critical care wk 3

MY NUMBER ASSIGNED WAS 1 WHICH IS: Level of Consciousness – Stuporous, Obtunded, Coma, Lethargy, etc. 

Initial post:Each student will be assigned a number randomly.  Whatever your number is, select the corresponding topic below, then post a minimum of 5 bullet points about the topic.Your bullet points should address key components of the topic, such as what, how, who, & why.  This information should not be basic things you learned in Med/Surg, but rather advanced critical care based. Think about this as a group effort to create a study guide. Use ONLY your textbook, but do not cut & paste from the book.Then create, find, or borrow a test style question about your topic & post at the bottom of your bullet points. The format needs to be multiple choice or select all that apply. Think NCLEX style. Each week include a paragraph with the results from one of your weekly interviews.Discussion post assignments are worth 20 points each as follows: 

  • 5 points for the quality of your bullet points.
  • 5 points for the quality of your question.
  • 5 points for answering the question of a peer as your response.
  • 5 points for the quality of your rationale.
    • Quality is defined as thorough and thoughtful while demonstrating professional level knowledge of the topic.

interview

You will conduct a professional interview with a staff nurse and a staff nurse leader ( charge nurse, shift lead, house supervisor, etc) to discover their intra/inter-professional communications styles. It will be important to incorporate learning objectives regarding therapeutic communication styles including their method of caring, assertive, and responsible communication in your discussion/analysis of the interview.

The paper should utilize APA 7th format using Times New Roman 12pt font and include a title page. There should be less than 10% of direct quotations used in your paper, sources should be paraphrased and cited appropriately. The use of headings should be incorporated in the paper design. Additionally, provide citation for the personal communication with the interviewees (use initials only). Support from at least 3 peer reviewed journal articles in addition to your textbooks must be used. Use initials and avoid the use of patient names, staff names, and facility names for HIPPA compliance. Complete the Contact Information Form for Experiential Learning for all individuals interviewed and submit with your completed assignment to the drop box Sunday by 11:59pm.

You should use headings and subheadings from the Instructions to set up your paper

The following information should be included in your interview:

Description the facility i.e.: a large metropolitan hospital, rural nursing home or urban clinic

Staff Nurse Interview

Interview a staff nurse regarding:

· What (s)he perceives are the main communication issues/barriers

· how they communicate with patients,

· how they communicate with colleagues

· how they communicate with leadership/administration.

Describe your findings in no more than 2 pages using terms and vocabulary from course learning. Relates each interview question to content learned in the class by providing analysis and synthesis of question and response and includes minimum of one citation per question- you may cite the texts & or other peer reviewed journal articles.

Nurse Manager Interview

Interview a nurse in a leadership/administrative position regarding:

· What the manager perceives as the main communication issues/barriers

· how they communicate with patients,

· how they communicate with colleagues, and

· how they communicate with leadership/administration.

Describe your findings in no more than 2 pages using terms and vocabulary from course learning. Relates each interview question to content learned in the class by providing analysis and synthesis of question and response and includes minimum of one citation per question- you may cite the texts & or other peer reviewed journal articles.

Analysis of Interviews

· Cohesive analysis of part I & II. Clearly describe your main findings/ communication styles

· List at least 3 actions that would improve communication/ remove barriers. supported with 3 citations- you may cite the texts & or other peer reviewed journal articles.

Conclusion- Write a one-two paragraph conclusion summarizing importance of Intra/interpersonal communication

References- Create an APA reference page including all paraphrased and quoted sources.

Element

Element

Fully

Addressed

Element Partially Addressed

Element In-sufficiently Addressed

Points possible

Points

Earned

Part I: Staff Nurse Interview (this should be approximately 1 page of the paper length) and follows APA 7th ed. Format.

· Introduction : includes importance of Interprofessional communication and description of facility

2

· Asks the 4 assigned questions during interview that relate to course content/learning objectives: 2 points

· Appropriately and adequately summarizes interview responses (not verbatim) 4 points

6

·
Relates each interview question to content learned in the class by providing analysis and synthesis of question and response and includes:

Minimum : one citation per question- you may cite the text &/or other source(s) 8 pts

8

Part II: Staff Nurse Manager Interview: (this should be approximately 1 page of the paper length) and follows APA 7th ed. Format.

