YOU ARE ON A CLINICAL ROTATION AT A LOCAL HOSPITAL AND ARE SHADOWING NURSES AND HANGING OUT AT THE NURSING STATION. ONE OF THE NURSES WHO HAD JUST CAME OUT OF THE RESTROOM FROM HIS THIRD OR FORTH TRIP TO THE RESTROOM COLLAPSED AT HIS DESK.

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YOU ARE ON A CLINICAL ROTATION AT A LOCAL HOSPITAL AND ARE SHADOWING NURSES AND HANGING OUT AT THE NURSING STATION. ONE OF THE NURSES WHO HAD JUST CAME OUT OF THE RESTROOM FROM HIS THIRD OR FORTH TRIP TO THE RESTROOM COLLAPSED AT HIS DESK.

HE HAS BEEN LOOKING VERY PALE AND HAS BEEN LOSING WEIGHT. YOU RUN TO GET THE ATTENDING PHYSICIAN. THE PHYSICIAN TOOK ONE LOOK AND SAID SOMETHING THAT SOUNDED LIKE “SEE DIF” TO THE NURSING INSTRUCTOR. SHE SAID HE HAS BEEN TAKING ANTIBIOTICS FOR A NASTY SINUS INFECTION. YOU ARE ASKED TO PREPARE A WRITTEN REPORT ON HIS CONDITION, BUT ARE AFRAID TO ASK WHAT IT IS. WHERE DO YOU LOOK FIRST? WHAT IS IT? HOW IS IT SPREAD? WHY IS IT HARD TO KILL? WHO IS MOST AFFECTED BY IT?

You are on a clinical rotation at a local hospital and are shadowing Nurses and hanging out at the nursing station. One of the nurses who had just come out of the restroom from his third or fourth trip to the restroom collapsed at his desk. He has been looking very pale and has been losing weight. You run to get the attending physician. The physician took one look and said something that sounded like “see if” to the nursing instructor. She said he has been taking antibiotics for a nasty sinus infection. You are asked to prepare a written report on his condition but are afraid to ask what it is. Where do you look first? What is it? How is it spread? Why is it hard to kill? Who is most affected by it?

 

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Write 3-4 paragraphs and explain why nurses need to document care using standardized nursing languages and whether this standardization can be limited to specialty areas or if it should be across all nursing practice.

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Write 3-4 paragraphs and explain why nurses need to document care using standardized nursing languages and whether this standardization can be limited to specialty areas or if it should be across all nursing practice.

Standardized Coding Systems in nursing
Order Description
Standardized Coding Systems
As a result of the fragmented nature of the health care system professionals in various specialty areas of medicine have developed their own unique sets of terminology to communicate within that specialty. In the past limited attention has been given to codifying practices in order for them to be understood and utilized across disciplines or through different information technology systems. The implementation of a federally mandated electronic medical records system therefore poses a challenge to nursing professionals and others who must be prepared to utilize standardized codes for the new system. Why are coding standards important for promoting consistent high-quality care?
According to Rutherford (2008 para. 15) Improved communication with other nurses health care professionals and administrators of the institution in which nurses work is a key benefit of using a standardized nursing language. In this Discussion you consider the reasoning behind and the value of standardized codification.
To prepare:
Review the information in Nursing Informatics: Scope and Standards of Practice. Determine which set of terminologies are appropriate for your specialty or area of expertise.
Reflect on the importance of continuity in terminology and coding systems.
In the article Standardized Nursing Language: What Does It Mean for Nursing Practice? the author recounts a visit to a local hospital to view its implementation of a new coding system. One of the nurses commented to her We document our care using standardized nursing languages but we dont fully understand why we do (Rutherford 2008 para. 1). Consider how you would inform this nurse (and others like her) of the importance of standardized nursing terminologies.
Reflect on the value of using a standard language in nursing practice. Consider if standardization can be limited to a specialty area or if one standard language is needed across all nursing practice. Then identify examples of standardization in your own specialty or area of expertise. Conduct additional research using the Walden Library that supports your thoughts on standardization of nursing terminology.
Write 3-4 paragraphs and explain why nurses need to document care using standardized nursing languages and whether this standardization can be limited to specialty areas or if it should be across all nursing practice.
Notes: this assignment does not require tilt page or headers/footers
All the references are uploaded as a separate doc.
References
American Nurses Association. (2015). Nursing informatics: Scope & standards of practice (2nd ed.).Silver Springs MD: Author.
o Metastructures Concepts and Tools of Nursing Informatics
McGonigle D. & Mastrian K. G. (2012). Nursing informatics and the foundation of knowledge (2nd ed.). Burlington MA: Jones & Bartlett Learning.
Chapter 7 Developing Standardized Terminologies to Support Nursing Practice
Rutherford M. A. (2008). Standardized nursing language: What does it mean for nursing practice?OJIN: The Online Journal of Issues in Nursing 13(1). Retrieved fromhttp://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/vol132008/No1Jan08/ArticlePreviousTopic/StandardizedNursingLanguage.html

