide occurs in many cases due to some circumstances that leave the doctors with a choice to either save a person’s life or not (Asch 123). When doctors have to induce the assisted suicide, there has to be an agreement reached with patients, patient’s family and the doctors in order to ensure that the case is not conducted without the knowledge of the patients. When there ...

Mechanisms by which Incompatible Red Cells may be Cleared from Circulation

Introduction
One of the leading causes of transfusion-associated mortality is related to haemolytic transfusion reactions.1 Many factors that account for haemolytic transfusion, and complement activation is the most widely studied and documented feature linked with such reactions and fatalities, and many researchers have focused on the role of complement initiation, activation and regulation with respect to these reactions. Others have focused on the underlying strategies involved in mitigating the complement modulation, in the event of an incompatible red blood cell transfusion.1 Many reports have stated that incompatible red blood cell (RBC) transfusions are the leading cause of death in ...

Business process re-engineering

Business process re-engineering

Summary of the case study

The article “Business process re-engineering in healthcare management: a case study” by Massimo Bertolini, M. Bevilacqua, F.E. Ciarapica and G. Giacchetta is driven by the purpose of carrying out a business process re-engineering (BPR) in a given surgical ward to improve the efficiency of operations in the unit. The authors argue that health care, just like any other industry has become very complex regarding operations. This has therefore made the management in many institutions to come up with clear strategies for managing this form of complexity. Despite the efforts made, there is the difficulty of fusing ...

Shortage in the staffing of nurses is a significant challenge for healthcare systems all over the world. Although most studies associated with inadequacies in nurse staffing have been conducted in the USA, other studies in the same area have also been done in other parts of the world with similar findings; New Zealand (North et al., 2013), Malawi (Bradley et al., 2015) and Hong Kong (Chau et al., 2015).
Nursing shortages have been associated with poor medical services, poor patient outcome, high stress levels and burnout among nurses, low retention rates and high turnover of nurses. Evidence from numerous ...

AND

THE “DEAD-DONOR RULE” IN THE ETHICS OF ORGAN TRANSPLANTATION
Abstract
Organ transplantation has given rise to numerous questions in the minds of the medical professionals of the world across the globe. There have been an enormous number of unanswered questions regarding the ethical issues about the concept of organ donation and organ transplantation. In this paper, we will discuss the role of dead donors rule and brain death in the context of organ donation. It has been seen since years that different parts of the world and different people of the medical fraternity have different definitions of death. For ...

PICOT question is an approach used to identify the components of any clinical issue. Pressure Ulcer that is also commonly referred to as bedsore is an injury of the skin or tissues caused by moisture, friction, and pressure. The disease arises when a patient does not have space for mobility or cannot change its position on his own by lying on the bed.

PICOT question for Pressure ulcers in the hospital is as follows:

Does turning and repositioning of critically ill patients after regular intervals help to prevent pressure ulcers as compared to pressure redistributing support surfaces?P: Critically ill patientsI:  Repositioning and Turning patient at regular intervalsC: Pressure redistributing support ...

ORGANIZATION AND MANAGEMENT OF A HEALTH CARE FACILITY

Hospitals are complex business structures in addition to complex medical organizations. The structure of the hospitals is very important to ensure that all departments are properly supervised and functioning.
Hospitals are sorted by bed count and on average a medium size hospital contains an inpatient unit of approximately 200 beds . Regardless of bed size all hospitals need certain departments functioning to be able to provide services and meet the overriding regulations that are required. The following organizational chart serves most hospitals well. Of course, larger hospitals may find that the departments need to be separated further and other managers ...

(Author, Department, University,

Corresponding Address and email)

Introduction
Methillin-Resistant Staphylococcus Aureus (MRSA) infection is caused by staphylococcus bacteria that is resistant to beta-lactam antibiotics (e.g. penicillin, methicillin, and amoxicillin), which are normally used to treat staphylococcus infections. Studies have shown that about 40% of Staphylococcus aureus strains have developed resistance to methicillin (Durai, Ng, & Hoque, 2010). Most of the MRSA infections occur in people, who have been admitted in hospitals or other such healthcare settings as, for example, dialysis centers and nursing homes. In case of the development of infection in healthcare settings, it is also known as healthcare-associated (HA) MRSA infections. Usually, ...

Abstract

Early ambulation is now recognised as an intervention that confers many positive benefits to patients following cardiac surgery. However, there is lack of clarity as to the optimum time for the patient to perform early ambulation. A focused question was developed to ascertain whether early ambulation within 24 hours after extubation is more effective compared to ambulation 24 hours or more following extubation. The clinical question guided the search and retrieval of 6 studies that were subsequently appraised. There are benefits and many limitations of the chosen studies and do not provide sufficient evidence to answer the clinical question ...

English

Fighting Superbugs; more refined tactics need to be discovered
Frequent use of antibiotics promotes growth of antibiotic resistant bacteria or superbugs. These bacteria are immune to the strongest medications. Despite the great progress in healthcare and medical technology, antibiotic resistant bacteria still need to be addressed very effectively. Superbugs are at rage against the humankind. An estimated one in twenty, or five percent, of patients now pick up a threatening superbug infection from the hospitals and this number is rising all the time. A recent study has shown that more than 1.7 million patients in the United States develop ...

