musculoskeletal discussion
see attached
see attached
The Centers for Medicare & Medicaid Services (CMS) formed its no-pay policy based on the growing work of National Quality Forum (NQF) of “never events.” Meaning, CMS will no longer pay for certain conditions that result from what might be termed poor practice or events that should never have occurred while a patient was under the care of a healthcare professional.
Submission Instructions:
PLEASE RESPOND TO THE FOLLOWING IN 50 WORDS OR MORE:
One way I would get involved with is by participating in the FNA advocacy days. Each Advocacy Days, nurses from across the state gather in Tallahassee during legislative sessions to learn about current legislative issues and specific bills that may affect their practice or the overall healthcare environment in Florida. This allows nurses to meet with legislators face to face. Nurses are able to voice their concerns and take part in helping shape the life of nurses.
The Barbara Lumpkin Toolkit is a resource that can be used by nurses to speak to legislators. The toolkit discusses ways for nurses to get in contact with legislators as well as offering tips on how to do so. The BLT also details the correct way to communicate nursing concerns to legislators. Something I didn’t know is that it would be more helpful to communicate with new legislators than legislators who have a lot of experience. As new legislators could be more sympathetic to our concerns then experienced ones would.
In the Florida Keys there is a critical nursing shortage. Leading to higher nurse-patient ratios that are unsafe. Per BLT to advocate for safe nurse-patient ratios I would make a list of the media in the Florida Keys. In the Keys news travels very quickly. An advantage we have is that Key West is a fairly small town and alot of people know each other. If we use the correct media tools we can recruit nurses while also providing benefits, higher pay, and different incentives to retain our staff. If this does not work, writing letters and using other ways of getting in contact with legislators to decrease the turnover and patient-nurse ratios can be also helpful. As well as joining the Advocacy Days to advocate for a safe work environment.
Florida Nurses Association. Barbara Lumpkin Institute. (n.d.). https://www.floridanurse.org/Links to an external site.
Sandra is a 27-year-old female admitted with a possible Deep Vein Thrombosis (DVT). She smokes one pack per day and is on birth control. She has a history of hypertension and obesity. She is admitted to the hospital and placed on bedrest. Heparin drip is started per protocol. The Provider is anticipating on sending her home with Coumadin.
Introduction
Nurses at the baccalaureate level in all practice areas are involved in nursing informatics through interaction with information management and patient care technologies. Nurses must not only demonstrate knowledge of and skills in health information and patient care technologies, but also how to use these tools at the bedside and organizational levels. Moreover, nurses need to recognize how information gathered from various health information sources can impact decision making at the national and state regulatory levels.
Preparation
To successfully prepare for this assessment, you will need to complete these preparatory activities:
· Review assessment resources and activities.
· Conduct independent research on the nursing knowledge and skills necessary to interact with health information and patient care technology.
· Focus your research on current resources available through peer-reviewed articles, professional websites, government websites, professional blogs, wikis, job boards, and so on.
· Consult the
BSN Program Library Research Guide for help in identifying scholarly and authoritative sources.
· Interview peers in your network who are considered information technology experts.
· Ask them about how information technology advances are impacting patient care at the bedside, at the organizational level, and beyond.
Scenario
For this assessment, assume you are a nurse attending a meeting of your state’s nurses association. A nurse informaticist conducted a presentation on her role and its impact on positive patient and organizational outcomes in her workplace. You realize that your organization is undergoing many technological changes. You believe this type of role could provide many benefits to your organization.
You decide to pursue proposing a nurse informaticist role in your organization. You speak to your chief nursing officer (CNO) and human resources (HR) manager, who ask you to prepare a 4–5 page evidence-based proposal to support the new role. In this way, they can make an informed decision as to whether the addition of such a role could justify the return on investment (ROI). They need your proposal before an upcoming fiscal meeting.
This is not an essay, but instead, it is a proposal to create a new Nurse Informaticist position.
One important part of this assessment is the justification of the need for a nurse informaticist in a health care organization and references from relevant and timely scholarly or professional resources to support the justification for creating this nurse informaticist position. The term justify means to show or prove that the nurse informaticist position brings value to the organization. This justification must include evidence from the literature to support that this position will provide a return on investment for the organization.
Proposal Format
The chief nursing officer (CNO) and human resources (HR) manager have asked you to include the following headings in your
proposal and to be sure to address the bullets following each heading:
Nursing Informatics and the Nurse Informaticist
· What is nursing informatics?
· What is the role of the nurse informaticist?
Nurse Informaticists and Other Health Care Organizations
· What is the experience of other health care organizations with nurse informaticists?
