Health Care

A mother brings her 6-month-old daughter, Vivi Mitchell

A mother brings her 6-month-old daughter, Vivi Mitchell

You are working in a large urban pediatric clinic after-hours.

A mother brings her 6-month-old daughter, Vivi Mitchell, to the clinic for rhinorrhea, congestion, fever, and cough. Upon assessment, you identify the child has wheezing upon auscultation and on inspection, you identify retractions.

  • The child is in less than 10thpercentile of weight and has a cardiac history of Patent Ductus Arteriosus (PDA).
  • Born at 36 weeks gestation.
  • Mother states this child doesn’t go to day care but her two other children ages 2 and 3 do attend daycare.
  • T- 102.1 HR 140 RR 40 BP 83/58 Pulse ox 96%
  • A swab for respiratory syncytial virus (RSV) is positive.

 

Doctor orders – Nasal bulb suction and saline drops PRN, Tylenol 15mg/kg Q4 PRN for fever, Albuterol nebulizer in office and push po fluids as tolerated.

After the albuterol neb treatment, respirations are 36 and oxygen saturation is 100%. Wheezing has diminished. Mom is an ER nurse and the doctor feels comfortable that she has a nebulizer at home and can return to pediatric afterhours or ER if needed.

Client is discharged with these orders:

  • methylprednisolone 0.4 mg/kg oral BID for 3
  • Albuterol Q4 hours for 24 hours, then Q 6 hours for 24 hours, and Q6 as needed.
  • Call if needed prior to the Q4 dose.
  • Manage fever with Tylenol and continue hydration and nasal bulb suction Q6 while awake.
  • Return for re-evaluation in 3 days

Instructions

In a two to three-page APA formatted paper, provide reponses for these questions and requests for information:

Criteria:

  1. Describe the pathophysiology of bronchiolitis and identify the most common organism causing this infection. What laboratory testing can confirm your suspicion?
  2. Describe the pathophysiology of PDA and why the history of PDA is significant in this scenario.
  3. What risk factors place Vivi Mitchell at a greater risk for the development of bronchiolitis?
  4. What are the characteristic signs/symptoms of bronchiolitis?
  5. Vivi Mitchell been prescribed the following medications; acetaminophen, albuterol nebulizer, corticosteroids. Provide the rationale for why each medication has been included as part of her medical management and explain any potential contraindications related to these medications.
  6. You are designing Vivi Mitchell’s plan of care. Identify two priority nursing diagnoses to include in your plan. For each nursing diagnosis, identify two SMART goals, and two interventions for each goal.
  7. What short and long-term possible complications should the nurse anticipate?
  8. What client education is appropriate for Vivi Mitchell as she is discharged from the after-care clinic?

* Include a minimum of 2 scholarly sources

 

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Literature Review

Literature Review

Risk Factors for Poor Health Status

Identify at least one other risk factor besides race/ethnicity, SES, and health insurance coverage, associated with poor health or adverse health outcomes. Do a library search and find and read a recent (3-5 years) peer-reviewed journal article (do NOT use a web page or entry on a website such as Healthy People – you will not receive credit if you do not use a professional journal article). Do not use an article already chosen by another student.

Post a summary of the article (5-6 sentences) as well as a brief description of what you learned or your critical reflections of the article. Provide the full citation and links (or the PDF) for the article so that others may access it.

Requirements: 150   |   .doc file

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Records, Termination and Succession

Records, Termination and Succession

Week 9 Assignment – Records, Termination, and Succession

Overview

One of the major responsibilities of HR is to, of course, manage human capital. This continues after employee hiring and continues through termination and succession. Having effective policies in place that define these, and other functions in between, is critical to an organization’s commitment to ethical, legal, fair, and efficient operating practices. In this assignment, you are asked to share best practices or policies on these topics during a series of brown bag sessions (these are informal lunch time presentations).

Scenario

Imagine that HR leadership is busy integrating the HR teams from both hospitals and they want to make sure department members are operating in concert with one another on a range of topics. Over the next several weeks, leadership plans to have you conduct three brown bag sessions (informal lunch-time presentations) that examine the topics of record keeping, ethics and law, and succession planning. They have asked you to write an executive summary of the content planned for each session in advance.

Session Descriptions:
  • Session 1: Maintaining Accurate Employee Records—In this session, you identify, and elaborate upon, four reasons for maintaining accurate and objective employee records.
  • Session 2: Ethical and Legal Termination—In this session, you examine the legal and ethical aspects of selecting and terminating an employee out of a group of people with similar performance, behaviors, and jobs as a part of a broad-ranging cost saving initiative. Employee differences:
    • One has a disability.
    • One is paid significantly more than others.
    • One is 60 years of age and older than the others.
    • One is planning on soon taking an extended family leave
  • Session 3: Succession Planning—In this session, you recommend a process to identify and groom an internal candidate to move into a senior-level leadership position in a health care organization such as CEO, COO, and CFO.

Instructions

Consider the scenario above and imagine that your audience is a group of department managers. Write an executive summary that introduces the topics in an introductory paragraph and then describes the content to be delivered in each of the three sessions in detail. Each session description should be two pages in length (six total pages plus cover page).

