View the scenario called “Critical Decision Making for Providers” found in the Allied Health Community media (https://lc.gcumedia.com/hlt307v/allied-health-community/home.html).

In a 750‐1,200 word paper, describe the scenario involving Mike, the lab technician, and answer the following questions:

1. What were the consequences of a failure to report?
2. What impact did his decision have on patient safety, on the risk for litigation, on the organization’s quality metrics, and on the workload of other hospital departments?
3. As Mike’s manager, what will you do to address the issue with him and ensure other staff members do not repeat the same mistakes?

A minimum of three academic references from credible sources are required for this assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Minimum of 250 words with at least 2 peer review reference in 6th edition APA format.

 Identify two quality metrics used in your clinical workplace. How are these measured and are the results shared with the nursing staff? If not, do you think they should be? What would be the benefit? 

Capstone Community Aggregate   The purpose of this paper is to discuss the creation and implementation of a health promotion project by synthesizing all information collected throughout the RN to BSN completion program. [Put the text of your paper here and the last page of your paper is reserved for the references. Please see the South APA Guidelines and South APA Basics documents to ensure that your references are properly constructed].                                           Introduction & Problem Statement    [Put the text of your paper here providing an introduction to the problem and a clear statement of what you intended to accomplish with your project. INCLUDE the relevancy of the topic you chose, concerns regarding the issue, how this issue impacts nursing and healthcare.  INCLUDE literature review references and/or current event articles to support your perspective.                                                                   Trends and Statistics    [Put the text of your paper here, presenting relevant trends, etiology of the problem, prevalence & incidence statistics (referencing as appropriate) – USE relates statistics form the CDC or other relevant data information and the last page of your paper is reserved for the references.                                                                          Related Sources    [Put the text of your paper here discussing relevant information to the problem and your project, referencing as appropriate. You must provide at least ONE Peer-Reviewed nursing articles and at least TWO current event articles/internet sites or other forms of media to demonstrate appropriate research.                                     The Client: Objective & Subjective Assessment   [Put the text of your paper here introducing your aggregate and the representative of your aggregate.  In the sections below, you will clearly and concisely describe your client using BOTH subjective and objective information.                                                                        Case Study   [Put the text of your paper here and summarize your findings related to the issues presented by your client and discuss how and intent to improve your client’s health/life.  Include both Objective and Subjective information.                                                            Aggregates’ Demographics   [Put the text of your paper here present the demographics of the aggregate here (remember an aggregate is a GROUP of people, not just one individual) and the last page of your paper is reserved for the references.                                                    Gordon’s 11 Functional Health Patterns    See Appendix B of this paper. You may include your entire Gordon’s information as an appendix, but here you want to SUMARIZE the information and only present items that are relative to the issue you are addressing.  Describe the content of the relevant portions of the Gordon’s here.                                Health Perception and Health Management.  [Put the text of your paper here discussing the health perception(s) of the individual that represents your aggregate and his/her current management strategy.                                          Nutrition and Metabolism.  [Put the text of your paper here discussing the nutrition and metabolism of the individual that represents you aggregate, if relevant.  If NOT relevant, leave this sub-topic out.                                                    Elimination.    Put the text of your paper here discussing the elimination of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out.                                                                           Activity and Exercise.   [Put the text of your paper here discussing the activity and exercise of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out.                                                                           Cognition and Perception.   [Put the text of your paper here discussing the cognition and perception of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out.                                                                     Sleep and Rest.   [Put the text of your paper here discussing the sleep and rest of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out.                                                    Self-Perception and Self-Concept.   [Put the text of your paper here discussing the Self-perception and self-concept of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out.                                                       Roles and Relationships.   [Put the text of your paper here discussing the roles and relationships of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out.                                        Sexuality and Reproduction.   [Put the text of your paper here discussing the sexuality and reproduction of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out.                                                      Coping and Stress Tolerance.   [Put the text of your paper here discussing the coping and Stress Tolerance of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out.                                                                Values and Belief.   [Put the text of your paper here discussing the values and beliefs of the individual that represents you aggregate if relevant.  If NOT relevant, leave this subtopic out.                                                           Windshield Survey   [Put the text of your paper here and describing the relevant finding of your Windshield survey in paragraph form.  You may include your entire windshield survey as an APPENDIX, but in this section, you should present your findings in paragraph format. Concept Map     [Put the text of your paper here describing your concept map.  THIS is an EXAMPLE of a CONCEPT map – yours may be different.                                          Genogram: One Individual in Aggregate    [Put the text of your paper here and describing the genogram of the individual representing your aggregate, if appropriate.  CLEARLY identify your individual in your genograms.  Include children of your aggregate exemplar, if appropriate.   Paternal Side:      Maternal Side:                                    Plan of the Project Community Stakeholder’s Identified   [Put the text of your paper here describing the community stakeholders you have identified related to both your aggregate and the individual with whom you are working who represents your aggregate.                                          Financial and Political Implications   [Put the text of your paper here discussing the financial and political implications of your health promotion plan as it relates to both the entire aggregate and the individual that represents your aggregate.                   Feasibility of the Project Provision of Alternate Plan and Interventions   [Put the text of your paper here discussing an alternative plan if your initial plan does not work.                                               Role of Change Agent   [Put the text of your paper here discuss the role of a change agent and your specific role as the change agent for your aggregate and for the individual that is representing your aggregate.   Implementation and Evaluation of the Project Implementation of the Project [Describe in detail what you did and how you did it (your health promotion plan) and the progress made.                                      Evaluation of the Project Evaluation:   Did the project intervention address the original identified problem? [Put the text of your paper here describing and critiquing your health promotion plan – i.e. – DID IT WORK?   WHY or why not????                     Implications to Nursing Practice in the Local Community    [Put the text of your paper here discussing how your plan can affect (or be used by) nurses practicing in the local community. Provide at least three nursing implications that would affect nursing practice in the local community.                          Implications to Nursing Practice and Global Health    [Put the text of your paper here discussing how your plan might impact nurses around the world and global health.  Provide at least three nursing implications that would affect nursing practice in terms of global health.                                        Summary, Recommendations and Conclusion    [Put the text of your paper here presenting your recommendations related to your project as well as a summary of the project and your conclusions Please see the South APA Guidelines and South APA Basics documents to ensure that your references are properly constructed].

Janet, a 20 year-old college student, is experiencing a five-week history of itchy eyes and nasal congestion with watery nasal discharge. She also complains of a “tickling” cough, especially at night, and she has had episodes of repetitive sneezing. Janet gets frequent “colds” every spring and fall.

Physical Examination

Vital Signs: Temp, 98.8; BP 110/68; Pulse 72; Respirations 18

Skin: Flaking erythematous rash on the flexor surfaces of both arms

Head, Eyes, Ears, Nose, and Throat: Tender over maxillary sinuses; sclera red and slightly swollen with frequent tearing; outer nares with red, irritated skin; internal nares with red, boggy, moist mucosa and one medium-sized polyp on each side; pharynx slightly erythematous, with clear postnasal drainage

Lungs: Clear to auscultation and percussion

Discussion Questions:
1. Provide three differential diagnoses based on Janet’s subjective and objective data and discuss your reasoning for each.

2. What additional history questions would be useful in your evaluation of Janet?

3. Discuss the pathophysiological process of your primary diagnosis.

4. Differentiate the types of hypersensitivity mechanisms.

5. As per your analysis, what type of hypersensitivity reaction is Janet experiencing?