...Manager position on the sub- acute unit of the Alaris Health is Nursing Home and Rehabilitation Center. The purpose of this memo is to provide the Nursing Administration department the necessary information to be communicated with the incumbent Nurse Manager. The Alaris Health is a 222-bed facility providing long term care to senior citizens, sub-acute services such as intravenous therapy, diabetic teaching, pain management, wound care, and comprehensive rehabilitation services to the patients recovering from surgery. The Alaris Health at is dedicated to our patients and embraces innovative nursing methods based on evidence in practice to improve the health care we provide. We believe in self-governance in our nursing staff. The Alaris Health nursing administration supports self-governance to foster excellence in nursing professionalism. The nursing administration includes a Director of Nursing, Chief Medical Officer, Assistant Director of Nursing, and an Administrator. The Director of Nursing Services serves as a guidance-mentor and provides support as needed to ensure accountability of nursing professionalism. We recognize all our nursing staff as key members to our success for improving patient outcomes. As a potential candidate for the position of Nurse Manager, the position includes focusing on sophisticated planning of care for patients in the sub-acute unit. The Nurse Manager along with our nursing teams promote staff preceptor-ships, and mentoring...
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...The Impact of the Institute of Medicine (IOM) Report Alexandrea Waytes Grand Canyon University September 21,2014 Author Notes Research paper for Professional Development of Nursing Professionals, NUR 430, Misty Stone (Instructor) In 2008, The Robert Wood Johnson Foundation (RWJF) and the IOM launched a two-year initiative to respond to the need to assess and transform the nursing profession. A report from the IOM (2010), entitled The Future of Nursing: Leading Change, Advancing Health, recommended transformational changes in nursing education and practice, which position nurses to be a strong influence in shaping healthcare delivery systems, healthcare policy, and overall healthcare practices in the future. The committee developed four key messages. IOM report stated nurses should practice to the full extent of their education and training. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States. Effective workforce planning and policy making require better data collection and information infrastructure. A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well- positioned to lead change...
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...Health Sciences Division of Nursing CRITIGUE OF PROFESSIONAL VALUES The researchers were trying to address the professional values of RN-BSN students in completion of their education. The authors clearly stated the problem throughout the research study. The problem is very important and impacts the nursing practice today. The article explains how the RN-BSN professional values are being perceived in nursing practice today. The continuation education on professional values must be continued after BSN completion. The importance is necessary for nurses to continue with instilling the professional values throughout their career. This article is easily researched on line and anyone can access it for reading purposes. The purpose of the research was to explain few questions about the differences in the perception of professional values correspond with nurses who are currently practicing. If the differences do exist, the question would be are the differences related to educational background or other factors professional values. The purpose of the study is explained clearly throughout the article and background information was provided by the authors from previous similar studies which supported their conclusions. They research concept of the Professional Values: The Case for RN-BSN Completion Educations was conceptually defined in the study report. The purpose was stated in the discussion of the article because the focus...
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...Nancy Drew Grand Canyon University: NRS-430V | Nursing History, Theories, and Conceptual Model August 11, 2013 One may ask themselves a couple of questions when determining if one really needs to go back to school to obtain a higher level of nursing education. What’s the big deal having a baccalaureate-degree (BSN) in nursing versus having an Associate-degree (ADN) in nursing? Why go to school for four years and sit for the same National Council Licensure Examination (NCLEX) that an ADN must pass for his/her licensure that a BSN must to take as well? Taking the NCLEX-RN is a capstone experience to your studies. Passing demonstrates your competence so you can launch your nursing career (NCLEX, n.d.). Today, nurses asks these same questions. In October 2010 there was a report issued titled, “The Future of Nursing.” ((AACN), n.d.) This report had gathered evidenced-based information and recommendations for the need of BSN’s to increase by 80%. This expert committee has done their research. The report also states “to respond to the demands of an evolving health care system and meet the challenging needs of patients, nurses must achieve higher levels of education.” Registered Nurses (RN’s) should change their educational status from ASN to BSN to remain in the competitive healthcare requirements. Our generations are growing older. Patients are being admitted to hospitals with increased co-morbities. Patients are coming to see their Primary care provider with...
