2023 4 One very common area of nursing that is a growing problem is the

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Nursing 2023 2-Please answer based on these answers as they are listed, each one must be answered in APAform and not less than 150 words

4 One very common area of nursing that is a growing problem is the 2023 Assignment

  

4-One very common area of nursing that is a growing problem is the nursing shortage. “Most studies agree, RNs constitute the largest healthcare occupation, with 2.3 million jobs. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) reports that 126,000 nursing positions are unfilled in hospitals, accounting for an overall vacancy rate of 13% for nursing positions” (Robinson, Jagim, & Ray, 2004). The nursing shortage is a personal and proffesional hazard not only to the nurses, but the patients as well.”If staffing is inadequate, nurses contend it threatens patient health and safety, results in greater complexity of care, and impacts their health and safety by increasing fatigue and rate of injury” (Gooch, 2015). I work in a small ER in California. Now, most people will say, “California has mandated staffing ratios”, but I am here to tell you by experience that that statement is not 100% accurate. There are MANY nights where we are understaffed and over ratioed, with only 3 nurses to triage, asses, start IV’s, medicate, chart, discharge and sometimes  handle multiple codes and traumas in one night. And no, most nights we do not have any ED techs or CNA’s to help with EKG’s, placing people on monitors or any of those types of task. Being short staffed is physically and mentally draining and extreamly unsafe for patient care and overworked nurses. So the question is why is there such a nursing shrotage? Is nursing school/state boards to strict? Is it because the  aging workforce is moving into retirment and into less stressful roles? Is it because of overall job dissatisfaction with the heavy workloads, underpay, and inadequate staffing? All of these could be a reason as to why there is a large nursing shortage and should be further evaluated to help promote nurse and patient safety. 

References:

Gooch, Kelly. (2015, August 13). 5 of the biggest issues nurses face today. Becker’s Hospital Review. Retrieved from https://www.beckershospitalreview.com/human-capital-and-risk/5-of-the-biggest-issues-nurses-face-today.html

Robinson. K, Jagim. M, Ray. C. (December, 2004). Nursing Workforce Issues and Trends Affecting Emergency Departments. Lippincott Nursing Center. Retrieved from  https://www.nursingcenter.com/journalarticle?Article_ID=532283&Journal_ID=420955&Issue_ID=532279

 

 
 

5-One of the most commonly seen errors in the nursing fields
that has become a growing and significant problem, can be seen in patients
being incorrectly administered their medications. All too often, patients are
given the incorrect medications; whether this is due to the nurses who are
administering the medication, the doctors who write out the initial
prescription, or the pharmaceutical workers who fill the prescriptions in the
first place (Keers, Williams, Cooke & Ashcroft, 2013). The errors seen are
not entirely on the medical side of this, as it can be seen that patients can
also incorrectly dose themselves as well (Wright, 2013). Aside from being given
the incorrect dosage of medication, patients can often be given the incorrect
medication in general, or given their medications in either too short, or too long
of a time span (Wright, 2013).

            Medical malpractice is an incredible cause of
concern, not only for the issues that can arise from a legal standpoint by
making errors in medication distribution, but from the severe risk of harm
coming to the patient, or even the death of the patient due to receiving a high
dosage of a medication that was incorrectly given (Makary & Daniel, 2016).
Medical malpractice is the third highest cause of death in the United States,
and in order to remedy this dire state of the medical field and for the public
to regain their trust in medical professionals, hospitals must take steps
towards correctly administering their medications (Makary & Daniel, 2016).
This is a role that must be worked at diligently, by not only the nurses at the
facility, but the doctors and pharmaceutical workers as well (Keers et al,
2013).

