Download the document containing instructions for lab #1.
Create a new word document that’s going to be your lab report or just insert your answers into downloaded lab #1 document.
Whatever you decide to do, mark clearly each answer with number of the question you are answering for easier navigation.
150 words “Why is the body of the
literature review is being built with articles which are concluding with the
Please include scholarly
review references not over 4 years.
Write a brief (around 100 words) reflection on
your weekly learning regarding Chapter 1 alignment and the writing requirements
for the Concept Review (Chapter 2).
. Discussion Question:
The CDC and Healthy People 2020 continue to educate on the importance, the improved ease of access and insurance coverage for screenings and vaccinations. It is the responsibility of nurses to engage our ageing adults in self-advocating for services that benefit the individual and community health. How can you, as a registered nurse, impact older adults to encourage routine vaccination? What impact does this have on the community as a whole?
Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. Title page and reference page do not count toward word count.
Binkley, L. (2017). Bates’ guide to physical examination and history-taking (12th ed.). Wolters Kluwer. ISBN: 978-1469893419. Read Chapter 4. Review Chapter 7.
Book can be accessed through https://bookshelf.vitalsource.com sign on: email@example.com password: 1Bubb@88
Better Health While Aging. (2020). 26 recommended preventive health services for older adults: the Healthy Aging Checklist Part 5. http://betterhealthwhileaging.net/preventive-health-services-for-older-adults-healthy-aging-checklist-part5
Healthy People 2020. (2018). Immunization and infectious diseases. www.healthypeople.gov/2020/topics-objectives/topic/immunization-and-infectious-diseases
Describe components of a
clinical based decision-making model impacted by clinical expertise and explain
how clinical expertise informs evidence-based practice.
Your initial posting should be
at least 400 words in length and utilize at least one scholarly source other than
the textbook. No title page needed. References do not count toward word count.
Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based
practice in nursing & healthcare: A guide to best practice (3rd
ed.). Wolters Kluwer Health. ISBN: 978-1-4511-9094-6 Chapters 13 and 14
Textbook can be accessed through Vitalsource. https://bookshelf.vitalsource.com/
sign on firstname.lastname@example.org
Please read carefully and follow the instructions attached. Please use only US-based references only.
The custodian of the legal health record is responsible for the control, care, access, release, certification, maintenance, and disposal of the health record contents. The custodian’s role is generally composed of multiple personnel from multiple departments, with HIM professionals handling the operational functions such as protecting, collecting, and archiving the legal health record.
When a health record becomes involved in the U.S. legal process due to some form of litigation, the custodian must oversee the authentication, admissibility, and disclosure of the information it contains. In order to effectively govern the health record and comply with relevant legal regulations, the custodian should be knowledgeable of the U.S. legal system, including federal and state agencies, rules of evidence, and torts and consents.
Imagine you are the HIM manager at a large hospital, and your institution is being sued for a pattern of malpractice. Create an outline of the key details regarding the U.S. legal system and health record legal process that HIM student interns in your department should know as they prepare to disclose health record information or admit contents as evidence. Be sure to propose key guidelines on how to certify health records that are requested for litigation, and address the following topics:
How is the U.S. legal system structured?
What are the different types of laws?
How are torts and consents impacted in healthcare?
What role do accreditors and federal and state agencies play in regulating healthcare facilities?
What are the Federal Rules of Evidence and Uniform Rules of Evidence?
What is the legal health record?
Who is the custodian of the health record?
Part One: Risk Management Policy and Procedure (3–4 pages)
As the new risk manager in your health care organization, your director has assigned you responsibility for drafting the organization’s risk management policy and procedure. This assignment stemmed from your director’s perception that employees lacked knowledge and awareness of risk management’s contribution to furthering the organization’s safety and quality improvement efforts. Likewise, your director also saw evidence that departments within the organization were inconsistently applying risk management principles to their daily work practices.
The guidance you have received from your director about writing this policy and procedure is that it needs to include all of the following headings. It also needs to answer all of the questions underneath each heading:
How can a risk management program help this organization advance its strategic safety and quality goals?
Key Risk Management Terms:
What is the definition for each of these risk management terms?
