It is essential that nurses understand the issues related to healthcare financing, including local, state, and national healthcare policies and initiatives that affect healthcare delivery.
As a patient advocate, the professional nurse is in a position to work with patients and families to access available resources to meet their healthcare needs. Nurses also have an ethical responsibility to be fiscally prudent in all practice settings, to eliminate inefficiencies, and to promote best practice.
Task:
Scenario 1:
Note: For parts A and B, the suggested length is a combined total of 1–2 pages.
Mrs. Zwick, a 77-year-old widow and permanent resident of the United States, was admitted as an inpatient and hospitalized for 5 days following a mild stroke. She was then transferred to a skilled nursing home for rehabilitation. The original projected time she would spend in the skilled nursing home was around 21 days. Mrs. Zwick was diagnosed with a hospital-acquired urinary tract infection 10 days into her stay at the skilled nursing home and required IV antibiotics. She was very weak and unable to participate in her rehabilitation for a full week. She remained in the skilled nursing home for a total of 40 days. A recently hired new graduate complained that the facility was not following the current evidence-based protocol related to urinary catheter care.
Upon discharge from the skilled nursing home, Mrs. Zwick is prescribed several medications and a walker. Mrs. Zwick has Medicare Part A, Part B, and Part D. Her daughter is involved in her discharge plan and will be handling all of her medical bills. The daughter admits that she does not understand Medicare and confuses it with Medicaid. Before taking her mother home she asks you, the nurse, for assistance. Neither Mrs. Zwick nor her daughter is aware that the urinary tract infection was considered a hospital-acquired condition.
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