Category: Health Care and Life Sciences

Using information from your assigned readings, the literature, the self-paced tutorial, and leaders in your organizations, discuss the following in a 2-3 page paper. 

What are three (3) key strategic initiatives for your organization, department and unit. Do they align with each other? Why or why not?  Provide rationale.
Does your organizations strategic plan address recruitment and retention of key clinical roles?  If so, discuss the goals and activities around this initiative. If not, discuss two (2) goals with 3-4 activities focused on recruitment and retention.
Does your organization have a customer service/patient experience model? If so, please describe the model. Is if effective? Why or why not?  How is patient experience reflected in the organizations, your departments and your units strategic plan? Provide examples.

Soin Medical Center is the hospital

Case Study: Urinary Tract Infection

You are working in an extended care facility when M.Z.’s daughter brings her mother in for a week’s stay while she goes on a planned vacation. M.Z. is an 89-year-old widow with a 4-day history of non- localized abdominal pain, incontinence, new-onset mental confusion, and loose stools. Her most current vital signs are 118/60, 88, 18, 98.4 F (37.4 C). The medical director ordered a post void catheterization, which yielded 100mL of cloudy urine that had a strong odor, and several lab tests on admission. Urine culture and sensitivity results are pending; the other results are shown in the chart.

Chart View Laboratory Test Results:

Complete metabolic panel: Within normal limits except for the following results:

BUN 25mg/dL Sodium 131mEq/L

Potassium 3.2mEq/L

White blood cell count 11,000/mm3

Urinalysis Appearance Cloudy Odor Foul

pH 6.9

Protein Negative

Nitrites Positive

Crystals Negative

WBCs 6 per low-power field

RBCs 3

What condition do the lab reports point toward?

Which assessment findings are typical of an older adult with the condition in Question 1?
Considering her history and laboratory results, what other condition is a possibility?

4.The medical director makes rounds and writes orders to start an IV of D5 NS at 75mL/hr. and insert a Foley catheter to gravity drainage. Because M.Z. is unable to take oral medications, the medical director orders ciprofloxacin (Cipro) 400mg q12h IV piggyback (IVPB). Are the type of fluid and rate appropriate for M.Z.’s age and condition? Explain.

While the IVPB ciprofloxacin is being administered, which adverse effects might occur?

You enter the room to start the IV infusion and insert the Foley catheter and find that the nursing assistive personnel (NAP) has taken M.Z. to the bathroom for a bowel movement. M.Z. asks you to help her, and, as you open the door, you observe her wiping herself from back to front. What do you need to do at this time?

Because M.Z. has been having diarrhea, what special instructions should you give the NAP assigned to give basic care to M.Z.?

Case Study Progress:

The next day, you are the nurse assigned to M.Z.’s care. You notice that the NAP emptying the gravity drain is not wearing personal protection devices. You also observe that the drainage port of the drainage bag was contaminated during the process because the NAP allowed it to touch the floor.

What issues need to be considered in protecting M.Z.’s safety? Describe your actions in working with the nursing assistant.

As you assess M.Z., you notice that her catheter tubing is not secured. Why does the tubing need to be secured, and where is the correct place for the catheter tubing?

What changes, if any, will be made to the antibiotic therapy?

Go to www.promedmail.org (International Society for Infectious Diseases).This site posts real-time disease outbreak information from around the world.
You can visit the site to read the postings.
For the assignment, you will need to do the following:
Choose a posting dated January 1, 2021to present on a Human or Animal disease outbreak. Do not select articles on plant diseases.
Summarize the Pro-MED posting (also provide the title, archive #, and the URL in the reference list) AND
Add additional information on the specific disease from a different site(s) (you will include this source in the reference list with the exact URL) AND
Add additional information on environmental conditions (climate, socioeconomic, lack of oversight or regulations [for foodborne], political crisis, etc) that may have influenced disease transmission (you will include this source in the reference list with the exact URL). Environment is one of the components of the Epidemiology Triangle.
The reference list must be in APA format and you must also cite sources within the text (in APA format). You will have at least 3 sources in the reference list: 1) the ProMED article, 2) the source for disease information, and 3) the source for environment information. Each Pro-MED assignment must be at least 600 words. Points will be deducted if the summary is less than 600 words. This assignment must be in your own words. You may include important personal quotes (in quotation marks) from the ProMEDs or other sites, but only to add to your discussion. If a significant portion of your assignment (>12%) is quoted, points will be deducted accordingly.
Make sure to only use reputable sources such as .org .gov do not use any .com references or Wikipedia.

