You are the unit supervisor of a medical-surgical unit.  Jane is an RN on your unit.  She graduated 3 years ago from nursing school and has made a number of small errors in the past few months, all of which she voluntarily reported.  These errors included things like missing medications, giving medications late, and on one occasion, giving medications to the wrong patient  No apparent harm has occurred to her patients as a result of these errors and on each occasion, Jane has responded to your coaching efforts with an assertion that she will be more attentive and careful in the future.  Today however, Jane came to your office to admitted that she flushed a patient’s iV line with 10,000 units of heparin rather than with the 100 units that was ordered.  The vials looked similar and she failed to notice the dosing on the label.  Jane reported the error to the patient’s physician and filled out the adverse incident report form required by the hospital on all medication errors.  At this point, the patient is demonstrating no ill effects from the overdosing but will need to be closely monitored for the next 24 hours.

You recognize that Jane’s pattern of repetitive medication errors is placing patients at risk.  You have some reservations about dealing with Jane in a punitive way since she openly reports the errors she makes and because none of her errors until today ad really jeopardized patient safety.  You are also aware that you have an obligation to make sure that the staff caring for your patients are competent and that patients are protected from harm.  You are also attempting to establish a unit culture that encourages open reporting, not “shame and blame” so you are aware that your staff are watching closely how you will respond to yet another error on Jane’s part.

Please answer the following questions on how you would handle the situation (5 points each)

#1.  What will you do to address this error as well as the errors Jane has made in the past few months?

#2.  What options are available to you?

#3.  What obligations do you have to Jane, to the organization, and to the patients on your unit?

#4.  How will you create a culture that encourages the open reporting of errors and yet protects patients from potentially unsafe practitioners?

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The topic is AIR pollution 

There is 2 parts to this assignment 

1) Answer ALL the attachments 1-8

2) This is the last One of the communication strategies of the marketing plan must include a brochure.   Things to consider while designing the brochure are:

1. Appealing to the target audience’s “hot buttons,”
2. Attractive layout
3. Eye-catching graphics
4. Professional language
5. Correct grammar and spelling, etc.

The brochure can be created using Adobe Spark: https://spark.adobe.com/ (Links to an external site.) or any other software of your choice.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

1. Temperature: 37.1 degrees C
2. BP 123/78 HR 93 RR 22 Pox 99%
3. Denies pain
4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

1. WBC: 19.2 (1,000/uL)
2. Lymphocytes 6700 (cells/uL)
3. CT Head shows no changes since previous scan
4. Urinalysis positive for moderate amount of leukocytes and cloudy
5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

1. Describe the clinical manifestations present in Mr. M.
2. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
4. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
5. Discuss what interventions can be put into place to support Mr. M. and his family.
6. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite to a minimum of two 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.

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. 

The purpose of this assignment is to gain real-world insight into how risk management programs operate within health care organizations.

Select a local health care organization where you can conduct an interview with an employee who is involved in risk management processes. This organization can be your current employer or a different health care facility in your community. Acute care, urgent care, large multi‐provider private medical clinics, assisted living facilities, and community/public health clinical facilities are all ideal options to complete the requirements of this assignment. Select an individual who can provide sufficient information regarding how their organization manages risk within its facility to answer the questions below.

In your interview, address the following:

1. Risk management strategies used in the organization’s risk control program, along with specific examples.
2. How the facility’s educational risk management program addresses key professional, legal, and ethical issues, such as prevention of negligence, malpractice litigation, and vicarious liability.
3. Policies the facility has implemented that address how to manage emergency triage in high‐risk areas of health care service delivery (e.g., narcotics inventories, declared pregnancy policies, blood-borne disease sector, etc.).
4. Challenges the organization faces in managing and controlling high-risk health care (e.g., infectious diseases, nuclear medicine, abortion, class 4 narcotics/opioids, etc.).
5. Strategies the facility utilizes to monitor, evaluate, and maintain compliance within its risk management program.

After conducting the interview, compose a 750‐1,000 word summary analysis of the interview that includes the questions above, in conjunction with the interviewee’s responses. In addition, include the following elements in your response:

1. An assessment of the organization’s risk management program, including how it attends to high-risk health care and legal concerns.
2. Action steps you would take to improve one area of the organization’s risk management program, along with your rationale for doing so.

* I live in Houston, TX in the United States, so please a healthcare organization located here*

 

Topic #2

Topic: Partner Violence

The research paper must have a minimum of 2000 words – main body (does not include the title page, abstract, or reference pages). Times New Roman, Size 12, and 5 references about that topic (4 of them most be research articles). The criteria exposed in your paperwork must be exclusively based on peer reviewed article, and I will be very fussy in confirming the reliability of your statements. A formal paper using APA format according to Publication Manual American Psychological Association (APA) (6th ed.).2009 ISBN: 978-1-4338-0561-5 will be submitted via Exercise Submission. This paperwork must be submitted on week # 3 (Sunday, 3/21/21 at 11:59 PM EST), so that you have plenty of time to start collecting literature.

Question Guide: 

The paper should include the following: 

• What is Partner Violence ?
• Statistics / Incidence
• Dynamics of Partner Violence (Psychosocial and Cultural)
• Psychological Factors
• Cycle of Violence
• Interventions Strategies / Treatments (pharmacological and non-pharmacological)
• Other considerations in the management of Partner Violence (including but not limited to management of behaviors, family considerations, challenges in the care of patients with this social issue.

 Examine evidence-based practice guidelines / research, nursing theories that support the identification of clinical problems, implementation of nursing skills in the care of adults with this social issue.

Grading Criteria:

• What is Partner Violence? – 2%
• Statistics / Incidence – 2%
• Dynamics of Partner Violence (Psychosocial and Cultural) – 2%
• Psychological Factors – 2%
• Cycle of Violence – 2%
• Interventions / Treatments (pharmacological and non-pharmacological) – 2%
• Other considerations in the management of Partner Violence (including but not limited to management of behaviors, family considerations, challenges in the care of patients with this disorder – 2%
• References: At least 5 reference sources – 4 of them most be research articles – 3%
• APA style – 3 %