Preparedness & Disaster Mgmt

Please follow the instructor carefully. There are 4 Discussions, your response to classmates should be at least one paragraph for each Discussion, address the discussion topic or question, be respectful, and add to the discussion. You may draw upon personal experience, course or scholarly references, citing appropriately. Restating the primary response, or agreeing or disagreeing without supporting statements will result in a lower grade. 

In reference to including a paragraph for both primary and peer responses, 4-5 sentences constitute a paragraph.

Discussion one, 

Within the United States, the triage has its purpose in serving within the emergency department (ED) by prioritizing the incoming patients and classifying patients who cannot wait to be seen. In addition, the triage nurse evaluates each patient, considering the safety of how long a patient should wait in the waiting room before being seen. Therefore, patients who are above a higher risk of having an emergency have a shorter wait time, in comparison to patients who are not at a high risk (Agency for Healthcare Research and Quality,2012).

On the other hand, a triage may seem as organized because there are staff involved in assessing who should be seen, however there are many ways a triage can be more effective for patients at high risk and low risk. Being that there are patients coming in and patients going out, the capacity level of the triage can be over than where the capacity level should be. Therefore, the patient flow in the emergency room is very important and by nurses and staff reducing time patients do spend in the ED will help reduce over capacity or overcrowding within the triage. So improving patient satisfaction and reduction, may reduce mortality and morbidity while keeping the patient flow (Jarvis, 2016).

Bottom of Form

Discussion two, 

The purpose of triage in the emergency department (ED) is to prioritize incoming patients and to identify those who cannot wait to be seen. The triage nurse performs a brief, focused assessment and assigns the patient a triage acuity level, which is a proxy measure of how long an individual patient can safely wait for a medical screening examination and treatment (Emergency Severity Index Implementation Handbook, 2012). Having an effective triage system is vital in helping those who are in emergency situations. Having implemented policies and strategies to better serve the public is a great way in having an effective triage. Triage nurses who are professionally trained is an important factor and having experience in the field is another factor in providing efficient and accurate service in need. Furthermore, having triage to provide service before coming in to hospitals or clinics is an essential asset in the medical field and gives patients information that can be used in the future.

Discussion three, 

Vulnerable populations can be described as “Any individual, group, or community whose circumstances create barriers to obtaining or understanding information, or the ability to react as the general population. … Circumstances that may create barriers include, but are not limited to age; physical, mental, emotional, or cognitive status; culture; ethnicity; religion; language; citizenship; geography; or socioeconomic status” (Emergency Preparedness for Vulnerable Populations: People with Special Health-care Needs). Knowing this definition you can see why they would be the ones to suffer in an emergency situation. Many of them have limited mobility which can cause issues when trying to evacuate an area. Those with language barriers may not necessarily understand directions that are being told to them, along with those who are hard of hearing may not be hearing instructions correclty. Furthermore, those with mental disabillities may struggle to grasp the gravity of emergency situations and either refuse to leave, or become violent with first resonders due to fear of the unknown. With the possiblity of all of these issues emergency planning must be done in great detail to ensure the safety of the vulnerable populations, along with the safety of those responding to them. 

Discussion Four, 

According to the Minnesota Public Health Emergency Training Series Module on vulnerable populations, “A vulnerable population is any individual or group of people with any physical, mental, emotional, cognitive, cultural, ethnic, socio-economic status, language, or other circumstance that creates barriers to understanding and/or barriers to the ability to act or react in the requested or anticipated manner.” (UM Public Health Staff, 2005). The key to understanding why these vulnerable populations are the ones to suffer most in an emergency incident is in the very definition of what makes them vulnerable in the first place. The fact that these individuals have a condition or lifestyle choice (sometimes not a choice) that prevents them from understanding and/or acting or reacting in the way that is expected is what makes them targets of being the most impacted from an incident to begin with. The best way that I can explain it is with an analogy that I have seen with expectations in a school setting. Imagine a teacher asking 4 students to climb the same tree, the 4 students are a monkey, a cat, a snake, and a fish. Some students simply cannot climb the tree without help. Now, imagine the same scenario, but instead of the teacher asking students, it’s an emergency worker explaining that the only way that your life will be saved is if you climb this tree. In emergency situations, the task being asked is not the problem, it’s a person’s ability to complete the task. There are some portions of every community that have differing abilities that will need help performing the tasks that need to be done.

