This was unfortunately not an option for this patient due to the limitations of the facility and the time to diagnosis of her condition. WebWho is HCA Healthcare Headquarters 1 Park Plz, Nashville, Tennessee, 37203, United States Phone Number (615) 344-9551 Website www.hcahealthcare.com Revenue $60.2B Stock Symbol HCA Industry Hospitals & Clinics Healthcare HCA Healthcare's Social Media Is this data correct? Immediately after our lecture, residents scored 84%. CT abdomen and pelvis showed no evidence of enterocolitis. Minimum # of 12 hour Shifts per Pay Period, Search All RN Resource Pool Opportunities & Apply Now. WebMedical City Healthcare 13155 Noel Rd. Please note: This number is for technical system support only. A left breast biopsy revealed stromal fibrosis and an ultrasound-guided excisional biopsy revealed sclerosing adenosis and fibrocystic changes. You can find all jobs here. Int Management is typically with supportive care. 49 y/o with PMHx of HTN, HLD, COVID19, DVT s/p thrombectomy, noncompliant with warfarin, ICH from fall presents with left-sided weakness and blurry vision. Case Description: Patient is a 47-year-old male with a past medical history of alcohol and methamphetamine abuse who presented to the hospital for unresolved facial droop. Find the location nearest you. WebNorth Texas Division Office RN Case Manager Float Pool PRN WPOD Euless, TX 76039 Today Pay Estimated $38 per hour Hours Full-time, Part-time About this job Description Introduction Do you want to be appreciated daily? Six Magnet designations (which includes 10 campuses) by the American Nurses Credentialing Center Magnet Recognition Program, a designation of quality achieved by only the top 5 percent of hospitals nationwide. All patients were questioned about risk factors for radiation complications, including a history of cutaneous lupus, prior to SRT. Int J Dermatol. Marshall Hall, Henry Lim, Christian Scheufele, Christopher M. Wong, Daniel A. Nguyen, Michael Carletti, and Stephen Weis. This patient was initially seen in the emergency department after a 4-day history of his symptoms. Featuring scholarly activity by HCA Healthcare Graduate Medical Education residents from the North Texas Division. Euglycemic diabetic ketoacidosis (EuDKA) is a rare complication of type 2 diabetes mellitus (T2DM) characterized by normoglycemia in the presence of anion gap metabolic acidosis and blood ketone. Introduction Most clinicians have heard the old adage: if it looks like a duck, walks like a duck, and quacks like a duck, its a duck. As mentioned, Von Gierkes is not typically seen in this middle aged group let alone with unexplained cardiac manifestations. The frequency and timing of cancer recurrence is not well defined using SRT delivered technology with an image-guided approach utilizing high-frequency ultrasound capabilities.3,5 Methods: A retrospective chart review study was performed on patients treated with image-guided SRT at an academic dermatology clinic between December 2018 to December 2021. > Methods: A retrospective chart review study was performed on patients treated with image-guided SRT at an academic dermatology clinic between December 2018 to December 2021. Hemichorea-hemiballismus (HCHB) syndrome is a syndrome characterized by choreic movements which are irregular, nonrepetitive, and random movements and ballismus which are spontaneous, violent movements. What is the application process for Current Employees? You may need to update your browser to the latest version of Internet Explorer, Safari, Firefox, or Chrome to view them. Recruiting and retaining a diverse staff reflective of the patients and communities we serve. UDS was positive for THC, UA was positive for blood, protein and few bacteria. Patient was intubated on arrival and started on vasopressors and antibiotics. Medical City Healthcare is the only healthcare system in North Texas with an adult and childrens hospital on the same campus. On the second night of hospitalization, patient developed a fever of 102.2 degrees Fahrenheit. Central line associated blood stream infections (CLABSI) impart both a significant increase in mortality but also a substantial financial burden onto hospitals. Our Division Resource Float Pool nurses deliver professional nursing care to patients in a variety of settings, includingEmergency Room, Acute Care, Critical Care, Operating Room, Endoscopy / GI, NICU, and L&D. She reported eating meatloaf with her daughter two days before symptom onset, and daughter was reported to be ill as well. Hairy Cell Leukemia is a rare leukemia seen with the classic triad of splenomegaly, pancytopenia, and hairy appearing leukemic b cells in the bone marrow. Contact Us. CTS resected ACT and did hemiarch