Please give additional information one paragraph responding to this above post intext citation reference. 

CASE #3:

14-year-old girl presents to the emergency department, accompanied by her 10-month-old daughter and boyfriend. The boyfriend is the child’s father. Patient complains of severe lower abdominal pain, although she is afebrile, with normal laboratory values and normal vital signs. No cause of the pain is able to be delineated, and the plan is to take the girl to the operating room to perform a diagnostic laparoscopy. In this case, from whom should informed consent be obtained? Provide an evidence-based reason for your answer.

Answer:

In this case, informed consent should be obtained from the patient or her parents based on the circumstances. According to U.S. state laws, authorized legal guardians or parents are given the responsibility for informed consent of their child who is a minor. There are however, exemptions for a minor to receive treatment without the informed consent of a parent or guardian. Some exemptions include a married minor, minors seeking treatment for sexually transmitted diseases, emancipated minors, psychiatric inpatient voluntary admissions, or a medical emergency that would place the minor at risk for injury or death. The last exemption relates to this minor’s situation since she is in a state of severe abdominal pain. It would help to have more information from this case, such as the status of her parents or guardian if they are present in her life, but she is in a state of having severe lower abdominal pain, which places her at risk for potential injury. Also, other things should be considered, such as knowing the state nurse practice act, understanding the Emergency Medical Treatment and Active Labor Act (EMTALA) related to minors, and knowing state laws regarding minors to ensure proper protocol when caring for minors under certain situations, in this case, an emergent situation. The boyfriend does not have the right to have informed consent because he is not married to the client, and the client is not stated as emancipated minor either. The client’s emergent situation should allow them to obtain informed consent since their health is at risk (Brent, 2021).

References

Brent, N. (2021, January 21). Informed consent for minors is a big issue in the ED. Retrieved January 28, 2021, from https://resources.nurse.com/informed-consent-for-minors-is-a-big-issue-in-ed

After you read the instruction carefully and read the articles please give initial post one page with intext citation and reference

Step 1: Read the following articles

American Nurse Association. The American nurse. On less familiar ground. Strategies aim to reduce random floating, improve the experience. August 31, 2017. (Attached to discussion)  (Links to an external site.)

Brown T. Nurses are talking about: floating and rapid response duty. Medscape Sunday September 17, 2017. http://blog.diversitynursing.com/blog/nurses-are-talking-about-floating-and-rapid-response-duty (Links to an external site.)

Davies K. Advance healthcare networks for nurses. Float assignments. Nursing advisor. http://nurseadvisormagazine.com/nurse-advisor/in-the-breakroom/float-nursing-to-reduce-healthcare-costs/ (Links to an external site.)

Nurse.com. Do registered nurses have to float to areas where they have not been trained or feel comfortable working? Is this legal? December 11, 2013. https://www.nurse.com/blog/2013/12/11/do-rns-have-to-float-to-units-where-they-have-not-been-trained-or-feel-comfortable-working-is-this-legal/ (Links to an external site.)

O’Connor K, Dugan LJ. Addressing floating and patient safety. RN Nursing February 2017-Vol 47-Issue2-page 57-58 doi:10.1097/01. NURSE.0000511820.95903-78. https://journals.lww.com/nursing/Fulltext/2017/02000/Addressing_floating_and_patient_safety.15.aspx#:~:text=%20Addressing%20floating%20and%20patient%20safety%20%201,nurses%20may%20perceive%20floating%20negatively%2C%20it%27s…%20More%20 (Links to an external site.)

RN responsibility when floating to new patient care unit or assigned to new population. https://www.rn.ca.gov/pdfs/regulations/npr-b-21.pdf (Links to an external site.)

Priority Actions to take when Floating

Floating is defined as “the reassignment of staff from one nursing unit to another based upon the patient census and acuities”. Floating is difficult and has always been a problem for nurses but safe patient care is always the goal. Floating is a reality that often cannot be avoided, particularly in the hospital setting. Floating may cause anxiety, stress, overwhelming, scary, draining, dissatisfaction, disruptive, and feeling of frustration even to a very experienced and skillful nurse to be pulled to work on a unit outside her/ his comfort zone. This might be caused by discomfort from unfamiliarity related to diverse patient population, staff, unit, and the processes to a work on a different department. Working in unfamiliar area makes nurses uneasy by not knowing what to expect. Yes, they know how to take care of the patients but without proper orientation to the unit/ area one will be floating is not easy. Whenever staff members are sent to float to an unfamiliar unit, it is expected that at least they will be able to perform the basic assessment and skills.

