...School of Law Master in Jurisprudence in Health Law Dr. Blauhard's story… The Chief of Vascular surgery, Dr. Blauhard,, strode confidently down the central corridor of the operating theaters. Passing the open heart surgery rooms and the new hybrid theater he knew that his patient would be going to sleep in room 12, his room. The patient was lucky to have him as her surgeon. He had been vice-chairman of vascular surgery at a major university and had published extensively in his chosen field. He was viewed as a star. But he was not respected or revered or even liked by the staff at his new hospital. In fact, his behavior at the new hospital had been outrageous. He yelled. He criticized. He threw instruments. He humiliated nurses and technicians and even environmental services workers. He was insufferable to work with and for. So as he pushed through the doors into operating room 12 a sudden quiet fell and bodies tensed. The patient, scheduled for a popliteal aneurysm repair was fast asleep and intubated, sleeping deeply inhaling the agents that allowed the surgeons to invade and repair. The aneurysm pulsed quietly in the right leg, awaiting repair. The right leg was clearly marked across the front of the knee. But prior to prepping, the patient was rolled from the supine position into the prone position, effectively shifting the right leg to the left side of the operating table. As such, and with no one saying anything, the left leg was prepped and draped...
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...COLLABORATIVE BACHELOR OF SCIENCE IN NURSING PROGRAM (University of Windsor, Lambton College, St. Clair College – Windsor & Thames) Health Assessment NRS 63-166 Fall 2011 Site: St Clair College, Thames Campus Teaching Faculty Linda O’Halloran Phone: 519-354-9714 Ext. 3233 E-mail: lohalloran@stclaircollege.ca Office Hours: Monday’s 1100 – 1200, Tuesday’s 1000 - 1600 or by appointment Course Location Room 118 Course Times: Monday’s 1200 – 1400 – lecture Labs: weekly- either Monday or Tuesday as per your schedule Lab Teaching Instructor Maureen Eyres Andrea Reddam Vanessa Schinkel ©Collaborative BScN Program 2010 ALL RIGHTS RESERVED INTRODUCTION TO COLLABORATIVE BScN PROGRAM Mission Statement As partners, the Faculty of Nursing at the University of Windsor with St. Clair College (Windsor and Thames Campuses) and Lambton College (Sarnia) undertake the shared commitment to excellence in the preparation of Bachelor of Science in Nursing (BScN) candidates who embody our core values and the best elements of the art and science of nursing, education, leadership, research, and practice in their professional journeys. Vision EXCELLENCE in nursing education, practice, and research. Core Values ...
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...material can be used in scenario preparation. You will find preparation documentation that includes course and student learning outcomes as well as general scenario information and resources. A brief patient history will be provided in addition to the most recent physician orders. Be prepared to document your assessment findings, administration of medication, and nursing notes. A medication administration record, laboratory results and patient education material will be provided for you during the simulated experience. One of the most important aspects of simulation is the assessment of performance and debriefing. Keep in mind that the purpose of participation is to enhance your learning and allow you to identify areas of needed remediation. There is no high-stakes testing. We are only asking that you engage in the learning experience and begin to use the feedback provided to enhance your practice. We want you to be able to self-reflect on your actions and interventions and remediate areas that you identify. An assessment matrix has been created that will be used to evaluate your assigned teams’ performance. The PREPARED™ Assessment Tool was developed to provide a comprehensive mechanism for evaluating expected behaviors that contribute to advanced critical thinking and decision-making. The tool is simple to use and will be shared by the faculty during the debriefing period. It facilitates a very organized and focused approach to...
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...Tracer Patient Audit AFT2 Accreditation Audit October 10th, 2014 Tracer Patient Audit With an audit by the Joint Commission (JC) in the near future, Nightingale Community Hospital (NCH) is performing a tracer patient survey to measure our compliance and identify issues that are in need of remediation. The practice of this type of survey tracks a patient’s care for the duration of their stay starting from the admission process and ending when they are discharged. This system allows us to assess our strengths and weaknesses concerning policy, procedures, and systems in place to provide quality care in conjunction with the standards set forth by the JC. Summary of Tracer Patient Audit Findings This particular survey was conducted concerning a patient that is a 67 year old female, presenting with fever and drainage approximately 5 weeks after an open hysterectomy. The tracer patient was subsequently admitted for a possible postoperative infection. The tracer patient then endured another surgery to treat the infection that started after the original surgery. The patient also received a central line which is used to administer long-term antibiotics. NCH is arranging to discharge the patient to go home with home health, with the aid of her husband, to help administer her antibiotic therapy after discharge. The audit of this particular patient’s care revealed areas that present an opportunity for correction and improvement. Specifically, the patient...
