Peripheral vascular disease

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Mr. Hayato is a 65 year old male brought to ER with severe SOB resp rate 40 pulse ox 93%. Past History of emphysema and longstanding chronic obstruction pulmonary disease (COPD) secondary to tobacco use and still smokes 2 PPD (packs per day) for 50 years.

Acute respiratory distress

COPD

Peripheral vascular disease

Hospital Stay: ABG’s ph 7.32 PCO2 60.6 PO2 56.2

In ER, endotracheal intubation  with a # 8 endotracheal tube occurred and patient was placed on ventilator at 15 breath/min with FiO2 at 100%, peep + 5, Tidal volume 400. His CXR showed right lower pneumonia and ETT was at 5 cm above the carina. ABGs were used each morning to guide setting on ventilator setting. His ETT was 21 cm at the lip. His arterial blood gases continue to deteriorate. !00 % was decreased to 80% and peep was increased to +8. The nurse then notices that the patient is getting more tachypneic with tracheal deviation to the right and absent breath sounds on the left with subcutaneous emphysema present.  Please answer questions below:

1. What is the difference between COPD and emphysema? 

2. What is lung compliance and resistance? How are these lung functions affected by COPD?

3. Is this an acceptable placement of the ETT? 

4. What does his initial arterial blood gases indicate?

5. What other type of external ventilation could have been used prior to intubation? 

6. Why can’t the patient stay on 100% oxygen for long periods of time? 

7. What is peep and why is it important for the lungs? What happens when peep is increased and the barometric pressure is changed in the lungs? 

8. What has occurred and what action does the nurse need to take?

9. What has caused the tracheal deviation and what precautions does the nurse need to know about chest tubes? 

10. What is subcutaneous emphysema?

Placement of ETT -https://www.radiologymasterclass.co.uk/tutorials/chest/chest_tubes/chest_xray_et_tubes_anatomy

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3237149/

https://www.medicalnewstoday.com/articles/322161.php#types

Oxygen- https://science.howstuffworks.com/question4931.htm

Chest tubes- wps.prenhall.com/wps/media/objects/737/755395/chest_tubes.pdf

Using the National Center for Complimentary and Integrated Health (NCCIH) at https://nccih.nih.gov/, provide research about a  complementary therapy.

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This discussion has two parts:

1A. Using the National Center for Complimentary and Integrated Health (NCCIH) at https://nccih.nih.gov/, provide research about a  complementary therapy.

· Provide a summary overview of the therapy.

· What evidence is there about providing care for patients of all cultures.

· Discuss how you would work with a patient to integrate the therapy into his/her care plan.

1B. Using transcultural care concepts, provide evidence-based practice guidelines that illustrate how linguistic challenges interfere with culturally competent care.

· What are the safety concerns for APRN providers?

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Disaster management discussion Board Questions

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Disaster management discussion Board Questions

1. Week 1 Discussion Forum

This week, explain the various responsibilities and services of FEMA when a disaster occurs in the United States. Do some research on past disasters, and describe how FEMA supported the community and disaster efforts. Address 2-3 of the following.

How did FEMA help people prepare for the disaster?

What services did FEMA provide to the community?

Who else participated in the disaster relief efforts?

How much monetary damage was caused by the disaster? Or, how much did FEMA spend in relief?

What was public perception of FEMA and the response they provided?

Provide links to your sources for others to reference.

Support your answer with evidence from the disasters that you researched.

 

2. Week 2 Discussion Forum

Watch the videos and answer the questions that follow.

1. https://www.youtube.com/embed/zP4rgvu4xDE?rel=0

2. https://www.youtube.com/embed/e7ho6z32yyo?rel=0 Earthquakes (Video 2:56)

3. https://www.youtube.com/embed/dJBS94GVyuo?rel=0 Tsunamis (Video 3:28)

4. https://www.youtube.com/embed/5hghT1W33cY?rel=0 Wildfires (Video 3:12)

Choose one of the natural disasters represented in the videos above and answer the following:

What are some of the nursing implications of this disaster?

What diseases do you need be concerned about and how would you protect yourself and others? Be specific.

Support your answer with evidence from scholarly sources.

 

3. Week 3 Discussion Forum

For this week’s discussion, you are asked to research a bioterrorist incident. Begin by reviewing the Media Focus video on bioterrorism in Week 3 of the Content and Activities, then explore the Internet.

Give an example and details from national/international news of a bioterrorist attack.

 

Address all of the following in your post:

· What was the classification of biological agent used in the attack?

· Discuss the implications of the biological agent.

· Discuss the therapy for the biological agent.

· What are the decontamination procedures for the biological agent used in the attack?

· Define the appropriate level of PPE required for this type of biological agent?

· In your post, provide the name of the incident you have chosen, and support your answers with evidence/examples. Please provide a working link and a citation for your source(s).

Support your answer with evidence from scholarly sources.

