2023 A nurse on a medical surgical unit has made the same medication error two days in a row As

by

Nursing 2023 Week 6 Journal Assignment

A nurse on a medical surgical unit has made the same medication error two days in a row As 2023 Assignment

A nurse on a medical/surgical unit has made the same medication error two days in a row. As the nurse manager, describe how you would decide whether this is a systems problem, or a problem related to the individual nurse. In either case, explain how you (the manager) should correct the problem.

This is shared only with your instructor.  Minimum 250  words.  

  • No title page needed
  • One full page typed and double spaced is equivalent to 250 words (your minimum required)
  • References and citations should be scholarly, peer-reviewed (no blogs, WIKI, or other school of nursing website) written in Current APA Style

#eduessaylab #assignmenthelp #nursingstudents #lawstudents #termpaperbuddy #savvyessaywriters #onlineprowriters #essaywriters4life #exclusivewritings #writinghub.net #collegerpapertutors #www.legalessaywriters.com # legalessaywriters  #nursingsavvywriters #nursingassignmenthelp #professionalessaybuddy.com #professionalessaybuddy #timelynursingwriters

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

PLACE ORDER NOW

 

2023 PICOT P People with depression I Use of antidepressants C Combination and antidepressants and psychotherapy

by

Nursing 2023 Catherine Owens

PICOT P People with depression I Use of antidepressants C Combination and antidepressants and psychotherapy 2023 Assignment

  

PICOT

P: People with depression

I: Use of antidepressants 

C: Combination and antidepressants and psychotherapy

O: Depression decreased greatly.

T: Six weeks

With depressed patients, how does the use of combination of antidepressants and psychotherapy treatments compared to the use of antidepressants successfully improve patient symptoms within six weeks’ time period? 

#eduessaylab #assignmenthelp #nursingstudents #lawstudents #termpaperbuddy #savvyessaywriters #onlineprowriters #essaywriters4life #exclusivewritings #writinghub.net #collegerpapertutors #www.legalessaywriters.com # legalessaywriters  #nursingsavvywriters #nursingassignmenthelp #professionalessaybuddy.com #professionalessaybuddy #timelynursingwriters

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

PLACE ORDER NOW

 

2023 Develop a FlexPath preparation plan to help you feel confident and ready to begin your FlexPath program It s important to

by

Nursing 2023 Flex Path

Develop a FlexPath preparation plan to help you feel confident and ready to begin your FlexPath program It s important to 2023 Assignment

 

Develop a FlexPath preparation plan to help you feel confident and ready to begin your FlexPath program.

It’s important to begin any new endeavor feeling confident in your ability to be successful, and knowing the resources and support you can turn to when you need them.

By successfully completing this assessment, you will demonstrate proficiency in the following course competency and assessment criteria:

  • Competency 1: Demonstrate readiness to begin a FlexPath program.
    • Discuss potential challenges of being a FlexPath learner and ways to address them.
    • Describe how to use personal skills, knowledge, and reasons for choosing FlexPath to be a successful FlexPath learner.
    • Explain how the resources provided by Capella can assist in being a successful FlexPath learner.
    • Identify topics to discuss with a FlexPath Coach.

What’s your plan? The beginning of a degree program is full of excitement as you consider what the future may hold for you. Completing this assessment will help you channel that excitement into a realistic plan to be as prepared as possible for your new role—that of a successful FlexPath learner.

Although the preparation and directions listed below are specific to this assessment, the process they lead you through is similar to what you will do in every FlexPath academic course.

Preparation

To prepare for this assessment:

  • Review the FlexPath Prep Plan Scoring Guide to see the criteria by which this assessment will be evaluated.
  • Review the FlexPath Prep Plan template.
  • Estimate the time it will take you to complete your plan and then set your target date.
    • Remember that you should plan to submit the assessment no later than the Tuesday prior to the date your first academic course starts.
    • Give yourself plenty of time to thoughtfully consider the questions it poses and draft your responses. Although you will submit your plan for evaluation in this practice course, remember that you are creating the plan to use as you begin your first academic course. The more thought you put into it, the more useful it will be.

Instructions

Step 1: Complete the assessment

Open the FlexPath Prep Plan template:

  • Use the template to complete your assessment. Type your responses within the spaces provided in the template.
  • Save your work as a Word document using the file naming conventions listed in the Assessments Attempt tab.
Step 2: Review your work

Review your work before submitting the plan. Do you see anything you want to change or add? Is the grammar and spelling correct? Revise the plan until you are satisfied with it and review the FlexPath Prep Plan Scoring Guide to be sure you have met the criteria.