Thanks,

 
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NUR3045 Module 1 Quiz Chapter 1 2017

Question 1 The nurse is disappointed with not being able to provide educational materials in a non-English-speaking patient’s primary language.What can the nurse do to serve as an advocate when providing  culturally competent care?

1. Find or create materials to meet the patients’ needs.
2. Teach the patient in English.
3. Provide educational materials written in English.
4. Ask the physician to talk with the patient.

Question 2 A patient from a non-English-speaking culture comes into the health clinic seeking care. The nurse is unable to determine the patient’s primary language. What should the nurse do?

1. Notify Security 

2. Encourage the patient to seek care elsewhere 

3. Ask for help to determine the patient’s primary language 

4. Contact a homeless shelter 

Question 3 A health care organization provides care to individuals of whom 75% are from non-English-speaking cultures. When determining the languages to represent within the organization, on which will the organization focus?

Select all that apply.

1. Spanish

2. Chinese

3. French

4. German

5. Arabic

Question 4 The staff development instructor is planning a seminar that focuses on the variables leading to generational conflict. What will the instructor include in this content?

Select all that apply.

1. Decade of birth

2. Generation in the United States

3. Class

4. Language

5. Socialization

Question 5 The nurse is planning care for a group of patients from different cultural backgrounds. What aspects of the nurse will impact how the patients access and respond to health care services?

Select all that apply.

1. Cultural background

2. Heritage

3. Language

4. Role

5. Age

Question 6 The staff development educator is analyzing ways to incorporate cultural competency concepts in continuing education programs. How will the educator explain the concept of cultural competency to staff?

1. Philosophy

2. Condition

3. Theory

4. Fad

Question 7 A health care organization is planning continuing education for all staff on culturally and linguistically appropriate service delivery.Which category of culturally and linguistically appropriate services  in health care will this action support?

1. Fundamentals of culturally competent care

2. Speaking of culturally competent care

3. Structuring culturally competent care

4. Manage the dynamics of difference

Question 8 When a health care provider takes the time to learn the underlying background of a patient to provide the best possible health care, which type of cultural care is being provided?

1. Appropriate

2. Sensitive

3. Designated

4. Competent

Question 9 The Department of Nursing with a health care organization is planning steps that reflect the Joint Commission’s recommendations for cultural competence. What will the nursing department include in these steps?

Select all that apply.

1. Value diversity

2. Assess themselves

3. Manage difference

4. Acquire cultural knowledge

5. Hire staff from different cultures

Question 10 The staff nurse is identifying ways to communicate care needs for a patient from a non-English-speaking culture. How will the nurse use the tool within the Joint Commission monograph roadmap for hospitals to help with this need?

Select all that apply.

1. Access a checklist to use during the admission process.

2. Follow the steps in the assessment checklist.

3. Review the points during the phases of treatment.

4. Identify all of the steps needed for discharge.

5. Recognize ways to adapt to the patient’s culture.

Question 11 The nurse is planning care to address health care needs for a non-English-speaking patient and family. What would the nurse use as a guide for this care?

1. Checklist

2. Standardized care plan

3. Nursing textbook

4. Care map

Question 12 A health care organization is incorporating culturally and linguistically appropriate services into the strategic plan. In which areas of the plan will these services be reflected?

Select all that apply.

1. Goals

2. Policies

3. Operational plans

4. Management accountability

5. Internal audits

Question 13 The health care organization has made a conscious effort to provide linguistically appropriate services to its predominantly Hispanic population, incorporating within its staff members from different Spanish-speaking countries of Latin America. Which cultural care concept is this organization implementing?

