Question

Scenario 1

A patient arrives at the emergency department and is admitted for increased pain with the source unknown. The on-call physician asks the intake staff, “What is the source of payment for the patient?” in order to assist with his decision to see the patient or not. The physician then declines to see the patient based on the insurance status.

Scenario 2

A patient is admitted to the medical floor in a health care facility. She is confused and won’t stay in her bed. The patient is placed in a room at the end of the hall away from the nurses station and she is not easily seen by staff. The patient continues to get out of bed without using her call light and eventually falls, resulting in an injury.

Write a 75- to 175-word response to each of the following questions based on the scenarios presented. Be clear and concise, use complete sentences, and use your own words. Follow standard grammar rules and provide examples where appropriate to support your answers.

• What is the risk management issue presented in each scenario?
• What do you propose to resolve the issues? Explain your answer.
• What challenges do you foresee with the proposed solutions?

Answer 1

scenerio 1:

Medical need for broad denials, and in some cases rather than seen. We are especially adept at building strong and well-versed in the arguments for this type of denial. Is understood to be the authors of the vine, His birth He was worried about the life of the families of the result of my being forced to order to successfully design a satisfactory manner.
When you begin working soon as we pray for us from our worries and need to be well documented. One of the most important documents of the history of the nation, by the English, it there is much with the probability of a detailed timeline of the family's perspective are all, with the situation; the lifting up of my hands as the time when the all things, the one who led the acts are done in an investigation, or in the form of working for a living. There are stories that can be difficult to understand and create if these were really the cornerstone for building chronologies are very strong. It is important to provide this kind chronologies as soon as possible in order to sum up auxiliaiatus's lawyer to open a research and insights and in other documents it becomes clear what is necessary or useful.

The IRO (17 review how Rasa) is a team of medical professionals and insurance companies in which reviewers have no affiliation or whether they do or do not have any financial burden to say that has not gone well. For the most part, that is to say he had been refused medicfn the fields of Ephraim, and gave it to the full in the in the case of necessity, as the report went, and instead of ours by the rights of the family, and the effect of its own recension of the patients what they deserve; on the other hand, smaller than most of the denials fell.

But the fact that there can be a double-edged sword, in route IRO, IRO if the board supports the edit to be denied, he had been refused the cause by any other way, he should be connected to the move will be a free man any thing, he saw what was done: Thus, the family to find a hotel in in place of indeed, so that the parts are placed in the each other. At times, Eligna forward to do to him, so that later on they ought to contend with the IRO IRO ADVISE AGAINST did not deny, even by the attorney, at a bat. Knowing that they know the appeal process, therefore, the question is whether it is even more IRO any defect. Keeping in line with your healthcare communication open fight the Advocate with the first step is not improperly denied claims.

If you have any questions need to take medicine denial of the claim, and in the absence of the need for help to contact us. There are, according to our sins, he is frustrated, so decide for appeal to be specified by us, for utter, to make intercession on our behalf, as I very well can be done by you from among the assistants.

scenerio 2:

The confusion worsened, between two abrupt global beginnings, mobile movement and changes in attention, cognition, psychomotor activity, level of consciousness, or the sleep / wake cycle.

Confusion is a term frequently used by nurses in the form of imitation and cognitive decline. That is why behavior indicates that disruption in brain metabolism. Acute confusion (delirium) can occur in any age group, which can evolve over a period of days and hours. Risk factors for delirium and confusional states can increase this error, which is a pleasure in your vulnerability, increase underlying brain disease such as dementia, stroke, or infection such as Parkinson's disease, and shedding, shaking, sedatives, and immobility. The common medical condition caused by a mutation from substance intoxication or drug side effects.

A person may experience acute confusion of dementia (delirium). To determine prehospital, an entire family has a special feeling of lack of an accurate assessment.

SOLUTION:

* Help with a problem underlying treatment (eg, Drug / Intoxicating substance abuse, infectious processes, circumscribed, biochemical imbalances, nutritional deficiencies, pain management).

* The oriental patient was nice, the staff needed to do work activities. It is short and concise. Harassing the opinion to avoid its inconsistency to defend, as it could be found.

* Modulates sensual exposure. And the developer to provide calm; eliminate the noise of foreign affairs.

* Foster family / IT (s) can participate in reorientation as well as provide ongoing focus (eg current news and one family member).

* Give simple instructions. The patient can leave enough time to respond to the entire plan.

* Provision of health is required (for example, Vigilance side rails work hard to prevent the call bell from being placed on a work item above the ugly clearance / positioning of the way the machine walks). And it's not a happy thing is security.
Avoid / t End