An absence of lochia lead nurses to suspect that a woman is developing a postpartum complication. Women should discharge their after giving birth. No flow is abnormal; This indicates dehydration due to infection and fever.
What are the three postpartum periods?The postpartum period can be divided into three distinct periods; early or acute phase, 8 to 19 hours after birth; the subacute postpartum period, which lasts two to six weeks, and the late postpartum period, which can last up to eight months.
What is the most common cause of postpartum?After giving birth, a drastic drop in the levels of the hormones estrogen and progesterone in your body can contribute to postpartum depression. Other hormones produced by the thyroid gland can also plummet, leaving you feeling tired, sluggish, and depressed. Emotional problem.
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A nurse is caring for an infant with an elevated bilirubin level who is under phototherapy. What evaluation data would best indicate that the newborn's jaundice is improving
If the level of bilirubin decreased from 15 to 11, then the nurse can conclude that the condition of the infant under phototherapy is improving. This is because as jaundice develops the level of bilirubin rises, which causes the yellowing of the nails.
Infant jaundice is a yellow discoloration of the skin and eyes of a newborn child. Infant jaundice develops when the baby's blood has an excessive amount of bilirubin, a red blood cell pigment that is yellow. Infant jaundice is a common illness, especially in premature infants (babies born before 38 weeks of pregnancy) and in breastfed infants. Because a baby's liver isn't developed enough to eliminate bilirubin from the bloodstream, infant jaundice frequently develops. Infant jaundice in some infants might be brought on by an underlying illness.
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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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Describe one of the current issues identified by State Boards of Nursing in the state you will be applying for your nursing license. Discuss how the nurse leaders and managers would educate the unit within the organization.
The current issues identified by State Boards of Nursing in the state you will be applying for your nursing license is nurse burnout.
Nursing license do further than profit the individual nursers who attain them — they can also ameliorate the healthcare installations in which these nursers work. The further chops and specialties a nanny has, the better equipped they're to give their cases with advanced quality care.
Nurse burnout is a wide miracle characterized by a reduction in nursers' energy that manifests in emotional prostration, lack of provocation, and passions of frustration and may lead to reductions in work efficacity. Demanding workloads and aspects of the work terrain is known to be associated with Nurse burnout.
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The nurse is teaching a group of nursing students about fetal oxygenation. The nurse questions a student, what happens when oxytocien levels are elevated in the client
When oxytocin levels are elevated in a pregnant client, it can lead to increased contractions of the uterus. These contractions can cause fetal distress and may lead to preterm labor.
It is important for nurses to closely monitor the client's vital signs and fetal heart rate, and notify the physician if there are any concerns. Elevated oxytocin levels can also lead to cervical dilation. In order to ensure the safety of the mother and baby, it is crucial that the nursing staff is aware of the potential risks associated with elevated oxytocin levels and takes appropriate action. Additionally, they should also educate the client about the possible adverse effects.
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why is it important to list and prioritize your short-, mid-, and long-term goals ahead of time?
It is important to set short-term goals so that you don't try to overwork yourself by doing to much stuff at once. It is important to set long-term goals so that you can have a plan for your life, so that you aren't wandering around aimlessly
Why is it important to set long time goals?Your daydreams can become tangible aspirations that you can actively pursue by setting long-term goals. They can not only assist you in completing challenging tasks, but they can also be a helpful tool in helping you organize your workload and determine what success means to you. Setting short-term goals is essential to avoid trying to take on too much at once and overworking yourself. Setting long-term objectives will help you organize your life and prevent you from stumbling around aimlessly. Short-term objectives concentrate on the here-and-now. They focus on making the most of what you have or will have soon. Long-term objectives relate to the kind of person you hope to become.Setting short-term goals is essential to avoid trying to take on too much at once and overworking yourself. Setting long-term objectives will help you organize your life and prevent you from stumbling around aimlessly.To learn more about set long time goals refer to:
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preparing to begin chest compressions on an infant the nurse should perform compressions using which
Answer:
Place the heel of one hand on the breastbone -- just below the nipples. Make sure your heel is not at the very end of the breastbone. You may need to use both hands depending on your size and the size of the child.
Keep your other hand on the child's forehead, keeping the head tilted back.
Press down on the child's chest so that it compresses about one third to one half the depth of the chest.
Give 30 chest compressions. Each time, let the chest rise completely. These compressions should be fast and hard with no pausing. Count the 30 compressions quickly: "1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30, off''.
