Category: Healthcare

Nurse Shuffle worked as a registered nurse in a state-run organization for fifteen years. In 1970, the state made a decision to close and transition all state-run hospitals to the private sector. The state required a number of nurses to remain employed with the new facility for a period of eight years. Nurse Shuffle was one of the state employees to continue employment under the new ownership. The facility Nurse Shuffle worked at was transitioned to a long-term acute care facility (LTAC). Nurse Shuffle remained as a staff nurse in the LTAC, which was a small facility with thirty-five inpatient beds.
In the years that followed, Nurse Shuffle became depressed over matters in her personal life. Given the mounting life pressures, she contrived ways to obtain controlled prescription medication from the medication drawers of patients. This practice became more urgent for Nurse Shuffle, who contrived more blatant, desperate measures to obtain controlled prescription medication. Eventually, she was caught, and she also confessed to having an addiction problem. Since Nurse Shuffle was a state employee, the administration decided to not terminate her but offered her an option of treatment at an addiction center. The facility would satisfy the due process protection afforded to government employees.
In the next ninety days, the LTAC facility closed down. Nurse Shuffle was released from rehabilitation treatment services but was without employment. She decided a change was needed and sought employment with a healthcare professional agency that provided nurses with healthcare facilities throughout the country. Nurse Shuffle accepted a one-year temporary position at a large teaching hospital as a nurse working the night shift in a surgical stepdown unit. Unfortunately, the strain of acclimating to a new setting and the night shift was too much to cope with, and she found opportunities to remove controlled prescription medication from the facility for personal use. Again, the behavior was discovered, Nurse Shuffle was prosecuted, and, as a consequence, her license was revoked.
An investigation revealed that there was no information on the file for the previous controlled prescription medication offense at the LTAC. Since the LTAC facility was in its waning days, some top human resource personnel left for other opportunities and the department was understaffed. The remaining personnel were lower-level clerks, who were unaware of the policy or procedure, and hence, no information was reported to the state for licensure purposes. The LTAC believed that Nurse Shuffle was entitled to due process since she was a government employee, and hence it her offered addiction treatment to resolve the matter. The employment agency conducted the standard state nursing license verification, and Nurse Shuffle failed to offer any information regarding the substance theft matter. The teaching facility where Nurse Shuffle accepted the assignment relied on the agency’s verification process because Nurse Shuffle was not considered the facility’s employee.
Interpret and explain the basis of due process protection and why it might or might not apply to Nurse Shuffle’s situation. Express your opinion regarding whether Nurse Shuffle should have been terminated or afforded the option of an addiction treatment program.
Explain the applicability of the FMLA to Nurse Shuffle’s situation.
Discuss the responsibility of the teaching hospital’s requirement to verify the licensure and professional credentials of Nurse Shuffle. Compare the verification burden for an agency employee versus a regular employee.

This is a 3 part assignment: I have attached the templates and rubric
Part 1 (1-2 pages)
Complete and apply Clark Healthy Workplace Inventory to your own practice setting.
Complete the Work Environment Assessment Template.
Part 2 (Reviewing the Literature)
Select at least one additional peer-reviewed article, not in the Competency Resources, that addresses a theory or concept for promoting healthy workplace environments.
Briefly describe the theory or concept presented in the article you selected.
Explain how the theory or concept presented in the article relates to the results of your Work Environment Assessment.
Explain how your organization could apply the theory or concept highlighted in your selected article to improve organizational health and/or stronger work teams. Be specific and provide examples. NOTE: The response must synthesize and integrate at least two outside resources and two competency-specific resources that fully support the responses provided.
Part 3 (Evidence Based Strategies to create high performance interprofessional teams (1-2 pages)
Recommend at least two evidence-based strategies that can be implemented to address any shortcomings revealed in your Work Environment Assessment.
Recommend at least two evidence-based strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment.