1. Language proficiency

2. Cultural competence

3. Cultural sensitivity

4. Cultural appropriateness

Question 14 Which behavior of a health care provider exemplifies culturally competent care?

1. Delivering care that demonstrates understanding and application to the patient’s situation

2. Speaking the patient’s language.

3. Understanding some health traditions of the patient.

4. Knowledgeable of the patient’s cultural background.

Question 15 The nurse is planning the care for a patient from a non-English-speaking culture. Which terms would the nurse use that reflect cultural care?

Select all that apply.

1. Literacy

2. Refugee

3. Silence

4. Sacred times

5. Surgery

Question 16 The nurse is unable to locate an interpreter to support a patient from a non-English-speaking culture. The patient asks a family member to interpret for the staff. What would the nurse do to ensure culturally and linguistically appropriate services for this patient?

1. Use the family member as an interpreter until a non–family member can be located.

2. Write the questions down for the patient to answer.

3. Do nothing until an interpreter can be located.

4. Use sign language.

Question 17 The nurse practitioner is ensuring that an adequate amount of educational materials are printed in languages that reflect the patient population. What are the reasons for this health care provider treating a more diverse patient population?

Select all that apply.

1. Demographic changes

2. Participation in insurance programs

3. Reflects the nurse practitioner’s cultural background

4. The nurse practitioner is from a minority group.

5. The educational materials will teach the patient how to be healthy or ill.

Question 18 The nurse is completing a survey that includes questions about different aspects of cultural competence. What is the purpose of this survey?

1. Assessment of cultural competence

2. Manage the dynamics of difference

3. Value diversity

4. Institutionalize cultural knowledge

Question 19 Unlicensed assistive personnel (UAP) ask the nurse to explain the difference between cultural care and other types of care. What would the nurse say in response to the UAP?

1. It is holistic.

2. It is a fad.

3. It focuses on scientific theory.

4. It is a belief system.

Question 20 Which action would a hospital administrator take to meet the cultural and linguistic needs of Spanish-speaking community members?

1. Hire professional staff from different Spanish-speaking countries.
2. Ensure that all health care workers speak Spanish.
3. Ensure that all signage is posted in Spanish as well as English.
4. Ensure health services are in varying locations.

 
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Sentinel Event

The Joint Commission 

The Joint Commission, or simply “TJC,” is an organization formed to accredit medical facilities. It is a private organization composed of physicians, nurses, pharmacists, risk managers, and other professionals. The main concern of TJC is patient safety. The Joint Commission Accreditation is voluntary. However, CMS states that, in order to receive reimbursement from Medicare and Medicaid, a health care provider must have completed the accreditation survey and be approved by The Joint Commission. Typically, TJC will visit every 18-24 months to ensure compliance.

HIM Professionals should be aware of what TJC evaluates to accredit a medical facility, because he/she may be called upon to provide needed information or otherwise assist in a TJC audit.

Preview the document

Suppose you worked at a medical facility and were given the assignment to prepare the facility for a Joint Commission audit. Watch the video on the TJC again, and download and view the TJC Readiness Checklist.

What to Expect from THC Surveyor (6:59)

Assignment:

A patient came to Dr. Bayberry’s office. She was diagnosed with pneumonia. She was given an antibiotic injection. Before the injection, she was asked the appropriate questions and denied having any allergies to medications. The medical assistant had the patient wait the allowed 15 minutes, and there was no visible adverse reaction. The patient was released to go home with her daughter. Five minutes after leaving the office, the daughter came back in a panic: the patient was unconscious in the car. Dr. Bayberry and the medical assistant went to the car to find that the patient had gone into cardiac arrest. EMS was called and the doctor and medical assistant did CPR until they arrived.

