Loss of staff members because of injuries from a lack of SPHM practices increases cost for the healthcare system.
Loss of staff members because of injuries from a lack of Standard Precautions and Hazardous Materials (SPHM) practices increases costs for the healthcare system. When staff members are injured, they may require medical care and may be unable to work for a period of time, which can lead to increased costs for the healthcare system in terms of worker's compensation, lost productivity, and the need to hire temporary or replacement staff.
While assessing the airway patency of a client after a bomb blast, the nurse suspects severe brain injury and gives a score of 7 using the Glasgow Coma Scale (GCS). Which intervention is most appropriate for the client
The intervention most appropriate for the client is Preparing for endotracheal intubation and mechanical ventilation.
The Glasgow Coma Scale (GCS) is a clinical scale that is used to accurately assess a person's degree of consciousness following a brain injury. The GCS evaluates a person's ability to execute eye movements, communicate, and move their body. These three behaviours comprise the scale's three elements: visual, verbal, and motor.
The GCS score of an individual can range from 3 (totally unresponsive) to 15. (responsive). This score is used to direct urgent medical care following a brain injury (such as a car accident), as well as to monitor and track the degree of awareness of hospitalised patients.
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How does a nurse determine which strategy would best enable the targeted individuals to gain more control over, and improve, their health
By evaluating available resources and the needs of the targeted individuals, a nurse can determine which strategy will be the best to enable the targeted individuals to gain more control over and improve their health.
What are the health promotion strategies?The basic health promotion strategies identified in the Ottawa Charter were: advocate (to increase the factors that promote health), enable (to allow all people to achieve health equity), and mediate (through collaboration across all sectors).Some well-known Health Promotion Strategies include: developing a healthy public policy.
Creating a welcoming environment.Increasing community cooperation.Developing and encouraging skill.Reorienting health-care delivery.Premature deaths are reduced through health promotion. Health promotion, by focusing on prevention, reduces the costs (both financial and human) that individuals, employers, families, insurance companies, medical facilities, communities, states, and nations would incur for medical treatment.Strategic planning in health care organizations entails outlining the specific steps required to achieve specific goals.To learn more about health promotion strategy refer to :
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A client with sickle cell crisis reports severe generalized pain. Which intervention is a priority for correcting vaso occlusion
The intervention which is a priority for correcting vasocclusion is administer high-low IV fluids.
Sickle cell disease (SCD) is a set of hereditary blood diseases. The most frequent kind is sickle cell anaemia. It causes a change in the oxygen-carrying protein haemoglobin, which is present in red blood cells. Under some conditions, this results in a hard, sickle-like form. The symptoms of sickle cell disease usually appear between the ages of 5 and 6 months.
A variety of health issues may arise, including pain episodes (known as a sickle cell crisis), anaemia, swelling in the hands and feet, bacterial infections, and stroke. Long-term discomfort can develop as people age. In the industrialised world, the average life expectancy ranges from 40 to 60 years.
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Termination of the postsynaptic potential would be expected from a drug or process that acts to a. blocks transport of the neurotransmitter molecule through the axon membrane. b. enzymatically degrade the neurotransmitter molecule. c. increase the number of postsynaptic receptors. d. increase release of the neurotransmitter. e. increase synthesis of the neurotransmitter molecule.
Termination of the postsynaptic potential would be expected from a drug or process that acts to enzymatically degrade the neurotransmitter molecule.
The correct option is B.
Neurotransmitter molecules are promptly destroyed by enzymes in the synaptic cleft after release and attachment to postsynaptic receptors. They are also reabsorbed by presynaptic membrane receptors and recycled. High-affinity sodium-dependent GABA and glycine transporters take up GABA and glycine into nerve terminals and glial cells to reduce their effects on postsynaptic membrane receptors. High-affinity sodium-dependent GABA and glycine transporters take up GABA and glycine into nerve terminals and glial cells to reduce their effects on postsynaptic membrane receptors.
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which assessment is essential for the nurse to monitor in a patient who is receving an opioid analgesic
The nurse should evaluate the respiratory rate and pulse oximetry after administration of the medication.
