Providing Care with Limited Reimbursement
Order ID# 45178248544XXTG457 Plagiarism Level: 0-0.5% Writer Classification: PhD competent Style: APA/MLA/Harvard/Chicago Delivery: Minimum 3 Hours Revision: Permitted Sources: 4-6 Course Level: Masters/University College Guarantee Status: 96-99% Instructions
How Does Policy Influence Your Decision?
You are the evening house supervisor of a small, private, rural hospital. In your role as house supervisor, you are responsible for staffing the upcoming shift and for troubleshooting any and all problems that cannot be handled at the unit level.
Tonight, you receive a call to come to the emergency department (ED) to handle a “patient complaint.” When you arrive, you find a Hispanic woman in her mid-20s arguing vehemently with the ED charge nurse and physician.
When you intercede, the patient introduces herself as Teresa Garcia and states, “There is something wrong with my father, and they won’t help him because we only have Medicaid insurance. If we had private insurance, you would be willing to do something.”
Providing Care with Limited Reimbursement
The charge nurse intercedes by saying, “Teresa’s father began vomiting about 2 hours ago and blacked out approximately 45 minutes ago, following a 14-hour drinking binge.” The ED physician added, “Mr. Garcia’s blood alcohol
level is 0.25 [2.5 times the level required to be declared legally intoxicated], and my baseline physical examination would indicate nothing other than he is drunk and needs to sleep it off. Besides, I have seen Mr. Garcia in the ED
before, and it’s always for the same thing. He does not need further treatment.”
Providing Care with Limited Reimbursement
Teresa persists in her pleas to you that “there is something different this time” and that she believes this hospital should evaluate her father further.
She intuitively feels that something terrible will happen to her father if he is not cared for immediately. The ED physician becomes even angrier after this comment and states to you, “I am not going to waste my time and energy on someone who is just drunk, and I refuse to order any more expensive lab tests or X-rays on this patient. I’ve met the legal requirements for care.
If you want something else done, you will have to find someone else to order it.” With that, he walks off and returns to the examination room, where other patients are waiting to be seen. The ED nurse turns to look at you and is waiting for further directions.
ASSIGNMENT:
Providing Care with Limited Reimbursement
How will you handle this situation? Would your decision be any easier if there were no limitations in resource allocation? Are your values to act as an agent for the patient or for the agency more strongly developed?
RUBRIC
Excellent Quality 95-100%
Introduction 45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support 91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology 58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score 50-85%
40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality 0-45%
37-1 points The background and/or significance are missing. No search history information is provided.
75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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Providing Care with Limited Reimbursement