References

Keers, R. N., Williams, S. D., Cooke, J.,
& Ashcroft, D. M. (2013). Causes of medication             administration errors in hospitals:
A systematic review of quantitative and qualitative        evidence. Drug Safety, 36(11),
1045-1067. doi:10.1007/s40264-013-0090-2

Makary, M. A., & Daniel, M. (2016). Medical
error—the third leading cause of death in the US. BMJ, i2139.
doi:10.1136/bmj.i2139

Wright, K. (2013). The role of nurses in medicine
administration errors. Nursing     Standard, 27(44),
35-40. doi:10.7748/ns2013.07.27.44.35.e7468
 

 
 

         6- One area that I observed that could be studied more is the long shifts that nurses are required to work. This leads to fatigue and risk of medical mistakes. Industrial research over much of the 20th century indicates worker productivity declines significantly after 10 to 12 hours of work (ANA journal, 2017). A tired nurse is more likely to make errors, putting themselves and patients at risk. Its normal for nurse to work 12 hours shift, however, many times after a challenging 12 hour,s nurses are expected to put in another 4 or so hours when the need arises. Furthermore, many nurses have a long commute home, so they are up for another 6 -8 hours, as they need to take care of their families. After which, possible a few hours’ sleep and back to another long challenging shift. With all this, many nurses are studying and must find time for classes and assignment, which mean less time for rest.  According to U.S. Army studies, staying awake for 17 hours is functionally equivalent to having a blood alcohol concentration (BAC) of 0.05%; staying awake for 24 hours equates to a BAC of 0.10%. (In most states, it’s illegal to drive with a BAC of 0.08% or higher.) It further states that loss of even one night’s sleep can lead to short-term memory deficits and impaired cognitive functioning and the risk of bloodborne-pathogen exposure for workers increases during the last 2 hours of a 12-hour shift (ANA journal, 2017).

               Injury risk and the risk for patient error as risen significantly. These risks are not worth the convenience of 12-hour shifts, therefore more studied should be done to highlight the negative effect overwork has on the body and the risk associated with nursing fatigue. The aim is to improve patient safety, nurses’ safety and job satisfaction and not vice versa.

Reference

Are extended work hours’ worth the risk? (2017, November 08). Retrieved from https://www.americannursetoday.com/are-extended-work-hours-worth-the-risk/

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2023 Please respond based on what is written in this discussion Classmate wrote For this assignment I interviewed an NP in

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Nursing 2023 DISCUSSION RESPONSE 150-200 WORDS APA

Please respond based on what is written in this discussion Classmate wrote For this assignment I interviewed an NP in 2023 Assignment

Please respond based on what is written in this discussion.  

Classmate wrote: For this assignment, I interviewed an NP in charge of the clinical division of the local hospital. Based on my observations and research, the hospital allocates different roles to healthcare professionals engaged in various capacities to oversee the assigned activities and performance within their specific department or division. According to the interviewee, the primary focus in performance management is to align the generated employee outputs with the organizational goals which are developed at the beginning of every strategic period. The interviewed noted that she is continuously focused on ensuring that she creates a workforce which is compliant, dependent, and technically equipped to ensure that they meet the goals set by the hospital towards improving the quality of care and also the overall outcomes for the hospital and the patients. Correctly, the interview explained that her department has come up with sector-specific ways of evaluating and managing performance to ensure that that they meet the anticipated goals and objectives. It requires the employees to come together in developing performance management practices within the organization to maximize individual performance and enhance the quality of care delivery (Hewko and Cummings, 2016). In my view, I think that the interviewee is correct to focus on improving individual employee performance and also involving them in the course of performance management and improvement in the organization. It is because healthcare professionals as care providers represent an integral part of the healthcare process and they have to involve directly and continuously to ensure that the quality of care delivery is improved significantly (van der Geer et al., 2009). The overall outcomes will be likely to be advanced if all levels of the workforce are engaged actively to provide high quality and effective care delivery. 

PLEASE USE AT LEAST 2 REFERENCES AND IN-TEXT CITATIONS.

References

Hewko, S. J., & Cummings, G. G. (2016). Performance management in healthcare: a critical analysis. Leadership in Health Services, 29(1), 52-68.

Van der Geer, E., van Tuijl, H. F., & Rutte, C. G. (2009). Performance management in healthcare: performance indicator development, task uncertainty, and types of performance indicators. Social science & medicine, 69(10), 1523-1530.

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2023 1500 2000 words APA style 3 4 references in text citations The topics for this unit are finance human resources performance improvement

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Nursing 2023 Business of Healthcare

1500 2000 words APA style 3 4 references in text citations The topics for this unit are finance human resources performance improvement 2023 Assignment

1500-2000 words APA style, 3-4 references, in-text citations  

The topics for this unit are finance, human resources, performance improvement, and technology – the business of healthcare. 