Helpful Tips:
Step 1: Review the instructions in the syllabus and view the rubric and sample ProMED paper. The rubric and sample ProMED paper can be found under “Modules” link, scroll down to “course documents” and you will find these papers.
Step 2: Then, go to the ProMED mail site (http://www.promedmail.org (Links to an external site.) (Links to an external site.) The link can also be found under module 2 under “ProMED-mail Site.”
Step 3: From this site, select any article of your choice must be Jan 1 2021 or newer
Step 4: Proceed with your paper, and post to the discussion board under “ProMED 1.”
The important components of the ProMEDs are:
1) APA format- https://owl.english.purdue.edu/owl/resource/560/01/
2) Discuss and describe the disease itself. For example, if the article discusses an outbreak of mumps in Johnson County, Texas-write a 1-2 paragraph summary about mumps (transmission, treatment options (if any), incubation period, etc).
3) Discuss the environment. The outbreak of mumps occurred in Johnson County. Discuss the population that was affected by this outbreak.
4) Word requirement is at least 600.
5) Summarize the article you selected.

MN577 Unit 8 DB

The CDC’s Division of Nutrition, Physical Activity, and Obesity (DNPAO) is committed to increasing breastfeeding rates throughout the United States and to promoting and supporting optimal breastfeeding practices toward the ultimate goal of improving the public’s health.

Discuss the CDC breastfeeding initiative and how you will support this when interacting with your pregnant and postpartum women in the primary care setting? How will you support the mom who decides to bottle feed instead?

** Need 3 scholarly references***

Please respond to BOTH discussion prompts

Discussion Prompt # 1 The goal of the Quality and Safety Education for Nurses (QSEN) project is to promote the knowledge, skills, and attitudes (KSAs) necessary for nurses to raise the level of quality and safety in healthcare. Review the following six QSEN Competencies:
1. Patient-Centered Care
2. Teamwork & Collaboration
3. Evidence-based Practice
4. Quality Improvement
5. Safety
6. Informatics

Choose one and discuss how the chosen competency was implemented in your practice site and how it influenced nursing practice. In addition, identify key organizations leading patient safety movements in the US.

Discussion Prompt # 2 Describe an error that occurred in the agency where you practice that resulted in harm to the patient and one that did not. If you cannot access information about an error, use one of the sentinel events cited in Box 23.5, Chapter 23 page 741 in the attached PDF as an example to consider. What would you suggest to prevent a reoccurrence? Decide under what circumstances you would inform the patient and family and under what circumstances you would withhold the information.

*Utilize the attached PDF for assistance in answering discussion prompts.

*Please use only professional references which includes nursing or other healthcare-related journals, professional websites, or textbooks. Thank you.

Please respond to BOTH discussion prompts

Discussion Prompt # 1 The goal of the Quality and Safety Education for Nurses (QSEN) project is to promote the knowledge, skills, and attitudes (KSAs) necessary for nurses to raise the level of quality and safety in healthcare. Review the following six QSEN Competencies:
1. Patient-Centered Care
2. Teamwork & Collaboration
3. Evidence-based Practice
4. Quality Improvement
5. Safety
6. Informatics

Choose one and discuss how the chosen competency was implemented in your practice site and how it influenced nursing practice. In addition, identify key organizations leading patient safety movements in the US.

Discussion Prompt # 2 Describe an error that occurred in the agency where you practice that resulted in harm to the patient and one that did not. If you cannot access information about an error, use one of the sentinel events cited in Box 23.5, Chapter 23 page 741 in the attached PDF as an example to consider. What would you suggest to prevent a reoccurrence? Decide under what circumstances you would inform the patient and family and under what circumstances you would withhold the information.

*Utilize the attached PDF for assistance in answering discussion prompts.

*Please use only professional references which includes nursing or other healthcare-related journals, professional websites, or textbooks. Thank you.