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...The Impact of the 2010 IOM report on the future of Nursing. Nurses are in the front line of patient’s care but are faced with various barriers which prevent them from being able to meet the demand and advancing health care system, to be able to overcome these barriers in 2008, the Robert Wood Johnson Foundation (RWJF) and the Institute of medicine (IOM) launched a two-year initiative to respond to the need to assess and transform the nursing profession and its future. In response, some recommendations were made in the IOM report which will impact nursing and its future by transforming its education, practice and our role as a leader. The impact on nursing education: Our patients are depending on us for quality care, believing that we are qualified enough and have a better understanding of what we do for them. This is why progressively acquiring knowledge through research, education and evidence-based practice is important to the profession. According to the report, “the primary goals of nursing education remain the same: nurses must be prepared to meet diverse patient’s needs, function as leaders and advance science that benefits patients and the capacity of health professionals to deliver safe and quality patient care”. Science and technology are advancing daily not only in healthcare but in all profession, that is why nurses must not settle for mediocrity, we are to advance from ADN to BSN to MSN and ultimately a doctoral degree if possible, this will help advance...
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...For example, if you have a nurse that will be going to your home after discharge for home health, you can go to the board of nursing website and verify their license and any complaints. It is also helpful for employment for quick verification access. This assignment has made an influenced my nursing career. First, it had taught me the importance of the Nurse Practice Act and scope of practice. This website is like a bible to your nursing career. These rules and regulations are in place for the safety of the public. Choosing a nursing degree, you are responsible for the public and It has inspired me to be a better nursing student and future nurse. When you become a nurse, you also become an advocate for your patient. Your number one priority is the safety of your patient. If I see another co-worker abusing a patient, my responsibility is to report it. If I don’t, I am not protecting the public of harm. It is also mandatory to report all complaints. Failure to report a nurse or certificate holder who may be a risk to patient/public safety is a violation of the nurse practice act. Per A.A.C. R4-19-403 (10 and 11) (SBON,...
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...units | SubQ / QHS | Mirtazapine (Remeron) / Major Depressive Disorder | 7.5 mg | PO / QHS | Mycophenolate (Cellcept) / Renal Transplant Rejection | 260 mg | PO / BID | Pantoprazole (Protonix) / Esophagitis | 40 mg | Inj / Q12 Hours | Prednisone / Renal Transplant Rejection , Cerebral Edema | 5 mg | PO / QD with breakfast | Quetiapine (Seroquel) / Major Depressive Disorder, Bipolar | 25 mg | PO / QHS | Sodium Chloride .9% / Hyponatremia | 10 ml | IV / Q8 Hours | Tacrolimus (Prograf) / Transplant Rejection | 1 mg | Sublingual / BID | Valganciclovir (Valcyte) / Cytomegalovirus Infection | 450 mg | PO / TIW | | | | Nursing Diagnosis I: Impaired tissue integrity related to transplant surgery as evidenced by surgical lesions and sutures. Nursing Diagnosis II: Risk for complications of electrolyte imbalances related to post-transplant status. Nursing Diagnosis III: Risk for...
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...Nursing ethics and law Name Institution’s name The case scenario involving Jazi, a patient admitted in ICU, depicts a number of both legal and ethical issues. The fact that Jazi was not involved in the decision making process regarding his treatment option has resulted to professional and moral questions on whether it was right or wrong. Inherently, this paper identifies the ethical and legal issues that results from the actions of the nurses, and the doctor with regard to Jazi condition. Legal issues Legal Issues | Facts supporting / refuting | Further information which needs consideration | * NFR directive | * Nurses should have worked on the verbal order | * Why did the nurses not follow up with the doctor on the NFR directive? | * Decision making process involvement | * The nurses did not involve the patient in decision making process (Matt, 2012). | * Why did the nurses continued with their duty despite their knowledge of the mistake? | * Negligence | * The nurses owed the Jazi duty of care, | * Why did the nurses not follow up with the doctor on the NFR directive and provide the required care? | Ethical issues Principle | Explanation | Independence | The scenario reveals Jazi's autonomy breached since he was not involved in the decision making process regarding his treatment options (Ghaye, Gillespie & Lillyman, 2000). | Moral duty | The nurses have the moral duty to ensure the well being of the patient, and so they...
