Dr. Smith has a full morning of minor office surgeries scheduled for today. Sarah, his nurse, has set up the room and prepared the patient. Prior to starting, Dr. Smith requests anesthetic without epinephrine due to the location of the surgical site. Searching the drawers and supply closet, Sarah reports, “We don’t have any.”
 

Fortunately, Sarah was able to borrow a vial from the physician in an adjacent office suite. Investigation by the office manager reveals that the supply was not reordered when the previous stock was disposed of due to its expiration date. This disruption in supply chain management resulted in an inefficient use of physician time and an uncomfortable situation in the presence of a patient.
 

Create a 2-page executive summary explaining to your staff the significant of stocking, placing timely orders, and provide a step by step method on what to do in order to avoid this type of situation in Dr. Smith’s office.
 

Gather your research from at least 2 sources other than your textbook. Cite your sources using APA guidelines. All submitted work should be free of grammatical errors.

 Using your research paper, write an extended outline of how the content of the paper could be converted into an oral presentation. Structure the outline to include all the major sections of the paper and write out the text that would appear for each section.

Use the “Sample PowerPoint Presentation” as an example for your PowerPoint presentation. It is provided as a template, but it is not required to be used if you wish to use a different PowerPoint presentation template.

Produce a 12–20 slide PowerPoint presentation to report the results of your research paper. Refer to the lectures, the textbook chapters, and the article above to design your talk.

Include suggestions of which figures in your paper should be included in the talk and how they may or may not need to be modified.

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

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

  

Critical Thinking: Organizational Change and Workforce Management (150 Points)

Saudi Hospital System (SHS, a fictitious organization) has been facing many serious issues including leadership problems, staffing deficiencies, and financial hardship. Challenges include:

• High      staff turnover, which doubled to 20% in the past two years, is expected to      rise.
• SHS      is in the process of implementing complex and expensive multi-year      healthcare information systems such as Electronic Health Record and other      critical-need clinical information systems.
• SHS      is facing significant competition from other local healthcare facilities.

Last year, a new Chief Executive Officer (CEO) was hired. He identified the current organizational culture as apathetic, leaderless, and resistant to change. He also noted that the staff was under stress, resisting teamwork, accepting mediocrity, and compromising patient safety values and industry best practices. The CEO noted that critical human resources functions were broken and that financial performance was suffering. He attributed this to a variety of process issues as well as to the lack of focus on the core business of patient care.

In response, he decided to implement the following strategies:

• change      the organizational culture
• improve      human resources and workforce practices and outcomes
• ensure      the organization’s solvency and financial viability in the long run
• cut      costs across the board, including implementing a labor-reduction strategy      (salary and benefits), with an aggressive timeline to turn around the      financial bottom line.

Within a few months after these strategies were implemented, the SHS started to show less of a financial loss and seemed to stabilize financially. The morale of the staff, however, took a significant hit in the wrong direction. Staff turnover increased as the sense of job security decreased and as an increasing number of valued and critical staff in all areas left. Soon, SHS experienced an increase in patient complaints and lowered customer service, with signs of impact on clinical patient outcomes.

Now the CEO wants to create a dynamic long-term organization and human resources strategic plan to put SHS on the right track. To formulate and implement this plan, the CEO hired a well-known consultant who is tasked with performing a system-wide organization and human resources assessment.

Within the scope of this assessment is the development and formulation of a multilevel strategic program. This new program is to be implemented system-wide with the goal of helping SHS leaders to understand the link among finances, employee morale, human resources functions, and patient satisfaction. The end goal of this assessment is to create a culture of accountability; to shift the culture to one of services after two years; to attract, hire, and retain quality staff; and to implement best practices in workforce management. 

Assume that you are the consultant whom the CEO hired to do this assessment project. Your main task is to identify the key components involved in changing the organizational culture and to identify the steps needed to generate sustainable change. Here are the deliverables that the CEO wants to see from you:

1. Develop a comprehensive organization and human resources strategic plan. The plan has two major sections: Organization Development and Human Resources.  The CEO expects you to create your plan using benchmarking and by integrating human resources and organization development best practices from other healthcare organizations, as well as from other industries.

2. The Organization Development section will address the following items:

· Workplace communication

· Motivation

· Conflict Management.

3. The Human Resources section will address the following items:

· Organizational and human resources systems that need to be in place to effect positive organizational outcomes

· Performance management system

· Process of training and development and the contribution to the organization’s bottom line

· Key action steps required to develop the plan.

