Flag records for deficiencies, and in general to be sure that records are kept accurately and up to date. In this facility the copying of medication orders is done only by credentialed nursing personnel.

Flag records for deficiencies, and in general to be sure that records are kept accurately and up to date. In this facility the copying of medication orders is done only by credentialed nursing personnel.
You work as a health information clerk on an acute care wing of a hospital. Your duties are to post reports to patient records, to flag records for deficiencies, and in general to be sure that records are kept accurately and up to date. In this facility the copying of medication orders is done only by credentialed nursing personnel, and you are not credentialed for this duty. One afternoon the nurse in charge of the wing asks you to copy medication orders onto a group of charts. She has had an extremely busy day, and your doing this would help her to end her shift on time. You feel you know how to do the copying, but you also know this is not a duty you are allowed to perform. What do you do? Discuss your options and how you would handle the situation.

 
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DISCUSS THE SIGNIFICANCE OF NURSING AND MIDWIFERY RESEARCH WITHIN THE PRACTICE OF HEALTH Discuss the significance of nursing and midwifery research within the practice of health

DISCUSS THE SIGNIFICANCE OF NURSING AND MIDWIFERY RESEARCH WITHIN THE PRACTICE OF HEALTH
Discuss the significance of nursing and midwifery research within the practice of health
Discuss the significance of nursing and midwifery research within the practice of health professionals including the links between knowledge, research and practice
The role of research in advancing nursing and healthcare
1. Discuss the significance of nursing and midwifery research within the practice of health professionals including the links between knowledge, research and practice.2. Critically analyse the following statement “The nursing profession bases its practice on research”
As part of your discussion:• Identify and discuss one current nursing practice that you believe IS based on current research evidence; and• Identify and discuss one current nursing practice that you can find that is NOT based on current research evidence.

 
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Compare and contrast the roles of the NP, nurse educator, nurse informaticist, and nurse administrator in advanced practice nursing pertaining to clinical practice.

Compare and contrast the roles of the NP, nurse educator, nurse informaticist, and nurse administrator in advanced practice nursing pertaining to clinical practice.
Compare and contrast the roles of the NP, nurse educator, nurse informaticist, and nurse administrator in advanced practice nursing pertaining to clinical practice, primary care, education, administration, and research.
Examine regulatory and legal requirements for the state in which you plan to practice.
Describe the professional organizations available for membership based on your selected role.
Identify required competencies, including certification requirements for your selected role.
Predict the organization and setting, population, and colleagues with whom you plan to work.
Identify leadership attributes you currently possess, and attributes you may need to develop.
Determine how to attain and evaluate those missing attributes.
Describe the current policy and what needs to change; justify your conclusions with citations from the literature.
Provide the process required to make the change with key players and parties of interest.
Explain how you could lead the effort to make or influence the change in policy.
Predict the effect on healthcare quality if the change in policy is implemented
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Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change.
As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.
Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
A minimum of three scholarly references are required for this assignment.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 
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Discuss the difference in emphasis within the role of the nurse applied in the 3 other fields of nursing (that you are NOT currently studying) in assisting an individual to improve their quality of life through promoting health and recovery (in relation with the chosen health issue).Briefly identify other members of the inter-professional team who may have input into the care.

Discuss the difference in emphasis within the role of the nurse applied in the 3 other fields of
nursing (that you are NOT currently studying) in assisting an individual to improve their quality of life
through promoting health and recovery (in relation with the chosen health issue).Briefly identify other
members of the inter-professional team who may have input into the care.
1. Identify one of the health issues, define it and use appropriate statistics to contextualise the
extent of the problem or prevalence of the condition in the UK.
2. Choose 2 issues from the following; diversity, culture, environment, physiology, psychology, socio
economics, to explore how the chosen lifestyle issue/condition may impact on the health of an
individual(only choose 2 issues to discuss).
3. Identify a current health promotion strategy/policy to prevent illness and improve quality of life
for individuals and society in relation to the chosen health issue.
4. Discuss the difference in emphasis within the role of the nurse applied in the 3 other fields of
nursing (that you are NOT currently studying) in assisting an individual to improve their quality of life
through promoting health and recovery (in relation with the chosen health issue).Briefly identify other
members of the inter-professional team who may have input into the care.
You need to discuss the role of the nurse in the 3 other fields of nursing that you are NOT currently
studying (see below).
Field of Nursing you are studying Fields you need to discuss in assignment
Mental Health Child, Adult and Learning Disability Nursing Fields
Adult Child, Mental Health and Learning Disability Fields
Learning Disability Child, Adult and Mental Health Nursing Fields
Child Mental Health, Adult and Learning Disability Nursing Fields
The Assignment should include:

 
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Identify all the key events that occurred throughout the patient’s admission. Particular emphasis in your report is to be placed on the legal and professional nursing practice roles and responsibilities.

