RESPOND

Developing a vision for SLMC would be important to the healthcare professionals and the patients and community. With the stated vision of SLMC as becoming a national leader for excellence and innovation, I believe a functional leadership would be required at this facility. The functional organizational strategy is one is which collaboration takes place within the facility between leadership and other team members. Also, collaboration takes place between the facility and the community. Bøllingtoft states that a successful organization named Blade.org conveyed four specific attributes into their successful leadership organizational strategy, those included are as follows: “Relationship specific assets, knowledge sharing routines, complementary resources and skills and effective governance” (Bøllingtoft, 2019). These four attributes likely would be successful SLMC. The facility can be improved through understanding what is needed from the community and the shared governance approach facility wide.

While hoping to implement a motivating climate and atmosphere at SLMC, I would try to incorporate facility-wide incentives for nursing and other medical professionals. A clinical ladder aspect that provides monetary incentives for nurses whom reach higher education and whom are actively involved in committees could help increase positivity. Additionally, I would like to always encourage knowledge and advancement in the facility and within ones’ career. An article in the Scandinavian Journal of Caring Sciences states that reduction in educational opportunities and professional training had negative effects on employees’ satisfaction overall (Halldorsdottir, Einarsdottir, & Edvardsson (2018). My leadership style would be one which encourages people to shoot for a greater goal, to accomplish something bigger and expand their knowledge set continuously. The world and technology are always changing and to ensure SLMC in an innovative leader and excellent provider, the staff must be competent and aware of the newest trends available to the patients and community.

References

Bøllingtoft, A. (2009). New Approaches to Organization Design : Theory and Practice of Adaptive Enterprises. Dordrecht: Springer. Retrieved from https://search-ebscohost-com.chamberlainuniversity.idm.oclc.org/login.aspx?direct=true&db=nlebk&AN=287913&site=eds-live&scope=site (Links to an external site.)

Halldorsdottir, S., Einarsdottir, E. J., & Edvardsson, I. R. (2018). Effects of cutbacks on motivating factors among nurses in primary health care. Scandinavian Journal of Caring Sciences, 32(1), 397–406. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1111/scs.12474

My clinical rotation this week in operation room 

Please follow the rubric to write an observation paper 

1- TIME OUT is immediately before surgery procedure to ensure correct patient identity, correct scheduled procedure, and correct Surgical site marking. It start before procedure the nurse do it and all surgical team in and anesthesiologist. 

correct patient positioning

please read about and cover that in my paper. 

2- Safety :

the scrub tech and nurse will count out loud all of the materials. The nurse writes these numbers on a board,

Use Sterile technique during the surgery

Time out before start procedure..

Identify pt by his name and date of birth. And the ID band in his or her hand. 

Allergy and any medication before the surgery

Patient’s  had the operation site marked for surgery  

Three consents one for procedure, one for anesthsea, one for if need blood transfusion. 

You can search and see if there is other than what I observe. You should cover at least 5. 

Priority nursing diagnosis.: you should write like that my nursing diagnosis 

Ineffective tissue perfusion related  to surgical procedure as eviedence by BP 100/67, and patient has dranage on the surgical site. 

My goal patient will verbalized f by 16:30, 09/25/19. 

The intervention: Monitor vital signs. Note color, warmth, capillary refill. Inspect dressing for excess drainage or bleeding or leak of CSF. Monitor intake and out put. 

Can you make me one of the ethical dilemma 

Personal experience : I am so excited to see the procedure. Also, I like the operation team how work with each other to do their work as best, also I like how scurb nurse and circulation nurse colleprate with each other to make pt safety and not break the sterile filed. I observe three surgery one was about cerebral angiogram the patien female 78 years old intubation and she had drange 100ml. the second c5-6 arthoplasy. replace a damaged spinal disc in the neck with an artificial disc . he was Male 34 years old, the last one was lumbar spinal fusion female 67 years. You can add from your own 

Please follow the APA format use two peer reviewed nursing journal articales less than 5 years. follow the rubric that i attach it and i attach my friends paper do as them but not copy their work. 

