February 8, 2020

How can the use of the nurse’s personal communication device(s) impact patient care either positively and/or negatively? Are there ethical and legal implications?

devry nr361 week 1 discussion dq 1& dq 2 latest 2016 may Moving Data to Wisdom (graded) Reflect on the content from your readings and this week’s lesson. Then, think of a recent experience, and describe how you mentally moved data through the stages of information and knowledge to wisdom. What information system/s helped you move from data to wisdom? Keep this short like assessing a patient for congestive heart failure. How did you evaluate and combine the various pieces of data? What was the outcome of this process? dq 2 AACN Essentials Self-Assessment Results (graded) Complete your Self-Assessment of the AACN Essentials located in Doc Sharing (Week 1). Note your total score. If you are willing, please share your total score with your classmates. Identify areas where your knowledge is lacking. Keep in mind we are all “knowledge workers.” What areas of inquiry do you have as they relate to the essentials? devry nr361 week 2 discussion dq 1& dq 2 latest 2016 may dq 1 Experiences With Healthcare Information Systems (graded) Share your experiences with healthcare information systems, past or present. Has it been an easy transition or difficult? Why do you believe your experience has been positive or negative? If you are currently not working, how has the medical record exposure in nursing school impacted your current knowledge? dq 2 Explaining the EHR to Your Patient (graded) You are a nurse or nursing student in a hospital and using a computer on wheels to perform an admission assessment. Your patient is 87 years old, alert, oriented, and asking questions. The first question is “Why do you have that box with you? I don’t have time to play games”. As the nurse in the room with the patient, how would you explain that the “box” is a computer and why you have it in the room? What can you do to help her understand the need for the computer? devry nr361 week 3 discussion dq 1& dq 2 latest 2016 may dq 1 Opportunities for Improvement with Usability and Interoperability (graded) Usability and interoperability are major issues to consider in the development of Healthcare Information Systems (HIS). How does your organization address these issues? Does the transfer of information occur smoothly, or do you need to re-enter data from one application to the next, e.g., patient information from the emergency room does not transfer along with the patient who is admitted to the critical care unit? Or, the patient is discharged and the home care nurses have to “start from scratch” as they prepare the patient’s plan of care. dq 2 Library Search for Telenursing Resources (graded) This week’s lesson points out key concepts in searching the National Library of Medicine’s PubMed/MEDLINE database, the Chamberlain Library’s EBSCO/CINAHL database, and Google Scholar. The lesson this week directs you to links and resources on the basics of searching these three information sources. The tutorials are very helpful. You are strongly urged to view them prior to posting. Locate one article in each of the data sources to prepare your scholarly paper due during Week 4, Telenursing…Is It in Your Future? Briefly summarize each article in your post. devry nr361 week 4 discussion dq 1& dq 2 latest 2016 may dq 1 Meaningful Use in Your Workplace (graded) Let’s say you are the only nursing information expert in your small hospital. The Chief Nursing Officer (CNO) relies on you to translate major developments in policy and reimbursement that have direct implications for the facility. How would you explain the relationship between standardized terminologies and financial rewards related to meaningful use? Remember to cite your resources that you will use to provide information. dq 2 Your Patient has a PHR (Personal Health Record)… Now What? (graded) Patient portals and patient health records (PHRs) are common place now. You might not have been exposed to them in nursing school or even in your own medical office appointments. However, the portals and PHR are something to be familiar with! What are the pros and cons of having a PHR? Would you prefer a patient portal, and why? devry nr361 week 5 discussion dq 1& dq 2 latest 2016 may dq 1 Uses of Standardized Nursing Terminology (graded) From your practice standpoint, what have you read this week in your text or in the lesson that offered a new view or appreciation for standardized terminology? Be specific. dq 2 Documentation and Reimbursement (graded) What is the impact of Centers for Medicare and Medicaid Services (CMS) payment denial on the healthcare system and what are the implications for our nursing practice related to documentation? devry nr361 week 6 discussion dq 1& dq 2 latest 2016 may dq 1 Nursing Gains Visibility (graded) Ever since the introduction of the Centers for Medicare and Medicaid Services (CMS) refusal of payment for hospital acquired poor outcomes, nursing has gained visibility because these outcomes are nurse sensitive. Locate an article or website that refers to these nurse-sensitive outcomes and describe its findings. dq 2 Distractors in our Environment (graded) Distractors are everywhere. Our cellphones in the pocket, the alarms sounding for multiple different reasons, the ward clerk overhead paging, IV pumps and ECG monitors beeping; how are we to cope and be able to decipher what is alarming? The repeated sound of an alarm can be annoying to the patient, family, and staff. This can lead to someone shutting off the alarm. Give an example of an ethical or legal issue that may arise if a patient has a poor outcome or sentinel event because of a distractor. What does research show on alarm fatigue and cellphone distraction when it comes to patient safety?. devry nr361 week 7 discussion dq 1& dq 2 latest 2016 may dq 1 Use of Personal Communication Devices in Patient Care Settings (graded) How can the use of the nurse’s personal communication device(s) impact patient care either positively and/or negatively? Are there ethical and legal implications? Does your facility or school have a policy on personal use of cellphones while at work/school? Locate an article, and share a brief summary of that article with your classmates. dq 2 Safe Nursing Care…Is There an App for That? (graded) Andrea was working in the cardiac catheterization lab when a young woman undergoing a cardiac ablation started to have small seizures. The nurse noticed these and asked the physician to look at the patient. The physician asked Andrea to get his smart phone and film the seizures. This video message was sent to a neurologist and he could tell from the video the part of the brain from which the seizures were emanating. This is one example of using technology. Does this connote safe care? Is there an app (application) for that? If you could develop an app to enhance safe nursing care, what would it be like?
February 8, 2020