The nurse is caring for four clients who have survived burn injuries from a chemical plant explosion. Which client requires immediate surgical intervention based on priority
To prevent excessive blood loss, the nurse should attend to the client with thrombosed vessels first. Injury refers to any type of bodily harm. It can occur as a result of an accident, a hit, a fall, or the use of weapons and explosives.
Acute and overuse injuries are two types of injuries. Acute injuries are caused by a single source of trauma, such as a hit or a fall, which results in the breaking of any bone. An overuse injury is one that occurs as a result of repeated strain on a specific muscle or ligament, causing it to break down.
Thrombosis is a condition in which blood clots in the blood vessels, causing them to become blocked. This can impair blood supply and lead to serious complications. The clot's rupture can also result in blood loss.
The nurse is caring for four clients who have survived burn injuries from a chemical plant explosion. Which client requires immediate surgical intervention based on priority?
1. Client with erythema
2. Client with fluid-filled vesicles
3. Client with mild to moderate edema
4. Client with visible thrombosed vessels
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A clinical nurse specialist (CNS) is a(n) __________ practice registered nurse licensed by the state in which services are provided, has a graduate degree in a defined clinical area of nursing from an accredited educational institution, and is certified.
A clinical nurse specialist (CNS) is a(n) Advanced practice registered nurse licensed by the state in which services are provided, has a graduate degree in a defined clinical area of nursing from an accredited educational institution, and is certified.
What is the central nervous system?The brain and spinal cord make up the majority of the central nervous system (CNS), which is a component of the nervous system. The brain controls and regulates the activity of all sections of the bodies of bilaterally symmetric and triploblastic animals—all multicellular organisms aside from sponges and diploblasts—and integrates the information that is received, giving the CNS its name.
It is a structure made of nerve tissue that runs the length of the body, from rostral (the nose end) to caudal (the tail end). It may have a brain at the rostral end that is larger.
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A 9-year-old boy is suffering from headaches but has no signs of physical or neurologic illness. Which intervention would be most appropriate
"Teach the child and his parents to keep a headache diary." would be the most appropriate intervention.
A headache is defined as discomfort in any part of the head. Headaches can occur on one or both sides of the head, be localised, spread throughout the head from a single site, or have a vise-like feel. A headache might be characterised by a severe pain, a throbbing sensation, or a dull discomfort.
Stress, anxiety, bad posture, and other lifestyle issues can all contribute to them. Migraines are another form of prevalent main headache. They are frequently accompanied by one-sided throbbing pain, nausea, vomiting, and sensitivity to light or sound. Nonprimary persistent daily headaches can be caused by inflammation or other issues with the blood arteries in and around the brain, including stroke. Meningitis is an example of an infection. Intracranial pressure that is either too high or excessively low.
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the main reason that there is no exact definition of the due process guarantees is that the
The Supreme Court only defines the due process guarantees on a case-by-case basis, which is the fundamental reason why there is no precise definition of them.
What distinguishes the Fifth Amendment's and the Fourteenth Amendment's provisions of due process?The Due Process Clause of the Fifth Amendment demands equal protection from the federal government. The Equal Protection Clause of the Fourteenth Amendment mandates that states implement equal protection.
Which of the following rules is the Due Process Clause responsible for?According to the Due Process Clause, no one may be denied "life, liberty, or property, without due process of law." According to the Equal Protection Clause, a state cannot refuse to provide any individual under its authority with the same level of the laws.
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The nurse is admitting to the hospital an older adult client with a terminal illness and a large, extended family. Which situations are within the role of the bedside nurse
When dealing with an older adult having a terminal illness, the following practices will be under the scope of the nurse -helping the family resolve disputes - giving advice to family members on good coping mechanisms along with serving the duties of a bedside nurse.
Being faced with your own death is painful, emotional, and frightening. Through the tactful application of counseling techniques, nurses can assist patients and their families in coping with this crisis. By doing this, kids will also become more conscious of their own opinions and sentiments on the matter. Being at home helps a lot of terminally ill patients temporarily stabilize, and their families are pleased to take care of them. Sometimes patients' families are perplexed when they suddenly get sick because they have a tendency to believe that they will survive death.
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Physical activity must be streneous in order for it to be beneficial. Group of answer choices True False
It is false that physical activity must be strenuous in order for it to be beneficial.
