You recently accepted the nurse manager position of a busy emergency department (ED) in a new organization that had 100,000 ED visits last year. These visits represent a 10% increase over the previous year. To meet the needs for staffing required for this sudden growth, the prior nurse manager hired 10 new nursing graduates and 10 nurse travelers that arrived on the unit a few weeks before you came. The breakdown in level of tenure and experience in your staff is: 25% highly tenured in this ED and experienced in this specialty; 25% tenured within the organization and proficient in this specialty; and 30% less than 2 years in the ED/organization and competent in this specialty. The remaining 20% of your staff are the experienced ED nurse travelers and inexperienced new nurses, both groups that are new to the organization.

One of your first new responsibilities as the ED nurse manager is to provide unit-based leadership for the implementation of a new patient tracking system that offers more functionality than the previous tracking system used by this ED for the past 7 years. During the hiring process, you learned that the organization was going to implement this new patient tracking system, and you shared that you had experience in implementing the same system in your previous job.

To prepare:

Assignment (5 pages-not including title page and reference page)

Write a paper in which you demonstrate how you, as the leader in the case example provided, would address the following:

• Explain how you would provide leadership for the implementation of the new system. Include a description of the leadership behaviors that would be most effective to position your staff for success based on their experience and needs.
• Explain how this implementation plan relates to your Clifton Strengths Signature Theme Report, including how this leadership situation aligns with or differs from your leadership profile.
• Explain your rationale for your choices and appropriately reference literature that supports your thinking.
• Explain how being able to successfully implement situational leadership better positions you to advocate for social change within your new organization on behalf of the patient population served. 

In clinical settings, advanced practice nurses often encounter patients with blood disorders such as anemia. Consider the case of a 17-year-old girl who is rushed to the emergency room after suddenly fainting. The girl’s mother reports that her daughter has had difficulty concentrating for the past week, frequently becomes dizzy, and has not been eating normally due to digestion problems. The mother also informs the nurse that their family has a history of anemia. With the family history of anemia, it appears that this is the likely diagnosis. However, in order to properly diagnose and treat the patient, not only must her symptoms and family history be considered, but also factors such as gender, ethnicity, age, and behavior. This poses the question: How do patient factors impact the incidence and prevalence of different types of anemia?

To Prepare

• Review Chapter 21 in the Huether and McCance text. Reflect on the pathophysiological mechanisms of iron deficiency anemia.
• Select one of the following types of anemia: pernicious anemia, folate deficiency anemia, sideroblastic anemia, chronic inflammation anemia, or post-hemorrhagic anemia. Identify the pathophysiological mechanisms of the anemia you selected.
• Consider the similarities and differences between iron deficiency anemia and the type of anemia you selected.
• Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact these anemic disorders.

Post an explanation of the pathophysiological mechanisms of iron deficiency anemia and the anemia you selected. Compare these two types of anemia, as well as their potential causes. Finally, explain how genetics, gender, ethnicity, age, and behavior might impact the anemic disorders you selected.

4 references

Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body.

Photo Credit: Getty Images/Ingram Publishing

When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.

For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.

To Prepare

• Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
• Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
• Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
• Think about a personalized plan of care based on these influencing factors and patient history in your case study.

By Day 3 of Week 1

Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.

Four  references not more than 5years

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

• Chapter 1, “Prescriptive Authority” (pp. 1–3)
• Chapter 2, “Rational Drug Selection and Prescription Writing” (pp. 5–9)
• Chapter 3, “Promoting Positive Outcomes of Drug Therapy” (pp. 11–16)
• Chapter 4, “Pharmacokinetics, Pharmacodynamics, and Drug Interactions” (pp. 17–40)
• Chapter 5, “Adverse Drug Reactions and Medical Errors” (pp. 41–49)
• Chapter 6, “Individual Variation in Drug Response” (pp. 51–56)

We have covered a lot of ground since the beginning of the course, and you have learned a great deal about the types of information available, how to discern its credibility, and how to present it to others in a way that continues the academic discussion. 

Look back to the Unit 1 discussion and review how you responded to the part of the prompt that asked: “Explain what the phrase ‘information literacy’ means to you. What role does information literacy play in your academic life, your workplace, and your social circles?” 

• 1. Have your ideas changed since Unit 1? 
• 2. In your response, reflect on how this course has affected your viewpoint on information both for future academic courses and for your professional/personal life.  
• 3. Do you feel more ‘information literate?’  How will this impact the way you address knowledge questions in the future?

Information Security in a World of Technology

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which item you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

1. The textbook discusses several education methods. Discuss each method with an example of how the method could be used in the organization. Then discuss how you will evaluate the method and learning.
2. Healthcare continues to be a lucrative target for hackers with weaponized ransomware, misconfigured cloud storage buckets, and phishing emails. Discuss how an organization can protect patients’ information through:
   • Security mechanisms
   • Administrative and Personnel Issues
   • Level of access
   • Handling and Disposal of Confidential Information
3. You are providing education to staff on phishing and spam emails. Using the different educational methods discussed in Chapter 12:
   • Provide examples of how each method can be used
   • How will the method and learning be evaluated?

Assignment Expectations:

Length: 500 words per essay prompt/section (1500 total for this assignment)

Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.