Tag: nursing essay writing

Professional Portfolio

Why is normal saline used for wound care to post-op patients instead of using povidone-iodine? Which is more suited as best practice to prevent infection?

You will be required to identify a nursing problem or issue that relates to the specialty area of practice in which you are completing your clinical placement for this unit. (done. refer to question above)

Once you have identified a nursing problem/issue you will need to develop this into a question for exploration which is subject to approval by your LIC/Tutor. This question needs to be realistic in the context of your speciality clinical placement in relation to nursing practice. This question will lead you to contemporary literature.(this is done already)

From your reading of this literature you will discover what is known or not known about your question. The information that you have gained from your reading and your observation of practice should then enable you to draw conclusions concerning your nursing question. You will then write a report summarising your finding.

Length and/or format:

1000 words +/- 10% written in Report format

Purpose:

In all of the specialty practice electives, instead of undertaking intensive laboratory work, students will complete a project in the real world laboratory of their specialty clinical placement. This teaching/learning strategy is referred to as “Project-Based Learning”. Through this the students gain knowledge on how to apply evidence based research to their practice and refine their clinical reasoning skills.

Evidence 30%

Provides extensive and detailed synopsis of the literature. Thoroughly critiques articles considering strengths and weakness of evidence provided. Clarifies evidence in support of alternative views. All literature is peer reviewed or primary resources from credible contemporary sources

Observation, Analysis & Evaluation 50%

Thoroughly analyses clinical practice in relation to the question. Discriminates rationally using reasonable judgment when evaluating and critiquing clinical practice against contemporary literature. Provides extensive consideration for changes to practice based

Referencing 5%

Accurate use of APA referencing style in all instances. A range of in-text citations has been used.

Mechanics- grammar, spelling and punctuation 5%

Flawless presentation. There are no errors with grammar, spelling and punctuation, and the meaning is easily discernible. The report reads without interruption.

Question 10%

Extensively discusses the background of the question providing insightful analyses of the rationale and identifying alternative questions

Why is normal saline used for wound care to post-op patients instead of using povidone-iodine? Which is more suited as best practice to prevent infection?

Assessment Task 1B – Project Report

Weighting: 30%

Length: 1000 words

Format: Report format- please review the ACU study guide for further information (link)

 Discuss your approved project question including background and rationale for choice (100

words)

 Find three (3) – five (5) journal articles related specifically to your approved question and

provide a synopsis of your understanding of these articles. These articles MUST be either

peer-reviewed primary research journal articles or systematic reviews. (400 words)

 Whilst on placement take some time to critically observe the practices in your clinical area, in

relation to your question, and record your findings. Critical observation can include:

discussion, dialogue with clinicians in your area of speciality and/or observation of practice in

other areas.

 Discuss your observations in light of your readings. (500 words)

Assignment 1: Legal Aspects of U.S. Health Care System Administration
Prevailing wisdom reinforces the fact that working in U.S. health care administration in the 21st Century requires knowledge of the various aspects of health laws as they apply to dealing with medical professionals. Further, because U.S. health care administrators have to potentially interact with many levels of professionals beyond the medical profession, it is prudent that they are aware of any federal, state, and local laws that may be applicable to their organizations. Thus, their conduct is also subject to the letter of the law. They must evaluate the quality of their professional interactions and be mindful of the implications and ramifications of their decisions.
You are employed as a top health administrator at the hypothetical Well Care Hospital in Happy Town. When you were hired, your pre-employment screening involved background checks into any violation of hospital medical misconduct during the last five (5) years. The results showed that you were in good standing with the hospital administration community. During the past year, you had to undergo training in personnel conduct, as well as in inter-employee conduct with medical staff, nurses, technologists, etc. During the past six (6) months, the hospital has been under scrutiny for breach of medical compliance.
Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.
Write a three to four (3-4) page paper in which you:
Articulate your position as the top administrator concerned about the importance of professional conduct within the health care setting. Justify your position. Ascertain the major ramifications of having professional staff compromise the boundaries of ethics and medical conduct. Analyze the four (4) elements required of a plaintiff to prove medical negligence. Discuss the overarching duties of the health care governing board in mitigating the effects of medical non-compliance, as they apply to the rules of practice set forth in the Well Care Hospital governing board’s manifesto. Use at least five (5) quality academic resources in this assignment. Note: Wikipedia and other Websites do not quality as academic resources.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:
Describe the sources of law in America, the relative legal procedure, and the related court system. Examine the various applications of the law within the health care system. Use technology and information resources to research issues in health care policy, law, and ethics. Write clearly and concisely about health care policy, law, and ethics using proper writing mechanics.

The Discussion Board (DB) is part of the core of online learning. Classroom discussion in an online environment requires the active participation of students and the instructor to create robust interaction and dialogue. Every student is expected to create an original response to the open-ended DB question as well as engage in dialogue by responding to posts created by others throughout the week. At the end of each unit, DB participation will be assessed based on both level of engagement and the quality of the contribution to the discussion.

At a minimum, each student will be expected to post an original and thoughtful response to the DB question and contribute to the weekly dialogue by responding to at least two other posts from students. The first contribution must be posted before midnight (Central Time) on Wednesday of each week. Two additional responses are required after Wednesday of each week. Students are highly encouraged to engage on the Discussion Board early and often, as that is the primary way the university tracks class attendance and participation.

The purpose of the Discussion Board is to allow students to learn through sharing ideas and experiences as they relate to course content and the DB question. Because it is not possible to engage in two-way dialogue after a conversation has ended, no posts to the DB will be accepted after the end of each unit.

Background

For many years, antibiotics have been effectively used to treat bacterial disease; and pesticides have been used to protect our agricultural crops from many kinds of pests, including insects, worms (nematodes), fungi, or agricultural weeds, for example.

