Essentials of Advanced Nursing Practice Field Experience Mary Clark Western Governors University
The role of the nurse has grown considerably over the past few decades. Nurses now take an active role in promoting change and keeping nursing at the forefront of the most up to date patient-centered care. They can be a catalyst of change and they have an enormous amount of influence coupled with leadership and authority. A1. This consultation is performed to assess for any needed changes in policy and to identify areas that may need improvement. It will also be used to assess the strengths and weaknesses of the Institute of Psychiatry (IOP) in order to help improve patient outcomes. The consult will look at how nurses are involved in changes and how changes occur within the organization. The hospital’s performance and needs will be compared to similar facilities in the surrounding areas and will also be compared to community needs and patient satisfaction scores. Data for the analysis will be gathered through interviews with nursing leaders, hospital website reviews and patient assessment data. After the analysis is completed, a change will be recommended and presented to management and the governing bodies of the IOP. A2. The Institute of Psychiatry (IOP) at the Medical University of South Carolina (MUSC) is a 98-bed inpatient, acute stabilization psychiatric facility. It is a standalone hospital on the campus of MUSC. There are approximately 400 employees with rotating resident physicians. The IOP has four floors that provide services to adults, pediatrics and geriatric patients. There are 2 subspecialties within the four floors. There is a Center for Alcohol and Drug Program which offers services to patients with mental illness and substance abuse issues as well as an acute
care unit which caters to the acutely psychotic patients. The IOP is a short-term stabilization center and does not offer long term or residential treatment options. Many of the patients served at the IOP are homeless or on disability and a large portion of the population have several co-morbidities. Patients must be medically cleared by a physician in order to be admitted to the IOP since there are very limited medical supplies in the stand-alone hospital. Patients come from all over the state due to limited resources in much of South Carolina for mental illness. The IOP is able to provide treatment for the uninsured and the under-insured due to grants allotted to the hospital from the federal government. It is also partnered with Medicare/Medicaid as well as most private insurances. The IOP has its own leadership structure separate from the main hospital. The Leadership structure of the IOP is headed by Dr. Jeffrey Cluver, Chief Medical Director and Steve Rublee, Head Administrator. The Department of Psychiatry department chair is Dr. Thomas Uhde, who oversees the coordination of the outpatient clinics and the College of Medicine and Angela Richards, MSN, RN is the clinical director and head of the nursing department.
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