Clinical Judgment is the process of integrating evidence-based practice, critical-thought, the Nursing Process, knowledge, skills, and attitudes, as well as application of theory to practice in order to promote safe, quality care to clients in all settings.

Keeping that in mind, answer the following scenario:

You are the Charge Nurse in a large Urban Emergency Department (ED). You nursing staff include:

1. RN with 12 years of Trauma ED experience
2. New RN with 6 months ED experience
3. RN from the Medical Surgical floor with 8 years of experience

The following patients are in the ED, which patient will you give to each of the nurses and why?

1. A 76-year-old client who was involved in a motor vehicle accident and has hematuria.
2. A 38-year-old client with kidney stones complaining of severe pain.
3. A 24-year-old diabetic client with an acute urinary tract infection who will require discharge teaching.
4. An 80-year-old client that has not had a bowel movement for 4 days.

Combining Nurse Leader With Advocacy

Rate yourself using the results from the “Nurse Manager Skills Inventory”:

http://www.aone.org/resources/online-assessments.shtml

Write a reflection of 750‐1,000 words in which you identify your strengths and weaknesses related to the four content areas below:

1. Personal and professional accountability
2. Career planning
3. Personal journey disciplines
4. Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

While APA format is not required for the body of this assignment, solid academic writing is expected and in‐text citations and references should be presented using APA documentation 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.

Assignment Description

Leadership and Managing

This week you reflected upon the difference between a “manager” and a “leader” and discussed this concept with your classmates and professor in the discussion board. In a written essay please answer the following questions:

• What are the differences between leaders and managers? What characteristics are similar and what are different?
• Provide a total of three examples. First, of someone who has great managerial skills. Second, another individual with great leadership skills. Third, another person with poor managerial skills. These can be made up individuals or examples you have seen without any identifying information. Discuss how the staff of each individual would be affected by the skills of the leader/manager.
• Complete the Emotional Intelligence Test Discuss your scores and what they mean. What did you learn about yourself as a leader? (Note that a 10 on the EI test means strong. On the score page, click on the blue “here” under “interpreting your GEIT scores, click here” for more information on each section and what it means. 

Assignment Expectations:

Length: 1500 to 2000 words total (at least 500 words per question prompt)

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required for this assignment.

Assignment Details

Research and explore managed care plans that require patient care to be managed or at least initially triaged by a primary care provider (e.g., primary-care physician, nurse practitioner, or physician assistant). Create a 1-page infographic depiction of the flow of care from initial intake through treatment by one or more specialists, as required.

The following are the requirements for this assignment:

• Create a 1-page infographic using Microsoft Word wherein you visually communicate the flow of care from initial intake to final assessment in a managed care environment.
• In addition to the infographic, include a cover slide/page and a References slide/page.

Click here to see an example of an infographic.

Deliverable Length:  See assignment details

Purpose

This week’s graded discussion topic relates to the following Course Outcome (CO).

• CO 5: Apply improvement methods, based on data from the outcomes of care processes, to design and test changes to continuously improve the quality and safety of healthcare. (PO 8)

The Assignment

In Huston’s (2010) brief, but impressive article (required reading this week), the author outlines several leadership competencies that EVERY nurse leader will need for 2020. That year is not too far in the future, is it?

1. Select one of the eight leadership competencies Huston described and relate it to your own leadership of nurses and nursing. This should promote a robust discussion as we come from different clinical and nonclinical perspectives.
2. Discuss how the BSN-prepared nurse can assist a nurse leader in the budgeting process by contributing data readily available to the staff nurse.

Huston, C. (2010). What skills will the nurse leaders of 2020 need? (2010). Kai Tiaki Nursing New Zealand, 16(6), 14–15. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105060080&site=ehost-live&scope=site (Links to an external site.)Links to an external site.