A growing concern for treating bacterial diseases or pest outbreaks is the evolution of antibiotic or pesticide resistance by bacterial or pest populations. Resistance means that a particular antibiotic is no longer effective in treating a disease, or that a particular pesticide will no longer prevent crop damage. This resistance can be viewed as evolution of a new trait at the population level, which is resistance to an antibiotic or to a pesticide. In this assignment, you will explore specific examples of antibiotic or pesticide resistance.

Assignment Details

Methicillin resistant Staphylococcus aureus (MRSA) has become a big concern in hospitals throughout the country and the world, as have other antibiotic resistant bacterial strains.

Part 1

The use, overuse, and abuse of antibiotics is accredited with creating these antibiotic resistant strains. Explain how this relates to natural selection.
Describe 1–2 of the things that people do (you can include individuals, doctors, health care professionals, hospitals, farmers, etc.) that contribute to this problem? Why?
Part 2

How can you prevent or slow down the spread and further the selection of new antibiotic resistant strains of bacteria?
Are there things that you can personally do to reduce your risk or even to reduce the spread of these dangerous microbes?
What is your reaction to the following sign that is commonly found in restrooms? Is it significant to the discussion of antibiotic resistance?

Purpose
The purpose of this PowerPoint presentation is to provide an opportunity to develop a community health nursing intervention and evaluation tool for your identified community health problem (described in Milestone 2: Assessment and Diagnosis) and identify the components of the nursing process as it applies to a community or population.
Course Outcomes
Scenario
You are a Community/Public Health Nurse (C/PHN) working in your setting of choice. You have identified a community health problem and have analyzed the data collected from your windshield survey and assessment & diagnosis assignments (the first two milestones). You have decided on one nursing intervention and need your organization’s approval for funding of this intervention. Your leadership team has agreed to listen to your proposal.
Directions
• Choose a community health nurse setting. Some examples of settings are school nurse, parish nurse, home health nurse, nurse working in the health department (be specific to what area in the health department, e.g., WIC, STD clinic, health promotion, maternal-child health, etc.)
• Introduction: Introduce the identified problem, the purpose of the presentation, and reiterate at least one or two important findings that demonstrate this problem in your community (average of 1–2 slides)
• Proposed Intervention: Propose one community health nursing intervention that would address one or more of the major direct or indirect factors that contribute to the problem. Keep in mind the Public Health Intervention Wheel (Nies & McEwen, p. 14, figure 1-3) as your framework (average of 3-4 slides). Your intervention needs to be specific:
o Who is your target population?
o Where is this intervention taking place?
o Will it take place one time or multiple times?
o How will you reach out to your target population?
§ How will you get your target population involved?
o What is the CH Nurses role in this intervention?
o Will you collaborate with anyone (e.g., physician’s office, church, local resources, etc.?)
o Is anyone else involved besides yourself (C/PHN)?
§ If yes, are they paid or volunteers?
o What level(s) of prevention is your intervention addressing (primary, secondary and/or tertiary prevention)?
• Intervention Justification: Justify why the problem and your nursing interventions should be a priority.
o Based on what you have found in the literature, discuss why these interventions are expected to be effective. Include summarized information from at least two professional scholarly sources related to your interventions (average of 2-3 slides).
• Proposed Evaluation: Your presentation must include at least one proposed quantitative or qualitative evaluation method that you would use to determine whether your intervention is effective. It should include the method you would use along with desired outcomes. Outcome measurement is a crucial piece when implementing interventions. There is a helpful tool in Doc Sharing to assist you with understanding qualitative and quantitative methods of evaluation. (average of 2-3 slides)

The Break-Even Equation and Profit Calculation Submit written responses to these questions.

What are the formulas for: The basis break-even equation The basis breakeven equation expanded to include indirect costs and desired profit? Explain the relationship between step-five costs and the relevant range. Based on the product margin, when is it in the best interests of an organization to continue or drop a service? Laurie Vaden is a nurse practitioner with her own practice. She has developed contracts with several large employers to perform routine physical, fitness for duty exams, and initial screening of on-the-job injuries. She currently sees 150 per month, charging 450 per visit. Her total costs are $7,500, of which $1,500 is for supplies. She has decided that she needs to increase profit, so she is considering raising her fee to $65. She expects to lose 10 percent of her business to competitors that charge an average of 460 per visit. Determine her current and predicted: 1) revenues, 2) variable costs, and 3) total contribution margin. What do you recommend she do? Why? Janet Gilbert is director of labs. She has some extra capacity and has contracted with some small neighboring hospitals to run some of their lab tests. She has recently had a study conducted and has determined that her costs of these contracts are $10,000 of which $7,000 are for supplies and items related to each test. She currently charges an average of $10,00 per lab test. She is thinking of lowering her price by 20 percent in hopes of raising her current volume of 10,000 tests by 15 percent. Determine her current and predicted: 1) revenues, 2) variable costs, 3) total contribution margin, and 4) net income. What do you recommend she do? Why? Shady Rest Nursing Home has 100 private pay residents. The administrator is concerned about balancing the ratio its private pay to non-private pay patients. Non-private pay sources reimburse an average of $100 per day whereas private pay residents pay average 100 percent of full daily charges. The administrator estimates that variable cost per resident per day is $25 for supplies, food, and contracted services and annual fixed costs are $4,562,500. What is the daily contribution margin of each non-private pay resident? If 25 percent of the residents are non-private pay, what will shady Rest charge the private pay patients in order to break even? What if non-private pay payors cover 50 percent of the residents? The owner of Shady Rest Nursing Home insists that the facility earn $80,000 in annual profits. How much must the administrator raise the per day charge for the privately insured residents if 25 percent of the residents are covered by non-private pay payors?