Triage involves the rapid assessment and prioritization of patients. Compare the three-tiered system of triage to the Mass Casualty Incident (MCI) triage philosophy. Imagine that you are the Triage Nurse during an MCI. How will you categorize the following patients using the MCI triage philosophy? Explain your answer. Are there any ethical issues that should be considered? include 3 references.

• 10-year-old boy with massive head injury, no spontaneous breathing, BP 60 palp
• 22-year-old female with a close fracture of the left arm
• 60-year-old male with a laceration in the leg complaining of shortness of breath
• 15-year-old girl with glass embedded in the eyes
• 52-year-old male with a pulse of 30 and a blood pressure of 70/30

APA format. Use scholar authors only.  3 paragraphs. Include all references. Read all instructions. You have to use the scenario

THIS NEEDS TO BE INCLUDE IN THE DISCUSSION

Take on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all components of HEDIS comprehensive diabetes care. 

One example of a measurement tool is the Healthcare Effectiveness Data and Information Set (HEDIS) comprehensive care measures. Review the components of HEDIS comprehensive diabetes care; then consider the following scenario.

You are a staff nurse working in a private primary care practice. It is a small practice with 2 MDs (internists), 2 nurses, 1 medical assistant, and an office staff for billing. There are approximately 1,000 patients in the practice. You have had no EHR until the last year, but all charts are manual, historically. Your physicians are starting to inquire about quality incentives, particularly regarding patients with diabetes.

THIS NEEDS TO BE INCLUDE IN THE DISCUSSION

Take on the role of the staff nurse in the scenario, and post an explanation of how you would go about finding out how many diabetics are in your practice and how many meet all components of HEDIS comprehensive diabetes care. 

References

Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.
Chapter 3, “Measuring Performance” (pp. 35-78)
Chapter 4, “Evaluating Performance” (pp. 79-118)
 

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.
Chapter 23, “Managing Quality and Risk” (pp. 406-427)
Chapter 24, “Translating Research Into Practice” (pp. 427-449)
 

Perla, R. J., Provost, L. P., & Murray, S. K. (2011). The run chart: A simple analytical tool for learning from variation in healthcare processes. BMJ Quality and Safety, 20(1), 46–51. 

Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

Include the following:

1. Describe the work of the Robert Wood Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
2. Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.
3. Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
4. Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
5. Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

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 required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Description
Percentage
Unsatisfactory
0.00 %
Less Than Satisfactory
75.00 %
Satisfactory
79.00 %
Good
89.00 %
Excellent
100.00 %

Content
80.0

Robert Wood Foundation Committee Work and IOM Report
10.0
A description of the work of the Robert Wood Foundation Committee Initiative that led to the IOM report is omitted.
An incomplete description of the work of the Robert Wood Foundation Committee Initiative that led to the IOM report is presented.
A summary of the work of the Robert Wood Foundation Committee Initiative that led to the IOM report is presented. There are inaccuracies or misinterpretations.
A description of the work of the Robert Wood Foundation Committee Initiative that led to the IOM report is presented. There are slight inaccuracies.
A clear and accurate description of the work of the Robert Wood Foundation Committee Initiative that led to the IOM report is presented.
Key Messages Transforming Nursing
15.0
The four key messages are omitted.
Fewer than four key messages are presented, and the messages contain inaccuracies. An incomplete discussion on how they transformed nursing is presented.
The four key messages that structure the IOM report are generally outlined. A summary of how these transformed some aspects of nursing is presented, but there are some inaccuracies.
The four key messages that structure the IOM report are outlined. A description of how these transformed key aspects of nursing is presented.
The four key messages that structure the IOM report are clearly outlined. A description of how these transformed nursing practice, nursing education and training, nursing leadership, and nursing workforce development are thoroughly discussed.
State-Based Action Coalitions and Their Help in Advancing Goals form IOM Report
15.0
The role of state-based action coalitions is omitted.
The role of state-based action coalitions is incomplete. It is unclear how these advance the goals in the IOM report.
The role of state-based action coalitions is summarized. A summary of how they help advance the goals in the IOM report is presented.
The role of state-based action coalitions is discussed. A discussion of how they help advance the goals in the IOM report is presented.
The role of state-based action coalitions is thoroughly discussed. A detailed and accurate discussion of how they help advance the goals in the IOM report is presented.
State Action Coalition Initiatives Advancing Nursing Profession
20.0
Initiatives spearheaded by a state action coalition are omitted.
Only one initiative spearheaded by a state action coalition is presented. The narrative contains omissions and inaccuracies. How these initiatives advance the nursing profession are incomplete.
Two initiatives spearheaded by a state action coalition are summarized. How these initiatives advance the nursing profession are generally discussed. There are some inaccuracies.
Two initiatives spearheaded by a state action coalition and how they advance the nursing profession are discussed.
Two initiatives spearheaded by a state action coalition and how they advance the nursing profession are thoroughly discussed. The discussion demonstrates a clear understanding of the state action committee and the role in advancing the nursing profession.
Barriers to Advancement
20.0
Barriers to advancement that currently exist in the state are omitted. How nursing advocates in the state overcome barriers is omitted.
Barriers to advancement that currently exist in the state are unclear. How nursing advocates in the state overcome barriers is incomplete.
Barriers to advancement that currently exist in the state are presented. How nursing advocates in the state overcome barriers is summarized. There are inaccuracies, or more information is needed.
Barriers to advancement that currently exist in the state and how nursing advocates in the state overcome barriers are described.
Barriers to advancement that currently exist in the state are thoroughly explored and how nursing advocates in the state overcome barriers are thoroughly described.

Organization, Effectiveness, and Format
20.0

Thesis Development and Purpose
5.0
Paper lacks any discernible overall purpose or organizing claim.
Thesis is insufficiently developed or vague. Purpose is not clear.
Thesis is apparent and appropriate to purpose.
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
Argument Logic and Construction
5.0
Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.
Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
5.0
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
Writer is clearly in command of standard, written, academic English.
Paper Format (use of appropriate style for the major and assignment)
2.0
Template is not used appropriately, or documentation format is rarely followed correctly.
Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.
Appropriate template is used. Formatting is correct, although some minor errors may be present.
Appropriate template is fully used. There are virtually no errors in formatting style.
All format elements are correct.
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
3.0
Sources are not documented.
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
Sources are documented, as appropriate to assignment and style, and format is mostly correct.

 74-year-old male with a history of hypertension and smoking, is having dinner with his wife when he develops sudden onset of difficulty speaking, with drooling from the left side of his mouth, and weakness in his left hand. His wife asks him if he is all right and the patient denies any difficulty. His symptoms progress over the next 10 minutes until he cannot lift his arm and has trouble standing. The patient continues to deny any problems. The wife sits the man in a chair and calls 911. The EMS squad arrives within 5 minutes. Upon arrival in the ED, patient‘s blood pressure was 178/94, pulse 78 and regular, PaO2 97% on room air. Neuro exam – Cranial nerves- Mild left facial droop. Motor- Right arm and leg extremity with 5/5 strength. Left arm cannot resist gravity, left leg with mild drift. Sensation intact. Neglect- Mild neglect to left side of body. Language- Expressive and receptive language intact.

Mild to moderate dysarthria. Able to protect airway.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. 

(1- to 2-page case study analysis)

  explain the following:

· Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.

· Any racial/ethnic variables that may impact physiological functioning.

· How these processes interact to affect the patient.