You have been asked to speak to a group of students in nursing and other healthcare professions. 

You are assigned to talk about the importance of finance, human resources, performance improvement, and technology in healthcare organizations.

1. Does your organization have a competitive advantage?

2. If so, explore how and why this is a competitive advantage.

3. If not, do you see an area that could be developed as a competitive advantage?

4. If you were in charge, what would you do moving forward to build/create a competitive advantage for our organization?

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2023 Create a Power Point Presentation to discuss the following You have been asked to implement a new computer charting system

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Nursing 2023 powerpoint presentation

Create a Power Point Presentation to discuss the following You have been asked to implement a new computer charting system 2023 Assignment

Create a Power Point Presentation to discuss the following: You have been asked to implement a new computer charting system within your hospital. The staff at the hospital has been using paper charting and the staff’s age range is from 20 to 72. You will need to address the following: Who would you want on your team to help you as you implement this change and why? (interdisciplinary team) What should you consider when communicating this change to staff? How should the change be communicated to staff? (in-service, shift meeting) How are you going to implement the change, handle resistance, and be the change agent? What issues do you need to address about the use of technology within the hospital? (security, website surfing, documentation) What type of technology would you like to see (tablets, laptops, PC’s) why? How do you address the concerns of your older staff who do not have a computer and are scared of them? Power Point should include at least 3 outside references and the textbook. It should include title and reference slides and be 14-20 slides

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2023 The nail services industry is big business in the U S grossing billions

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Nursing 2023 assignment

The nail services industry is big business in the U S grossing billions 2023 Assignment

The nail services industry is big business in the U.S. grossing billions of Dollars in sales. There are two distinct ethnic groups, 48% Vietnamese and 42% Caucasian, which make up this industry. It is also overwhelmingly female with 97%. News outlets often run stories about consumer outbreaks at nail salons.

Guidelines for the Blog:

  • Read the news articles/items on the increase of manicures and pedicures. Try to focus on worker issues such as poor communication, economic pressure, training, biological and chemical exposures from the viewpoint of the consumer.
  • The United States Department of Labor has a website, Health Hazards in Nail Salons (https://www.osha.gov/SLTC/nailsalons/biohazards.html), which provides a wealth of information.

Your Blog posting must include the following: 

  • Title of articles or news items*:
  • Date:
  • Source*:
  • Share your view on ways to reduce workplace hazards with focus on preventative measures and protecting worker health.

*Note: Please note that your source may include the link (and related links provided above).

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2023 This review will focus on either Solid Waste Management OR Occupational Health As in the previous article reviews

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Nursing 2023 Article Review

This review will focus on either Solid Waste Management OR Occupational Health As in the previous article reviews 2023 Assignment

  This review will focus on either Solid Waste Management OR Occupational Health. As in the previous article reviews, you are required to do a literature search in peer-review journals and follow assignments prompts in the review guide. Please note that NEWS items are not allowed.

Article Review 5 – Solid Waste Management or Occupational Health

A. Introduction 

The purpose of the article review series is to get you think critically about the environmental and occupational exposure and health effects in secondary literature, that is either a peer-review article or professional paper. No news items are allowed. You are expected to choose your own article to review. Make sure to go over the review expectations (itemized in the “Task to Complete” below) before you decide on the choice of the article. When choosing your article, ensure your search includes some key words likely to help you narrow to the need of the assignment. For example: the review title – e.g. ‘solid waste management’, ‘occupational health’; ‘injuries’; ‘vermin’, solid waste vs. ambient air pollution’, ‘fall in the elderly’, ‘exposure’; ‘outcome’; ‘prevention’; ‘control’; or other technical words or phrases that will help you to discuss the points highlighted in the instruction below. Please visit the WKU Libraries for guidance. You are also advised to use the libraries’ search engines (https://libguides.wku.edu/publichealth) for peer-review articles that are already purchased by the university. 

