Archive for category: My Nursing Writer

Identify a PATIENT CENTERED clinical topic in which you have an interest and one that requires nursing interventions to achieve improved patient outcomes.

Describe why you have an interest in this clinical focus and why you believe it is relevant to nursing evidence-based practice.
Discuss the specific steps you would use to conduct a literature review on that topic. What databases and what search criteria would you use, and why?

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WHICH OF THE CATEGORIES OF WEAPONS OF MASS EFFECT IS THE HEALTHCARE INDUSTRY MOST PREPARED TO DEAL WITH?

Which of the categories of weapons of mass effect is the healthcare industry most prepared to deal with?

There are different categories of weapons of mass effect—chemicals, biological pathogens and toxins, radioactive materials, nuclear devices, and nonconventional high-yield explosives. Out of these, biological weapons are used in a terrorism type called bioterrorism. According to the Department of Health and Human Services (HHS), there are the six focus areas for preparedness and response to bioterrorism and other outbreaks that are detrimental to public health.

On the basis of your understanding of the topic of bioterrorism and our preparedness to handle the health services requirement during any such attack, answer the following questions:

Which of the categories of weapons of mass effect is the healthcare industry most prepared to deal with? Why? Provide a factual basis for choosing the particular category of weapons. Which of these categories is the healthcare industry least prepared to deal with? Why?
What are the six focus areas, for preparedness and response to bioterrorism and other outbreaks, covered in your course textbook? Are these focus areas still relevant? Why or why not?
Research and explain the meaning of each focus area. Which focus area is the most important and why?
Which focus area would be the most challenging? And why?
Why is communication an important variable within calming fears and suppressing rumors?
Preparing for a bioterrorist attack presents unique challenges in the United States. There are no real wide-scale events you can study to prepare for a bioterrorist attack. In the absence of this experiential knowledge, training exercises are often used. Answer the following questions regarding the training exercises for preparation for bioterrorist attack:

Why are training exercises important in planning for a bioterrorist attack? How would you use training exercises to help prepare the staff of a hospital from a bioterrorist attack?
What are the benefits of real-life training scenarios involving multiple agencies?
Using the Internet, research on Amtrak’s “Operation Rail Safe” program. Would hospitals and medical centers benefit from a program of this nature to aid in their preparation?
Triage is a process developed by the military to cope with large number of victims of combat or disaster situations. In many disaster situations, it becomes necessary to triage patients in order to assess their medical needs and decide how to allocate the resources and staff available to treat the incoming patients. Using the Internet, research on nerve agent “sarin” and answer the following questions in regard to the above process:

What criteria would you use in the emergency room to triage patients with potential exposure to the nerve agent sarin?
How would you classify the incoming patients when triaging them? Why?
You are the chief executive officer (CEO) of a major hospital. A bioterrorist attack just occurred in your city. The ICS has been activated. Despite the infusion of this additional money provided by the government after the event of September 11, 2001, to the healthcare industry, in an effort to prepare the industry for a possible bioterrorist attack, some people feel that the healthcare industry in US is still unprepared for a bioterrorist attack. As a CEO, you need to assess the situation and prepare your hospital to deal with the situation.

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What is the impact on net operating income by discontinuing housekeeping program? (Input the amount as a positive value. Omit the “$” sign in your response.

Jackson County Senior Services is a nonprofit organization devoted to providing essential services to seniors who live in their own homes within the Jackson County area. Three services are provided for seniorsAf?cAc‚¬”home nursing, Meals On Wheels, and housekeeping. In the home nursing program, nurses visit seniors on a regular basis to check on their general health and to perform tests ordered by their physicians. The Meals On Wheels program delivers a hot meal once a day to each senior enrolled in the program. The housekeeping service provides weekly housecleaning and maintenance services. Data on revenue and expenses for the past year follow:
Total Home Nursing Meals On Wheels House
keeping
Revenues $ 900,000 $ 260,000 $ 400,000 $ 240,000
Variable expenses 490,000 120,000 210,000 160,000
Contribution margin 410,000 140,000 190,000 80,000
Fixed expenses:
Depreciation 68,000 8,000 40,000 20,000
Liability insurance 42,000 20,000 7,000 15,000
Program administrators’ salaries 115,000 40,000 38,000 37,000
General administrative overhead* 180,000 52,000 80,000 48,000
Total fixed expenses 405,000 120,000 165,000 120,000
Net operating income (loss) $ 5,000 $ 20,000 $ 25,000 $ (40,000)
*Allocated on the basis of program revenues.
The head administrator of Jackson County Senior Services, Judith Miyama, is concerned about the organization’s finances and considers the net operating income of $5,000 last year to be too small. (Last year’s results were very similar to the results for previous years and are representative of what would be expected in the future.) She feels that the organization should be building its financial reserves at a more rapid rate in order to prepare for the next inevitable recession. After seeing the above report, Ms. Miyama asked for more information about the financial advisability of discontinuing the housekeeping program.

