...RTT Task 1 Robert Sekulic Western Governors University Quality of care for hospital patients during their hospital stay plays an integral role in the healing process for patients. Every patient deserves the right to receive care when care is needed and the right to receive appropriate and safe interventions associated with that care. It is the responsibility of all members of the healthcare team to provide the best quality of care to patients and to advocate for the patients on matters both right and wrong. In the scenario involving Mr. J, many members of the healthcare team failed to advocate for the patient and failed to provide the best quality of care the patient deserves. Nursing sensitive indicators could have played a key role in providing Mr. J an appropriate hospital stay and getting the appropriate interventions to provide the best possible outcomes for the patient. Knowledge pertaining to the appropriate use of restraints and appropriate interventions associated with the prevention of pressure ulcer formation would have provided the staff with the ability to provide proper care to the patient. By unnecessarily restraining the patient and failing to provide appropriate interventions associated with repositioning of the patient, the staff increased the chances for the development of pressure ulcers by Mr. J. The restraint of the patient increased the chances of the patient developing post surgical complications such as deep vein thrombosis and pressure...
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...Running head: NURSING SENSITIVE INDICATORS 1 Nursing Sensitive Indicators Organizational Systems and Quality Leadership RTT 1 Task 1 August 29, 2014 NURSING SENSITIVE INDICATORS Nursing Sensitive Indicators To analyze the given scenario one must first have a foundational understanding of what nursing sensitive indicators are and how they could have been used to significantly improve patient care. Next the analysis will determine how the hospital will use these indicators to improve overall patient care. The analysis will conclude by identifying specific resources that could be used to resolve the ethical issue in this scenario. It wasn’t until 1996 that the term Nursing Sensitive Indicators was used. Nursing sensitive indicators are by definition,” elements of patient care that are directly affected by 2 nursing practice.”(American Sentinel University - Healthcare, 2011, para. 1) These elements can be further broken down into: Structure - This includes staffing levels, staffing mix, staff education level and the staff experience level. Processes – This includes methods of assessment, methods of care, and types of interventions. Outcomes – these are directly related to quality and quantity of nursing care. With the given scenario, many nursing specific indicators could have been observed to significantly improve Mr. J’s hospital experience. Restraint prevalence is the first issue that could be addressed. If the nurse was more aware of this he or she would...
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...Organizational Systems RTT Task 2 Allison Vargus Western Governor’s University Organizational Systems RTT Task 2 Questions A The main goal of Root Because Analysis is to identify the policies and procedures in an agency that can be changed for the better. These changes are identified within an organization and a plan is put into place to prevent any reoccurrences of negative outcomes. RCA is defined as a “process for identifying the basic or casual factors that underlie variation in performance, including the occurrence of a sentinel event; it focuses primarily on systems and processes, not individual performance” (Cherry and Jacon, 2011, p. 442). A multidisciplinary team must assemble and pinpoint the exact causation of the problems. After the issues have been identified the next step is to determine refinements to prevent them from occurring again. Mr. B arrived at the Emergency Room after he had a fall in his home. The sixty-seven-year-old man arrived to the 6 bed, small town ER with his son and neighbor in a severe amount of pain in his left hip and leg area. There are several unfortunate reasons that lead to Mr. B’s demise. The information gathered to complete the RCA will determine the causation of this ill-fated situation. I will discuss these factors in further detail ahead. The first factor in this case I will discuss is the lack of education on hospital policies and procedures. Mr. B was placed under conscious sedation and therefore he should have...
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...In analyzing Mr. J’s situation it is important to consider nursing-sensitive indicators and how this is an indicator of quality patient care. It is also important to note how this creates an ethical issue and to learn from the situation companywide. Many situations like Mr. J’s happen every day and are swept under the rug. Patient care should always involve patient needs along with cultural considerations while maintaining consistency with evidence based medicine practices. Nursing sensitive indicators assist to identify potential issues related to quality that may come about during patient care. Identifying nursing sensitive indicators allows nurses to improve the quality of patient care which results in increased patient satisfaction and improved patient outcomes. The American Nurses Association (ANA) is a great resource and wealth of information to assist in identifying specific indicators to apply to patient care. Nursing sensitive indicators bring light to specific patient needs. In the case of Mr. J several nursing sensitive indicators can be identified; his recent fall resulting in a hip fracture, he has dementia, cultural and religious values, immobility, pressure ulcer risk, the use of restraints, and pain management techniques. The diagnosis of dementia identifies that Mr. J is unable or has limited ability to reason with sound judgment along with the added use of pain medications. All of these indicators can lead to quality patient care if nursing applies them...