According to the article about sentinel events from TJC, what takes place now? Is there a need to do any reporting? Is TJC involved? Write a four-paragraph paper on what takes place after a sentinel event such as the above occurs. Save the file as “SentinelEvent”

 
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The behavioral risk factor

Respond to this post with a positive response :

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use  references

                                               Main Post

The behavioral risk factor that I selected from the Healthy People 2020 objectives is overweight and obesity among children and adolescents (ages 6 through 19), which has increased significantly over the last three decades (Knickman & Kovner, 2015). Currently, only 36% of Floridians are at healthy weight, and if we stay on our current trend, by 2030, almost 60% will be obese (Florida Health, 2017). Additionally, six out of ten children born today will be obese by the time they graduate from high school (Florida Health, 2017). Five areas in which reform is critically needed in order to prevent obesity are creating safe environments for physical activity, healthy food and beverage choices, message environments, and health care, work and school environments (Knickman & Kovner, 2015). The population-based intervention model describes downstream, midstream and upstream interventions for preventing overweight and obesity among children and adolescents (Knickman & Kovner, 2015).

A downstream health prevention program focuses on changing behaviors at an individual level, rather than preventing risk behaviors (Knickman & Kovner, 2015). Given parents’ influence and control over their children’s diet, physical activity, media use, and sleep, family interventions are a key strategy in the effort to eliminate childhood obesity (Ash, Agaronov, Young, Aftosmes-Tobio & Davison, 2017). An example of a downstream intervention that would be effective is to provide a hand-out for parents and children through the school with helpful tips on reducing screen time, suggestions for healthy food swaps (having an apple instead of chips after school) and suggestions for easy ways to incorporate exercise into your day, such as go for a walk as a family for 20-30 minutes after school each day.

A midstream health prevention program focuses on changing behaviors at a community level, with health promotion programs that are targeted at populations to change or prevent risk factors (Knickman & Kovner, 2015). An example of a midstream intervention that would be effective is to provide school-based sports and physical activity to children each day. Two main individual behavior determinants of health are diet and physical activity (ODPHP, 2018). The school would provide coaches and equipment for children to participate in sports who may not have the ability to otherwise in their home environment.

An upstream health prevention program focuses on developing policies at state and national levels in order to reduce the promotion of unhealthy products and behaviors (Knickman & Kovner, 2015). An example of an effective upstream intervention is the great efforts made in the public-school system to improve the quality of food provided in school lunches, and to eliminate the availability of junk-food to kids. In April 2014, the US Department of Agriculture (USDA) issued new regulations, which took effect in July 2014, banning the sale of all junk-food in schools (Ballaro & Griswold, 2018). The regulations stated that only fruits, vegetables, dairy products, lean-protein foods, and whole-grain items could be sold in cafeterias or vending machines, limiting the maximum calorie count of 200 for snacks and 350 for entrées (Ballaro & Griswold, 2018). Foods containing trans-fats could not be sold, and drinks could contain no more than 35% sugar or fat, and must be limited to water, low- or no-fat milk, and 100% fruit or vegetable juice (Ballaro & Griswold, 2018).

References

Ash, T., Agaronov, A., Young, T., Aftosmes-Tobio, A., & Davison, K. (2017). Family-based childhood obesity prevention interventions: a systematic review and quantitative content analysis. International Journal of Behavioral Nutrition & Physical Activity, 14(1), 1-12. doi:10.1186/s12966-017-0571-2

Ballaro, B., & Griswold, A. (2018). Junk food in schools. Salem Press Encyclopedia. Retrieved from https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=89158234&site=eds-live&scope=site

Florida Health. (2017). Healthy weight. Retrieved from http://www.floridahealth.gov/programs-and-services/prevention/healthy-weight/index.html

Knickman, J. R., & Kovner, A. R. (Eds.). (2015). Health care delivery in the united states (11th ed.). New York, NY: Springer Publishing.