The depreciation in housekeeping is for a small van that is used to carry the housekeepers and their equipment from job to job. If the program were discontinued, the van would be donated to a charitable organization. Depreciation charges assume zero salvage value. None of the general administrative overhead would be avoided if the housekeeping program were dropped, but the liability insurance and the salary of the program administrator would be avoided.

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WRITE a brief description of the current event you selected. Then, describe emotional intelligence portrayed by leader(s) in the event.

WRITE a brief description of the current event you selected. Then, describe emotional intelligence portrayed by leader(s) in the event. Finally, explain how emotional intelligence may have affected the final outcome of the event. Be specific.

In the early 20th century, rural areas of China experienced deplorable health conditions. Due to extreme poverty and lack of access to adequate medical care, nearly 80% of China’s population, the percentage living in rural areas, teetered on the verge of death. In an attempt to solve the public health crisis, the Chinese government commissioned doctors, known as “barefoot doctors.” These doctors used specific behaviors that connected to and were understood by residents in the community. With specific behaviors that shaped a style of leadership, these doctors educated rural residents on basic healthcare practices. Although “barefoot,” these doctors projected a wealth of knowledge, leading others to better health and a better way of life (Valentine, 2005).
Previous to the 1990s, an individual’s Intelligent Quotient (IQ) remained an unquestioned, central standard of learning. With a high IQ, it may be assumed an individual might be well-versed in knowledge in order to tackle any problem, making effective and efficient decisions. Yet, contemporary research also indicates that good problem-solving and quality decision making did not always stem from one’s IQ, but more importantly one’s Emotional Intelligence (EI). In fact, a variety of studies have shown that “emotional intelligence competencies account for anywhere from 24 to 69 percent of performance success” (Lynn, 2008).

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Identify the factors that have led to the current realities of long-term care in the United States.

: HUMAN RESOURCES AND STAFFING CRISIS AT BLUMBERG’S NURSING HOME

Blumberg’s Nursing Home (BNH) is a 100-bed Medicare and Medicaid certified facility in suburban Philadelphia, PA. The administrator recently terminated the facility’s Director of Nursing (DON), receptionist, and dietary aid for inappropriate conduct. They had all been involved in purchasing and using illegal substances on facility grounds. Facility staff, as well as many of the more lucid residents, have found out about the incident.

The charge nurse has been appointed interim DON. The human resource manager has sent a memo to all staff informing them of a mandatory staff meeting to discuss BNH’s code of ethics and to provide additional training on workplace culture. Because federal law requires that there be at least one (1) registered nurse on duty for a minimum of eight (8) hours a day, seven (7) days a week, and that the DON must be a registered nurse (RN) – which the interim DON is not – BNH is out of compliance.

Write a four to six (4-6) page paper in which you: 1. Assess the immediate staffing needs at BNH. Prioritize the order in which BNH should fill the main unstaffed position(s). Justify your selection(s). 2. Considering the reason behind the termination of the employees, formulate a human resources policy that addresses inappropriate conduct in the workplace, the process of reporting inappropriate conduct, and the consequences of violating the policy. Explain your rationale. 3. Per the text, an effective long-term care facility administrator must have both leadership and management skills. Propose at least one (1) way the administrator in this case must demonstrate quality leadership skills, and one (1) way the administrator must demonstrate quality management skills in the aftermath of this crisis so as to improve and maintain staff and resident morale. 4. Recommend a strategy for BNH to use the Quality Indicator Survey to improve administrative practices and ensure future compliance at the facility. Justify your recommendation. 5. Use at least three (3) quality academic resources. Note: Wikipedia and other similar websites do not qualify as academic resources.

Your assignment must follow these formatting requirements: • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are: • Differentiate the administrative functions of long-term care practices from those of other healthcare administrative services. • Identify the factors that have led to the current realities of long-term care in the United States. • Assess the various stakeholder groups of long-term care along with the nature of the relationship(s). • Recommend how a company can use the Quality Indicator Survey to improve administrative practices. • Use technology and information resources to research issues in long-term care management.

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