Your work will be measured against the following criteria:

  1. Identify, and elaborate upon, four reasons for maintaining accurate and objective employee records.
  2. Analyze the legal implications or requirements of a termination decision. (Make sure to reference specific statutes or laws that govern this area of employment law.)
  3. Analyze the ethical facets of a termination decision. (Make sure to reference an ethical framework to support your assertions or positions.)
  4. Recommend and justify a process to identify and groom a candidate for a senior-level position.

Requirements: 6 pages

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Nursing Leaders as Ethical-Legal Change Agents in Health Care

Nursing Leaders as Ethical-Legal Change Agents in Health Care

Learning Goal: I’m working on a nursing discussion question and need a sample draft to help me learn.

In the course, you will research ethical decision-making and legal issues that influence your role as a nursing leader. Please take this opportunity to introduce yourself, state your area of specialization, and explain how you see your role as a nursing leader making ethical-legal and moral decisions. Include what actions you plan to take to minimize or alleviate moral distress caused by ethical dilemmas and the values that support your actions

.My name is Rachel. From my nursing experience is that I have worked in the Progressive Step-down Unit (PCU). I graduated in August 2019 with a Bachelor of Science in Nursing. I was able to sit for my board exam in 2020, and I was able to pass well. Therefore, through learning and doing several exams, I have been able to have different nursing experiences and learn other ideas on nursing operations. My learning experiences have enabled me to contribute a lot t the nursing profession as I have the necessary skills alongside the profession’s personality. Moreover, I have created a positive work setting within the hospital, wherein the progressive step-down unit department. The positive work environments I have made have helped me increase positive patient outcomes and the excellence of care. I’m currently working in a Psych Hospital that I found out I really like this field , it wasn’t my original field of interest but I have developed a new found passion for Psych and I’m actually really good at it with the patients.

Requirements: 4 paragraphs

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PharmacyScope of Practice

PharmacyScope of Practice

Learning Goal: I’m working on a health & medical writing question and need guidance to help me learn.

Instructions: Read Florida Statute 465.003 (13), definition of “Practice of the profession of pharmacy” and address the following scenario in a discussion-based post.

Covid-19 has been an unprecedented situation for our healthcare system. Accordingly, many professions, including pharmacy, have necessitated to alter their scope of practice and assume new roles to assist patients and relieve the healthcare system’s burden. For example, pharmacists are now performing antibody testing, diagnostic testing, recommending alternative therapies both preventive and for treatment, administering EUA vaccines, initiating time sensitive antivirals, serving as stewards for off-label treatments, compounding hand sanitizer and unapproved medications, counseling and selling PPE, dispensing off-label drugs for patients (hydroxycholorquine), recruiting convalescent plasma patients for donation and consenting patients for clinical trials.

Assignment Question: Based on the definition of the “Practice of the profession of pharmacy” in FL, list and describe three activities pharmacists are doing during the pandemic that are clearly within the scope of practice (3 points) and list and describe three activities that are questionable / not (3 points). For those activities that fall outside the scope of defined practice, should pharmacists be advocating for these expanded rights or should they pursue other more meaningful activities, and if so, which ones (3 points)?

Your post should be approximately 250-500 words.

Technical Information:

  • All posts MUST reference some part of the Statute (FL 465.003 (13)). Please use statutory language in the definition to support your position statements.
  • Below you can find the Statue:
    “Practice of the profession of pharmacy” includes compounding, dispensing, and consulting concerning contents, therapeutic values, and uses of any medicinal drug; consulting concerning therapeutic values and interactions of patent or proprietary preparations, whether pursuant to prescriptions or in the absence and entirely independent of such prescriptions or orders; and conducting other pharmaceutical services. For purposes of this subsection, the term “other pharmaceutical services” means monitoring the patient’s drug therapy and assisting the patient in the management of his or her drug therapy, and includes reviewing, and making recommendations regarding, the patient’s drug therapy and health care status in communication with the patient’s prescribing health care provider as licensed under chapter 458, chapter 459, chapter 461, or chapter 466, or a similar statutory provision in another jurisdiction, or such provider’s agent or such other persons as specifically authorized by the patient; and initiating, modifying, or discontinuing drug therapy for a chronic health condition under a collaborative pharmacy practice agreement. This subsection may not be interpreted to permit an alteration of a prescriber’s directions, the diagnosis or treatment of any disease, the initiation of any drug therapy, the practice of medicine, or the practice of osteopathic medicine, unless otherwise permitted by law or specifically authorized by s. 465.1865 or s. 465.1895. The term “practice of the profession of pharmacy” also includes any other act, service, operation, research, or transaction incidental to, or forming a part of, any of the foregoing acts, requiring, involving, or employing the science or art of any branch of the pharmaceutical profession, study, or training, and shall expressly permit a pharmacist to transmit information from persons authorized to prescribe medicinal drugs to their patients. The practice of the profession of pharmacy also includes the administration of vaccines to adults pursuant to s. 465.189, the testing or screening for and treatment of minor, nonchronic health conditions pursuant to s. 465.1895, and the preparation of prepackaged drug products in facilities holding Class III institutional pharmacy permits. The term also includes the ordering and evaluating of any laboratory or clinical testing; conducting patient assessments; and modifying, discontinuing, or administering medicinal drugs pursuant to s. 465.0125 by a consultant pharmacist.

Requirements: 250 – 500 words,

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