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...RTT 1 Task 1 Marci Berry Western Governors University RTT 1 Task 1 Many factors come into play when determining what contributes to quality care of patients in a healthcare setting. The use of nursing sensitive indicators assists healthcare workers in providing the highest quality of care possible to their patients. When these indicators are used, and followed by those providing care, higher standards are met, allowing for patients to receive a much higher quality of care while being involved in the healthcare system. A. Nursing Sensitive Indicators By learning and understanding nursing sensitive indicators, a nurse is given the opportunity to identify factors that may affect the quality of care being delivered to a patient. In the scenario given, Mr J., a 72-year-old rabbi with dementia, has fractured a hip following a fall in his home. He has been given pain medications, which have made him sleepy, but he is still able to communicate effectively. Mr J’s daughter has come to visit, and found him lying in his bed, on his back, restrained. The first nursing sensitive indicator that could be implemented by the nursing staff is regarding the use of restraints. The use of restraints in this case is most likely unnecessary. Although the patient has previously been diagnosed with dementia, he is able to recognize his daughter upon her arrival, and notify her of his need to use the restroom. Regarding the use of restraints, patient restraint should be considered when...
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...Running Head: Nurse Sensitive Indicators WESTERN GOVERNORS UNIVERSITY RTT 1 TASK 1 ANNE ANDERSON Running Head: Nurse Sensitive Indicators: 1 Nursing reflect the process, structure and outcomes of nursing care. Process indicators measure the aspects of nursing care such as assessment, intervention and nurse satisfaction. The structure of nursing care is determined by the quantity of nursing staff, the skill of the nursing staff and the education and certification of the nursing staff. Patient outcomes determined to be nursing sensitive are those that improve with better quality and greater quantity of nursing care (ANA). Understanding of these nursing indicators could have helped the nurses involved in this scenario. Knowing the pressure ulcer prevalence may have helped prevent one in this case. The nurse and CNA would have known to reposition the patient to prevent pressure ulcers and would have recognized a red area as a stage one pressure ulcer. The CNA would not have place the patient back to bed on his back and CNA would have reported the reddened area to the nurse. Restraint prevalence would have assisted with the nurse’s and CNA’s understanding of how to apply and manage a patient in restraints. Patient satisfaction is a nursing indicator that was not taken into account in this scenario. The nurse would have talked to the...
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...Running Head: ORGANIZATIONAL SYSTEMS 1 Organizational Systems RTT1 Western Governors University Pam Turner Septemer29, 2014 Running Head: ORGANIZATIONAL SYSTEMS 2 A). Nursing-sensitive indicators reflect the structure, process, and outcomes of nursing care. (Nursing-Sensitive, 2014.) The skill level of the nursing staff, the supply of nursing staff, and the education or certifications of the staff are all used to measure the structure of nursing care given to any given patient. Patient outcomes, which are improved by a greater quality of care, are said to be nursing sensitive. Some examples of these are: pressure ulcers, intravenous infiltrations, falls, nosocomial infections, restraints, the mix of RN’s, LPN’s and CNA’s, total nursing care hours provided per patient day, patient satisfaction with pain management, educational information, overall care, nursing care, and nursing saff satisfaction. (ANA, 2014.) Nurses need to know and understand these indicators in order to be able to care for their patient appropriately. For example, an elderly patient who is bed bound will be more prone to pressure ulcers than a young, mobile adult. The elderly or confused patient will also be more prone to falling than the young mobile adult. A confused patient might not notice when his IV infiltrates. In the scenario given, Mr. J. is an example...