· Asks the 4 assigned questions during interview that relate to course content/learning objectives: 2pts

· Appropriately and adequately summarizes interview responses (not verbatim) 4 pts

6

· Relates each interview question to content learned in the class by providing analysis and synthesis of question and response and includes:

Minimum : one citation per question- you may cite the text &/or other source(s) 8 pts

8

Analysis of Interviews

· Cohesive analysis of part I & II. Clearly describe your main findings of the interviews. 4pts

· List at least 3 actions that would improve communication/ remove barriers supported by 3 citations 6 pts

10

· Conclusion: summarizes importance of Intra/Interpersonal communication 4 pts

4

Spelling, Grammar, 7th ed. APA Format

· Free of spelling, typographical, & grammatical errors, cites interviewee . Uses headings and subheadings from the Instructions 4 pts

· Reference Page Complete and follows APA format 2 pts

· Includes contact information forms (2)

6

Total

50

health care statistics. dp4

 

There are many purposes for and types of health care data. In this discussion, you will summarize the purpose for and types of health care data, and discuss the emerging field of data analytics and Big Data as they are used in health care management. Include the following in your discussion post:

  • Explain the purpose of healthcare data and its relevance to patient outcomes and reimbursement.
  • Discuss the difference between:
    • Internal and external sources of data in healthcare
    • Qualitative and quantitative data in healthcare
  • Discuss data analytics and how it is being used in healthcare management and healthcare delivery.

Discussion

1) Review your state’s Nurse Practice Act and rules and regulations.

2) As a coworker, what are you required to do if you believe a nurse has a problem with chemical dependency? As the nurse manager, what are your obligations? Please cite the Nurse Practice Act. 

Data Utilization and Presentation

Your CEO wants to review the benchmarking data used to compare Choice Hospital with other hospitals in the same geographic region. The Board of Directors is looking at expanding the Emergency Department or adding more in-patient beds. The CEO needs to know how Choice Hospital compares with other hospitals in the region to be part of the discussion and inform decisions on expansion in these areas.

As you assume the role the HCA at Choice Hospital, provide the data and analysis requested by your CEO as described below. In this exercise, assume that Choice Hospital is located in Colorado, and use these data provided by the Colorado Hospital Association for Colorado hospitals. If you wish to find data for your own state of residence, you may do that and start your search at your state’s Department of Health Web site.

For comparison of Choice Hospital to others in the state of Colorado of comparable size, you will use the specific data points requested, perform the calculations, and prepare the presentation of the data as follows:

  1. You will first review the data available and summarize the data points as specified for this presentation by placing them in an Excel spreadsheet.
  2. Calculate descriptive statistics for the data, as specified below.
  3. Prepare an Excel spreadsheet of the data.
  4. Review the data in the spreadsheet, and prepare a discussion of the data for Colorado hospitals compared to the data for Choice Hospital.
  5. The table below includes the data for Choice Hospital:
    HospitalLicensed BedsTotal DischargesTotal Patient DaysInpatient SurgeriesBirthsInpatient Admissions for Emergency DepartmentsEmergency Department VisitsTotal Outpatient VisitsChoice Hospital30015,27970,2834,0122564,78113,34298,993
  6. From these data, calculate the average length of stay (ALOS) for Choice Hospital.

Now look at the data for Colorado Hospitals at the link provided. Because Choice Hospital is a 300-bed facility, identify the hospitals that have between 200 and 400 licensed beds. Those are the hospitals that you will use for your comparison to Choice Hospital. In your Excel spreadsheet, do the following:

  1. List the hospitals that have 200–400 licensed beds in the first column, with 1 hospital listed per row.
  2. Next, for each of those hospitals, enter the data in separate columns for Total Patient Days and Total Discharges.
  3. In the next column, enter your calculation for ALOS using the data for Total Patient Days and Total Discharges.
    • At the bottom of the column for ALOS, calculate the mean and standard deviation for the average length of stay for all of the hospitals.
    • Enter the mean and standard deviation in the cells below in that column, and be sure to identify which value is the mean and which is the standard deviation.
  4. You will submit your Excel spreadsheet along with your 600-800 word summary.

Now that you have the data on ALOS for your comparison hospitals, write 600-800 word summary, not including the title page or reference page, and discuss the following:

  • Consider the average length of stay for Choice Hospital that you calculated using the data for Choice Hospital. How does that compare to the ALOS on average for the hospitals in Colorado with similar numbers of licensed beds from your calculation?
  • Identify the range of ALOS for the hospitals, and consider the standard deviation value.
    • Did you calculate the standard deviation of a sample or of the entire population?
    • What is the difference?
    • Explain why you chose the one that you did.
  • Research the ALOS for the United States, and find a statistic that is within the last 5 years. The ALOS may be an overall average or based on the number of beds.
    • State the ALOS for the United States that you found in your research, and be sure to cite the reference source.
    • How does the ALOS for Choice Hospital compare to the national average?

What does great customer service mean to you?

 

Primary Task Response: Within the Discussion Board area, write words that respond to the following questions with your thoughts, ideas, and comments.

  • What does great customer service mean to you?  