This Article Review is focus on either Solid Waste Management OR Occupational Health. You have to decide and focus on one. You SHOULD NOT DO both solid waste management and occupational health. 

B. Task to Complete:

I will be looking for three (3) things when I grade the paper:

1. Bibliographic information 

· Make this the title of your review. The title structure will vary slightly based on the article format chosen. Please refer to the following examples for guidance.  

i. Peer-review Article: Last Name, First Name. (Year). “Title of Article”. Title of Journal. Volume (Number): Page spread (e.g. 15-26).

ii. Technical Report: Name of Agency. (Year). “Title of Article”. Name of publisher. 

iii. Book Chapter: Last Name, First Name. (Year). “Title of Chapter”. Title of Book. Editor First Name Last Name. City of Publication: Page spread (e.g. 15-26).

2. Brief summary of the article. Summarize the main points the author(s) discussed. Be sure to briefly answer the following questions. A sentence or two each will often be adequate. 

· What factors affect poor solid waste management, or how does poorly managed solid waste contribute to ambient air pollution, etc. On occupational health, what are the major occupational health injuries and illnesses; which industries or sectors carries the numbers? Be sure to name a at least one condition or disease. 

· How can the population be exposed to such contaminants/pollutants or affected by the hazards? 

· How can the effect on the population (or affected individuals) be controlled or minimized?

3. Detail analysis of the article. This is the most important part of the exercise and most of the mark will be allocated to this section. 

· You need to expand on the points discussed in 2 above but in a rather more detail fashion. 

· You need to show that you have critically think about the article by arguing out the strengths and limitations of the article. 

· Detail analysis of the population effects especially to children/vulnerable population/minority (where applicable) 

· Discuss the prevention strategies – poor solid waste management or occupational hazards, and at population levels. 

C. Final Product

The final product for this exercise is one (1) page written Word document that addressing the points in the ‘Tasks to Complete’, above. Please turn your work through the Article Review 5- link in Blackboard.

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2023 CO2 Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with

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Nursing 2023 Nursing Roles in Quality Improvement

CO2 Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with 2023 Assignment

CO2: Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO2)

How do nurses promote patient safety and improve quality at your workplace (or previous clinical setting)? What changes would you suggest be made on your unit or facility to improve a nonpunitive culture of safety?

Please use reference and cite them.

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2023 References Fouka G Mantzorou M 2011 What are the Major Ethical

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Nursing 2023 M4 Tabular Summary of 12 Articles

References Fouka G Mantzorou M 2011 What are the Major Ethical 2023 Assignment

References:

Fouka, G. & Mantzorou, M. (2011). What are the Major Ethical Issues in Conducting Research? 

Is there a Conflict between the Research Ethics and the Nature of Nursing? Health Science Journal, 5(1), 3-14. 

Furuya, Y., Dick, A., Perencevich, E., Pogorzelska, M., Goldman, D., & Stone, P. (2011). Central line bundle implementation in US intensive care units and impact on bloodstream infections. PLoS ONE, 6(1), 1-6. 

 Graling, P., & Vasaly, F. (2013). The effectiveness of 2% CHG Cloth Bathing for Reducing Surgical Site Infections. AORN Journal, 97(5): 547-551.

Jeanes, A., & Bitmead, J. (2015) Reducing bloodstream infection with a chlorhexidine gel IV dressing. British Journal of Nursing, 24, S14-S19.

Kim, J., Holtom, P., & Vigen, C. (2011). Reduction of catheter-related bloodstream infections through the use of a central venous line bundle: Epidemiologic and economic consequences. American Journal of Infection Control, 39(8), 640-646.

Klinworth, G., Stafford, J., O’Connor, M., Leong, T., Hamley, L., Watson, K., Kennon, J., Bass, P., Cheng, A. C., & Worth, L. (2014). Implementation of a successful hospital-wide initiative to reduce central line–associated bloodstream infections. American Journal of Infection Control, 42(6), 685-687.

Kramer, N. (2016). Monitoring Central Line-Associated Bloodstream Infections [CLABSI] in Home Infusion. Infusion, 22(4), 35-44.

McAlearney, A., Hefner, J., Robbins, J., Harrison, M., & Garman, A. (2013). Preventing central line-associated bloodstream infections: A Qualitative Study of Management Practices. Infection Control & Hospital Epidemiology, 36(5), 557-563. 

