A healthcare organization allows for mandatory overtime in the case of staffing shortages. You are the supervisor on shift and there is a staffing shortage for one RN for 4 hours into the next shift. There are five RNs currently working. What factors do you take into account in deciding which RN will be required to remain to cover the shift? 

word count 300 APA format references within 5 years.

Recommend a quality or safety initiative that addresses a shortfall in quality and/or safety (Frequent Detox readmissions) in your current precepted experience environment (or simulation). Include the principles of quality improvement, health care policy, ethical and legal considerations, cost-effectiveness and means to monitor the initiative over time. 

The paper needs to be between 5-8 pages in length in APA format in text citation  with a SWOT analysis and implementation timelines and plan as appendices. please provide turnitin report.

Grading Rubric:  

1-Identify the quality or safety concern within the clinical practice and implication of the concern.

2- Recommend an evidence-based quality or safety initiative.

3- Discussion of implementation of the safety initiative: include principles of quality improvement, healthcare policy, and cost-effectiveness.

4- Discussion the SWOT analysis and timeline.

5- How the weaknesses and threats to the initiative will be mitigated  in your current precepted experience environment (or simulation). Include the principles of quality improvement, health care policy, ethical and legal considerations, cost-effectiveness and means to monitor the initiative over time. 

The paper needs to be between 5-8 pages in length in APA format in text citation  with a SWOT analysis and implementation timelines and plan as appendices. 

Grading Rubric:  

1-Identify the quality or safety concern within the clinical practice and implication of the concern.

2- Recommend an evidence-based quality or safety initiative.

3- Discussion of implementation of the safety initiative: include principles of quality improvement, healthcare policy, and cost-effectiveness.

4- Discussion the SWOT analysis and timeline.

5- How the weaknesses and threats to the initiative will be mitigated  

Recommend a quality or safety initiative that addresses a shortfall in quality and/or safety (UTI) in your current precepted experience environment (or simulation). Include the principles of quality improvement, health care policy, ethical and legal considerations, cost-effectiveness and means to monitor the initiative over time. 

The paper needs to be between 5-8 pages in length in APA format in text citation  with a SWOT analysis and implementation timelines and plan as appendices. Please provide turnitin report. 

Grading Rubric:  

1-Identify the quality or safety concern within the clinical practice and implication of the concern.

2- Recommend an evidence-based quality or safety initiative.

3- Discussion of implementation of the safety initiative: include principles of quality improvement, healthcare policy, and cost-effectiveness.

4- Discussion the SWOT analysis and timeline.

5- How the weaknesses and threats to the initiative will be mitigated  

 

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

• Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
• Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
• Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (  not including the title and reference page)

Create a  fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

• Briefly and generally explain the policy or regulation you selected.
• Address the impact of the policy or regulation you selected on system implementation.
• Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
• Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.
• Use APA format and include a title page, in-text citations, and reference page.
• Use the Safe Assign Drafts to check your match percentage before submitting your work.

Analyze the case of Mrs. Ard below.

It’s Your Gavel…

CHANCE OF SURVIVAL DIMINISHED

On the afternoon of May 20, the patient, Mr. Ard, began feeling nauseated. He was in pain and had shortness of breath. Although his wife rang the call bell several times, it was not until sometime later that evening that someone responded and gave Mrs. Ard medication for the nausea. The nausea continued to worsen. Mrs. Ard then noticed that her husband was having difficulty breathing. He was reeling from side to side in bed. Believing that her husband was dying, she continued to call for help. She estimated that she rang the call bell for 1.25 hours before anyone responded. A code was eventually called. Unfortunately, Mr.Ard did not survive the code. There was no documentation in the medical records for May 20, between 5:30 PM and 6:45 PM, that would indicate that any nurse or physician checked on Ard’s condition. This finding collaborated Mrs. Ard’s testimony regarding this time period.

A wrongful death action was brought against the hospital, and the district court granted judgment for Mrs.Ard. The hospital appealed.

Ms. Krebs, an expert in general nursing, stated that it should have been obvious to the nurses from the physicians’ progress notes that the patient was a high risk for aspiration. This problem was never addressed in the nurses’ care plan or in the nurses’ notes.

On May 20, Ard’s assigned nurse was Ms. Florscheim. Krebs stated that Florscheim did not perform a full assessment of the patient’s respiratory and lung status. There was nothing in the record indicating that she completed such an evaluation after he vomited. Krebs also testified that a nurse did not conduct a swallowing assessment at any time. Although Florscheim testified that she checked on the patient around 6:00 PM on May 20, there was no documentation in the medical record. Ms. Farris, an expert witness for the defense, testified on cross-examination that if a patient was in the type of distress described byMrs.Ard and no nurse checked on him for 1.25 hours, that would fall below the expected standard of care.1

Answer the following questions:

What happened?

Why did things go wrong?

What were the relevant legal issues?

How could the event have been prevented?

What is your verdict?

Your paper must be three to five double-spaced pages (excluding title and reference pages) and formatted according to APA style. Utilize a minimum of two scholarly and/or peer-reviewed sources that were published within the last five years.