Communication in Nursing

The basic communication elements are (1) the sender, (2) the channel, (3) the receiver, and (4) the message. All of those elements need to be unambiguous to achieve effective communication, which means that the sender must send a clear message to the receiver through an appropriate channel. Effective communication is critical in healthcare because it affects patient safety, treatment outcomes, conflict resolution, and job satisfaction. However, various factors other than the basic communication elements affect the quality of communication in healthcare. Those factors include the organisational structure, leadership and management styles, organisational culture, staff motivation, and the organisational goals.

The ...

Introduction:

LTCHs which have been excluded from the inpatient prospective payment system under section 1886(d)((1)(B)(iv) of the Social Security Act, are certified under Medicare as short-term acute-care hospitals and, for the purpose of Medicare payments in general, are defined as having an average inpatient length of stay of greater than 25 days. The formula for an unadjusted LTCH PPS prospective payment is:
Federal Prospective Payment = MS-LTC-DRG Relative Weight * Standard Federal Rate
(The standard federal rate used for this assignment will be $40,397.96)

Use the excel sheet attached (CMS 1588 F- Table 11) to answer the following questions

(Note: you are able to “sort” the data in the various ...

The Double Integration cloud system is a new application on the cloud that help the user, the physician usually or pharmacist or any health care provider, to integrate all the patients’ information from all over the nation hospital or from one hospital and different system. By using central database that contain a table with at least three different ID’s. First is National Id, which refers to the Id of each country such as Riyadh and Jeddah. The second Id is the Hospital Id witch refers to each hospital in one country. The last Id is the local Id, which refers ...

Management of the Postsurgical CABG Patient

Management of the Postsurgical CABG Patient
Coronary artery bypass graft (CABG) surgery is a recommended treatment for coronary heart disease (CHD). In the United Kingdom, around 2.7 million people have been diagnosed with this condition (NHS, 2012). The aim of surgery is to relieve angina and shortness of breath by improving the flow of blood to the heart (Parry et al., 2010). These symptoms cause severe discomfort and distress as well as limit the amount and type of physical activity a patient may engage in.
Surgery helps patients attain a higher quality of life referred to as satisfaction with life ...

Question 1 = Australia Health System
Efficient Health care system is an essential component of a country. The three levels of healthcare have its scope and benefits to the populace. The primary care is usually referred to as the first point of contact to the health professional. This is basically because of the scope of practice at this level. It is here we find the primary care physicians, family physicians or general practitioner. At this level of service, the patients do not required referral to access services unlike the secondary health care services that required their patient to have seen ...

Introduction

Millions of elderly people worldwide have been living or are currently in nursing homes or assisted living facilities in our country (Karatay & Kublay 2010). Mr. Robbins is one of them and our research focuses on his failing health condition and how a nursing home could help to control his deteriorating health. Mr. Robbins may be a patient who has been recovering from a health disorder but he is not depressed and disorganized as some patients of his age have been observed to be. It is a harsh fact that many people during their old age are abandoned and left out by their families ...

(Name of Professor)

- The characteristics of the nursing profession that I find the most attractive.

The nursing profession is a noble profession that gives a person the opportunity to show

compassionate care to the sick. It gives the feeling of a sense of accomplishment and happiness
knowing that you were able to alleviate the sufferings and difficulties of a person caused by their
sickness. Being a nurse is a rewarding and fulfilling profession for me.
- Life experiences that prepared me for the nursing profession.
I have cared for my parents and siblings whenever they are sick and often take charge of their medications. I take pride in being able to care for ...

INTRODUCTION

The purpose of this study is to identify and evaluate the processes involved in Human Resource Management (HRM) at Corniche Hospital in Abu Dhabi. In order to do so, the organization’s HR department would be taken into consideration which will provide relevant insights regarding the hospital and its workforce management. Moreover, the types of jobs at the hospital would also be analyzed as it would provide necessary information regarding the job description and specification. The processes that would be involved in the study are recruitment, selection, compensation, performance appraisal, training and development.

CORNICHE HOSPITAL IN ABU DHABI

Corniche Hospital is the largest maternity ...

Part ABriefly discuss the signalling process which occurs when salmeterol binds to its targetReceptor

The receptor to which salmeterol binds
The drug salmeterol binds to the active sites of beta-2-adrenergic receptor . This is a category of G protein-coupled receptors. Beta-2-adrenergic receptors have specific actions in the body. They are responsible for the relaxation of smooth muscles relaxation of a non-pregnant uterus, dilation of arteries in the skeletal muscles, contraction of the sphincter muscles and anabolic processes in the skeletal muscle. The receptor has a three dimensional crystallographic structure. The receptors work by ensuring rapid and specific signaling. The receptors couple with Gs G protein, the result being the activation of adenylyl cyclase. The receptors have ...

Nightingale Community Hospital

Abstract
Joint Commission Accreditation of Health care Organizations (JCAHO) or The Joint Commission (TJC) as it is known now, is a non profit organization in the United States which focuses on identifying and resolving problems faced by health care organizations and inspire them to improve the safety and quality of care and services provided. The Organization was founded in the year 1917 and has over 19,000 hospitals under its accreditation programs that focus on systems critical to the safety and the quality of care of treatment, and services. The accreditation process involves periodic performance review of health care ...