· How do these nurse informaticists interact with the rest of the nursing staff and the interdisciplinary team?
Impact of Full Nurse Engagement in Health Care Technology
· How does fully engaging nurses in health care technology impact:
· Patient care?
· Protected health information (security, privacy, and confidentiality)?
· In this section, you will explain evidence-based strategies that the nurse informaticist and interdisciplinary team can use to effectively manage patients' protected health information, particularly privacy, security, and confidentiality. Evidence-based means that they are supported by evidence from scholarly sources.
· Workflow?
· Costs and return on investment?
Opportunities and Challenges
· What are the opportunities and challenges for nurses and the interdisciplinary team with the addition of a nurse informaticist role?
· How can the
interdisciplinary team collaborate to improve quality care outcomes through technology?
Summary of Recommendations
· What are 3–4 key takeaways from your
proposal about the recommended nurse informaticist role that you want the CNO and the HR manager to remember?
· This is the section where the justification for the implementation of the nursing informaticist role is addressed. Remember to include evidence from the literature to support your recommendation.
Additional Requirements
·
Written communication: Ensure written communication is free of errors that detract from the overall message.
·
Submission length: 4–5 double-spaced pages, in addition to title and references pages.
·
Font: Times New Roman, 12 point.
·
Citations and References: Cite a
minimum of three current scholarly and/or authoritative sources to support your ideas. In addition, cite a
minimum of one current professional blog or website to support your central ideas.
Current means no more than five years old.
·
APA formatting: Be sure to follow APA formatting and style guidelines for citations and references. For an APA refresher, consult the
Evidence and APA page on Campus.
Case Study: Prescribed Drugs with CAMs
Mr. X, a 42-year-old male presents to your primary care practice today complaining of low back pain.
History – Mr. X states that he has had chronic low back pain since he had a skiing accident about 10 years ago. Three days ago, he felt a pulling sensation in his lower back after moving some boxes. The pain intensity increased over the subsequent 24 hours and is now steady, aching in nature, at 3-4 out of 10. Mr. X also has Type2 diabetes, which is well controlled on metformin with a HGA1c of 5.6. He has a history of DVT 4 months ago for which he takes Coumadin, INR is WNL. He is followed by a specialist for this problem. He recently started taking two OTC products; kava kava for what he describes as “anxiety” and CoEnzyme Q10 on the advice of a friend.
Social – Mr. X is a smoker, 1 pack per week for 15 years. No alcohol or drug use. He is employed as an accountant and has medical insurance. He is divorced.
PE/ROS – Complains of low back stiffness and pain on movement with occasional spasms related to moving in certain directions. You note he has mild difficulty getting onto the exam table but gait is normal. He denies weakness/numbness/tingling of legs, no radiation, no change in bowel or bladder habits. BMI 27. All range of motion of the back is decreased by 25%. Straight leg lift is negative bilaterally, DTR intact. All other systems WNL.
Medications:
Metformin 1000mg ER one tab daily – Type II Diabetes controlled
Coumadin 5 mg. daily – Hx of DVT – Controlled
Kava Kava 50 mg. tid – Self-medication for anxiety
CoQ10 – 200 mg. daily. – Self-medication for unknown reason
1. Provide a diagnosis for the patient and your rationale for the diagnosis
2. Provide a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.
3. Comment on the use of OTC products in relation to Mr. X’s current chronic and acute disease diagnoses and medications. Include drug-drug interactions and side effect profiles.
4. Provide an education plan for Mr. X
5. Present this Assignment as a PowerPoint presentation with between 12 and 16 slides (not including opening slide and resource slide).
6. You will use the Narrative notes section of the presentation to include the majority of your evidentiary support of your treatment choices and education of family complete with in-text citations using APA formatting,
Due by the last day of Unit 9 at 11:59 p.m.
Assignment Requirements:
Before finalizing your work, you should:
· be sure to read the Assignment description carefully (as displayed above);
· consult the Grading Rubric (under Course Resources) to make sure you have included everything necessary; and
· utilize spelling and grammar check to minimize errors.
· Submit to and review results of Turnitin. Purdue University Global Student Conduct policy as it relates to plagiarism will be adhered to in this course.
Your writing Assignment should:
· follow the conventions of Standard English (correct grammar, punctuation, etc.);
· be well ordered, logical, and unified, as well as original and insightful;
· display superior content, organization, style, and mechanics; and
· utilize APA 7th edition formatting.
