Ambulatory Care Medical Surgical Nursing Ppt
-
Upload
nina-antoniette-gutang -
Category
Documents
-
view
74 -
download
0
Transcript of Ambulatory Care Medical Surgical Nursing Ppt
-
Ambulatory Care
-
ObjectivesDescribe ambulatory careIdentify major impacts on ambulatory care practiceIdentify and describe current ambulatory practice settingsCompare practice in ambulatory and inpatient settings
-
Ambulatory Care DefinedA specialty practice area which is community basedMay take place in different sites hospitals, schools, workplaces or homesEncounter may be face-to-face or by phoneRequires rapid response to high volumes of patients in a short span of time while dealing with issues that are not always predictableAmerican Academy of Amublatory Care Nursing, Ambulatory Care Nursing Administration and Practice Standards, 2007
-
Ambulatory Care is ChangingAs the costs of acute care services increase, as new technologies are adopted & as reimbursement shrinks, patient care is being shifted to the outpatient setting resulting in increased patient volume and sicker patients.
-
Current Trends Impacting Ambulatory CareIncreasing life expectancyEnvironmental threatsIncreased legislation & regulationTechnological Advances (clinical & non-clinical)Consumer awareness
-
Ambulatory Patient CharacteristicsAcutely ill requiring triage & possible emergency careAcutely ill requiring support, diagnosis & treatmentChronically ill requiring ongoing monitoring & assistance with education/self-management Chronically ill with acute exacerbationIn need of a defined treatment & procedureIn need of education, reassurance & supportIn need of preventive services May not walk in &/or may not walk out
-
Where Ambulatory Care is PracticedUniversity hospital outpatient Community hospital outpatientSolo & group medical practicesHMOGovernment health systems
Occupational health centersSchool health clinicsShelters for the homelessCommunity clinicsSurgical procedure centers Urgent care centers
-
Ambulatory Care at Kaiser Permanente Southern CaliforniaKaiser Permanente is America's largest not-for-profit health plan It includes the nonprofit Kaiser Foundation Health PlanKaiser Foundation Hospitals (13 medical centers)for-profit Permanente Medical Groups (ambulatory care)148 Medical OfficesOver 3 million members47,000 FTEs,57,000 employeesAs of January 2010 KP.org
-
Inpatient Practice vs. Ambulatory Practice
Aspect of RoleInpatientAmbulatory
Treatment episodeInpatientVisit/phone/emailObservation modeDirect & continuousEpisodicManagement of treatment planNurse - Input from patient &/or family Patient &/or family-Input from nursePrimary Intervention ModeDirectConsultativeOrganizational presence of nursingNurse managed dept.May or may not be formal nursing structureWorkload variability/intensity Bed capacity, staffingratiosScheduling system,
-
Ambulatory Care Nursing Administration and Practice Standards, 2007First edition published 1987 As specialty has expanded & the outpatient environment has gone through dramatic changes, the standards were revised.
-
Kaiser PermanenteNursing Vision and Model
Extraordinary Nursing Care. Every Patient. Every Time.