Office of Disease Prevention and Health Promotion. (2018). Determinants of health. Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health

 
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Journals Nurs6540

Week 1 Journal

As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your practicum experience. By applying the concepts you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment such as a Journal Entry or SOAP Note that prompts you to reflect on your practicum experiences and relate them to the material presented in the classroom. This week, you begin documenting your practicum experiences in your Practicum Journal. To prepare for this course’s Practicum Experience, address the following in your practicum journal:

  • Select an aging theory to guide your practice.
  • Develop goals and objectives for the Practicum Experience in this course. Be sure to consider geriatric competencies.
  • Create a timeline of practicum activities based on your practicum requirements.

Week 2 Journal

To prepare for this course’s Practicum Experience, reflect on implications of age-related changes in geriatric patients. Explain how you might differentiate between normal behaviors/disorders due to aging and abnormal behavior/disorders that are not age related. Include how functional assessments might help distinguish “normal” from “abnormal.”

Week 4 Journal

Reflect on medication adherence issues you have encountered with geriatric patients in your practicum setting. Explain implications of these issues on patient health, as well as strategies to improve medication adherence for geriatric patients. If you did not have an opportunity to evaluate a patient with this background during the last 4 weeks, you can select a related case study or reflect on previous clinical experiences.

*Please use APA format. Cite references within the paper along with a reference list at the end.

 
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Discussion: Creating, Developing, And Leading Effective Teams

Discussion: Creating, Developing, and Leading Effective Teams

Coming together is a beginning. Keeping together is progress. Working together is success.
—Henry Ford

A critical skill for all nurse managers is the ability to create, develop, and lead effective teams. When people are part of an effective and well-functioning team, they are more productive and have a stronger commitment to the organization. Nurse managers have a responsibility to create teams that fulfill functional needs within their units or departments. These can include leadership teams, ad hoc project teams, or primary work teams.

As a nurse manager, there is a variety of ways that you can enhance team functioning. The first step is developing the structural elements of the team and then designing the team with the appropriate membership. Just as you must critically examine each application during the employment process, so will you critically examine the skills and attributes of each employee before appointing him or her to a collective team.

In this week’s Discussion, you lay the groundwork for creating and developing a team for your unit, department, or health care setting. You also identify leadership strategies that you could employ to increase the team’s organizational effectiveness.

To prepare

  • Review Chapter 5, “The Art of Effectively Facilitating Processes” from the course text, From Management to Leadership: Strategies for Transforming Health Care. Carefully examine the section, “Essential Elements of a Team” to identify the six steps of creating an effective team.
  • Consider a team you might create for your current organization or one with which you are familiar. For example, is there a project to be accomplished or a problem to be solved? Perhaps there is a need for a leadership team within your unit or department?
  • Identify the purpose or goal for your team. Then, reflect on the following questions:
    • What type of team would you create (leadership, ad hoc, or primary work team) to accomplish this purpose or goal? What are the benefits or disadvantages of creating this type of team?
    • What staff members would you want on this team? Why? How could their skill sets and positions make them effective team members?
  • Explore this week’s Learning Resources to identify leadership strategies you might employ before, during, and after the team-building phase. For example, what leadership strategies might influence synergy among team members while also increasing the effectiveness of the team?

Post a description of the team you would create, including the purpose or goal the team would serve, the team type, and the specific skills each member would contribute as well as their job positions. Describe at least two leadership strategies you could implement to help this team effectively achieve its purpose or goal.

Required Readings

Manion, J. (2011). From management to leadership: Strategies for transforming health care (3rd ed.). San Francisco, CA: Jossey-Bass.
Chapter 5, “The Art of Effectively Facilitating Processes” (pp. 179–242)This chapter describes the many components that make up the facilitating process. Some of these elements include empowerment, authority, resolutions, and negotiation.

Chapter 6, “Getting Results” (pp. 243–282)The main points of this chapter are the components that contribute to effective teamwork. The author lists the benefits and pitfalls of proactive behavior, group decision making, and problem solving.

Beeson, J. (2011). Build a strong team. Leadership Excellence, 28(2), 15.  Retrieved from the Walden Library databases.

