As a result of my supervisor being at a conference this week,
As a result of my supervisor being at a conference this week,
[2] [pic]Initially, St. Paul contends that this action is barred by the “one final judgment” rule. In support of its argument, St. Paul cites cases which set forth the doctrine of res judicata. St. Paul reasons that the judgment T & R obtained against Capitol after arbitration precludes any subsequent proceedings against St. Paul because a second action between the same parties on the same claim is impermissible (citing Clark v. Lesher (1956) 46 Cal.2d 874, 880, 299 P.2d 865).…
The term constructive discharge is by definition when an employee feels they are forced to resign their job because the employer has made working conditions unbearable (Doyle,2013). In the circumstance presented, the employee felt compelled to resign because the work schedule was changed and would require him to work on his religious holy day. The business changed the production team schedule to accommodate growth and expansion, changing the schedule from 8:00am-5:00pm, Monday thru Friday, to four twelve hour shifts. The employees would rotate four days on and four…
DISCHARGE SUMMARY____________________________________ Patient Name: Brenda C. Seggerman Patient ID: 903321 Date of Admission: 03/27/---Date of Discharge: 03/30/---Admitting Diagnosis: Ectopic pregnancy. Surgical Procedures 1. Exploratory laparotomy. 2. Partial salpingectomy. 3. Evacuation of hemoperitoneum. 4. Lysis of adhesions. Complications: Blood loss requiring transfusion x2. HISTORY: This 35-year-old white female, gravida 3, para 1-0-2-1, had her last menstrual period in early January. Prior menstrual cycles had been regular. She reported using no contraception but not attempting pregnancy. Patient presented to the emergency room complaining of vaginal bleeding with pain in the lower pelvic area. Ultrasound performed in the emergency room showed a 13.8 cm left adnexal mass with positive cardiac activity compatible with ectopic pregnancy. HOSPITAL COURSE: On March 27 the patient underwent exploratory laparotomy, left partial salpingectomy, evacuation of hemoperitoneum, and lysis of adhesions. Blood loss was approximately 1000 mL and was replaced with transfusion of 2 units of red blood cells. Her blood type was noted to be O, Rh-negative, and RhoGAM was provided. (Continued)…
Character of Discharge (potential review of previous administrative decisions and re-adjudication based on amended regulations…
According to Wats & Gardner (2005) discharge planning is defined as ‘an on-going process that facilitates the discharge of the patient to the appropriate level of care. It involves a multidisciplinary assessment of patient/family needs and co-ordination of care, services and referrals’ (pg. 176).…
Classification of the project—e.g., large/small, platform/incremental, complex/ typical * Analysis of information gathered * Recommendations * Lessons learned * An appendix with backup information to support recommendations. 2. Why is it difficult to perform a truly independent, objective review?In most cases those performing the review have some previous knowledge of the project, which presents opportunities for bias. Sometimes the review team, or facilitator, is perceived as a jury, but even jury members come with built-in biases. For example, internal politics have been known to enter into decisions concerning closure of a project. The simple point is that every attempt should be made to keep the review independent and objective. If the review of projects is a regular procedure for all projects, the negative stigma of audits is minimized. 3. Why should you separate performance…
The quality committee has worked closely with the hospital’s team of physicians and other providers as well as all nursing departments, ancillary department’s and all relevant nonclinical staff to propose the funding of a department, staffed by experienced registered nurses, who will be the key players responsible of bridging the gap between hospital and community providing discharge instructions, education and will follow the patient in the weeks coming after they leave the hospital ensuring access to medications and appropriate follow ups. The purpose of this program is to significantly reduce the number of readmissions that are related to ineffective discharge planning and/or poor education. The transition team will consult on every admitted patient in the hospital to assess their ability to effectively transition into the community setting after discharge. Those who have adequate resources, established relationships with primary care, and do not require any social work assistance, the team will still provide a comprehensive discharge planning evaluation, education, and an evaluation of their understanding of the steps to take as soon as they leave our building. Each patient will be given a score based on his or her evaluation that will be associated…
It is in this way that laws come from necessity. But they are contracts, and collectively, we have to agree to them.…