Mermel, L. (2014). MRSA and CLABSI Compendium updates offer additional focus on implementation. Patient Safety Monitor Journal, 15(9), 1-4. 

Power, J., Peed, J., Burns, L., & Davis, M. (2012). Chlorhexidine bathing and microbial contamination in patients’ basin. American Journal of Critical Care, 21(5), 338-342.

Pyrek, K. (2015). Experts Address the Promise and Challenges of CHG Bathing Interventions. Infection Control Today, 19(1), 32-36.

Quach, C., Milstone, A, Perpe, C., Bonenfant, M., Moore, D., & Perreault, T. (2014). Chlorhexidine Bathing in a tertiary care neonatal intensive care unit: Impact on central line–associated bloodstream infections. Infection Control & Hospital Epidemiology, 35(2), 158-163.

Richardson, J., & Tjoelker, R. (2012). Beyond the central line-associated bloodstream infection bundle: the value of the clinical nurse specialist in continuing evidence-based practice changes. The Journal of Advanced Nursing Practice, 26(4), 205-211. 

Sandoval, C. (2015). Three practice bundles to reduce CLABSIs. American Nurse Today, 10(11), 37-38. 

Scheithauer, S., Lewalter, K., Schroder, J., Koch, A., Hafner, H., Krizanovic, V., Nowicki, K., Hilgers, R.-D., & Lemmen, S. (2014). Reduction of central venous line-associated bloodstream infection rates by using a chlorhexidine-containing dressing. Infection, 42(1), 155-159. 

Wilder, K. A., Wall, B. Haggard, D. & Epperson, T. (2016). CLABSI Reduction Strategy: A Systematic Central Line Quality Improvement Initiative Integrating Line-Rounding Principles and a Team Approach. Advances in Neonatal Care, 16(3), 170-177. 

U.S. Department of Health and Human Services. (2011). Health-care-associated infection (HAI). Retrieved 10/21/2016 from http://www.hhs.gov/ash/initiatives/hai/index.html

References:

Fouka, G. & Mantzorou, M. (2011). What are the Major Ethical Issues in Conducting Research? 

Is there a Conflict between the Research Ethics and the Nature of Nursing? Health Science Journal, 5(1), 3-14. 

Furuya, Y., Dick, A., Perencevich, E., Pogorzelska, M., Goldman, D., & Stone, P. (2011). Central line bundle implementation in US intensive care units and impact on bloodstream infections. PLoS ONE, 6(1), 1-6. 

 Graling, P., & Vasaly, F. (2013). The effectiveness of 2% CHG Cloth Bathing for Reducing Surgical Site Infections. AORN Journal, 97(5): 547-551.

Jeanes, A., & Bitmead, J. (2015) Reducing bloodstream infection with a chlorhexidine gel IV dressing. British Journal of Nursing, 24, S14-S19.

Kim, J., Holtom, P., & Vigen, C. (2011). Reduction of catheter-related bloodstream infections through the use of a central venous line bundle: Epidemiologic and economic consequences. American Journal of Infection Control, 39(8), 640-646.

Klinworth, G., Stafford, J., O’Connor, M., Leong, T., Hamley, L., Watson, K., Kennon, J., Bass, P., Cheng, A. C., & Worth, L. (2014). Implementation of a successful hospital-wide initiative to reduce central line–associated bloodstream infections. American Journal of Infection Control, 42(6), 685-687.

Kramer, N. (2016). Monitoring Central Line-Associated Bloodstream Infections [CLABSI] in Home Infusion. Infusion, 22(4), 35-44.

McAlearney, A., Hefner, J., Robbins, J., Harrison, M., & Garman, A. (2013). Preventing central line-associated bloodstream infections: A Qualitative Study of Management Practices. Infection Control & Hospital Epidemiology, 36(5), 557-563.

Mermel, L. (2014). MRSA and CLABSI Compendium updates offer additional focus on implementation. Patient Safety Monitor Journal, 15(9), 1-4. 

