week 5


Cassandra Birth

Yesterday Oct 2 at 11:04am

Bar code medication administration (BCMA)

 

Bar code medication administration (BCMA) is when the patient’s armband is scanned along with the medication, if they match, the medication may be administered (Hebda et al., 2019). This is new technology that helps prevent medication errors. BCMA and e-MAR ensures that the right patient receives the correct medication, this adheres to the 5 patient rights for medication administration (Naidu & Alicia, 2019, p. 511). The 5 patient rights for medication administration are right patient, right medication, right time, right dosage, and right route. While scanning the patient and each medication, if the e-MAR doesn’t recognize the medication for the patient, it won’t allow for the nurse to document that it was given. However, nurses still need to be aware of these pop-ups and place the medication aside because that medication isn’t supposed to go to that patient at that specific time and they need to figure out why. BCMA doesn’t completely prevent medication errors. Nurses still need to focus on the medications they are giving to their patients. Getting distracted by patients and their families can cause the nurse to misplace a medication when scanning them. Ensuring that all the scanned medications are the ones actually given to the patient is critical. Nurses still need to be aware that some medications may be the wrong dosage and may need to be split. They also need to be aware of vital signs and if the medication is still appropriate for the patient to take. Ethically this can be taking away some of the nurse’s autonomy of checking the medication name, dosage, and expiration date on the medication label. BCMA is supposed to reduce medication error, but nurses still need to be focused when administering medications. They need to ensure the patient is in the right condition to be taking specific medications. BCMA doesn’t take into consideration patients vital signs and stability to take a medication, so the nurse will have to still document “not given” in these scenarios. Patient armbands could also be ripped, or wet and unreadable to the scanner. Ensuring that the scanner is working properly and if something is wrong to fully check that it is the correct patient before administering the medications.

 

Naidu, M., & Alicia, Y. L. (2019). Impact of bar-code medication administration and electronic medication administration record system in clinical practice for an effective medication administration process. 
Health
11(05), 511-526. 

https://doi.org/10.4236/health.2019.115044


Links to an external site.

 

 

Hebda, T., Hunter, K., & Czar, P. (2019). 
Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.

SOAP NOTE week 5

 

  
Soap Note 1 is based on the Case Study # 1

1.Templates used from another classes will not be accepted. Student must use the template provided in this class which must clearly contain the progress note (in the Assessment section) of the encounter with the patient ( this section is clearly mark in bold, highlighted  and underlined). No passing grade will be granted if this section is not completed properly. 
2.Follow the MRU Soap Note Rubric as a guide
3.Use APA format and must include minimum of 2 Scholarly Citations.

4.Check for plagiarism,Turn it in Score must be less than 25% or will not be accepted for credit, must be your own work and in your own words. Copy-paste from websites or textbooks will not be accepted or tolerated.
5.The use of tempates is ok with regards to Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.  

6.The case study does not contain all the information related to the patient, so you must complete each step of the template according to the symptoms, signs, treatment, diagnostic methods, plan, education, etc. according to the patient’s diagnosis.

7. Attached you can find the rubric and SOAP note template. Also you can find one example.

nursing

 

Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Provide an overview of the problem and discuss how addressing the problem through nursing research can improve patient outcomes. Provide rationale and support for your an
 

DECISION MAKING PROCESS

TOPIC : NURSING SHORTAGE

Decision-Making Process 

Instructions

In this assignment, you will be writing a 6-pages identifying, comparing and contrasting at least 3 DIFFERENT DECISION MAKING APPROACHES SOF CARE from a multidisciplinary perspective using a pertinent and significant topic ( NURSING SHORTAGE).

