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116 Cards in this Set

  • Front
  • Back
Facility
refers to the place in which care is given
Hospital
a complex organization that provides a full range of health care services.
Skilled Care Facility
provides care to persons whose conditions are stable but who need monitoring, nursing care, and treatments.
5 Basic Functions of ALL Health Care Facilities
1. Providing services for the ill and injured.

2. Preventing disease.

3. Promoting individual and community health.

4. Educating health care workers.

5. Promoting research in medicine and nursing.
Patient-Focused Health Care
care focus based on the fact that each patient is a unique individual and has different needs.

Attention must be given to the physical, mental, and emotional aspects of the person's being if that person is to lead a fulfilling and satisfying life.
Infection Control Alert
The Development of infection is dangerous for the patient and is very costly to insurance companies and the hospital. Prevention of infection is a major nursing assistant function.
Managed Care
What insurance companies use to provide the services in the most efficient manner at the lowest cost.
Managed Care
What Insurance Companies will do #1
Not permit certain procedures or diagnostic tests until they have been approved by the insurer.
Managed Care
What Insurance Companies will do #2
Negotiate with specific physicians, hospitals, pharmacies, and other care providers to render services at a lower cost to the company's members.
Managed Care
What Insurance Companies will do #3
Approve only a certain nmber of days of hospitalization for specific diagnoses

ex) a woman giving birth is allowed up to 48 hours.
Managed Care
What Insurance Companies will do #4
Require that specific procedures be done on an outpatient basis rather than having the patient admitted to the hospital.
Community
People who live in a common area and share common health needs.
6 types of health care needed throughout life
Preventative Care
Emergency Care
Surgery
Rehabilitation
Long-Term Care
Hospice Care
Preventative Care
-Prenatal Care

-Well-Baby check ups and immunizations

-Health education to teach individuals how to avoid disease and injury

-physical examinations throughout life
Emergency Care
Short-term care for sudden illness or injury
Surgery
To repair injured body part or remove a diseased organ
Rehabilitation
To help a patient to regain abilities after illness or injury
Long-Term Care
For patients who have chronic or incurable conditions
Hospice Care
for patients who are dying and their families
Health Care Consumers
People who are receiving health care
Patient
person in acute care facilities such as hospitals
Client
person receiving care in their own homes
Resident
person in long-term care facility
Acute Illness/injury
comes on suddenlt and requires intense, immediate treatment.

ex) heart attacks, sever burns, strokes, and uncontrolled diabetes
Chronic Illness
one that is treatable but not curable and is expected to require lifelong care.

ex) cardiovascular disease, Alzheimer's disease, MS, Parkinson's disease, and diabetes
4 Types of Hospitals
Pediatric, Psychiatric, Rehabilitation, Long-Term Acute Care Hospitals (LTACH)
Pediatric Hospital
Hospitals care only for children from birth to the age of 18.

Ex) Children's Memorial
Psychiatric Hospital
Hospitals provide care for persons with mental illnesses
Rehabilitation Hospital
Hospitals provide restorative services to patients following disease, illness, or injury.

Designed to help the patient regain the ability to function at the highest level possible, considering the patient's illness or injury
Long-Term Acute Care Hospital (LTACH)
The facility is licensed as a hospital but is designed for patients who are expected to have a lengthy stay.

To be accepted in an LTACH, the paitent must have a medically complex condition, need acute care services, and have a good chance of improvement.
Medical Department
cares for patients with medical conditions such as pneumonia or heart disease.
Surgical Department
Cares for patients before, during, and after surgery.

Includes multiple surgery rooms and Post anesthesia recovery areas.
Post Anesthesia Recovery (PAR)
Ares where patiens are closely monitored after surgery.

Patients remain in this area until they are stable enough to leave the surgical department.
Pediatric Department
Cares for sick or injured children
Obstetric Department
Cares for newborns and their mothers.

Includes labor and delivery unity, postpartum, and nursery
Pediatric Hospital
hospital that cares only for children from birth to 18 years of age.
Psychiatric Hospital
Hospitals that provide care for persons with mental illnesses,
Rehabilitation Hospital
Hospitals provide restorative care and services to patients following disease, illness, or injury.