 

4. Week 4 Discussion Forum

For this week’s discussion, we will be looking at local or national response protocols that were initiated during a critical incident, and you will choose your topic!

 

Search reputable local and national media for a man-made disaster to discuss.

 

Search for critical instances such as: hostage situations, mass shootings, multiple-vehicle or mass transit accidents with multiple critical injuries, and disease outbreaks.

 

In your initial post, describe the incident and address the following:

 

· Determine the incident type and explain your reasoning.

· What resources were deployed for this incident?

· What protocols were implemented successfully, and which were unsuccessful?

· Discuss way to improve the response to this type of incident in the future.

Support your answer with evidence. ​ Please provide a working link to your story source.

 

 

5. Week 5 Discussion Forum

We have already discussed weather related natural disasters and bioterrorism, and now we will focus on other types of disasters. For this week’s discussion, you are asked to research a technological or human induced disaster.

 

(This not the same as in Weeks 3 and 4 where you might have discussed hostage situations, mass shootings, multiple-vehicle or mass transit accidents with multiple critical injuries, bioterrorism, and disease outbreaks.) Here you want to look at situations such as radiological, nuclear accidents, technological disasters (electromagnetic pulse), and hazardous material spills.

 

In your post, provide the name of the incident you have chosen, and support your answers with evidence/examples. Please provide a working link and a citation for your source(s).

 

Select 2 of the items below to discuss:

 

· At what point does a technological or man-made event become labeled a disaster?

· Name and explain the impact categories associated with your disaster.

· How well do you think the United States is prepared for a disaster like the one you selected?

· Discuss the factors that can influence the effects a disaster may have on a community or region.

· What nursing interventions would be a priority for these victims?

· What community resources should be provided to the victims for follow up needs?

· Support your answer with evidence from scholarly sources.

 

6. Week 6 Discussion Forum

This week, read the journal article “ Challenges and Resources for Participating in a Hurricane Sandy Hospital Evacuation” and complete the activity below.

https://learn-us-east-1-prod-fleet01-xythos.s3.us-east-1.amazonaws.com/5c12b64692d5f/4172331?response-content-disposition=inline%3B%20filename%2A%3DUTF-8%27%27Hurricane%2520Sandy%2520Article-Week%25206.pdf&response-content-type=application%2Fpdf&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20200330T202359Z&X-Amz-SignedHeaders=host&X-Amz-Expires=21600&X-Amz-Credential=AKIAZH6WM4PLTYPZRQMY%2F20200330%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=efcce76e24e6c915a990e430bad1cc751b7080e60e648f11836831798ee63d26

 

After completing the activity, discuss your role as a nurse in disaster preparedness and response. Describe your current patient population and discuss the challenges you might face in carrying out your responsibilities in a disaster.

How could you gain more hands-on training to supplement your academic study of disaster management? How could you feel more prepared? Discuss different training options that you could participate in (e.g., CERT training).

Support your answer with evidence from scholarly sources.

 

7. Week 7 Discussion Forum

This week you will put together your 72-hour disaster home “go bag” and evaluate your preparedness.

Here are the steps for your initial post:

1. Use the lists available at the Ready.gov website, FEMA, or the Red Cross website to gather items for your 72-hour home go bag. Add additional items that you think will be useful and essential for your family. (You are not required to purchase items, but you may if you choose.)

https://www.ready.gov/kit

https://www.fema.gov/media-library/assets/documents/90354

https://www.redcross.org/get-help/how-to-prepare-for-emergencies.html

 

2. Post a picture of all of the items you have gathered for your go bag. For the sake of personal and family privacy, keep personal/private items out of the photograph; you may list them (e.g., prescription medications).

You must take and submit a picture of your own items! You may not post a picture from the internet or any other source.

· Along with your photo, include the following information:

· A discussion of the items in your home go bag – what is present and what is missing.

· A brief explanation of the demographic considerations and potential disaster hazards in your area and why you included certain items.

· Your family, pets, and living situation considerations and why you included certain items.

· Are you prepared to help others in your community in the event of a disaster?

· Support your answers with evidence from scholarly sources.

Additional Resources

https://www.nytimes.com/2017/07/03/smarter-living/packing-emergency-kit-disaster.html

https://www.mysafela.org/survival-kit/

 

8. Week 8 Discussion Forum

Review the American Nurses Association (ANA) Code of Ethics

https://learn-us-east-1-prod-fleet01-xythos.s3.us-east-1.amazonaws.com/5c12b64692d5f/4297897?response-content-disposition=inline%3B%20filename%2A%3DUTF-8%27%27Code%2520for%2520Ethics%2520for%2520Nurses%2520with%2520Interpretive%2520Statements_2015.pdf&response-content-type=application%2Fpdf&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20200330T203100Z&X-Amz-SignedHeaders=host&X-Amz-Expires=21600&X-Amz-Credential=AKIAZH6WM4PLTYPZRQMY%2F20200330%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=b58ad11e14923565b55c2149fda5831d5e9bdd6ae977b839cc11f79fe5c74da9

Address the questions below in your discussion post this week:

· Does the law require you to respond in disaster situations?

