...(BSN) and how this affects patient outcomes. According to Hood, L. J., & Leddy, S. K. (2006) the ADN degree in nursing is a concentrated study of clinical skills at the community college level, while the BSN degree is completed at the 4-year institution, where education is focused on not only skills but also science, liberal studies, research and community health. The ADN was first introduced back in the 1940’s when after the war America found itself in a nursing shortage. Many of women who would have filled nursing positions found other jobs that were now open to them due to the war effort. During this time community colleges and hospitals started programs in which the ADN nurse spent most of their education learning technical skills, in the hospital setting many of the students were taught these skills by on the job training. This training included more practical then theory and there was no continuity in what was taught at the community college level or the hospital programs. Hood, L. J., & Leddy, S. K. (2006). To this day the average healthcare consumer cannot tell you the difference between the ADN or BSN prepared nurse. Now data is available and hospitals attempting to become magnet status or nurse friendly are realizing that the BSN prepared nurse is more versatile have better communication skills and are able to take on a leadership role, maintain accountability and delegate appropriately to others...
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...Organizational Systems and Quality Leadership Task 2 Mark Woodard Western Governors University This paper will analyze the cause of the sentinel event which occurred to Mr. B, a sixty seven year old patient which presented to the emergency room with left leg pain. A root cause analysis will be necessary in this case to investigate the causative factors which led to Mr. B’s sentinel event. The factors in this unfortunate case weather they were errors in his care, or hazards in the system will be identified. The Change theory will be used to develop an improvement plan that will be used to decrease the chances of a reoccurrence of the sentinel event that happened to Mr. B. in the scenario. Root Cause Analysis A root cause analysis, is a system that is used to develop a plan that will identifying the causative factors of an adverse event and formulate a plan to decrease the occurrence or chances of a sentinel event. A team consisting of , a member of the hospital administration, a pharmacist, a respiratory therapist, a charge nurse or nurse manager, a physician, and a member of the family board should be brought together to perform a root cause analysis in this case. These team members would have a meeting to discuss the factors that led to Mr. B’s sentinel event. The first step would be for the team to begin interviewing the staff involved with the case to gather as much data as possible. The data that would be needed include, Mr. B’s...
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...education requirement of becoming a registered nurse (Types of Nurses, 2015). An ADN degree nurse critically thinks at a lower level, requiring more guidance from their RN supervisor and the MD in order to follow up and effectively treat their patients. ADNs have less education and knowledge regarding physical and social science, nursing research and study. They are more task-oriented for example: providing bedside care, passing medications, following MD orders, etc. Jobs with advancement and growth opportunities will be limited to the ADN. They are less likely to be chosen for management roles or medical research. On the other hand, the BSN program is a four-year college degree that prepares RNs for advanced career options in nursing specialty fields like pediatrics, geriatrics, surgical, ICU, etc. (Types of Nurses, 2015). It helps prepare the nurse for a broader scope of practice and provides a better understanding of the cultural, political, economic, social issues that affect patients and influence health care delivery (Types of Nurses, 2015). BSN nurses are recognized for their skills in critical thinking, leadership, case management,...
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...Infectious Disease Case Study Dr. Wendy Good HSA 535: Managerial Epidemiology January 23, 2013 Introduction “Infectious diseases have probably been in existence as long as plants, animals, and humans have inhabited the planet” (Fleming, 2008, p.17). This case study will identify the transmission and symptoms of the flu, treatments that are currently available and how the organization can help mitigate the spread of this disease, develop four (4) questions or concerns that leadership in the organization will ask in regard to possible side effects of the treatments, propose three (3) lessons that have been learned from past flu seasons that will underscore the importance of preparing for the upcoming flu season and why these lessons are beneficial, propose two (2) recommendations to leadership on how to cope with the shortage of the flu vaccine, and compose an infection control policy for the local community. Identify The Transmission And Symptoms Of the Flu, Treatments That Are Currently Available, And How Your Organization Can Help Mitigate The Spread Of This Disease Influenza is a contagious respiratory illness caused by flu viruses and is often called flu. Flu is not a cold; it can be mild, severe and sometimes often results in death. When people got flu, they feel the following symptoms: • Fever or feeling feverish/chills • Cough • Sore throat • Runny or stuffy nose • Muscle or body aches ...