Identify all the key events that occurred throughout the patient’s admission. Particular emphasis in your report is to be placed on the legal and professional nursing practice roles and responsibilities.
Task description: 2500 words
The aim of this Task is to identify and examine the role of the Registered Nurse (RN Rice) in the case study below. You are to identify all the key events that occurred throughout the patient’s admission. Particular emphasis in your report is to be placed on the legal and professional nursing practice roles and responsibilities.
Mr Rory Symes is a 64 year-old man who underwent a laparoscopic cholecystectomy in a large metropolitan hospital on the morning of 21 May 2015. Mr Symes was transferred to the Extended Day Only Unit (EDOU) at 1430 hours following the procedure. Mr Symes was to stay in the EDOU overnight with discharge planned for the following morning (22 May 2015).
A Medical Officer (MO) assessed Mr Symes at 1630 hours on 21 May due the patient reporting abdominal pain and distension. Mr Symes’ distended abdomen and pain levels were documented in the patient’s medical record by the MO and a phone call was made to report this information to the surgeon who performed the procedure. Analgesia was prescribed (10mg morphine subcutaneously) at 1715 hours to be given PRN 6 hourly in response to the patient’s reports of pain. Ms Celia Rice was the RN working on the 12-bed EDOU with another RN on 21 May. RN Rice had been registered as a nurse for five years. As per hospital policy, RN Rice and the other RN were the only two staff members rostered to the unit on night-shift that commenced at 2245 hours. The EDOU was at capacity on the night of 21 May. Two of the other male patients admitted to the unit were distressed; one was continuously vomiting post-appendectomy and the other was experiencing urinary retention following a Transurethral Resection of the Prostate (TURP).
There was also a female patient admitted to the unit who was very upset at being placed in a room with male patients due to her religious beliefs. This patient, who had very limited English language skills, was continually wailing and expressing anger over the fact that hospital management had not resolved this issue as promised to the patient and her husband on the afternoon shift. At 0210 hours on 22 May 2015, RN Rice documented the following in Mr Symes’ health record: ‘Temp 38.9, P 126, Resp Rate 16 and BP 110/72 (approx)’
These were the only observations documented during the night- shift. There was no evidence of analgesia administration documented on Mr Symes’ medication chart by the time day-shift staff commenced work. The day-shift RN for 22 May did report that RN Rice had verbally stated that she had been “extremely busy” all shift and had not finished her “notes” by the time handover occurred. At 0630 hours on 22 May 2015, Mr Symes’ temperature was recorded by the day-shift RN as being 39 degrees, heart rate 140bpm and blood pressure 80/46mmHg. He was experiencing acute abdominal rebound tenderness and reported that his pain levels had rapidly increased throughout the early morning. Mr Symes was ultimately returned to theatre where a perforated bowel was identified and successfully repaired.

 
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Evidence-Based Practice Matrix of Ten Pieces of Primary Research on One Topic Related to Nursing Authors Resource/ Database Year of Publication Research Type Population/ Sample Size Outcome Variables Measured Pertinent Data from Results Author’s Suggested Conclusions Comments -Sving Eva

Evidence-Based Practice Matrix of Ten Pieces of Primary Research on One Topic Related to Nursing
Authors Resource/
Database Year of Publication Research Type Population/
Sample Size Outcome Variables Measured Pertinent Data from Results Author’s Suggested Conclusions Comments
-Sving Eva
-IdvallEwa
-Hans Ho¨gberg
-Lena Gunningberg
Pub Med 2014 Cross-sectional study -Population comprised of adult males above 17 years
-Sample size = 825
Dependent variables
-skin assessment
-PU risk assessment
-Planned repositioning of patients
-use of pressure reliving mattress(PRM)
The independent variables
Age, gender, hospital size, nurse workload, nurse staffing, unit type. -Patient at risk have high chance of not receiving PRM or planned repositioning
– Patient in general hospital had less chance of receiving PU screening and treatment
-Where nurses worked for a short period, patient were unlikely to receive PRM, however the received scheduled repositioning
-Nurses were likely to screen at treat PU in old patients
-Planned repositioning was more common as compared to the use of PRM. -Most patients with high risk of developing PU were not screened within 24 hours. PU screening and treatment were not well implemented in both hospitals
-Nurse workload and staffing played a very small role in PU treatment
-There is need for nurses to take primary role in management of PU -The results emphasize on the nursing role in screening and management of PU.
– The results obtained cannot be used to generalize findings as they are collected from a small sample.
– Nurses need to take leadership roles and use evidence based PU management.
_ There is need to carry out more research using larger samples collected for a long period.
-Christine Schindler