Designed to help the patient regain the ability to function at the highest level possible, considering the patients illness or injury.
Long - Term Care Hospital (LTACH)
facilities that are liscensed as a hospital but designed for patients who are expected to have a lengthy stay.

Must have a medically complex condition, need for acute care services, and have a good chance of improvement.
Hospital Organization (Departments)
Medical, Surgical, pediatric, obstetric, emergency, critical care, orthopedic,
Medical Department
cares for patients with medical conditions such as pneumonia or heart disease.
Surgical Department
Cares for patients before, during, and after surgery.

Includes PAR
Post-Anesthesia recovery (PAR)
area where patients are closely monitored after surgery.
Pediatric Department
cares for sick or injured children
Obstetric Department
Cares for newborns and their mothers.

Includes postpartum unit
Postpartum Unit
For mothers who have given birth
Emergency Department
Cares for victims of trauma, natural disasters, or medical emergencies
Critical Care Department
for seriously ill patients who require constant monitoring and care.

(also known as ICU...intensive Care Unit)
Orthopedic
bones and muscles
Dietary Services
Registered dietician plans the meals for all patients and provides educational services to patients on special diets.
Pharmacy Services
Registered pharmacists prepare and provide all medications and intravenous therapy solutions.
Diagnostic Services
Pathology diagnostic tests are done on specimens taken from body tissue to help the doctor make a diagnosis.

diagnostic imaging and radiology, x-rays, and other specialized procedures are done to help make a diagnosis.
Pathology
the study of disease.
Laboratory
Area where analysis of specimens and tests are done.
Rehabilitation Services
physical therapy
occupational therapy
speech therapy
respiratory therapy.
Physical Therapy
assists patients to regain mobility skills
Occupational Therapy
Helps patients to regain self-care skills
Speech Therapy
Helps patients to regain the ability to communicate and works with patients who have swallowing disorders
Respiratory Therapy
provides care for patients who have disorders of the cardiopulmonary system, respirations, and sleep disorders that affect the patients breathing.
Social Services
staff members provide counseling for patients and their familes, help needy families get financial assistance, plan for patient discharge, and arrange for patient transfers from one facility to another.
Environmental Services
housekeeping is responsible for the overall cleaning of the hospital

maintenance cares for and repairs equipment.

laundry services provide and clean all hospital linens.
Business Services
Responsible for patient billing, employee payroll, and other financial matters.
Medical Records
transcribes and catalogs all patient records.
5 ways to pay for health care
1. Insurance
2. Out of pocket payments
3. Medicare
4. Diagnosis Related Groups (DRG)
5. Medicaid
Insurance
Health Maintenance Organizations (HMO)

-type of prepaid insurance
-group of health care providers and hospitals
-members must see only certain doctors and designated hospitals, except in emergency.
Out of Pocket Patients
by health care consumer who has no insurance or for expenses not covered by insurance.
Medicare
Federal government program that pays a portion of health care costs for someone 65 + years and younger persons who are permanently disabled. and qualify for benefit.
Diagnosis Related Groups ( DRG)
what medicare payment is based on

pay only fixed rate determined by DRG
Medicaid
state and federal government program that pays health care costs for persons of any age who do not have financial resources for health care.
Survey
a review and evaluation to ensure that facilities are maintaining acceptable standards of practice.
License
each facility holds a state license which permits it to conduct business
Certification
necessary to collect medicare and medicaid payments.
Surveyors
Representatives of the agency that reviews the facility
Joint Commission (JayCo)
agency that insepects and accredits health care providers.

Although participation is volunteer facilities cannot accept medicare payments without accreditation.
Occupational Safety and Health Administration (OSHA)
government agency that protects the health and safety of employees.

Survey includes interviews with employees and a tour of all facilites
Citation
written notice that informs the facility of the violation of rules

employer must post written report of each citation for 3 days or until unsafe condition is corrected.
Magnet Program for Excellence in Nursing Services
based on quality indicators and standards of nursing practice
3 main purposes of Magnet Program
1. Elevate the status of the nursing profession.