· Do RNs have a contractual responsibility to respond in disaster situations?

· Are you familiar with the laws in your state?

Support your answers with evidence from scholarly sources.

 

 

 

9. Week 9 Discussion Forum

 

For this week’s discussion, click on the Additional Resources folder located on the main menu. Scroll down to Week 9 Resources.

 

https://emergency.cdc.gov/coping/index.asp

 

Choose one of the websites to visit and explore. Choose a subject/topic that you find most interesting. Provide a link to the website and the source citation in your post.

 

Address all of the following:

 

· Why did you select this resource/site? Why do you find the subject/topic interesting?

· What is the one thing you want others to know about this subject/topic that is found on the website?

· What information had the greatest impact on you? Explain.

 

Support your answers with evidence from the site that you visited and provide a citation for that website

NR360 Information Systems in Healthcare

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NR360 Information Systems in Healthcare

RUA: We Can, But Dare We? Guidelines

NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: July 2020 1

 

Purpose The purpose of this assignment is to investigate informatics in healthcare and to apply professional, ethical, and legal principles to its appropriate use in healthcare technology.

Course outcomes: This assignment enables the student to meet the following course outcomes:

CO 4: Investigate safeguards and decision‐making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers. (PO 4)

CO 6: Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client’s right to privacy. (PO 6)

CO 8: Discuss the value of best evidence as a driving force to institute change in the delivery of nursing care. (PO 8)

Due date: Your faculty member will inform you when this assignment is due . The Late Assignment Policy applies to this assignment.

Total points possible: 240 points

Requirements: • Research, compose, and type a scholarly paper based on the scenario provided by your faculty, and choose a

conclusion scenario to discuss within the body of your paper. Reflect on lessons learned in this class about technology, privacy concerns, and legal and ethical issues and address each of these concepts in the paper. Consider the consequences of such a scenario. Do not limit your review of the literature to the nursing discipline only because other health professionals are using the technology, and you may need to apply critical thinking skills to its applications in this scenario.

• Use Microsoft Word and APA formatting. Consult your copy of the Publication Manual of the American Psychological Association, as well as the resources in Doc Sharing if you have questions (e.g., margin size, font type and size (point), use of third person, etc.). Take advantage of the writing service SmartThinking, which is accessed by clicking on the link called the Tutor Source, found under the Course Home area.

• The length of the paper should be four to five pages, excluding the title page and the reference page. Limit the references to a few key sources (minimum of three required).

• The paper will contain an introduction that catches the attention of the reader, states the purpose of the paper, and provides a narrative outline of what will follow (i.e., the assignment criteria).

• In the body of the paper, discuss the scenario in relation to HIPAA, legal, and other regulatory requirements that apply to the scenario and the ending you chose. Demonstrate support from sources of evidence (references) included as in‐text citations.

• Choose and identify one of the possible endings provided for the scenario, and construct your paper based on its implications to the scenario. Make recommendations about what should have been done and what could be done to correct or mitigate the problems caused by the scenario and the ending you chose. Demonstrate support from sources of evidence (references) included as in‐text citations.

• Present the advantages and disadvantages of informatics relating to your scenario and describe professional and ethical principles appropriate to your chosen ending. Use facts from supporting sources of evidence, which must be included as in‐text citations.

• The paper’s conclusion should summarize what you learned and make reflections about them to your practice.

• Use the “Directions and Assignment Criteria” and “Grading Rubric” below to guide your writing and ensure that all components are complete.

• Review the section on Academic Honesty found in the Chamberlain Course Policies. All work must be original (in your own words). Papers will automatically be submitted to TurnItIn when submitted to the Dropbox.

 

 

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NR360 Information Systems in Healthcare

RUA: We Can, But Dare We? Guidelines

NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: July 2020 2

• Submit the completed paper to the “We Can But Dare We?” Dropbox by the end of Week 3. Please refer to the Syllabus for due dates for this assignment. For online students, please post questions about this assignment to the weekly Q & A Forums so that the entire class may view the answers.

 

Preparing the assignment

Background Healthcare is readily embracing any technology to improve patient outcomes, streamline operations, and lower costs, but we must also consider the impact of such technology on privacy and patient care. Your faculty member will provide a scenario for you to address in your paper. Choose an ending to the scenario, and construct your paper based on those reflections. Choose one of the following outcomes:

1. A HIPAA violation occurs, and client data is exposed to the media.

2. A medication error has harmed a client.

3. A technology downtime that impacts patient care occurs, and an error is made.

4. A ransomware attack has occurred, and the organization must contemplate paying the ransom or lose access to

patient data.

