Emergency Room Waiting Room – hawkessays.com


Emergency Room Waiting Room

Prevent the Spread of Infectious Microbes

Instructions

Design an emergency room waiting room that can prevent the spread of infectious microbes to healthy patients and family members. In the design, address the following aspects of the emergency department, including:

  • the triage process,
  • the check-in procedure,
  • the waiting area,
  • furniture choices,
  • cleaning procedures,
  • Personal Protective Equipment, and
  • room design.

 

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Module 09 Content Purpose – hawkessays.com


Module 09 Content Purpose

Module 09 Content

  1. Purpose
    Recognize common blood disorders and apply appropriate nursing interventions within the scope of practice of the LPN.

    Competency
    Describe nursing care interventions for clients with hematological disorders.

    Instructions
    Read the following Scenarios and answer the questions that follow. Make sure you cite any sources using APA format.

    Scenario # 1
    You are sent to the medical ICU to help out because there were several sick calls. You are instructed by the charge nurse to take vital signs on all of the clients in the 12-bed unit. You are just completing your rounds when a call bell goes off in room three. The client in room three is recovering from septic shock but has been stable for the past 48 hours. The client is awake and requesting ice chips. As you lean over to grab his pitcher, you notice blood oozing from two IV sites on his left arm. The Foley catheter has tea-colored urine, and the client’s central line in his chest has blood oozing from the site.
    Question # 1: What in the data collection should be reported to the RN immediately? Why? (5-10 sentences)
    Question # 2: What items in the client’s history are risk factors for DIC? (2-3 sentences)

    Scenario # 2
    You are working in the genetics clinic of a large medical center. Your first client of the day has a history of hemophilia A (factor VIII deficiency). The client came to the clinic for evaluation of right knee pain. He denies any history of trauma and states the pain began last night, worsening ever since. His pain is a 7/10.
    Question # 3: Should the nurse be concerned about the client’s knee pain? Why or why not? (5-10 sentences)
    Question # 4: Why are the vast majority of clients with hemophilia male? (5-10 sentences)

    Scenario # 3
    You are working in a small community emergency room when you receive a client complaining of severe pain (10/10) to her arms and chest. The pain began one hour ago. The client is known to have sickle cell disease.
    Question # 5: What is the priority nursing intervention for this client? Explain your answer. (3-5 sentences)

    Format

    • Standard American English (correct grammar, punctuation, etc.)
    • Logical, original and insightful
    • Professional organization, style, and mechanics in APA format
    • Submit document through Grammarly to correct errors before submission.

 

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Heart Disease 2 Pages – hawkessays.com


PATIENT EDUCATION PLAN                                                     

Evidence of teaching the patient and or family is a critical element for the nurse practitioner. Each student must identify a clinical problem and provide proof of patient education addressing the health promotion and disease preventative elements needed for the individual/family or community.

CLINICAL PROBLEM: HEART DISEASE

2 PAGES

3-4 REFERENCES NO OLDER THAN 5 YEARS OLD

NO PLAGIARISM MORE THAN 10 % ACCEPTED , PLEASE ATTACH PLAGIARISM REPORT.

NEED FOR DECEMBER 1 , 2022 NO LATER 



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Identified Help Engage Employees – hawkessays.com


Identified Help Engage Employees

Create an 8- to 12-slide Microsoft PowerPoint presentation with detailed speaker notes in which you: 

Explain the difference between individuals and teams as they are used in an organization. 

Explain how individuals and teams can be used effectively in an organization. 

Describe the 5 phases of group development. 

List strategies and practices a company could implement to build and maintain individual and team performance.

Explain how the strategies and practices you identified help engage employees through the phases of group development. 

Explain how your development or facilitation/training would differ for an individual audience versus a group audience.

Include a title slide, detailed speaker notes, and a reference slide. 

Format your citations and references according to APA guidelines. 

 

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Dnp Practicum Readiness Form – hawkessays.com


Dnp Practicum Readiness Form

Length: 10-12 pages total (not including title page or references page). There are a lot of pages that are already written (see the attached DNP Project manuscript) but some need revision per the instructor notes.

Use the DNP Project Manuscript Template in the current APA format.   

The attachments

-Week 6 assignment are the instructions

-DNP Project manuscript template is where the work needs to be inserted

-John Hopkins tool is part of the assignment as well and needs to be updated on the manuscript CORRECTLY!

– DNP PRACTICUM READINESS FORM is what my DNP case study project is about. 