 

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Explain why the increase in the manager’s use of group behavior-based feedback is important. In a three-to five-page double-spaced paper (excluding title and reference pages) address the following: Week 2 Assignment

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Explain why the increase in the manager’s use of group behavior-based feedback is important. In a three-to five-page double-spaced paper (excluding title and reference pages) address the following:
Week 2 Assignment

Case Study: Organizational Behavior Management

Read the case study, Improving Responses to Medical Errors with Organizational Behavior Management, in Chapter 4 of your course text. In a three-to five-page double-spaced paper (excluding title and reference pages) address the following:

Explain why the increase in the manager’s use of group behavior-based feedback is important.

Propose intervention strategies the group leader can use to enhance the group effectiveness.

Justify your proposed strategies with scholarly and/or peer-reviewed sources.

Explain the motivational theory applicable to sustain the four results listed in the case study.

Including an introduction and conclusion paragraph, your paper must be three to five double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Writing Center. Including the textbook, utilize a minimum of three (one of which is the case study article used for review) scholarly and/or peer-reviewed sources that were published within the last five years. Document all references in APA style as outlined in the Writing Center APA Checklist.

Course Text

Frates, J. (2014). Health care management: Theory in action. San Diego, CA: Bridgepoint Education, Inc.

Case Study: Improving Responses to Medical Errors with Organizational Behavior Management

A 146-bed general acute care community hospital in southwest Virginia conducted an assessment of patient safety needs and the various organizational behavioral management techniques used by hospital managers in response to the nine most frequently reported patient safety events. The most frequently reported category of patient safety events (errors) was procedure/treatment variance, and the least effective management responses were to witnessed falls. The organizational behavioral management intervention therefore selected managers’ follow-up responses to procedure/treatment variance and witnessed falls as targets.

Managers first received the results of the needs assessment, then were instructed to (a) respond to the two targeted event types with corrective-action communication combined with individual and group behavior-based feedback and (b) use positive recognition to support behavior that prevented harm, including reporting events. For the 3-month intervention period, researchers Cunningham and Geller (2011) reviewed 361 patient safety event follow-up descriptions, with a total of 527 interventions that achieved the following results:

Reports of targeted event types increased in the first month of intervention, then decreased in subsequent months, indicating that the intervention increased employees’ sensitivity to the need to report close calls and learn from them.

The two targeted events displayed opposite trends in impact scores associated with managers’ follow-up actions during the intervention phase. The impact scores for follow-up behaviors for procedure/treatment variance increased sharply in the first month, then gradually declined in the next 2 months. In contrast, impact scores for follow-up behaviors for witnessed falls increased slightly in month one, then sharply in subsequent months.

Managers significantly increased use of individual and group feedback during the intervention phase and decreased use of no intervention, a significant improvement in the management of patient safety errors. Especially significant was the increased use of group feedback.

Participating managers and health care workers expressed positive perceptions of the intervention techniques used and related outcomes. Managers received summaries of the monthly events and intervention follow-up reports at monthly managers’ meetings and were encouraged to share them with their employees. Intervention perception survey results found that both managers and workers perceived an increase in managers delivering praise for behaviors to prevent harm than delivering reprimands for errors.

 

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Analyze improvement of health inequities specific to the citizens of Canada Evaluate success of Canadian population health interventions

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Analyze improvement of health inequities specific to the citizens of Canada
Evaluate success of Canadian population health interventions

Health Status in Canada

Analyze improvement of health inequities specific to the citizens of Canada
Evaluate success of Canadian population health interventions

 

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WHICH OF THE FOLLOWING “DEVELOPING COUNTRIES” WERE EXEMPTED BY THE KYOTO TREATY FROM FOLLOWING THE INITIAL EMISSIONS REDUCTIONS STANDARDS?

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WHICH OF THE FOLLOWING “DEVELOPING COUNTRIES” WERE EXEMPTED BY THE KYOTO TREATY FROM FOLLOWING THE INITIAL EMISSIONS REDUCTIONS STANDARDS?

