Laying Out Arnold Palmer Hospital New Facility

In: Business and Management

Submitted By apollo26md
Words 1007
Pages 5
SHOCK, SURGICAL INFECTIONS & TRAUMA

Choose the best answer:

1) More commonly, wound infections following surgery become evident on:

A. Between third and fifth day B. Between eight and eleventh day C. Between first and third day D. Between fourth and seventh day E. Between twelfth and sixteenth day

2) The following is an example of Class III surgical wound:

A. Urinary bladder surgery B. Herniorrhaphy C. Gastrectomy D. Resection of obstructed bowel E. Surgical drainage of pelvic abscess

3) A 70 yr old victim of an auto-pedestrian accident develops manifestation of severe sepsis 14 days after a Splenectomy. The organism most likely to be involved is:

A. Staph. aureus B. Strep. Pyogenes C. Hemophilus influenza D. E. coli E. Klebsiella sp.

4) The most reliable protection for the surgeon against Hepatitis B infection is by:

A. adherence to universal precautions B. administration of gamma globulins C. active immunization D. double gloving E. administration of interferons

5) Pro-inflammatory mediators in shock, EXCEPT:

A. IL-4 B. IL-2 C. TNF D. IL-6 E. IL-8

6) Hypotension occurs in healthy patients if blood volume is decreased by:

A. 15-30% B. More than 40% C. Up to 15 % D. 30 – 40% E. Any of the above

7) This type of shock is characterized by hypotension, decreased peripheral vascular resistance and bradycardia:

A. Traumatic shock B. High output septic shock C. Low output septic shock D. Hypovolemic shock E. Neurogenic shock

8) In a patient with swelling and paresthesia of the leg…...

Similar Documents

Laying Out Arnold Palmer Hospital's New Facility

...1. Arnold Palmer Hospital created a plan for its new facility using different variables, layouts, drawings, simulations and a massive planning process. The variables that Arnold Palmer Hospital needs to consider for its layout design are as follows: Security is one of the components that the hospital needs to consider as of how to protect their patients (especially babies). while talking about patients as they are the first priority would need nursing anytime so nursing efficiency it is important for the nurses for not to spend time traveling around the facility. Also Meal and supply efficiencies is a factor to consider because the food have to be delivered warm and on time. Need to have much space for family members and visitors to come and stay with the patient. Privacy is a very important variable because this can give to the patients the serenity and peace they need. Location, x-ray, laboratories, management, pharmacy and much other factor like them must have a specific place in the layout and finally incorporate areas for medical and non-medical personnel. 2. The advantages of the circular pod design over the traditional linear hallway layout are that it is much easier for the nurses to see and reach each room, this means that the travel time for nurses will be minimized, but not only will save time, will give more medical efficiency for doctors and staff in general. In addition, the circular pod system can supply two rooms at the same time and this is something that......

Words: 561 - Pages: 3

Hospitals and Long-Term Care Facilities

... Running head: Hospitals and Long-Term Care Facilities Hospitals and Long-Term Care Facilities Sharhonda Harvey Dr. Gary A. Morris Health Services Organization – HSA 500 August 8, 2010 Hospitals and Long-Term Care Facilities 1. Describe the difference between nonprofit and for-profit hospitals. There are numerous factors that differentiate nonprofit and for profit hospitals. According to Horwitz (2005), “Two-thirds of all U.S. urban hospitals are nonprofit, with the remainder split between for-profit and government ownership” (p. 790). One major difference between the two entities is that nonprofit entities tend to put excess funds back into the organization and receive tax exemptions, whereas for-profit entities keep the profits and dispense them among stock holders. Overall, whether the hospital is nonprofit or for-profit it is imperative that each entity meet the needs of the patients, work under the same health guidelines, and provide the appropriate training for staff to ensure they are providing safe care. Nonprofit hospitals are commonly known for their role in the community. Williams (2009) found “nonprofit entities serve a community service and have special recognition under the law due to their role in our society” (p. 185). These organizations do not have owners but they are overseen by a board of community members that makes decisions on how the facility is operated. As it relates to financial assistance, monies are sponsored by various......