 

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Respiratory Syncytial Virus Infection – hawkessays.com


Respiratory Syncytial Virus Infection

  

As we head into viral season, this year we are being hit with flu and Respiratory Syncytial Virus Infection (RSV) at record numbers in pediatrics. 

1.What is the most up to date research on the management of RSV? Do we use nebulized treatments for all children? If so, do we use hypertonic saline or albuterol? What other techniques can help with alleviation of symptoms in RSV? What recommendations would you discuss with parents?

2. What are the most up today recommendations for treatment of influenza in pediatrics? What is the dosing for Tamiflu? Which children are at high risk? What complications can be seen with influenza?

Instructions: Providing supportive evidence with correct APA citation and Your evidence should be scholarly articles, professional websites, research studies, and or books that provide supportive evidence in the last 5 years.

 

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Emergency Department Physicians Received – hawkessays.com


READ- And reply

PROS

  • Computerized alerts and reminders for providers and patients

Allergy alerts can prevent medication errors and can be clarified if needed. Patients can benefit from using portals or APPS that have lists of interactions or potential allergies at home. Reminders for providers to administer medication or follow up with a medication response to treatment are beneficial (Keasberry et al, 2017). Patients may use APPs that have reminders set to when they need to take their medication or check their blood pressure, blood sugar or weigh themselves (Yoo et al, 2020).

  • Drug-drug interaction alerts

The system will alert providers, pharmacists, and nurses if there is a potential for drug-drug interactions preventing harm to patients. In patients with multiple health problems, and on multiple medications, this is a useful tool to prevent errors and harm (Keasberry et al, 2017).

  • Condition-specific order sets

When providers use condition-specific order sets, they tend to adhere to treatment guidelines  increasing patient outcomes. Appropriate are noted to be ordered more frequently as well. Clinicians tend to follow guidelines of care more closely, that includes effective disease management, treatment, and appropriate use of medications (Keasberry et al, 2017).

Cons

  • Financial impact to organization to implement and maintain

Purchasing, maintaining and training are all costly to organizations and must be considered. Some organizations are hesitant to implement CDSS due to the upfront cost, and cost of maintaining and updating the system, but the benefits of improved care, and prevention of medical errors must be considered (Keasberry, 2017).

In a study of an urban academic hospital in the emergency room, it was found that emergency department physicians received 13.75 alerts for every 100 orders entered. Two-thirds were overridden, which is considered significant and has great potential for increased patient harm (Yoo et al, 2020). Providers are inundated with alarms and alerts throughout their shift and some are silenced and ignored which can have adverse outcomes for patients. Studies like this are imperative in performance improvement initiatives for CDSS programs and workflow processes for providers.

  • Increased use of technology time

Providers may spend more time using technology and less time with patients due to flow of the system, placing orders, difficulty in finding what they need within the system, and answering alerts and alarms. This can lead to frustration for the provider and patient, and decrease satisfaction for both (Keasberry et al, 2017).

Mr. X came into clinic today for a follow up for his chronic atrial fibrillation. He has expressed concern about risk of stroke and bleeding,  and has shared those concerns with me, his APN. It is estimated that 2.3 million Americans suffer from atrial-fibrillation (AF) and that number is growing with an expected 10 million by 2050 (Stacy et al, 2022). There are many tools through CDSSs that may help with AF including apps that monitor cardiac rate and rhythms, and medications. By inputting Mr. X’s information such as lab results, medications, and diagnosis of AF, the CDSS will guide me to make the best clinical decisions to manage his care that is evidenced based. The CDSS can be overridden if clinical judgement warrants. The CDSS can be beneficial in alerting providers to those who may be at higher risk for bleeding due to treatment with warfarin based on their lab results. It can also give dosage recommendations or offer other treatment options. As a new APN, this CDSS tool is helpful as it has the clinical guidelines, recommendations, and alerts built in to one system (Stacy et al, 2022)

Instruction- response to above with a question. Substantive posts must add importance, depth, and meaningfulness to the discussion. Post must include at least one scholarly source.



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Please Every Reply Must – hawkessays.com


-Include 2 different replies to the uploaded discussion post with references. 

-each reply with more than 2 hundred words. Include citations for each paragraph. 

-Please every reply must be different and with different references. 

-Please only original work that you have not submitted before to other users, with less than 10% plagiarism. thanks



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Community Health Nursing Intervention – hawkessays.com


Community Health Nursing Intervention

What community health nursing intervention strategies will best be suited to address your selected health concern? How you will integrate these methods into your project?  My project is regarding recovering addicts.  

Your initial posting should be 400 words in length and utilize at least one scholarly source other than the textbook. 

 

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