2. Recognize excellence in nursing practice on many levels, from staff nurse to management.

3. Validate Excellence in patient care given by facility.
Quality Assurance (QA)
committee conducts internal reviews to identify problems and find ways to improve.
Postpartum
For mothers who have given birth
Emergency Department
Cares for victims of trauma, natural disasters, or medical emergencies.
Critical Care Department
Cares for the seriously ill patients who require constant monitoring and care.
Orthopedic
bones and muscles
Dietary Services
Registered dietician plans the meals for all patients and provides educational services to patients on special diets.

The hospital's food services dept. prepares meals and delivers them to patients.
Pharmacy Services
Registered pharmacists prepare and provide all medications and intravenous therapy solutions.
Diagnostic Services
Pathology diagnostic tests are done on specimens taken from body tissues to help the doctor make a diagnosis.

Diagnostic Imaging and radiology - x-rays and other specialized procedures are done to help make a diagnosis.

Laboratory- analysis of specimens and tests
Rehabilitation Services
physical therapy
occupational therapy
speech therapy
respiratory therapy
Physical Therapy
assist patients to regain mobility skills
Occupational Therapy
helps patients to regain self-care skills
Speech Therapy
Helps patients to regain the ability to communicate and works with patients who have swallowing disorders.
Respiratory Therapy
Provides care pare for patients who have disorders of the cardiopulmonary system, respirations, and sleep disorders that affect the patient's breathing.
Social Services
staff members provide counseling for patients and their families, help needy families get financial assistance, plan for patient discharge, and arrange for patient transfers from one facility to another.
Environmental Services
Housekeeping
Maintenance
Laundry services
Housekeeping
responsible for the overall cleaning of the hospital
Maintenance
Cares for and repairs equipment
Laundry Services
provide and clean all hospital linens
Business Services
responsible for patient billing, employee payroll, and other financial matters
Medical Records
Department transcribes and catalogs all patient records.
Volunteer Services
provide services free of charge and perform tasks such as delivering mail and flowers, etc..
Pastoral Services
help meet patients' religious and spiritual needs and provides counseling.
5 ways Health Care is paid for
1. Insurance
2. Out of pocket payments
3. Medicare
4. Diagnosis Related Groups (DRGs)
5. Medicaid
Insurance
Health Maintenance Organizations (HMOs)

-type of prepaid insurance

-group of health care providers and hospitals

-members must see only certain doctors and designated hospitals, except in emergencies
Out of pocket payment
by health care consumer who has no insurance or for expenses not covered by insurance.
Medicare
federal government program that pays a portion of health care costs for persons 65 + years and for younger persons who are permanently disabled and qualify for benefit.
Diagnosis Related Groups (DRGs)
what medicare payment is based on

pay only fixed rate determined by DRG
Medicaid
state and federal government program that pays health care costs for persons of any age who do not have financial resources for health care.
survey
a review and evaluation to ensure that facilities are maintaing acceptable standards of practice
license
each facility holds a state license which permits it to conducts business.
Certification
necessary t collect medicare and medicaid payments
Surveyors
Representative of the agency that reviews the facility
Joint Commission (JayCo)
agency that inspects and accredits health care providers

-although participation is voluntary facilities cannot accept medicare payments without accreditation.
Occupational Safety and Health Care Administration (OSHA)
- government agency that protects the health and safety of employees

- survey includes interviews with employees and a tour of all facilities
Citation
-written notice that informs the facility of the violation of OSHA rules

- employer must post written report on each citation for 3 days or until unsafe conditions are corrected.
Magnet Program Services for Excellence in Nursing Services
based on quality indicators and standards of nursing practice
3 Main Purposes of Magnet Program
1. Evaluate the status of the nursing profession

2. recognize excellence in nursing practice on many levels, from staff nurse to management.

3. Validate excellence in patient care given by a facility


***Only 3% of 6,000 hospitals have it! .
Quality Assurance (QA)
committee conducts internal reviews to identify problems and find ways to improve.