PATIENT EDUCATION FOR CHILDREN AND ADOLESCENTS

In a 300- to 500-word blog post written for a patient and/or caregiver audience, explain signs and symptoms for your diagnosis, pharmacological treatments, nonpharmacological treatments, and appropriate community resources and referrals.
Although you are not required to respond to colleagues, collegial discussion is welcome. 

Please choose one between those 2 :

  • Anxiety Disorder. or
  • Disruptive Mood Dysregulation Disorder  

Nursing Reflection Assignment

I have attached the guidelines for this assignment

Case study Analysis 2

***This assignment utilizes TurnItIn.  When you submit this assignment to the assignment drop box, it will automatically be submitted to TurnItIn.  You will receive an Originality Score along with an Originality Report that should be carefully reviewed.  If revisions need to be made to your assignment, you will be able to make additional submissions, and you will quickly receive updated Originally feedback. It is important to plan ahead so that you have enough time to review your originality feedback and make any revisions to your assignment 
before the final due date. Please see instructions for using TurnItIn in the Course Welcome module under Useful Resources.

How many submissions to TurnItIn are allowed?

· For 3000 level courses, you will be allowed a total of three (3) submissions to TII (original plus 2 additional)

· For 4000 level courses, you will be allowed a total of two (2) submissions to TII (original plus 1 additional) (excluding elective courses LDR 4400, NSG 4310, NSG 4410, NSG 4430)

· For elective courses, you will be allowed a total of three (3) submissions to TII (original plus 2 additional)

NOTE:  If you must submit your assignment 
AFTER the due date, please refer to the RN to BSN Late Assignment Policy in the Syllabus for questions related to a request to submit a late assignment.

Assignment Instructions: 

· Review the case study scenario below and the client's family history and medical profile information from unit 1.  

· Next, write a 6-8-page paper analysis of the client (including title and reference page) according to the assignment specifications, outline, and grading rubric. 

Case Study 2 Scenario:

Client, William Collins, arrived to the emergency room for an exacerbation of Chronic Obstructive Pulmonary Disease (COPD). The emergency department nurse enters the triage room to find Mr. Collins sitting at the side of the bed leaning forward with both arms on the bedside tray. He complains he is having shortness of breath that he is unable to control with his usual medications. His son is with him at the bedside because his wife is unable to come with him due to dialysis. 

Case Study Analysis Assignment Outline: 

 The case study analysis paper should include the following sections with responses and rationales for all the prompts.

Introduction (3-5 paragraphs) 

Provide an overview of the pathophysiology of the disease exhibited by the client. Include: 

· What additional assessment findings would you look for? 

· What lab abnormalities would you expect to see? 

· What diagnostics would you anticipate the healthcare team ordering? 

· Provide a rationale for your answers. 

Implications for Self-Care (2 paragraphs) 

· Consider Maslow’s hierarchy of needs and describe where the client falls in that hierarchy and how this will impact care and healing.  

· How does this disease process impact the client’s and/or their care provider’s ability to care for themselves? 

Patient Education Strategy (2-3 paragraphs) 

· Identify 3-5 appropriate nursing interventions and teaching points for your client based on the pathophysiology and assessment findings. 

· Describe the educational strategies that should be incorporated when building a plan of care for your client. 

· Support with rationale. 

Interdisciplinary Collaboration (2-3 paragraphs) 

· Identify 2-4 interdisciplinary team members who need to be included in the care of the client. Include rationale. 

· Consider the care the client will need while inpatient and upon discharge.  

· Consider nutrition, community services, and financial implications. 

Conclusion 

· Summarize the key concepts of this disease process and client case study scenario.  

References 

· A minimum of three references should be used in this paper.  

· References should be no more than five years old. 
Exceptions include seminal works, such as original publications by nurse theorists.  

· One reference must be your textbook, 

· One reference must be from a peer-reviewed journal,  

· One reference must be from an authoritative website such as the CDC, NIH or Healthy People 2030.

Assignment Specifications: 

· Name the paper with a File Naming Protocol: When you save the paper, name it: LastName_NSG 3300_CaseStudyAnalysis_1.docx 

· Paper reflects clinical and professional client/cases, and no references to personal or family issues.

APA Formatting 

· All papers should be written in APA formatting. This paper should include: 

· Formal components, such as a title page, and APA formatting with an introductory and conclusion paragraph that summarizes the key concepts 

· APA-formatted 
level headings 

· APA margin, font, and paragraph spacing 

· Include page numbers 

· Appropriate in-text reference citations 

· A reference page, in correct APA format 

pn 2 diss

 Think of a situation from clinical when the Provider needed to be informed of a change in patient condition. Using ISBARR write what you would report to the Provider. You can use the ISBARR form for guidance.