...factors need to be considered when determining whether or not identified actions are within the domain of nursing practice? One’s scope of practice is ever evolving as experience is gained working in an area of expertise. The American Nurses Associate gives a simple description when thinking about determining scope of practice it is the “who," "what," "where," "when," "why," and "how" of nursing practice. Consideration must be given to the guidelines of the Nurse Practice Act, rules/regulations/guidelines of the state in which the nurse is working, the policy and procedures of the facility in which the nurse is working, community standards of professional organizations, the nurses own educational preparation and clinical experience. Texas Board of Nursing has an algorithm to assist nurses in making a determination of an activity falls in the general scope of practice called the Six-Step Decision-Making Model for Determining Nursing Scope of Practice (TBON, 2010). Six-Step Decision-Making Model for Determining Nursing Scope of Practice 1. Is the activity consistent with the Nursing Practice Act (NPA), Board Rules, and Board Position Statements and/or Guidelines? Yes → Continue No → STOP 2. Is the activity appropriately authorized by valid order/protocol and in accordance with established policies and procedures? Yes → Continue No → STOP 3. Is the act supported by either research reported in nursing and health-related literature or in scope of practice statements by national...
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...Management | | | | 2. Project Scope Management | | | | 3. Project Time Management | | | | 4. Project Cost Management | | | | 5. Project Quality Management | | | | 6. Project Human Resource Management | | | | 7. Project Communications Management | | | | 8. Project Risk Management | | | | 9. Project Procurement Management | | | | 10. Other Matters | | | | PROJECT MANAGEMENT KNOWLEDGE AREAS Knowledge areas provide for a comprehensive checklist. PROJECT INTEGRATION MANAGEMENT A subset of project management that includes the processes required to ensure that the various elements of the project are properly coordinated. It consists of: * Project plan development—integrating and coordinating all project plans to create a consistent, coherent document. * Project plan execution—carrying out the project plan by performing the activities included therein. * Integrated change control—coordinating changes across the entire project. PROJECT SCOPE MANAGEMENT A subset of project management that includes the processes required to ensure that the project includes all the work required, and only the work required, to complete the project successfully. It consists of: * Initiation—authorizing the project or phase. * Scope planning—developing a written scope statement as the basis for future project decisions. * Scope definition—subdividing the major project...
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...four major phases, as shown in Appendix 1, namely Project Initiation, Project Planning, Project Execution and Project Closure. Each of these phases is addressed with details below. Usually a project involves various stakeholders, and they have different interests in the project. Support from stakeholders is usually important for achieving project success and stakeholder satisfaction is usually an important criteria for defining project success (Zambruski, 2008). Project Orion involves various project stakeholders, who are identified in Appendix 3. Their interests and impacts of key stakeholders are also identified so as to make the project a success, and proper measures are proposed for managing them, as shown in Appendix 3. 1.3.4. Determining project...
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...development framework, which should be considered when determining the actions of nursing practice. These five domains are clinical skills and knowledge, therapeutic relationships, professional relationships, professional development and the advancing practice through innovation and research (UMHS). As nurses it is our responsibility to know our scope of practice in our home state and any state we practice in. Also, we must continue to educate ourselves in our profession as health care continues to change and stay current with the professional development framework of nursing. As an agency nurse and working in different states it is emperative to know the scope of practice. Even though hospitals have their own policy and procedures, it is always best to refer to scope of nursing practice for that state. I have found in my travels that more times than not, I was asked or told it was okay to perform a practice outside of my scope. Employers as well are responsible for providing nursing with policy and procedures, orientating nursing adequately to ensure the nurse understands her role and responsibilities and given the resources to maintain the ability to provide safe patient care. (CRNM). It is the framework of the domains that guides nurses to keep on the path of continuum care and also up to date on technology and education. Ultimately, it is the responsibility of the nurse to determine what is within the nursing practice based on the scope of practice, standard of practice, nurse practice...