#eduessaylab #assignmenthelp #nursingstudents #lawstudents #termpaperbuddy #savvyessaywriters #onlineprowriters #essaywriters4life #exclusivewritings #writinghub.net #collegerpapertutors #www.legalessaywriters.com # legalessaywriters  #nursingsavvywriters #nursingassignmenthelp #professionalessaybuddy.com #professionalessaybuddy #timelynursingwriters

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

PLACE ORDER NOW

 

2023 Research Critiques and PICOT Statement Final Draft Prepare this assignment as a 1 500 1 750 word

by

Nursing 2023 Research Critiques and picot Statement final Draft

Research Critiques and PICOT Statement Final Draft Prepare this assignment as a 1 500 1 750 word 2023 Assignment

Research Critiques and PICOT Statement Final Draft

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question 

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

General Requirements

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 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.

AttachmentsNRS-433V-RS-Research-Critique-Guidelines.docx
RUBRIC

#eduessaylab #assignmenthelp #nursingstudents #lawstudents #termpaperbuddy #savvyessaywriters #onlineprowriters #essaywriters4life #exclusivewritings #writinghub.net #collegerpapertutors #www.legalessaywriters.com # legalessaywriters  #nursingsavvywriters #nursingassignmenthelp #professionalessaybuddy.com #professionalessaybuddy #timelynursingwriters

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

PLACE ORDER NOW

 

2023 Throughout the RN to BSN program students are required to participate in scholarly activities

by

Nursing 2023 Scholar

Throughout the RN to BSN program students are required to participate in scholarly activities 2023 Assignment

 

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

You are required to post at least one documented scholarly activity by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.

Submit, by way of this assignment, a summary report of the scholarly activity, including who, what, where, when, and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

#eduessaylab #assignmenthelp #nursingstudents #lawstudents #termpaperbuddy #savvyessaywriters #onlineprowriters #essaywriters4life #exclusivewritings #writinghub.net #collegerpapertutors #www.legalessaywriters.com # legalessaywriters  #nursingsavvywriters #nursingassignmenthelp #professionalessaybuddy.com #professionalessaybuddy #timelynursingwriters

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

PLACE ORDER NOW

 

2023 Develop a 4 6 page proposal for executive leadership that addresses changes you would

by

Nursing 2023 Driving Change

Develop a 4 6 page proposal for executive leadership that addresses changes you would 2023 Assignment

 Develop a 4–6-page proposal for executive leadership that addresses changes you would like to see within your organization that would advance the field of nursing.

Nursing is in the midst of many changes. In this assessment you will consider how you can be a driving force to bring about needed change within the field of nursing.

 

Preparation

To prepare for this assessment, you will need to think about changes you feel are needed to address a problem either within nursing as a professional field or within the organization where you work. Narrow down your options by considering which change would best be undertaken by an interprofessional team. Some examples for you to consider might include:

  • The use of mobile and portable technology to support patients.
  • Using evidence-based practice (EBP) to improve patient care.
  • Increasing patient safety and quality of care.
  • The use of medical technology such as genes and stem cells, or robots in the OR.
  • Addressing the nursing shortage now and into the future.
  • Improving the work environment (providing calm, supportive spaces for nurses; improved dialog between health care professionals).
  • Better safety for nurses at work (violence, spreading diseases, physical injury).
  • Substance abuse by health care professionals.

Or you can narrow the scope to an issue within your own organization:

  • Developing a mobility program for an inpatient unit.
  • Implementing “smart” technology to assist in patient monitoring.
  • Creating a mentoring program to attract and retain nurses.
  • Implementing protocols for infection control and/or treatment of an epidemic.
  • Developing a plan to eliminate physical violence and verbal abuse in the workplace.
  • Other.

Once you have selected an issue to address, look for scholarly and professional articles that focus on the problem, the needed change, and how interprofessional teams can work together to drive change.

Requirements

Lately you have noticed the need for changes within your organization that would advance the field of nursing. You have decided to develop a proposal and submit it to executive leadership. Format this assessment as a professional proposal. You may want to look at how proposals are drafted within your organization and follow that format. You will still need a references page; follow APA guidelines for in-text citations and references.

Address the following in your proposal:

  • Briefly describe the problem and how it impacts the organization, patients, and/or the nursing profession.
  • Describe possible evidence-based interventions for the problem.
  • Analyze potential barriers and resistance to change that might come from the organization, patients, and/or colleagues.
  • Describe strategies to overcome barriers and resistance to change.
  • Develop a plan to implement evidence-based interventions. What steps would you take? What resources might you need?
  • Identify other health care professionals to enlist as team members to help drive change in the organization.