Your well-written paper should meet the following requirements:

• Be      6-8 pages in length, not including the required cover and reference pages.
• Formatted      according to Saudi Electronic University and APA writing guidelines.
• Provide      support for your statements with in-text citations from a minimum of six      scholarly articles from peer-reviewed journal articles.

  

Antimicrobial agents are essential components in the treatment of various bacterial infections as they help to kill or prevent the growth of microbes such as bacteria, fungi, and protozoans. Prior to the discovery of antimicrobial agents, treatment options for patients with bacterial infections were limited. For many patients, treatment often resulted in the amputation of limbs or even death. Today, treatment options for bacterial infections typically have a more positive prognosis. Due to the various types of infections presented in patients, it is essential to be able to identify the underlying cause of the infection—whether bacterial or viral—before recommending drug treatments. This will help you identify whether or not an antimicrobial agent would be appropriate and which specific agent would target the infection. In this Assignment, you consider the appropriate use of antimicrobial agents for infections.

To prepare:

• – Review this week’s media presentation      on principles of antimicrobial therapy, as well as Chapter 8 of the      Arcangelo and Peterson text.
• – Consider the categories of      antimicrobial agents.
• – Think about differences between viral      and bacterial infections.
• – Reflect on why proper identification      of the infection is key to selecting the proper antimicrobial agent.

POST a 2- to 3- page paper that addresses the following:

• – Describe the categories of      antimicrobial agents.
• – Describe differences between viral      and bacterial infections.
• – Explain why proper identification of      viral and bacterial infections is key to selecting the proper      antimicrobial agent.

This work should have Introduction and conclusion

– This work should have at 4 to 6 current references (Year 2012 and up)

– Use at least 3 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

Required Readings

Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.

• Chapter 8, “Principles of      Antimicrobial Therapy” (pp. 111-134)
       This chapter covers factors that impact the selection of an antimicrobial      treatment regimen. It also examines the clinical uses, adverse events, and      drug interactions of various antimicrobial agents such as penicillin.
• Chapter 12, “Fungal Infections      of the Skin” (pp. 163-196)
       This chapter explores the pathophysiology of several fungal infections of      the skin as well as related drug treatments and examines the importance of      patient education when managing these infections.
• Chapter 14, “Bacterial      Infections of the Skin” (pp. 181-196)
       This chapter begins by examining causes of bacterial infections. It then      explores the importance of selecting an appropriate agent for treating      bacterial infections.
• Chapter 32, “Urinary Tract      Infection” (pp. 519-526)
       This chapter covers drugs used to treat urinary tract infections and      identifies special considerations when treating geriatric patients,      pediatric patients, and women.
• Chapter 35, “Sexually      Transmitted Infections” (pp. 512-535)
       This chapter outlines the causes, pathophysiology, and drug treatment of      six sexually transmitted infections, including gonorrhea, syphilis, and      human papilloma virus infection (HPV). It also examines the importance of      selecting the proper agent and monitoring patient response to treatment.
• Chapter 49, “Human Immunodeficiency Virus” (pp.      843-860)
       This chapter presents the causes, pathophysiology, diagnostic criteria,      and prevention methods for HIV. It also covers various methods of drug      treatment and patient factors to consider when selecting, administering,      and managing drug treatments.

Krummenacher, I., Cavassini, M., Bugnon, O., & Schneider, M. (2011). An interdisciplinary HIV-adherence program combining motivational interviewing and electronic antiretroviral drug monitoring. AIDS Care, 23(5), 550–561.

This article analyzes medication adherence in HIV patients and examines factors that increase adherence as well as factors that contribute to termination or discontinuation of treatment.

Drugs.com. (2012). Retrieved from http://www.drugs.com/

This website presents a comprehensive review of prescription and over-the-counter drugs including information on common uses and potential side effects. It also provides updates relating to new drugs on the market, support from health professionals, and a drug-drug interactions checker.

Scourfield, A., Waters, L., & Nelson, M. (2011). Drug combinations for HIV: What’s new? Expert Review of Anti-Infective Therapy, 9(11), 1001–1011.

Note: Retrieved from the Walden Library databases.

This article examines current therapies and strategies for treating HIV patients. It also examines factors that impact selection of therapy, including drug interactions, personalization of therapy, costs, management of comorbidities, and patient response.

Required Media

Laureate Education, Inc. (Executive Producer). (2012). Antimicrobials. Baltimore, MD: Author.

This media presentation outlines principles of antimicrobial therapy 

Note: The approximate length of this media piece is 7 minutes.

Mayer, K. H., & Krakower, D. (2012). Antiretroviral medication and HIV prevention: New steps forward and New Questions. Annals of Internal Medicine, 156(4), 312–314.