– In this assessment we will develop a detailed Business Case covering the proposal for a significant event. – The project business case must include(explanation, why is this project important ?. project need, project cost, the risk analysis, scope, stake
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[order_calculator]1Using the PICOT, “Pt 65 years and older with Heart failure on medical treatment alone compared to home monitoring and will decrease readmission and increase compliance over 6mon to one year”. Make sure that the question fits with your graduate degree specialization.
2.State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to have example of taken before and after the evidence-based practice is introduced to identify the expected changes.
Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources
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[order_calculator]Balancing the Legal and Ethical Duties of Care.
In this assignment, you will evaluate the nature and scope of the employer’s ethical duty of care owed to an employee against the employer’s legal duty of care owed to the company.
Velasquez discusses the Duty of Care: “…an ethic that requires caring for the concrete well being of those particular persons with whom we have valuable close relationships, particularly those dependent on us.” (pgs. 119-126) He’s talking about your employees. That duty must co-exist with your legal fiduciary duty to the principal – the company. As a fiduciary, you owe the company your loyalty. You have no legal duty of loyalty to your employees. Again, you face the dilemma of balancing two concurrent duties.
This raises a fundamental question: What is the nature and scope of “care” you are ethically obligated to give your employees?
Compose a three- to four-page paper discussing the following questions:
1.What is the nature and scope of “care” you are ethically obligated to give your employees? Specifically, what are the characteristics of that duty? To what extent should you “care” about your employees? Use examples to clarify and justify your point of view.
2.How will you respond when that ethical duty conflicts with your legal duty to care for the principal?
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[order_calculator]Organizing a Corporate Ethics and Compliance Office
In this assignment, you are going to analyze an example of a common approach to structuring a Corporate Ethics and Compliance Office. Partly because of the scope of legal risk and partially because of legal mandates, health products and pharmaceutical companies have developed elaborate corporate ethics and compliance structures. Follow this link http://sustainability.baxter.com/governance-ethics-compliance/structure-and-programs.html to Baxter Corporation’s Ethics and Compliance Division and evaluate the strengths and weaknesses of the various alternatives to organizing a corporate compliance office. Read Baxter’s description of its corporate structure for ethics and compliance and complete the following task:
##Create an organizational chart (one page or less) of Baxter’s Ethics and Corporate Compliance Division (Corporate Responsibility Office).
##Create a list of all of the initiatives Baxter claims it has implemented to ensure corporate compliance and social responsibility.
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[order_calculator]Developing an Evaluation Plan
r/t of childhood obesity
Using 800-1,000 words, discuss methods to evaluate the effectiveness of your proposed solution and variables to be assessed when evaluating project outcomes.
Example: If you are proposing a new staffing matrix that is intended to reduce nurse turnover, improve nursing staff satisfaction, and positively impact overall delivery of care, you may decide the following methods and variables are necessary to evaluate the effectiveness of your proposed solution:
Methods:
1.Survey of staff attitudes and contributors to job satisfaction and dissatisfaction before and after initiating change.
2.Obtain turnover rates before and after initiating change.
3.Compare patient discharge surveys before change and after initiation of change.
Variables:
1.Staff attitudes and perceptions.
2.Patient attitudes and perceptions.
3.Rate of nursing staff turnover.
Develop the tools necessary to educate project participants and to evaluate project outcomes (surveys, questionnaires, teaching materials, PowerPoint slides, etc.).
Refer to the “Topic 4: Checklist.”
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.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center
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[order_calculator]Strategic planning within organizations provides a plethora of benefits to the organization including meeting goals specified in the plan and contributing to the long-term success of an organization. Refer to Exhibit 8.3: The Strategic Management Process, located in Chapter 8 of the Management textbook.
For this assignment, select either your own organization or one you know enough about to complete a series of assignments related to strategic planning for a proposal you would like to implement. The same organization will be used in the following assignments:
Strategic Planning: Strategy Map (Topic 4)
Strategic Planning: Action Plan (Topic 5)
Strategic Planning: Communication Plan (Topic 7)
Strategic Planning: Evaluation (Topic 8)
Strategic Planning: Presentation (Topic 8)
Once you have selected the organization, identify a strategic goal through preforming a SWOT analysis within your sphere of influence. For example, if you are not currently in a management or leadership position, it is acceptable to focus on a more focused area of your organization you are currently in a position to impact. If you are a classroom teacher, perhaps you see opportunities for improving access to technology in your district. If you are a nurse, perhaps you see opportunities to improve communication processes in your department, etc.