Your completed assessment should be 4–6 pages in length, not including title page and references page. Support your statements and intervention plan with references to and citations for at least four scholarly or professional resources.

Additional Requirements

  • Include a title page and references page.
  • Reference at least four current scholarly or professional resources.
  • Use APA format for citations and references.
  • Use Times New Roman font, 12 point.
  • Double space.

#eduessaylab #assignmenthelp #nursingstudents #lawstudents #termpaperbuddy #savvyessaywriters #onlineprowriters #essaywriters4life #exclusivewritings #writinghub.net #collegerpapertutors #www.legalessaywriters.com # legalessaywriters  #nursingsavvywriters #nursingassignmenthelp #professionalessaybuddy.com #professionalessaybuddy #timelynursingwriters

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

PLACE ORDER NOW

 

2023 1800 word essay Complete ALL THREE of the Professional Development exercises Staggers and Nelson state In a way all

by

Nursing 2023 Intel

1800 word essay Complete ALL THREE of the Professional Development exercises Staggers and Nelson state In a way all 2023 Assignment

  

1800 word essay. Complete ALL THREE of the Professional Development exercises.

  • Staggers and Nelson state, “In a way all of us are      already informatics nurses.” Reflect on this summary statement and describe      a scenario from your clinical experience where you manipulated data,      information, and knowledge to make a wise decision. Focus specifically on      the key concepts of data, information, knowledge and wisdom.  
  • What do you believe are the advantages and      disadvantages of having a single shared consensus-driven model of      terminology use? How can a single agreed model of terminology use (with      linkages to a single terminology) help to integrate knowledge into routine      clinical practice?
  • Hospital C is looking to implement an EHR. It has been      suggested that a NIS be hired. This position does not involve direct      patient care and the administration is struggling with how to justify the      position. How can this position be justified

Expectations

1800 words. Answers must thoroughly address the questions in a clear, concise manner. Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment. Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least five (5) verifiable scholarly sources to support your claims. Reference must be verifiable, current and within 5 years.

#eduessaylab #assignmenthelp #nursingstudents #lawstudents #termpaperbuddy #savvyessaywriters #onlineprowriters #essaywriters4life #exclusivewritings #writinghub.net #collegerpapertutors #www.legalessaywriters.com # legalessaywriters  #nursingsavvywriters #nursingassignmenthelp #professionalessaybuddy.com #professionalessaybuddy #timelynursingwriters

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

PLACE ORDER NOW

 

2023 Think about a time when you felt misunderstood based upon your beliefs cultural spiritual

by

Nursing 2023 Nursing

Think about a time when you felt misunderstood based upon your beliefs cultural spiritual 2023 Assignment

 

Think about a time when you felt misunderstood based upon your beliefs (cultural, spiritual, or philosophical). Write a 1 page reflection that briefly describes the scenario, how it made you feel, and what you would have liked to have seen happen differently.

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

Please check the Course Calendar for specific due date

#eduessaylab #assignmenthelp #nursingstudents #lawstudents #termpaperbuddy #savvyessaywriters #onlineprowriters #essaywriters4life #exclusivewritings #writinghub.net #collegerpapertutors #www.legalessaywriters.com # legalessaywriters  #nursingsavvywriters #nursingassignmenthelp #professionalessaybuddy.com #professionalessaybuddy #timelynursingwriters

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

PLACE ORDER NOW

 

2023 Research the health illness continuum and its relevance to patient care In a 750 1 000 word

by

Nursing 2023 Human Experience Across The Health – Illness Continum

Research the health illness continuum and its relevance to patient care In a 750 1 000 word 2023 Assignment

Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

  1. Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
  2. Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing.
  3. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
  4. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

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.

Benchmark Information

This benchmark assesses the following competency:

RN-BSN

5.1. Understand the human experience across the health-illness continuum.

#eduessaylab #assignmenthelp #nursingstudents #lawstudents #termpaperbuddy #savvyessaywriters #onlineprowriters #essaywriters4life #exclusivewritings #writinghub.net #collegerpapertutors #www.legalessaywriters.com # legalessaywriters  #nursingsavvywriters #nursingassignmenthelp #professionalessaybuddy.com #professionalessaybuddy #timelynursingwriters

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

PLACE ORDER NOW

 

2023 Respond on two different days who selected different disorders or factors than you in one

by

Nursing 2023 Post- Allison

Respond on two different days who selected different disorders or factors than you in one 2023 Assignment

Respond  on two different days who selected different disorders or factors than you, in one or more of the following ways:

Share insights on how the factor you selected impacts the pathophysiology of the disorder your colleague selected.