This test has a time limit of 3 hours.You are to complete the test within the given time limit. When the time limit ends you will have the option to continue taking the test by clicking on the “Cancel” button which will appear. Please note that points may be deducted if you choose to exceed the allowable time limit. Warnings appear when half the time, 5 minutes, 1 minute, and 30 seconds remain. Multiple Attempts Not allowed. This test can only be taken once.

The power of the U.S. Government to take property from a private individual and use it for public purposes is:
Answer

Due Process
Equal Protection
Eminent Domain
Suffrage
Which of the following “developing countries” were exempted by the Kyoto Treaty from following the initial emissions reductions standards?
Answer

The United States
China
Canada
Japan
Concerns over national security and the environment led congress to pass which items?
Answer

A requirement that the FBI and Pentagon conduct a national intelligence estimate on global warming and climate change
A requirement that the CIA and Pentagon conduct a national intelligence estimate on global warming and climate change
A requirement that the CIA and NSA conduct a national intelligence estimate on global warming and climate change.
A requirement that the CIA and FBI conduct a national intelligence estimate on global warming and climate change.
Which of the following is an example of a significant environmental protection regulation passed by the Federal Government?
Answer

The Clean Air Act
The Resource and Recovery Act
The National Environmental Property Act
All of the above
None of the above
According to law professor Thomas Joo, the best group of persons for addressing the environmental concerns facing the world today is:
Answer

Shareholders
Directors and Officers
Environmentalists
The Government
Which of the following would be permissible “public uses” for to government obtaining land through Eminent Domain.
Answer

A public highway or road.
A sports stadium and/or arena
The rezoning of land for residential use.
Both A and B
All of the above
In FTC v. Silueta Distributors, Inc. and Stanley Klavir, Judge Armstrong ruled
Answer

That good faith reliance on another person’s representation is a valid defense to liability under the FTC Act.
The good faith reliance on another person’s representations is not a valid defense to liability under the FTC Act.
The good faith reliance on another person’s representations is not an issues in determining liability under the FTC Act.
None of the above.
In the case of IMS Health, Inc., et al v. Kelly Ayotte, Attorney General of New Hampshire, Judge Selya argues that
Answer

Pharmaceutical detailing is sometimes used in ways that benefit public health.
Pharmaceutical detailing does not distinguish between beneficial detailing and harmful detailing.
Neither A nor B.
Both A and B.
Identify the true statement(s) regarding freedom of speech:
I. It was not until the 1840s that legal doctrines protecting speech when offensive began to be recognized by the courts.
II. In the First National Bank v. Bellotti case, the Supreme Court struck down a state law prohibiting a corporation to advertise to influence voters on issues that did not “materially affect” its business.
III. In the Virginia Board case, the U.S. Supreme Court failed to link the “right to receive information and ideas” with the traditional values that underlie free speech.
IV. The Prescription Information Law expressly allows the transmission or use of both patient-identifiable data and prescriber-identifiable data for certain commercial purposes.
Answer

 

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Do you agree with the out of court settlement and no liability to Nurse Practitioner? Defend/discuss your answer. Case Study #2: Alleged improper admission orders resulting in morphine overdose and death

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Do you agree with the out of court settlement and no liability to Nurse Practitioner? Defend/discuss your answer.
Case Study #2: Alleged improper admission orders resulting in morphine overdose and death

There were multiple co-defendants in this claim who are not discussed in this scenario. Monetary amounts represent only the payments made on behalf of the nurse practitioner. Any amounts paid on behalf of the co-defendants are not available. While there may have been errors/negligent acts on the part of other defendants, the case, comments, and recommendations are limited to the actions of the defendant; the nurse practitioner.

The decedent patient (plaintiff) was a 72 year old woman who had been receiving hospital care for acute back pain resulting from a fall. Her past history included chronic pain management and end-stage renal disease for which she received hemodialysis. She was to be transferred to the co-defendant nursing facility for reconditioning and physical therapy prior to returning to her home.

The nurse practitioner (defendant) was on-call at the time of the patient’s transfer, and the nursing facility contacted her and read the orders to the defendant nurse practitioner over the telephone. The defendant nurse practitioner questioned the presence of two morphine orders for different dosages with both dosages administered twice daily. She instructed the nurse to clarify the correct morphine dosage with the transferring hospital’s pharmacist and to admit the patient only after the pharmacist clarified and approved the morphine orders. The defendant nurse practitioner had no further communication with the facility and no other involvement in the patient’s care. The facility nurse telephoned the hospital pharmacist who approved both morphine orders, and the patient was admitted to the nursing facility.