Opioids are drugs that bind to opioid receptors and provide morphine-like effects. They are largely employed in medicine for pain treatment, including anaesthesia. Other medicinal applications include diarrhoea suppression, opioid use disorder replacement treatment, opioid overdose reversal, and cough suppression. When taken as prescribed by your doctor, opioid drugs can help treat acute pain, such as pain from surgery. However, there are hazards when the drugs are administered inappropriately.
Nurses are in charge of placing peripheral intravenous lines, configuring PCA pumps, inserting medicine into the pumps, and monitoring the patient's pain, sedation, and breathing. Patients who have had or are getting a course of treatment with a pure opioid agonist analgesic including such codeine sulphate should not be given mixed agonist/antagonist analgesics.
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A registered nurse is teaching a nursing student about the components of the magnet model. What information should the registered nurse provide about exemplary professional practice according to the revised magnet model
Information which the registered nurse should provide is " Strong professional practice is established, and accomplishments of the practice are demonstrated."
The Magnet Recognition Program model designates associations worldwide where nursing leaders successfully align their nursing strategic pretensions to ameliorate the association's case issues. The Magnet Recognition Program provides a roadmap to nursing excellence, which benefits the total of an association.
Exemplary professional practice is grounded on Magnet nursers who are independent, exercising clinical and organizational judgment within the environment of the larger, interdependent healthcare platoon. Magnet nursers make substantiation- grounded care opinions according to each case's unique requirements.
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Nursing students are studying metabolic disorders of the skeletal system and correctly identify which factor to be the major cause of osteoporosis
Nursing students are studying metabolic disorders of the skeletal system and aging process is the factor to be the major cause of osteoporosis.
The skeletal system is your body's central frame. It consists of bones and connective towel, including cartilage, tendons, and ligaments. It's also called the musculoskeletal system. The mortal shell is the internal frame of the mortal body.
Osteoporosis causes bones to come weak and brittle — so brittle that a fall or indeed mild stresses similar as bending over or coughing can beget a fracture. Osteoporosis- related fractures most generally do in the hipsterism, wrist or chine. Bone is living towel that's constantly being broken down and replaced.
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an effective medical administrative assistant should don what regard to communicating with patients by phone
An effective medical administrative assistant should have patient's name, age, and gender with regard to communicating with patients by phone.
Who is a medical administrative assistant?A medical administrative assistant is a trained individual who has been equipped with the knowledge of performing administrative duties in a hospital or clinic.
The responsibilities of a medical administrative assistant include the following:
They interview patients for case histories prior to appointments.They update and maintain patients' health records.They assist patients with initial paperwork.They schedule and coordinate appointments.They process insurance claims in compliance with law requirements.They use medical software to support all transactions.For the medical administrative assistant to be able to obtain viable information from the patient, they need to have the patient's vital information such as patient's name, age, and gender.
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enroute to the hospital with a woman who is 9-months pregnant and in active labor, you notice that the umbilical cord is prolapsed
En-route to the hospital with a woman who is 9-months pregnant and in active labor, you notice that the umbilical cord is prolapsed than you should position the mother with her head down and/or hips raised.
Active labor Generally lasts about 4 to 8 hours. It starts when your condensation are regular and your cervix has dilated to 6 centimeters. In active labor Your condensation get stronger, longer and more painful.
Umbilical cord prolapse is an acute obstetric exigency that requires immediate delivery of the baby. The route of delivery is generally by cesarean section. The croaker will relieve cord contraction by manually elevating the fetal donation part until cesarean section is performed.
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An individual was admitted to the hospital after experiencing a mild tingling on the right side ofthe face and a sudden inability to speak. Using magnetic resonance imaging (MRI), a doctor would likely find
Using magnetic resonance imaging (MRI), a doctor would likely find any abnormality in the brain tissue of the left hemisphere.
Brain is responsible for all the actions in the human body. Any sudden change in the body movement is directly linked to the brain cells (nerves). The left hemisphere of the brain is responsible for all the language and speech and so it is important to check that part to identify the actual cause of the inability of normal speaking. MRI provides clear image of all the tissues and organs and the clinicians determines which part is affecting the regular speech of the patient. It is seen that if left part of the brain is damaged, the person may not be able to speak or hear properly. Reading will also become difficult in such patients.
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what is the priority nursing intervention when adminstering intravenous potassium replacement to a patient
The priority nursing intervention when administering intravenous potassium replacement to a patient. Administer the medication using an infusion device.
