THE PRACTICE OF EMERGENCY MEDICINE/REVIEW ARTICLE Lean Thinking in Emergency Departments: A Critical Review Richard J. Holden‚ PhD From the School of Medicine and Public Health‚ University of Wisconsin–Madison‚ Madison‚ WI‚ and the Division of Ergonomics‚ School of Technology and Health‚ Royal Institute of Technology‚ Stockholm‚ Sweden. Emergency departments (EDs) face problems with crowding‚ delays‚ cost containment‚ and patient safety. To address these and other problems‚ EDs increasingly
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and partner good leaders with ideal departments. Mary Ann’s leadership style is not an optimum fit for the Emergency Department. By definition‚ leadership style is “the leader’s behavioral pattern when acting to influence others” (Furtado‚ Batista‚ & Silva‚ 2011‚ p. 51). Mary Ann’s main concern is the hospital’s bottom line. She is more concerned with saving the hospital money than caring for her nursing staff and patients. Mary Ann is willing to compromise patient care in order to increase revenue
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I am an emergency room nurse‚ and I can relate to the situation that you wrote about. The scenario that you chose to write about was a great example of the multiple ways of knowing that a nurse can perform during a situation. As you stated in your post it is important to make the patient comfortable while taking care of them‚ especially in this situation. If the patient was to get anxious and nervous it could possibly make what was happening to him worse. I believe that in the emergency room we get
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Care of the Child in the Emergency Department This essay will seek to critically reflect on the presentation of a fourteen year old female patient with type 1 diabetes mellitus (T1DM) to the Paediatric Emergency Department (PED) of an inner city acute trust hospital‚ particularly within the context of family centred care (FCC) and its delivery within the PED. Reflection will be through use of the Gibb’s reflective model (Gibbs‚ 1988). This model enables the user to look at what happened; their
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Case Study A 26-year-old woman went to the emergency department complaining of shortness of breath over the previous three days that had increased in intensity (Nash & Goldfarb‚ 2006). The patient was at the hospital for over three hours before she was able to see a physician. The physician did a complete exam and ordered blood tests‚ a chest x-ray‚ lung scan and electrocardiogram.The patient waited for three more hours before the physician told her that he believed she had asthma and should follow
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1. Nurse-Patient Relationship Phases a. Orientation (beginning) i. Therapeutic Relationship 1. Develop trust 2. Establish goals 3. Therapeutic contract 4. Nursing diagnosis b. Working (Middle) i. Planning and Implementation 1. Communication skills to help client 2. Work on behavioral changes 3. Explore feelings and problems c. Termination (End) i. Evaluation 1. Inform client of other sources of help available 2. Evaluate therapeutic outcome 3. Evaluate nurse-patient relationship
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Watson defined therapeutic nurse-patient relationship as “a helping relationship that’s based on mutual trust and respect‚ the nurturing of faith and hope‚ being sensitive to self and others‚ and assisting with the gratification of your patient’s physical‚ emotional‚ and spiritual needs through your knowledge and skill” ( as quoted in Pullen‚ 2010‚ p.4). Nurse’s are expected to portray and act professionally‚ legally and ethically in order to established an effective nurse-client relationship. The
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The nurses primary roles of promoting health‚ preventing illness‚ restoring health and alleviating suffering places the nurse in a position to always remain an advocate for their patient. A scenario has been created in which a terminally ill patient has asked the doctor about alternative healthcare treatment options. The doctor in this case dismisses them as "quack" practices. What role does the nurse play in this situation? “When the patient’s wishes are in conflict with others‚ the nurse seeks
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Analysis The nurse-patient relationship boundaries are mainly achieved through a bond which is special and is build through trust‚ mutual understanding‚ respect‚ and compassion. There is a code of Ethics for nurse according to the National Council of state boards of Nursing (NCSBN) that states that’ Nurses maintains and recognizes boundaries that establish limits to relationships appropriately when acting within one’s role as a professional. There should be space between the power of nurses and the vulnerability
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hospital for two weeks and during that period I only saw the doctor thrice. The nurses where the ones doing everything‚ so I felt they were the ones who nursed her back to health. The other deciding factors were: variety of places for jobs whether in the public‚ private‚ or community setting; the opportunity to learn new things since no day is ever the same; the opportunity to work with other health professionals; nurses will always be needed; nursing offers specialty areas‚ and the opportunity to
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