Archive for category: My Nursing Writer

What might the legal consequences be to the health care organization if there is a delay in treatment?
Respond to at least two of your classmates

This paperwork of HCA 340 Week 5 Discussion Question 2 Healthcare Ethics & Law shows the solutions to the following problems:
A woman arrives at a suburban emergency room in active labor. Both she and her husband speak little English. The staff determines that the mother (and baby) is uninsured and unable to pay for healthcare services out-of-pocket. The baby is showing signs of distress and needs to be delivered. The on-call OB-GYN physician refuses to come to the hospital. He recommends that the patient be transferred to another facility.
1. What ethical principles relate to this case scenario?
2. What legal principles relate to this scenario?
3. What might the legal consequences be to the health care organization if there is a delay in treatment?
Respond to at least two of your classmates

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How would you determine if additional compensation would be required for trained nurses?
How would you quantitatively determine the cost of this initiative?

Read the Hospital scenario, located in the Allied Health Community. Be sure to review the Instructions and Legend information.
In a total of 250-500 words, respond to the questions located in the Hospital scenario.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Type of care provided
Scenario
Question 1
Question 2
Question 3
A hospital is an acute care short-term stay and emergency medical center that also includes medical
departments such as, surgical, obstetrics, infectious disease, radiology, laboratory and mental health.
How would you determine which skills, certifications, and licensur
e would be effective in retaining the
current nurses?
Is there a direct correlation between additional skills and retention and motivation of the nurses?
How would you determine who would be provided the skills development? Are all skills for all nurses
feasible?
You are the administrator of a medium-sized hospital. The Director of Human Resources has been
summoned to an executive team meeting in an effort determine why an unusual number of nursing staff
leaving for other employment. During the discussions, the Director of Nursing provides her thoughts re
–
garding why the nurses may be less productive and why some are departing. She states that the primary
reason is salaries/benefits. A charge nurse thinks the reason might be working conditions, especially
involving patient load in the various nursing units. Overall morale is low
, which is adversely affecting pro
–
ductivity. This has also resulted in some patient quality outcomes discovered by the Continuous Quality
Improvement team.
During the discussion, the Senior Director of Admissions shares some experiences she had with a for
–
mer employer–that the nursing staff tended to remain longer with the employer based on good working
conditions, specifically in the area of learning new skills, obtaining additional certifications, licensure, and
cross-training for other areas not usually assigned. She feels that these measures result in higher reten
–
tion and patient quality outcomes.
After the meeting, you meet with the Director of Nursing and Human Resources Director, who is also in
charge of all training and development for the hospital. As the administrator
, you consider developing
a small group to explore the feasibility of providing more skills development and training to your current
nursing staff. Before implementing this directive, consider the following:
Question 4
Question 5
How would you determine if additional compensation would be required for trained nurses?
How would you quantitatively determine the cost of this initiative?

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Analyze and evaluate the different leadership theories and behavior approaches, including the Tuckman four stages of group development model.

You are employed at a large global high-tech company that has offices worldwide in such places as Tokyo, London, Bombay, Toronto, Mexico City, Chicago, and Seattle to name a few. Although the sales has been reasonable these past few months even with the global economic crises, an internal crises exists related to employee morale being at an all-time low. There are many different beliefs on what is right and what is wrong across the board, especially when it comes to the cultural and communication differences and the technological equipment challenges. There are also concerns regarding the selfishness of the employees; where the employees do not enjoy working as a team. You supervisor has tasked you as the as the VP of the Service Department to prepare a research paper that will communicate information and solutions as well as provide a foundation of knowledge so that you can work with your peers and employees to solve these problems. At a minimum, your research paper must:

Analyze and evaluate the different leadership theories and behavior approaches, including the Tuckman four stages of group development model.
Evaluate the importance of the internal environmental factors that include the cultural, language, political, and technological differences.
Apply the necessary steps to overcome the identified challenges with the different sources of power that must be taken into account.

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Maternal morbidity and mortality is a national health problem. Preventing complications of pregnancy is included in the 2020 National Health Goals. The purpose of this written assignment is to describe how evidenced based findings can improve patient outcomes related to obstetrical care.

