The nurse has not tried to contact the physician and there are no standing orders to cover his other actions. Is the RN within his or her scope of practice as set forth in the Florida Nurse Practice Act? In particular section 464.003 (2).

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The nurse has not tried to contact the physician and there are no standing orders to cover his other actions. Is the RN within his or her scope of practice as set forth in the Florida Nurse Practice Act? In particular section 464.003 (2).

Read the Florida Nurse Practice Act sections 464.001 .002 .003 .016 .017 & .018 and also the Rules of the Board of Nursing sections 64B9-1.001 5.001 5.002 5.003 5.009 5.010 5.011 5.012 8.003 8.0045. 8.005 8.006 (scan only 8.006) 9.0029-12 9-14 9-15.002 all found at:
Florida Nurse Practice Act: http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0400-0499/0464/0464PARTIContentsIndex.html
Board of Nursing 64B9: https://www.flrules.org/gateway/Division.asp?toType=&DivID=332%20
The RN is taking care of an 86 year old patient 10 days post a 5 vessel bypass. The patients fluid balance has been precarious with frequent bouts of congestive heart failure and third spacing of fluids. Today the nurse obtains a BP of 72/40 and starts a bolus of normal saline at 150 mL per hour. The nurse has not tried to contact the physician and there are no standing orders to cover his other actions. Is the RN within his or her scope of practice as set forth in the Florida Nurse Practice Act? In particular section 464.003 (2).
Answer questions 1-4 APA format no plagiarism no set amount of words just thoroughly answer 1-4

 

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Analyze the process map and SIPOC model to identify possible main root causes of the problems. Students, please view the “Submit a Clickable Rubric Assignment” in the Student Center.

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Analyze the process map and SIPOC model to identify possible main root causes of the problems.
Students, please view the “Submit a Clickable Rubric Assignment” in the Student Center.

Instructors, training on how to grade is within the Instructor Center.

Case Study 1: Statistical Thinking in Health Care

Due Week 4 and worth 150 points

Read the following case study.

Ben Davis had just completed an intensive course in Statistical Thinking for Business Improvement, which was offered to all employees of a large health maintenance organization. There was no time to celebrate, however, because he was already under a lot of pressure. Ben works as a pharmacist’s assistant in the HMO’s pharmacy, and his manager, Juan de Pacotilla, was about to be fired. Juan’s dismissal appeared to be imminent due to numerous complaints and even a few lawsuits over inaccurate prescriptions. Juan now was asking Ben for his assistance in trying to resolve the problem, preferably yesterday!

“Ben, I really need your help! If I can’t show some major improvement or at least a solid plan by next month, I’m history.”

“I’ll be glad to help, Juan, but what can I do? I’m just a pharmacist’s assistant.”

“I don’t care what your job title is; I think you’re just the person who can get this done. I realize I’ve been too far removed from day-to-day operations in the pharmacy, but you work there every day. You’re in a much better position to find out how to fix the problem. Just tell me what to do, and I’ll do it.”

“But what about the statistical consultant you hired to analyze the data on inaccurate prescriptions?”

“Ben, to be honest, I’m really disappointed with that guy. He has spent two weeks trying to come up with a new modeling approach to predict weekly inaccurate prescriptions. I tried to explain to him that I don’t want to predict the mistakes, I want to eliminate them! I don’t think I got through, however, because he said we need a month of additional data to verify the model, and then he can apply a new method he just read about in a journal to identify ‘change points in the time series,’ whatever that means. But get this, he will only identify the change points and send me a list; he says it’s my job to figure out what they mean and how to respond. I don’t know much about statistics — the only thing I remember from my course in college is that it was the worst course I ever took– but I’m becoming convinced that it actually doesn’t have much to offer in solving real problems. You’ve just gone through this statistical thinking course, though, so maybe you can see something I can’t. To me, statistical thinking sounds like an oxymoron. I realize it’s a long shot, but I was hoping you could use this as the project you need to officially complete the course.”

“I see your point, Juan. I felt the same way, too. This course was interesting, though, because it didn’t focus on crunching numbers. I have some ideas about how we can approach making improvements in prescription accuracy, and I think this would be a great project. We may not be able to solve it ourselves, however. As you know, there is a lot of finger-pointing going on; the pharmacists blame sloppy handwriting and incomplete instructions from doctors for the problem; doctors blame pharmacy assistants like me who actually do most of the computer entry of the prescriptions, claiming that we are incompetent; and the assistants tend to blame the pharmacists for assuming too much about our knowledge of medical terminology, brand names, known drug interactions, and so on.”

