...Case Study 3: The Scope of Practice Decision Making Framework Case Study 2 An enrolled nurse was delegated the task of removing a patient’s wound drain. Although educationally prepared , the enrolled nurse had not performed the procedure before but was prepared to undertake the procedure. Choose one of the scenarios above and use the Scope of Practice Decision Making Flowchat, evaluate each step to determine if the action take was appropriate 1. Identified client need/benefit 2. Regulated nursing practice 3. Accepted nursing or midwifery practice 4. Organisational support 5. Within the scope of practice 6. Appropriate to proceed Answer In Healthcare environment where change is a constant feature, nurses are expected to be flexible and to respond to change in ways that benefit health consumers. When making decisions nurses need to consider that individual have differences in the education , experience and competnece and their respective profession’s scope of practice. According to Nursing practice decisions summary guide by Nursing and Midwifery Board of Asutralia first the nurse need to identify client need /benefit and nurse need to reflect on scope of practice and nursing practice standards before making decision and nurse need to consider context of practice/ organisational support and last not the least nurse need to select appropriate and competent person to perform the activity. In this case study the enrolled nurse was educationally prepared but...
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...Jerry McCall Ethics Case Study Overview This is an USA pseudo-case diverged from the following Medical and Ethics Textbook case study in Ch. 4 of Medical Law and Ethics that gives insight to medical – ethics and their applications (Fremgen, 2010, p. 85). Jerry McCall is Dr. Williams’s office assistant. He has received professional training as both a medical assistant and an LPN. He is handling all the phone calls while the receptionist is at lunch. A patient calls and says he must have a prescription refill for Valium and that the provider, a friend, calls in the medication prior to any flights. This type of request happens often and in slightly different scenarios, but the outcome should remain the same to avoid ethical and legal issues. This paper will review the case study to help resolve the problem, the ethics involved, and the medical responsibility to refilling a prescription without provider authorization. Qualified Medical Training Understanding the definitions of a licensed practical nurse, LPN, and a medical assistant, MA is the first step to making a factual conclusion for this case study. Support staff to the provider cannot make decisions about medication refills for patients without a direct order from the provider. This action is outside the scope of practice for an LPN or MA. Licensed Practical Nurse An LPN is a role in support of the nurse or RN, a registered Nurse usually in a skilled nursing setting such as a hospital or long-term care facility...
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...Project Scope Creep | | [Type the author name] | [Pick the date] | Colquitt, J. and Lepine, J. (2013) “Stress.” Organizational Behavior: Improving Performance and Commitment in the Workplace, 130-142. The authors focus on the research field of organizational behavior and understanding attitudes and behaviors of individuals and groups within organizations with the goal of improving them and the way the function collectively. The section on stress analyzes the negative impacts that stress can exert on organizations and methods for managing it to minimize its effect. The foundation of the section revolves around the “transactional theory of stress” which explains how stress is perceived and how individuals respond to it, taking into account the effects of both work and non-work influences on the overall organization. Due to the high cost organizations are faced with associated with employee stress, the section analyzes different practices and methods that can be utilized to manage stress and eliminate issues that cause it. Additionally, a number of different companies and their stress management practiced are discussed as well as resources that can be used to aid organizations. This book is an excellent resource and reference tool for project managers as they face a unique set of challenges based upon the nature of projects and the functionality of project organizations. The stress section was particularly beneficial in describing the stressful effects that scope creep...
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...THE MANAGEMENT OF COST AND SCOPE IN SOFTWARE PROJECTS USING AGILE PRACTICES Mariana de Azevedo Santos1, Paulo Henrique de Souza Bermejo2, Marcelo Silva de Oliveira3, Adriano Olímpio Tonelli2, Enio Júnior Seidel4 1 2 3 Mitah Technologies, Lavras, Minas Gerais, Brazil mariana@bsi.ufla.br Department of Computer Science – Universidade Federal de Lavras (UFLA) bermejo@dcc.ufla.br, tonelli@dcc.ufla.br marcelo.oliveira@dex.ufla.br 4 Department of Mathematical Sciences – Universidade Federal de Lavras (UFLA) Universidade Federal do Pampa (UNIPAMPA) ejrseidel@hotmail.com ABSTRACT While organizations want to develop software products with reduced cost and flexible scope, stories about the applicability of agile practices to improve project development and performance in the software industry are scarce and focused on specific methodologies such as Scrum and XP. Given these facts, this paper aims to investigate, through practitioners' perceptions of value, which agile practices are being used to improve two performance criteria for software projects—cost and scope. Using a multivariate statistical technique known as Exploratory Factor Analysis (EFA), the results suggest that the use of agile practices can be represented in factors which describe different applications in software development process to improve cost and scope. Also, we conclude that some agile practices should be used together in order to get better efficiency on cost and scope in four development aspects:...
