Mandatory staffing ratios in hospitals

A nurse in the ICU comes on to her first of three shifts, and told that she is going to be receiving a transfer from a smaller hospital at some point in her shift. The patient that she is going to be receiving is a 79 year old patient that takes blood thinners and had a fall. Due to fall is believed to have both subdural hematoma and subarachnoid hematoma with a 1 cm x 1 cm midline shift. Currently on unit she is to receive report on a patient that is 66 years old that was extubated 2 hours earlier whom is having labored breathing with respiration rate of 52 breaths per minute. The third patient is a vented 64 year old patient that was admitted for acute respiratory failure related to COPD exacerbation due to lower lobe pneumonia.

RUBRIC

Statement of Issue: Present issue you have chosen in the context of a realistic, hypothetical patient scenario. A healthcare worker should be part of the scenario and is faced with the ethical/legal decision or is assisting someone who is facing the decision.

4.0 pts

This criterion is linked to a Learning OutcomeEthical Analysis: Discuss the ethical issues created by the chosen topic as described in your case scenario. A. Include in your analysis: relevant provisions and interpretative statements from the ANA Code of Ethics for Nurses; B. examine ethical principles, citing your assigned readings; and C. apply one of the ethical theories, citing your assigned readings

9.0 pts

This criterion is linked to a Learning OutcomeLegal Analysis: Explore relevant laws/legal issues, including emerging trends, if applicable, and laws from other jurisdictions and countries as needed, that relate to or impact your scenario. Use proper APA citation to cite legislation

9.0 pts

This criterion is linked to a Learning OutcomeEthical/Legal Decision: Reach a conclusion for the issue you presented which is supported by the ethical and legal analysis above.

4.0 pts

This criterion is linked to a Learning OutcomeScholarly Writing : A. Correct grammar, sentence structure, spelling, etc. B. Correct APA formatting C. A minimum of 5 current (published within the last 5 years), scholarly references. Case references are acceptable beyond 5 years if no cases more recent. D. Minimum of 5 pages of content – not including in the 5 pages: title page, Abstract & References

6.0 pts

Total Points: 32.0

• Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.

The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Comparison Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:

• Determine the legislative intent of the bill you have reviewed.
• Identify the proponents/opponents of the bill.
• Identify the target populations addressed by the bill.
• Where in the process is the bill currently? Is it in hearings or committees?
• Is it receiving press coverage?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following:

• Advocate a position for the bill you selected and write testimony in support of your position.
• Describe how you would address the opponent to your position. Be specific and provide examples.
• Recommend at least one amendment to the bill in support of your position.

Counseling Theories.

You will apply Trauma therapy to the care of an individual with PTSD from the following age groups:

• child
• adolescent
• adult
• older adult

How would you apply Trauma therapy to the treatment of PTSD in each age group? You should prepare a three- to four-page Word document using APA format, headings, and references. 

This is the list of the therapies from which you choose:

 No Plagiarism please.

Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and and Include: 3 references (2015-2018) with intext citations.  

Topic: Preventative vs Diagnostic

Discuss the difference between preventative and diagnostic laboratory tests and why this is important to distinguish between in the primary care site.

Include in the discussion the ten most commonly ordered laboratory and diagnostic tests ordered in your practicum site and the criteria for ordering.

* (My practicum site is Primary care medicine) 

Common lab tests:  CMP, CBC, hemoglobin A1c, Cholesterol, Thyroid panel, Renal funcition labs BUN and creatinine , Chest xrays,  these are some of the most ordererd. 

Answers to exercise questions

Step 1  Read and analyze the case study below. 

• Case study: You are preparing a persuasive speech. The goal of your speech is to convince an audience of the value of allowing employees to work from home at least one day per week.
• Audience analysis before the speech: As you are starting to prepare your speech, you decide to send a survey to the audience members to determine some information about them. Eighty percent of the audience members respond to your survey. Your compilation of the responses to the survey questions are indicated in the following table:

 Question% of Respondents Who Answered Yes% of Respondents Who Answered No  Do you live more than 10 miles from your workplace? 70% 30%   Does the majority of the type of work that you do involve working on tasks that could be done from virtually any location? 50% 50%   Is your work performance judged primarily on tasks you perform versus managing others? 80% 20%   Do you believe conserving energy is an initiative that you should try to support? 70% 30%   Does your work environment contain more potential distractions than your home environment? 40% 60%    

• Audience analysis during the speech: While you are delivering your speech, you pay attention to the nonverbal signals the audience members provide. The following table summarizes the audience member behaviors that you notice:

 Your StatementAudience Behavior  Allowing workers to telecommute at least one day a week can lead to increased employee productivity. One audience member crossed their arms and looked at the clock on the wall.   Telecommuting saves gasoline and helps reduce traffic and air pollution. A few audience members maintain eye contact with you and nod.   Allowing employees to telecommute potentially allows employers to reduce their real estate footprint. About half the audience members look confused.   Setting up a home office and adhering to a normal work schedule is one way to be productive when working from home. Most audience members look interested, and a few sit up straight and have questioning expressions.    

• Audience analysis after the speech: After you finish your speech, you go into the lobby where refreshments are being served. As you wait in line, one of the audience members approaches you and says:

“I enjoyed your speech. There are a few points that you made that I am not sure I agree with, but overall I can see some potential value in allowing employees to telecommute one day per week. Can you recommend any sources where I might be able to find data to show to some other managers at my company that support your claim that allowing workers to telecommute can lead to increased productivity?”

Step 2  Answer the questions. SEE THESE QUESTIONS. COPY AND PASTE THEM ONTO YOUR PAGE AND THEN RESPOND TO THEM. Make sure you label them sufficiently. This is college, so please make it very clear to the instructor what you are responding to and how. Label, use spacing, capitalization, and bolding to help distinguish the parts of your response. Make sure you place your name on your paper.

Copy and paste the following three sets of questions about the case study and paste them into a document, then address them directly underneath each one. Please make sure you are copying and pasting the questions and then responding directly underneath each one with a complete and clear response. Justify each one with an example or reason.

Before

Which survey question and corresponding results provide the most evidence of audience support for your goal prior to the audience members hearing your speech? Justify your answer.
Which question and corresponding results provide the most evidence that it might be difficult to achieve the goal for your speech? Justify your answer.
What would you do during the speech preparation phase to maximize the likelihood of convincing this audience that your position is valid? Provide some specific steps you would take to prepare your speech to meet the needs of the audience based on the survey results.
 

During

Which audience behaviors during the speech seem to indicate support for the statements you made? What could you do during your speech delivery to capitalize on the apparent support?
Which audience behaviors during the speech seem to indicate opposition to the statements that you made? Describe what you would do during your speech delivery to try to overcome the apparent opposition.
Do any of the listed audience behaviors imply anything other than support or opposition? If so, which behaviors? What would you do during your speech delivery to respond to this behavior or these behaviors?
 

After

Assume you are going to deliver the same speech to a different audience the following week. Based on the verbal feedback you receive after the speech from the audience member, what steps would you take to improve the speech for your next delivery?
If none of the audience members approa