System Design and Workflow

Introduction
For effective health care practices, there must be proper communication between the physicians and the patients, which entails informing the patients about both the laboratory and diagnostic tests. Effective communication is essential for the comprehensive patient understanding of illness and promoting his/her satisfaction. An efficient system design and workflow not only assures patients of proper care but guarantees that nurses are able to properly coordinate all their tasks.
Patient Care
As a nurse, patient care is the primary task I perform every day. This work demands useful clinical knowledge as well as a comprehensive understanding of various issues which affect the care delivery and promote physical therapy practice. Patient care entails assembling data regarding the patient, assessment of the data obtained, scheduling for the treatment, execution of the treatment plan as well as the monitoring and evaluating of the response of the patient to treatment (Kvedar, Coye, & Everett, 2014). Accordingly, I always base the approach to take on the patient care with the patient needs. Different patients require specific forms of care, for instance, there are those who demand urgent care, emergency care, primary care, specificity care, mental health care as well as hospice care (Kvedar, Coye, & Everett, 2014).
Nursing Habits
Some of the nursing habits I have adapted include paying attention to all patient details including the minor ones. Besides recognizing all the details, I always ensure that I address each patient’s particular need in time. During my nursing practice, I do not use any form of shortcuts in delivering care to the patients. Even though alternatives seem harmless and for the good of the overall process, some steps might be skipped, which can reduce the effectiveness of the process affecting the response of the patient to the treatment. The other nursing habit I practice is the regular washing of the hands. Besides having my gloves on while performing my tasks, I always routinely wash my hands, before and after examining a patient, to prevent spreading various infections such as skin, eyes and respiratory disease. I always have my mask on, which ensures that I stay healthy when offering patient care.
The Significance of Various Nursing Routine
Various routine guidelines are employed in clinical nursing. Different organizations have adopted different nursing routines for effective nursing care practices. For these routines to be meaningful, nursing work must be in harmony with the cultural practices in which the nursing practice is performed which, must be based on location and the residence culture and norms. Therefore, the nursing practices embraces in each health care facility is based on already established routines as well as procedures in the organization.

Upon the collection of the blood samples, the blood samples are sent to the laboratory, and the registration process takes place. The blood test preparation is done, and the blood test performed until the final step. My main roles in the blood testing process are categorized as follows:

  1. Responsibilities in blood sample collection
  2. Roles in registration of blood samples
  3. Roles during the blood test
  4. Duties upon the completion of the blood test.

Before any test performance, I prepare the patients for the examination and evaluate their health progress. I gather the tools to be used after receiving the feedback from the doctors and clean them before and after the test. With coordination with the lab technicians, I ensure that various tests are performed on patients without complications. The lab clinicians receive a description of the test to be performed to the patient from the doctor. After performing the laboratory test, the laboratory clinicians provide the feedback for patient diagnosis and treatment to the doctors.
Communication Process
The laboratory staff assists in creating an actionable plan. The laboratory team is made up of the lab directors, supervisors both technical and general, technicians and medical technologists. The laboratory manager is responsible for controlling and organizing all the aspects of the laboratory practices and supervises every step undertaken. The clinicians including nurses, doctors or any other professional healthcare assistant are assigned the role of ensuring that blood samples are collected under the right procedures and arrive safely in the laboratory. Venus blood collection method is used in the blood collection which applies the use of wingsets technology. Blood collection policy acts as the guideline for the clinicians to collect blood from patients with minimal pain and distress. The information needed to carry out a blood sample include the patient details that is name, location, age, and the medical record number (Huser et al., 2011).
As a nurse, I am responsible for ensuring that the blood samples reach the designated laboratories safely and in time. The policy for transportation of pathology samples guide the respective clinician in guaranteeing that safe transportation practices are involved. Normally, the information needed for sample transportation is safety information and the methods of transportation. The medical technologists are responsible for preparing testing equipment and devices. This process is usually the starting point for blood tests as well as sample registration. The automation technology is applied in carrying out the registration process. Later, blood centrifugation is also carried out by the medical technologists. The specific hospitals’ laboratory policy guidelines provide the procedures for sample registration and sample testing. The information needed to undertake both the blood registration and testing includes the patients’ details, date, and medical technologist’s name.
Medical technologists are also assigned the duty to perform a routine and specialized test to assist in disease diagnosis, treatment, troubleshooting and the communication of the test results to physicians. They also finish the blood test performance process. The policies that guide the performance of blood test depend on the hospital in question because different hospitals have different policies in regards to blood tests, equipment, and devices. Polymerase chain reaction is the most common laboratory techniques used to carry out the blood test. The medical technician needs to know the type of test, procedure and the methods of analyzing the test (Beckham, & Riedford, 2014).
Metric Method Evaluation
The current metric applied in ensuring the effective workflow is a report on the call nurses which involves ordering medication for the patient. However, the effectiveness of the method is yet to be achieved due to the reluctance in changing the workflow while it demands several modifications. In a healthcare setting, it is essential to be aware of the workflow because it forms the bases for the establishment of acceptable systems and hence results in better healthcare outcomes. The analysis of the workflow should be done to restructure the previous processes. Proper documentation and the utilization of checklist should be employed in determining the effectiveness of the workflow. Also, the introduction of various new technologies should be done to improve the workflow (Koppel, & Kreda, 2010)
Summary
Effective communication is of significant use during both the testing processes and result feedback communication. These processes demand much coordination among the full range of the medical staff and the patient. Nevertheless, diagnostic testing including blood test is essential for the provision of healthcare. Although complications exist, making the process vulnerable due to increased demand, inadequate resources and lack of guidelines for support, my role as a nurse in facilitating proper testing of a patient’s blood greatly minimizes these risks.  Overall, the examination of the workflow is necessary for improving the current metric for effective workflow.

References
Beckham, R., & Riedford, K. (2014). Evolution of a graduate-level informatics course for the noninformatics specialist nurse. The Journal for Nurse Practitioners10(6), 387-392.
Huser, V., Rasmussen, L. V., Oberg, R., & Starren, J. B. (2011). Implementation of workflow engine technology to deliver basic clinical decision support functionality. BMC Medical Research Methodology11(1), 43.
Koppel, R., & Kreda, D. A. (2010). Healthcare IT usability and suitability for clinical needs: challenges of design, workflow, and contractual relations. Stud Health Technol Inform157, 7-14.
Kvedar, J., Coye, M. J., & Everett, W. (2014). Connected health: A review of technologies and strategies to improve patient care with telemedicine and telehealth. Health Affairs33(2), 194-199.

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