Instructions
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level desсrіptions for each criterion to see how your work will be assessed.
For this assessment, research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 4. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking.
Assessment 02 Supplement: Applying Research Skills [PDF]resource. Write a brief overview of the selected health care problem or issue. In your overview:
Summarize the health care problem or issue.
Describe the professional relevance of this topic.
Describe any professional experience you have with this topic.
Identify peer-reviewed articles relevant to this health care issue or problem.
Conduct a search for scholarly or academic peer-reviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. You will select four current scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic.
Refer to the NHS-FPX4000: Developing a Health Care Perspective Library Guide to help you locate appropriate references.
Use keywords related to the health care problem or issue you are researching to select relevant articles.
Assess the credibility and explain relevance of the information sources you find.
Determine if the source is from an academic peer-reviewed journal.
Determine if the publication is current.
Determine if information in the academic peer-reviewed journal article is still relevant.
Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format. Provide a rationale for inclusion of each selected article. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:
Identify the purpose of the article.
Summarize the information.
Provide rationale for inclusion of each article.
Include the conclusions and findings of the article.
Write your annotated bibliography in a paragraph form. The annotated bibliography should be approximately 150 words (1–3 paragraphs) in length.
List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography.
Make sure the references are listed in alphabetical order, are double-spaced, and use hanging indents.
Summarize what you have learned while developing an annotated bibliography.
Summarize what you learned from your research in a separate paragraph or two at the end of the paper.
List the main points you learned from your research.
Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic.
Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
Assessment 2 Example [PDF] Download Assessment 2 Example [PDF].
Additional Requirements
Your assessment should also meet the following requirements:
Length: 3–5 typed, double-spaced pages, not including the title page and reference page.
Font and font size: Times New Roman, 12 point.
APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
Content: Provide a title page and reference page following APA style.
References: Use at least four scholarly or academic peer-reviewed journal articles.
APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

Using media advocacy helps us think about news media as a mechanism for informing citizens and pressuring decision makers rather than solely as a tool for getting information to consumers. 
Writing 800-1000 words, using APA format, citations and references as appropriate, select a recent health issue reported by the media and answer the following questions: 
What is this issue about? 
Does the message expand or narrow the constituency? 
Does the message promote a frame that favors your position, or does it default to a negative frame? 
Does it increase or decrease the salience of the issue? 
Does it assign responsibility to those that have the power to change the problem?

250 words for each discussion.
Week 4 Discussion 1: Maximizing Engagement With HIM Systems
Note: Remember to adhere to the requirements for weekly discussion posts and responses addressed in the School of Nursing and Health Sciences FEM.
Implementing HIM systems can be challenging for managers because staff members are not always open to change. However, the complexity of HIM systems requires training and ongoing support. The end users of HIM systems must buy into the change and be competent in system user functionality.
Discuss two or three specific challenges you foresee that managers may face in getting end users to accept and engage fully with new or upgraded HIM systems and comply with current regulations.
Week 4 Discussion 2: Creating Effective Communication Plans
Note: Remember to adhere to the requirements for weekly discussion posts and responses addressed in the School of Nursing and Health Sciences FEM.
As new HIM technology is implemented in an organization, an effective manager must be able to lead change and employ best practices in change management to ensure that staff members are willing to support and comply with the changes.
Discuss effective communication strategies and best practices for creating an effective communication plan. Be sure to include communication issues directly related to health informatics challenges.

Develop a training presentation that explains how specific leadership qualities and leadership models can be used to improve the management of employees at Winter Valley Hospital. Your presentation must be 4–8 slides in length, include speaker notes, and cite any references using APA format.
***  See scenario attached in files

Part 1 
Group roles (3)
Task completion(3)
Cooperation(4)
Conflict resolution (2)
Focus on task (1)
Part 2:
I’d consider myself time manager so we can work everything out as a group and to make sure we are working within the rubric of the project 
2The digital product about teenagers vaping and i reached out for help with a friend that animator so they guide me step to step and teaching me about animation so we can deliver the most creative with the help of my group about the transcript for the video
3)I think when we divided the work everyone chose the task they are best when i chose time management to remind everyone of the time making sure everyone is doing their work on the time before submission i was happy and turning in early relieved me and i think it was a stress until we turned everything in 
4)I think the best process we made that helped us as a group is meeting regularly from time to time online and at campus this is the best thing we made that helped us as a group to keep track and give each other comments and ideas suggestions and any points to make sure we are working as the rubric 
5)I think i could have done better if i had a look on the presentation double checking the presentation before turning in so we couldn’t have over lapping of ideas on the introduction we worked together and this is the best group i worked with this course as everyone cares for the final outcome . But if id change one thing is to start earlier so we could not be in stress . I think we did the best group working together and cooperation was the best think and we all reply to each other quickly in WhatsApp group. I think we could have done better to edit the slides more and to make sure we are not over lapping ideas 
6)