Risk Categories and Risk Identification Techniques:
What are the major risk categories in health care? In your answer, be sure to explain each risk category and to provide relevant examples from the literature to illustrate your points.
What risk management strategies will the organization use to identify potential organizational risks? Be sure your narrative identifies and describes such risk identification techniques as concurrent, retrospective, incident reporting, and previous trends. Note:These are only a few of the risk identification techniques to address in your policy and procedure. Be sure to include other examples you are aware of from your professional experience or from reviewing your suggested resources.
What are examples of risk categories and their appropriate corresponding risk identification techniques? For example, coding errors are a type of financial risk. Retrospective auditing is the risk identification technique used to identify this risk type.
Risk Manager’s Role in Program Implementation and Compliance:
What is the risk manager’s role in risk management program implementation and compliance?
How can a risk manager impact effective management of the organization’s risk management program?
What is one example from the literature that shows how the risk manager role can positively impact a health care organization’s management of its risk management program?
Part Two: Application of Risk Management Principles to a Specific Incident (3–4 pages)
Content should be in your own words, with 20% or less from outside sources
• In-text citations used for any information from outside sources, should include author and
publication year (follow APA guidelines)
• Quotation marks enclose any information used word-for-word
If you need me to download the textbook let me know.
Create a business case to justify the need for
new hospitals’ customer service relationship process at Boston Medical
Center (BMC). “MUST SHOW THE NEED FOR THE PROJECT”
The business case must
contain the following.
o Executive Summary
o Reasons (Create Problem Statements)
o Business Options
o Expected Benefits
o Expected Dis-Benefits
o Costs (Budget estimate)
o Timescale (Schedule estimate)
o Investment Appraisal
o Major Risks
Please read theorginial scenario and questions. Then read the response left by two classmates. Response to each class mates discussion post with a minimum of 100 words. No sources is necessary. Responses should be thorough and complete thoughts that contribute in a significant manner to the discussion (who, what, when, where, how), not short sentence of agreement or disagreement.
Mr. M is a 66-year old male who was brought into the Emergency Department for heart failure and an exacerbation of chronic obstructive pulmonary disease. Upon arrival, Mr. M. was in respiratory distress and had altered level of consciousness. Mr. M. went into cardiac arrest. Subsequently, he was intubated. He was successfully revived and admitted to the Intensive Care Unit where you are working. Due to COVID, only one visitor is allowed in the ICU per day. The patient’s wife is at the bedside and is upset. Mrs. M explains to you that “my husband would never want this ventilator. He always told me to never let this happen to him. No one notified me he was being intubated and I feel terrible.”
Mr. M is on no sedation and only responds to painful stimuli. The medical provider speaks to Mrs. M and explains that her husband is in critical condition and has a poor prognosis due to his COPD and heart failure. Mrs. M explains that her husband did not want resuscitation or to be placed on a ventilator. The physician attempts to convince Mrs. M to wait and see how her husband responds. The medical provider feels in a few days Mr. M may recover or show signs of improvement.
Mrs. M. comes out to the nurse’s station and speaks to you. She states she feels “sick to her stomach” and could not get the doctor to understand her husband’s wishes. She states that “we often discussed with each other what we would or would not want if something happened. My husband always said he would never want to be on a ventilator. I feel like I have betrayed him.”
Questions that was to be answered:
1. How would you respond to Mrs. M as the nurse in this situation. What might you say to her? What are some strategies to enhance communication?
2. What are your priorities in this scenario?
3. What ethical principles are relevant in this situation?
4. What resources can you use if the medical provider will not listen to Mrs. M?
5. Suppose Mrs. M withdrawals life support on her husband and he is terminally weaned from mechanical ventilation. What action would you take as the nurse? What nursing interventions might you use to support the patient and wife?
