What are the unit nurse’s responsibilities prior to sending a patient to the procedure room? What are the nurse’s responsibilities prior to the administration of anesthesia?

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Writer to choose

GUIDELINES —-
PERIOPERATIVE ROTATION OBSERVATION PAPER

Directions:
• Answer the following questions based on your PERIOPERATIVE ROTATION Observational
Experience.
• Reflect on the overall learning opportunity.
• Paper is to be typed, APA. Questions may be answered in general narrative format.

PERIOPERATIVE ROTATION
Experience.

QUESTIONS – PREOPERATIVE PERIOD
1. What are the unit nurse’s responsibilities prior to sending a patient to the procedure room?

2. What are the nurse’s responsibilities prior to the administration of anesthesia?

QUESTIONS – INTRAOPERATIVE PERIOD

1. What was the procedure you observed?

CARDIAC ABLATION PERFORMED THROUGH ELETRO PHYSIOLOGY

2. What type of anesthesia was administered? What medications were used?

The certified registered nurse anesthetist (CRNA) administered propofol, midazolam, and fentanyl under monitored anesthesia care (MAC) to the patient. The patient was placed in the supine position to gain appropriate access to the femoral veins; these veins were being used to thread a catheter to the inferior vena cava into the chambers of the heart.

3. In what position was the patient placed? Why?
SUSPINE POSITION/ TO GET APPROPRIATE ACCESS TO HIS FEMORAL VEINS, THESE VEINS WERE BEING
USED TO THREAD A CATHETER TO THE INFERIOR VENA CAVA INTO THE CHAMBERS OF THE HEART.

4. Who are the members of the procedure room team? What are the roles of each member?
SURGEON, REGISTER NURSED, CRNA, AND THE SURGICAL TECHNOLOGIES
CRNA ADMINISTERS ANESTHESIA TO THE PATIENT AND MONITORS VITAL SIGNS WHILE THE PATIENT IS UNDER ANESTHESIA…

5. What areas in the procedure room are considered sterile and which areas are not sterile?

RESTRICTED ZONES
SURGERY ROOM / TABLE TRAY ETC

QUESTIONS – POSTOPERATIVE PERIOD

1. What are the nurse’s responsibilities immediately post-procedure?

2. What post-procedure nursing care will be needed by the patient you observed?

SUMMARY – OVERALL REACTION TO THE LEARNING OPPORTUNITY

What specific psychiatric disease is depicted? What characteristics of the disorder are evident? What societal or cultural attitudes are reflected? What ethical questions are brought to light?

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Human experience of emotional distress

The students will select a film that captures the human experience of emotional distress and will review it according to the written criteria listed below. A typewritten summary covering the criteria is required. The paper should not exceed three double spaced pages. This paper should be in APA format with cover page, abstract and reference page.

Criteria:

Paper should be in APA format/spelling/grammar
As you view the film, answer these questions and include your answers in the written paper and in your class presentation.
What specific psychiatric disease is depicted?
What characteristics of the disorder are evident?
What societal or cultural attitudes are reflected?
What ethical questions are brought to light?
Has your knowledge of psychiatric community mental health nursing changed how you respond to the film or the characters?
How could you use the film to help patients, families, communities, or health care staff to better understand mental illness or its treatment?

Form a nursing care plan with one of the characters in the film you viewed. List 3 specific nursing interventions you would include in your nursing care and state the rationale for each intervention.
Consider what you can do to foster an attitude of understanding, empathy an attitude of understanding, empathy and respect toward people with the illness depicted in the film.
Summary comments .

What similarities are apparent between the data that were gathered and the data that were generated? What differences are apparent between the data that were gathered and the data that were generated?

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Module 2 in Project Concert

Assignment Description:
  1. Practice Hours: each module has a minimum required practice hours related to your work on the main education project. Practice hours relate to time spent on project work (Discussion Board work does not apply). Document your hours for Module 2 in Project Concert. Access Project Concert. You should have an estimated 10-15 hours for this module. Minimum required hours must be entered into Project Concert for Module 2. Some states/entities require hour logs for certification or employment. It is the student’s professional responsibility to ensure all hours are entered correctly in order to meet these requirements. See the Project Concert directions document in the Learning Materials on how to enter hours.
  2. Discuss aspects of a health concern not being addressed despite the efforts of services and partnerships involved and describe the ultimate outcome(s) or goal(s) from Healthy People 2020 relating to that specific health concern.