Beeson’s article focuses on the importance of building a structured team. He provides five steps that leaders can implement in the workplace to create a strong team that benefits the whole workplace.

Calendrillo, T. (2009). Team building for a healthy work environment. Nursing Management, 40(12), 9–12.  Retrieved from the Walden Library databases.

In this article, Calendrillo states that skilled communication is the foundation for strong team building in clinical settings. When skilled communication has been mastered and used, quality patient care and healthy work environments are among the many results.

Pentland, A. (2012). The new science of building great teams. Harvard Business Review, 90(4), 60–70.  Retrieved from https://cb.hbsp.harvard.edu/cbmp/pl/76756181/76756183/15ba87a24642f03cb8854352b1d046fc

This article addresses how communication is a key to team efficiency. The author provides three communication dynamics that were used by the teams that were most communicative.

 
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Patient Comunication

Prepare a 3–4-page report on nurse-patient communication in which you address types of communication, factors that influence the communication experience, and how the patient experience affects health outcomes. Recommend evidence-based strategies to improve nurse-patient communication and explain how the strategies consider patient demographics.

Nursing professionals do not only communicate with others within their organizations—often, they are also the first point of contact with patients. Thus, nursing professionals need superior communication skills to explain procedures and medication instructions, as well as to listen to what patients need to say.

Imagine that, in an effort to reduce the number of patient complaints about nursing staff, organizational leadership has asked your department to prepare some preliminary research on a number of different topics. Your topic is patient communication, such as the following:

  • The types of communication that take place between nurses and patients.
  • The factors that can influence both positive and negative experiences.
  • How the experience can impact health care outcomes.
  • Strategies that can improve the communication between nurses and patients.

Preparation

Search  the Internet for peer-reviewed journal articles or other professional resources on the topic of effective communication with patients. You will need at least 3 resources to support your work in this assessment.

Directions

Prepare a report on patient-nurse communication in which you include the following:

  • Describe the types of communication that take place between nurses and clients/patients. Do not forget to consider types of communication beyond verbal and written on paper.
  • Explain the factors that influence positive and negative experiences during the communication process. (Hint: Consider the experiences of both the client/patient and the nurse. Also, consider things such as age, gender, culture, and so on, of both the client/patient and the nurse.)
  • Explain how the client/patient experience can impact health care outcomes.
  • Recommend evidence-based strategies for improving communication between client/patients and nurses.
  • Explain how the strategies consider different client/patient demographics.

Format this assessment as a report that you would give to your supervisor. It may be helpful for you to review how your organization formats internal reports and incorporate your findings. You are still required to adhere to APA guidelines for in-text citations and references, as well as for formatting your reference page.

Additional Requirements

  • Include a title page and a reference page.
  • Ensure your assessment is 3–4 pages in length.
  • Use double-spaced, 12-pt., Times New Roman font.
  • PatientCommunicationScoringGuide.docx
 
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Heart Failure Clinic Resourcing Plan

Write a 3–4 page evidence-based resourcing plan for one component of the Heart Failure Clinic.

It is important for the nurse leader to have not only a basic  understanding of the budget process, but to understand how to work with  variances in staffing, patient loads, and supply costs in order to meet  the needs of the patients, without compromising the funding process of  the clinic.

By successfully completing this assessment, you will demonstrate  your proficiency in the following course competencies and assessment  criteria:

  • Competency 3: Apply management strategies and best practices for  health care finance, human resources, and materials allocation  decisions to improve health care delivery and patient outcomes.       
    • Apply evidence-based management strategies and best practices for resourcing health care services.
    • Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.
  • Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.       
    • Apply legal and professional standards for resourcing outpatient services.
  • Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.       
    • Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.

Instructions

Deliverable: Develop one component of an evidence-based resourcing plan.

Scenario:

The hospital leadership team has already allocated the major  capital expenditures for the heart failure clinic, such as the facility,  legal services, IT, and security services. However, as a member of the  nurse team, you have been asked to develop one component of a resourcing plan for the next leadership meeting.