 
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How should Spring Valley Laboratories handle the situation? Provide John with a detailed plan of how the situation should be handled. Is Nancy’s case a situation where a pay increase is called for?

How should Spring Valley Laboratories handle the situation? Provide John with a detailed plan of how the situation should be handled.
Is Nancy’s case a situation where a pay increase is called for?
You are an HR manager with Spring Valley Laboratories. The organization pays its employees according to specific pay grades and ranges but maintains secrecy surrounding the specific numbers.
Nancy Lopez, a highly skilled medical technician, discovers that a male employee whose qualifications, experience, and job profile are similar to Nancy’s is getting a considerably better package than she. Nancy serves a notice to the executive director, John Morrison, and threatens to resign if the organization does not grant her an immediate pay increase.
John does not want to lose Nancy because she is a skilled employee who has performed well in her eight-month career with the organization. John writes you an e-mail and seeks your advice on the case. You check Nancy’s employment records and find that Nancy was given the compensation package that she had asked for during her final interview. You also find that Nancy’s package is toward the lower limit of the pay range applicable for her job position. Nancy’s salary is due for review after four months.
Based on this information frame your response to John. The response should answer the following:
Is Nancy’s case a situation where a pay increase is called for? Why or why not? Justify your response with facts.
Is Nancy’s case eligible as a pay inequity grievance? Why or why not? Explain.
How should Spring Valley Laboratories handle the situation? Provide John with a detailed plan of how the situation should be handled.

 
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How has nursing become more involved and able to influence policy development in the current health care environment? GOVERNMENT AND HEALTH CARE ROLES

How has nursing become more involved and able to influence policy development in the current health care environment?
GOVERNMENT AND HEALTH CARE ROLES
1. Discuss the role of the federal, state and local legislation related to health care? How to the three levels compare, both in similarities and differences?
2. How has nursing become more involved and able to influence policy development in the current health care environment?

 
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Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care.

Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care.
National initiatives driven by the American Nurses Association have determined nursing-sensitive outcome indicators that are intended to focus plans and programs to increase quality and safety in patient care. The following outcomes are commonly used nursing-sensitive indicators:
� Complications such as urinary tract infections, pressure ulcers, hospital acquired pneumonia, and DVT
� Patient falls
� Surgical patient complications, including infection, pulmonary failure, and metabolic derangement
� Length of patient hospital stay
� Restraint prevalence
� Incidence of failure to rescue, which could potentially result in increased morbidity or mortality
� Patient satisfaction
� Nurse satisfaction and staffing
Scenario:
Mr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia. He was admitted for treatment of a fractured right hip after falling in his home. He has received pain medication and is drowsy, but he answers simple questions appropriately.
A week after Mr. J was admitted to the hospital, his daughter, who lives eight hours away, came to visit. She found him restrained in bed. While Mr. J was slightly sleepy, he recognized his daughter and was able to ask her to remove the restraints so he could be helped to the bathroom. His daughter went to get a certified nursing assistant (CNA) to remove the restraints and help her father to the bathroom. When the CNA was in the process of helping Mr. J sit up in bed, his daughter noticed a red, depressed area over Mr. J�s lower spine, similar to a severe sunburn. She reported the incident to the CNA who replied, �Oh, that is not anything to worry about. It will go away as soon as he gets up.� The CNA helped Mr. J to the bathroom and then returned him to bed where she had him lie on his back so she could reapply the restraints.
The diet order for Mr. J was �regular, kosher, chopped meat.� The day after his daughter arrived, Mr. J was alone in his room when his meal tray was delivered. The nurse entered the room 30 minutes later and observed that Mr. J had eaten approximately 75% of the meal. The meal served was labeled, �regular, chopped meat.� The tray contained the remains of a chopped pork cutlet.

 
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