Words: 1046 - Pages: 5

Hospital and Longterm Facilities

...nurses (that is, intermediate level of practice) had at least two years of ICU experience.48 Finally, the expert nurse had a more fully developed grasp of a clinical situation, a sense of confidence in what is known about the situation, and could differentiate the precise clinical problem in little time.48 Expertise is acquired through professional experience and is indicative of a nurse who has moved beyond mere proficiency. As Gadamer29 points out, experience involves a turning around of preconceived notions, preunderstandings, and extends or adds nuances to understanding. Dewey49 notes that experience requires a prepared “creature” and an enriched environment. The opportunity to reflect and narrate one’s experiential learning can clarify, extend, or even refute experiential learning. Experiential learning requires time and nurturing, but time alone does not ensure experiential learning. Aristotle linked experiential learning to the development of character and moral sensitivities of a person learning a practice.50 New nurses/new graduates have limited work experience and must experience continuing learning until they have reached an acceptable level of performance.51 After that, further improvements are not predictable, and years of experience are an inadequate predictor of expertise Intuition and Perception Intuition is the instant understanding of knowledge without evidence of sensible thought.66 According to Young,67 intuition in clinical practice is a process......

Words: 1029 - Pages: 5

Fish Bone for Arnold Palmer

...Running head: WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 1 David M. Dowling Operations Management I Southwestern College 20 January 2011 Week 3 – The Culture & Quality at Arnold Palmer Hospital Running head: WOULD YOU RECOMMENT A FRIEND TO OUR HOSPITAL? 2 Abstract In this paper I will demonstrate the importance of instilling a culture of quality in employees and why it’s essential to establish a concise mission statement, code of ethics, procedures and processes that employees can utilize in order to carry out the hospitals philosophy and mission. I will also show what systems and processes I would set up in a new hospital to achieve a culture of quality in a hospital. The paper will also show some of the processes that the Arnold Palmer Hospital in Orlando, Florida uses to achieve such a high success rate in customer satisfaction. The bottom line of this paper is that it’s easy to claim or make the statement that a hospital provides a quality service. It’s another thing to deliver. Learned and established techniques from this text will help an operations manager achieve the desired goal for establishing an environment of quality, excellence and profitability. Running head: WOULD YOU RECOMMEND A FRIEND TO OUR HOSPITAL? 3 ......

Words: 2874 - Pages: 12

Arnold Palmer 10 Strategic Om Decisions

...Decisions that the OM will have to make for Arnold Palmer Hospital. 1. Design of goods and services * Arnold Palmer is able to develop custom products that require collaboration down to the third tier of the supply chain. * Arnold Palmer Hospital is the only hospital in the central Florida area with an emergency/trauma department dedicated to pediatric patients. The hospital’s Congenital Heart Institute (CHI), created by a partnership with Miami Children’s Hospital, is well known for its pediatric cardiovascular services. The Congenital Heart Institute combines a select group of cardiologists, cardiac anesthesiologists, cardiovascular surgeons, physicians, nurses, intensivists and technicians to diagnosis and offer treatment to infants and children with heart disease or congenital heart disorders. The CHI is the only pediatric cardiology center to offer real time web-based surgical outcome data. 2. Managing quality * Arnold Palmer supports efforts to make hospital comparison data as transparent and available to the public as possible. * Many quality measurements types to form the most complete picture of a hospital’s total quality of care before making a final decision are used, such as, AHCA, the Joint Commission, Hospital Compare and Patient Satisfaction Surveys. 3. Process and capacity design 35 planning teams study issues such as service, process, staffing and capacity design. 4. Location strategy Arnold Palmer is located in a populous......

Words: 551 - Pages: 3

Get the Heck Out the Hospital!

