Category: Nursing

Case Study #2 – 
Immediately after a laparoscopic hernia repair, the surgeon ordered a straight urinary catheterization to drain urine from the bladder and to check for the presence of blood in the urine which would indicate possible bladder injury during the procedure. The surgeon then left the OR. 
ARN subsequently inserted a Foley catheter with an inflatable retention bulb, rather than the straight catheter. She then had a second nurse inflate the bulb while the catheter was still in the urethra, not bladder.
The inflation of the bulb caused a tear in the urethra, requiring a second unsuccessful catheterization by the surgeon and an eventual abdominal catheterization by a urologist. The patient subsequently sued the 2 nurses, the surgeon and the outpatient surgical center for negligence. 
Based on the information presented, please answer the following questions: 
1. Was there professional negligence (malpractice) in this case? If so, why? liable? 
2. Who would be liable? How would you determine the percentage of liability for the multiple defendants, assuming than more than 1 defendant should be assessed with damages? Include specific % numbers.
* 
3. From this case, what specific lesson(s) can be learned for nurses?

Please write in very basic english. English is my second language and i am still learning how to read and say new words. This paper will be read by me aloud in front of a class, please use words that are easy to read and say. I do not want to be embarassed.
Attached is instructuins with paper outline and a sample paper.  
Pls reach out with any questions!

Draft a 3–5 page change proposal to executive leaders, soliciting their support for a change
to the health care system in the community you selected in the previous assessment.

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Read Guiding Questions: Evaluation Plan Design [DOC]. This document is designed to give you questions to consider and additional guidance to help you successfully complete this assessment.
As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
What specific piece or pieces of technology did you propose using in your implementation plan?
How did the type of technology you chose impact the development of your implementation plan?
How will the incorporation of the technology you propose make your implementation plan more successful?
Instructions
Note: The assessments in this course are sequenced in such a way as to help you build specific skills that you will use throughout your program. Complete the assessments in the order in which they are presented.
Your evaluation plan design will be the forth section of your final project submission. The goal for this is to finalize the outcomes that your plan is seeking to achieve and to create a plan to evaluate the degree to which those outcomes would have been achieved if your intervention plan has been implemented. This will allow you to determine the degree to which the plan was successful in addressing the identified need of your target population and setting.
You will also discuss ways in which your role allows you to lead change and drive quality improvement, and to potentially improve the project in the future. In addition, you will reflect on how the project will leave you better prepared for success in other aspects of your current and future career. Provide enough detail so that the faculty member assessing your implementation plan design and discussion will be able to provide substantive feedback that you will be able to incorporate into the final draft of your project.
At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Evaluation Plan Design [DOC]document to better understand how each criterion will be assessed. In addition to the bullet points below, provide a brief introduction that refreshes the reader’s memory about your problem statement, your planned intervention, and how you intended to implement your intervention (this should only be a single paragraph).
Reminder: These instructions are an outline. Your heading for this this section should be Evaluation of Plan and not Part 1: Evaluation of Plan.
Part 1: Evaluation of Plan
Define the outcomes that are the goal of an intervention plan.
Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need.
Part 2: Discussion
Advocacy
Analyze the nurse’s role in leading change and driving improvements in the quality and experience of care.
Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan.
Future Steps
Explain how the current project could be improved upon to create a bigger impact in the target population as well as to take advantage of emerging technology and care models to improve outcomes and safety.
Reflection on Leading Change and Improvement
Reflect on how the project has impacted your ability to lead change in personal practice and future leadership positions.
Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into your personal practice to drive quality improvement in other contexts.
Address Generally Throughout
Integrate resources from diverse sources that illustrate support for all aspects of an evaluation plan for an intervention, as well as for professional discussion about the plan.
Communicate evaluation plan and discussion of the project in a professional way that helps the audience to understand how the outcomes will be evaluated, as well as what was learned through the project process.
Practicum Hours Submission
You have been tracking your completed practicum hours each week using the CORE ELMS. By placing the hours into CORE ELMS, you will ensure you are accumulating all hours that are needed to meet the requirements for your specialization and degree.
Submit your CORE ELMS practicum hours tracking log showing a minimum of 20 confirmed hours per assessment. Reminder: Only confirmed hours will be considered for grading.
You will not receive a grade for this assessment without a practicum hours log showing a minimum of 20 confirmed hours for the time period of this assessment. Your faculty will review your hours to date and will contact you if he or she has any questions or concerns.
Additional Requirements
Length of submission: 4–6 double-spaced pages.
Number of resources: 3–6 resources. (You may use resources previously cited in your literature review to contribute to this number. Your final project will require 12–18 unique resources.)
Written communication: Written communication is free of errors that detract from the overall message.
APA formatting: Resources and citations are formatted according to current APA style. Header formatting follows current APA levels.
Font and font size: Times New Roman, 12 point.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Lead organizational change to improve the experience of care, population health, and professional work life while decreasing cost of care.
Reflect on how the project has impacted one’s ability to lead change in personal practice and future leadership positions.
Reflect on the ways in which the completed intervention, implementation, and evaluation plans can be transferred into one’s personal practice to drive quality improvement in other contexts.
Competency 2: Evaluate the best available evidence for use in clinical and organizational decision making.
Analyze the nurse’s role in leading change and driving improvements in the quality and experience of care.
Competency 3: Apply quality improvement methods to impact patient, population, and systems outcomes.
Create an evaluation plan to determine the impact of an intervention for a health promotion, quality improvement, prevention, education, or management need.
Competency 4: Design patient- and population-centered care to improve health outcomes.
Define the outcomes that are the goal of an intervention plan.
Competency 5: Integrate interprofessional care to improve safety and quality and to decrease cost of care.
Explain how the intervention plan affects nursing and interprofessional collaboration, and how the health care field gains from the plan.
Competency 6: Evaluate the ability of existing and emerging information, communication, and health care technologies to improve safety and quality and to decrease cost.
Explain how the current project could be improved upon to create a bigger impact in the target population as well as take advantage of emerging technology and care models to improve outcomes and safety.
Competency 7: Defend health policy that improves the experience of care, population health, and professional work life while decreasing cost of care.
Integrate resources from diverse sources that illustrate support for all aspects of an evaluation plan for an intervention, as well as for professional discussion about the plan.
Note: You will also be assessed on two additional criteria unaligned to a course competency:
Communicate evaluation plan and discussion of the project in a professional way that helps the audience to understand how the outcomes will be evaluated, as well as what was learned through the project process.
Demonstrate completion of hours toward the practicum experience.
See the scoring guide for specific grading criteria related to these additional requirements.
********I’ve attached all the previous papers. I’m still waiting on my professor to grade assement 4 but I figure I can at least get this started because I have two and half weeks left in the semester. 