“It sounds like there’s no hope, Ben!”

 

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Develop cooperative relationships with clients when teaching concepts concerning pathological states to individuals and familiesSelect one of the case studies below, and include discussion of your strategy for winning the patients cooperation while teaching concepts concerning pathological states to them and their families.

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Develop cooperative relationships with clients when teaching concepts concerning pathological states to individuals and familiesSelect one of the case studies below, and include discussion of your strategy for winning the patients cooperation while teaching concepts concerning pathological states to them and their families.

Question description

Question:Develop cooperative relationships with clients when teaching concepts concerning pathological states to individuals and familiesSelect one of the case studies below, and include discussion of your strategy for winning the patients cooperation while teaching concepts concerning pathological states to them and their families.RequirementsMake sure all of the topics in the case study have been addressed.Cite at least three sources; journal articles, textbooks or evidenced-based websites to support the content.All sources must be within five years.Do not use .com, Wikipedia, or up-to-date, etc., for your sources.Case Study 7Disorders of the Bladder and Lower Urinary TractAlvita is a frail 89-year-old woman residing in a nursing home. She is able to move slowly around the residence with the use of a walker, but appreciates when her daughter is there to hold her arm and walk alongside her. When one of the health care staff changes Alvita, her daughter helps. Alvita’s incontinence has progressed, particularly over the last six years since she has resided in the nursing home. Alvita can . at her lack of bladder control, however, and says that her incontinence really began when she was a young woman, just after the birth of her second daughter.Alvita’s mobility is limited. How does this affect continence in the elderly?Shortly after the birth of her second daughter, Alvita experienced mild incontinence, particularly after laughing or coughing. What was she experiencing? What is the pathophysiology behind this type of incontinence?Assignment Requirements:Before finalizing your work, you should:be sure to read the Assignment description carefully (as displayed above);consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; andutilize spelling and grammar check to minimize errors.Your writing Assignment should:follow the conventions of Standard American English (correct grammar, punctuation, etc.);be well ordered, logical, and unified, as well as original and insightful;display superior content, organization, style, and mechanics; anduse APA 6th Edition format as outlined in the APA Progression Ladder.

 

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Identify a social problem (a problem that affects many people) that has either affected you personally, someone close to you, or a community to which you belong, and which you feel needs to be addressed.

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Identify a social problem (a problem that affects many people) that has either affected you personally, someone close to you, or a community to which you belong, and which you feel needs to be addressed.
Research Paper:

The paper must be seven to eight (7 – 8) pages in length (to include the title page, the body of the paper, and the reference page). APA format is required. The paper should be double-spaced, in 12-point font, and with one inch (1”) margins all around, except for the title page. Do not add extra spaces between the paragraphs of your paper.

The student should select a topic for the paper that generally fits into the focus of this course. The paper should detail the selected topic so that a person reading the paper would gain a sound understanding of that topic.

NOTE: Paper will be submitted as a Word attachment to an email to the instructor’s Kent email address no later than the date specified in the Assignment Schedule. Late papers will not be accepted.

Describe the Selected Problem – Identify a social problem (a problem that affects many people) that has either affected you personally, someone close to you, or a community to which you belong, and which you feel needs to be addressed. Include some research on the problem—how many people are affected? What are some of the negative effects that stem from this problem? (For example, if you select campus shootings, you might research PTSD among shooting victims, the number of lives lost, etc. If you select a certain type of cancer, how widespread is it? How does it affect those who are diagnosed, and their loved ones?)

*To some extent, social problems are in the eye of the beholder. For example, some people will view abortion as a social problem, whereas others will view a lack of access to safe abortions as a social problem. You will not be graded on your specific perspective, so long as you adequately justify that your selected topic is a social problem through your description and research of the negative effects.

Research Existing Laws – Summarize what you learn through your research about state or federal laws and/or Supreme Court rulings pertaining to your issue. (With the campus shooting example, you might focus on laws surrounding gun ownership or regulation; with the cancer example, you might focus on laws surrounding the regulation of products that may increase that type of cancer, or laws regulating the standard of treatment/medical care for patients.)

Analyze the Effects of Existing Laws – Provide a consideration of the intended and unintended effects (both positive and negative) of the existing law(s). Do you think the legal system can effectively address your identified social problem? Why or why not? Are there any specific legal changes you would recommend? Explain your answer.

Utilize at least 5 different reliable resources within your paper. (Reliable resources include textbooks, .gov websites, .edu websites, books, or scholarly journal articles.) You should provide information about your sources in a reference list at the end of your paper in APA format.

