Category: Nursing

Scenario
You are assigned to create a strategic plan that facilitates change to improve outcomes in your organization. Knowing that change is based on data, relative position within the dynamics of an organization, and a theoretical foundation, you agree to create a strategic plan.
Instructions
Generate a strategic plan that reflects an understanding of a problem within the context of the organization’s needs and potential for change. As a nurse leader or manager, develop your plan to improve outcomes by addressing one of the following processes:
Healing spaces
Retention of new nurses
Increase number of BSN RNs
Nurse leader succession planning
Clinical ladder
This strategic plan will include a description of the background of the institution, mission, vision, and values of the organization, and goals and strategies for the change. A thorough strategic plan must include the following:
Identify the institution, history, accomplishments, and situation for the strategic plan
Describe the mission, vision, and values of the organization.
Lists of the strategies to achieve objectives.
Description of the problem to be analyzed to promote a change and improve an outcome.
Identify the ethics and professional responsibility of the organization.
Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.

Complete a Nutritional Assessment, using a tool of your choice (such as the Nestle Mini Nutritional Assessment Tool noted blow), on two members of a selected family (one between the age 5-17years and a second aged 21-59).  Collect and summarize at least 8 objective and 4 subjective elements for each person.  Create an actual or potential problem list, including 4 problems, for both individuals, include 2 health promotion teaching opportunities you would suggest for 1 problem for each individual; a total of 16 objective (8 for each individual) and 8 subjective (4 for each individual) elements, a total of 8 problems (4 for each individual), and 4 health promotion teaching opportunities (2 for each person) for one of the problems for each individual.
Review the Nutritional assessment in Jarvis Chapter 12 or find a nutritional assessment online.
Read Chapters 1-3 and Chapter 12 Jarvis, C. (2018). Physical examination and health assessment (8th ed.). St. Louis, MO: Saunders
Additional Instructions:
All submissions should have a title page and reference page.
Utilize a minimum of two scholarly resources.
Adhere to grammar, spelling and punctuation criteria.
Adhere to APA compliance guidelines.
Adhere to the chosen Submission Option for Delivery of Activity guidelines.
NO AI & NO PLAGARIASIM PLEASE!!!!!
YOU MUST USE THE RUBRIC THAT I UPLOADED TO HELP YOU!!!
YOU MUST HAVE A CONCLUSION!!!

I attached the example. Please, follow the exact example. Please, include all the topics I noted. Total number of my topics is 35.

