1). Additionally, the walk-in appointment system may increase variability in arrival patterns of patients, variability in type and level of services needed, variability in service rates, and variability in capacity. As a result, rendering of services have suffered, as have patient satisfaction due to increased wait times. Variability can be reduced by allowing “walk-in appointments” on low volume days and at low census times (e.g. 4pm -6p M-F and Saturday mornings or between 12n-1p or after 4p Wed – Fri, see Figs. 1 and…
6. What shall be done with the doctors, nurses, and other staff whose duties will be impacted, changed, or eliminated during pandemic (i.e.…
“Employers should not require employees to get immunizations because of possible problems with the American Disabilities Act (ADA) and other potential legal issues,” Biddle argues that employees should be paid for receiving vaccinations as it would be part of work time and employers would need to negotiate the issue with the union first if they were dealing with unionized employees. He adds that employers could be liable under workers compensation statutes if there are adverse reactions. Employers can have a list of vaccinated employees but under the ADA, it would have to be kept separate outside of employee records. If employers vaccinated on the site, all health information would require employees to release the information under HIPAA guidelines. Many hospitals require nurses to wear masks if refusing the flu vaccine, however, this practice violates HIPAA because the nurses refusing are patients and now everyone knows they're not vaccinated and this violates patient…
The policy is hoping to emphasize the importance of complying with medical treatment if advised. It ensures that patients follows the medical management regardless of their infection status in order to provide a safer environment for the public and people in close contact to the patient.…
The “walk-in appointments” add variability to the triage system and create a new bottleneck. In addition to occupying the walk-in slots, the patients that “walk in” and request a specific provider wait an average of 8.6 minutes longer than the “true” walk-ins. The triage process is the same for “true” walk-ins and “appointment” walk-ins but they require more physical space, staff time and queue time. The “walk-in appointments” decrease the available MD walk-in appointments, increase wait time, occupy valuable clinic space, and…
A common social problem in this country is one that comes up every fall season; it is regarding getting the flu shot. Every year you can find many debates saying why or why not someone should be vaccinated against the flu. Health care facilities require their employees to be vaccinated and if they are not vaccinated, then a mask must be worn at all times while at work. Being a nurse I frequently see many health care providers that are for or against the flu shot. No matter what side of the fence you sit on, our society is torn by this great debate and conflict.…
Hi my name is Marah and today I am going to persuade you to get a Flu vaccination. I recently got a job working at Walgreens Pharmacy. Every day that I work I see people coming in to pick up their prescriptions that don’t look like the feel very great, with a tissue in one hand and their money in the other. No one wants to be sick, it’s not fun and it makes you feel like crap and you get absolutely nothing done. So it would only make sense if everyone was taking the precautionary measure in getting a flu shot. People should be lining up to get their vaccinations in order to prevent them from them getting sick and missing school, work or important events; but they aren’t, at Walgreens, we give maybe about 4 flu shots a day, and my pharmacy is pretty busy. On average we fill 350 each day, but on busy days such as Mondays we usually fill about 450. Today I am going to persuade you to get a flu shot by telling you history of the flu, facts about the flu, what kind of symptoms the flu causes, what the flu vaccination is, where to get it and finally how to treat it, if you end up with the flu.…
Influenza vaccination should be mandatory for healthcare workers. The vaccine can reduce the number of transmission of the flu to their coworkers and the patients who are in their care. All health care workers should want to provide the safest care for their patients and “first do no harm, a principle that should apply to everyone in hospitals and health care organizations. “ First do no harm, is a guiding fundamental truth that the patient’s well-being is the primary consideration, with that being said the decision for mandatory Influenza vaccination will help healthcare workers protect the patients wellbeing. Patients with certain health conditions are at higher risk for flu complications. According to the CDC,(2015) “It is estimated that…
Another thing I was made aware of during this day, the rules for the hospital has changed and the doctors are the only ones allowed to draw the routine vaccines up and administer them as well. The assistants are not allowed to do that anymore, even under the doctors’ supervision. I don’t think it’s fair to the doctors, since they are so busy with…
There are a wide range of effects for a person missing an appointment. Missing an appointment effect the individual who missed the appointment, least of all. Regardless of reason, not showing up for a scheduled time is a great disrespect to all the people that might have benefited from the scheduled time. Missing an appointment punishes others that may have gained from that time slot. There are many solutions to not missing an appointment, and by following the steps to prevent from missing an appointment gives a common courtesy to others. People’s time is extremely valuable and by missing an appointment it shows an extreme amount of disrespect. The main people being affected by my inconsiderate decision were the physical therapists, the patients, and least of all I.…
During a surgical procedure in theatre the MRSA protocol was being followed. However during the procedure a Doctor left the theatre and then tried to re enter the preparation room, the “clean” circulating nurse did not allow this and informed the doctor to change scrubs and wash their shoes straight away. A full description of the scenario is attached as Appendix 1.…
Medicine has changed in the past years in many ways. With the change and inventions of new cures, technology, and less invasive procedures, medicine has become a whole different world. Though there has been many enhancements that increase the productivity and treatment outcomes in medicine, the delivery method and care has changed along with it, and not for always for the best. Hospitals are what people find security and safety from all illness and diseases they have come across, but with the change of the economy and budget cuts, the first thing to cut is patient care and service. When people think of hospitals they think of long lines, waiting for hours for a simple procedure or question, medications that aren’t helpful and no care or relationship with the doctor. Patients get less time with physicians and more time with physician assistants and nurses. Many hospitals and clinics have made it known at the first meeting that after the initial appointment, the remainder of appointments will be either with the nurse practitioner or physician assistant. With less care and relationship from the physician, patients start to wonder why pay high dollar for less service, and that’s where the issue arises.…
I agree with all forms of medical transparency. Access to wait times will better prepare potential patients for their visits to a hospital. Knowledge of infection rates will affect how the public perceives a health institute. If infection rates are high, most likely public opinion will be able to change this. No longer will things of this nature be shrugged off as typical health care. If a facility is providing less than optimal care, people will be aware of this and know to avoid the facility. This means that poor health care facilities will rightfully fail, while prominent…
Most students we did inform did not want to pay for it or were scared of needles. A majority of the professors got their vaccine but they also had the college’s insurance covering it. Once there is a single outbreak on campus the chances of a student coming in contact with one of the viruses increases, especially in the cold months when everyone is staying inside. “Flu vaccines cause antibodies to develop in the body about two weeks after vacation. These antibiotics provide protection against infection with the viruses that are in the vaccine” (Centers for Disease Control and Prevention [CDC], 2016, “How do flu vaccines,” para. 1). That is why, by receiving the flu vaccine, it helps boost the immune system and prepare you for the flu season. To have a better turnout for the flu drive I would have it advertised about more on campus before, so students and faculty are more educated on what the flu vaccine is and if they should get…
Doctor's appointments are missed each and every day by people who either forget to show up or choose not to call and cancel their appointment. One of the reasons why it is best to try and keep your doctor's appointment is because it is the polite thing to do. Would you arrange a job interview with a company you were serious about working for but then fail to show up? No, not in the civilian world.…