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...yourself “is this task or procedure in my scope of practice”? Nurses are responsible and accountable for the quality nursing care. If a procedure has fallen beyond the nurse’s scope of practice, we would meet the MD and find out the reason why they would want nurses to implement the procedure. I would look into my board of nursing practice act and the policy and procedure of my facility. There is a 6 step decision- making model for determining the nursing scope of practice in the Texas Board of Nursing. “This decision-making flowchart was developed by the Texas Board of Nursing staff to assist nurses in making good professional judgments about nursing tasks or procedures”,(Texas Nursing Practice Act). I think this is a perfect model to use when investigating a procedure or a task. If you find “YES” to the answers for all 6 questions, you can continue the task or procedure but; any of those answers are “NO” you have to stop and go through the chain of command to make a good decision. “Change is inherent in nursing practice. However the nurse must take lead in the development of any new roles or procedures” (Trim, 2009). So, I would take leadership to bring this issue in front of the risk management and higher authorities. I will make sure all the nurses get enough education and arrange practice sections and competency skill check-off before they implement. Reference: Six-Step Decision-Making Model for Determining Nursing Scope of Practice, Retrieved on 26, Oct. 2013...
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...As a nurse, a huge part of being strong in our profession is knowing what the scope of practice is for nurses. It is important for nurses to know what standards are and where to look to find out what is in scope and out of scope. Another part of nursing is learning new things and new ways to improve our efficiency and care to our patients. When a physician comes to nursing with a new procedure or idea it is our job as nurses to research and trial it to find the best approach within our scope of practice. Determining the scope of practice for nurses is important. Each state regulates health professionals by their state government. As in Michigan, there is a conciliated practice to regulate health professionals and set up safe boundaries. Also hospitals have standards in their departments which nurses must follow. For example we are not allowed to push certain meds for sedation. Following these standards and guidelines keep us in our scope of practice and protect our license. Once the physician has discussed the new procedure with me, I would ask questions and clarify. Getting as much information I can to form a plan and evaluate if the procedure is safe for me to do as a nurse and if it is in my patient’s best interest. After researching what our hospital currently does and asking questions to co-workers and physicians, I discovered that I would need help in order to get this procedure approved and carried out. The nursing supervisor and nursing education...
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...16117433 Ezekiel’s Project Charter Project: Individual Assignment Date 20/9/2015 Scope Overview The scope of my project will outline the coverage of the IT infrastructure for the location of which I have decided to hold this conference, Curtin Stadium. To ensure that the venue is properly setup for the distinguished guest, I must correctly plan, allocate and design a layout so that the IT infrastructure in the building is fully setup and ready to go on the day. To ensure that Curtin Stadium can host: * 1000 Attendees * Business Case The purpose of this project is to ensure that every aspect of the IT infrastructure within the Curtin Stadium is setup correctly in order for the function to commence without any faults. Background (optional) Milestone Schedule and Deliverables Milestone | Completion Date | Stakeholder Judge | Acceptance Criteria | Project Requirements Approved | June 2 | Curtin | Sign off from Stakeholders | Agree on Audio/Visual Equipment | | ICT Curtin | Contract with Hardware vendor | Hardware acquired | | ICT CurtinContract Audio/Visual partners to install | Contract with Hardware Vendor | Software Acquired | | | | Implementing the new Hardware and Slo | | | | Determining Location of the Event, Determining IT staff, Determining Marketing crew for the event, Determining audio visual Installation staff, | | | | To Ensure success in the event | June 5 | | | * Select Project Team members | * | * Project...