It is important to administer potassium replacement medication with an infusion device, such as a volumetric pump, to allow for precise and regulated administration. This will help to prevent over-administration or under-administration of potassium, which can cause adverse reactions such as cardiac dysrhythmias.
When assessing a patient who experienced a blast injury, it is important to remember that:
A. primary blast injuries are the most easily overlooked.
B. solid organs usually rupture from the pressure wave.
C. primary blast injuries are typically the most obvious.
D. secondary blast injuries are usually the least obvious.
When evaluating a patient with blast injury, it is important to remember that primary blast injury is most easily overlooked.
What is primary blast injury?The primary blast injury is caused by shock waves traveling through the body. Since only higher-order explosives generate shock waves, primary blast injuries are unique to higher-order explosions. The shock wave damages the air-filled organs more widely.
What is the most common type of primary blast injury?Lung damage: It is the most common fatal primary blast injury among early survivors. Signs of lung explosion are usually present at the time of initial assessment, but have been reported for up to 48 hours after the explosion.
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Which assessment finding for a client with Cushing disease would the nurse need to report immediately to the Health care provider
The nurse should immediately report signs and symptoms of hypokalemia, such as an irregular apical pulse, to the physician.
Cushing's syndrome is caused by an increase in the release of adrenocorticotropic hormone (ACTH) from the anterior pituitary gland (secondary hypercortisolism). This is most commonly caused by a pituitary adenoma (particularly pituitary basophilism) or by an excess of hypothalamic CRH (corticotropin releasing hormone) (tertiary hypercortisolism/hypercorticism) that increases the adrenal glands' manufacture of cortisol. Pituitary adenomas are responsible for 80% of endogenous Cushing's syndrome when exogenously supplied corticosteroids are excluded. Pituitary pars intermedia dysfunction is the horse variant of this condition.
Cushing's disease symptoms are similar to those observed in other types of Cushing's syndrome. Patients with Cushing's disease often exhibit one or more signs and symptoms as a result of elevated cortisol or ACTH levels. Although it is unusual, some Cushing's disease patients have massive pituitary tumours (macroadenomas). Aside from the significant hormonal impact of increasing blood cortisol levels, the big tumour might compress nearby tissues. These tumours have the potential to compress the nerves that transmit information from the eyes, resulting in a loss of peripheral vision. Cushing's condition can potentially cause glaucoma and cataracts. Obesity and impaired linear growth are the two most common symptoms in children.
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Which health literacy factors will the nurse consider when developing a teaching plan for a 69-year-old homeless man with a grade school education diagnosed with prostate cancer
Homelessness, elementary school education, and patient age are the literacy factors related to health that the nurse should consider when designing a teaching plan who is suffering from prostate cancer.
Since the old man is homeless, he will have a difficult time understanding complex topics, so the nurse should try to simplify the teachings to make them easily understandable. The patient is also 69 years old and older people are less self capable and so the teaching plan should be such that there is less pressure on the patient for self-care. Also, if the patient is well educated or has recieved an elementary school education, then there will be a better understanding of prostate cancer and its effect and the patient will be able to manage his symtpoms more effectively. The nurse should provide maximum details in the simplest way possible for an effective teaching plan.
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Nancy is a staff nurse who works on a rehabilitation unit. Nancy tells you that the assistants are experiencing difficulty with the new lift and wonders what your thoughts are on organizing an in-service training. Nancy is exhibiting which trait of a follower?
Nancy demonstrates the follower nature of assuming responsibility for identifying a safety concern and concedes authority for the solution to you.
Nursing management includes the effective use of time because management is effective time, the success of clinical manager nurse plans, who have the theory or systematic use of principles and methods related to major institutions and organizations within them, including each unit.
Management skills can be classified into three levels, namely.
Intellectual skills, which include the ability or mastery of theory, and thinking skills.Technical skills include/methods, procedures, or techniques.Interpersonal skills, including leadership skills in interacting with individuals or groups.The skills that Nancy shows you are interpersonal skills, where she identifies problems but still gives authority to provide solutions to you.
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A child has a chronic, nonproductive cough and diffuse wheezing during the expiratory phase of respiration. This suggests:
a.
Asthma.
c.
Bronchiolitis.
b.