A SWOT analysis is part of strategy formulation that leads to goal setting and then progresses to the development of a strategic plan. Be sure to follow the criteria for effective goals as illustrated to Exhibit 7.5, located in Chapter 7 of the Management textbook.
Complete a SWOT analysis using the “SWOT Analysis” template. Using the SWOT analysis results, develop at least one strategic goal. Submit both the completed SWOT analysis document and the strategic goal.
APA format is not required, but solid academic writing is expected.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
LDR-620-R-SWOTAnalysis.docx
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[order_calculator]Developing an Implementation Plan
THIS IS THE CONTINUARION OF CHILDHOOD OBESITY NOW WE NEED TO DEVELOPING AN IMPLEMENTATION PLAN
Details:
Consider the population in which the solution is intended, the staff that will participate, and the key contributors that must provide approval and/or support for your project to be implemented. These stakeholders are considered your audience.
Develop an implementation plan (1,500-2,000 words) using the “Topic 3: Checklist” resource. The elements that should be included in your plan are listed below:
1.Method of obtaining necessary approval(s) and securing support from your organization’s leadership and fellow staff.
2.Description of current problem, issue, or deficit requiring a change. Hint: If you are proposing a change in current policy, process, or procedure(s) when delivering patient care, describe first the current policy, process, or procedure as a baseline for comparison.
3.Detailed explanation of proposed solution (new policy, process, procedure, or education to address the problem/deficit).
4.Rationale for selecting proposed solution.
5.Evidence from your Review of Literature in Topic 2 to support your proposed solution and reason for change.
6.Description of implementation logistics (When and how will the change be integrated into the current organizational structure, culture, and workflow? Who will be responsible for initiating the change, educating staff, and overseeing the implementation process?)
7.Resources required for implementation: staff; educational materials (pamphlets, handouts, posters, and PowerPoint presentations); assessment tools (questionnaires, surveys, pre- and post-tests to assess knowledge of participants at baseline and after intervention); technology (technology or software needs); funds (cost of educating staff, printing or producing educational materials, gathering and analyzing data before, during, and following implementation), and staff to initiate, oversee, and evaluate change.
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.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
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[order_calculator]Review of the Literature
Details:
Write a paper (1,500-2,000 words) in which you analyze and appraise each of the (15) articles identified in Topic 1. Pay particular attention to evidence that supports the problem, issue, or deficit, and your proposed solution.
Hint: The Topic 2 readings provide appraisal questions that will assist you to efficiently and effectively analyze each article.
Refer to “Sample Format for Review of Literature,” “RefWorks,” and “Topic 2: Checklist.”
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.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
3 NRS 441v.11R.Module 2_Checklist.doc
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[order_calculator]Healthcare organizations accredited by the Joint Commission are required to conduct a root cause analysis (RCA) in response to any sentinel event such as the one described below. Once the cause is identified and a plan of action established, it is useful to conduct a failure mode and effects analysis (FMEA) to reduce the likelihood that a process would fail. As a member of the healthcare team in the hospital described in this scenario, you have been selected as a member of the team investigating the incident.
Scenario:
It is 3:30 p.m. on a Thursday and Mr. B, a 67-year-old patient, arrives at the six-room emergency department (ED) of a sixty-bed rural hospital. He has been brought to the hospital by his son and neighbor. At this time, Mr. B is moaning and complaining of severe pain to his (L) leg and hip area. He states he lost his balance and fell after tripping over his dog.