Reply to Classmates Reponse: (B.J)
I would provide Mrs. M with a comfortable space to be able to talk freely and express her concerns. The families of patients in ICUs are often very stressed and anxious. Providing them with all information, scenarios, and involving them in the care may help alleviate some of their stress. Another way to assist Mrs. M would be to allow her to stay with the patient and assist with care. I think one of the priorities in this situation would be to confirm that Mr. M did not have a DNI, DNR, or advance directive in place. If not, talking to the spouse about the legal aspects is the next option to take. Mrs. M may need further explanation on how, if there is no advanced directive in place, the medical provider’s duty is then to provide care for the patient. Fidelity is very relevant in this situation. Fidelity has to do with adhering to the patient’s wishes. Patient autonomy is also relevant. Autonomy is having respect for the patient’s wishes. The medical provider does not seem to be practicing autonomy or fidelity in this situation by providing care that the patient may not want nor respecting the spouse’s concerns with wanting to discontinue care. The medical provider should be open to hearing out the wife instead of “pushing” care that he will get better. A bioethics committee would be useful for Mrs. M to consult with. Hospital ethics committees help relinquish ethical challenges that arise by using a comprehensive look at all aspects of the patient and their situation (Hajibabaee, F., et al. 2016). With my patient withdrawing from life support I would ensure that the patient is comfortable and not in any pain. Along with turning off any devices that may sound once the patient is taken off. I would also allow the wife to express any feelings she may be having, and ask if there was someone I could call to provide her with further support.
Reply to Classmate Response: (J.D)
First thing I would do as a nurse is take Mrs. M to an area where we could sit down and talk about the current situation. I would try to calm Mrs. M down so we could talk open and honestly. I would aske her to express her concerns about her husbands condition and care. I would then ask her what her husband would exactly want done in this situation. I would then try to find out if her and her husband had ever put their wishes down in an advanced directive. I would explain to Mrs. M that any type of advanced directive would be able to direct Mr. M’s care toward to direction that he wishes. Advance directives are written, legal instructions regarding your preferences for medical care if you are unable to make decisions for yourself. Advance directives guide choices for doctors and caregivers if you’re terminally ill, seriously injured, in a coma, in the late stages of dementia or near the end of life (Mayo Clinic, 2020). I would then begin helping Mrs. M with the process of becoming Mr. M’s legal surrogate so she could be able to make his decisions for him. The priorities in this situation are to make sure Mrs. M knows fully about the current situation, to calm her down, support her emotionally, and help provide her with anything that she needs. Helping Mrs. M with Mr. M’s plan of care as her legal dedicated surrogate. Advocacy is an essential ethical principal in this situation. Using veracity would be beneficial in this situation. If the doctor still refuses to follow Mrs. M’s wish you can employee the help of the charge nurse or the unit manager. If the discussion needs to go further then legal actions through the hospital or a personal lawyer can be brought forth. I would prepare Mrs. M for what is about to happen and that when it is time the staff is not going to intervene. I would provide Mrs. M and her family with privacy to spend time with Mr. M. I would provide Mr. M with medications that he would need to pass peacefully with no pain. Providing the family with emotional support and answering any questions that may arise is also part of things that will need to be addressed.
Assume that you have been newly hired as the manager of the Patient Safety and Quality Improvement team for a midsize hospital that will soon be opening a new wing. You will need to conduct a risk assessment analysis on the new wing and present it to the hospital board. Choose whether you will be assessing a new maternity unit, a new outpatient clinic, or a new supply and storage wing.
Refer to the ASHRM’s “Strategic Plan 2019-2021” resource for assistance in completing this assignment.
In a 12-15 slide PowerPoint presentation (not including title and reference slides), incorporate the following points:
Describe the key elements of risk management.
Identify key risk factors of the unit you chose that will need to be addressed.
Legal, regulatory, and accrediting risk factors that will need to be addressed.
Stakeholders that will need to be involved in the risk management process, along with their roles and the context of their involvement in the evaluation and decision-making process.
Evaluate the hospital’s short-term strategic plan to mitigate and provide solutions for identified risks. How do these risk management solutions compare to the ASHRM’s strategic plan to improve risk management?
Evaluate the hospital’s long-term strategic plan to mitigate and provide solutions for identified risks. How do these risk management solutions compare to the ASHRM’s strategic plan to improve risk management?
Cite a minimum of three peer-reviewed sources to support your position.
Comprehensive speaker’s notes are required.