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...The Department of Veterans Affairs (VA) was mandated by the congress to report all surgical outcomes. This led to the adopting of National surgical Quality Improvement Program (NSQIP) by senior surgeon. The senior surgeons had realized they needed improvement after seeing complications caused by infections, blood clots, respiratory failure, etc. These complications increased length of hospital stays, death, and the costs were unbearable. The change was made fruitful by having surgeons aboard. The NSQIP program was created to provide reliable, valid, and comparative information about surgical outcomes across 123VAMCs performing major surgery. The data collected and reported include preoperative patient risk factors, key intraoperative process information, postoperative 30-day mortality and morbidity rates, and length of stay. The mortality and morbidity rates are risk adjusted and compared to observed-to-expected ratios. The VA maintains that the rationale for studying comparative outcomes of healthcare delivery is that the health status of patients after medical treatment mirrors the processes of care that they receive. The benchmark standards established when NVASRS visited 20MAC surgical service sites to understand the characteristics of the best performers compared to the lowest performers. They found that the surgical services with better-than- expected outcomes had higher levels of formal and informal communication among surgeons, nurses, and anesthesiologists...
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...Do Baccalaureate- Prepared Nurses have Higher Level of Clinical Competency and Care Delivery over Associate Degree Nurses? Susan Olson Grand Canyon University Professional Dynamics NRS-430 Dr. Monica Kidder June 10, 2016 Do BSN nurses have higher level of clinical competency and care delivery over ADN nurses? The American Association of Colleges of Nursing has compiled a fact sheet: “Creating a More Highly Qualified Nursing Workforce”(Rosseter, 2015, p.1). This fact sheet is a very extensive list of worldwide research connecting education to outcomes. This list is compiled of about twenty-four major research studies with very compelling evidence to support the overall claim that having more baccalaureate-prepared nurses(BSN) in the workforce will increase patient safety and decrease patient deaths. The numbers are consistent throughout all the research provided in the fact sheet. Basically, a 10% increase in the proportion of baccalaureate-prepared nurses decreases the mortality by roughly 10%. (Rosseter, 2015). Associate Degree Nurses (ADN) are equated with entry level nursing, and BSN nurses are considered more advanced because of the higher level of education. Education, being the key word here, not necessarily that BSN is better than ADN. After reading the research, an ADN could come away feeling like they are in some way, not as good as the preferred BSN graduates. The American Organization of Nurse Executives state this push for higher education is preparing...
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...tangible property which cannot easily be converted into cash and which is usually held for a long period, including real estate, equipment, etc. (Finkler, Kovner, Jones, 2007). Capital assets and money used to purchase such items are treated differently than that of the operating budget. The operating budget is money being used and tangible at the time. Capital assets may cost money now, yet you may not profit from them until another period of time. The key to a good capital purchase knows the life of the product. This can help you choose whether a new product should be purchased or a refurbished product or if the product should be leased. Capital assets are usually equipment used to replace old equipment or new equipment in which studies have shown could improve the business. In healthcare the business is quality patient care. So in healthcare a capital purchase would be something in which improves quality patient care....
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...College Credit Through Advanced Standing Produced by the Office of Academic Services This manual is accurate as of the date of publication. As new information becomes available, it will be posted to the online version, available through the Academic Services web site, www.nvcc.edu/aboutnova/directories--offices/administrative-offices/academic/index.html. Revised June 2012 Table of Contents INTRODUCTION ........................................................................................................... 3 PURPOSE .................................................................................................................................3 TYPES OF ADVANCED STANDING ...................................................................................................3 GENERAL PROCEDURES ...............................................................................................................4 EVALUATION RESPONSIBILITIES .....................................................................................................5 SECTION 1—CREDITS FROM POST-SECONDARY INSTITUTIONS ........................................ 7 GENERAL CONDITIONS ................................................................................................................7 GENERAL EDUCATION TRANSFER CREDIT FOR STUDENTS WITH PREVIOUS DEGREES ..................................9 EVALUATION OF INTERNATIONAL TRANSCRIPTS .....................................................................