Scenario
You finished new graduate orientation yesterday on a general medical surgical unit, and today you will independently care for two clients. As you receive a report on the second client at 0730, your Preceptor stops by to ask how the first day by yourself is coming along and reminds you to complete the final items on your training list today before the end of the 12-hour shift.
Complete the new online training model and quiz on the sliding insulin scale.
Complete the orientation evaluation form.
Sign up for one of the four nursing committees.
Complete and sign the orientation reflection journal.
Attend the new employee luncheon from 1-2 pm sponsored by the hospital physicians.
Client 1:
25-year-old female 24 hours post-op from a Roux-en-Y gastric bypass
BMI of 50
History of hypertension and sleep apnea
No complications post-operative
Pain at 4 am, three on a scale of 10
Nasogastric tube to gravity
NPO
Mother stayed overnight but left early this morning to shower and will return later in the afternoon
Waiting on morning labs
Physician orders:
Dietary Consult
Bariatric Behavioral Therapist Consult
0.45% NS intravenous infusion post op
Client 2:
46-year-old male admitted 72 hours prior with severe GERD and difficulty swallowing
History of alcoholism, hypertension
Smoked two packs per day for 22 years
Endoscopy for Barrett’s Esophagus was negative on the day of admission
Pain at 4 am, two on a scale of 10
Due to resume clear liquid diet this morning
Potential discharge later today home with family
The ex-wife has stayed in a room with a client and has been disruptive at times demanding pain medication and food.
Waiting on morning labs
Medications:
Protonix 40 mg once daily, intravenous infusion
Switch to oral Protonix 40mg day of discharge
IV infusion 0.9% NS 50 ml/hour
Resume 50mg Lopressor (metoprolol) PO twice daily after rule out Barrett’s Esophagus
1-2mg Morphine Sulfate IV PRN q 4-6 hours for pain greater than 6 out of 10
TIME: 0800
EVENT: You prioritize the need to assess the 46-year-old male first since he has 0900 medications and the physician is rounding and should order discharge today. Assessment and vital signs reveal no concerns, ex-wife not present. A physician writes an order to discharge this client today. The client asks you to return in 30 minutes and go over discharge when ex-wife is present to hear instructions. You administer Lopressor and Protonix.
TIME: 0830
EVENT: You assess the 25-year-old post bariatric surgery client. Vital signs and morning labs are within acceptable limits, and client reports pain two on a scale of 10. While assessing for bowel sounds, you notice the nasogastric (NG) tube not secured to the nose, and the client reports the tube partially came out when she blew her nose but she was able to push it back in with no pain. You document NG tube in place and assist the client to the bathroom.
TIME: 0900
EVENT: You return to 46-year-old client and review discharge instructions with the client and ex-wife, discontinue the IV infusion, remove the intravenous catheter, and complete discharge summary.
TIME: 0945
EVENT: Transport stops by to take 25-year-old client to meet with a support group for bariatric surgery clients — you okay transport.
TIME: 1000
EVENT: Physician stops into see a bariatric client and is upset you let her leave for support group before rounding. You report no concerns, physician reviews chart and writes discharge order for later in the afternoon if no vomiting or pain. The NG tube can be removed at noon by the Nurse Practitioner, and a diet of clear liquids resumed at 6 pm if no vomiting or gastric distention. Call immediately if any vomiting or signs of gastric distention occur.
TIME: 1030
EVENT: You take a break to complete orientation reflection journal, orientation evaluation, and online sliding insulin scale training module and quiz.
TIME: 1130
EVENT: The 25-year-old bariatric client returns from the support group, you see her ambulating in the hallway, and you notice the NG tube is missing. The client states the tube fell out of her nose when she stood up to introduce herself. She has no complaints of nausea and no evidence of gastric distention. You document the NG tube was removed accidentally by the client.
TIME: 1200
EVENT: 46-year-old male client calls and expresses frustration at a time to discharge. He wants to be home by 3 pm for his son’s birthday party. You call transport who assures you and the client they will arrive before 1 pm to discharge the client.
TIME: 1215
EVENT: Morning documentation complete, all orders are in the system, and both clients are stable. You are amazed at how smooth the first day is going. You head to the new employee luncheon with your Preceptor.
TIME: 1330
EVENT: You return from lunch and find the 46-year-old client discharged, and you must prepare for a new admit from the emergency room with rule out pancreatitis. You feel apprehension since this will be your first admit, so you reach out to your Preceptor to review policy and procedure for new admissions.
TIME: 1345
EVENT: While working with your Preceptor, the Certified Nursing Assistant stops by and reports the 25-year-old client refused an afternoon visit from a member of the bariatric support group, complaining of fatigue. Her noon vital signs were blood pressure 90/40, heart rate 112, and respiratory rate 28. Your Preceptor assures you these vital signs, and fatigue often occurs with this type of client. She susgest, the client is probably depressed, ready to go home, and suggests to let her rest for the afternoon.
TIME: 1415
EVENT: The new admit from the emergency department arrives with two pages of physician orders and a communication challenge since he speaks and understands only Spanish. He has pain in the abdomen and begins vomiting. Seeing you are now very busy; the Preceptor offers to “look in” on your 25-year-old client and will take care of any concerns. Also, she will order a translator to assist with the new admit, while you focus on taking care of the physician orders.
TIME: 1730
EVENT: Finally, all orders for the new admit are in the system; pain decreased, no further vomiting, and he is resting comfortably. While waiting for lab results, you decide to check on the 25-year-old client.
TIME: 1745
EVENT: On the way to the client’s room, the Nurse Manager stops and asks you to take a moment to fill out a volunteer form for one of the four nursing committees on the Unit.
TIME: 1815
EVENT: You return to the 25-year-old client’s room and find her unresponsive, pale, with no heart beat or respirations. The abdomen is distended and hard. Attempts are made for resuscitation but are not successful. The client is deceased.
TIME: 1900
EVENT: You prepare to leave to go home. The Nurse Manger stops you and asks to debrief the situation. After reviewing the chart and discussing the situation, she is concerned and sees errors in your judgement and actions. She is sure the client’s death will be a sentinel event and warrant a review by the Internal Review Board.
Instructions
To prepare for debriefing with the Internal Review Board, the Nurse Manager asks you to submit an internal memo with your analysis and perceptions of the events that occurred, including:
Description of the errors and why they occurred.
Align to unexpected client outcomes.
Support choices with rationales.
Strategies for appropriate actions to avoid errors identified and reduce risk of unexpected outcomes.
Support strategies with rationales, nursing theory and evidence from the literature.
Ideas stated with professional language and attribution for credible sources with correct APA citation, spelling, and grammar

All PDFs included including an example paper. I need someone to make up an interview with someone so you’ll have to get creative. Maybe look up YouTube and articles to get an idea. I am dealing with a heavy class right now and don’t have time for this assignment if I want to graduate on time. Follow the instructions and complete all competencies. 

i have uploaded  instruction the criterion on which it is graded and some resources   as well as the criterion

Journal 3A: Interview someone from another cultural background to learn how he/she perceives illness. Ask how this person views the meaning, causes, treatments and feelings related to illness. How does this affect the choice of treatment? How does this cultural group view the role of nurses? OR Analyze an ethical dilemma you have faced in the past. How did you handle it? How did you decide what steps to take? What did you learn from this situation?

This is a concept map for congestive heart failure.I have attached the template to be used with more explanations of what is expected. I want to reference Healthy People 30 and my textbook Nursing Diagnosis Handbook 13 edition. thanks in advance

must present a PowerPoint talking about breast cancer and all 4 of its stages. presentation must be 10 minutes long so I’ll take 2 minutes talking over each page. (5 slides)

P – Certified Registered Nurse Anesthesia (CRNA)
I – Occupational Differences
C – Critical Care Registered Nurses (CCRN) / Bedside Nursing
O – Self-Reported Burnout
In CRNA’s, what is the effect of occupational differences on self-reported burnout as compared to a CCRN position?
Summarize your research in a structured research report. Your paper should include an introduction, background of the case study, research questions, methodology, main research findings, implications for quality improvement, and concluding remarks. Use appropriate citation styles (APA) for referencing the sources used.
In this Research assignment I want to awnser some questions like what exactly is “burnout” , what are the roels and responsilbiities of Critical Care Nurses (Bedside Nurses) , what are the roles and responsibilities of Certififed Registered Nurse Anesthsias , and What are the differences between these two fields of nurses that allows a higher satisfaction/retention rate for one vs. the other. 
I also would like to show some Gender differences between Males and Females  as compared to who has a higher rate of overall occupational burnout (outside of JUST nursing) reporterd and which gender has higher rate of going into a CRNA field and see if theres any corrolation there.