Answer the following questions to assist in data interpretation:

  • What similarities are apparent between the data that were gathered and the data that were generated?
  • What differences are apparent between the data that were gathered and the data that were generated?
  • What are the weakness and strengths of this community?
  • In what areas is improvement needed in this community?

The assignment should be written in an APA-formatted essay. The essay should be between 1500 and 2000 words in length and include at least two scholarly sources other than provided materials.

 

Describe the basic framework and essential elements of your scenario, topic or thesis. As you work through your explanations, describe these essential elements to the reader.

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RES 410: Module 6–Discussion

Instructions:
Module 6 Discussion Forum: Elements & Framework of your Thesis and Protocols In this module, consider the materials and assignments from RES 312 & RES 401.
In this discussion, describe the basic framework and essential elements of your scenario, topic or thesis. As you work through your explanations, describe these essential elements to the reader. Give insight and framework to your overall project and how you are going to support your thesis and statements through investigation. How will you treat and what therapy is necessary for your scenario. Be detailed in your explanations of the framework and why each element is important. What barriers have you overcame as you developed your chapters for your capstone project.

Describe your approach to this case study. In addition to the numbers given, what do you need to know before you can calculate the break-even analysis?

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Week 5: Break-even Analysis

Assignment Guidelines with Scoring Rubric

Purpose

The purpose of this assignment is to:

To provide learners with the opportunity to develop break-even-analysis skills.

Due Date:

Total Points Possible:  100

Requirements:

Answer the questions and complete the calculations required for the assignment.

Submit your answers on a Word document, with the heading of Week 5 Assignment.  For the questions requiring a written response, adhere to proper grammar and syntax, and provide references.  For the questions requiring calculations, show all your work and follow the format that has been provided for the calculations in the lesson for Week 5.

  1. When performing calculations, standard rounding rules apply. If the number to the right of the decimal is less than 5, round down to the nearest whole number, e.g., 33.4 = 33 If the number to the right of the decimal is 5 or greater, round up to the nearest whole number, e.g. 33.5 =34.
  2. Read the question carefully. Pay close attention to the units be asked and keep them consistent. For example, hours vs FTEs; days vs months vs years.
  3. Provide ALL formulas with references. Designate which formula associates with which source. It is not sufficient to simply list the source at the beginning of the section. Write out the formula used BEFORE filling in the numbers. Formulas used should be taken from one of the required resources for this course.

Example: Total Contribution Margin (CM) = (CM) category 1 + CM cat 2 + CM 3

Leger, J.M. & Dunham-Taylor, J. (2018). Financial management for nurse managers: Merging the heart with the dollar, 4th Ed. Burlington, MA: Jones-Bartlett.

Preparing the paper

Break-Even Analysis Case Study

You and several of your colleague business partners have decided to establish an outpatient fertility clinic in your service area. All of you are very familiar with this patient population base, have completed an extensive market analysis that demonstrated a great need for the service, and are comfortable with setting up a business and the costs associated with this special group of patients.

As part of the business plan, you and your partners will need to convince stakeholders that this new service endeavor will be viable. They will want to know how many patients visits annually will need to occur and how long it will take for the service to be at least cost neutral or profitable. To provide them with this information you will perform a break-even analysis. Use the following data, conduct the analysis accounting for the contribution margin of each patient acuity category.