repair. Hairy cell leukemia only accounts for about 1 to 2 percent of adult leukemia cases. No right-sided SVC was identifiable with the inability to visualize superior aspect of interatrial septum and pulmonary veins. Conducting further controlled studies on adverse events, risk factors, treatments, and prevention strategies for non-melanoma skin cancer would enhance patients ability to make informed decisions regarding their treatment options. She was soon able to be extubated and discharged to a rehab facility. On admission, her creatine was 17.9 along with hyperkalemia which required urgent hemodialysis. Transfer to another facility for higher level of care and evaluation by adult congenital heart disease cardiologist was not available due to financial reasons. Learning Points: This case conveys that a volvulus can be something ephemeral that may resolve after showing characteristic signs of its presence in imaging and causing its characteristic symptoms in patients. Repeat resident wellness surveys will be administered to estimate the effect of these interventions. This case highlights the journey of a middle-aged male with baseline respiratory issues and recent COVID vaccine, which almost caused a near missed diagnosis of a rare Hairy Cell Leukemia. A single intervention was conducted on February 4, 2022 to educate the authors on societal guidelines for reporting lesion diameters on RFs. Rest assured, HCA Healthcare and its affiliates never do business in this manner. Featuring scholarly activity by HCA Healthcare Graduate Medical Education residents from the North Texas Division. It can be seen with aortic dissection or aneurysm. Her thiamine level was confirmed low at 51.9 nmol/L post discharge. Subsequently, Magnetic Resonance Imaging of head/brain was completed and revealed bilateral basal ganglia, thalami, and cerebellar abnormal signals corresponding to calcifications seen on CT scan. Interested in physician and advanced practice provider career opportunities? You can find all jobs here. Even with the low risk embolic events, it is even less likely if patients are on therapeutic anticoagulation. There is limited evidence on optimal management of an ACT. We strive to celebrate cultural and other differences and consider them strengths of the organization.We are committed to: Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, gender, national origin, citizenship, age, disability, sexual orientation, genetic information, gender identity, protected veteran status, or any other legally protected category in accordance to applicable federal, state, or local laws. The third topic Case-Based Collaborative Learning was delivered 15 times. This case demonstrates the importance of maintaining a broad differential diagnosis when respiratory status becomes compromised and prompt treatment once an identifiable cause is found. There was a 37% decrease in the maximal respiratory capacity measured in platelets from healthy, non-preeclamptic compared with preeclamptic pregnancy (P. Post-thrombotic syndrome (PTS) is a relatively understudied sequelae of deep vein thrombosis (DVT). On arrival, her mentation had improved and she was able to answer clarifying questions of noncompliance with her antihyperglycemic medications and lower extremity weakness. Minimum 18 months experience within an acute care hospital with a minimum one year in a specialty area. This is a unique case of a 38 year old Caucasian female with no significant medical history who presented to the hospital with complaint of 3 days of abdominal pain, nausea/vomiting, dark red formed stool, and fever (TMax 102F), as well as dizziness, body aches and throat pain. Grow your skills with a variety of interesting cases as you work alongside top care professionals, all while enjoying a flexible schedule. A healthy work environment is more than a set of programs or policies. Patient was unable to provide a stool sample for the first two days of admission, however on day 3 of admission patient produced a small formed dark stool which was collected for cultures. Conclusion: Efforts to improve compliance with current USPSTF guidelines on breast cancer screening were not reflective of adherence to the standardized template, and will require additional study design improvement. His lengthy hospital course significant for severe leukocytosis (max WBC 439), pseudohyperkalemia, neoplastic fever, hypotension requiring vasopressors, and concern for tumor lysis syndrome. Total Papers Total Downloads Downloads in the past year. 6565 N Macarthur Blvd Ste 350, Irving, TX 75039. Dermatological Reviews. A transthoracic echocardiogram revealed a medium to large perimembranous ventricular septal defect (VSD) measuring 6 mm with predominantly right to left shunting with a QP/QS ratio of 0.66. Services include ENT, Endoscopy, Colorectal, General Surgery, Ophthalmology, Podiatry, and The patient was intubated and sedated, started on multiple antiepileptic medications. 