The Medical Records Case Discussion

The Medical Records Case Discussion

The Medical Records Case Discussion

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: The Medical Records Case Discussion

The case of Shawn Wills, an eighty-year-old resident at Sunnyville, recently came to your attention when an attorney representing his estate requested Mr. Wills’ medical records. Mr. Wills resided in your facility for over a year before he passed away from heart failure last month. Sunnyville nursing staff described Mr. Wills as friendly and outgoing, and several staff members observed that he seemed to enjoy his time at the facility. Mr. Wills had congestive heart failure for which his doctors prescribed daily medications. The nursing staff at Sunnyville was in charge of administering his daily medications and recording the dose and time of administration in the patient’s medical record.

In your review of Mr. Wills’ medical records, you see that the nursing staff did not record his medication administrations on the two days prior to his death. You also notice eight other instances during his 13 months stay when there was no record that he received his daily medication. When you ask the nursing staff about these omissions, they tell you that they occasionally forget to report the administration of routine medications during particularly busy times in the facility.

What is the themes and laws with procedures that should be taken in this case?

*Negligence or not

Assignment Policies

Description

Class-

Please read all of the information about the assignments below:

FORMAT FOR ALL ASSIGNMENTS

The assignments are to be done in Microsoft Word with Times New Roman 12- point font. Each assignment should use the modified APA 6th edition format. The assignment templates are set up in this modified format. The reference page should be in the APA format for every reference. The word requirement for the assignments are specifically stated in the guidelines of the assignment. The word count is from the first word of the introductory paragraph to the last word of the conclusion paragraph. FYI.

REFERENCE REQUIREMENTS

1- There should be a cited reference for each section of a paper as there are conclusion statements in each section (to meet the grading criteria) so the conclusion should be supported by a reference as the assignments are evidence-based research, clinical papers.

2- Word Count- The word count is done from the first word of the introductory paragraph to the last word of the conclusion. The word count must be within the minimum and maximum word limit stated in the assignment instructions. A 10% – point reduction will be made in the total points for the assignment.

Week 1 and 5 assignments should have SIX studies. Week 5 assignment is a compilation of sections from the week 1, 2 & 3 assignments.

Weeks 2 and 3 need to have at least THREE studies in the form of research studies. Please make sure that you look at the instructions for the assignment as well as the grading rubric. I have also provided templates for ALL assignments. It is in your best interest to use these as it will guide you so that you do not make common formatting errors.

APA FORMAT FOR ASSIGNMENT

Please utilize the resources in the STUDENT SUCCESS CENTER if you have difficulty with APA 6th Edition format, grammar, sentence structure, punctuation or tense structure.

SUBMISSION OF ASSIGNMENTS

Always submit the assignment in the drop box for that assignment. I cannot accept any assignment as an attachment to an email sent to my college email. Attaching it to a posting to the Questions to Instructor Forum or the Individual Forum is also not accepted.

I cannot grade any assignment unless it is placed into the drop box by the student per university policy.

Turn-It-In / Lopes Write

This is to be used for the assignments for these three weeks (2, 3 & 5) and it is NOT required for Week 1. All assignments will be placed through Turn It In first and then submitted in the drop box on the course shell. No assignments will be accepted as attachments to emails as this is not the university policy.

Grading Rubric-

The rubric for each assignment is found in the upper right- hand corner of the assignment page under the Forum Tab. Compare the requirements of the rubric with your paper prior to submission into the drop box so you will receive full credit for all graded criteria of the paper.

Late Assignment-

Any assignment that is late will have 10% deducted each day it is late. This is a 5- week class. It is imperative that you ask for help if you are having difficulty with an assignment.

You need to contact me as soon as possible if an assignment will be late prior to the submission deadline.