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions. Include the following sections:

a. Introduction – 40 points/17%

• Catches attention of the reader

• States purpose of the paper

• Provides a narrative outline of the paper (i.e., the assignment criteria) b. HIPAA, Legal, and Regulatory Discussion – 40 points/17%

• Presents evidence from recent scholarly publications to address the impact of technology on nursing care related to:

• Patient privacy and HIPAA standards

• Healthcare regulations

• Legal guidelines on appropriate use of technology c. Scenario Ending and Recommendations – 50 points/21%

• Selects and presents one scenario ending as the focus of the assignment.

• Evaluates the actions taken by healthcare providers as the situation evolved.

• Recommends actions that could have been taken to mitigate the circumstances presented in the selected scenario ending.

• Supports recommendations with evidence from recent scholarly publications. d. Advantages and Disadvantages – 50 points/21%

• Presents evidence from recent scholarly publications to address the impact of technology on nursing care related to:

• The advantages of appropriately using technology in healthcare

• Risks of technology use in healthcare

• Describes professional and ethical principles guiding the appropriate use of technology in healthcare. e. Conclusion and Reflections – 30 points/12%

• Summarizes what new information was learned by completing this assignment.

• Reflects on how this new knowledge will impact future behavior as a healthcare professional. f. Scholarly Writing and APA Format – 30 points/12%

 

 

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NR360 Information Systems in Healthcare

RUA: We Can, But Dare We? Guidelines

NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: July 2020 3

• Paper submitted as a Microsoft Word document.

• Adheres to current APA formatting guidelines including proper use of:

• Title page

• Running head

• Page numbers

• Length is 4-5 pages, excluding title and reference pages.

• Includes at least three (3) references that are:

• From recent (within the last 5 years) scholarly sources

• Cited in text appropriately

• Included on an APA formatted reference page

• Scholarly writing reflects:

• Accurate spelling

• Correct use of professional grammar

• Logical organization of thoughts (mechanics)

For writing assistance (APA, formatting, or grammar), visit the APA Citation and Writing page in the online library. Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned in the review module.

 

 

 

 

NR360 Information Systems in Healthcare

RUA: We Can, But Dare We? Guidelines

NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: July 2020 4

Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment. Assignment Section and

Required Criteria (Points possible/% of total points available)

Highest Level of Performance

High Level of Performance

Satisfactory Level of Performance

Unsatisfactory Level of

Performance

Section not present in paper

Introduction (40 points/17%)

40 points 36 points 32 points 15 points 0 points

Required criteria

• Catches attention of the reader.

• States purpose of the paper.

• Provides a narrative outline of the paper (i.e., the assignment criteria).

Meets all requirements for section.

Includes no fewer than 2 requirements for section.

Includes no less than 1 requirement for section.

Present, yet includes no required criteria.

No requirements for this section presented.

HIPAA, Legal, and Regulatory Discussion (40 points/17%)

40 points 36 points 32 points 15 points 0 points

Required criteria Presents evidence from recent scholarly publications to address the impact of technology on nursing care related to:

• Patient privacy and HIPAA standards

• Healthcare regulations

• Legal guidelines on appropriate use of technology

Meets all requirements for section.

Includes no fewer than 2 requirements for section.

Includes no fewer than 1 requirement for section.

Present, yet includes no required criteria.

No requirements for this section presented.

Scenario Ending and Recommendations (50 points/21%)

50 points 46 points 42 points 19 points 0 points

Required criteria

• Selects and presents one scenario ending as the focus of the assignment.

• Evaluates the actions taken by healthcare providers as the situation evolved.

• Recommends actions that could have been taken to mitigate the circumstances presented in the selected scenario ending.

Meets all requirements for section.

Includes no fewer than 3 requirements for section.

Includes 1-2 requirements for section.

Section present yet includes no required criteria.

No requirements for this section presented.

 

 

NR360 Information Systems in Healthcare

RUA: We Can, But Dare We? Guidelines

NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: July 2020 5

Assignment Section and Required Criteria

(Points possible/% of total points available)

Highest Level of Performance

High Level of Performance

Satisfactory Level of Performance

Unsatisfactory Level of

Performance

Section not present in paper

• Supports recommendations with evidence from recent scholarly publications.

Advantages and Disadvantages (50 points/21%)

50 points 42 points 19 points 0 points

Required criteria

• Presents evidence from recent scholarly publications to address the impact of technology on nursing care.

• Evidence includes the advantages of appropriately using technology in healthcare.

• Evidence includes risks of inappropriately using technology in healthcare.

• Describes professional and ethical principles guiding the appropriate use of technology in healthcare.

Meets all requirements for section.

Includes no fewer than 3 requirements for section.

Includes 1-2 requirements for section.

No requirements for this section presented.

Conclusion and Reflections (30 points/12%)

30 points 15 points 0 points

Required criteria

• Summarizes new information learned by completing this assignment.