  • Fixed Costs: $9,788,000 (start-costs, specialty physicians, anesthesiologists, APNs, staff  nurses and other staff salaries, specialty equipment, other miscellaneous)
  • Variable costs: $500/patient visit (specialty equipment, oxygen supplies, other  miscellaneous)
  • Clinic days: Monday-Saturday- 312 days/year
  • Projected patient visits per year: 7488
  • Patient charges by patient acuity category:
    • Simple (15%)————$2000/visit
    • Moderate (60%)——–$6500/visit
    • Complex (25%)———$10,000/visit

 

Break-even Analysis Data Table
Acuity Category Percentage % Charge per Visit Visits per Year Charges per Year Visits per Day Charges per Day Contribution Margin
Simple 15% $2000          
Moderate 60% $6500          
Complex 25% $10,000          
                                                       Expected Total Daily Charges    
                                                      Expected Total Daily Revenue  
                                                            Break Even point in days  
                                                            Break Even point in visits  

 

  1. Describe your approach to this case study. In addition to the numbers given, what do you need to know before you can calculate the break-even analysis?
  2. Perform the calculations needed for the break-even analysis. Show your work, formulas used, and reference the formula. When calculating the patient visits per day, round to the nearest whole. After you’ve completed the calculations, record your results in the appropriate place in the table.
  3. How many patient visits are expected per day?
  4. What is the contribution margin of each category of patient?
  5. Based on the data and your calculations, what is the expected daily revenue?
  6. How long (in days, months, or years) will it be before the return on investment begins?
  7. How many patient visits will be required to reach the break-even point?
  8. Discuss your analysis. Is the project viable and profitable service? Does the analysis support moving forward with the business? Cite specific data from you analysis to support your interpretation.

Explain the rationale for the trend and support this with credible references. What populations groups are most represented by opioid overdoses? Are rates for opioid overdoses higher in some parts of Canada when compared to other geographical areas in Canada?

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Opioid Overdose Crisis in Canada

Start your paper with an introduction, possibly 1-2 paragraphs in length that outlines the purpose and scope of the paper. The main body of the paper is next. What is the opioid overdose crisis in Canada all about. This part of the paper should contain the most current epidemiological evidence around the rates of opioid overdoses in Canada and the trend for opioid overdoses in the past 10-15 years. Explain the rationale for the trend and support this with credible references. What populations groups are most represented by opioid overdoses? Are rates for opioid overdoses higher in some parts of Canada when compared to other geographical areas in Canada? Discuss reasons for the regional differences and make sure to support your discussions with reputable references. How does the rates in Canada compare to other countries?

In the next section of the paper develop a teaching project with a specific target population to address this health issue. Start by clearly stating the age range that will be the focus of your teaching, explain why you have chosen this age group and explain how you plan to reach your target population. Identify a goal that you want your target population to achieve by the health teaching. Be sure to also list two objectives that are measurable in reaching the goal. Include in the teaching plan how you plan to evaluate the two objectives.
The entire paper excluding the cover page, table of contents, if included, and reference list should be between 8-9 pages in length. (If you have headings throughout your paper, include a table of contents, if you do not have headings, a table of contents is not required). You should have a minimum of 5 reputable and current (5 years old or less) references. All references in the body of the paper and in the reference list must follow APA 7th format.

 

Briefly and generally explain the policy or regulation you selected. Address the impact of the policy or regulation you selected on system implementation. Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.

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Policy/Regulation Fact Sheet

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.
With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:
Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page not including the title and reference page)
Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:
Briefly and generally explain the policy or regulation you selected.
Address the impact of the policy or regulation you selected on system implementation.
Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

  • Use APA format and include a title page, in-text citations, and reference page.
  • Use the Safe Assign Drafts to check your match percentage before submitting your work.
  • Use these 2 resource in addition to 3 peer reviewed articles

U.S. Department of Health and Human Services. (n.d.). Laws & Regulations. Retrieved September 27, 2018, from https://www.hhs.gov/regulations/index.html

HealthIT.gov. (2018a). Health IT legislation. Retrieved from https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation

Identify two instruments that could be used to assess and evaluate the proposed practice change. Identify instruments appropriate for determining the effectiveness of a specific intervention.

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The Value of a Research Critique to Translate Evidence into Practice

Follow guidelines from previous assessments to write an introduction paragraph to provide organization for the paper.