You are required to use APA 7th edition format and the page count does not include title page or reference page. Reflect on your own decision-making practices and the implications this will have regarding differing approaches taken of nursing leaders and staff nurses/clinical practitioners in decision making within to issues in practice. To complete this assignment, do the following:

  1. Select and describe an issue in nursing that impacts nurses at all levels from bedside to advanced practice. Make sure to provide an adequate background and its significance to all levels of nursing using a strong review of the literature. Additionally, this should include a thorough literature review that provides a good understanding of what the cause of this problem is; what is suggested to address this problem. Essentially, this review must support your choices of the decision-making models and this needs to include how all levels of nursing practice (the bedside nurse to the APN are impacted by the problem).
  2. Identify how you would expect a nurse leader/manager, a bedside/staff nurse and an Advanced practice nurse (CNO or NP) to address your selected issue using at least 3different decision-making approaches which are clearly supported by the literature review. This must first include aa detailed analysis/overview of the selected decision making models and how they are used in practice. Then a detailed analysis of how these decision-making approaches/models would address the problem/along with a detailed analysis of how each of the three selected models would be applied to address the selected issue/problem making sure to incorporate this at all levels of practice. One of the decision-making models may be more applicable to the bedside nurse; whereas the other more applicable to the APN; however, all levels of nursing practice need to be addressed with at least one of the chosen 3 decision-making models. However, this does not mean that each decision-making model will apply to all levels of practice only that in this discussion needs to include how each level of nursing practice would utilize the decision-making model to address the problem. For instance,one decision making model may apply to the bedside nurse; the second decision making model may be more applicable at the level of APN (CNO, NP, etc) and the other decision-making model may be best applied to the nurse manager. This section should be detailed; meaning specific, well thought out, realistic solutions of how the nurse (at the level identified; this may include more than one level for the same decision-making model or not) would address the problem using the decision-making model is provided and well supported by the literature. of the benefits and limitations of various decision-making approaches that are applied appropriately to the level of nursing practice to address the selected issue/problem. This is informed from course readings,literature, clinical scenarios and other evidence-based and scholarly sources.
  3. Prioritize the best decision-making approach/model to address the selected problem that is grounded in best practice. This should provide a well-supported rationale for this choice that includes a good comparison and contrasting of the 3 chosen decision-making models that clearly illustrates why the choice was made, that is consistent with the decision making model and how it would address the chosen topic or problem.
  4. Identify a possible funding source that would addresses your approach to solving the problem. For instance, if the best approach to solving the nurse-to-patient ratio problem is through the use of SDM and shared governance, perhaps you may seek a local funding source to provide you with funding to implement a small EBP or research project that would be funded by a local nursing organization such as Sigma Theta Tau or perhaps if it was geared more towards assessing the value of this model towards NP in practice than seeking a local organization that supports funding for projects being implemented by practicing NP? If seeking money for research this would need to be overseen by a nurse with a DNP or a PhD or someone with the credentials to do so that are part of their scope of practice. Consider looking at federal, state,or local organizations. For example: There are many grants available through the CDC,HRSA, etc. Again, this need to be specifically applied with sufficient details
  5. Use at least 10 references other than your main text.Uses APA 7th edition formatting. At least 5 of these need to be within the past five years.

NO PLAGIARISM MORE THAN 10 5 ALLOWED, ATTACH PLAGIARISM REPORT

GO FROM POINT 1 TO 5 , DON’T MISS ANY SECTION

CHECK YOUR GRAMMAR, MUST BE GOOD AND PROPER

RUBRIC ATTACHED

NO LATER THAN OCTOBER 12 , 2023

PLEASE REFER TO THE TOPIC NURSING SHORTAGE, FOCUS ON THAT TOPIC, NO OTHER TOPIC. 

Assessment 3 Project Implementation Plan and Logic Model

ORAL HEALTH SERVICE EXPANSION (OHSE)
SAMPLE IMPLEMENTATION PLAN

Outline the activities required to provide new and/or expanded oral health services, including hiring/contracting at least 1.0 FTE new, onsite
licensed dental provider within 120 days of the Notice of Award. The Implementation Plan WILL count against the page limit. Applicants may
choose the focus areas and goals stated below or provide different focus areas and goals based on actions steps necessary for implementation of
the proposed OH project.

Goal
On separate rows, identify the goals for
each focus area. Goals should describe

measureable results.

Key Action Steps
Identify the action steps that

must occur to accomplish each
goal.

Person/Area Responsible
Identify who will be

responsible and
accountable for carrying

out each action step.

Time Frame
Identify the expected

time frames for carrying
out each action step.

Comments
As desired, provide

supplementary
information.