What Should the Registered Nurse Do When She/He Has to Float?

Before accepting patient assignment when floating to a different unit…

1. Make sure you have the necessary knowledge, judgement, skills, and ability to provide the required patient care. The nurse should not accept any patient care assignment he/ she is not competent to deliver the care but instead accept limited assignment of nursing care duties you can utilize your current competence.
2. Remember that the department you are floating will be glad to have you to help them decrease their patient work load. You will be responsible for your own actions and will be the one to face disciplinary action by a State Board of Nursing if you are not competent to perform the assignment delegated to you.
3. Talk to the Charge Nurse of the unit you are floating if you refuse the assignment being given to you and discuss the reason of your refusal. Let him/ her know that you are there to help but they should give you patient assignments that you are competent and comfortable to handle. The Charge Nurse of your permanent unit may be able to help you as well in talking to the unit you are floating If they insist for you to take the assignment. You may seek the help of the Nursing Supervisor. You can write an incident report to cover yourself.

According to American Nurses Association (ANA), “Registered Nurses must have the professional right to accept, reject, or object in writing to any assignment that puts patients or themselves at serious risk for harm.” The Joint Commission on floating clearly states that when an employee is asked to float to a different unit, that unit must be similar to his or her own and that the nurse must demonstrate competencies specific to that unit. Furthermore, the assigned employees should be floated to areas of comparable clinical diagnoses and acuities.

Initial Discussion Assignment:

You are a nurse on a medical-surgical unit that is currently well staffed with each nurse at a 3:1 ratio. There were two call outs in the oncology unit and it is your turn to float. The charge nurse informs you that you are being floated to the oncology unit and that you have been assigned to care for four patients.

Your discussion posting must address all of the following issues:

1. Summarize the concepts of floating that were addressed in the attached articles.
2. What steps would you take in this scenario to ensure a safe transition into the unfamiliar unit?
3. Why are these steps important?
4. What are some of the legal ramifications that can occur if you accept an assigned that is out of your scope of practice?

On less familiar ground Strategies aim to reduce random floating, improve the experience.pdf 

Read the case scenario and answer the case questions:

Case Scenario

A patient is confused about how to make payments for a recent visit to urgent care and hospital stay. Her employer-based insurance provider’s website allows her to use her HSA account to make a payment online. She uses her HSA debit card to make the payment, but her insurance provider sends her a check instead of sending it to the Tri-City HealthCare Agency. After contacting her insurance help desk via the website, she is told to send the check to Tri-City HealthCare Agency herself. The patient asks the insurance provider’s help desk representative why they cannot just make the payments for her. She is told about the various payment types and payers in the health care industry and how the market influences the integrated delivery systems in the industry.

Case Questions

1. Describe the payer systems mentioned in the case study.
2. Explain how the market forces have influenced the need for integrated delivery systems.
3. How might the insurance provider explain the payment system it utilizes for its clients? Explain if this method is effective or not for the insurance provider’s clients.
4. What has been the most significant legal and regulatory effect on managed care organizations?
5. How would this case study have differed if the patient was using public or social insurance?

The response to each question should be a minimum of 200 words. Formal essay structure is not required; differentiated responses to each question are acceptable. 

Integrate two to four scholarly sources in the collective assignment.

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.

Mr. F is a 38-year-old man in overall good health who has been complaining about an aching pain in his knees when working around the house and often when simply walking. He has noticed that his knees feel “hard” and tight. His history indicates that he has always been involved in athletics and was on the college football team, but recently family responsibilities and work have not made it easy for him to exercise.

Discussion Questions

Relate Mr. F’s case history to the pathophysiology of osteoarthritis.

How do anti-inflammatory drugs and analgesics help Mr. F deal with this form of arthritis? Why is moderate, non–weight-bearing exercise recommended?

What is the probable prognosis for Mr. F?