You may use any combination of documents (for example, a  spreadsheet or a table) in addition to explanatory information to convey  information clearly and succinctly.

Choose  one of the following:

Budget:

  • Apply evidence-based management strategies and best practices for resourcing health care services.      
    • Identify the business plan budget categories and subcategories (not necessarily the actual cost) to establish a new clinic.
    • Start-up expenses.
    • Examine fixed and variable costs.
    • Capital budget items.        
      • Examples: salary and benefits, staffing mix, specialized equipment or materials, et cetera.
    • Contingency fund and parameters.
  • Apply legal and professional standards for resourcing outpatient services.      
    • Explain the alignment to best practices and professional standards for cost effective outpatient services.
    • How will uninsured or underinsured patients be managed?
  • Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.      
    • What data resources and tools analyze costs, health insurance, and hospitalization services?
    • How will billing be handled?
    • How will you determine if outpatient management is cost-effective?
    • How does transparency impact the consumer?

Staffing Plan:

  • Apply evidence-based management strategies and best practices for resourcing health care services.
    • Identify the disciplines and skill mix needed for appropriate staffing.
    • Estimate staffing requirements by discipline and staffing ratios (evidence-based).
    • Develop a sample staffing schedule.
    • How will you staff to meet corporate diversity goals or the needs of diverse patients?
    • Explain how delegation, collaboration, negotiation will affect staffing plan.       
      • How does a union contract affect the staffing plan or schedule?         
        • Examine the Nurse Practice Act for your state.           
          • How does the Nurse Practice Act affect your staffing plan?
  • Apply legal and professional standards for resourcing outpatient services.      
    • Align your staffing plan to best practices, the Nurse Practice  Act for your state, scope of practice, and the Joint Commission  standards for outpatients.
  • Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.      
    • How will you know if staffing is cost-effective?
    • How will you know if staffing mix or schedule impacts patient outcomes?

Additional Requirements

  • Written communication: Written communication should be free of errors that detract from the overall message.
  • APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
  • Length: The plan should be 3–4 pages in content length, double-spaced.
  • Font and font size: Times New Roman, 12 point.
  • Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.
 
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EThics 8 case study

Students will complete an APA paper about the following case study.  The provided case study represents ethical issues of historical interest.

Case Study

A nurse has sued Memorial Hospital, charging that she was demoted after complaining about a heart surgeon tossing bloody tissue at her during an operation. The eight-page complaint filed Friday in U.S. District Court by Sonja Morris alleges that Dr. Bryan Mahan tossed the 4-by-6-inch piece of tissue at her, hitting her on the leg during an open-heart surgery in August 2008. She contends Mahan made a joke about it to the other surgeons, saying, “Oh (expletive), I hit her. Can we get cultures on that?” Morris said she felt humiliated as the other surgeons chuckled. Mahan could not be reached for comment Friday afternoon.

Morris claims that the incident was part of a pattern of harassing behavior by Mahan toward her. She also alleged that in June 2008, Mahan came up behind her and hit her in the head. She told him to stop, but two weeks later, he did it again, the suit alleged. Again she asked him to stop.

Chris Valentine, a spokesman for the hospital, declined to comment on the lawsuit. “Obviously, because it’s in legal hands, we’re not in a position to comment,” he said. Mahan is the chairman of cardiac and thoracic medicine at Memorial. He is not named as a defendant in the lawsuit. Morris has worked at the hospital as a nurse since June 1999. She has been a member of the heart surgery team since October 2007.

The incident with the bloody tissue occurred on Aug. 28, 2008, after normal working hours during an operation in which doctors were doing a procedure known as a pericardiectomy. The surgery involved removing a protective layer of tissue from the heart. Morris contends that was the bloody tissue that Mahan tossed at her. She said she was standing at a work station about 15 feet away from the operating table. Because the operation was still in progress, she was unable to immediately clean the part of her leg that the tissue hit. She filed a complaint about the incident but said that resulted in no disciplinary action.