Focus Area: Create Operational Oral Health Site within 120 Days

Goal A1: Convert unutilized storage
space into two dental operatories. 1. Gut storage space 1. Contractor (TBD) 1. 30 days of award

2. Install plumbing and
electrical outlets 2. Contractor (TBD) 2. 60 days of award

3. Finish room (drywall,
cabinets) 3. Contractor (TBD) 3. 90 days of award

Goal A2: Order dental equipment. 1. Action Step 1. Person Responsible 1. Time Frame

2. Action Step 2. Person Responsible 2. Time Frame

Focus Area: Onboard Dental Providers within 120 Days
Goal B1: Create dental provider
recruitment plan. 1. Action Step 1. Person Responsible 1. Time Frame

2. Action Step 2. Person Responsible 2. Time Frame

Goal B2: 1. Action Step 1. Person Responsible 1. Time Frame

2. Action Step 2. Person Responsible 2. Time Frame

  • ORAL HEALTH SERVICE EXPANSION (OHSE)
  • SAMPLE IMPLEMENTATION PLAN

nursing

 The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature. 

Principle of communication self assessment

Part 1: Conduct an initial self-assessment in communication wherein you self-evaluate according to The 7 Competencies of Effective Communication, presented by Engleberg and Wynn (2015): know thy self; connect with others; determine your purpose; adapt to the context; select message content; structure the message; express the message. As you write your responses in the narrative section, draw upon the information you have learned from your studies of the lessons, text, and assigned exercises to demonstrate how your present understanding of course content informs your self-assessment. You may consider using the questions Engleberg and Wynn (2015) ask in their graphic (as prompts for each competency reflection). Finally, assess your level of skill by circling or highlighting the appropriate descriptor: excellent, good, average, or weak.

Part 2: In light of your self-assessment, provide both an overview of your goals and develop an improvement plan that includes measurable outcomes or “goals” that you may revisit near the end of this course. You should have at the very least two goals with a measurable plan for each detailed. Further, consider a way that you will track your progress.

Required Format and Process

Download and complete each area of the self-assessment table by writing in sentence format; submit it to your faculty by the due date. Be sure to address all rubric criteria.

Informatics in healthcare

 IM3001A Module 2 Pre-Assessment (PDF) Module Pre-Assessments are your opportunity to practice applying module content before final submission of your Competency Assessment. For your final Competency Assessment, you will address scenarios related to the importance of nursing informatics in healthcare. For your Module 2 Pre-Assessment, respond to the following prompts. These prompts match those in your final Assessment. Be sure to support your responses with evidence from scholarly literature. Prompts: Write a 1- to 2-page information sheet that addresses the following scenario: You are responsible for orienting several new graduates to your nursing unit. The new hires are scheduled to begin an orientation session with the health informatics department. Prior to the orientation, the new hires need to gain a baseline understanding of the history and evolution of nursing informatics. To assist with their understanding, create a new-hire information sheet that addresses the following topics (1–2 pages): Describe the key components that contribute to the definition of nursing informatics. Provide a brief explanation of the historical evolution of health informatics in general. Describe the aspects of healthcare that the Health Information Technology for Economic and Clinical Health (HITECH) Act sought to improve when it was signed into law. Explain the concept of meaningful use. 

You have probably seen one or more of the many inspirational posters about decisions. A visual such as a forked road or a street sign is typically pictured, along with a quote designed to inspire.

 You have probably seen one or more of the many inspirational posters about decisions. A visual such as a forked road or a street sign is typically pictured, along with a quote designed to inspire. 

Organizational Ethics Presentation

  1. Create a presentation of 10-15 slides or screens excluding the title and references.
  • Your slides/screen should include titles, main ideas, bullet points, and relevant images, charts, graphs, etc.  
  1. In your presentation:
  • Describe an ethical situation, based on the chosen topic, that can get in the nurse’s way of practicing ethically. Describe the situation clearly and concisely.
  • Identify how this situation relates to one provision within the Code of Ethics for Nurses.
  • Identify two ethical principles that may arise when facing this situation.
  • Discuss how a nurse might lessen the impact of the situation on the nurse’s practice.
  • In addition to the course texts, cite and reference a minimum of two (2) additional scholarly sources to support your work.
  • Close with a summary of your topic, and APA formatted reference slide(s).