Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
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Explain how does the ACHE Code applies to this case?

Rachel Greene has been a nurse at Spring Hills Medical Center for 13 years and has served well in a number of positions, including head of an intensive care unit (ICU) for 2 years.  After returning from a short leave to care for her mother, she had four different temporary assignments.  Her co-workers and the nurse managers on two units have noticed strong mood swings in Rachel, including, at times, what they felt was an excited and hyperactive state.  Sometimes her mood seemed to change dramatically even during a shift; at times she was exceptionally pleasant, at other times she was argumentative and disruptive.  One nurse said she heard from a friend (outside the hospital) that Rachel, who had been living alone since her mother died, was involved with a group of neighbors that have a reputation for using drugs.  Her former nursing manager thought that Rachel might even be stealing controlled substances from the hospital; she and a nurse on her unit had noticed that patients seem to be requesting more pain medication after Rachel had been on duty, and they wondered if Rachel could have been using some of the drugs herself and diluting or limiting the patients’ dosages.  They had, in fact, conspired with another nurse to watch the situation after Rachel had been reassigned to a new unit.  The same pattern occurred – although there was still no real evidence of Rachel’s actions

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