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...is time for nursing to step up and mandate that the bachelor’s degree is the minimum requirement. It is essential in today’s challenging times that nurses understand the why and not accept the notion that this is how it has been done before, so this must be the acceptable. Only through furthering our education and the understanding of evidenced based nursing will today’s nurses be able to meet the ever changing needs in this complex society. Quality nursing care relies on education. The Associate Degree Nurse (ADN ) completes one to two years of general education with two years of clinical practice. Nurses are taking on more patients with less resources, are facing more complex illnesses, and using more technical equipment. Research has shown “lower mortality rates, fewer medication errors and positive outcomes are all linked to nurses prepared at the baccalaureate and graduate degree levels.” (Rosseter, 2011, Rosenberg & Pfeifer, p18). According to the American Association of Colleges of Nursing (2011) “Studies have shown that graduates from an entry level nursing program may pass the NCLEX exam but that does not mean they are prepared for practice. The NCLEX does not test the difference between graduates of different programs, measure for performance, or test for the knowledge of a bachelor’s prepared nurse.” The works of Florence Nightingale is taught in the two year program, however there are others that have contributed as much as she did in nursing practice, that...
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...The idea of the Great Mother is present in several creation stories. In India, Mata Devi squeezed milk from her "ample breasts" to feed all of mankind. In Assyria and Polynesia, the Great Mother birthed only one egg from which all mankind originated. In Babylon, Ishtar gave birth from her "cosmic uterus" which is drawn out in the stars, where as Gaea, in Rome, emerged from the "primal vagina." And in Greece, "Mother Earth" formerly became Eleusis, who gave birth to a sheath of corn every year, associating women and fertility with crop and harvesting. Aside from the power of fertility, the goddess also had the power of death. If the Great Mother could bring man into the world, it seemed feasible enough that she could take him out. In mythologies, goddesses rounded up the dead "like a sheepdog" (Miles) Rosalind Miles, The Women's History of the World.1989. Florence Nightingale, the daughter of the wealthy landowner, William Nightingale of Embly Park, Hampshire, was born in Florence, Italy, on 12th May, 1820. Her father was a Unitarian and a a member of a reforming British political party that supported the aristocracy and later the business community, finally becoming the core of the Liberal Party who was against enslaved labor hard work, especially for low pay and under bad conditions . As a child, Florence was very close to her father, who, without a son, treated her as his friend and companion. He took responsibility for her education and taught her Greek, Latin, French, German...
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...Women’s Roles Then & Now Samuel N Kimani Strayer University Professor Flanagan HUM 112 World Cultures II November 26th, 2011 The idea of the good Mother is gift in many creation stories. In India, Mata Devi squeezed milk from her "ample breasts" to produce for all of personalities. In Assyria and Polynesia, the good Mother birthed only 1 egg from that all mankind originated. In Babylon, Ishtar gave birth from her "cosmic uterus" that is drawn out within the stars, where as Gaea, in Rome, emerged from the "primal vagina." And in Greece, "Mother Earth" formerly became Eleusis, who gave birth to a sheath of corn each year, associating ladies and fertility with crop and harvesting. Apart from the facility of fertility, the goddess conjointly had the facility of death. If the good Mother may bring man into the planet, it appeared possible enough that she may take him out. In mythologies, goddesses rounded up the dead "like a sheepdog" (Miles) Rosalind Miles, The Women's History of the planet.1989. Florence Nightingale, the daughter of the rich landowner, William Nightingale of Embly Park, Hampshire, was born in Florence, Italy, on twelfth might, 1820. Her father was a Unitarian and an affiliate of a reforming British political party that supported the nobility and later the business community, finally turning into the core of the Liberal Party who was in opposition to enslaved labor, particularly for low wage and underneath unfit...
