Supporting Roving Nightingales

In the era of rising health-care costs, the City General Hospital provides extended care for its patients in their homes. The hospital employs a fleet of visiting nurses called the “Roving Nightingales.” The nurses provide ongoing home care for some patients, as well as pre- and post-operative care for other patients. Over the course of a day, nurses visit a number of patients, record vital signs and other measurements, perform home tests, and collect samples for laboratory tests. The nurses also record a summary of their visual observation of the patients. Sometimes, if a patient is not doing too well, a nurse may decide that the patient needs to come in to the hospital-affiliated clinic to see a doctor. The hospital ...

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