Archive for category: My Nursing Writer

You are the newly hired Director of Performance Improvement at the Brownville Memorial Hospital. You were hired to improve the hospital’s compliance with federal, state, and local regulations. Additionally you are responsible to ensure that all standards related to quality assurance, patient protections, infection control, safety, risk management, and staff education are followed. You report directly to the hospital Chief Executive Officer (CEO) and you oversee the Quality Assurance and Performance Improvement (QAPI) staff.
The CEO wants the hospital to upgrade to a higher patient centered medical home (PCMH) recognition level in 18 months. He has given you your first project which is to improve patient and family ratings on the hospital satisfaction survey. As you review previous Press Ganey Satisfaction Surveys you note that patients and families consistently rated the hospital staff poorly on providing information that made it easy to understand and improve their health. Many survey comments stated that patients “found the health information they were given confusing and did not know how to act on it.”
Brownville is a 500 bed hospital situated in a large metropolitan area with more than 750,000 residents, many of whom are Black, Asian, and Hispanic. 35% of the residents are foreign-born and speak a language other than English at home. The median household income is $35,000 per year and more than 30% of residents did not graduate from high school. The hospital provides primary care, specialty care, and support services to area residents with a large direct patient care staff (including physicians, nurses, physician assistants, medical assistants, nursing assistants, social workers, therapists, technologists, technicians, phlebotomists, and pharmacists).
To begin your first project, you have decided to develop and implement a long-term staff education program that will focus on “health literacy.” You and your staff will be rolling out this program to all hospital staff members. The first activity will be a workshop for all existing and new staff. You will deliver the workshop in person to small groups (40 staff members) over the next 2 months.
Your key areas of concern are that all staff (address 2 key areas for assignment):
● communicate clearly with patients
● utilize the patient friendly health education materials available and disseminate take-home materials
● address language and cultural differences (with support from translation services available through telephone)
● help patients to remember how and when to take their medicines
● encourage patients to ask questions
Therefore, you will develop a 20-minute (maximum) workshop presentation that clearly explains health literacy, key communication principles, and addresses 2 of your key areas of concern. You have decided to give the CEO a preview of your workshop at your next meeting so that he knows that you are dedicated to performance improvement.

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Health Data Breach Response Plan: A Managed Care Organizations Comprehensive PlanHealth Data Breach Response Plan: A Managed Care Organizations Comprehensive Plan

Health Data Breach Response Plan: A Managed Care Organizations Comprehensive PlanHealth Data Breach Response Plan: A Managed Care Organizations Comprehensive Plan
Order Description
s the Chief Privacy Officer (CPO) of a competitive managed care organization you have been advised of a breach in the privacy security and confidentiality of
sensitive patient data that occurred at the hands of an employee who was a willing participant in a large identify theft ring. After a tip received from the FBI a six
(6) month investigation was conducted. The employee sold hundreds of health records over the span of three (3) years for an undisclosed amount of money. After
immediate termination and prosecution the next step is to develop a comprehensive Health Data Breach Response Plan a project assigned to you by the CEO.
Deliverables: The final product to submit is a comprehensive plan that includes the following:
Propose a data response plan that address the following:
Step One: The organizations response to the notification of a breach
Step Two: Identify those responsible parties (by titles) to respond to the notification of breach and explain each of their roles in the process
Step Three: Procedure(s) to confirm the occurrence of a breach & identify the involved scope/type of data involved
Step Four: A three (3)-point system measure to impact of the data breach & the action(s) taken for each level of impact
Step Five: Data breach response and corrective practices
Step Six: Monitor/test effectiveness of response and corrective practices
Step Seven: Notification (public and customer (specify whether all customers are notified or just those impacted)
Proposed annual schedule of conducted risk analysis (frequency) to access the organizations susceptibility of data security risks and identify the identified person(s)
to conduct the scheduled risks analysis
Create a risk analysis data security checklist to identify human technical environmental and natural threats
Required checklist categories: identified threat contributing factors example of threat the likeliness of occurrence and the potential impact to the organization
(negative impacts)
Determine a system to determine/rate the likeliness of occurrence and the potential impact to the managed care organization
A list of specific resources in place to respond to a data breach
Identification and the incorporation Health Insurance Portability and Accountability Act (HIPAA) security standards safeguards within the data response plan:
Administrative Safeguards
Physical Safeguards
Technical Safeguards
Create an agenda of topics to present in an organization-wide employee training on the topic What is My Role in the Prevention of an Organizations Breach of Data
2. Do not create a sixteen page document. The template is only for learning. Keep it to 3 pages single spaced.
3. Follow the steps in the assignment instructions. Only provide a few sentences per section. Nothing verbose.
4. Pick two sections and drill down on them to add substance. Be thoughtful about which sections to drill down on. Tell the reader why you are offering more substance
in that particular area. Consider your audience and the situation. Pick and choose what is important to say. You may even say something like more information will be
needed to continue with this analysis such as to close out a section.
5. Provide examples or reference materials by inserting links in your document if that makes sense to you.
6. Insert links in your document as source material instead of having a list of references.
7. Find examples on the internet and paraphrase them use them as a guide insert a hyperlink so that you are referencing them properly and not taking credit for the
work.
We are not reinventing the wheel. All of this information lives on the internet somewhere. Or in a guide of some sort. Have you taken advantage of resources that are
offered by national associations such as ACHE and others?

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I NEED YOU TO COMMENT FROM THIS POST NO MORE THAN 150 WORDS NEEDED AND A REFERENCE PLEASE.