Directions:
Select a community-acquired infectious disease from a past or recent outbreak within your community (exclude COVID viruses). Examples of infectious diseases can be found on the National Foundation for Infectious Diseases website.
Start with an introduction in the narrative format that briefly explains the infectious disease and why you chose the infectious disease.
After the introduction, you will insert the table from this template: “Chain of Infection”
Please single space the table; the rest of the document should be double-spaced as required for APA format.
Answer each question in the table.
After the table, you will provide a concluding paragraph that includes a self-reflection on the impact of the chosen infectious disease in your community.
Use at least three (3) scholarly references to obtain your information.
The assignment should be 3-4 pages (including the title and reference page).
Your writing assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and;
use APA 7th edition formatting and citation style.
Copy this table and insert it directly into your paper
2. Select an infectious disease from a past or recent outbreak within your community
3. Complete the table including
a. Provide detailed information for each component of the chain of infection:
i. agent;
ii. reservoir(s);
iii. portal(s) of exit;
iv. mode(s) of transmission;
v. portal(s) of entry; and 
vi. host characteristics
b. Include one preventive intervention for each component of the chain.
4. Single-space the content of the table (the rest of the paper should be double spaced)
5. Follow the other specific instructions for this assignment
Chain of Infection
Description of each Component of the Chain of Infection
Potential Interventions
or Prevention (Identify Primary, Secondary, and Tertiary Prevention)
Agent
N/A
Reservoir(s)
Portal(s) of Exit
Mode(s) of Transmission 
Portal(s) of Entry
Host Characteristics
Please use the table single-spaced and use the Infectious Disease TB in East Harlem. 

First, review the technologies presented in the Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF] Download Assessment 03 Supplement: Evidence-Based Proposal and Annotated Bib on Tech in Nursing [PDF]resource and select one of the options to use as the focus for this assessment.
Next prepare a 4–6 page paper in which you introduce your selected technology and describe at least four peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. You will conclude your paper by summarizing why you recommend a particular technology by underscoring the evidence-based resources you presented. Be sure that your paper includes all of the following elements:
Introduction to the Selected Technology Topic
What is your rationale for selecting this particular technology topic? What is interesting about it?
What research process did you employ?
Which databases did you use?
Which search terms did you use?
Note: In this section of your bibliography, you may use first-person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.
Annotation Elements
For each resource, include the full reference followed by the annotation.
Explain the focus of the research or review article you chose.
Provide a summary overview of the publication.
According to this source, what is the impact of this technology on patient safety and quality of care?
According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?
Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.
Summary of Recommendation
How would you tie together the key learnings from each of the four publications you examined?
What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.
How would you justify the implementation and use of the technology in a health care setting? This is the section where you will justify (prove) that the implementation of the
patient care technology is appropriate or not. The evidence should be cited from the literature that was noted in the annotated bibliography.
Consider the impact of the technology on the health care organization, patientcare/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.