With the advancement of technology, healthcare, and societal demands, nursing practice has undergone a specific amount of change over time. The adoption of evidence-based practice and the focus on critical thinking abilities are two of the biggest changes in modern nursing.
Mixing the best available data with clinical knowledge, patient choices, and values is known as evidence-based practice. It is an organized method of clinical decision-making that guarantees nurses are giving their patients the best possible care. To make well-informed judgments about patient care, critical thinking in nursing involves having the ability to properly examine and evaluate information. To deliver safe and effective care, nurses need to evaluate complex circumstances, take into account a variety of viewpoints, and predict alternative outcomes. 
In the article “13 Famous Nurses Who Shaped the World of Nursing” Mary Breckinridge is one of the famous leaders. She established the Frontier Nursing Service (1925) intending to provide rural healthcare to remote Appalachian villages that lacked access to healthcare. She delivered essential antenatal and postpartum care by using nurse-midwives. Her strategy greatly improved access to healthcare in rural America and inspired similar programs, having a large national impact on rural healthcare.
A significant event in nursing history mentioned by “The bolton act: Frances Payne bolton school of nursing: Case western reserve university”  is the Nurse Training Act of 1943, also known as the Bolton Act, Due to a lack of nurses during World War II, it provided federal support for nursing schools. As a result, nursing programs were established all across the country, addressing pressing needs and establishing guidelines for training. Due to its expansion of schooling and improvement of professional standing, this legislation has had a considerable impact on modern nursing practice.

The Sunnyvale Care Clinic state of Alaska
List of the project objectives with a description.
List of project deliverables.
Patient visits by year graph.
Start-up costs
Pro Forma for a minimum of three years
Revenue
Gross revenue
Contractual adjustments
Net revenue
Operating Expenses
Salaries
List each position: Students should use actual average salaries for positions
Total Salaries
Benefits (Calculated at 30% of salaries)
Total Salaries & Benefits
Other expenses
Central sterile supply
Dietary
Depreciation hazardous waste disposal
Insurance
Maintenance/Housekeeping
Laundry/Linen
Miscellaneous (Define what is included in this category)
Office supplies
Rent
Repair of equipment
Staff development
Telephone
Utilities
Total Other
Total Expense
Net Income
Project Timeline 
Gantt Chart 
Critical Pathway 
Summary of project
Process for selecting site location.
Summary of the communication plan for the project.
Analysis of when the clinic has a positive net income (Net revenue – Total Expense). If the clinic does not have a positive net income, what recommendations would you make to decrease costs or increase revenue? Include specific rationale for the recommendations.