 

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Clearly define impact of HIPAA and HITECH regulations on health care systems for the future with mention to state and federal differences.

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Clearly define impact of HIPAA and HITECH regulations on health care systems for the future with mention to state and federal differences.

In a 750-1,000-word paper, explain how HIPAA and HITECH regulations impact the implementation of various health care systems. Consider impacts to and from federal, local, software vendors/users, hardware vendors/users, infrastructure, and organizational standards. Papers must address the following:

Clearly define impact of HIPAA and HITECH regulations on health care systems for the future with mention to state and federal differences.
Define how the regulations will modify the implementation and ongoing use of software systems that maintain patient data.
Discuss the changes and impacts to software and hardware vendors.
Clarify the changes and impacts to infrastructure and organizational standards
APA 6th format TURNITIN

 

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Research a health care organization or a network that spans several states within the U.S. (Example: United Healthcare Vanguard Banner Healthcare etc.)

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Research a health care organization or a network that spans several states within the U.S. (Example: United Healthcare Vanguard Banner Healthcare etc.).

Harvard Business Review Online and Hoovers Company Records found in the GCU library are useful sources. You may also find pertinent information on your organizations webpage.Review Singapore Airlines Case Study. (See attached)Prepare a 1250 minimum-word paper that focuses on the organization or network you have selected.The essay should assess the readiness of the health care organization or network in addressing the health care needs of citizens in the next decade and include a strategic plan that addresses issues pertaining to network growth nurse staffing resource management and patient satisfaction.Prepare this assignment according to APA guidelines 6th ed. An abstract is not required.

 

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Choose two long-term care facilities—one from nursing facilities, assisted living, or subacute care and another from adult day care, home health care, or hospice care—on which you would want to base your research work.

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Choose two long-term care facilities—one from nursing facilities, assisted living, or subacute care and another from adult day care, home health care, or hospice care—on which you would want to base your research work.

Choose two long-term care facilities—one from nursing facilities, assisted living, or subacute care and another from adult day care, home health care, or hospice care—on which you would want to base your research work. Research Internet to read about your chosen long-term care facilities.

Assume you are responsible for the management and administration of the two facilities. You have to orient the newly appointed manager by providing an overview on managing long-term care. You also need to discuss the programs of the two facilities. From this perspective and based on your research about the facilities, prepare a Microsoft PowerPoint presentation of 10–15 slides including the following:

What are the various multidisciplinary departments (teams) included in your facilities?

Who comprise the target population being served by the various programs provided by your chosen facilities?

What are the major staffing and human resource issues faced by your chosen facilities?

What are the significant trends in long-term care likely to impact the operation of the various programs provided by your chosen facilities, and what is your plan of action to overcome them?

What are the various forms of cooperation and integration existing in your chosen facilities? Discuss the nature of management, financing, and quality issues related to integration and cooperation in the facilities?

 

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Provide an example from your own experience of a conflict situation. 1. Describe the source(s)/reasons for the conflict.

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Answer each discussion. 1 paragraph. 200 words each. Be sure to apply concepts from the readings and research. Cite all references using APA format

Discussion 2)Discuss the following staffing/scheduling practices and how they can support patient care
• overtime
• mandatory staffing ratios
Discussion 3) Identify a time when you had to make a change in your personal or professional life. Describe a change theory that helps explain the process you used to approach this change situation.What were your priorities at the time that impacted your change decision? Was your change successful? If not, what lessons did you learn from the process?
Discussion 4) Briefly discuss one of the following sets of budget concepts:
• HMOs, PPOs
*In addition to your initial response, describe one or more strategies nurses can use to increase cost effective use of resources in a health care setting.

Discussion 5) Describe a situation related to patient advocacy. Discuss the ethical and legal components of the situation. Share how you would or did advocate for the patient in that situation. Discuss potential barriers to advocacy in the situation. How would you manage the barriers?

Discussion 6)Describe a time when you experienced a communication breakdown and with whom.
• What was the situation?
• What style of communication was used: assertive, aggressive, passive/aggressive, passive?
• What environmental, biological, or personal or cultural issues may have impacted the communication process (e.g. stereotypes, biases, difference in values, preferences, gender, race and age)?
• What efforts were made to improve the communication? Were the efforts effective? If not, what other strategies might have been used to improve the communication outcome?
In addition to your initial post, describe an example of effective (or ineffective) nursing delegation. What delegation principles were (or were not) followed? What can be learned from this example?
Discussion 7) Provide an example from your own experience of a conflict situation.
1. Describe the source(s)/reasons for the conflict.
2. Who was involved and what communication styles were used?
3. How did the conflict impact persons directly or indirectly involved?
4. What strategies were used to try to resolve the conflict? Were they effective?
5. What outcomes were achieved?