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...A Probabilistic Estimation of Passing the Licensure Examination for Accountant Adrian Tamayo, PhD Research and Publication Center University of Mindanao Esterlina Gevera Dean, College of Accounting Education University of Mindanao Lord Eddie Aguilar Faculty, College of Accounting Education University of Mindanao Abstract The paper employed a simulation model to determine probability of passing the CPA licensure exam. The predictor variables of the study were GPA, pre-review grade, and the subject clusters of the exam. The study covered periods 2007-2011. It was noted that the performance of the Accounting Education for the period covered was found to be impressive. Pre-review and the GPA have high statistical influence in passing the board exam. The threshold GPA is 2.2 while 2.4 for the prereview. Of the subject clusters in the board exam, accounting problems have the highest impact in the actual board score followed by theory of accounts, management services, practical accounting problems 2, practical accounting problems 1 and the least yet still bear impact is the business law and taxation. The collegiate validation exam used as indicator of readiness showed statistical association with the actual exam. A simulated model revealed that the scores of management and services, auditing problems, audit theory, business law and taxation and accounting problems 1 have strong board outcome effects. The theory of accounts and accounting problems 2 showed no statistical significance...
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...Testing Propositions from Other Disciplines as They Relate to Nursing Studies using the theory’s propositions have focused on a wide variety topics and populations (Coward, 1996). As previously mentioned, mental health issues (Nygren et al., 2005), concerns about the aging (Flood, 2006), palliative care questions (Hunnibell et al., 2010), as well as the terminally ill (Enyert & Burman, 1999) have been studied extensively. Family members and caregivers, in addition to nurses, have been considered in this approach (Kim et al., 2014). Self-transcendence has been enhanced through activities such as journaling, meditation, life review, and creating artwork or literature (Coward, 2013). Completion of a living will (Decker & Reed, 2005), support group...
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...Clinical Documentation System Excelsior College October 6, 2013 Clinical Documentation System Clinical information system (CIS) collects patient data in real time, stores healthcare data and information using secure access to the healthcare team. (McGonigle & Garver Mastrian, 2012, p. 554). The CIS that is used at Texas Health Dallas is CareConnect. CareConnect is used by all of the Texas Health Resources (THR) encompassing 25 hospitals, affiliated physician offices, and ancillary facilities. CareConnect allows physicians and management to access the system on their mobile devices and home computer for real time data. The shift for CIS is set for implementation throughout the United States by 2015. The clients served are those in the community that THR provides healthcare services to. The electronic health record is shared amongst the healthcare team and other affiliates. Data collection can be continuously updated, used for “statistical evaluation for purposes of quality improvement, outcome reporting, resource management, and public health surveillance.”(Yamada, 2008, p. 5). Data collection is generally initiated in the ER, and other times when the patient is at the physician's office or in the outpatient service line. To reference inpatient services, data collection begins in the ER. The patient's allergies, current medications, medical history, vital signs, immunizations, suicide screening and domestic violence screening are all obtained...
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...There are many agents that may be used for bioterrorist attacks. We as nurses strive to always be prepared for the worst. Treating patients after a terrorist attack requires preparation also. The CDC has classified Anthrax as a high priority, Category A weapon due to its widespread infection area, high mortality rates, epidemic potential and the special preparedness it requires (Goel Ajay, 2015). Anthrax is an infectious disease caused by gram-positive, rod-shaped bacteria known as Bacillus anthracis. Anthrax is often found naturally in soil and commonly affects domestic and wild animals around the world (CDC, 2015). Biological agents are often chosen for bioterrorism because they are easy to obtain and inexpensive. Also the spores have high...