PATHOPHYSIOLOGY: 3 case study questions)
Utilizing the Case Study Template, provide your responses to the case study questions listed below.
You must use at least one scholarly reference to provide pathophysiology statements. For this class, use of the textbook for pathophysiology statements is acceptable. You may also use an appropriate evidence-based journal.
You must use the Clinical Practice Guideline (CPG) for the management of allergic rhinitis to answer the treatment recommendation questions. The guideline can be found at the following web address: https://journals.sagepub.com/doi/10.1177/0194599814561600.You may also use a medication administration reference such as Epocrates to provide medication names.
Proper APA format (in-text citations, reference page, spelling, English language, and grammar) must be used.
Case Study Scenario 1
A 35-year-old woman presents to the primary care office with a history of nasal congestion that has worsened over time and recurrent sinus infections. She considered herself healthy until about 12 months ago when she began experiencing rhinorrhea, sneezing, and nasal stuffiness that ″seems to never go away″. She noticed that her rhinorrhea greatly improved when she attended her family reunion on a two-week Caribbean cruise but returned after being home a few days. She lives with her husband and 5- year-old child. They have two household pets: a dog that has lived with them for the last 4 years and a cat who joined the family 1 year ago. Upon exam, the NP observed eyelid redness and swelling, conjunctival swelling and erythema, allergic shiners (lower lid venous swelling), Allergic crease (lateral crease on the nose) and inflamed nares.
Case Study Questions
Pathophysiology & Clinical Findings of the Disease
Identify the correct hypersensitivity reaction.
Explain the pathophysiology associated with the chosen hypersensitivity reaction.
Identify at least three subjective findings from the case.
Identify at least three objective findings from the case.
Case Scenario 2
A 72-year-old male presents to the primary care office with shortness of breath, leg swelling, and fatigue. He reports that he stopped engaging in his daily walk with friends three weeks ago because of shortness of breath that became worse with activity. He decided to come to the office today because he is now propping up on at least 3 pillows at night to sleep. He tells the NP that he sometimes sleeps better in his recliner chair. PMH includes hypertension, hyperlipidemia and Type 2 diabetes.
Physical Exam:
BP 106/74 mmHg, Heart rate 110 beats per minute (bpm)
HEENT: Unremarkable
Lungs: Fine inspiratory crackles bilateral bases
Cardiac: S1 and S2 regular, rate and rhythm; presence of 3rd heart sound; jugular venous distention. Bilateral pretibial and ankle 2+pitting edema noted
ECG: Sinus rhythm at 110 bpm
Echocardiogram: decreased wall motion of the anterior wall of the heart and an ejection fraction of 25%
Diagnosis: Heart failure, secondary to silent MI
Discussion Questions
Differentiate between systolic and diastolic heart failure.
State whether the patient is in systolic or diastolic heart failure.
Explain the pathophysiology associated with each of the following symptoms: dyspnea on exertion, pitting edema, jugular vein distention, and orthopnea.
Explain the significance of the presence of a 3rd heart sound and ejection fraction of 25%.
Case Study Scenario 3 Utilizing the Case Study Template, provide your re. sponses to the case study questions listed below
Chief Complaint
A.C., is a 61-year old male with complaints of shortness of breath.
History of Present Illness
A.C. was seen in the emergency room 1 week ago for an acute onset of mid-sternal chest pain. The event was preceded with complaints of fatigue and increasing dyspnea for 3 months, for which he did not seek care. He was evaluated by cardiology and underwent a successful and uneventful angioplasty prior to discharge. Despite the intervention, the shortness of breath has not improved. Since starting cardiac rehabilitation, he feels that his breathlessness is worse. The cardiologist has requested that you, his primary care provider, evaluate him for further work-up. Prior to today, his last visit with your practice was 3 years ago when he was seen for acute bronchitis and smoking cessation counseling.
Past Medical History 
Hypertension 
Hyperlipidemia 
Atherosclerotic coronary artery disease
Smoker
Family History
Father deceased of acute coronary syndrome at age 65
Mother deceased of breast cancer at age 58. 
One sister, alive, who is a 5 year breast cancer survivor.
One son and one daughter with no significant medical history. 
Social History
35 pack-year smoking history; he has cut down to one cigarette at bedtime following his cardiac intervention. 
Denies alcohol or recreational drug use 
Real estate agent  
Allergies
No Known Drug Allergies 
Medications
Rosuvastatin 20 mg once daily by mouth 
Carvedilol 25 mg twice daily by mouth
Hydrochlorothiazide 12.5 mg once daily by mouth
Aspirin 81mg daily by mouth
Review of Systems
Constitutional: Denies fever, chills or weight loss. + Fatigue.
HEENT: Denies nasal congestion, rhinorrhea or sore throat.  
Chest: + dyspnea with exertion. Denies productive cough or wheezing. + Dry, nonproductive cough in the AM.
Heart: Denies chest pain, chest pressure or palpitations.
Lymph: Denies lymph node swelling.
General Physical Exam  
Constitutional: Alert and oriented male in no apparent distress.  
Vital Signs: BP-120/84, T-97.9 F, P-62, RR-22, SaO2: 93% 
Wt. 180 lbs., Ht. 5′9″
HEENT 
Eyes: Pupils equal, round and reactive to light and accommodation, normal conjunctiva. 
Ears: Tympanic membranes intact. 
Nose: Bilateral nasal turbinates without redness or swelling. Nares patent. 
Mouth: Oropharynx clear. No mouth lesions. Dentures well-fitting. Oral mucous membranes dry. 
Neck/Lymph Nodes 
Neck supple without JVD. 
No lymphadenopathy, masses or carotid bruits. 
Lungs 
Bilateral breath sounds clear throughout lung fields. + Bilaterally wheezes noted with forced exhalation along with a prolonged expiratory phase. No intercostal retractions.
Heart 
S1 and S2 regular rate and rhythm, no rubs or murmurs. 
Integumentary System 
Skin cool, pale and dry. Nail beds pink without clubbing.  
Chest X-Ray 
Lungs are hyper-inflated bilaterally with a flattened diaphragm. No effusions or infiltrates.
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