Discussion 8) Explain one or more ways nurses can become involved in setting and auditing patient care standards or participating in other quality control/improvement activities within their organization.

 

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describe how the organization(s) contributes to resolving or reducing the impact of disease.

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Describe how the organization(s) contributes to resolving or reducing the impact of disease.

RUBRIC:
1-Comprehensive Description of a Communicable Disease and the Demographic of Interest: Overview describing the demographic of interest and clinical description of the communicable disease is presented with a thorough, accurate, and clear overview of all of the clinical descriptors.

2-Determinants of Health and Explanation of How Determinants Contribute to Disease Development:Paper comprehensively discusses the determinants of health in relation to the communicable disease, explains their contribution to disease development, and provides evidence to support main points.
3-Epidemiologic Triangle (Host Factors, Agent Factors, and Environmental Factors):The communicable disease is described thoroughly, accurately, and clearly within an epidemiological model. A visual description of the model and how the components of the model interact is included.
4-Role of the Community Health Nurse:Discussion of the role of the community health nurse is clear, comprehensive, and inclusive of the community nurse’s responsibilities to primary, secondary, and tertiary prevention through tasks such as case finding, reporting, data collection and analysis, and follow up.
5-National Agency or Organization That Works to Addresses Communicable Disease:An agency or organization is identified. A clear and accurate description of efforts to address communicable disease is offered.
6-Thesis Development and Purpose:Thesis is comprehensive, contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
7-Paragraph Development and Transitions:There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
8-Mechanics of Writing (includes spelling, punctuation, grammar, language use):Writer is clearly in command of standard, written, academic English.
9-Global Implication:A discussion of the global implication of the disease is clear, comprehensive, and inclusive with a comprehensive description of how this is addressed in other countries or cultures and if the disease is endemic to a particular area. An example is provided.
10-Paper Format:All format elements are correct.
11-Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment):In-text citations and a reference page are complete. The documentation of cited sources is free of error.

Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance completing this assignment.
Communicable Disease Selection
Choose one communicable disease from the following list:
1. Chickenpox
2. Tuberculosis
3. Influenza
4. Mononucleosis
5. Hepatitis B
6. HIV
7. Ebola
8. Measles
9. Polio
10. Influenza
Epidemiology Paper Requirements
Address the following:
1. Describe the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
2. Describe the determinants of health and explain how those factors contribute to the development of this disease.
3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle). Are there any special considerations or notifications for the community, schools, or general population?
4. Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up).
5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.
6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.
A minimum of three peer-reviewed or professional references is required.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 

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Is labeling theory a legitimate crime causation theory? Why? In your opinion, where do gangs fit in the 3 influential versions of cultural deviance theory? Why? Assignment

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Is labeling theory a legitimate crime causation theory? Why? In your opinion, where do gangs fit in the 3 influential versions of cultural deviance theory? Why?
Assignment

Labeling theorists are adamant about the labels that offenders are given throughout the criminal justice system. Labels, such as ex-felons, are deepening the very behavior that they are meant to halt because of stereotypes that incite an individual trying to recover after a prison term. The labeling theory argues that the criminal justice system is limited in its capacity to restrain unlawful conduct but also is a major factor in anchoring people into criminal careers. The cultural deviance theory explains the causes of criminal behavior in urban areas are not about the poverty suffered in those areas but the product of a distinct lower-class culture whose focal concern is deviance against the norms of society. The theory identified 3 influential versions: Lower-class culture as a whole is responsible for generating crime in urban areas. Urban lower-class areas produce subcultures that are responsible for the rise of crime. Subcultures of crimes in urban areas where individuals come together to band in creating crimes for their own personal gain and satisfaction Write a 56 page paper answering the following questions: What would be another theory and strategy to avoid stereotyping individuals in the criminal justice system? Is labeling theory a legitimate crime causation theory? Why? In your opinion, where do gangs fit in the 3 influential versions of cultural deviance theory? Why? Which one of the two theories would you use to explain the following problem? The number of youths joining gangs in the inner city has doubled, while the number of gang leaders serving time in prison and being released after good conduct has increased.The crime rate for gang violence has risen 20% from last year. Requirements Your opinion statements must be justified by theory or real-life strategies and practices of law enforcement activity. The explanation of cause of criminality in question 3 must use the case provided. You must use the labeling theory or cultural deviance theory in answering questions. You must use APA style in citing and creating your reference page

 

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