Mr. B was admitted to the triage room where his vital signs were B/P 120/80, HR-88 (regular), T-98.6, R-32, and his weight was recorded at 175 pounds. Mr. B. states that he has no known allergies and no previous falls. He states, “My hip area and leg hurt really bad. I have never had anything like this before.” Patient rates pain at ten out of ten on the numerical verbal pain scale. He appears to be in moderate distress. His (L) leg appears shortened with swelling (edema in the calf), ecchymosis, and limited range of motion (ROM). Mr. B’s leg is stabilized and then he is further evaluated and discharged from triage to the emergency department (ED) patient room. He is admitted by Nurse J. The admitting nurse finds that Mr. B has a history of impaired glucose tolerance and prostate cancer. At Mr. B’s last visit with his primary care physician, laboratory data revealed elevated cholesterol and lipids. Mr. B’s current medications are atorvastatin and oxycodone for chronic back pain. After the nurse completes Mr. B’s assessment, Nurse J informs the ED physician of admission findings and the ED physician proceeds to examine Mr. B.
Staffing on this day consists of two nurses (one RN and one LPN), one secretary, and one emergency department physician. Respiratory therapy is in-house and available as needed. At the time of Mr. B’s arrival, the ED staff is caring for two other patients. One patient is a 43-year-old female complaining of a throbbing headache. The patient rates current pain at four out of ten on numerical verbal pain scale. The patient states that she has a history of migraines. She received treatment, remains stable, and discharge is pending. The second patient is an eight-year-old boy being evaluated for possible appendicitis. Laboratory results are pending for this patient. Both of these patients were examined, evaluated, and cared for by the ED physician and are awaiting further treatment or orders.
After evaluation of Mr. B, Dr. T, the ED physician, writes the order for Nurse J to administer diazepam 5 mg IVP to Mr. B. The medication diazepam is administered IVP at 4:05 p.m. After five minutes, the diazepam appears to have had no effect on Mr. B, and Dr. T instructs Nurse J to administer hydromorphone 2 mg IVP. The medication (hydromorphone) is administered IVP at 4:15 p.m. After five minutes, Dr. T is still not satisfied with the level of sedation Mr. B has achieved and instructs Nurse J to administer another 2 mg of hydromorphone IVP and an additional 5 mg of diazepam IVP. The physician’s goal is for the patient to achieve skeletal muscle relaxation from the diazepam, which will aid in the manual manipulation, relocation, and alignment of Mr. B’s hip. The hydromorphone IVP was administered to achieve pain control and sedation. After reviewing the patient’s medical history, Dr. T notes that the patient’s weight and current regular use of oxycodone appear to be making it more difficult to sedate Mr. B.
Finally at 4:25, the patient appears to be sedated and the successful reduction of his (L) hip takes place. The patient appears to have tolerated the procedure and remains sedated. He is not currently on any supplemental oxygen. The procedure concludes at 4:30 p.m. and Mr. B is resting without indications of discomfort and distress. At this time, the ED receives an emergency dispatch call alerting the emergency department that the emergency rescue unit paramedics are en route with a 75-year-old patient in acute respiratory distress. Nurse J places Mr. B on an automatic blood pressure machine programmed to monitor his B/P every five minutes and a pulse oximeter. At this time Nurse J leaves his room. The nurse allows Mr. B’s son to sit with him as he is being monitored via the blood pressure monitor. At 4:35, Mr. B’s B/P is 110/62 and his O2 sat is 92%. He remains without supplemental oxygen and his ECG and respirations are not monitored.
Nurse J and the LPN on duty have received the emergency transport patient. They are also in the process of discharging the other two patients. Meanwhile, the ED lobby has become congested with new incoming patients. At this time, Mr. B’s O2 saturation alarm is heard and shows “low O2 saturation” (currently showing a sat of 85%). The LPN enters Mr. B’s room briefly and resets the alarm and repeats the B/P reading.
Nurse J is now fully engaged with the emergency care of the respiratory distress patient, which includes assessments, evaluation, and the ordering respiratory treatments, CXR, labs, etc.
At 4:43, Mr. B’s son comes out of the room and informs the nurse that the “monitor is alarming.” When Nurse J enters the room, the blood pressure machine shows Mr. B’s B/P reading is 58/30 and the O2 sat is 79%. The patient is not breathing and no palpable pulse can be detected.