• Reflects on how this new knowledge will impact future behavior as a healthcare professional.

Meets all requirements for section.

Includes 1 requirement for section. No requirements for this section presented.

Scholarly Writing and APA Format (30 points/12%)

30 points 9 points 8 points 4 points 0 points

Required criteria

• Paper submitted as a Microsoft Word document.

• Adheres to current APA formatting guidelines including proper use of:

Meets all requirements for section.

Includes no fewer than 4 fully met requirements for section.

Includes no fewer than 3 fully met requirements for section.

Includes 1-2 requirements fully met requirements for section.

No requirements for this section presented.

 

 

NR360 Information Systems in Healthcare

RUA: We Can, But Dare We? Guidelines

NR360_RUA_We_Can_But_Dare_We_Guidelines Revised: July 2020 6

Assignment Section and Required Criteria

(Points possible/% of total points available)

Highest Level of Performance

High Level of Performance

Satisfactory Level of Performance

Unsatisfactory Level of

Performance

Section not present in paper

o Title page o Running head o Page numbers

• Length is 4-5 pages, excluding title and reference pages.

• Includes at least three (3) references that are: o From recent (within the last 5 years)

scholarly sources o Cited in text appropriately o Included on an APA formatted reference

page

• Scholarly writing reflects: o Accurate spelling o Correct use of professional grammar o Logical organization of thoughts

(mechanics)

Total Points Possible = 240 points

List some of the characteristics that constitute such a system. What would be the goal or goals of your ideal system?

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List some of the characteristics that constitute such a system. What would be the goal or goals of your ideal system?

Think about how you would go about implementing your ideal system.

Consider some of the problems you are likely to encounter.

Must address all of the topics.

50-word minimum/250-word maximum without the references.

Minimum of two references (the course textbook can be one of the references, as well as the organizational website) in APA format. If additional articles were chosen, they must have been published within the last 3-5 years.

Turning in your final treatment plan and Analysis The final treatment plan will include the primary diagnosis, and diagnostic testing recommended by National Guidelines.