...The Business of Being Born Get the Heck Out the Hospital? Erica Wade Mesa Community College Abstract In the film titled “The Business of Being Born” directed by Abby Epstein in 2008, you are given information that supports home births being better for the US mortality rate of newborns and their mothers. This film shines light on the tactics used to change home births from a norm in society to a type of outcast or out dated procedure. This film breaks down a specific time line in which, certain medications phased in or out and when child birth went from a personal bonding moment between mother and child to a medical procedure in hospitals. The film displays the fact that the US maternity system has given reign of procedures and policies to the bottom line which is money. Get the Heck Out the Hospital The film stated that the US had the second highest mortality rate among other industrialized cultures. Which raises the question why is the mortality rate so high in the US. I have to honestly say while watching this film I did not receive a definitive answer. Instead poorly supported statistics was used to tie hospital births to the mortality rate in the US. However in the film it is suggested that majority of the deaths that happen in the US are mothers and babies that delivered in a hospital. But what is not provided is real facts and numbers, but it is not taken into consideration that if 99% of births are in hospitals then it would be true that the majority of......

Words: 1700 - Pages: 7

Facility Plant Lay Out

...potential industry leaders and job providers 3. Develop and improve facilities through the use of adapted technology and indigenous materials and: 4. Maintain, upgrade and improve facilities through the adaptation of engineering techniques. OBJECTIVES 1. Strengthen the BSIE program consistent with global trends; 2. Develop faculty as competent mentors and quality researchers, through advanced studies, and other facets of continuing professional education; 3. Develop the critical thinking and communication skills of students, giving emphasis to research and extension services; 4. Equip graduates with appropriate knowledge and technical skills imbued with desirable work attitudes and moral values, through enhanced teaching/learning process by using multimedia facilities on top of traditional methods; 5. Create a conducive teaching and learning atmosphere with emphasis to faculty and students’ growth and academic freedom; 6. Establish network with educational institutions, Industries, GO’s and NGO’s, local and international, which could serve as: a. Funding sources and/or partners of researches, b. Sources of new technology. c. Centers for faculty and students’ exchange programs and on-the-job trainings, and d. Grantees of scholarships/ additional facilities and; 7. Continuously conduct action researches on the needs of laboratory and other facilities that could be locally produced or innovated using local materials and......

Words: 2154 - Pages: 9

Arnold Palmer 10 Strategic Om Decisions

...Arnold Palmer 10 Strategic Om Decisions Provide examples for each of the ten Operations Decisions that the OM will have to make for Arnold Palmer Hospital. 1. Design of goods and services * Arnold Palmer is able to develop custom products that require collaboration down to the third tier of the supply chain. * Arnold Palmer Hospital is the only hospital in the central Florida area with an emergency/trauma department dedicated to pediatric patients. The hospital’s Congenital Heart Institute (CHI), created by a partnership with Miami Children’s Hospital, is well known for its pediatric cardiovascular services. The Congenital Heart Institute combines a select group of cardiologists, cardiac anesthesiologists, cardiovascular surgeons, physicians, nurses, intensivists and technicians to diagnosis and offer treatment to infants and children with heart disease or congenital heart disorders. The CHI is the only pediatric cardiology center to offer real time web-based surgical outcome data. 2. Managing quality * Arnold Palmer supports efforts to make hospital comparison data as transparent and available to the public as possible. * Many quality measurements types to form the most complete picture of a hospital’s total quality of care before making a final decision are used, such as, AHCA, the Joint Commission, Hospital Compare and Patient Satisfaction Surveys. 3. Process and capacity design 35 planning teams study issues such as service, process, staffing and......

Words: 303 - Pages: 2

Arnld Palmer Hospital

...well established hierarchy between patients and physicians. However, the Arnold Palmer Hospital set up a system for evaluating the quality of medical cares by surveying its patients. I believe it is essential for the Palmer hospital to get feedbacks from its patients for a simple reason: a medical center built its reputation on its good results but also on the trusty relationship between staff and patients . All hospitals worthy of the name, whether in the US, in Europe or in Asia, are able to provide adequate medical cares, but the patients can judge the hospital through many aspects: the cleanliness and the comfort of the rooms but also the flexibility of the visits, the food, the building maintenance and all the elements which will make their stay less difficult. Acoording to me, patients don't need to be "medical experts" to give their opinion about these specific areas. As we saw it in class, business is more about « how » than about « what ». Patients may not have the knowledges to rate the quality of health cares provided to them, but they can certainly assess how they perceived their stay « in general ». This will enable the Arnold Palmer Hospital to better understand its weaknesses and make improvements on a daily basis, but also to build a strong relationship of trust and confidence with its patients, which is essential for a hospital. As Arnold Palmer has been ranked Among the top 10% of the Hospital in terms of patient satisfaction, It seems shat sheir......