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Instructions
·      
Develop a personal
philosophy and framework acknowledging professional and accrediting agency
competencies relating to the role and scope of practice of the family nurse
practitioner. Identify a nurse theorist that you align your current/ planned
practice and how they provide the foundation for this philosophy development.
·      
Describe the type of
educational courses and professional requirements required for APRN
professional certification and licensing within the state that you will
practice.
·      
Identify the precise
application process for your certification exam, your state regulations for
application for prescriptive authority/practice, and issues related to APRN
practice within your state.
·      
Evaluate and discuss
APRN roles and prescriptive privileges and impact on client safety and care
·      
Compare the
differences between prescriptive authority, credentialing, and clinical
privileges and how each of these impact client safety and care
·      
Evaluate the development
of the advanced practice nurse role from a global perspective.
Assignment Guidelines:
·      
1200 – 1500 word paper
(not including the cover page and references)
·      
Required APA 7th edition
for references and citations
·      
Include a minimum of 6
scholarly references (does not include text or websites) and the majority of
references must not be older than 5 years
·      
Demonstrate analysis,
evaluation and synthesis of information (see the rubric for specifics)

Healthcare systems and patients benefit from accreditation standards. Many accrediting bodies are represented in various practice settings. This activity is designed to expose you to some of the major aspects of accreditation and see how it affects quality and safety.
Explore The Joint Commission and the Commission on Accreditation of Rehabilitation Facilities (CARF) websites to understand what standards these accreditors require participants to meet. Consider:
o History and original purpose for creation
o The purpose for existence now—how has it evolved?
o Where the requirements for each agency are publicly reported
o Why public reporting of metrics is important
o How each body operates
Although we focused on CARF and The Joint Commission in this activity, there are many other accrediting bodies to consider in our practice settings:
o Accreditation Association for Ambulatory Health Care (AAAHC)
o Accreditation Commission for Health Care, Inc. (ACHC)
o American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF)
o American Osteopathic Association Healthcare Facilities Accreditation Program (AOA/HFAP)
o Center for Improvement in Healthcare Quality (CIHQ)
o Community Health Accreditation Program (CHAP)
o Det Norske Veritas Healthcare (DNV Healthcare)
Review the prompts above and summarize your notes in 525 words for future reference.

Instructions
Essay I: Genomics and Epidemiology
Read the following article:
Tang, P. & Gardy, J. L. (2014). Stopping outbreaks with real-time genomic epidemiology. Genome Medicine 6:104. doi:10.1186/s13073-014-0104-4. Retrieved from: https://genomemedicine.biomedcentral.com/articles/10.1186/s13073-014-0104-4
Part I: Health Care Delivery (2- 2.5 pages)
For the first part of the reflection analyze the content and results of this study in the context of genomic epidemiology, as it relates to the following:
Safety and quality of care for patients as a population
Improvement in healthcare delivery & outcomes
Cost savings
(Use aspects of the article & personal professional thoughts from experience and knowledge.)
Part II: Resolving another Health Care Issue (2 – 2.5 pages)
Now reflect on the integration of epidemiology and genomics in resolving another healthcare problem that you know of. Use specific examples of epidemiological and genomic concepts and practices used. How did policies affect the strategies used to resolve the problem or were new polices created?
Part III: Future Practice Role (2 – 2.5 pages) 
Describe how genomic epidemiological may apply to your chosen advanced practice (education, nurse practitioner, leadership) Be specific related to the area of practice and how you believe genomic epidemiology will change health outcomes for individuals and populations. Explore one ethical principle you will need to consider. (This should be from your own perspective) 
My area of practice is family nurse practitioner 
Other Requirements:
Utilize articles & videos posted in the Module & 2 outside sources for references, No Textbook) 
Each Part will be approximately 2 pages in length and no more than 2.5.
APA is required in all areas of the paper: title page, reference page, citations, level headings, grammar, etc. See APA Manual 7.
The majority of the reflective paper should be coming from the first person or reflection. You may use “I” in areas where you are discussing your own views, experiences, and nursing practice.
https://www.cdc.gov/nchs/data/hus/hus17.pdf

Causes of Death

https://health.gov/healthypeople
All submissions to Dropbox (papers) are required  to have a Turnitin score of LESS than 24%

I need a care plan for a pediatric patient (4YO) that is post acute appendicitis surgery
It needs to have 3 nursing Diagnoses and 3 interventions per nursing diagnoses I will
upload the rubric and instructions as well as. If you have any question please reach out