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...Boulton is a noted expert in the field of nursing through the numerous credentials related in the field of nursing, mental health and addiction. However, Nosek is not recognized as an expert in this field as she has no mentionable credentials that support her previous knowledge or experience in the field of nursing or chemical dependency. I find that this article is credible due to the supporting resources that easily verified and that they support they authors position and suggested strategies. I agree with the majority of this articles position on educating, awareness and supporting nurses with substance abuse problems. However, I am not sure that substance abuse should be a confidential issue for the nurse who is chemically dependent because awareness is key in promoting the safety of the patients, staff and the organization. Article Three: Abuse of Older People on the Rise - 1 in 6...
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...Business Foundations Part 1: Human resource management 1. Identify three human resource problems that are evident at the Last Resort Retirement Community? Each problem should be explained in 100 words or less. Approaches to Leadership is an evident Human Resource problem, the CEO of Last Resort’s Community’s participative management style (free-rein style) differed from the newly hired Director Gersick’s autocratic management style. Kerrigan delegated the decision – making authority to levels of management at various points below the top level. This pattern of decentralized organization decision – making was effective when his past Director of Nursing Martha Kane was acting as the informal leader in the nursing home her strong problem solving skill was effective in maintaining morale and professionalism amongst the departments. However, once Martha had left the organization the decision making hierarchy was unclear and with the introduction of a new director along with her centralized decision making philosophy chaos and confusion was created amongst the departments. The current organization chart does not provide a clear understanding the authority level. This was demonstrated during a discussing between Kerrigan and Gersick regarding the performance of a physical therapist. Employee Behaviour is one of the Human resources problems that is evident at the Last Resort, the negative performance behaviours of the department heads and Managers have also resulted in...
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...to budgeting and cost control, and the council which funds them now wants to get to the root of the problems. They’ve asked for, based on the recommendations of an internal report, an outside consulting company to offer proposals as to how they would methodically go about their research; the chosen company will be based on the cost of their study and the expected savings that come from their recommendations, as well as previous experiences and references. 2. What are the basic issues? (Please list at least 4 and explain each with one sentence) (6 pts) The key issue seems to be cost, first and foremost. Carson Manor’s costs were approximately 14% higher than state averages on a per-bed basis, something which clearly needs to be addressed. Another key issue is the bureaucracy within the structure of the command chain; there is a convoluted hierarchy and this could have a negative impact on the efficiency of operations for Carson Manor as decisions take a long time and there may be a lack of responsibility as there are many groups and boards which make decisions, rather than an individual manager which may be the case at a private institution. There hasn’t been a form of classification of care requirements for patients, therefore the facility isn’t being as efficient as it could and in fact the report seems to indicate that the level of care currently available isn’t at the level which patients require. Another issue is the cost of the study to take place and the actual...
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...What is nursing? ‘What is nursing? It has been called an art, a science, a profession, a vocation, a heaven-born gift, a laboriously acquired task’ (The Nursing Record 1889 p.131). This definition is one of many ways to describe nursing. It was written over one hundred years ago which shows that even at this earlier period, nursing was recognised as a hardworking, privileged and intelligent career. Nursing is a very comprehensive subject where a lot of topics could be discussed. The areas that will be focussed on are the history of nursing, encompassing nursing education, the Nursing and Midwifery Council, the nursing process and the portrayal of the nursing profession. Nursing began in the medieval times and Sundstorm (1998) explains that a nurse was likely to be a woman in extreme poverty. Nurses were perceived to be one of the lowest members of society as they were often branded as a drunk or prostitute. It took almost three centuries later before nursing started to be recognised as a more admirable profession. Florence Nightingale was a woman that started the change of nursing to become a scientific and researched practice. Despite her parents being against the idea of her career path, she ignored them and went on to become a legacy as she helped create the first program for nurses as well as pioneering infection control and health promotion. During her time as a nurse in the 1854 Crimean war, she managed to prevent deaths by 41%.This was because of her idea of...
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