Exercise does not have to be rigorous, regimented, or time-consuming to be beneficial. Any exercise is preferable to none, but doctors recommend that people be active most days of the week, aiming for just a total of 2.5-5 hours of moderate physical activity or 1.25-2.5 hours of intense physical activity each week.
Standing while lifting large goods weighing 50 pounds or more, or walking while carrying heavy objects weighing 25 pounds or more, is considered a physically strenuous activity.
Regular exercise may enhance your mental health, assist you in maintaining one's weight, lower one's risk of disease, strengthen one's bones and muscles, and increase one's ability to conduct everyday tasks. Adults who sit less and engage in moderate-to-vigorous physical activity get health advantages.
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You have just discovered a pancreatic mass suspicious of adenocarcinoma in a patient with weight loss and abdominal pain. What associated findings should you look for
When Adenocarcinoma develops in a patient with pain in the abdomen and weight loss, the associated findings that are commonly observed are liver Mets with lymphadenopathy.
Although the discovery of lymphadenopathy occasionally causes patients to worry about a dangerous illness, it typically results from benign infectious cancer in patients evaluated in primary care settings. On the basis of a thorough history and physical examination, the majority of patients can be diagnosed. To rule out generalized lymphadenopathy, localized adenopathy should motivate a search for an adjacent precipitating lesion and an inspection of other nodal regions. The most concerning nodes for cancer are those that are supraclavicular. In patients with isolated nodes and a benign clinical picture, a three- to four-week period of surveillance is recommended. Further clinical examination should always be requested in cases of generalized adenopathy.
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Both illegal and prescription/over-the-counter drugs can have negative effects on your ability to drive. T/F
The statement is true that both illegal and prescription/over-the-counter drugs can have negative effects on your ability to drive.
Antidepressants, opioids, and other drugs may beget impairment.However, or get a tradition for a new drug or a advanced cure of a current medicine, don't drive until you know what effect it has on your judgment, If you're taking a tradition medicine.
Illegal drugs are those that aren't specified by a croaker or bought at a apothecary. They're occasionally also called" road medicines." Some exemplifications of illegal medicines include heroin( an opioid); cocaine( a goad); LSD, mescaline, PCP, methamphetamine, and psilocybin( hallucinogens).
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the nurse wants to be sure that the family understands how to use a bulb syringe properly to suction the newborn. What is the best way to determine that they understand proper bulb syringe use
The best way for the nurse to determine that the family understands proper bulb syringe use is to provide a demonstration and hands-on instruction. The nurse can start by explaining the purpose of using a bulb syringe, the steps involved in using it, and the precautions that must be taken.
Then, the nurse can demonstrate the proper technique for using the bulb syringe on a doll or a model of a newborn. After the demonstration, the family should be given the opportunity to practice using the bulb syringe with the guidance and supervision of the nurse. This will allow the nurse to observe their technique and provide feedback. The nurse can also provide visual aids such as diagrams or videos to help the family understand the proper technique. Additionally, the nurse can ask the family questions about the use of the bulb syringe to assess their understanding and provide further clarification if needed.
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A nurse is preparing to administer penicillin G benzathine 1.2 million units IM now. The amount available is penicillin G benzathine 600,000 units/mL. How many mL should the nurse administer
The nurse administer 1,200,000 units x 600,000 units/ml = 2 ml unit of Penicillin.
Due to its extraordinarily low solubility, penicillin G benzathine releases slowly from intramuscular injection sites. Penicillin G is produced by hydrolyzing the antibiotic. In comparison to other parenteral penicillins, blood serum levels from this combination of hydrolysis and sluggish absorption are significantly lower yet last far longer.
Adults who receive 300,000 units of penicillin G benzathine intramuscularly experience blood levels of 0.03 to 0.05 units per mL for 4 to 5 days. Similar blood levels may linger for 10 days after receiving 600,000 units and for 14 days after receiving 1,200,000 units. After giving 1,200,000 units, blood levels of 0.003 units per mL may still be visible 4 weeks later.
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this form of treatment uses sound energy from high-frequency sound waves to treat pain, relax muscles spasms. stimulate circulation, and break up calcium deposits and scar tissue.
Ultrasound therapy is the form of treatment uses sound energy from high-frequency sound waves to treat pain, relax muscles spasms. stimulate circulation, and break up calcium deposits and scar tissue.
