Archive for category: My Nursing Writer

Application: Strategic Plan for Change. Inadequate documentation of antipsychotic medications monitoring approved.

Application: Strategic Plan for Change
“Measurement is the first step that leads to control and eventually to improvement. If you can’t measure something, you can’t understand it. If you can’t understand it, you can’t control it. If you can’t control it, you can’t improve it.”

—H. James Harrington

Effective nurse managers recognize the innumerable challenges in contemporary health care organizations—and, they pursue solutions.

As you continue to progress professionally, you will likely discover many opportunities for improvement in your own workplace. For instance, you may notice issues with the performance appraisal system, operational planning, staffing, or patient classification system. Clinical problems such as hourly rounds, medication errors, fall risks, or any other problem you observed are also prime for needing change. As a leader/manager you can contribute toward addressing these challenges to produce positive results and create sustainable change through a structured process of strategic planning.

For this Assignment, you explore one challenge that you would like to see addressed in your organization or one with which you are familiar. You will continue to work on this Assignment over the next several weeks. This Assignment also serves as your Portfolio Assignment.

To prepare

Read the full Assignment instructions in the Strategic Plan for Change—Overview document, located in this week’s Learning Resources.
Identify a problem that you would like to investigate for this Assignment.
SELECTED TOPIC:Inadequate documentation of antipsychotic medications monitoring approved.

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A brief assessment of the organization’s risk management program, including what works well and what could work better (the pros and cons).

Select a health care organization in your community to conduct an interview with an appropriate risk management employee. The organization can be your current employer, or a different health care facility in your community. Acute care, urgent care, large multi-provider private medical clinics, assisted living facilities, and community/public health clinical facilities are all ideal options to complete the requirements of this assignment. Make sure to select an individual who can provide sufficient information regarding how that organization manages risk within its facility to answer the questions below.
In your interview, address the following:
1. Identification of the challenges the organization faces in controlling infectious diseases.
2. Risk management strategies used in the organization’s infection control program, along with specific examples.
3. How the facility’s educational risk management program addresses key professional issues, such as prevention of negligence, malpractice litigation, and vicarious liability.
4. Policies the facility has implemented that address managing emergency triage in high-risk areas of health care service delivery.
5. Strategies the facility utilizes to monitor and maintain its risk management program.
Post-interview, compose a 750-1,000 word summary analysis of the interview to include the questions above as well as the following elements:
1. A brief assessment of the organization’s risk management program, including what works well and what could work better (the pros and cons).
2. Action steps you would take to improve the program. Select one area and provide your rationale and possible steps required to implement your suggestion.

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Discuss the social and cultural norms of your vulnerable population and how these play a role in the need for the services offered by your program.

In the first two written assignments, you selected one vulnerable population in need of a new program or service in your community. In this project, you will finalize the research that allows you to understand elements that go into designing and launching a community service. The Final Project will be written using a persuasive tone, such that you would be able to present it in order to gain community and organizational support for your program. The Final Project must demonstrate an understanding of the reading assignments, class discussions, as well as your research and application of new knowledge. Your project must contain the following elements:

A description of the vulnerable population and why they need assistance in your community.

A description of the health service needs of the vulnerable population you have chosen to serve with your program.

In order to support the need for the service you propose, cite statistical data obtained from your county health department, state health department, and organizations or agencies who serve the vulnerable population.

A description of your proposed community service or program; include the specific service(s) provided and one continuum of care level (prevention, treatment, or long-term care). Explain how the selected service(s) and the continuum of care will impact the chosen population.

Discuss the social and cultural norms of your vulnerable population and how these play a role in the need for the services offered by your program. Describe how the vulnerable population experiences the health care system. Analyze methods your program can use to overcome social and cultural differences.

Identify two or more community organizations or agencies with which you can partner in order to implement your program. Explain how these organizations can help you implement the services you offer and the continuum of care offered by the potential partnering agencies. Explain which services these organizations will provide to your clientele that are not covered by your program.

Analyze at least four potential funding sources for your program, one of which must be from a state funded agency, one of which must be from a federally funded agency and the remaining two can be not-for-profit or for-profit business sources. Explain what factors must be met in order to receive funding from your sources.

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Explain Comfort Theory applied to Pediatrics.Critique your selected theory (Comfort Theory and its Application to Pediatric Nursing) based on Fawcett’s criteria.

The assignment refers to using Fawcett’s criteria for evaluating theory (Criteria for Evaluation of Theory, Fawcett 2005 article; attachment) to evaluate the theory: Comfort Theory and its Application to Pediatric Nursing.Make sure to address each of the elements as described by Fawcett such as:Parsimony- Is the theory content stated clearly and concisely?Testability- Does the research methodology reflect middle range theory?Are the middle range theory concepts observed through instruments that are appropriate empirical indicators of those concepts?Do the data analysis techniques permit measurement of the middle range theory propositions?Empirical Adequacy- Are theoretical assertions congruent with empirical evidence?I have included some references here. More recent references (less than 5 years) should be looked up and referenced.Stephens, B., Barkey, M., & Hall, H. (1999). Techniques to comfort children during stressful procedures. Advances in Mind-Body medicine, 15, 49-60.Pediatric NursingComfort Theory and Its Application to Pediatric NursingKatharine Kolcaba; Marguerite A. DiMarcoDisclosuresPediatr Nurs. 2005;31(3):187-194.

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Some antibiotics act by binding to certain enzymes in the target bacteria. Describe the mechanism of enzyme action.

Discussion 1 –
Some antibiotics act by binding to certain enzymes in the target bacteria. Describe the mechanism of enzyme action. How might these antibiotics influence the chemical reactions controlled by the enzymes? What is the anticipated effect on the bacteria? On the person taking the antibiotic prescription?

Dicussion 2-
In the last module, we discussed the legal use of DNA analysis in forensic medicine. In this discussion, we will take a look at some of the internal machinery of the cell. Organelles are essential for specific functions associated with a cell. For example, you would expect to find an abundance of mitochondria in a cell involved in energy requiring process, such as active transport of an ion. Select an organelle and discuss what functions might be effected in the body if this organelle was defective.

Disussion 3-
Epithelia form continuous sheets of cells that cover surfaces in our body. They are important in the formation of membranes which act as a barrier and interface between compartments of the body. Choose an area of the body covered by epithelia (different from the ones your classmates have chosen) and explain how a break in this epithelial barrier might affect the functioning of a specific body membrane

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