A STAT CODE is called and the son is escorted to the waiting room. The code team arrives and begins resuscitative efforts. When connected to the cardiac monitor, Mr. B is found to be in ventricular fibrillation. CPR begins immediately by the RN, and Mr. B is intubated. He is defibrillated and reversal agents, IV fluids, and vasopressors are administered. After 30 minutes of interventions, the ECG returns to a normal sinus rhythm with a pulse and a B/P of 110/70. The patient is not breathing on his own and is fully dependent on the ventilator. The patient’s pupils are fixed and dilated. He has no spontaneous movements and does not respond to noxious stimuli. Air transport is called and, upon the family’s wishes, the patient is transferred to a tertiary facility for advanced care.
Seven days later, the receiving hospital informed the rural hospital that EEG’s had determined brain death in Mr. B. The family had requested life-support be removed, and Mr. B subsequently died.
Additional information: The hospital where Mr. B. was originally seen and treated had a moderate sedation/analgesia (“conscious sedation”) policy that requires that the patient remains on continuous B/P, ECG, and pulse oximeter throughout the procedure and until the patient meets specific discharge criteria (i.e., fully awake, VSS, no N/V, and able to void). All practitioners who perform moderate sedation must first successfully complete the hospital’s moderate sedation training module. The training module includes drug selection as well as acceptable dose ranges. Additional (backup) staff was available on the day of the incident. Nurse J had completed the moderate sedation module. Nurse J had current ACLS certification and was an experienced critical care nurse. Nurse J’s prior annual clinical evaluations by the manager demonstrated that the nurse was “meeting requirements.” Nurse J did not have a history of negligent patient care. Sufficient equipment was available and in working order in the ED on this day.
Task:
A. Complete a root cause analysis (RCA) that takes into consideration causative factors, errors, and/or hazards that led to the sentinel event (this patient’s outcome).
B. Discuss a process improvement plan that would decrease the likelihood of a reoccurrence of the outcome of the scenario.
1. Discuss a change theory that could be used to implement the process improvement plan developed in B.
C. Use a failure mode and effects analysis (FMEA) to project the likelihood that the process improvement plan you suggest would not fail.
1. Identify the members of the interdisciplinary team who will be included in the FMEA.
2. Discuss steps for preparing for the FMEA.
3. Apply the three steps of the FMEA (severity, occurrence, and detection) to the process improvement plan created in part B.
4. Explain how you would test the interventions from the process improvement plan from part B to improve care in a similar situation.
Note:You are not expected to carry out the full FMEA, but you should explain each step, and how you would apply it to your process improvement plan.
D. Discuss how the professional nurse may function as a leader in promoting quality care and influencing quality improvement activities.
E. When you use sources to support ideas and elements in a paper or project, provide acknowledgement of source information for any content that is quoted, paraphrased or summarized. Acknowledgement of source information includes in-text citation noting specifically where in the submission the source is used and a corresponding reference, which includes:
• Author
• Date
• Title
• Location of information (e.g., publisher, journal, or website URL)
Note: The use of APA citation style is encouraged but is not required for this task. Evaluators will offer feedback on the acknowledgement of source information but not with regard to conformity with APA or other citation style. For tips on using APA style, please refer to the APA Resources web link found under General Information/APA Guidelines in the left-hand panel in TaskStream.
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[order_calculator]Formatis in Induvidual Report.
Answers to be based on an interpretation of
class hand-outs and evidence of background
reading. That is, there should be clear
demonstration of focused rigorous research
from recognised authoritative sources.
The limit is not a guide, it is an instruction.
• Do not stray into tangential material.
Always ask yourself – is what I’ve written
relevant to the question set?
• Copy and Paste. Please try to refrain from
doing this.
• Font size. Please use font size of approx..
TNR 12, Arial 12 size.
• Double space.
• Read (aloud) what you have written. If we
can’t understand your argument, you will not
get any credit for it.
The Study Skills Handbook and Module
provide detailed guidance on referencing.
Ensure you reference your citations using the
Harvard method.
Demonstration of a clear understanding of
the issues. Use of academic models. Clear
focussed understanding of a topic.
Critical analysis is an important test of the
student’s ability to evaluate business
economics concepts.
Introductions and conclusions should briefly
address the issues to be discussed and
discussed respectively
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