2023;3(6):409-417. As a result, most cases of purulent pericarditis are discovered post-mortem. Weve heard that an individual or individuals impersonating an HCA Healthcare hiring manager may be conducting online interviews and attempting to convince people to send money, supposedly to purchase equipment or set up payroll direct deposit as part of the hiring process. The prevalence for hepatitis C during 2013-2016 was about ~2.4 million. WebHCA Healthcare One Park Plaza Nashville, TN 37203. Untreated patients can rapidly progress to end-stage kidney disease over a very short periods (days to months). Results: During Phase 1, 839 skin biopsies were performed, with 594 biopsies meeting the criteria for analysis. Case: A 63-year-old female patient with a history of Paroxysmal Atrial flutter (AFL) and atrial fibrillation (AF) on apixaban, HTN, and HLD was brought to the electrophysiology lab for electrophysiology study (EPS) and AF/AFL ablation due to recurrent symptomatic episodes of AF and AFL despite being on antiarrhythmic medications. Computed Tomography (CT) head/brain revealed extensive intracranial calcification and mineralization. Her workup was significant for a blood glucose of 240 mg/dL, an anion gap of 15 mmol/L, and an elevated serum beta-hydroxybutyrate of 26.64 mg/dL. However, the left SVC persists when the left anterior cardinal vein is unable to close. Education was given to all residents and nurses responsible for the referral process and on the importance of the correct implementation and recording of a successful mammogram referral. Dec 2015;8(12):12-4. We tested the hypothesis that platelet mitochondria display functional alterations in preeclampsia. For technical questions on an application to HCA or an HCA Affiliate only, call (844) 422-5627, then press Option 1. The changes presented here will hopefully not only help decrease the incidence of CLABSIs towards the goal of zero, but also help improve procedural efficiency. Most patients will classically present with a constellation of symptoms that correspond to pancytopenia such as fatigue, easy bruising, bleeding, dizziness, weakness, or recurrent infections. Treatment should include meropenem and clindamycin. This case report examines an unusual presentation of symptoms mimicking ovarian torsion with accompanying ipsilateral subcutaneous inguinal hematoma secondary to aberrant pelvic vasculature. The third topic Case-Based Collaborative Learning was delivered 15 times. Discover your pathat Ambulatory Surgery Division. 49 samples included lesion diameters, resulting in a final reporting rate of 8.25%. Repeat CT head without contrast and MRI brain w/wo contrast were unremarkable. West Nile virus (WNV) is a flavivirus endemic in the United States. WebLocations | HCA Florida Home Locations HCA Florida Healthcare has hospitals, emergency rooms, surgery centers and specialty health centers throughout the state of Florida. Adjunctive treatment with intravenous immunoglobulin is another consideration. Key areas of improvement are in those of compliance; namely, the implementation of a dedicated central line cart and a reminder check list to help staff. After tonsillar biopsy confirmed diagnosis and ruled out transformation, patient was started on CHOP chemotherapy. Her baseline creatine was 0.6 back in August 2022. WebOur North Texas Division Office team is looking for a Director of Community Public Relations. Stephen Shey, Alejandro Espinosa-Tello, and Amnah Andrabi. CTS and hematology were consulted. METHODOLOGY: We implemented a quality improvement project where resident physicians deliver content to faculty at each rotation in their curriculum. The patient who developed cutaneous lupus after therapy had no prior history systemic or cutaneous lupus. QM 371 is calculated as follow: the denominator includes patients 12 years and older with a diagnosis of Major Depression or Dysthymia within the eligible 4-month period, and the numerator includes all patients age 12 and older that have completed the PHQ-9 at least once within the 4-month period. Anticoagulation alone has a risk of clot dissolution and deadly embolic events. The policy applies to all terms and conditions of employment including, but not limited to, hiring, placement, promotion, termination, layoff, transfer, leaves or absence, compensation and training.Equal Employment Opportunity poster. She was started on treatment for nonketotic hyperglycemia with insulin. The infectious workup eventually revealed that the patient had West Nile virus infection. 