hospital providing a Family Medicine Residency in affiliation with the

Hospital providing a family medicine residency in

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hospital, providing a Family Medicine Residency in affiliation with the University of California San Francisco, provides preceptorships and clinical placements sites for nurses, nurse practitioners, respiratory therapy, physical therapy, occupational therapy, and medical students from all over the country. According to a study by NTC, during the fiscal year of July 2017-to-June 2018, NTC served 10,925 admissions, 2,205 births, 52,597 emergency visits, 132,475 outpatient visits, and 4,258 surgeries (Natividad, n.d.) Services at NTC include: Level II Trauma, ICU, Stepdown/Intermediate Care, Emergency Services, Mother-Baby, Level III NICU, Pediatrics, Medical-Surgical, Mental Health, Acute Rehabilitation, and Surgical services. Clinical Support Services at NTC include: Cardiopulmonary, Case Management, CHOICE Trauma Prevention & Outreach, Diabetes education Center, Diagnostic Imaging, Interventional Radiology, Laboratory, Language Access, Outpatient therapies (physical, occupational, speech), Palliative Care,
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ESSENTIALS OF ADVANCED NURSING PRACTICE 4 Pharmacy services, Social services, and Spiritual care. NTC also proudly serves the community with a plethora of outpatient services and clinics such as: audiology, bariatric weight loss services, cardiology, colon rectal surgery, dermatology, gastroenterology, general surgery, hem/oncology, nephrology, neurology, neurosurgery, OB/GYN, orthopedics, etc. NTC has received multiple distinctions such as: certification as a level II trauma center, blue distinction center for maternity care by the Blue Cross Blue Shield, blue distinction center for bariatric surgery-gastric staling and gastric bonding by Blue Cross Blue Shield, designation as a baby- friendly birth facility by Baby-Friendly USA, and nationally ranks in the top 10% of 870 inpatient rehab facilities that qualified to be ranked in the Uniform Data System (UDS) for Medical Rehabilitation in 2017. NTC’s organizational structure follows the same structure as most large hospitals, and includes CEO/President, COO/VP, Executive Assistants, Board of Trustees, Department Directors, Department Managers, Charge Nurses, Staff Nurses, and Ancillary Staff. Primary needs of population NTC is a county hospital, and serves as the only level II trauma center in within Monterey County, and is located in Salinas, CA. According to the U.S. Census Bureau (2017), Salinas has a population of 155,889, where the median age of its residents is 30.1 years of age, median household income of $52,338, and a poverty rate of 18.9%. The ethnic background of the population of Salinas is 76.6% Hispanic, 14.1% White, and 6.38% Asian. Roughly 70% of Salinas population speak a non-English language and are typically agricultural workers. The primary healthcare risks and concerns of Salinas, California are heart diseases, diabetes, alcohol and drug dependence, and traumas/homicides or crimes. According to the Monterey County Department of Public Health (2017), heart diseases such as heart failure and
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ESSENTIALS OF ADVANCED NURSING PRACTICE 5 myocardial infarctions are the two most common diagnoses that require hospital admission in this county. Diabetes care accounts for nearly 5,200 cases treated per year in this county alone.
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