Rural Hospital Practice - Essay Example

? Rural Hospital Practice Introduction Medical practice reaches out to people in different ways. Depending mostly with thelevel of seriousness with which the patient is infected, referrals are made. This may be at a rural or Federal level. Nevertheless, I state here that reference to a rural medical center does not imply that it is a health unit that is low in terms of infrastructure and other medical necessities. To the contrary, it is an equally competent health facility that is referred rural due to the location but infrastructure wise it is up to standards. Being an RN nursing student I had an opportunity to have a field experience CentraCare hospital which is in Sauk Center Minnesota. This facility is viewed as a level IV trauma hospital. In addition, I will be a RN at CentraCare hospital which is in St.Cloud Minnesota in May after working as a LPN. I wish to clarify here that the society which leaves in this place is not poverty stricken as many residents there run their own businesses. Goals set out to be accomplished in the Rural Hospital Assignment and how they were met My field experience assignment opened up a lot of challenges that have to be accomplished if the medical practice in the rural hospitals has to be taken to another level of quality service. A close comparison between the urban medical facilities and the rural hospitals shows some discrepancies that strongly suggest eminent challenges which lag behind efficiency of the rural hospitals. Most residents who are inhabitants of Sauk Centre where the rural hospital is located are Catholics by religion and their strong faiths believe and affiliation is something which has had implications on the performance of this hospital. In addition the hospital is a nonprofit making entity thus influence from the locals in some way is inevitable. Due to the above setting, I was able to note that there is under maximization of time spent by the staff of the hospital. This is mainly because some of them, in fact most of them, are attached to learning institutions whereby they are furthering education to attain requirements to work in all certified medical hospitals (Rural Assistance Centre 2013). For this case, maximization of staff time at place of work is something that needs urgent realization if performance has to be maintained high. The time which is swallowed up by the study time needs to be reclaimed. Running of these hospitals by semi-qualified people is the ultimate challenge that results in poor health services. As a RN, I purposed to look into the means which would ensure that the qualification of those employed as staffs in these hospitals meets all the medical credentials needed and enough to pave way for convenient shift allocations. This saw a proposal to institute or outsource competent hiring body. Research is very instrumental for any medical institution but for the time of stay at this rural hospital, I realized that it is underdeveloped and not accorded the seriousness it demands (Effken & Abbott, 2009). Any institution anywhere in the world is graded with the efficiency with which it involves in research based program. This directly translates that the rural hospital will continue to be rated low in service delivery as long as they continue to derail and institute a research based system that will ensure quality development and health provision to the locals. This is something I squarely treat it as a personal goal that I look forward to accomplish within the shortest time possible of my assignment at the hospital through establishment of structures that deal with the planning and implementation process (CentraCare Health System, 2013). The structures were aimed at modernizing and offering of research related treatment. I was not impressed with the way the locals were influencing the rural hospital operations. I purpose to ensure that the beliefs and personalized ideologies of the locals do to deter the development of the hospital. This is quite a collective goal as it involves all the stakeholders in ensuring that professional relationship between the staff and the clients is maintained at all times. Social relationships dilute quality Medicare service delivery (Rural Assistance Centre 2013). Once the social boundary is established confidentiality, needed in medical practice, is well rooted establishing professionalism and authority and this was to be achieved through awareness and motivation of all staff to act according to the ethics of the profession. Trauma cases are common and the rural hospitals need to be competent on handling them. To boost this competency, it is my goal to ensure that staff capacity is adequate to cover normal and emergent cases. As the Sauka Centre is a level four trauma handling facility, it implies that it can airlift and has trauma specialist but increasing their number would perfect service delivery. This was met through a proposal to increase the remuneration kit that would lead to increased funds available for hiring more physicians. Concepts of the Rural Nursing There are a number of things that define this profession. Management entails control and the manner with which it leads and directs the daily operation of healthcare service delivery. Teamwork organization involves the energies being pulled together from the various stakeholders in the entire health unit so that a common goal embedded in the vision and mission statement of the organization is realized. Collaboration is viewed as the