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...RTT 1 Task 1 Mr. J, 72-year-old, retired rabbi Mild dementia, Fx right hip s/p fall Receiving pain medication, drowsy Restrained in bed, even when slightly sleepy. Restraints reapplied with family present. Dtr notices red, depressed area over lower spine (CNA blew it off, “it will go away”) Diet: Regular, Kosher, chopped meat Given pork chop (nurse notified supervisor, supervisor notified kitchen supervisor, kitchen supervisor notified kitchen staff) Kitchen staff apologized to dtr. Dtr asked nurse, who blew itoff. Nursing Sensitive Indicators….Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care. (pressure ulcers, patient satisfaction, “paucity of scientific evidence linking nursing with hospital patient outcomes”, nursing-sensitive performance measures are processes and outcomes – and structural proxies for these processes and outcomes {skill mix, nurse staffing hours} that are affected, provided, and/or influenced by nursing personnel, but for which nursing is not exclusively responsible. Patient-Centered Outcome Measures: Failure to rescue, Pressure ulcer prevalence, Falls prevalence, Falls with injury, Restraint prevalence (vest and limb only), Urinary catheter-assoc UTI rate. System-Centered Measures: Skill mix Mix of nurses and unlicensed staff caring for patients in the acute-care setting • Total nursing-care hours provided per patient day • Nosocomial...
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...delivery. Governments in the vastness of their administration requirements are often unable to maintain either everyday or random tasks of service delivery. This could be due to various reasons, such as; lack of communication, misunderstanding the chain of command, individuals or groups being appointed to complete such tasks that have insufficient knowledge and/or authority required for the fulfilment of such tasks etc. etc. Such shortfalls on tasks as vitally important to a country as service delivery can cripple Government infrastructure and create political unrest amongst unsatisfied citizens. When we are referring to ramifications of this extent, it is imperative that governments / organisations implement safety measures that cover and maintain the correct execution of service delivery. Project management is a clear and concise method that can be implemented simply and cost effectively, and integrate simply into existing infrastructure. Basically what Project Management boils down to, is a simplified process of getting the right person, with the required authority and capability to manage a need, and ensure the fulfilment of said need. So instead of having various groups, reporting to various authorities, with regards to multiple tasks, you have one group of individuals, who have the relevant authority to delegate specific tasks. Service Delivery of Basic Education Curriculum Reform In a nutshell, service delivery of Curriculum Reform is referring...
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...Personal Responsibility Essay Laurie Smith GEN 200 January 4, 2012 Adrianna Szymkowski Personal Responsibility Essay I believe personal responsibility is an important part of success. Whether the success I am trying to achieve is educational, professional or personal. If I do not take reasonability for myself I will not be successful in anything I strive to do. It is my opinion that an important personal trait to have is organization. I believe with proper organization you can achieve personal responsibility which helps you achieve success. I define personal responsibility as having integrity, accepting consequences and the effects that an individual’s actions have on others. To me integrity has three characteristics: being honest, having values or morals, and being self-aware. I believe it is a conscious decision to admit ones mistakes by telling the truth whether or not someone is watching me. Values are used to create an individual’s moral compass telling me what is right or wrong. I feel that many values a person has is often constructed by a person’s culture as well as the individuals that raised them; I believe that a person always has the choice to reevaluate and change their morals as they choose. For a person to have self-awareness I consider if the individual is not only reliable and trustworthy but also possesses humility and are humble instead of a sense of indulgent pride. Another trait of personal responsibility is accepting consequences. I consider accepting...
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...Top-Level Tasks report, Critical Tasks report and Milestones report. Project Summary report is to show users high-level information and at the end of the report it will show the overall task status which includes the number of pending, in progress and completed tasks. Top-Level Tasks Report is to shows the planned schedule with information straight from summary table. Critical Tasks Report is to show how delayed critical tasks may bring impact to the other tasks. Milestones report is to show the list of milestones so that user can see how the project is achieving. In Current Activity Reports, there are 6 types of reports which includes Unstarted Task report, Tasks Starting Soon report, Tasks In Progress report, Should Have Started Tasks report, Slipping Tasks report and Completed Tasks report. Unstarted Tasks report is to show the list of tasks that have not started yet together with whether the task is on time, early or it is late. Tasks Starting Soon report is to show tasks that are going to start or finish in the date range that user specified. Tasks In Progress Report is to show the list of tasks that are currently in progress and also their status. Should Have Started Tasks report is to show the list of tasks that should have been started but still have not started in records. Slipping tasks report is to show the list of tasks that have already started but are due to finish after the baseline set for them. Completed tasks report is to show the list of tasks completed for...