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...When we investigate a new procedure we must approach it systematically. It is very important that it falls under the nursing scope of practice by following the ANA standards of practice, the rights and safety of patients and the outcome of the procedure as in how much it is useful for the patients. I would adopt the six step decision making model for determining nursing scope of practice acknowledged by the ANA, professional standards of practice. There are six steps to determining safe practice and each step takes you to the next step if the answer is yes to each of the question answered. The final step will help me determine if the procedure should be conducted or not. These are the questions to answer. Is the procedure consistent with NPA? Is the procedure appropriately authorized? Is the procedure supported by research? Do you possess the knowledge and competency required? Is the setting reasonable to perform these procedures? Are you prepared to assume accountability for provision of safe care? The patient rights and safety should be another concern. I would give extreme importance for patient rights, Patients should be participated in their care. Patient should have the right to stop the procedure anytime if they ever changed their mind. Pain control should be another priority, pain medicines should be given according patient need and adverse reactions should be carefully monitored. For patient safety, environment is a primary concern. The environment...
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...of their actions. Most guidelines are found in the policy and procedure handbook on your job. These actions are usually within the scope of the “nurse practice act” and “board of nursing”. Most questions are focused on safety. Safety depends on the nurse’s knowledge, training, and skills. A nurse has a duty of obligation to her patients and to herself. She has to protect her license and integrity as a nurse and deliver competent and knowledgeable services to her clients. One rule of the RN is to delegate duties to other registered nurses and licensed practical nurses and nursing assistants. Many times the nurse questions if the assignment is within the scope of practice, especially delegating activities to the nursing assistant. (Kathleen R. Weinberg, n.d.) According to (DL, 1994), the purpose of nursing center influenced the scope of practice in nursing in different areas. These areas are, how nursing affects the faculty, the community, or specialty in nursing practice. The nurse managed center “requires high quality nursing services, public and community support, healthy relationships with other health care providers, and documentation of patient’s outcome through the nursing managed center based on nursing research”. (DL, 1994) The American nursing association describes how nurses should think when deciding what factors are within the scope of practice. Questions to be asked are “who”, “where”, “why”, “what” and “how” of nursing. The guidelines are embodied in the nurse...
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...company that analysis the current infrastructure of data must be gone over and options to change the current system. First there needs to be information gathering techniques and systems analysis tools that will assist in sorting out certain key documents. Working with cases, process models and data models the purpose of this phase of development is to create a system proposal outlining the requirements and a work plan. How to gather this information is going to be split up amongst system documentation, interviews, questionnaire’s, and work based observation. Making sure that these information gathering techniques are collecting the required information on the project is vital. Last going over project scope and why it is important that a common understanding of the project scope is important among stakeholders. Looking at all of these topics will educate on proper analysis of a project. It is important to begin with information gathering techniques and the ways this will need to be gathered. An important part of the data that can be gathered is Data Flow Diagrams. “DFD is a technique that diagrams the business processes and the data that pass among them.” (Systems 153) It is important that this data reflect the processes or activities performed by the current system. For example, information on the current network diagram show how the different locations use the hardware and how the data is stored on a network. Collection of data will be important to look like this diagram...
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...Riordan Service Request Section One BSA/375 XXJanuary XXXX Riordan Service Request Section One The Chief Operating Officer (COO) of Riordan Manufacturing has input a request, asking the IT department to integrating the information system in the Human Resources department (HR). This request is to take advantage of more sophisticated information system technology and integrate it into the HR departments in the different Riordan Manufacturing locations. This service request will highlight several topics. The main topics that will be discussed are, who are the company’s stakeholders that information will be gathered from for requirements. What type of information-gathering techniques and systems analysis tools are to be used and or proposed to aid in the completion of the project request. Key Stakeholders Mr. Hugh McCauley the COO initiated the service request and he should be the first individual to ask and gather information about his idea of the service request and of what he is looking for about what system requirements for a new Information System for HR. The Director of Human Resources, who is Yvonne McMillan should also be interviewed for her requirements and how does she see what is needed for connectivity to all other business locations using a new Information System. Asking any and all employees who use the current system the company has and what improvements can be done. All of these individuals information is a way of gathering information for this...