Power, J., Peed, J., Burns, L., & Davis, M. (2012). Chlorhexidine bathing and microbial contamination in patients’ basin. American Journal of Critical Care, 21(5), 338-342.

Pyrek, K. (2015). Experts Address the Promise and Challenges of CHG Bathing Interventions. Infection Control Today, 19(1), 32-36.

Quach, C., Milstone, A, Perpe, C., Bonenfant, M., Moore, D., & Perreault, T. (2014). Chlorhexidine Bathing in a tertiary care neonatal intensive care unit: Impact on central line–associated bloodstream infections. Infection Control & Hospital Epidemiology, 35(2), 158-163.

Richardson, J., & Tjoelker, R. (2012). Beyond the central line-associated bloodstream infection bundle: the value of the clinical nurse specialist in continuing evidence-based practice changes. The Journal of Advanced Nursing Practice, 26(4), 205-211.

 

Sandoval, C. (2015). Three practice bundles to reduce CLABSIs. American Nurse Today, 10(11), 37-38. 

Scheithauer, S., Lewalter, K., Schroder, J., Koch, A., Hafner, H., Krizanovic, V., Nowicki, K., Hilgers, R.-D., & Lemmen, S. (2014). Reduction of central venous line-associated bloodstream infection rates by using a chlorhexidine-containing dressing. Infection, 42(1), 155-159. 

Wilder, K. A., Wall, B. Haggard, D. & Epperson, T. (2016). CLABSI Reduction Strategy: A Systematic Central Line Quality Improvement Initiative Integrating Line-Rounding Principles and a Team Approach. Advances in Neonatal Care, 16(3), 170-177. 

U.S. Department of Health and Human Services. (2011). Health-care-associated infection (HAI). Retrieved 10/21/2016 from http://www.hhs.gov/ash/initiatives/hai/index.html

 
 
 
 
 

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2023 Esther Jackson is a 56 year old black female who is 1 day post op following a left radical mastectomy

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Nursing 2023 Assessment of Cardiac Status

Esther Jackson is a 56 year old black female who is 1 day post op following a left radical mastectomy 2023 Assignment

 

Esther Jackson is a 56-year-old black female who is 1-day post-op following a left radical mastectomy. During morning rounds, the off-going nurse shares with you during bedside report that the patient has been experiencing increased discomfort in her back throughout the night and has required frequent help with repositioning. She states that the patient was medicated for pain approximately 2 hours ago but is voicing little relief and states that you might want to mention that to the doctor when he rounds later this morning. With the patient appearing to be in no visible distress, you proceed on to the next patient’s room for report.

Approximately 1 hour later, you return to Ms. Jackson’s room with her morning pills and find her slumped over the bedside stand in tears. The patient states, “I don’t know what is wrong, I don’t feel right. My back hurts and I’m just so tired. What is wrong with me?” The patient refuses to take her medications at this time stating that she is starting to feel sick to her stomach.

Just then the nursing assistant comes into the patient’s room to record Ms. Jackson’s vital signs, you take this opportunity to quickly research the patient’s medication record to determine if she has a medication ordered for nausea. Upon return, the nursing assistant hands you the following vital signs: T 37, R 18, and BP 132/54, but states she couldn’t get the patient’s pulse because “it is all over the place.”

Please address the following questions related to the scenario.

  1. What do you suspect is the cause of the patient’s symptoms?
  2. Describe the course of action that you will take to confirm this suspicion and prevent further decline.
  3. What further assessments, lab values, and tests will likely be ordered for this patient and how often? If testing is to be completed more than once, please explain the rationale for doing so.
  4. While you are caring for this patient, how will you ensure that the needs of your other patients are being met?

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2023 Discussion post Managed care has and continues to grow and evolve This could have only come about because managed care

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Nursing 2023 Adapting to Consumer Demand

Discussion post Managed care has and continues to grow and evolve This could have only come about because managed care 2023 Assignment

Discussion post 

Managed care has and continues to grow and evolve. This could have only come about because managed care has been able to solve problems and issues that existed before it came on the scene. Perform a web search and summarize your findings of any issues or problems that consumers face today and one or two new tools, products, or system designs that help meet the demands of these consumers.

1 paragraph 

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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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