During the first evening and full day of her nursing facility stay, documentation revealed the patient to be alert and oriented. On the second day, she was found by nursing staff without vital signs. Despite immediate chest compressions and EMS additional resuscitation measures, the patient was pronounced dead. The autopsy results listed the cause of death as morphine intoxication. Surprisingly, the patient also had an elevated blood alcohol level (equal to drinking three to four alcoholic beverages). Because the source of the alcohol could not be identified, the medical examiner was unable to rule out accident, suicide or homicide and classified the manner of death as undetermined.

 

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Write 3–4 pages in which you apply research findings on aging to determine the accuracy of myths of aging and analyze how the research could be used to change the way society thinks and acts toward older people.

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Write 3–4 pages in which you apply research findings on aging to determine the accuracy of myths of aging and analyze how the research could be used to change the way society thinks and acts toward older people.

Write 3–4 pages in which you apply research findings on aging to determine the accuracy of myths of aging and analyze how the research could be used to change the way society thinks and acts toward older people.

When we think about growing old, what myths and stereotypes come to mind? Our society frequently depicts aging as bad and the elderly as frail, forgetful, grouchy, inflexible, and unable to learn new things. But are these beliefs accurate?

Suggested Resources
The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.

CAPELLA MULTIMEDIA
Click the links provided below to view the following multimedia pieces:

The Ebb of Time | Transcript.
Alzheimer’s Resource Bank | Transcript.

 

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How should the management at Happy Valley Hospital retain their existing staff members? Human Resources Management: Case Study

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How should the management at Happy Valley Hospital retain their existing staff members?
Human Resources Management: Case Study

Happy Valley Hospital is a community-based health care facility with a reputation for providing quality health care services to the residents of Happy Valley and its surrounding markets. The hospital has a 288-bed acute care facility with a twelve suite family oriented birthing center, a forty four bed long-term care inpatient facility, and a fourteen bed inpatient rehabilitation unit.
Happy Valley has two major competitors, CMC and GH. CMC have four hundred beds and is a tertiary acute care facility. It specializes in women and children’s services, serves as the regional trauma center, has a large and active emergency department, and provides cardiac services, including open-heart surgery. GH has two hundred beds, a small cancer center, and a kidney dialysis unit.
Happy Valley Hospital has received numerous recognition awards for excellence in health care during the past five years. Because of its reputation for clinical excellence, it has not had difficulty in retaining its nursing and clinical staff.
However, recently there have been changes in leadership at CMC at the levels of CEO and Vice President of nursing. Employees of Happy Valley Hospital in several key areas have been drawn to work at CMC because of the promises made by new management for better pay and working conditions. They have begun to relocate in large numbers to CMC. Happy Valley now faces a serious employee shortage among registered nurses, radiology technicians, and respiratory therapists.
On the basis of your understanding of the above case study, express your views on the following:
How should the management at Happy Valley Hospital retain their existing staff members?
What steps should the management at Happy Valley Hospital take to ensure smooth running of the hospital operations in such a crisis situation?
In your opinion, what should the recruitment team at Happy Valley Hospital do to overcome serious employee shortage among registered nurses, radiology technicians, and respiratory therapists?

 

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Define psycho-physiological illness, and describe the effect of stress on immune system functioning, and coronary heart disease

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Define psycho-physiological illness, and describe the effect of stress on immune system functioning, and coronary heart disease

Identify ways people cope with stress, and describe how a perceived lack of control can affect health.

 

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DOES BREASTFEEDING HAVE A PROTECTIVE EFFECT ON ROTA-VIRUS IN CHILDREN.One page doubled-space with one inch margin paper. This page will be part of my discussion for my systematic review paper.

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DOES BREASTFEEDING HAVE A PROTECTIVE EFFECT ON ROTA-VIRUS IN CHILDREN.One page doubled-space with one inch margin paper. This page will be part of my discussion for my systematic review paper.

One page doubled-space with one inch margin paper. This page will be part of my discussion for my systematic review paper. I will be attaching a sample of a systematic review in it you can view the discussion section. On my one page i would like to get quotes from these 5 articles to proof they do support my hypothesis “Does breastfeeding have a protective effect on rota-virus in children”. Citation must be made APA style. thank you

 

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