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...Kristina Davila Remediation Assignment/Case Study (Mr.Thomas) 1. HIV can be transmitted from an infected person to another through blood (including menstrual blood), semen, vaginal secretions and/or breast milk. The mode of transmission can be unprotected sexual contact, direct blood contact, including injection drug needles, blood transfusions, accidents in health care settings or certain blood products, and/or mother to baby (before or during birth, or through breast milk). It is not transmitted by saliva, tears, sweat, feces and/or urine. Mr. Thomas can prevent the transmission to his wife or others by either abstaining from sex or wearing a condom. 2. HIV is the name of the virus which infects our immune system and damages it severely over a period of time. Over time, HIV disease infects and kills white blood cells called CD4 lymphocytes (or “T cells”) and can leave the body unable to fight off certain kinds of infections and cancers. When the CD4 count drops below 200, a person's immune system is severely weakened, and that person is then diagnosed with AIDS, even if he or she has not become sick from other infections. 3. The ethical dilemmas in this case are that first, Mr. Thomas had an affair and never told his wife. This affair happened 3 years ago, and he could have infected his wife by not protecting himself. Another dilemma is that he does not want his wife to know he is HIV positive unless she herself begins to present symptoms. 4. The health...
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...CURRICULUM REVISION A CONCEPTUAL MODEL to Support Curriculum Review, Revision, and Design in an Associate Degree Nursing Program B E T T Y W. D AV I S P A R T I C I PAT I O N IN CURRICULUM DESIGN of program outcomes has been identified as a core competency for nurse educators A N D E VA L UAT I O N (Billings & Halstead, 2009; Southern Regional Education Board, 2002). Facing declining NCLEX-RN® pass rates, faculty at an associate degree nursing program at a public community college in Mississippi responded to the National League for Nursing ([NLN] 2005b) call to transform nursing education by undertaking an intensive critique of its curriculum and program outcomes. Based on this analysis, a conceptual framework was created to guide curriculum revision, development, and implementation. The framework provides structure for ongoing and systematic curriculum review and revision. A review of the literature revealed the need to move from a teaching-centered to a learning-centered approach to teaching. Learning-centered institutional design is reflective of a number of principles: the need to bring about substantive change in participants; the full engagement of learners and the mindset that students bear primary responsibility for personal choices; multiple learning options to appeal to students’ preferred learning styles; the enhancement of collaboration; educators as learning facilitators; and measurement of success through the documented improvement...
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...Lifespan Development Name Institution Course Date Lifespan Development Lifespan development is a wide field in the field of psychology. It all began with Darwin, who, in his quest to understand evolution, began to study the topic. In simple terms, lifespan development refers to a process, usually beginning from conception and ending when an organism dies. The process occurs methodologically and is as a result of the change that occurs with increasing age. Although the lifespan development may look simple, it is quite complex and involves different developmental stages. According to Baltes, (1996), the entire life cycle has four eras. These eras, he says, take an approximate time of 20-25 years. Levinson goes further to identify the developmental periods as childhood and adolescence, early childhood, middle adulthood, and late adulthood. At this point in time, it is formal to simplify various terminologies that relation to human development. This is because they will feature constantly in the preceding sections. First and foremost is development. This is simply a change characterized by movement from one state to another. Usually, development leads to transitions. Development, as will be used in this paper, will refer to growth, and progression through certain stages, commonly termed as “maturity.” Another term of significance is stage. This refers to sections that differentiate the various phases of growth. The phases involve...