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...Ethics Case Study Ranacia Alford HCS/335 Ruby Wesley Shadow In order to make ethical decisions in the medical office setting, everyone should have a clear understanding of their role in the practice. Knowing the scope of their work allows employees to perform their jobs better and to keep from making mistakes that could reflect badly on the liable provider. In the case study that will be discussed, Jerry, the office assistant, is asked to refill a prescription for Valium, a controlled substance, without the doctor’s presence or authorization based on the word of the patient. Does Jerry’s Medical Training Qualify Him to Issue This Refill Order? Why or Why Not? According to the case study, Jerry’s job title is Office Assistant. He has professional training as a medical assistant and a licensed practical nurse. Technically, Jerry’s medical training does qualify him to refill this order. Unfortunately, his current job title disqualifies since the doctor has neither authorized this prescription nor hired him as a nurse. Since Valium is a controlled substance and the patient stated that the doctor calls it in from time to time, there likely are no refills at the pharmacy, thus Jerry would be calling in a new prescription which is completed outside of the scope of his position. Would It Make A Difference If the Medication Was For Controlling High Blood Pressure That the Patient Critically Needs on a Daily Basis? Why or Why Not? As previously stated, Jerry’s current position does...
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...Simulation MBA Capstone Tasks: Best Practices If you are in the MBA Capstone course, you can see the light at the end of the tunnel. These best practices are designed to help make the stretch of your educational journey as smooth as possible. A mindset of excellence Your MBA Capstone tasks should reflect your highest quality work; your current state of excellence. The standards are high for the capstone tasks. Doing just enough to get by or good enough will result in re-work and re-submissions. The best practice is to strive for excellence. Read for understanding Read the course of study, task instructions, and task rubrics. Seek clarification on any points that might be subject to multiple interpretations. Do not assume; know. The best practice is to be prepared by reading for understanding. Capsim Simulation The designation of MBA indicates the ability to lead and manage both vertically and horizontally across an organization. It is the ability to maximize organizational success by understanding the organization as a system of integrated and interdependent parts. Successful completion of assessments in your MBA courses signals that you know the theories and competencies; the simulation is an opportunity to demonstrate and apply your skills. The best practices are listed below. 1. Read the Team Member Guide; understand your role and the roles of other team members. 2. Complete the Capsim pre-work. 3. Understand the simulation is challenging, time intensive...
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...Case Study Andre J. Hopp HCS/335 September 24, 2013 Frieda Taylor Case Study Today’s health care system is larger and busier than ever. Increased demand for services coupled with a limited number of providers, creates unique demands on an already strained system. Medical practices rely heavily on staff members to perform a myriad of function, both clinical and administrative. Occasionally, staff members may be asked by either physician or patients to perform duties that fall outside their scope of practice. Should an unqualified employee choose to operate outside his or her scope of practice, they run the risk of committing both negligent and criminal acts. In the case study of Jerry McCall, an office assistant with limited medical training, one sees a clear case of negligent and criminal conduct. The case study presents a scenario where an office assistant in a private physician’s office is asked by a patient to authorize a prescription for a Schedule III controlled medication. Additional information reveals that he is currently the only person in the office. Although Jerry is a Licensed Practical Nurse and medical assistant, his training does not permit him to prescribe medications of any type. Medications may only by prescribed by licensed providers who hold a valid registration with the Drug Enforcement Administration. This is typically limited to physicians, physician assistants, and nurse practitioners. There does however, exist a situation win which it...