A discharge can be honorable or dis-honorable and the later meaning one has been essentially kicked out due to a violation of some sort. Regardless of how someone is discharged there are usually lots of questions and much confusion which follows. This is where the problems originate and primarily is the source of these social issues which face our veterans today.…
It’s sad to see the people who fight for our freedom and defend our country ruin and end their lives and not be able to get the help they need. By treating those with the illness to lead healthier lives and get away from the suicidal thoughts can help them greatly. They need to know the VA Department is there to help anyone who needs it. The cause of the increase in military suicides is due to the big number of factors, the increases in mental health issues affecting our service members after the come back from combat. From a more personal perspective, if a member of your family has PTSD disorder, it can drive a family up a wall. It causes them anxiety as well as the veteran. It affects them in ways that can crush the family aspect and destroy trust and hurt everyone. I have grown up with a father who is a hero to our country but has a hard time realizing that we appreciate what he has done for our country. He is currently suffering from PTSD disorder and it has been a rough couple years for everyone. It hurts me to know that he has turned to alcohol abuse to relieve his pain, even though it’s only a temporary releasement from what he has experienced. This topic has a personal and sensitive side which is why I chose to write about it. “More effective monitoring of active military service members and veterans are needed to ensure that their mental health and wellbeing needs are identified before they become suicidal. We recognize that the prevention of suicides represents one of the greatest challenges in mental health. There are no quick fixes to ending suicides of our service members or our veterans, it is our hope though that the few recommendations we have provided will help move us in that direction.”…
Thank you for responding to my post. I agree with you that following the discharge plan would be the best way to decide who to discharge. I agree with that triage would be the best way to decide who would be treated first but I am not so sure that it would be the way to decide who to discharge first. The patients that are ready to be discharged are one thing but to discharge people that are not ready is not the right thing to do. Unless they are being discharged to another healthcare facility by means of an ambulance. Triage is used to decide who is to be treated first. “Triage is the sorting of patients to determine the priority of their health care needs and the proper site for treatment” (Hinkle & Cheever, 2014, p. 2156). I believe that…
The debate about assisted suicide has come back into the news with the recent arrests of four members of the Final Exit Network, a Georgia-based group accused of assisted suicide in the death of a Georgia man in 2008. The group also faces charges of assisted suicide in Arizona, stemming from a 2007 case that may have involved a patient who wasn 't terminally ill and may have had impaired judgment and questionable mental health at the time.1…
Treatment plans are different within each facility. Practicing some direct service apart of the discharge process.…
The first step to physician assisted suicide is to make a formal oral request and attend advocacy groups to make sure it is the right decision for the patient. Then 15 days later they have to make another formal request. Once they have made your first two formal requests, they have to fill out a written request form signed by two adult witnesses that are psychologically capable. If after they have made all the requests they need and get approved, then they move on to getting the correct prescriptions they need. Their physician will prescribe the lethal drugs two days after their final request and if they get approved. Their physician cannot administer the drugs them self because if they administer the drug it is illegal and they could face criminal charges. Most of physician assisted suicide take place inside the patient’s home because it is more comfortable and since their physician cannot give them the medication them self.…
One thing that stood out to me about the discharge process is that I asked what if the client is not in a suitable environment, he explained that the social worker can only suggest a better environment. If the clients deny then there is nothing that the social worker can do but respect the client’s decision. Proceeding with my next question I asked What are the most critical problems facing the agency’s targeted population. Mr. carpenter explained that the problems that they are facing were people living their facility and living at home alone. I asked him why was that a problem and he explain that things happen when they are home alone. Mr. Carpenter began to explain that older people tend to injury their selves such as falling, and if no one comes to check on them they could eventually die in that same spot. Another problem the agency faces are insurance company making it difficult for patients to get their medications. Without the medication that is needed could lead to serious life threaten…