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Requirements: Part 2- Turning in your final treatment plan and Analysis The final treatment plan will include the primary diagnosis, and diagnostic testing recommended by National Guidelines. Medications, interventions, education, labs, follow up, referrals. After completing the treatment plan include the following sections in a large area called ANALYSIS: 1. Pathophysiology and Pharmacology: For the primary diagnoses in the case, write a brief summary of the underlying pathophysiology and tie pharmacological treatment chosen in the reversal or control of that pathology. 2. .Additional analysis of the case: This includes national guidelines that were or should have been used to make diagnosis or treatment and review how they applied or how care was unique but based in guidelines. 3. Follow-up/Referrals: This means how the patient was doing when seen a second time if this applies. This would be their response to your plan of care. OR when Follow up will occur and what actions will be taken on the follow up visit. Referrals if indicated. 4. Quality: Include anything that should have been considered in hindsight or changes you would make in seeing similar patients in the future with the same complaint, history, exam, or diagnosis. Add anything you learned from discussion in the class that shed new light on this patient. 5. Coding and Billing. Any or all CPT and ICD-10 codes that should have been used (List them and name them only. Written in a word document and submitted in the Week 6 case study summary submission box. NR603 Week 6 Mental Health Flipped Classroom Assignment Part 2_Sept19 NR603 Week 6 Mental Health Flipped Classroom Assignment Part 2_Sept19 Criteria Ratings Pts This criterion is linked to a Learning OutcomeDiscussion Content Possible Points = 35 Points Application of Course Knowledge: Thorough treatment plan and analysis of the following for summary: guidelines that should have been used, what further should have been added to care or follow up, lessons learned from this and class discussion. The final analysis section must also contain: *Pathophysiology and Pharmacology analysis *Additional analysis of the case as noted above *Follow-up *Quality Analysis *Coding and Billing using original dialogue i.e., no direct quotes. Diagnostic testing recommended follows National Guidelines. Clinical insights are supported by rationale and student addresses all assignment criterion. 25.0 pts Excellent Thorough treatment plan and analysis of the following for summary: guidelines that should have been used, what further should have been added to care or follow up, lessons learned from this and class discussion. The final analysis section must also contain: *Pathophysiology and Pharmacology analysis *Additional analysis of the case as noted above *Follow-up *Quality Analysis *Coding and Billing using original dialogue i.e., no direct quotes. Diagnostic testing recommended follows National Guidelines. Clinical insights are supported by rationale and student addresses all assignment criterion. 23.0 pts V. Good Some accurate clinical application of treatment plan and analysis of the following for summary: guidelines that should have been used, what further should have been added to care or follow up, lessons learned from this and class discussion. The final analysis section must also contain: *Pathophysiology and Pharmacology analysis *Additional analysis of the case as noted above *Follow-up *Quality Analysis *Coding and Billing using original dialogue i.e., no direct quotes. Diagnostic testing recommended follows National Guidelines. Clinical insights are supported by rationale and student addresses all assignment criterion. 21.0 pts Satisfactory Some accurate clinical application of treatment plan and analysis of the following for summary: however guidelines only generally discussed without reflection on actual treatment decisions that should have been made. The final analysis section missing at least one: *Pathophysiology and Pharmacology analysis *Additional analysis of the case as noted above *Follow-up *Quality Analysis *Coding and Billing using original dialogue i.e., no direct quotes. Diagnostic testing recommended follows National Guidelines. Clinical insights are supported by rationale and student addresses all assignment criterion. 13.0 pts Needs Improvement Little to no clinical application treatment plan and analysis of the following for summary: however guidelines only generally discussed without reflection on actual treatment decisions that should have been made. The final analysis section missing at least one: *Pathophysiology and Pharmacology analysis *Additional analysis of the case as noted above *Follow-up *Quality Analysis *Coding and Billing using original dialogue i.e., no direct quotes. Diagnostic testing recommendedoes not follow National Guidelines. Student missing more than one portion of analysis. 0.0 pts Unsatisfactory Post contributes no clinically accurate perspectives/insights applicable to clinical content area/identified chief complaint presentation in original dialogue (no direct quotes) related to assigned Mental Health Diagnosis: OR **Analysis is missing 25.0 pts This criterion is linked to a Learning OutcomeEvidence Based Resources Discussion post fully supported by evidence from appropriate sources published within the last five years including National Guidelines. Content of journal articles represents a logical link between the article content and the assigned topics/case study information. In-text citations and complete references are provided. 10.0 pts Excellent Discussion post fully supported by evidence from appropriate sources published within the last five years including National Guidelines. Content of journal articles represents a logical link between the article content and the assigned topics/case study information. In-text citations and complete references are provided. 9.0 pts V. Good Discussion post is partially supported by evidence from appropriate sources published within the last five years. In-text citations and complete references are provided. Evidence-based reference(s) used but may not fully demonstrate National guidelines or fully support treatment recommendations. 8.0 pts Satisfactory Discussion post is supported by evidence from appropriate resources however National Guidelines are not referenced in regard to diagnostic testing and treatment planning OR Journal articles do not represent logical link between the article content and assigned topics/ case study. 5.0 pts Needs Improvement Discussion post not fully supported by evidence from appropriate sources published within the last five years OR does not include National Guidelines AND Content of journal articles does not represents a logical link between the article content and the assigned topics/case study information. In-text citations and complete references are provided. 0.0 pts Unsatisfactory Discussion post is not supported by evidence from appropriate sources published within the last five years. National Guidelines are not used to support post. References and in-text citations may be incomplete. 10.0 pts This criterion is linked to a Learning OutcomeDiscussion Format Possible Points = 5 Points Organization & APA Discussion post presented in a logical, meaningful, and understandable sequence. Headings reflect separation of criterion outlined in assignment guidelines AND there are minimal spelling or grammatical errors. (*) APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included. 5.0 pts Excellent Discussion post presented in a logical, meaningful, and understandable sequence. Organization of topics and transitions among ideas lends clarity to the discussion. Headings and paragraph spacing are used logically and contribute to evidence of the assigned disease. Zero errors in grammar/spelling. Strong ability to communicate thoughts and ideas concisely. 4.0 pts V. Good Discussion post presented in a logical, meaningful, and understandable sequence, However minimal transitions, headings and spacing used to organize thoughts. Zero to 2 errors in grammar/spelling but no effect on ability to communicate thoughts and ideas. 3.0 pts Satisfactory May be unclear or difficult to follow in places. Headings, paragraphs and spacing. 3-6 errors in grammar/spelling with no effect on ability to communicate thoughts and ideas. 2.0 pts Needs Improvement May be unclear or difficult to follow in places. Weak linkage to assigned mental health topic. >6 errors in grammar/spelling which contributes somewhat to effectiveness of ability to communicate thoughts and ideas. 0.0 pts Unsatisfactory Discussion topics not linked through organization of thoughts, paragraph, spacing or headings. Lack of organization contributes to lack of understanding of thought process. Errors in grammar contribute to a fundamental lack of understanding of information presented. 5.0 pts This criterion is linked to a Learning OutcomeParticipation Discussion late penalty deductions A 10% late penalty will be imposed for discussions posted after the deadline on Wednesday 1159PM MT of Week 6, regardless of the number of days late. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0) 0.0 pts Minus Points 0.0 pts Minus Points 0.0 pts Total Points: 40.0 Previous Next

Why is financial management important in healthcare?

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3 paragraphs in length with 3 references to justify your answer. Use APA format.

 

  1. Why is financial management important in healthcare?
  2. Why is it important for nurses to understand health care financing?
  3. Name some key financial definitions in Nursing.

List the risk factors for cerebrovascular accidents and why?