1-3 There are multiple strategies for faculty development with methods including workshops, lunch-ins, and online modules. This panniculitis process presents as erythematous, tender nodules and plaques most commonly located on the pretibial areas. HCA HealthcareOne Park PlazaNashville, TN 37203, Telephone: (844) 422-5627 option 1(844) 422-5627 option 1. When the electrolyte abnormalities were corrected and patient returned to baseline, she was determined stable for discharge. Medical City Dallas Location 7777 Forest Ln Ste C234, Dallas, Texas, 75230, United States Description Industry Hospitals & Clinics Healthcare Discover more about Medical City Dallas Zachary Mueller Work Experience and Education Education master's degree - nursing PhD doctoral degrees University of Colorado Board However, during the procedure an aberrant vessel was identified branching from the left IP ligament, running through the inguinal canal, and terminating at the anterior abdominal wall. Int With the antiepileptic medications and high dose steroids, the patient had a rapid recovery. Patient developed high fevers during course of stay, Tmax 102.9F. As targeted therapies continue to replace chemotherapy in treatment of CLL/SLL, this indolent malignancy may more frequently present in unusual and potentially devastating ways when these treatments are discontinued. Infectious disease, nephrology, and hematology were consulted. Further testing includes Hepatitis C mRNA PCR if screening test is positive. Patients who present with WNV neuroinvasive disease have significant morbidity and mortality, with about 10% of cases resulting in death. PTS typically presents with similar signs and symptoms as chronic venous insufficiency (CVI) and treatment modalities also mirror each other with the use of compression therapy, emollients, and topical steroids. However, this is not always true. The mass was treated with complete surgical resection with right hip disarticulation. WebWith the resources and strength of HCA Healthcare, including 186 hospitals in the United States and England, Medical City Healthcare is one of the North Texas regions largest Background: Isolated persistent left superior vena cava (PLSVC), also known as persistent left superior vena cava (SVC) with absent right SVC, affects 0.09-0.13% of the population. What is the application process for Physicians. She was symptomatically managed with antiemetics and intravenous (IV) hydration. We do NOT solicit payments or payment information from candidates. If diagnosed early on, patient can be treated with drainage of the pericardium and directed antimicrobial therapy before complications such as cardiac tamponade or constrictive pericarditis can arise. Conclusion: Treatment complications were rare, and all were expected complications of radiation therapy. It can also arise with excess alcoholism, pregnancy, starvation, and exercise. The patient was continued on steroids, switched to PO doxycycline and continued on naproxen. The patient underwent exploratory laparotomy. 5 years post fellowship experience preferred. The review revealed low-grade adenosquamous carcinoma arising within the background of a complex radial sclerosing lesion. 2. I am experiencing technical problems. A CT scan of the abdomen and pelvis along with a transthoracic echocardiogram were ordered, both of which showed a large pericardial effusion with fibrinous strands suspicious for loculations. She endorsed increased urinary urgency, fatigue, decreased appetite, and 20 pounds of unintentional weight loss. Resident knowledge was still greater 6 weeks after our lecture when compared to pre-test results. Complications of large thrombus like stroke or systemic emboli are less likely when found in normal aorta. Most cases of severe Shiga-toxin producing E. coli (STEC) O157H7 dysentery are seen in children and the elderly, however the infection can occur in people of all ages and range in severity. About | The next step in the process is to organize regular resident feedback sessions to identify more specific interventions for resident wellness. Shortly after, they presented to ED with recurrent stroke-like symptoms. Case presentation: A 29-year-old male with no significant past medical history presented with a 2-week history of worsening bilateral lower extremity erythema, nodules and pain. Accessibility Statement. HCA Healthcare is dedicated to giving people a healthier tomorrow. Patient appeared to be in a hemolytic state based on anemia, thrombocytopenia, low haptoglobin and reticulocyte count, which along with severe renal failure on presentation suggested possibility of hemolytic-uremic syndrome (HUS). This case report details an early diagnosis of purulent pericarditis secondary to methicillin-sensitive Staphylococcus aureus (MSSA) in an end-stage renal disease (ESRD) patient. Early Diagnosis of Purulent Pericarditis Secondary to Methicillin-Sensitive Staphylococcus Aureus in an End-Stage Renal Disease Patient, Electrolyte Abnormalities and Seizure Like Activity Unmasking an Underlying Rare Genetic Disorder, Euglycemic Diabetic Ketoacidosis Secondary to SGLT2 Inhibitors in Combination with a Low-Carbohydrate Diet, Extraintestinal Salmonellosis Unmasked in a Parotid Mass. NORTHTEXAS2023. 