Module 09 Content

1. Assignment Scenario

   After graduating from nursing school and passing your boards, you accepted a position as an RN in the emergency center at Rasmussen General Hospital (RGH). In the weeks ahead, your emergency center plans to implement a new initiative where clients diagnosed with low-risk deep vein thrombosis (DVT) will be sent home on 3 months of oral anticoagulation therapy with rivaroxaban.

   Historically, clients diagnosed with DVTs in the emergency center were admitted to the hospital’s observation unit. However, when surveyed about their experiences, many clients reported that this was costly, time-consuming, and inconvenient. Under RGH’s new program, emergency center nurses will be responsible for educating clients about their new medication and administering the first dose to the client before discharge.

   As part of this new initiative, all emergency center nurses at RGH must be trained to properly educate these clients on all aspects of their new medication regimen. Because you have demonstrated a keen interest in pharmacology, your manager has asked you to develop the educational tools that will be used to train the nurses at RGH.

   It’s worth noting that the standard dosing for all low-risk DVTs is as follows:

   • 15 mg BID, 12 hours apart, for 21 days
   • After 21 days, use 20 mg once per day
   • After 90 days, the client will follow up in the thrombosis clinic to evaluate if they meet the criteria for discontinuing the medication
   • Assignment Instructions

     Your manager explained that all of the emergency center nurses at RGH will be educated in small groups through a short, in-service training session. You have been asked to develop a professional-looking PowerPoint presentation that the trainers will use to guide the in-service sessions. Your PowerPoint will need to:

   1. Be professional-looking, have a title slide, and 10-15 content slides.
   2. Use the Speaker Notes feature in PowerPoint to reduce the amount of text that appears on the content slides.
   3. The Speaker Notes for each slide will contain the text that will guide what the trainer will say while presenting the slides during the in-service.
   4. The content slides themselves should be clear and easy to understand; they serve as an outline so the audience can follow along with what is being presented.
   5. Be written using proper spelling/grammar and at a level that would be appropriate for the audience.
   6. Remember the purpose of the training is to help nurses learn to educate their clients about the use of medication. With that in mind, it may be helpful to provide examples of how to explain the information to a client in an easy-to-understand way without complicated, technical terms.
   7. Include APA formatted in-text citations for at least 3 scholarly references and present the sources in APA format on a References slide.
   8. Contain content addressing the items below.
   9. Pharmacotheraputics
   10. State the drug name and its therapeutic category
   11. Pharmacodynamics (how does this drug work to achieve its intended response)
   12. Pharmacokinetics (how is this drug absorbed, distributed, metabolized, and excreted).
   13. Discuss dosage, scheduling, route, and length of therapy.
   14. Describe what clients can expect regarding their therapeutic response and when it should develop
   15. Introduce nondrug measures that clients can do to enhance their therapeutic response (e.g., specific diet to follow, exercise requirements, substances to avoid, special precautions to take, etc.)
   16. Side Effects, Adverse Effects, and Interactions
   17. Explain the symptoms of common side effects, and what clients can do to minimize any discomfort
   18. Explain the symptoms of any major adverse effects, and what clients should do if they experience them
   19. List the major adverse drug-drug interactions and drug-food interactions that clients need to be made aware of
   20. Follow-up Care
   21. Provide information regarding when clients should call their doctor for advice (e.g., questions, non-urgent symptoms, unpleasant side effects, etc.)
   22. Emphasize any symptoms for which clients should seek immediate care (e.g., when to go to the emergency center or call 911)
   23. Note: When developing a professional-looking presentation, it’s important to be mindful of how you layout your content. The slides should present key points, arranged in a logical manner, without extraneous information contributing to a cluttered look. Using the Speaker Notes feature in PowerPoint is a great way to include relevant details without overloading the slides.

Directions:

Disorders of the endocrine system affect many individuals. Providing multidimensional patient care can be challenging for patients experiencing these disorders. Ensuring the plan of care meets the patient and family needs is important in order to increase adherence to proper medical treatment following discharge.

What does it mean to provide a multidimensional approach? Provide at least three examples of how the care team can meet the patient and the family’s needs? List at least three care team members and how are they involved in providing multidimensional care?

 The attached neuro assignment –this learning activity helps them articulate the rationale for the correct answers.  On the document, the correct answer has an asterisk next to it. I selected 20 items (they are circled on the document) valued at 2 points each, a total of 40 points.  For every correct rationale, the student earns 2 points.  The students will submit a word document explaining why the correct answer is the correct answer. ( I don’t require APA format). 

Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.

For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. 

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

  Describe one internal and one external method for the dissemination of your evidence-based change proposal. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your change proposal to both of these groups. How will your communication strategies change for each group?