Ultrasound therapy uses high- frequency sound waves to produce heat that can reduce pain. It may be used to treat conditions similar as musculoskeletal injuries, arthritis and fibromyalgia. Ultrasound therapy is a noninvasive treatment in which sound swells are used to access soft apkins, adding blood inflow. This can help relieve pain, ameliorate rotation, and promote towel mending.
Ultrasound therapy can be used as frequently as necessary, there are no limits. We generally use it for five twinkles at a time during treatment. Whether we use it or not will depend on the customer's injuries.
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A nurse is teaching a new mother about what to expect for bowel elimination in her newborn. Because the mother is breastfeeding, what should the nurse tell her about the newborn's stools
The nurse informed her that the newborn's faeces must be yellow-gold, loose, & stringy to pasty.
The neonatal phase is explained as an infant's first four weeks of life in this world. Many complicated physiologic changes occur during this period, and the newborn reacts with many stimuli. During this time, care should be constant and effective.
Growth characteristics and behaviors' are evaluated at birth. In the case of a normal spontaneous vaginal birth or a Cesarean section without difficulties, the examination is postponed until one hour after skin-to-skin contact with the mother is established, and nursing is initiated if suitable and requested. In the first twenty-four hours of life, a paediatrician or nurse practitioner checks the infant. A team having knowledge of the equipment, training, & resources is now in charge of assessing and attending to any neonatal resuscitation attempts required at the time of birth.
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vA client who gave birth to twins 6 hours ago becomes restless and nervous. Her blood pressure falls from 130/80 mm Hg to 96/50 mm Hg. Her pulse drops from 80 to 56 bpm. She was induced earlier in the day and experienced placental abruption (abruptio placentae). Based on this information, what postpartum complication would the nurse expect is happening
The nurse would expect that the client is experiencing postpartum hemorrhage based on the client's decreasing blood pressure and pulse.
Hemorrhage is the most likely postpartum complication in this situation. The client's sudden drop in blood pressure from 130/80 mm Hg to 96/50 mm Hg and pulse from 80 to 56 bpm indicates that she is losing a large amount of blood. Additionally, the fact that she experienced placental abruption (abruptio placentae) increases her risk of hemorrhage.
The abruption can cause the placenta to separate from the uterine wall before the baby is delivered, leaving the uterus filled with clots, the fetal membranes, and pieces of the placenta. The placenta can tear away from the uterine wall, causing blood vessels to tear and bleed, resulting in hemorrhage.
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Which of the following is a small elevation on the skin that contains fluid but may develop into a pustule
The following are small elevations on the skin that are filled with fluid but can develop into pustules are pimples.
What are pustules?Pustules are small bumps on the skin that contain fluid or pus. Pustules usually appear as white bumps surrounded by reddish skin. These bumps look a lot like pimples, but they can grow quite large.
Pustules can form anywhere on the body but are most common on the back, chest, and face. Pustules can also be found in groups in one area of the body. Pustules can be pimples which are usually caused by hormonal imbalances or hormonal changes in the body.
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Which code would be supported as a medical necessity for a male patient with a diagnosis of hypercholesterolemia
80061 code would be supported as a medical necessity for a male patient with a diagnosis of hypercholesterolemia
What exactly is hyperlipidemia?
Your low-density lipoprotein (LDL), or bad cholesterol, is excessively high, which is a lipid condition known as hypercholesterolemia. Your risk of heart attack and stroke increases as a result of the accumulation of fat in your arteries (atherosclerosis). Cardiovascular disease, which accounts for more fatalities globally than any other condition, is mostly brought on by atherosclerosis.
What is regarded as having high cholesterol?
Depending on your other cardiovascular disease risk factors, your doctor may define hypercholesterolemia differently.
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pressure of normal uterine contractions is between 190 - 300 units. it will be expressed as:
1. Montevideo units
2. mm of hg
3. cm of water
4. joules/kg
Pressure of normal uterine contractions is between 190 - 300 units. it will be expressed as Montevideo units.
Option 1 is correct.
What is Montevideo units?Montevideo units are described as a method of measuring uterine performance during labor which were created in 1949 by two physicians, Roberto Caldeyro-Barcia and Hermogenes Alvarez, from Montevideo, Uruguay.
Uterine contraction is the tightening and shortening of the uterine muscles.