2. David Bassa, Makenzie Morrissey, Adewuni Ojo, and Adeel Raza, Low-grade Adenosquamous Carcinoma of the Breast: Case Report and Literature Review Authors: David Bassa DO, MaKenzie Morrissey MD, Adewuni Ojo MD, Adeel Raza MD Abstract: Introduction: Low-grade adenosquamous carcinoma (LGASC) is a rare variant of metaplastic carcinomas of the breast. However, the diameter of the biopsied lesion is often omitted on RFs. Discussion The presence of ketoacidosis and hyperglycemia may cause clinicians to suspect diabetic ketoacidosis; however, this may be a misdiagnosis. Ten Hospitals Nationally Recognized for Safety by The Leapfrog Group 2022, Current Healthcare Provider BLS, ACLS and NRP (for NICU only) issued by the American Heart Association required. Initiative to decrease unnecessary hemostatic agent transfusion in cirrhotic patients undergoing paracentesis: a resident-led approach quality improvement project to prevent transfusion overuse. Open Access Maced J Med Sci. Von Gierke disease is an inherited Glycogen Storage disease - type 1 resulting from deficiencies in the specific enzymes glucose 6 phosphatase(1a), and/or glucose 6 phosphate translocase(1b) glycogen metabolism pathway. Marshall Hall, Henry Lim, Christian Scheufele, Christopher Wong, Daniel A. Nguyen, Michael Carletti, and Stephen Weis, Background: Basal cell carcinoma and squamous cell carcinoma are the most common types of non-melanoma skin cancer.1 Superficial radiation therapy (SRT) is a treatment modality that utilizes low-energy x-rays to disrupt cell mitosis directly and indirectly.2 This method of treatment offers advantages for select patients. Five different topics were presented. Trans-thoracic echocardiogram obtained was consistent with HFrEF with a LVEF 30-35%, severe diffuse hypokinesis, bileaflet aortic valve, severely calcified aortic stenosis with a peak systolic velocity 3.2m/sec, peak systolic gradient 50 mmhg, mean gradient 30 mmhg, and valve area 1.1. HCHB syndrome associated with uncontrolled diabetes is also referred to as diabetic striatopathy and is characterized by poor glycemic control, unilateral striatal hyperdensity on CT imaging, and contralateral choreic movements. WebHCA Houston Healthcare 3737 Buffalo Speedway Suite 1400 Houston, TX 77098 Quick Links About Us --About HCA Houston --Phone Directory --Maps & Directions --Media Conclusion: The intervention in this study successfully increased the rate of reporting lesion diameters on RFs from an academic outpatient dermatology clinic, demonstrating the importance of education and reinforcement in improving quality. Mark Cheneler, Tapannita Padhi, Khizir Qureshi, and Carlos Bahrami. There are some conflicting data, with case reports and small retrospective studies, about the efficacy of corticosteroids in the management of WNV neuroinvasive disease. If you are interested in a position that encourages growth, the Medical City Healthcare RN Division Resource Float Pool is for you! I have a disability and require assistance with the online application. Only healthcare system in North Texas with an adult and childrens hospital on the same campus. Home METHODS: Our intervention was to give an educational presentation regarding depression, the PHQ-9, as well as how to properly document the PHQ-9 in eClinicalWorks (eCW) for data tracking. Platelets were harvested from women in the third trimester of either a healthy, non-preeclamptic or preeclamptic pregnancy, and from healthy, non-pregnant women. Both patients with ulcerations had venous stasis with chronic edema. High risk patients should have periodic screening. HCA North TX Division. Less than 10 cases of CLL/SLL presenting as bilateral tonsillar enlargement have been described in English literature, highlighting the rarity of this case. Our Elite Nursing Division Resource Float Pool Team provides care to a variety of patients throughout our hospitals across North Texas. Residents were additionally tracked on how many patients they appropriately referred for screening. Resident physician participation in this project will contribute to growth in multiple ACGME core competencies. Rarely, the persistent left SVC can reach