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...TASK 1/P4 I’m going to explain the role of professional when planning creative and therapeutic activities in health and social environment. Introduction: a professional when planning activity for children at a nursery, have to make sure the rooms in which you are going to do the activities are set up with the children’s age. You will make sure Some activities take place in groups according to age, but you will also try to integrate different age groups for part of each activities, so that children experience being with those either younger or older than themselves, So the focus will be to enable them to explore, develop, learn and create in a way that is right for them. Children aren’t the only ones who can do creative activities so for elderly in care home; you firstly have to group them seated in a circle near a table for ease of passing items, especially for residents with limited mobility. You will then introduce yourself to them before you Begin by introducing the activity you plan to do with them, therefore you will make sure you get them involved in some type of creative activity to help them to accomplishment a sense of joy. Objectives in this activity for Children and elderly as what will get out of it as a professional you have to support children's to development their hand muscle by planning play activities that provide children with regular opportunities to move their hand. You have to careful control their small muscles...
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...cannot start before step A finished. But for activities in parallel, like Step C, D, E and F, all of them are did at the same time. http://www.pmhut.com/critical-path-mapping-with-activity-network-diagrams [pic]G. 1 As G. 1, the first box on the top is Early start time(EST) and the next is Duration time(DUR). So EST plus DUR is the early finish time(EFT) and the EST in the next step as well. Last start time(LST) is different between Last finish time(LFT) and DUR. Total float(TR) between LST and LFT is LFT minus EST and DUR.[2][3] [2]http://www.youtube.com/watch?v=_4m3tZ_TuTg [3]Project Management, Field and Keller (2007, p197, p198 and p391) Question 3: (Words: 136) Duration is the period required to complete an activity, job, or task, usually excluding holidays and other non-working days.[4] For example, in the activity C, duration is ‘10’ between EST and EFT. Which means they use 10 days to do work. Longest sequence of activities in a project plan which must be completed on time for the project to complete on due date. An activity on the critical path cannot be started until its predecessor activity is complete; if it is delayed for a day, the entire project will be delayed for a day unless the activity following the delayed...
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...DETAILS OF TASK In the 21st century raising money for a cause has become one of the most common form of assistance offered to people in need. These activities have attracted a lot of interest from individuals especially those in leadership. It would be of no use if these monies were collected and used for the intended purposes. It is for this reason that am going to write a project on raising money for a cause. The project will involve organizing a fund drive which will be conducted in the form of a race to help raise money for humanitarian needs. ANTICIPATED OPPORTUNITY TO PRACTICE LEADERSHIP As leadership in action student, I find that the project will provide a good avenue for me to practice my leadership skills. I intend to chair a committee who will oversee that this project is a success. These opportunities will include sourcing for finances mostly corporate, liaising with the local authority or one of the institutions to provide an avenue for the race and most of all to coordinate the day’s activities. GOALS AND OBJECTIVES The main goal of this activity is to practice the theories learnt in the leadership classes in real live situation. Interacting with people is one of the main aspects of leadership and hence, this project will equip me with the necessary experience. Team work building is another major function performed by leaders. Through the involvement of different people to make this project a success, I will be able to gauge how best I am able to solve team...
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...help on homework. Sometimes this trait is detrimental, because I end up spending more time and energy helping others instead of taking care of myself. Having this trait of being supportive, I feel working in a hospital environment where being caring and supportive would fit best for me as far as this trait goes. I have worked in a hospital before and really enjoyed helping others. I don’t agree at all with the career planner suggesting that I am teamwork centered, because I honestly don’t like working in teams too much. I prefer being assigned a task, and being the sole person responsible for completing that task. The drawback to working in teams is that there is always someone who doesn’t carry their own weight, which makes completing a task much more difficult. I spent six years in the military, and during that time much of the tasks assigned to us where team oriented. I didn’t like working in teams, because when the task wasn’t finished on time, the punishments fell on the entire team. So as far as being a team player and finding employment that involves a lot of teamwork, I have absolutely zero interest in a job that requires too much teamwork. Acrait according to the work culture preference program is a demanding job. So once again I don’t agree with this program suggesting...
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