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...LeaseMed’s operations is designed to pass to equity holders per their ownership interest. • Both parent companies have determined that substantially all of the activities of the joint venture do not involve or are not conducted on behalf of either company. • All of LeaseMed’s equity meets the definition of “equity at risk”. • LeaseMed has not been able to issue investment grade debt. • LeaseMed’s expected losses exceed $1,000,000. The information above was provided to afford any germane party the substantiation on which our conclusions were made. The remainder of this text will outline the issues of the given case, our responses and the evidence to support our suppositions. Issue I: Can either venturer qualify for the business scope exception, which...
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...Estate was developed by the International Financial Reporting Interpretations Committee and issued by the International Accounting Standards Board in July 2008. Its effective date is 1 January 2009. © IFRS Foundation A1129 IFRIC 15 CONTENTS paragraphs IFRIC INTERPRETATION 15 AGREEMENTS FOR THE CONSTRUCTION OF REAL ESTATE REFERENCES BACKGROUND SCOPE ISSUES CONSENSUS Determining whether the agreement is within the scope of IAS 11 or IAS 18 Accounting for revenue from the construction of real estate Disclosures AMENDMENT TO THE ILLUSTRATIVE EXAMPLES ACCOMPANYING IAS 18 EFFECTIVE DATE AND TRANSITION 1–3 4–5 6 7–21 10–12 13–19 20–21 22–23 24–25 FOR THE ACCOMPANYING DOCUMENTS LISTED BELOW, SEE PART B OF THIS EDITION INFORMATION NOTE Analysis of a single agreement for the construction of real estate ILLUSTRATIVE EXAMPLES BASIS FOR CONCLUSIONS A1130 © IFRS Foundation IFRIC 15 IFRIC Interpretation 15 Agreements for the Construction of Real Estate (IFRIC 15) is set out in paragraphs 1–25. IFRIC 15 is accompanied by an information note, illustrative examples and a Basis for Conclusions. The scope and authority of Interpretations are set out in paragraphs 2 and 7–16 of the Preface to International Financial Reporting Standards. © IFRS Foundation A1131 IFRIC 15 IFRIC Interpretation 15 Agreements for the Construction of Real Estate References • • • • • • • IAS 1 Presentation of Financial Statements (as revised in 2007) IAS 8 Accounting Policies...
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...Reggie Thurman. Project 1 IS3110 Mr. Rivers October 19, 2013 Project 1 Part 1: Risk Mgmt. Plan 1. Introduction Risk Mgmt. Plan Well for starters the purpose of this risk management for DLIS (Defense Logistics Information Service) plan will be similar to the purpose of any organization would be and that would be how to better protect and secure the company’s IT environment. The importance of this is major since there is all kind of important data that is on and transmitted throughout our networks on a daily basis. DLIS we must ensure that we implement all necessary preventative security measures as well as policies and procedures. We must do this by first of all ensuring that we have really good antivirus software installed on all of our systems and ensuring that it is always up to date. The next thing is extensively configuring our firewalls making it more difficult for our networks to be hacked. Another thing is data encryption which is very vital in securing all important data for our company and clients especially when we are performing data transmission over the networks. The last thing I want to mention which will be part of policies and procedure is implementing various password and logon policies and procedures for security purposes as well. As I stated the purpose of the development of this plan is to reduce the risk of threats and vulnerabilities on our networks. This is vital because threats and vulnerabilities definitely present risk(s) to any...
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...management and risk and change management. I believe that the most important skill that a project manager must possess is leadership. I think that with the right team, the PM can get assistance on the interpersonal and technical aspects of the project. However without the proper leadership, even the best team will ultimately fail, or at least have many difficulties. Also, many of the activities that a project manager must do are leader/management based. 4. Describe the activities performed by the project manager during project planning. The activities performed by a project manager during project planning are: describing the project scope, feasibility and alternatives, dividing the project into manageable tasks, estimating resources and creating a resource plan, developing a preliminary schedule, developing a communication plan, determining project standards and processes,...
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