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...Christine Mueller, PhD, RN, FAAN, and Amy Vogelsmeier, PhD, RN The obligation to provide safe, quality care creates challenges and concerns when registered nurses (RNs) delegate duties to unlicensed assistive personnel. These challenges and concerns are magnified in today’s health care environment of shrinking resources; patients with complex, chronic conditions; health care settings with high patient acuity rates; and the use of sophisticated technology. To make safe, effective delegation decisions, RNs must understand the responsibility, authority, and accountability related to delegation. Delegation decisions must be based on the fundamental principle of public protection. This article describes effective delegation by presenting the factors affecting delegation, explaining when and what an RN can delegate, and describing the delegation process. Learning Objectives ⦁ ⦁ ⦁ Identify three factors that affect delegation. Discuss what registered nurses can and cannot delegate. Explain the steps of the delegation process. N ursing’s Social Policy Statement (American Nurses Association [ANA], 2010), the Code of Ethics for Nurses with Interpretive Statements (ANA, 2001), and individual state nurse practice acts (NPAs) underscore the responsibility, authority, and accountability of registered nurses (RNs) for their nursing practice. The RN’s obligation to provide safe, quality care creates distinct challenges when delegating care to unlicensed assistive...
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...The Use of Music Therapy on Stroke Victims When normal blood flow to the brain fails, a stroke occurs, there are more than 780,000 strokes every year in the United States causing more serious long-term disabilities than any other disease that number is expected to increase in the coming years. (Know Stroke). While preventing strokes is obviously a goal, the development of successful rehabilitation strategies is equally important. Music therapy has shown promise as a way to help stroke victims recover a variety of lost functionality. In this paper I will be describing the beneficial effects that music has on stroke victims. There are two main types of stroke ischemic and hemorrhagic. Ischemic stroke occurs when blood vessels are blocked, usually by a clot. This accounts for four in five strokes. Hemorrhagic stroke is caused by a broken or leaking blood vessel in the brain (NIH). The effects of a stroke vary by its type, severity and location within the brain. A stroke may affect only one side of the body or part of one side. It can cause cognitive deficits, muscle weakness or paralysis. A stroke in the right half of the brain can cause visuospatial issues, impaired judgment and behavior, along with short-term memory loss. A stroke in the left half of the brain can cause speech and language problems, slow and cautious behavior, as well as memory problems. A stroke in the cerebellum can cause abnormal reflexes, balance problems, and dizziness, nausea, or vomiting (Office on...
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...(School Physical Plant and Facilities Management) GRPE311 A COMPARATIVE ANALYSIS ON SCHOOL PHYSICAL PLANT AND FACILITIES (Manila Cathedral School and San Rafael Parochial School) Introduction The school site must be suitable and adequate for its activities. School buildings are designed and constructed in conformity with the provisions of the Building Code. Facilities are appropriate and adequate to implement the philosophy, vision, mission, goals and objectives, and activities of the school. The physical environment, facilities and equipment support teaching and learning in all curricular offerings, delivery of services as well as optimal student development and achievement. School facilities are safe, clean, and well maintained for all faculty and students engaged in them. The school site and facilities are regularly inspected for effective operation and meet all applicable laws including health and safety code requirements. (DepEd ESC Re-certification Assessment Instrument PEAC-FAPE Secretariat 2010) In the first part of this analysis, the focus will be in more general terms of the school’s physical environment (plant and facilities) as shown in the succeeding tables, the format and the survey instrument will be a modification of the ESC School (Re-) Certification process tool basically designed to assess the extent of compliance with the DepEd Minimum Quality Standards as well as to evaluate the school’s characteristics, its qualitative...
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...8 Management Services Spring 2012 Efficiency nformation 5S By Dan Markovitz. llison is an anaesthesiologist at a major hospital in New York. Real estate prices being what they are in the country's most expensive city, her office is only slightly bigger than a broom closet. Every horizontal surface of Allison's office (except for her chair) is covered - no, buried - in paper: printed-out emails, regular mail, departmental memos, receipts from the last conference she attended, a decade's worth of professional journals...well, you get the idea. The place is a monument to the paper products industry. Now, given that Allison does her clinical work in the operating room and doesn't see patients in her office, you might think that the mess is without consequence. After all, it only affects her, not the surgeons or the patients. Moreover, it only interferes with the administrative aspects of her job, not critical patient care issues. But you'd be wrong. Allison's hospital is also a teaching hospital, which means that she's expected to write grants to bring in funds for academic research and she's supposed to publish her findings. Want to guess how many A papers Allison has published in the past two years? Zero. She justifies her lack of academic productivity by explaining that her clinical responsibilities are so onerous that she has no time to find available grants and apply for them. To be fair, she does work a long day...
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