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...Ethics Case Study Kimberly Peralta HCS/335 April 19, 2011 Terry Matherne Jerry McCall is Dr. Williams’ office assistant. He has received professional training as both a medical assistant and a LPN. He is handling all the phone calls while the receptionist is at lunch. A patient calls and says he must have a prescription refill for Valium, an antidepressant medication, called in right away to his pharmacy, since he is leaving for the airport in thirty minutes. He says that Dr. Williams is a personal friend and always gives him a small supply of Valium when he has to fly. No one except Jerry is in the office at this time. What should he do? Ethics Case Study – Jerry McCall As an office assistant Jerry has certain duties and obligations to fulfill within his field of study, knowledge, and expertise. In this case as an office assistant Jerry has the authority and obligation to answer all phone calls and respond to them promptly, ethically, and efficiently. In this case the office assistant not only has administrative training but a limited amount of clinical training, the amount of clinical training that he does have does not qualify him to issue this refill. As an office assistant Jerry has the authority to call in only prescriptions or refills approved by the doctor. In this case as he is the only one in the office he should explain the situation to the patient and let him know that he will try his best to get in touch with Dr. Williams in order to have this...
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...Case Study of Jerry McCall Debra Dean, RN University of Phoenix HCS/335 Ethics: Health Care and Social Responsibility Instructor Katherine Rossiter Jerry McCall is an office assistant for Dr. Williams. Jerry has had training as both an LPN and medical assistant. While answering a patient call Jerry is asked to refill a patient’s valium prescription. Dr. Williams in not in the office at this time. This patient claims to be a personal friend of Dr. Williams and states that the physician always calls in a prescription for valium before he takes a trip due to his anxiety when flying and he will be leaving for the airport in thirty minutes. This poses both an ethical and legal dilemma for Jerry. Often medical assistants or office nurses are asked to call in prescriptions for the physician. This practice frees up the physician so that they may have more time to spend with patients and to tend to other duties that are required of them. The LPN may not call in a prescription including a prescription to renew or extend a medication that has not originated from the prescriber or physician ( Minnesota State Board of Nursing, n.d.). According to Drug Enforcement Administration ( 2010) “While the core responsibilities pertaining to prescribing controlled substances may not be delegated to anyone else, an individual practitioner may authorize an agent to perform a limited role in communicating such prescriptions to a pharmacy in order to make the prescription process more...
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...acute health issues, ordering and interpreting x-rays and laboratory tests, and prescribing and managing medications. NP’s also provide health education and promote healthy lifestyle behaviors and illness prevention. An NP’s scope of practice can very from state to state depending on the state laws that govern their practices; some of the most rigorous laws and restrictions being from California. (Buppert, C. 2012). A Clinical Nurse Specialist is a clinical expert who also has an advanced education and shares some of the same abilities and practices of an NP. They can also provide direct patient care services including, health assessment, health promotion, and prevention, as well as the management of health issues. However, CNS’s specialize in areas of nursing that improves nursing care through education, consultation, and research. The roles of CNS’s contain five major components consisting of expert clinical practice, clinical leadership, consultation, education, and research. (Buppert, C. 2012). A Clinical Nurse Specialist (CNS) is an expert clinician who works in a specialized area of nursing practice. The CNS role in hospital has extended to responsibility for collective care concerning patient populations. CNS’s are now being used for case management, identifying and correcting systems problems, assess utilization patterns, and to establish large-scale...
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...to keep up with the pace. “With more than 3 million members, the nursing profession is the largest segment of the nation’s health care workforce” ("Report," 2010). The message of the Institute of Medicine (IOM) in regards to the future of nursing clearly states that changes should be made in its field in order to meet these emerging demands. As stated in the IOM report on The Future of Nursing: “A number of barriers prevent nurses from being able to respond effectively to rapidly changing health care setting and an evolving health care system. These barriers need to be overcome to ensure that nurses are well-positioned to lead change and advance health” ("Report," 2010). Because of this, focus in the changes in education, nursing practice, nursing role, and leadership are the key requirements for nurses today. If changes are not started at this time, then the future of quality and safe nursing care is at risk. Knowledge is power, and quality education is needed to acquire knowledge. “A more educated nursing workforce would be better equipped to meet the demands of an evolving health care system, and this need could be met by increasing the percentage of nurses with a BSN” ("The Need for Highly-Educated Nurses," 2011, p. 1). The goal of the IOM report on the future of nursing, with respect to education, is to increase the number of nurses with baccalaureate degrees from 50% to 80% by 2020. A solid educational background is a foundation of a strong...
