You have a friend that is the manager of an IMCU in another state. Your friend, Rebecca, tells you about the new system at her hospital, with small modular nursing stations in the halls. She tells you how successful it has been in preventing falls, decreasing the time running to get things, and, generally, in decreasing confusion and congestion. It sounds like a great idea, so you do a literature review of research on this modular concept. You now have literature to back up your contention that this would be an effective solution to some problems at your institution.

1-How does the organizational structure at your institution work?

2-If you thought that this change would be beneficial, how would you go about introducing it?

3-How would the culture of “they” impact the process? (“They” usually refers to the powers that be.)

Your response should consist of complete sentences and should be at least one complete paragraph, but it should be no more than three paragraphs in length

Lumbar surgical would exploration and debridement and packing.

Anesthesia: General.

 Details of the Procedure:

Under suitable administered general anesthesia, the patient was placed in the prone position with all pressure points suitable padded. The patients draining wound was reopened and the dissection went up to the fascia, and the skeletal muscle. A thorough exploration was performed to see if there was any sinus draining, either deep or laterally, and none was found. There was scar tissue with infected-looking subcutaneous tissue which was excised using the scalpel. As there was no evidence that the infection went deep to the muscle, the muscle was not removed. The scalpel was used to remove approximately 2-3 mm of tissue circumstantially, but not deep to the muscle. After thorough irrigation, the wound was packed with iodoform gauze. He was then transferred to the recovery room in stable condition. 

Identify as many medical terms and abbreviations from the passage above. Briefly explain in your own words what you think may be wrong with the patient.

1.  How much time do you think is appropriate for an APN to spend with a patient and their family on the initial encounter?  

2.   do you think communication is being an important and vital process to developing a trusting and therapeutic relationship. 

 3. Do you think  direct clinical practice is the central competency of the seven core competencies for advanced practice nurses 

 4.  When confronted with an ethical dilemma, what do you think is the first step to make? Do you consult the team right away?

I need 4 separated word message for each question. Should be at least 120 words for each question. Not need APA format. Only answer the questions. Please must include at least 4 references. one reference for each of the question. 

This paper should be 8-10 pages double spaced. Please include a title page, abstract, and reference page. Make sure to include at  least 10 references and adhere to the APA style for your citations.

Your paper should include a broad scope of how this particular topic impacts health GLOBALLY. You may choose to focus in on one particular region or country but remember to include some discussion on the global implications of the issue.

Consider the economic implications of the issue at hand. Who is impacted most? What are the current interventions? Are there any policy  measures in place to address this issue? What organizations can help?  Why does this problem matter? What is the background on the issue?

Please choose from the following list of topics:

• Infectious diseases 
• HIV 
• Maternal, child and reproductive health 
• Non-communicable diseases and control of risk factors including Tobacco Control 
• Health economics 
• Health promotion 
• Health, human rights and development 
• Human resources management and development 
• Health policy, planning and strategy development 
• Development and health 
• Public health in emergencies 
• Migrant and refugee health

Read Chapter 6 & 7

1. Discuss the importance of effective communication in the personal relationship, the therapeutic relationship, and the relationship within the interprofessional health-care team.

2. What similarities and differences can you identify among the above interactions?

3. Explain the concept of congruence between verbal and nonverbal communication.

4. There are many pitfalls to electronic communication. Identify a situation in which an electronic form of communication may result in a miscommunication. What other method of communication would have been more effective?

5. How have you seen ISBAR used during your clinical experiences?

6- Develop a hand-off report for yourself. Include items that you believe are pertinent for safe and effective nursing care. Refer to the information in the chapter for creating this report form. Using the information from the chapter, determine the effectiveness of the system currently in use on your unit for communicating shift-to-shift reports.

7-Dr. Roberts comes into the nurses’ station demanding, “Where are Mr. Adams’s lab reports? I ordered these stat, and they’re not here! Who’s responsible for this patient?” How would you, as the nurse, respond?

8-Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?

9. Dennie and Elias arrive in the unit for the 7:00 p.m. to 7:00 a.m. shift. Both nurses completed orientation 4 weeks ago. They find that they will be the only two RNs on the floor that night. There is a census of 48 clients. The remaining staff consists of two NAPs/UAPs and one LPN. What are the responsibilities of the RN, NAP/UAP, and LPN? Can Dennie and Elias effectively delegate client care tasks and care safely for all 48 clients? Use the Delegation Tree to make your decisions.

10. Discuss the differences between direct delegation and indirect delegation.

1. You have to observe delegation procedures in your assigned unit:

A-What considerations does the RN take into account when delegating patient care?

2-You have to look at the unit census and prioritize the patient care:

A- Give the rationale foryour choices.

3.Answer the following questions during your clinical experiences:

a. What specific tasks did your patients require that you might have been able to delegate?

b. How effective was your nurse/preceptor in delegating tasks to others?

c. How did your nurse/preceptor ensure that the tasks were completed safely and appropriately?

USE APA FORMAT , NEW ROMAN 12. AND PLEASE DO NOT WRITE THE QUESTIONS , JUST USE THE NUMBERS. IF YOU HAVE A QUESTION LET ME KNOW. THANK YOU.