On Dec. 10, she filed a notice of claim against Mahan and the hospital. Her complaint to the U.S. Equal Employment Opportunity Commission alleged that she was subjected to a hostile work environment because of her gender. Seven days later, she said hospital administrators removed her from the heart surgery team, considered a prestigious position, and transferred her to the main operating room. The suit alleged that this action violated her First Amendment rights to petition the hospital to correct something she considered wrong.

Ensslin, J.C. (2009, June 6). Nurse sues Memorial, claims surgeon threw human tissue at her. The Gazette. Retrieved from http://gazette.com/nurse-sues-memorial-claims-surgeon-threw-human-tissue-at-her/article/57418

Morris v. City of Colorado Springs, 666 F.3d 654 (2012)  LINK

Answer the following questions:

  1. What are the facts of the case? This should include: what do we need to know, who is involved in the situation, where does the ethical situation take place, and when does it occur?
  2. What is the precise ethical issue in regards to autonomy, nonmaleficence, beneficence, fidelity, and justice?
  3. Identify the major principles, rules, and values of the case.  Values are sets of beliefs about good and bad, right and wrong, and about many other aspects of living and interacting in the society with others. A principle is a personal rule that governs personal behavior. A rule is generally imposed by a figure of authority, and used to guide and govern people.
  4. Is there legal ground for this case, if so what? Who is at fault? What legal action should be taken?
  5. Are there alternative to the actions completed in this case by both the nurse, physician, and healthcare facility? Do you feel the physician and nurse were following hospital protocol?
  6. If you were a member of the ethics committee at this facility, what actions or changes would you recommend changing? Why?

For the case study, an APA formatted paper should be used, and needs to include a title page, level headings, references and citations. This assignment should include at least 2 references and should be at least four pages in length. Students should address the proposed questions providing ample detail, examples, and additional support.

Assignment Expectations: 

  • Length:
    • At least four pages in length; answers must thoroughly address each question in a clear, concise manner;
  • Structure:
    • Reference page required
    • address each question in a numbered list
  • References:
    • At least 2 references required
  • Format:
    • save your assignment as a Microsoft Word (.doc or .docx), Open Office (.odt) or rich text format (.rtf) file type
 
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How each religion interpret the nature of George’s malady and suffering

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and acceptance of a diversity of faith expressions.

The purpose of this paper is to complete a comparative ethical analysis of George’s situation and decision from the perspective of two worldviews or religions: Christianity and a second religion of your choosing. For the second faith, choose a faith that is unfamiliar to you. Examples of faiths to choose from include Sikh, Baha’i, Buddhism, Shintoism, etc.

In your comparative analysis, address all of the worldview questions in detail for Christianity and your selected faith. Refer to Chapter 2 of Called to Care for the list of questions. Once you have outlined the worldview of each religion, begin your ethical analysis from each perspective.

In a minimum of 1,500-2,000 words, provide an ethical analysis based upon the different belief systems, reinforcing major themes with insights gained from your research, and answering the following questions based on the research:

  1. How would each religion interpret the nature of George’s malady and suffering? Is there a “why” to his disease and suffering? (i.e., is there a reason for why George is ill, beyond the reality of physical malady?)
  2. In George’s analysis of his own life, how would each religion think about the value of his life as a person, and value of his life with ALS?
  3. What sorts of values and considerations would each religion focus on in deliberating about whether or not George should opt for euthanasia?
  4. Given the above, what options would be morally justified under each religion for George and why?
  5. Finally, present and defend your own view.

Support your position by referencing at least three academic resources (preferably from the GCU Library) in addition to the course readings, lectures, the Bible, and the textbooks for each religion. Each religion must have a primary source included. A total of six references are required according to the specifications listed above. Incorporate the research into your writing in an appropriate, scholarly manner.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is 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 Turnitin. Please refer to the directions in the Student Success Center.

  • PHI-413V-RS-T5CaseStudy-George.pdf
 
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