Pneumonia.
d.
Foreign body in the trachea.
A child who has a chronic nonproductive cough and diffuse wheezing during the expiratory phase of breathing. It is possible that the child has A. Asthma
What is wheezing?Wheezing is a breath sound that sounds like a whistling sound, and is a symptom of a respiratory tract disorder. The most common causes of wheezing are asthma and chronic obstructive pulmonary disease.
Wheezing will generally be heard more clearly when the sufferer exhales, although it can also be heard when inhaling. In some cases, it can be heard when the doctor examines the patient using a stethoscope. Apart from respiratory problems, wheezing can also be caused by allergic reactions or heart disease.
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the nurse is teaching a client with advanced chronic obstructive pulmonary disease who was prescribed oral theophylline. which client statement
I take cimetidine instead of omeprazole for heartburn is the phrase indicating that further instruction is necessary.
Chronic obstructive pulmonary disease (COPD) is just a lung illness that produces blocked airflow from the lungs. Breathing difficulties, coughing, mucus (sputum) production, and wheezing are all symptoms. The most prevalent illnesses that comprise COPD are emphysema and chronic bronchitis. COPD damage to a lungs cannot be reversed.
Shortness of breath, wheezing, or a persistent cough are all symptoms. Rescue inhalers and oral or inhaled steroids can help reduce symptoms and prevent additional harm.
Bronchodilators are a class of medications that include theophylline. Bronchodilators are medications that relax the muscle in the lungs' bronchial tubes (air channels). They alleviate coughing, wheezing, shortness of breath, or difficulty breathing by improving air flow via the bronchial passages.
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When evaluating drug-related data from animal studies, which of these questions should be asked?
A. Was the dosing regimen used similar to that used by humans?
B. Was the route of administration similar to that used by humans?
C. Was the drug self-administered by the animal
Questions on the dosing regimen, the method of administration, and the drug that the animal personality are answered while assessing substance data from animal experimentation.
What makes anything a drug?Since "drug" is derived from the French term "drogue," which meaning dry herb, it is clear that the earliest drugs were derived from plant sources. The earliest people employed a variety of unusual therapies for ailments, involving plants, meat products, and minerals.
How do medicines function?Drugs affect how neurons use transmitters to send, interpret, and respond to information. Because some drugs, like cocaine and marijuana, have chemical structures that are similar to those of organic neurotransmitters in the body, they can stimulate neurons.
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You respond to an infant who is unresponsive, is not breathing, and does not have a pulse. You do not have a mobile device, and you shout for nearby help but no one arrives. What action should you take next
The immediate step to be taken towards the unresponsive infant who is not breathing properly is to provide CPR for about 2 minutes before leaving to activate the emergency response system.
CPR refers to Cardiopulmonary resuscitation. It is a technique of providing artificial ventilation to the person who is suffering from cardiac arrest and is sinking to death. In this cycle, two breaths are given in one cycle with force however not much pressure must be given into the lungs. The air is provided through the mouth. It is a life saving technique which can help to restore breathing in infants as well as adults. The child if unresponsive should be given CPR to ensure that they are able to breath and in case of emergency, they must be quickly shifted to NICU.
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What type of water contaminants presents the greatest health threat to most residents of developing countries
serious adverse events of special interest following mrna covid-19 vaccination in randomized trials in adults
The most common adverse events of special interest following mRNA COVID-19 vaccines in randomized trials in adults are injection site reactions (pain, redness, or swelling), fatigue, headache, and muscle pain. Other less common adverse events of special interest include allergic reactions (such as anaphylaxis), nerve damage, Bell's palsy, myocarditis, thrombosis, and ovarian hyperstimulation syndrome.
The safety of mRNA Covid-19 vaccines is of great interest to the public, healthcare professionals, and regulatory agencies. In randomized trials in adults, there have been some serious adverse events of special interest that have been associated with mRNA Covid-19 vaccines.
The most common serious adverse events of special interest that have been reported in randomized trials in adults are anaphylaxis, Bell’s palsy, and thromboembolic events. Anaphylaxis is a severe allergic reaction that can include symptoms such as difficulty breathing, hives, severe itching, swelling of the face and throat, and low blood pressure. Bell’s palsy is a type of facial paralysis that occurs when the facial nerve becomes compressed, resulting in facial weakness or paralysis. Thromboembolic events are blood clots that form in a vein or artery and may cause a stroke, heart attack, or pulmonary embolism.
