Write a 1,250-1,500-word essay about quality improvement. Include the following points in your essay:

1. Describe which accrediting body would be most appropriate for your health care organization.
2. Summarize the requirements to obtain accreditation.
3. Based  on your research and experience, what performance or quality metrics  could you focus on for a quality improvement project to present to the  accrediting body?
4. How does the quality performance financially impact the organization?

Include at least three references, including the textbook.

Prepare  this assignment according to the guidelines found in the APA Style  Guide, located in the Student Success Center. An abstract is required.

A nurse is taking care of an 85-year-old woman in a hospital-based skilled nursing facility. In the report, the nurse is told the patient has not been breathing well for the past 2 days. She has been lethargic, her skin is warm and dry, and she has a decreased urine output. The following laboratory findings were returned from the laboratory immediately after morning report:

Blood Chemistries

• Na: 147
• Cl: 110
• K: 4.0

Arterial Blood Gases

• pH: 7.33
• PCO2: 48
• HCO3: 27
• PO2: 96

Urinalysis

• Urine Specific Gravity: 1.040

Address the following:

1. Identify each of the abnormal laboratory findings in the above results. Specify how they differ from a normal range and identify what condition each abnormality indicates.
2. What specific electrolyte disturbance does the patient have?
3. What clinical manifestations would the nurse expect to see with this electrolyte abnormality presented above?
4. If the patient had an increase in her potassium level, what clinical manifestations would the nurse monitor for?
5. What blood gas abnormality is seen in this patient? Discuss the rationale for your answer.
6. What are the three major mechanisms of pH regulation?

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

 Course Reflection Guidelines PURPOSE The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the NUR3178 course. COURSE OUTCOMES This assignment provides documentation of student ability to meet the following course outcomes: – Define complementary and alternative practices as identified by current health paradigms. – Discuss history for complementary and alternative medicine. – Given case studies, describe the extent to which complementary and alternative health practices are encouraged and used among multiple cultures. – Relate concepts into clinical practice. – Analyze the research regarding the efficacy of selected complementary and alternative practices and products. – Integrate alternative therapies within patient’s personal plan of care. POINTS This assignment is worth a total of 100 points (10%). DUE DATE Submit your completed assignment under the Assignment tab by Friday 11:59 p.m. EST of Week 15 as directed. REQUIREMENTS 1. The Course Reflection is worth 100 points (10%) and will be graded on quality of selfassessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric. 2. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum under the Discussions tab. 3. The length of the reflection is to be within three to six pages excluding title page and reference pages. 4. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered): Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63). a. Course Reflection b. Conclusion 

PREPARING YOUR REFLECTION The BSN Essentials (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the NUR3178 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

 1. “Apply leadership concepts, skills, and decision making in the provision of highquality nursing care, healthcare team coordination, and the oversight and accountability for care delivery in a variety of settings. 

2. Demonstrate leadership and communication skills to effectively implement patient safety and quality improvement initiatives within the context of the interprofessional team.  Florida National University NUR3178 NUR3178 Course Reflection Guidelines.docx 08/21/19 2  

3. Demonstrate an awareness of complex organizational systems. 

4. Demonstrate a basic understanding of organizational structure, mission, vision, philosophy, and values. 

5. Participate in quality and patient safety initiatives, recognizing that these are complex system issues, which involve individuals, families, groups, communities, populations, and other members of the healthcare team. 

6. Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions and describe the process of changing current practice. 

7. Promote factors that create a culture of safety and caring. 

8. Promote achievement of safe and quality outcomes of care for diverse populations. 

9. Apply quality improvement processes to effectively implement patient safety initiatives and monitor performance measures, including nurse-sensitive indicators in the microsystem of care. 

10. Use improvement methods, based on data from the outcomes of care processes, to design and test changes to continuously improve the quality and safety of health care. 

11. Employ principles of quality improvement, healthcare policy, and cost-effectiveness to assist in the development and initiation of effective plans for the microsystem and/or systemwide practice improvements that will improve the quality of healthcare delivery. 

12. Participate in the development and implementation of imaginative and creative strategies to enable systems to change. 

13. Compare/contrast the roles and perspectives of the nursing profession with other care professionals on the healthcare team (i.e., scope of discipline, education and licensure requirements). 

14. Use inter and intraprofessional communication and collaborative skills to deliver evidence-based, patient centered care. 

15. Incorporate effective communication techniques, including negotiation and conflict resolution to produce positive professional working relationships. 

16. Contribute the unique nursing perspective to interprofessional teams to optimize patient outcomes. 

17. Demonstrate appropriate teambuilding and collaborative strategies when working with interprofessional teams. 

18. Advocate for high quality and safe patient care as a member of the interprofessional team.” (AACN, 2008, pp.14,22). Reference: American Association of Colleges of Nursing [AACN]. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author.  

Karen, is a 33 year-old G2P2, with a medical history of migraines, for which she takes Imitrex when needed. She has a history of heavy and painful menses each month, lasting approximately 7-8 days. Karen smokes ½ pack of cigarettes per day. Her father has a history of DVT and cardiac disease. Her mother has a history of cervical cancer. Her blood pressure today is 138/76 and her pelvic exam is normal. She is divorced and is sexually active with her new boyfriend. She is currently using condoms for birth control and wants something more reliable. Karen does not desire pregnancy in the near future.

• Discuss the contraceptive methods using the latest evidence-based guidelines that Karen would be medically eligible for. 
• Identify one method that you feel would be most beneficial to Karen and discuss why you selected it.
• Are there any methods that you would not recommend for Karen? Why?
• Do 2 pages
• Provide references

Discussion Question:

Use  the learning materials and additional resource readings from this week  and reflect on whether you oppose or support the Affordable Care Act  (ACA). Consider the nursing professional’s position as a caregiver  and/or the healthcare leader as an administrator. Explore two  significant components of the ACA that could potentially impact specific  populations unjustly. Appraise the current political climate as it  relates to repealing and replacing the ACA. For this weeks’ discussion,  identify at least two reasons for keeping the ACA and at least two  reasons that it should be repealed, replaced, or revised. Provide  rationale for each.

minimum 400 words