  • Write in the third person, adhering to conventions of academic tone. Reference Capella Writing Center: Tone and writing in third person.
  • Identify two instruments that could be used to assess and evaluate the proposed practice change.
  • Identify instruments appropriate for determining the effectiveness of a specific intervention.
  • Briefly describe the origin or originator of each instrument (including the inventor, creator, or company).
  • Explain the construct it measures, units or scales, type of measurement (qualitative, quantitative, or mixed methods).
  • If using a survey for either assessment or evaluation of the intervention, describe the scientific validity and reliability (alpha).
  • Identify the relevant studies from the literature where the instruments were used. Include a description of the results of the studies.
  • Describe how the studies differed or if there are similarities to your project.
  • Explain the rationale for why the instrument was chosen and provide supporting evidence from the literature.

WHAT BROUGHT THE PT TO THE HOSPITAL? WHAT EVENTS LEAD UP TO THIS? WHAT HAPPENED WHEN THEY GOT TO THE HOSPITAL- UNTIL NOW WHEN YOU ARE PROVIDING CARE?

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History of Present Illness

ASSIGNMENT DUE DATE MONDAY 11/21/22 at 1PM. (4 days)

1st page: History of Present Illness: WHAT BROUGHT THE PT TO THE HOSPITAL? WHAT EVENTS LEAD UP TO THIS? WHAT HAPPENED WHEN THEY GOT TO THE HOSPITAL- UNTIL NOW WHEN YOU ARE PROVIDING CARE?

Medical History: For all 4 diseases identified, define, it, describe pathophysiology, and cite source

Surgical History: For c-section procedure, define & describe it; include year of procedure & cite source

Cultural Consideration: Look at other examples and write a paragraph regarding caucasian white.

Erickson’s Developmental Stage: Based on patients age (44 years old)

 

2nd Page:

Medical Management/Collab Plan: Include doctor, discharge planning for patient and male baby, equipment needed and treated, look at examples and use.

Patient education: Referral Needed for newborn after discharge(24-48hr after birth appointment with pediatrician, etc copy what they wrote. CHNAGE THE WORDS DO NOT PLAGIARIZE

Pathophysiology of primary medical diagnosis: explain what a cesarean section is in depth.

3rd page: MEDICATION PAGE: just fill in the indication and nursing consideration for the medications(empty boxes)

SKIP 4th page

 

State the drug name and its therapeutic category. How does this drug work to achieve its intended response? How is this drug absorbed, distributed, metabolized, and excreted?

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Medications: Tricyclic glycopeptides Prototype: Vancomycin

Your manager explained that all of the emergency center nurses at RGH will be educated in small groups through a short, in-service training session. You have been asked to develop a professional-looking PowerPoint presentation that the trainers will use to guide the in-service sessions. Your PowerPoint will need to:

Be professional-looking, have a title slide, and 6 content slides.
Notes feature in PowerPoint to reduce the amount of text that appears on the content slides.
Notes for each slide will contain the text that will guide what the trainer will say while presenting the slides during the in-service.
The content slides themselves should be clear and easy to understand; they serve as an outline so the audience can follow along with what is being presented.
Be written using proper spelling/grammar and at a level that would be appropriate for the audience.
Remember the purpose of the training is to help nurses learn to educate their clients about the use of a medication. With that in mind, it may be helpful to provide examples of how to explain the information to a client in an easy-to-understand way without complicated, technical terms.
Include APA formatted in-text citations for at least 3 scholarly references and present the sources in APA format on a References slide.
Contain content addressing the items below.

A. Pharmacotherapeutics

slide 1: State the drug name and its therapeutic category.
slide 2: Pharmacodynamics – how does this drug work to achieve its intended response?
slide 3: Pharmacokinetics – how is this drug absorbed, distributed, metabolized, and excreted?
slide 4: Discuss dosage, scheduling, route, and length of therapy.
slide 5: Describe what clients can expect regarding their therapeutic response and when it should develop.
slide 6: Introduce nondrug measures that clients can do to enhance their therapeutic response (e.g., specific diet to follow, exercise requirements, substances to avoid, special precautions to take, etc.).