Develop a general systems flow chart that describes the process of filling a car with gasoline. After “start” have as the first process“Arrive at Gas Station.” Immediately before “stop” have as the last process “Leave Gas Station.”
3-2 Using a general systems flow chart design a system for arrivals at an emergency room of a hospital.
3-3 Using the following narrative, create a general system flow chart. When a patient arrives at the clinic the patient first sees the receptionist, who checks to see if the patient was seen before. If so, the receptionist pulls the medical record from the file. If the patient is new, the receptionist has the patient complete the necessary forms and creates a medical record. Patients are seen by the physician in the order they arrive. If one of the two examination rooms is empty, the nurse escorts the patient to the examination room and records the complaint. The nurse performs routine tests. The nurse writes the complaint and findings on a medical examination form, a form that will be subsequently filed with the patient’s medical record. The physician examines the patient and orders medical tests, if necessary. A diagnosis and treatment plan is presented to the patient by the physician; a written copy of this plan and any other appropriate instructions. [Notes are written on the medical examination form.] When the physician releases the patient, the patient returns to the receptionist, who prepares a bill. If the patient has health insurance, the bill is sent to the health insurance carrier. The patient leaves after either paying the bill (by cash, check, or credit card) or signing the forms to authorize payment by his or her health insurance company. If the health insurance company refuses to pay or partially pays the bill, the receptionist bills the patient by mail. Any patient with an unpaid bill or bad credit history is refused subsequent treatment until the old bill is paid.
3-4 Every pharmaceutical listed on the hospital’s formulary has a minimum reorder level. When the inventory level of the specific drug reaches this minimum reorder level, an order is issued to replenish the available supply maintained in the pharmacy. This is done to ensure that the pharmacy always has available inventory to meet the medical needs of patients. The system requires that the chief pharmacist authorize all orders. Using the following narrative, create a general systems flow chart. At 6 am each day the pharmacy information system reports the existing inventory level for each item listed on the hospital’s formulary. It produces three lists. List A
includes those drugs that will need to be reordered today. List B includes those drugs that will need to be reordered in 2 to 21 days. List C includes drugs that will need to be reordered in more than 21 days. The chief pharmacist must review list A, authorize the purchase, and then send list A to the director of materials management, who must order the drug. When drugs are received by central supply, the receipt for the order (if documented), and the order are sent to the pharmacy for storage in inventory. Once you have completed the flow chart of the existing system, suggest three improvements to enhance the pharmacy inventory system. Aside from lists A, B, and C, what other reports should the pharmacy inventory control system produce? Should special provisions exist for ordering and handling narcotics?
Where would you expect the existing system to breakdown?
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