Rubric Title: MN553 Unit 9 Assignment Rubric
|
Assignment Criteria |
Level III |
Level II |
Level I |
Not Present |
|
Criteria 1 |
Level III Max Points Points: 8 |
Level II Max Points Points: 6.4 |
Level I Max Points Points: 4.8 |
Not Present 0 Points |
|
Correctly diagnosing the patient |
· A correct diagnosis is provided with supportive rationale from literature |
· A correct diagnosis is provided without rationale |
· Does not meet the Criteria |
· Does not meet the criteria |
|
Criteria 2 |
Level III Max Points Points: 12 |
Level II Max Points Points: 9.6 |
Level I Max Points Points: 7.2 |
Not Present 0 Points |
|
Prescribing a treatment plan |
· An appropriate and specific treatment plan for the case study patient is provided with rationale from literature for treatment choices. |
· A specific treatment plan is provided for the case study patient but is missing less than 50% of pharmacologic and non-pharmacologic treatment with rationale from literature for treatment choices |
· A specific treatment plan is provided for the case study patient but is missing more than 50% of pharmacologic and non-pharmacologic treatment with rationale from literature for treatment choices; Or · Rationale for treatment choices from literature are not provided |
· Does not meet the criteria |
|
Criteria 3 |
Level III Max Points Points: 11 |
Level II Max Points Points: 8.8 |
Level I Max Points Points: 6.6 |
Not Present 0 Points |
|
Over-the-counter medication use discussion |
A thorough discussion of the kinetics and dynamics of OTC products is provided and a rationale for including or excluding them from the treatment plan is provided. |
· Kinetics and dynamics of OTC products are discussed and are related to the patient's current meds/conditions but specific direction regarding continued use is not included |
· Kinetics and dynamics of OTC products are discussed but not related to the patient's current meds/conditions. |
· Does not meet the criteria |
|
Criteria 4 |
Level III Max Points Points: 8 |
Level II Max Points Points: 6.4 |
Level I Max Points Points: 4.8 |
Not Present 0 Points |
|
Education plan |
· A thorough education plan for the treatment plan is provided which includes principles of therapeutic communication. |
· An education plan is provided which provides more than 50% of necessary information for the treatment plan and includes principles of therapeutic communication |
· An education plan is provided but contains less than 50% of necessary information and includes principles or therapeutic communication OR · Principles of therapeutic communication are not included |
· Does not meet the criteria |
|
Criteria 5 |
Level III Max Points Points: 8 |
Level II Max Points Points: 6.4 |
Level I Max Points Points: 4.8 |
Not Present 0 Points |
|
College-level academic writing |
· Professional, peer-reviewed, advanced practice references are used · Grammar and mechanics of writing demonstrate graduate level work · Adheres to page number requirements |
· The majority of references used are professional, peer-reviewed and advanced practice · Errors in grammar or mechanics of writing are present but do not interfere with readability · Adheres to page number requirements |
· The minority of references used are professional, peer-reviewed and advanced practice · Errors in grammar or mechanics of writing are present Which interferes with readability · Does not adhere to page number |
· Does not meet the criteria |
|
Criteria 6 |
Level III Max Points Points: 8 |
Level II Max Points Points: 6.4 |
Level I Max Points Points: 4.8 |
Not Present 0 Points |
|
Citations and Formatting |
· There is a strong attempt to cite all sources using APA style. · Minor paper formatting errors may occur. · Minor in-text citation errors may occur. · All authorship is clear and retrievable. |
· There is an overall attempt at APA formatting and citation style. · Errors in formatting of citation or sources are present. · All sources have some form of citation and all citations have a matching source. · Citations generally make authorship clear. |
· Major errors in citations or source formatting are present. · Citation or source information may be missing or incorrect. · Authorship may be unclear. |
· Does not meet the criteria |
|
Maximum Total Points |
55 |
44 |
33 |
0 |
|
Minimum Total Points |
45 points minimum |
34 points minimum |
1 point minimum |
0 |
Respond at least 2 times each . The goal is for the discussion forum to function as robust clinical conferences on the patients. Provide a response to 1 of the 3 discussion prompts that your colleagues provided in their video presentations. You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.
Please see the attachment for instructions
INTERACTION BETWEEN NURSE INFORMATICISTS AND OTHER SPECIALISTS
Nature offers many examples of specialization and collaboration. Ant colonies and beehives are but two examples of nature’s sophisticated organizations. Each thrives because their members specialize in tasks, divide labor, and collaborate to ensure food, safety, and general well-being of the colony or hive.
Of course, humans don’t fare too badly in this regard either. And healthcare is a great example. As specialists in the collection, access, and application of data, nurse informaticists collaborate with specialists on a regular basis to ensure that appropriate data is available to make decisions and take actions to ensure the general well-being of patients.
In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.
To Prepare:
· Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.
· Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization.
Post a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.
What is the main role of a social justice advocate?
