DAY 4 - Nursing Care Patterns & Paying for Health Care

Goals. SWBAT....

1. Define the three nursing types

2. Describe nursing team patterns

Warm-Up

1. How do people in the United States pay for their health care? List at least three programs which people use to pay.

Classwork

1. Notes: Paying For Medical Care

    A. Google each of these. Write two facts about each.

        i. Private Insurance

            - can be a job benefit

            - more expensive if the person has to pay out of pocket

            - choose own doc

            - $10-200/mo (single)  ($700-1000 (family))

        ii. Group Insurance

            - covers employees of large companies

            - similar to private

            - $500/mo

        iii. Medicare

            - 65 or older

            - disabled people

            - terminal patients

            - provides the basics

            - funder is the USA (federal)

        iv. Medicaid (what is this called in CA? - MediCAL)  

            - State is the primary funder of Medical

            - low income

            - any age

            - provides the basics

    B. Add more results from our brainstorm to your list

    C. Where in these four groups does the ACA (Obamacare) fit?

    D. All four types of insurance (i-iv) listed above are examples of Managed Care

        i. Management: The insurance company is in control of...

            - which doctors are in network

            - how much doctors will be paid for each procedure

         ii. If a patient uses an "out of network" hospital or doctor, coverage will be __________

         iii. In some cases, the patient may need to be pre-_________ for services. If not approved, the patient will have to pay the costs themselves.

2. Notes: Nursing Care Patterns

    - if you work as a nurse, you will be part of the team. If you work as a doctor, you'll still need to be familiar with the pattern your HCA uses for its nurses.

    What is Mr. Alexander talking about? Pattern? Here's an example: LINK

    Look up and define the following nursing types.

    a. Functional Nursing: focus on one/two tasks

    b. Primary Nursing: #1 You provide all care (one-on-one)

    c. Team Nursing: Rn in charge. Delegates responsibility to LVN, NA, etc.

    i. Which type has one person doing multiple jobs?

    ii. Which type has one person providing all the care for a single patient?

    iii. Which type has one person doing the same task with all the patients (ex. giving drugs to all patients)

3. Review

    a. Answer number 87, 88, 89 LINK

    b. Answer number 21 in your notes LINK  

4. Exit Slip

    Match the three definitions with the three types of nursing

HOMEWORK

#004A: Read the sections on Meeting Standards and Box 4-1 on HMO vs. PPO (LINK 1) and Focus On Communication - Your Role (LINK 2) and answer questions 3-14 posted here LINK

Answer number 23-31 LINK

Take a photo of the homework, as well as 87, 88, 89, and 21 (from the CW) and submit those via GC :-)