Tanya Kim 36 G4 P4 was in labor for 36 hours when she had a cesarean birth for a failed induction of labor. She delivered a 9 pound 8 ounce male infant. Tanyas labor was induced with oxytocin at 41 weeks gestation and continuous epidural was placed during active labor. The epidural was discontinued after delivery. She has iron deficiency anemia but otherwise an unremarkable medical history. She has no known allergies. Her obstetrical history includes 1 spontaneous abortion 6 years ago vaginal delivery of twins 4 years ago one singleton vaginal delivery 2 years ago and the cesarean birth today. Tanya plans to breastfeed her infant.
Two hours post-delivery the RN assesses the following:
Vital signs: BP 90/62 pulse 88 Respirations 22 temperature 98.6F
Skin color: pink
Fundus: boggy firms with fundal massage midline and at umbilicus.
Lochia: Heavy rubra with nickel-sized clots
Pain: Uterine cramping rates pain 4 out of 10 on verbal pain scale
Intravenous fluids: 3000 mL Lactated Ringers with 20 units of Pitocin in each bag.
Urinary output: 200 mL since delivery (urinary catheter in place)
Patient comments: Im really tired. I have been up for the last two nights.
One hour later the patient puts her light on and makes the following comment:
Im really bleeding a lot! The RN comes in the room and notes increased vaginal bleeding. The patient is pale diaphoretic and the uterine fundus is boggy. The fundus does not firm with massage.
Using APA format write a 2-3 page paper (excludes cover and reference page) that addresses the following:
Identify at least one (1) risk factor from the patients obstetrical history associated with the primary problem. Describe why this piece of obstetrical history places the patient at risk for the identified problem.
Early identification of emergencies in the obstetric setting is essential to save lives. Four (4) approaches are identified in the literature that can be utilized to positively impact patient outcomes: simulations drills protocols vital sign alerts. Select one of these approaches and address the following:
Discuss two (2) benefits and two (2) limitations of the selected approach.
Describe two (2) ways by which this approach will improve patient outcomes in the perinatal setting.
A minimum of two (2) current professional references must be provided. Only one (1) textbook that is no more than one (1) edition old may be used.
Current references include professional publications that reflect nursing care provided within the United States. Current nursing professional references must be current (five [5] years or less). Reliable internet sources such as those offered by government agencies academic institutions or nationally recognized professional organizations may also be used. Examples of unacceptable internet sources include but are not limited to: Wikipedia medicinenet.com allnurses.com and any nursing blog site.
Compose your work using a word processor (or other software as appropriate) and save it frequently to your computer. Use a 12 font size double space your work and use APA format for citations references and overall format.

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How do the legal landscape and social environment of a health care setting change once workers engage in unionized activities?
Discussion: The Unionization of Employees

If there is no struggle, there is no progress—Frederick Douglass

Since their initial rise in the post-Civil War era, unions across the United States have called public attention to unfair labor practices, wage disparities, and inadequate benefits. Union leaders and nurse managers are learning to approach the unionization of employees as a partnership. Union leaders have taken strides to negotiate with managers in quick and efficient “good faith” dealings, while nurse managers enter negotiations with open minds and the intent to reach an agreement. To benefit future generations of nursing professionals, nurse managers must understand how to effectively respond to unionization attempts and how to partner with union leaders.

To prepare

Review the article “Making a Union/Management Partnership Really Work” in this week’s Learning Resources. Consider how the union and district health board portrayed in this article worked together to create the joint action group. Think about the positive outcomes of this endeavor. How might nurse managers work with health care unions to solicit such a partnership?

Examine the article “Unions in the Healthcare Industry,” taking note of the timeline of unionized activities such as the collective bargaining process, the campaign period, and the outcomes of unionization. How do the legal landscape and social environment of a health care setting change once workers engage in unionized activities?

Review the media pieces, “The Saga of TrulyGood Hospital” and “The Saga of Beneficent Hospital.”

Reflect upon the situations presented in each media case study, and select one for your Discussion posting.

Consider why the staff might be seeking union representation. As a nurse manager, consider the steps you might take to address the situation before, during, and after the time period depicted in the case study.

Note: Before you submit your initial post, replace the subject line (“Week 3 Discussion”) with the name of the case study you selected. (So, Give me the name of the case)

Post a description of at least one reason the nursing staff in the case you selected might decide to unionize. Explain three steps you, as a nurse manager, could take to effectively respond to unionization attempts. Then, discuss HR’s role in helping to legally address labor relations and unionization attempts. Justify your response by citing past experiences with unions, union organizing activities, current labor policies, and/or this week’s Learning Resources.

Respond to at least two of your colleagues on two different days using the following approach:

Review the steps described by a colleague for effectively responding to unionization attempts. If a vote determines that the staff will be represented by a labor union, explain strategies your colleague might employ to establish a good working management/labor partnership with the union.

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