During labor, uterine contractions accomplish two things:
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Mrs. Patel arrives at the imaging department as a trauma patient and has multiple fractures. The patient was medicated for pain in the emergency room before arriving at the imaging department. Halfway through the exams, Mrs. Patel begins to show signs of pain and is unable to hold still. You speak with the patient to inform her how much longer it will be before you are done and to assess the level of pain. The patient informs you that her pain is becoming unbearable and does not know if she will be able to hold still for the remainder of the procedures. What is the best action to handle this situation
Stop the procedure immediately and notify the patients physician that she is unable to take an exam due to pain.
Who may become a trauma patient?A person who has sustained a bodily injury, whether slight, major, life-threatening or possibly life-threatening, is referred to as a trauma patient. Typically, traumatic wounds are categorized as blunt or penetrating wounds.
How should a trauma sufferer be cared for?keep doing what they normally do. Help find relaxing activities. They should not avoid the events, people, or locations that bring up the traumatic experience in their minds. Spend time resolving daily disputes to prevent them from festering and raising their stress levels.
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A 2-year-old boy admitted to the hospital complaining of wheezing and shortness of breath for 6 weeks. At the beginning, the mother claimed that she noticed her baby had chocking one time. There was no cough, no fever. He was treated with inhaled corticosteroids but with no improvement. No history of allergy and no family history of atopic dermatitis. On day of admission, Chest x ray was normal and leukocyte number was normal.
Note: (think about the neck region only)
What is the next step of radiological investigation should be done for this patient?
What is the anatomical structure you should think to be involved in this patient?
What is the suspected diagnosis in this case?
What is the appropriate management in this case?
What in your opinion is the most important point must the physician always keep in mind?
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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explain the differences between cervical, thoracic, and lumbar vertebrae. What is the function of intervertebral discs? What is a slipped disc?
The vertebrae are those bones that will form the vertebral column and that will give protection to the spinal cord.
What will be the differences between the vertebrae?The vertebrae will have differences depending on the sector in which they are. The cervical vertebrae will have a more elongated shape at their ends, the thoracic vertebrae will be more rounded and will have faces to fit with the ribs, the lumbar vertebrae will be much more voluminous in the part of the body since they will have to support the weight of the body.
As for the intervertebral discs, they are those that will allow the spine to have flexibility and cushion the blows and pressures that exist between them. When these discs have a weakness in any of their parts due to an injury, a herniated disc can be generated that will cause a part of the disc to protrude and compress nearby nerves or the spinal cord.
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42. The stapes presses against a membrane that covers a small opening called the
The hospital administrator approves a case management position for a new rehabilitation unit to help reduce costs. In developing the job description, the nurse manager understands that a key element of case management is:
The job description of the nursing manager in understanding case management for the new rehabilitation unit to help reduce costs is the coordination of resources for effective outcomes.
Nursing management is a form of coordination and integration of nursing resources by implementing management processes to achieve the goals and objectivity of nursing care.
The nurse manager is a nurse who is responsible for a unit in a hospital or clinic. The task of the nursing manager is to plan, organize, direct and supervise the existing finances, equipment, and human resources to provide effective and economical treatment to patients.
This question is multiple choice:
a. Managing of care by nurse managers.b. Coordination of resources for effective outcomes.c. Rapid discharge of clients to decrease costs.d. Managing care for outpatient clients only.The correct answer is B.
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The most prominent reason for the decline in the number of procedures performed in hospitals is:
a. Most of these procedures were shifted to outpatient setting
b. Most of these procedures were deemed outdated
c. Most of these procedures were unsafe
d. Most of these procedures used technology that was too expensive
The main reason for the decrease in the number of procedures performed in the hospital is that the majority of these procedures have been transferred to outpatient settings.
What is outpatient care called?Outpatient care is any consultation, procedure, treatment or other medical service provided without an overnight stay in a hospital or medical facility.
What is outpatient setting (services)?Primary care physicians, community health clinics, urgent care clinics, specialist outpatient clinics, pharmacies, and emergency departments are examples of outpatient settings (services).
What is the main difference between inpatient and outpatient care?In general, inpatient care requires you to stay in the hospital, while outpatient care does not. The big difference is whether you need to be hospitalized or not.
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Systen 7. How would using electronic health records save time over using paper medical records?
Answer:
Increased Efficiency and Productivity EHRs can be more efficient than paper records by allowing centralized chart management, and quicker access to patient information from anywhere with condition-specific queries.
Explanation: