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

Imagine that, for about a year, your nursing unit has been involved in an intensive campaign to improve patient satisfaction scores with pain management. You are getting good data from your patients, as the length of stay on this inpatient geriatric medical nursing unit is only about 6 days. Your hospital does 100% survey to inpatients, and the response rate is about 25%, which is higher than it has been. This notwithstanding, the percent of “patient very satisfied” (top box), with a score of 5, has been in the low 70s. The national benchmark for medical surgical units like yours is about 85% very satisfied. Of all the units in your hospital, your unit is the lowest scoring on this HCAPHS survey. But as your unit is the only geriatric medical nursing unit in the hospital, you’d always thought it was the nature of the patient population.

You have been the day shift representative to the QI team, and the scores on your unit are posted monthly. Here are the numerous strategies that have been tried on your unit and the timeframes.

The discussion must include:

For this Discussion, examine the strategies and interventions tried in your unit and consider the following questions: a) Were the strategies effective in creating a sustainable change on your nursing unit, and b) To what extent can your nurse manager and CNO count on your unit exceeding the national benchmark in the next quarter, the next year? That is, does this run chart have some predictive ability? Does the run chart support the nursing unit’s decision to celebrate? To what extent can the leadership be confident that the trend will continue?

Reference

Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.
Chapter 4, “Evaluating Performance” (pp. 79-118)
Chapter 5, “Continuous Improvement” (pp. 119-142)
Chapter 6, “Performance Improvement Tools” (pp. 143-174)
 

Microsoft. (2016). Use charts and graphs in your presentation. Retrieved from https://support.office.com/en-gb/article/Use-charts-and-graphs-in-your-presentation-c74616f1-a5b2-4a37-8695-fbcc043bf526

  

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–

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.

• Chapter 19, “Building Effective Teams” (pp. 335-356)

Apa format.. Scholar authors only.. 3 paragraphs. Please read all instructions. THIS WILL BE Need to be CLABSI THAT OCCURS IN INTENSIVE CARE UNIT. Read all instruction.

Choose a Quality Improvement Model from Chapter 5 in the Spath (2018) textbook, and apply this model to your practice problem. Please do not choose Lean or Six Sigma as your quality model unless you have an expert in these quality models in your organization to guide you through the process.

PDSA (p.124).
RCI (p.127).
FOCUS PDCA (p.128).
FADE (p.129).

Discussion:

 Discussion entry describing the model that you selected and how each step of the model will be used to develop the plan for the Practice Experience Project. Continue to collaborate with the selected individuals in your practice environment as needed in the development of the Practice Experience Project, and share this information with your group.

Reference

Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.
Chapter 4, “Evaluating Performance” (pp. 79-118)
Chapter 5, “Continuous Improvement” (pp. 119-142)
Chapter 6, “Performance Improvement Tools” (pp. 143-174)
 

Note: Although Chapter 4 is previously assigned reading, please review it in preparation for this week’s material.
 

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.
Chapter 19, “Building Effective Teams” (pp. 335-356)
 

Microsoft. (2016). Use charts and graphs in your presentation. Retrieved from https://support.office.com/en-gb/article/Use-charts-and-graphs-in-your-presentation-c74616f1-a5b2-4a37-8695-fbcc043bf526

  

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.
 

Document: Patient Satisfaction with Pain Management Run Chart (PDF)

  

Module 06 Discussion – Prevention of Shock

Your patient is a 42-year-old female that arrives in the ED with complaints of fever and not feeling well. She is currently undergoing chemotherapy for bladder cancer. She has an indwelling urinary catheter with a scant amount of dark, foul-smelling urine. She has a temperature of 102.2F, HR 136, BP 110/50, and RR 28. She is allergic to penicillin and Sulfa.

What type of shock is she experiencing?

What interventions do you anticipate the doctor will order?

What can you teach this patient about the prevention of infection?

The doctor orders Bactrim. What should you be concern about? Why?

Include in-text citation and 3 references

Please make a summary of the virtual stimulation you experience in the link below. there is no word limit or requirement, please provide references and has to be in apa style. thanks

Turbulent Sky: A 360o  Disaster Management Virtual Simulation 

Description:  This virtual disaster management community provides scenarios involving client/community/organizational issues focused on the disaster management process. The user experiences various areas within the mock disaster to discover information such as: managing a disaster, understanding the role of health care providers, working with other organizations, and practicing skills.   The use of audio, video, quizzes, interviews and unfolding scenarios will assist the learner to apply disaster management principles to an actual disaster.

Suggested Audience:  Healthcare workers, nursing students, practicing nurses, paramedics, etc.

Access:  Open Source Learning – no permission required.
Link: https://etvlabs.com/TurbulentSky/ 

Additional Resources: Introduction To Virtual Sim – click here

Contact: Allyson Cooper ([email protected]) or Kimberley Pinel ([email protected]

Using the attached aquifer case, present the case and support evidence in a power point presentation with the following components.

• Slide 1: Title, Student Name, Course, Date
• Slide 2: Summary or synopsis of Judy Pham’s case
• Slide 3: HPI
• Slide 4: Medical History
• Slide 5: Family History
• Slide 6: Social History
• Slide 7: ROS
• Slide 8: Examination
• Slide 9: Labs (In-house)
• Slide 10: Primary Diagnosis and 3 Differential Diagnoses – ranked in priority

Primary Diagnosis should be supported by data in the patient’s history, exam, and lab results.

• Slide 11: Management Plan: medication (dose, route, frequency), non-medication treatment, tests ordered, education, follow-up/referral.
• Slide 12-16: An evaluation of 5 evidence-based articles applicable to Ms. Pham’s case: evaluate 1 article per slide.

1. Include title, author, and year of article
2. Brief summary/purpose of the study
3. How did the study support Ms. Pham’s case?

Course texts will not count as a scholarly source. If using data from websites you must go back to the literature source for the information; no secondary sources are allowed, e.g. Medscape, UptoDate, etc. 

• Slide 17: Reference List