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...Report: The Future of Nursing The IOM also known as “The institute of medicine” has come out with a report and study on the nursing profession. This report states that the nursing profession needs to take a leadership boost in healthcare. This paper will discuss how the IOM impacts the future nursing education, nursing practice, and the nurse’s role as a leader. It also speaks of what the healthcare organization needs to do to implement these changes. The IOM‘s impact on education clearly states nurses need to make education a life long journey. This needs to be maintained even after nurses have obtained their licensure. Throughout this journey nurses and doctors need to be educated together accepting the role of students conjointly. Yes, it is costly on those pursing a nursing education. Costly in money, time and family. Thus making it difficult for most. However, the health care system is in dire need of higher level educated nurses. With a great demand in nurse researchers and faculty positions. It posses an obstacle to patient care. The IOM wants double the number of nurses with a doctorate degree by 2020. The education regimen also needs to be changed. According to the study, education needs to be on the cutting edge, one that will prepare nurses for caring for today’s distinct population. Classes on leadership, diversity, advocacy and evidence based practice need to be implemented. There is a big change in the health care that is needed from education to direct...
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...Impact case study (REF3b) Institution: University of Bath Unit of Assessment: 19: Business and Management Studies Title of case study: Redesigning strategic change to enhance employee engagement during intense organisational transformation 1. Summary of the impact The Change Management Consortium (CMC) is a collaborative network of academics and organizations seeking to improve knowledge and practice on staff engagement in the strategic implementation of change. Research done at the University of Bath has helped organizational members of the CMC internally to improve employee trust and to build commitment to change. The CMC provides member organizations (including: Aviva, Ernst & Young, GKN, GlaxoSmithKline, Kraft Foods, the Ministry of Defence and T-Mobile) with opportunities to utilise highly relevant research findings in order to create cross-organizational dialogues on improving practice. The broad aim of the research is to move from strategies for change based on alignment with management requirements, to strategies for change informed by employee engagement. One of the CMC members, Her Majesty’s Revenue and Custom’s (HMRC) provides a specific case example of the benefits of this research, which led to acknowledged improvements in trust and employee engagement. 2. Underpinning research Longitudinal research has underpinned the development of an approach to the strategic implementation of change that: (1) emphasises the significance of understanding each organisation’s context...
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... The Differences Between Baccalaureates Versus Associate Degree The American Association of Colleges of Nursing (AACN), the national voice for baccalaureate and graduate nursing programs, believes that education has a significant impact on the knowledge and competencies of the nurse clinician, as it does for all health care providers. Nurses with Bachelor of Science in Nursing (BSN) degrees are well-prepared to meet the demands placed on today's nurse. BSN nurses are prized for their skills in critical thinking, leadership, case management, and health promotion, and for their ability to practice across a variety of inpatient and outpatient settings. Nurse executives, federal agencies, the military, leading nursing organizations, health care foundations, magnet hospitals, and minority nurse advocacy groups all recognize the unique value that baccalaureate-prepared nurses bring to the practice setting. AACN encourages employers to foster practice environments that embrace lifelong learning and offer incentives for registered nurses (RNs) seeking to advance their education to the baccalaureate and higher degree levels. We also encourage BSN graduates to seek out employers who value their level of education and distinct competencies. Different Approaches to Nursing...
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...Executive Summary Case Study of Care-Link The focused case study in brief, is about a leading “Pharmaceutical Company” (Care-Link) operated for the past 10 years in Sri Lanka. Care-link Imports & distributes Pharmaceuticals & healthcare related products all over the country having branches in the main cities and fully operated from the head office in Colombo. The Employee strength of Care-link is approximately 300 including Managers, Executives and Workers. The problem raised In January 2009, with the appointment of the new CEO Mr. Dylan Perera (DP), as he was concerned about the high costs involved in the Training & development (T&D) department. The CEO was not satisfied nor convinced with the output of the company’s high budget T&D programs, even after several justifications made by the T&D Manager also the Product trainer, Mr. Ravi Fernando (RF) of Care-Link. It was an alarming situation that the Staff is not up to the marked performance. The CEO believes there are issues related T&D and anticipates RF to provide effective T&D Plans for budget approvals. As the HR consultant for Care-Link, I have analyzed key issues related to T&D initiatives & evaluation also about the consequences of NON T&D issues. The Scope is discussed in detail and elaborated in the paper with limitations & assumptions. The case Concludes with recommendations and suggestions made to the T&D Manager Mr. Ravi Fernando & the senior management on HR initiatives to make the training Function more...
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