In addition to the serious adverse events of special interest that have been reported in randomized trials in adults, there have been reports of other rare events associated with mRNA Covid-19 vaccines. These events include myocarditis, an inflammation of the heart muscle, and Guillain-Barre Syndrome.
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describe the effects of varying the jet size or entrainment port opening on fio2 and total flow rate
Increasing jet size or opening the entrainment port will increase the FiO2 and total flow rate, while decreasing jet size or closing the entrainment port will decrease the FiO2 and total flow rate.
The jet size and entrainment port opening are features of oxygen delivery devices such as nasal cannulas or simple face masks that are used to control the amount of oxygen delivered to the patient. The jet size refers to the size of the opening where the oxygen is delivered to the patient, while the entrainment port is an opening that allows room air to mix with the oxygen being delivered.
When the jet size is increased or the entrainment port is opened, more oxygen is delivered to the patient, increasing the FiO2 (fraction of inspired oxygen). This means that the percentage of oxygen in the air the patient is breathing is higher. However, this also results in an increase in the total flow rate, which is the amount of oxygen being delivered to the patient overall.
On the other hand, when the jet size is decreased or the entrainment port is closed, less oxygen is delivered to the patient, decreasing the FiO2. This also results in a decrease in the total flow rate.
It's important to note that the desired FiO2 and total flow rate will depend on the patient's condition and treatment plan, and the nurse should adjust the oxygen delivery device accordingly and monitor the patient's oxygen saturation level.
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The "chain of infection," i.e., the transmission of infectious agents in healthcare settings requires a ________________.
A. Source or reservoir of infectious agents
B. Susceptible host with a portal of entry receptive of the agent
C. Mode of transmission for the agent
D. All of the above
The chain of infection in a healthcare setting requires: (A) Source or reservoir of infectious agents; (B) Susceptible host with a portal of entry receptive of the agent; and (C) Mode of transmission for the agent.
Infection is the invasion and the multiplication of small microorganisms inside the living body. These microorganisms may release toxic substances into the host body and they may interfere with the normal functioning of the host resulting in diseases,
Infectious agents are the small microorganisms that have the potential to enter the host body and cause diseases. The example of infectious agents is bacteria, virus, parasite, fungi, etc.
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Which disease is almost certain to cause death if infected patients do not receive postexposure prophylaxis
Rabies disease is almost certain to cause death if infected patients do not receive post-exposure prophylaxis.
Rabies is a preventable viral illness that is most commonly spread via a rabid animal's bite. The rabies virus attacks mammals' central nervous systems, resulting in brain illness and death. When clinical symptoms of rabies arise, the condition is almost invariably deadly, and treatment is usually supportive. There have been less than 20 reported examples of human survival from clinical rabies. Only a few individuals had no prior or post-exposure prophylactic history.
Lyssaviruses, such as the rabies virus and the Australian bat lyssavirus, cause rabies. When an infected animal bites or scratches a human or another animal, the disease spreads. If saliva from an infected animal comes into contact with the eyes, mouth, or nose, it can transmit rabies.
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During pregnancy a woman's cardiovascular system expands to care for the growing fetus. After birth, during the early postpartum period, the woman eliminates the additional fluid volume she has been carrying. What is one way she does this
One way a woman eliminates the additional fluid volume she has been carrying during the early postpartum period is through urinary elimination.
After birth, the woman's body works to return to its pre-pregnancy state and one of the ways it does this is by excreting the excess fluid through urine. This process is facilitated by the increased blood flow to the kidneys, which helps to filter and excrete the excess fluid. The body also increases urine production, which helps to get rid of the excess fluid more quickly. Other ways that a woman can eliminate additional fluid volume include sweating and bowel movements.
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what does a patient involve in an auto crash who has maor internal abdominal bleeding require oxygen to maintain internal respiration
A lack of circulating volume decreases the oxygen and carbon dioxide transport capability. In order to preserve internal respiration, the patient who has lost a lot of blood owing to internal bleeding needs to be put on oxygen support.