continued interaction between different healthcare experts. Healthcare rights of all the health care professionals and patients are referred to as advocacy while accountability is meant to be maximization use of the facility resources to the profitability of the organization. Evaluation of medical practitioners is what assessment is. Decision-making is the how formula for what has been agreed upon in relation to healthcare. Time management, as in other professionals, is the productive allocation and use of time available to achieve long-term goals. All these features were evident among the Sauk Centre physicians who besides treating patients in hospital and nursing home, they also guided and supervised the services delivered by two nurses. This formula impacts skills and expertise needed in high class medical service delivery. Rural Nursing Practice The rural hospitals see close interaction of the nurses and the community. This relationship has negative effects if the nurse is not going to draw the line between professionalism and social life (Effeken & Abbott, 2009). Presumption and judgmental notion is always present in this setting. Nevertheless, it is such kind of a relationship that builds trust between the community and the hospital and this has established Sauk Centre as a livelihood component for the residents with a very strong bonding. Nursing Practice Model mostly utilized in the Rural/Community Hospital These institutions have many challenges and despite that they make the use of the compendium model in the nursing practice. This model has a wide structure which includes address on staff needs and understaffing. In addition, it motivates all the stakeholders in the health unit to optimally utilize the few available resources for the benefits of all. This method is handy in lowering turnover rate as costs are reduced incredibly (Minnesota Department of Health, 2011). This is realized through reliance on non-RN servicers. Compare and Contrast Diversification of the RN in a Regional Medical Centre and in Rural/Community Hospital Setting On the basis of healthcare professional staffing, community medical centre are adequately staffed unlike their rural counterparts. Also the rural hospitals are responsible to a big population as most people live in the rural. The professionals in the regional centre have better professional credentials compared to their counter parts in the rural/community hospitals who attend classes while practicing thus further diluting the quality of the service delivered. The facilities in the community medical centres are sophisticated than is the case in the rural hospitals where the Medicare professionals have to use all they can to save lives. Unlike in regional medical centres, experience of the workers in the rural hospitals is a bit low and their sparsely located making exchange a bit difficult. Nevertheless, the rural hospitals have the best surgeons this world has ever known. There are similarities between the two hospital settings. First, their goal is common, to offer quality healthcare. Patients in these hospitals are either inpatient or outpatient and only inpatient services are provided by the nurses in both cases. Nurse mobility and population increase renders the two setting to run short of nurses. They are both needed to adhere to the needs of the outpatient and their operations are unified by common policies and regulations of the medical practice. Certifications Requirement of RN For a rural nurse, ACNPC (Acute Care Nurse Practitioner Certification) is needed. Together with other refreshment course opportunities, these credentials authorize the nurse to offer services in any rural healthcare setting. Comprehensive training is needed for these nurses (Flex Monitoring Team, 2012). This ensures quality in every aspect of service delivery by the nurse. Emergency Trauma Level of the Rural/Community Hospital Level 1 trauma has been over the years been very effective in serving communities within. The level 1 ensure total care that range from preventive to rehabilitative measures. The emergency services are effective and operate round the clock. Health Care System Critical Access Classification of the Rural/Community Hospital These classifications systems are very important in the sense that they provide quality healthcare, employed and help in improving healthcare. It influences the profitability positive of the rural hospitals. Their way of income earning is from the charges on services they offer and the Federal support. They facilitate researches that benefit the community around. Reference Centracare Health System (2013).Nursing - Professional Practice Model. Centracare Health System. Retrieved March 4th, 2013, from http://www.centracare.com/hospitals/sch/nursing.html Effken, J. & Abbott, P. (2009). Health IT-enabled Care for Underserved Rural Populations: The Role of Nursing. Journal of the American Medical Informatics Association, 16(4) pp.439-445 Flex Monitoring Team (2012). CAH. Information. Flex Monitoring Team. Retrieved March 3rd, 2013, from http//www.flexmonitoring.org/cahlistRA.cgi. Minnesota Department of Health (2008). Minnesota Statewide Trauma System- Benefits of Trauma System. Minnesota Department of Health. Retrieved March 1st , 2013, from http//www.health.state.mn.us/traumasystem/factsheet08.html Rural assistance centre (2013). What are the benefits of CAH status. Rural assistance centre. Retrieved March 1st, 2013, from http://www.raconline.org/topics/hospitals/cah.php Read More