Offer alternative diagnoses and prescription of treatment options for the disorder your colleague selected.

Validate an idea with your own experience and additional research.

                                      Main Post

Reproductive Disorders            

The reproductive system in males and females is an important part of everyday life. Disorders of the reproductive system can cause physical and emotional stress related to symptoms these disorders cause. Polycystic Ovarian Syndrome (PCOS) and Uterine Fibroids are just two of many reproductive disorders that wreak havoc on women. 

Polycystic Ovarian Syndrome

PCOS is a “syndrome,” or group of symptoms that affects the ovaries and ovulation. PCOS causes hormonal imbalances and metabolism problems. PCOS three main features are; cysts in the ovaries, high levels of male hormones, and irregular or skipped periods. PCOS is a hormonal imbalance along with metabolism issues that can affect overall health and appearance. “Between 5% and 10% of women between 15 and 44” (OWH, 2019), have PCOS and usually are diagnoses between their “20s and 30s trying to conceive but PCOS can happen anytime after puberty” (OWH, 2019). Common symptoms can include but not limited are, Irregular periods, heavy menstruation, male pattern baldness, weight gain, acne, and can increase the risk of heart disease. Diagnosis is based on symptoms, blood work, pelvic exam, and ultrasound. Treatment can include weight loss, increased physical activity, medications (metformin and birth control medications), and surgery.              Uterine Fibroids            

“Uterine fibroids are the most common noncancerous tumors in women of childbearing age” (CDC, 2019). “They are made of smooth muscle and other cells that can develop within the uterine wall itself or attach to it and can grow as single tumor or a cluster” (Stoppler, M, Davis, C, n.d.) “Fibroids can occur in up to 50% of all women and are one leading cause of hysterectomy” (Stoppler, M, Davis, C, n.d.). There is no significant reason as to why fibroids develop. Risk factors can include, family history, obesity, nulliparity, early on-set of menstruation, and “women of African descent are two to three times more likely to develop fibroids than women of other races” (Stoppler, M, Davis, C, n.d.). Symptoms can include, increase in menstrual bleeding, pressure in the rectum and bladder, which can cause constipation and frequency in urination, pelvic mass, and increase waist circumference. Diagnosis is based on pelvic ultrasound, endometrial biopsy, hysteroscopy, and laparoscopy. Treatment of fibroids depends on the severity of symptoms, trying to have children, general overall health, and size and location of the fibroids. If medically necessary to treat fibroids, sometimes medications can help, D&C can be an option, and surgery such as a myomectomy, and hysterectomy.

                                        Age as a Factor 

Unfortunately, age can play a role in women diagnoses with PCOS or Uterine fibroids, mainly because of the wanting to have children and the increased risk for cardiovascular disease. PCOS and fibroids usually develop after puberty and are usually diagnosed in childbearing years around 20-30 years of age. It can affect women getting pregnant and make for a difficult road ahead. “Polycystic ovary syndrome puts older women at increased risk of cardiovascular disease and type 2 diabetes following menopause” (Grassi, A, 2014). When a woman has gone through menopause, this causes a decrease in hormones which can decrease the size of fibroids and the development of fibroids. Fibroids need the hormones to develop so without the right number of hormones, fibroids may not develop. 

                                          References

Centers for Disease Control. (2019). Common Reproductive Health Concerns for Women. Retrieved from https://www.cdc.gov/reproductivehealth/womensrh/healthconcerns.html Galan, N. (2017). Fibroids after menopause: What you need to know. Medical News Today. Retrieved from https://www.medicalnewstoday.com/articles/319576.php  Grassi, A. (2014). PCOS in Aging Women — Beyond Hormones and Hot Flashes. Today’s Dietician. Vol. 16 No. 2 P. 40. Retrieved from https://www.todaysdietitian.com/newarchives/020314p40.shtml Stoppler, M, Davis, C, (n.d.). Uterine Fibroids. Retrieved from https://www.emedicinehealth.com/uterine_fibroids/article_em.htm#what_are_uterine_fibroidsOffice of Women’s Health. (2019). Polycystic ovary syndrome. Retrieved from https://www.womenshealth.gov/a-z-topics/polycystic-ovary-syndrome

#eduessaylab #assignmenthelp #nursingstudents #lawstudents #termpaperbuddy #savvyessaywriters #onlineprowriters #essaywriters4life #exclusivewritings #writinghub.net #collegerpapertutors #www.legalessaywriters.com # legalessaywriters  #nursingsavvywriters #nursingassignmenthelp #professionalessaybuddy.com #professionalessaybuddy #timelynursingwriters

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

PLACE ORDER NOW