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...TABLE OF CONTENT 1. ORGANIZATION 2. PROBLEMS 3. AIR POLUTION 4. LEGAL AND REQUIREMENT 5. SOLUTION BASED ON THE PRINCIPLE OF PREVENTION AND CONTROL MEASURES AT WORKPROSES INTRODUCTION OF ORGANIZATION CEMENT INDUSTRIES OF MALAYSIA BERHAD Cement Industries of Malaysia Berhad ("CIMA ") group of companies ("CIMA Group" or the Group) has been involved in the manufacturing and distribution of cement and related activities since 1975. CIMA is 100% owned by UEM Group Berhad which is a wholly owned subsidiary of Khazanah Nasional Berhad, an investment arm of the government of Malaysia. The Group effectively combines people skills and technological capabilities to become the third largest cement manufacturer in Malaysia. The Group also ventures into international market namely Singapore. The Group's total asset as at 31 December 2012 stands at approximately RM2.0 billion while the paid up capital stands are RM 142 million. The Group is divided into three main divisions comprising Cement Division, Ready-Mixed Division and Aggregates & Premix Division. In Cement Division, Cimaco Quarry Sdn Bhd provides the required limestone for Negeri Sembilan Cement Industries Sdn Bhd (NSCI). NSCI leads The Cement Division with cement plants in Bukit Ketri, Perlis and Bahau Negeri Sembilan. The two plants combined, make up a total clinker production of 2.95 million tonnes per annum and a total production cement capacity of 5.6 million tonnes per annum, comprising Ordinary Portland Cement...
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...Abstract This paper will present with a patient’s case study revelations throughout her recent heath problems. It will discuss the patient’s underlying disease of diabetes mellulitiis. The six body systems affected by this disease will be discussed and the major pathophysiologic concepts within each system will be elaborated on. Our Patient’s Case Study Revelelations Our patient is a 62 year old female with cellulitis of her right lower leg. This patient has a history of smoking three packs a day for 40 years and unfortunately has admitted to smoking again. She has high blood sugar; however, she cannot remember the name of the medication she is taking for it. She has a “touch” of high blood pressure and claims she controls her hypertension by eating a low salt diet. Her husband passed away 14 years ago and she states that she misses him very much. As the weeks continue, our patient is experiencing dyspnea upon rising in the morning. She has bilateral diminished lung sounds along with crackles. Our patient’s condition continues to worsen and she is diagnosed with congestive heart failure. She is complaining of pain in her extremities and abdomen. Her lab work shows azotemia, red blood cells and protein in her urine, and elevated blood glucose level. The fluid buildup continues in her lungs and her urine output is minimal. Heart failure and fluid volume excess seems evident, as well as, her renal system appears to be impaired. Underlying Disease This patient’s...
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...taken what is not theirs to take. Some of those people intended to steal they just never thought they would get caught. Others were pulled into the original crime or some aspect of the cover-up and before they knew it they were labeled a co-conspirator. This study will examine the people behind the much publicized fraud scheme at HealthSouth. Some did not set out to commit white-collar crime but found themselves as defendants in criminal trials for fraud. In the HealthSouth case in observation, real life examples of people who were "just doing their job" but at some point crossed the line from law-abiding citizens to law-breaking villains. Seemingly small compromises in ethics and morality led to a full-scale commitment to fraud. Finally, we will conclude that nobody sets out in their career to end up in prison cleaning toilets and on the front page of the Wall Street Journal after they are arrested for fraud. At some point, though, many end up that way. A. Background of the Study The study all about the recent accounting scandal that were reported : “The HealthSouth Scandal of 2003” as the researcher has become interested in finding out what made some this issue to happen. B. Statement of the Problem This study all about the story of the recent accounting scandal that were reported: “The HealthSouth Scandal of 2003”. It seeks to answer the following questions: 1. How is...
