Additionally, you are expected to reply to two other students and include a reference that justifies your post.  Your reply must be at least 3 paragraphs. 

the following answer is the post to another student that I have to reply to. 

Question 1

            I am a doctor’s nurse at a local clinic where I meet Alex who, while the M.D. examining his genitalia and me as the provider’s assistant nurse, informs us that he is HIV positive. I counsel Alex to inform his sex partner Ann so that she can also get to know her HIV status. Twelve months later, Ann is expecting a baby in three months.

            Clearly, Alex is yet to inform Ann of his status yet steps needed to be taken to know the status of Ann and the unborn baby so that necessary treatment can commence. Alex threatens that if his status is disclosed to Ann without his consent, he would stop coming for treatment. I found myself in a dilemma on whether to inform Ann of Alex status or hid to Alex words.

            To utilize critical thinking, I ought to refer to paragraph 53 of the GMC guidelines on confidentiality. The principle explains that disclosure of confidential information is justified when the failure to do so exposes a third party to risk of death or serious harm (Dolan, 2004).

Question 2

            Patients can avoid medical errors to ensure their safety taking their medication as prescribed, communicating effectively with their caregivers and clinicians and lowering infection rates. Patients must also keep the health care team involved and learning more about their conditions (Keohane & Bates, 2008).

            Family caregivers need to have adequate training on how to handle the patient and ensure adequate communication between the patient and the clinician to ensure patient safety. The family should also ensure that the patient is free from household hazards. Clinicians can promote safety and reduce errors by adhering to procedures, listening to patients and effectively communicating with the health care team (Keohane & Bates, 2008).

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            The healthcare team should embrace teamwork to eliminate issues of burnouts that may lead to medical errors. The team should also work together to solve problems that may lead to medical errors. The system can improve communication skills among members of staff in the facility, develop team strategies and develop safety culture in the hospital setting to ensure safety and reduce errors.

Question 3

            Patient involvement is a core factor in creating the culture of safety. Clinicians must involve patients in decisions pertaining to their treatment and discharge plans (Clancy, Farquhar & Sharp, 2005). Such practices allow patients know much about their care to avoid misunderstanding.

            Teamwork also creates a culture of safety. The skills generated in interprofessional communication encourage safety culture. Teamwork is critical during transitions in care.

            Access to accurate information is another factor that creates a culture of safety. Access patient records, evidence-based-practice protocol and lab reports enhance the culture of safety in health care. The formation required must be accurate and received in good time.

References

Clancy, C. M., Farquhar, M. B., & Sharp, B. A. C. (2005). Patient safety in nursing           practice. Journal of Nursing Care Quality, 20(3), 193-197.

Dolan, B. (2004). Medical records: Disclosing confidential clinical information. Psychiatric             Bulletin, 28(2), 53-56.

Keohane, C. A., & Bates, D. W. (2008). Medication safety. Obstetrics and gynecology clinics of North America, 35(1), 37-52.

1. School Nurse Experience and Reflective Essay

The School Nurse Experience provides the student with exposure to the school-age child and their interaction with a health care professional in the school setting. The student needs to observe the interaction of the nurse with the acute and chronic medical conditions as well as the promotion of health.

Students will be assigned to an elementary, middle, or high school in the Toms River School District to shadow the school nurse(s) for one full day as a clinical experience. The student may assist the school nurse by performing basic assessments (temperatures, heights/weights) as directed by the school nurse. The student cannot administer any medications or provide any treatments. 

The student will arrive 15 minutes earlier than the start of school to which they are assigned in professional attire, the OCC Lab coat and OCC name tag. Upon arrival, report and sign in at the Main Office. The student will stay for the entire day the nurse has students in the school. Note: you must notify the Professor if there are any relatives, friends or friends’ children in that school. 

Objectives for the School Nurse Experience:

1. Observe the nurse’s assessment of pediatric patients with select      health alterations. 
2. Integrate appropriate therapeutic communication techniques with      pediatric patients.
3. Observe the nurse as care is prioritized throughout the day
4. Identify appropriate growth and development milestones in the      pediatric population. 
5. Observe the school nurse’s interactions with children and other      professionals. 

A 500-800 word reflective typed essay is Due by midnight on the 5th day after the school nurse clinical. Post online in eCompanion. The passing grade for the School Nurse Essay is 75 based on the following rubric and is a requirement for Satisfactory status on the course clinical evaluation. 

1. Locate the name of a recent (<5 years), professional, nursing journal related to the area of nursing you are interested in pursuing. Please refer to the library resources in Blackboard to help guide you. 

2. Find one scholarly article related to your topic and read it.

3. Type a one page (double spaced) summary of the article you read. In your summary, make sure and use in-text citations, including page numbers if you use a direct quote. Remember, even information that is summarized must be cited to avoid plagiarism. 

4. At the end of the summary, type the reference to your article in correct APA style. 

5. Please include a copy of your article with your assignment submission; this can be a .pdf file. Simply attach both this template (in Word format) and the article to Blackboard when you submit. 

Reflect on the role that the electoral process and government plays in one’s daily work and family life. As nurses, health policy can influence both arenas of our lives. What policy issues might drive nurses to lobby Congress and/or get involved in campaign politics? What strategies might nurses use to have their voices heard? 

The American Nurse: http://www.theamericannurse.org/2014/10/22/time-for-nurses-to-get-out-the-vote/ 

**As a reminder, all questions must be answered to receive full credit for this discussion. please include your name in the title of the discussion. Also, make sure to use scholarly sources to support your discussion.