Culture and the values learned within a cultural group are critical to how people perceive health health care and nursing care providers (Maurer Smith 2013). A community health nurse be educated in the cultural values beliefs views and their accepted way of life in order to provide care in a manner that the patient population will accept and understand.
Whether community/public health nurses focus on an individual group or community as the unit of care these concepts must be understood to provide the best possible nursing care (Maurer Smith 2013)
The deliberate act of keeping cultural heritage from the present for the future is known as preservation (Maurer Smith 2013) . These are practices that have been past down through multiple generations and provide a sense of pride to that culture. The Chinese culture of acupuncture to relive pain is a cultural preservation practice (americannursetoday.com 2017). This has been shown to proven to control pain and can be used as part of the care plan for pain control. They risk infections organ damage and bleeding if not preformed correctly(mayoclinic.org 2017). The nurse may not believe in the practice and try to encourage medication only.
Cultural accommodation is respecting a practice of a culture that has not been proven to work but does not cause harm to the patient (Maurer Smith 2013) . The Mexican culture places a metal object on the navel of a sick newborn because it is believed assist in healing (americannursetoday.com 2017). . This has no evidenced based research proving any type of healing nor places the new born in danger. The nurse will incorporate this practice in the care plan of the new born showing respect for the cultural practice. May prevent the parents from seeking medical interventions in a timely manner resulting in a very ill newborn when seeking care. The care giver may not fully understand this practice and perceived the parents as neglectful and possible case for protective services.
Cultural repatterning is changing a practice that may interact in medical treatment (Maurer Smith 2013) . The African American Culture believes in prayers and folk medicines for healing. This may prevent the patient from compliance with their treatment plan that has a proven positive outcome. A cancer diagnosis brings increased prayers home made medicine that has been past down from previous generations and refusal of medical treatment. My culture believes that air causes cancer to spread and will refuse recommended proven medical intervention. Having little to no understand faith or trust medical practice because Jesus heals the sick. No matter how much information is given or who presents it the cultural practice of prayer over rules all.
Culture brokering gives professionals the tools to assess cultural factors so they can work more productively with clients from diverse backgrounds (Jezewski 1990) . If a patient does not speak or understand English a culture broker will translate the information between the care giver and patient. . As the medical professional explains a cardiac cauterization to a patient the broker can use a brochure with pictures of the procedure as a visual tool. Translating each step in correlation with the doctor pictures terms the patient understands being mindful of cultural implication of medical care by strangers. The patient may not have trust in the broker if no prior relationship existed and refuse treatment.
I NEED YOU TO COMMENT FROM THIS POST NO MORE THAN 150 WORDS NEEDED AND A REFERENCE PLEASE.

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Analyze the behavior of the investigator(s), including the analysis of the crime scene.
Investigative Psychology

There is a documented psychology to criminal investigators and investigations. It is important to analyze how our biases and assumptions influence our assessment of individuals and to analyze and understand psychological profiling in law enforcement. This provides a platform to determine cultural-based behavior patterns that may be specific to certain segments of the population. It is also important to understand the impact of these events and the psychological ramifications for victims and for investigators.

After completing this week’s required reading, you will

Analyze the behavior of the investigator(s), including the analysis of the crime scene.
Describe the psychological, behavioral, environmental, and cognitive factors that you believe influenced the investigation. (The goal is to understand the role these factors play in how an investigation is conducted and potentially on the outcome of the investigation.)
Discuss what role, if any, the psychological profile of the offender played in how the investigation was conducted and in any subsequent court proceedings.
Analyze how our biases and assumptions influence assessments of individuals.
Describe how cultural-based behavior patterns specific to certain segments of the population impact these biases and assumptions, particularly relative to psychological profiling in law enforcement.

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Observe rhythm for increased ventricular rate with atrial fib and deterioration in cardiac status with ectopy or onset of chest pain.

Heart Failure Treatments and Drugs”,

Nursing interventions that would be appropriate for Ms J during her admission to the ICU would include the following:
Continuous monitoring of VS and oxygen saturation after nasal O2 is applied – if saturations do not improve change to mask and do not rule out possible intubation – elevate HOB to a semi-fowlers position to facilitate easier effort of breathing
Assess for changes in her alertness or signs of confusion or hypoxia
Observe rhythm for increased ventricular rate with atrial fib and deterioration in cardiac status with ectopy or onset of chest pain.
Provide an environment that allows for rest and decreased anxiety – organize nursing care to facilitate rest periods
Monitor intake and output for cardiac stability as well as dehydration from the onset of the flu
Auscultate chest more frequently for breath sounds to determine improvement or deterioration in status
Administer medications as ordered and assess for prn meds to facilitate reduction in fever, generalized achiness from flu, decrease anxiety and promote rest
Rationale for the following meds (“Heart Failure Treatments and Drugs”, 2017):
LASIX IV – Produces diuresis in the kidneys and dilation in the venous system to promote a preload reducing effect that is seen within minutes once administered. Promotes excretion of water from the body and decreases fluid in the lungs to improve breathing
VASOTEC – an Angiotensin-Converting Enzyme (ACE) inhibitor is a vasodilator that increases the blood vessels to lower blood pressure, improve blood flow and decrease the workload on the heart.
LOPRESSOR – A beta blocker that reduces the symptoms of oxygen demand and myocardial ischemia of heart failure, improves the pumping action, and lowers the heart rate and blood pressure. Also increases diastolic relaxation to allow for the heart to fill properly due to wall motion stiffness.
MORPHINE IV – Induces vasodilation and increases venous return to the heart, acts as a mild arterial dilator, decreases myocardial oxygen consumption, centrally suppresses symptoms of breathlessness, decreases anxiety and reduces pain.
Four CV conditions that may lead to heart failure; what medical/nursing interventions can prevent the development of heart failure in each condition:

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