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  • List the risk factors for cerebrovascular accidents and why?
  • What cultures are at higher risk and why?
  • Describe the 0 to 4+ scale for scoring deep tendon reflexes.
  • What would you expect to find in a patient with diabetic peripheral neuropathy?
  • Share any experience you have encountered and elaborate.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in proper current APA style 7 ed with support from at least 3 academic sources WHICH MUST BE REFERENCED IN APA 7 ED AND MUST BE JOURNAL ARTICLES AND BOOKS , BOTH PUBLISHED FROM 2017 UP TO NOW. NO WEBSITES REFERENCED.

Planning is the key to successful completion of this course and program-related objectives. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course preceptor. Students must establish a plan for successful completion of

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Planning is the key to successful completion of this course and program-related objectives. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course preceptor. Students must establish a plan for successful completion of

  1. The required 50 community direct clinical practice experience hours, 50 leadership direct clinical practice hours, and 25 indirect clinical experience hours.
  2. Completion of work associated with program competencies.
  3. Work associated with completion of the student’s capstone project change proposal.

Students will use the “Individual Success Plan” to develop an individual plan for completing practice hours and course objectives. As a part of this process, students will identify the number of hours set aside to meet course goals.

Student expectations and instructions for completing the ISP document are provided in the “NRS-493 Individual Success Plan” resource, located in the Study Materials and in the assignment instructions.

Students should apply concepts from prior courses to critically examine and improve their current practice. Students are expected to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.

After the ISP has been developed by the student and approved by the course faculty, students will initiate a preconference with the faculty and preceptor to review the ISP.

Individual Success Plan

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NRS-493 Individual Success Plan

REQUIRED PRACTICE HOURS: 100 Direct Clinical Experience (50 hours community/50 hours leadership) – 25 Indirect Clinical Experience Hours.

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Complete Contact Information
 Student InformationGCU
 Name: 
 E-mail:  
 Phone Number:  
 Course Faculty InformationGCU
 Name: 
 E-mail:  
 Phone Number:  
 Practicum Preceptor InformationPractice Setting
 Name: 
 E-mail:  
 Phone Number:  

 

 

 

ISP Instructions

Use this form to develop your Individual Success Plan (ISP) for NRS-493, the Professional Capstone and Practicum course. An individual success plan maps out what you, the RN-to-BSN student, needs to accomplish in order to be successful as you work through this course and complete your overall program of study. You will also share this with your preceptor at the beginning and end of this course so that he or she will know what you need to accomplish.

In this ISP, you will identify all of the objectives and assignments relating to the 100 direct clinical practice experience hours and the 25 indirect clinical practice hours you need to complete by the end of this course. Use this template to specify the date by which you will complete each assignment. Your plan should include a self-assessment of how you met all applicable GCU RN-to-BSN Domains & Competencies (see Appendix A).

General Requirements

Use the following information to ensure successful completion of each assignment as it pertains to deliverables due in this course:

· Use the Individual Success Plan to develop a personal plan for completing your clinical practice experience hours and self-assess how you will meet the GCU RN-to-BSN University Mission Critical Competencies and the Programmatic Domains & Competencies (Appendix A) related to that course.

Show all of the major deliverables in the course, the topic/course objectives that apply to each deliverable, and lastly, align each deliverable to the applicable University Mission Critical Competencies and the course-specific Domains and Competencies (see Appendix A).

Completing your ISP does not earn clinical practice experience hours, nor does telephone conference time, or time spent with your preceptor.

· Within the Individual Success Plan, ensure you identify all graded course assignments and indirect clinical assignments listed in the table on the next page.

 

 

 

 

 

 

TopicGraded AssignmentIndirect Clinical Assignments
Topic 11. Individual Success Plan

2. Reflection Journal Entry

1. List of potential topics for the change proposal
Topic 21. Topic Selection Approval Paper

2. Reflection Journal Entry

1. Search the literature for supporting journal articles

2. Summary of topic category; community or leadership

Topic 31. PICOT Question Paper

2. Reflection Journal Entry

1. List of objectives
Topic 41. Literature Evaluation Table

2. Reflection Journal Entry

1. List of measurable outcomes
Topic 51. Reflection Journal Entry1. Summary of the strategic plan

2. Midterm Evaluation Tool

Topic 61. Literature Review Table

2. Reflection Journal Entry

1. List of resources
Topic 71. Reflection Journal Entry1. Summary of the evaluation plan

2. Remediation-if required

Topic 81. Benchmark Written Capstone Project Change Proposal

2. Reflection Journal Entry

 
Topic 91. Reflection Journal Entry1. Professional Presentation
Topic 101. Finalized ISP

2. Scholarly Activity Summary

3. Benchmark-Reflection Journal Summary

1. Summary of presentation

2. Final Clinical Evaluation Tool

3. Practice Clinical Evaluation Tool-Agency

4. Practice Clinical Evaluation Tool-Preceptor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Application-based Learning Course AssignmentsList of Current Course ObjectivesAssignment

Date Due

Self-Assessment:

Programmatic Domains & Competencies

(see Appendix A)

Self-Assessment:

GCU RN-to-BSN

University Mission Critical Competencies

(see Appendix A)

Date

Assignment

Completed

      
      
      
      
      
      
      
      
      
      
      
      
      
      
      

 

By typing in his/her signature below, the student agrees to have read, understood, and be accountable for the instructions, assignments, and hours shown above and that all questions have been satisfactorily answered by the faculty.