Carrie Smithson    1 posts   Re: Topic 9 DQ 2         Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of Evidence Based Practice is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. There are barriers that may prevent my Evidence Based Practice change proposal from continuing to obtain the same desired results six months to a year from now. My PICOT statement is, In adults with tobacco dependency (P), would providing teaching/research about tobacco cessation (I) compared to medications to assist in tobacco cessation (C) lead to a decrease in tobacco dependency and better health outcomes (O), after four weeks of intervention/quit date (T)? One barrier is new staff coming on board and not knowing the proper way to educate patients on tobacco cessation. The current staff will receive proper education on how to educate tobacco dependent patients. To assist new staff with the process change, we can create required computer based learning assignments (CBL’s) that have to be completed before coming out of orientation. This will allow all new nurses to be up-to-date on the education process. Another barrier is language. Not only is language a barrier in education, but other forms of communication as well. Upon communicating with a patient who does not speak English, the health care team must first decide what language the patient understands best, and in what way the patient learns best. Once the assessment is completed, the nurse can obtain an interpreter. At our facility, there are interpreters on wheels; this is an IPad that we bring to the patient and an interpreter comes on live to speak to the patient in their specific language. Not only can we use the interpreter, but provide written education in different languages as well. Throughout the education process, it is important to remember communication techniques. A few communication techniques are listening, asking open ended questions, and having an open posture (Elsheikh, 2018). Change initially can be a good thing and take off quickly. It is important to sustain new change through methods like I mentioned above.  Reference  Elsheikh, K. (2018, March 21). 7 Effective Communication Techniques That Will   Make YouExcellent. Retrieved from https://medium.com/better-humans/7-  effective-communication-techniques-  that-will-make-you-excellent-89eb17e60b36

 A 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except for decreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibial pulses were markedly decreased compared with those of his left leg.  

 Studies Results Routine laboratory work Within normal limits (WNL) Doppler ultrasound systolic pressures Femoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure) Arterial plethysmography Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse waves Femoral arteriography of right leg Obstruction of the femoral artery at the midthigh level Arterial duplex scan Apparent arterial obstruction in the superficial femoral artery 

 Diagnostic Analysis With the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic.  

 Critical Thinking Questions 1. What was the cause of this patient’s pain and cramping? 2. Why was there decreased hair on the patient’s right leg? 3. What would be the strategic physical assessments after surgery to determine the adequacy of the patient’s circulation? 4. What would be the treatment of intermittent Claudication for non-occlusion? 

Assignment:

Based on what you have learned so far this week, create a PowerPoint presentation (12 slides, minimum)  with detailed notes for each slide that addresses each of the following points/questions. Be sure to completely answer all the questions. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations (an example is located in the Resources tab) related to text size, color, images, effects, wordiness, multimedia and graphic enhancements.

1. Why did the Hawthorne studies and McGregor’s Theory X and Theory Y have an impact on the study of organizational behavior?
2. Explain why and how changes in the U.S. demographics affect the healthcare industry.
3. How does attribution theory allow managers to “justify” workers’ behaviors?
4. What tools and/or techniques could a manager used to ensure that the message communicated is understood by the receiver as intended.

1. Why did the Hawthorne studies and McGregor’s Theory X and Theory Y have an impact on the study of organizational behavior?
2. Explain why and how changes in the U.S. demographics affect the healthcare industry.
3. How does attribution theory allow managers to “justify” workers’ behaviors?
4. What tools and/or techniques could a manager used to ensure that the message communicated is understood by the receiver as intended.
5. Organizational Behavior is the study of individual and group dynamics within an organizational setting. This first module explored issues of diversity, perceptions and attitudes, and communication, all within a theoretical perspective. Some of the major challenges facing today’s and tomorrow’s healthcare organizations and healthcare managers were discusses. The impact of the Hawthorne Studies and McGregor’s Theory X and Theory Y helped to give relevance to the study of organizational behavior. Lessons from this module reminded us that healthcare organizations need to be flexible to change to meet diversity challenges. The greatest barrier to the industry’s success may be its inability to understand and appreciate the increasing diversity within our population, whether relating to patients r employees. Social psychology concepts were also introduced, with an effort to enhance understanding about attitudes, and how these factors can influence and bias our perceptions. Lastly, the importance of communication was emphasized. Communication in the workplace is critical to establishing and maintaining quality working relationships in organizations. Intraorganizational communication, cross-cultural communication, and communication with external stakeholders rounded out the module.