Respiration is the process by which oxygen is transported from the outside environment to cells within tissues and carbon dioxide is exhaled in the opposite direction. Internal respiration is the process through which gases, such as oxygen and carbon dioxide, move from the body's cells to the blood through the fluid that surrounds them.
The circulatory system transports nutrition and oxygen to various bodily parts while also removing waste products and carbon dioxide from them. The blood, blood vessels, and heart make up this system. Blood is pumped by the heart and it flows throughout the body, carrying gases, nutrition, and wastes.
Why does a patient involved in an auto crash who has major internal abdominal bleeding require oxygen to maintain internal respiration?
A) The red blood cells have a reduction of hemoglobin that reduces the amount of oxygen that can be transported.
B) The swelling of the abdominal space causes the diaphragm to be restricted, which will reduce the thorax space.
C) A lack of oxygen in the air decreases the oxygen diffused into the bloodstream, which creates an increase of carbon dioxide.
D) A lack of circulating volume decreases the oxygen and carbon dioxide transport capability.
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What is the recommended frequency for cardiorespiratory training, if participating in vigorous-intensity exercise (e.g., jogging or running)
5 times a week is the recommended frequency for cardiorespiratory training if participating in moderate-intensity exercise like brisk walking.
Cardiorespiratory fitness (CRF) is the ability of the respiratory and circulatory systems to provide oxygen to the mitochondria of skeletal muscle for energy synthesis during physical activity. In adults, a low or unhealthy CRF is a powerful, independent predictor of CVD and all-cause death. CRF is a predictor of several health markers in adolescents, including cardiometabolic health, early CVD, academic achievement6, and mental health.
While RF is measured in some children, such as those who have congenital heart disease, asthma, or cystic fibrosis, CRF testing offers a broader variety of uses. CRF is a standardized health metric that can be followed over time & compared across groups.
Cardiorespiratory fitness has several advantages. It can lower the chance of developing heart disease, lung cancer, diabetes type 2 stroke, and other disorders. Cardiorespiratory fitness improves lung and heart health while also increasing emotions of well-being.
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which organization has been the national leader in promoting electronic health records to decrease medical errors nadi mprove patient safety
Institute of Medicine is the organization has been the national leader in promoting electronic health records to decrease medical errors and improve patient safety.
The Institute of Medicine (IOM) study "To Err is Human" issued in 1999 urged for a national initiative to make health care safer. Even though the report has indeed been generally credited with sparking initiatives to research and improve health-care safety, there has been no independent evaluation of its impact.
Following the release of the IOM report, the rate of patient safety publications jumped from 59 to 164 articles per 100,000 MEDLINE publications. All sorts of patient safety papers saw an increase in publication rates.
After the publication of the study, original research publications climbed from an average of 24 to 41 articles per 100,000 MEDLINE publications, while patient safety research grants jumped from 5 to 141 awards per 100,000 federally supported biomedical research awards. Prior to the IOM report, the most common topic of patient safety publications was malpractice, but organizational culture was the most common subject after the study's publication.
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A medical assistant is administering an intramuscular immunization to a patient. Which one of the following actions should the medical assistant take
The actions that must be performed by medical assistants when administering intramuscular immunization are carried out on large muscled parts of the body.
What is intramuscular injection?The action of injection or administration of drugs intramuscularly is carried out for drug administration. The benefit of this type of injection is that the drug is absorbed by the body quickly.
The medicinal liquid is inserted directly into the muscles which have many blood vessels and is generally done on large muscular parts of the body so that there is no possibility of puncturing the nerves. This kind of drug administration allows the drug to be released periodically in the form of drug depots.
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the abbreviation given to an infant who was born to a woman who drank heavily during pregnancy
The abbreviation given to an infant who was born to a woman who drank heavily during pregnancy is Fetal alcohol spectrum disorders (FASDs).
Fetal alcohol spectrum disorders (FASDs) are a group of conditions that can do in a person who was exposed to alcohol before birth. These goods can include physical problems and problems with geste and literacy.
Pregnancy is the time during which one or further seed develops( gestates) inside a woman's uterus( womb). A multiple gestation involves further than one seed, similar as with halves. gestation generally occurs by sexual intercourse, but can also do through supported reproductive technology procedures. gestation is" the presence of an implanted mortal embryo or fetus in the uterus"; implantation occurs on average 8 – 9 days after fertilization.
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