the left atrium directly, which can cause a partial anomalous systemic venous return. She was treated with and discharged on insulin each visit. Since the change, this project was done to ensure the appropriate screening and testing thereafter was done, as well as appropriate communication and documentation. She was started on systemic acyclovir treatment but unfortunately expired before her antiviral course could be completed due to worsening of ARDS and inability to oxygenate. Unfortunately, these therapies are not always well tolerated and many patients are forced to discontinue the medication due to side effects. Intraoperatively the vessel was ligated, and the patient ultimately recovered without complications. 10 Delivering content that is convenient and valuable to the faculty can be challenging. Upon initial exam, patient was found to have temp 100F, was hypotensive and tachycardic with lactate of 4.2. With the resources and strength of HCA Healthcare, including 186 hospitals in the United States and England, Medical City Healthcare is one of the North Texas regions largest and most comprehensive healthcare providers and includes 16 hospitals, nearly 5,000 active physicians and more than 17,000 employees in Dallas-Fort Worth. Residents who were educated on the recent screening guidelines for hepatitis c set by USPSTF retained this knowledge to a satisfactory degree immediately after our lecture on hep c. Prior to our lecture, resident average score on hepatitis c screening knowledge was 52%. Evidence shows that CLABSI are a potentially preventable healthcare-associated infection. Patients family ultimately elected for comfort care and patient expired soon after. Sterile Processing Technician. Accessibility Statement. Stool cultures grew Shiga-toxin 1, leading to diagnosis of Shiga-toxin producing E. coli dysentery. Additionally, the pregnancy USS revealed a non-viable fetus, concluding that a spontaneous abortion was inevitable. Rediscover the reasons you chose healthcare as your career. The diagnosis was carried forward for several encounters despite a normal hemoglobin A1C and hypoglycemia with insulin administration. Long-term efficacy results from Phase 3 are yet to be reported. The combination of SGLT2i with a low-carbohydrate diet can enhance ketosis further, causing EuDKA. These rewards include competitive salaries and benefits, leadership development programs, education assistance, paid family leave benefits and much more. On presentation, the patient was mildly tachycardic and had mild leukocytosis. Faculty who had never completed faculty development participated for the first time. Jun 2021;9(1):153-166. doi:10.1007/s40487-021-00138-4, Riddhiben Patel, Anas Hamadeh, and Senthil Thambidorai. Without treatment, the mortality is nearly one hundred percent due to major complications such as cardiac tamponade and constrictive pericarditis. Therefore, this improvement on the survey will lead to better patient care, improvement of quality life and reduction in healthcare cost. Hernandez-Machin B, Borrego L, Gil-Garcia M, Hernandez BH. An urgent diagnosis is important in the patient who presenting with clinical findings of RPGN. Hairy cell leukemia is a rare lymphoid neoplasm of small mature B cell lymphoid cells. Professional Nursing Organization Membership strongly encouraged. Abnormality of the SVC has implications for electrophysiology procedures and ICE/CT and cMRI imaging are helpful in delineating the anatomy. Methicillin resistant staph aureus (MRSA) Bacteremia has become a serious re-emerging infection. She was also advised to see an endocrinologist for further management of her hypoparathyroidism. Ahmad Ahsen, Shin Kang, Jack Lee, Jose Sanchez, Fadi Albahra, Stephen Chabot, Tariq Zain, and Ranjit Nair. Visit our physician career site and search our latest openings. The second topic Faculty Wellness was delivered 10 times. Do you offer application assistance for applicants with disabilities? Eventually, the patients clinical status improved, and he was transferred out of the intensive care unit (ICU). Von Gierke disease is commonly seen in the pediatric population and is known for his hepatic and renal manifestations. For free help with your job search, call (800) 776-8383. George Yeung, Nhi Duong, Akshaj Pole, Benjamin Larsen, and Syed Ahmed. Including detailed information on RFs improves the diagnostic accuracy of the consulting dermatopathologist. Hospitals include our 600 bed flagship hospital, Medical City Dallas and Medical City Children's Hospital, along with: Financial packages are tailored to the specific opportunity and available to support new physicians in their initial start-up expenses along with reimbursement of relocation expenses.