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...regarding many cases in hopes of finding cures for patients and changing the future of modern medicine. The use of gene therapy in the last four decades has been instrumental in many ways. Gene therapy is responsible for the treatment of cancer, diabetes, aids, hemophilia, heart disease, and cystic fibrosis to name a few. Biological Basis In 1865, Gregory Mendel was a fore runner with gene studies which identified the genetic traits that would later lead to revolutionary biological science. Mendel was responsible for providing research for his experiments with plants. The experiments successfully led him to the conclusion that the offspring from mutations could be classified as generational. This theory was correct and laid the foundation for many other scientific studies to eventually lead to significant advancements in genetic study. In the 1960’s scientists exposed the genetic codes which led to decades of discovery to include genetic maps, DNA and RNA sequences, and multiple data strands. Gene therapy was introduced in 1990 with a clinical trial study on a 4 year old little girl suffering from adenosine deaminase deficiency (ADA); which is a severe combined immune deficiency brought on by a mutation of enzymes within a cell. (Gene Med, 2015). The premise of gene therapy is based on taking a defective gene and replacing it with a mutated or normal one to improve the function of the cell as a whole. (Mayo Clinic, 2015) In the Human Genome Project a study was conducted...
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...Diane Scott My rationale for choosing this subject is since many people in the hospital have a compromised immune system and they need to be protected from opportunistic infections. As a nursing student, I am responsible for making sure that I do not cause cross contamination. My question is “What are evidence based methods to prevent opportunistic infections in patients with a compromised immune system?” Since one of my sources addresses neutropenia, it is necessary to explain the disorder and how it relates to my question. Information about neutropenia was obtained from an article named Neutropenia: A Diagnostic Approach from the Western Journal of Medicine. The two authors are doctors and this article is based on evidence-based case review. Neutropenia is a somewhat common condition in which the level of neutrophils in the blood is abnormally low (Montgomery and Munshi, 2000, para. 1). An immune system becomes compromised when it does not have an adequate number of neutrophils and my question concerns patients who have a compromised immune system. Some causes of neutropenia include chemotherapy, viral or bacterial infections, adverse drug reactions and autoimmune disorders, such as AIDS (Montgomery and Munshi, 2000). Another source is a peer reviewed article named Neutropenia: State of the Knowledge Part II. The main author of this article is Nirenberg, but she had input from five other authors. This article is from the Oncology Nursing Forum which...
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...restrictions. Home health care encompasses the collaborative efforts of various professionals all seeking the common goal of determining the needs of the client and their families. When understanding the importance of the Registered Nurse in the home health care setting, it is beneficial to consider the pros and cons as well as the various functions of the nurse as caregiver, educator, and case manager. Home health care nurses require advanced knowledge and skills, usually at the Baccalaureate level, in the delivery of either generalized or specialized care for the client in this setting. Common areas of concern include cardiac, respiratory, permanent disabilities such as Alzheimer’s and Multiple Sclerosis, hospice, and dialysis to name a few. Nursing in the home care industry has many advantages as compared to nursing in the hospital environment. For one, Nurses claim a greater sense of self-government. The RN must demonstrate a high level of competency in areas such as, assessments, problem-solving, critical thinking, and organization skills. (Anderson, Mignor, 2008, p. 20). Studies also show that nurses claim a greater sense of belonging in this setting as it fosters more trust and connectedness with the client...
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...Health South: The Scrushy way Troy Elliott Northcentral University MGT7019-8 Mentor: Janet Jones September 23, 2012 Table of Contents A.) INTRODUCTION…….…………………………………………………………………. 4 B.) Defining the Ethical Issues Involved with HealthSouth…………………………………. 5 1.) HealthSouth Founder and CEO Richard Marin Scrushy………...………………. 5 a.) Trailer Park to Charismatic Leader……………………………………. 5-7 b.) Leadership Tactics……………………………………………………….. 7 2.) Corporate Culture at HealthSouth………………………………………………... 8 c.) Following Directions for Failure……………………………………........ 9 d.) Faking corporate profits………………………………………………… 10 C.) The Impact on Stakeholders…………………………………………………………….. 10 3.) Employees and Executives……………………………………………………... 10 e.) Many Lost Jobs as a result……………………………………………… 10 f.) Top Level Management Complacency.………………………………… 11 4.) Investors and HealthSouth Stock……………………………………………….. 11 5.) HealthSouth Patients and Customers….………………………………………... 11 D.) Outcome and Fairness of Punishment…………………………………………………... 12 6.) 2003 SEC Civil Law Suit against HealthSouth………………………………… 12 g.) Charges of Fraud………………………………………………………... 12 h.) Inflated Earnings on Financial Statements ...…………………………... 13 7.) Punishment: Does it fit the crime? ...................................................................... 13 i.) CEO Richard Marin Scrushy’s sentence...
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