Preceptors will sign upon initial receipt and at the end of the course to confirm that assignments have been complete with your guidance.

 

Student Signature
Name: 
Date: 
Preceptor Signature [Upon Initiation of Course]
Name: 
Date: 
Preceptor Signature [Upon Completion of Course]
Name: 
Date: 

 

cid:D7D4B297-EEAE-4174-AD01-F87097282051@canyon.com

 

 

© 2015. Grand Canyon University. All Rights Reserved.

© 2015. Grand Canyon University. All Rights Reserved.

APPENDIX A:

GCU RN-to-BSN Domains & Competencies

A. University’s Mission Critical Competencies

How does this Individual Success Plan support the GCU Mission?

MC1: Effective Communication: Therapeutic communication is central to baccalaureate nursing practice. Students gain an understanding of their ethical responsibility and how verbal and written communication affects others intellectually and emotionally. Students begin to use nursing terminology and taxonomies within the practice of professional and therapeutic communication. Courses require students to write scholarly papers, prepare presentations, develop persuasive arguments, and engage in discussion that is clear, assertive, and respectful.

MC2: Critical Thinking: Courses require students to use critical thinking skills by analyzing, synthesizing, and evaluating scientific evidence needed to improve patient outcomes and professional practice.

MC3: Christian Worldview: Students will apply a Christian worldview within a global society and examine ethical issues from the framework of a clearly articulated system of professional values. Students will engage in discussion of values-based decisions made from a Christian perspective.

MC4: Global Awareness, Perspectives, and Ethics: The concept of global citizenship is introduced to baccalaureate students in the foundational curriculum. Some courses will focus on the human experience across the world health continuum. The World Health Organization (WHO) definitions of health, health disparities, and determinants of health are foundational to nursing practice.

MC5: Leadership: Students are required to develop skills and knowledge associated with their professional role. Courses require students to develop self-leadership skills such as time management, setting priorities, self-control, and evaluation of their abilities and performance.

 

B. Domains and Competencies

How does this Individual Success Plan support the Program Domains and Competencies?

Domain 1: Professional Role

Graduates of Grand Canyon University’s RN-BSN program will be able to incorporate professional values to advance the nursing profession through leadership skills, political involvement, and life-long learning.

Competencies:

1.1: Exemplify professionalism in diverse health care settings.

1.2: Manage patient care within the changing environment of the health care system.

1.3: Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

1.4: Participate in health care policy development to influence nursing practice and health care.

1.5: Advocate for autonomy and social justice for individuals and diverse populations.

 

Domain 2: Theoretical Foundations of Nursing Practice

Graduates of Grand Canyon University’s RN-BSN program will have acquired a body of nursing knowledge built on a theoretical foundation of liberal arts, science, and nursing concepts that will guide professional practice.

Competencies:

2.1: Incorporate liberal arts and science studies into nursing knowledge.

2.2: Comprehend nursing concepts and health theories.

2.3: Understand and value the processes of critical thinking, ethical reasoning, and decision making.

Domain 3: Nursing Practice

Graduates of Grand Canyon University’s RN-BSN program will be able to utilize the nursing process to provide safe quality care based on nursing best practices.

Competencies:

3.1: Utilize the nursing process to provide safe and effective care for patients across the lifespan

3.2: Implement patient care decisions based on evidence-based practice.

3.3: Provide individualized education to diverse patient populations in a variety of health care settings.

3.4: Demonstrate professional standards of practice.

Domain 4: Communication/Informatics

Graduates of Grand Canyon University’s RN-BSN program will be able to manage information and technology to provide safe quality care in a variety of settings. In addition, graduates will be able to communicate therapeutically and professionally to produce positive working relationships with patients and health care team members.

Competencies:

4.1: Utilize patient care technology and information management systems.

4.2: Communicate therapeutically with patients.

4.3: Promote interprofessional collaborative communication with health care teams to provide safe and effective care.

Domain 5: Holistic Patient Care

Graduates of Grand Canyon University’s RN-BSN program will be able to provide holistic individualized care that is sensitive to cultural and spiritual aspects of the human experience.

Competencies:

5.1: Understand the human experience across the health-illness continuum.

5.2: Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

5.3: Provide culturally sensitive care.

5.4: Preserve the integrity and human dignity in the care of all patients.