Words: 309 - Pages: 2

Laying Out Arnold Palmer Hospital's New Facility

...Arnold Palmer Hospital created a plan for its new facility using different variables,layouts, drawings, simulations and a massive planning process. The goal for this process was toincorporate 273 new beds and 11-story hospital with a budget of $100 million. This new facilitywill serve over 1.5 million women and children, and deliver more than 12,000 babies a year. Themission of this case will be answering the discussions questions, but focusingin layout trategies. The first question is concerning the variables that Arnold Palmer Hospital needs for itslayout design. We must to consider the following variables : Security, how to protect patientsand specially babies; Nursing Efficiency, it is crucial that nurses don't spend too much timewalking around the facility; Meal and Supply efficiencies, food have to be delivered warm andsupplies on time; Space, for visitors, family members and capacitation; Privacy, a very importantvariable because this can give to the patients the serenity and peace they need; Location, x-ray,laboratories, management, pharmacy, etc. must have a specific place in the layout and finallyincorporate areas for medical and non-medical personnel. The second question asks about the advantages of the circular pod design over thetraditional linear hallway layout. One of the advantages of the circular pod design is that is mucheasier for nurses to see and reach each room, this means that the travel time for nurses will beminimized, but not only will save......

Words: 631 - Pages: 3

When Hospital Paperwork Crowds Out Hospital Care

...When Hospital Paperwork Crowds Out Patient Care When Hospital Paperwork Crowds Out Patient Care Why does it take so long for patients to get care in hospitals and other medical facilitates? Why? Because nurses have to fill out all of the documents required before any care can be given to anyone. While waiting for documentation and approval, many patients health either gets worse or they may die before receiving any medical help. The American Hospital Association (AHA) asked Pircewaterhousecooper (PWC) to survey hospitals and assess the significance of paperwork burden. The results were astounding, they found that paperwork added at least 30 mins to every hour of patient care and in some cases it added an hour to every hour of patient care. It may not look like much, but to a patient waiting for care it may seem like a life time. Theresa Brown wrote an article in the New York Times (Dec.19, 2015) about paperwork taking priority over patient care, one of her comments were. “A nurse could spend ten minutes documenting a patient’s risk of falling or ten minutes trying to keep patients from falling”. Yes documentation is important, it gives information about a patient, their health problems, medications they are taking, any allergies they may have but, shouldn’t a patient’s life be at the top of a healthcare providers list? Hospitals and doctors’ offices could see if medical files can be accessible to them at all times. It would make things much easier for......

Words: 423 - Pages: 2

Hospitals and Long-Term Care Facilities

...Hospitals and Long-Term Care Facilities Hamza Abobaker DR / Jo-Rene Queensberry Health Service Organization February 7, .2012 Describe the differences between nonprofit and for-profit hospitals. The difference between nonprofit and for-profit hospitals is the bottom line. Nonprofit hospitals main goal is to produce the best quality of care for the patients while turning profits into more advanced equipment used within the hospital. The nonprofit hospitals have a higher standard in performance in treating common conditions where the for-profit hospitals are not as high. Nonprofit hospitals are hospitals that are controlled by the quality of care and is at a less out of pocket for their patients where the for-profit hospitals are more costly for their services and tend to cost more for the patients after insurance has paid their portion of the bill. For profit hospitals while they do care for the patients the hospitals usually generate higher cost of care to the patients and any profit is returned to investors instead of back into the hospital where more advances and services can be performed (Williams & Torrens, 2010). In today’s efforts to improve the quality of care for patients it has become necessary to sell off to for profit hospitals for some locations. Hospitals today that ran on nonprofit efforts are seeing a hardship on keeping up with new technology equipment and is left with the decision to sell off to a for profit investor to keep the hospital......

Words: 1458 - Pages: 6

Arnold Palmer

...Arnold Palmer Case Overview: Arnold Palmer Hospital specializes in the treatment of women and children, and is renowned for providing one of the highest quality medical services and records of high patient satisfaction. This, however, requires costly inventory, most notably of custom surgical packs. In line with this, the hospital tied up with a major distributor partner, McKesson General Medical, which provides them with one-quarter of their medical/surgical inventory. This reduces their expenditures and helps them keep the quality of their inventory just in time for the scheduled operations that need them. Case Analysis: The hospital has managed to form a JIT partnership with one of its major supplier, McKesson General Medical.  To ensure coordinated daily delivery of inventory, McKesson has placed a full time account executive and two service personnel  to the hospital. This has reduced daily in-house inventory from 400,000 to 114,000. Arnold Palmer and Mckesson has designed a system for  custom surgical packs. A packing company assembles the customs packs with the order requirements of McKesson. The surgical packs are packed in a way that each item comes out of the pack in the sequence it is needed. Problems may arise if the items are not in order when opened for operations. The hospital  has 10 custom packs being used in the system. Surgical Staff of the hospital work with the hospital to identify and standardize and reduce the number of custom packs.......

Words: 429 - Pages: 2

The Culture of Arnold Palmer Hospital

...This can be assessed by the way in which hotel function in scheduling of jobs, reduction in internal conflicts, reduced complains from the customers. These are some of the way that can be used to assess internal quality improvement. But the generally the delivery of services to customers will be the best way that will be used to assess improvement in quality of goods and services. 4.2. The purpose of any quality improvement procedure will be to ensure that a company charges the way it had been operating before and it adapts a new way of operation which will improve the delivery of services as compared to the way it had been done before. It is one thing to talk about improving quality and another thing to improve quality. Therefore for a company that really intends to improve quality, there has to be actions that are specifically directed to address the issue. There has to be assessment of the current quality in the company and coming up with new plans to improve quality of goods and service. There has to be setting of standards of quality that will act as benchmark for the company to gauge its improvement. These standards can be sought from other companies or they can be set according to the capability of the company. Once there is a plan in place and standards for gauging its operation, the company must then put the plan into actions. This should be followed by continuous monitoring process that will be strategic to implement changes that are needed in course of the...

Words: 983 - Pages: 4

Arnold Palmer

...OPERATIONS MANAGEMENT STRATEGIES AT ARNOLD PALMER HOSPITAL Question 1 Arnold Palmer Hospital exists due to its customers who are the patients. Knowing the customers' expectations is very important for improving the hospital's services because as part of the total quality management at the hospital where process of continuous improvement, there is always room for improvement and perfection. If patient(s) is or are disgruntled by any service(s), the hospital should be thinking about ways to improve their process. Further, a patient's assessment enables the hospital to know whether their services would be recommended to others as word of mouth is the best advertising. Also, patients will not have the expertise to judge the quality of health care they received, if and only if, they have not been provided with the detailed information on their health problems and the corresponding medical diagnosis/treatments. This is why all discharged patients are sent a detailed survey form involving strategic areas at Arnold Palmer Hospital two weeks after discharge such as; satisfaction by the patient, respect given by the employee, quality of care, access to information by patients, quality of medical staff, coordinated care, if they received education needed concerning the area of patients concern and the quality of discharge information given to the patients. Considering the fact that the patients are provided with this information at Arnold Palmer Hospital, I believe that patients can......

Words: 804 - Pages: 4

База Куантико / Quantico [03x01-05 из 13] (2018) WEB-DLRip | Jaskier 41 minutes | SURESHKM | Posicionamento do satélite do dispositivo de seguimento do perseguidor de GPS do tempo real de GF-07 o mini mini