How will increasing your level of education affect your role in the future of nursing?

Reflection;explain how you see yourself fitting into the following IOM Future of Nursing recommendations Order Description In a reflection of 450 words explain how you see […]
February 8, 2020

Develop strategies for demonstrating the need for this capital expenditure that take into account both financial and emotional considerations.

As a nurse, you are probably very aware of and can speak to the emotional reasons behind the need for certain major expenditures such as a new nurse’s lounge or replacing the current patient information system with a new digital system. As a nurse, you are probably very aware of and can speak to the emotional reasons behind the need for certain major expenditures such as a new nurse’s lounge or replacing the current patient information system with a new digital system. You would love to see your nurses have a comfortable area where they can rejuvenate from a stressful day with patients. As a nurse, you are probably very aware of and can speak to the emotiona l reasons behind the need for certain major expenditures such as a new nurse’s lounge or replacing the current patient information system with a new digital system. You would love to see your nurses have a comfortable area where they can rejuvenate from a stressful day with patients. Alternatively, nurses carrying around PDAs would certainly ease the recording and transmission of vital patient information. However, as a nurse manager you need to be able to support those emotional appeals with reliable financial data. Having a place to refresh will help nurses be more efficient, and could reduce sick days and nurse errors. Being able to quickly access doctor’s orders and previous nurse’s comments allows for a more timely response to patients. As your responsibilities expand, you may find yourself at the table when decisions about capital expenditures are being debated. It is therefore to your advantage to understand the workings of a capital budget.In this Discussion, you consider the impact of both financial and emotional factors in making a capital budget decision, Review the information on capital budgets in this week’s Learning Resources.Consider why it is important for nurse managers to understand the capital budget of an organization. How are capital budgets used in your own organization (or one with which you are familiar)?Reflect on the importance of thinking strategically when developing this type of budget.Identify a new piece of equipment you would like to see purchased by the organization. Consider how knowledge of capital budgeting could influence your approach to making the request.Develop strategies for demonstrating the need for this capital expenditure that take into account both financial and emotional considerations.
February 8, 2020

What mechanisms do bacteria use to resist the effects of antibiotics?

What mechanisms do bacteria use to resist the effects of antibiotics? Antibiotic-Resistant Bacteria Perform some research using high-quality literature. The development of antibiotic-resistance among bacteria is a major issue in healthcare, but is widely misunderstood by the general public. The World Health Organization recently released a report on the extent of antibiotic resistance world-wide. A summary of the report can be found under the title, “WHO’s First Global Report on Antibiotic Resistance Reveals Serious, Worldwide Threat to Public Health.” answer all the question, use the information from your research to answer the following questions: What are antibiotics? What mechanisms do bacteria use to resist the effects of antibiotics? What genetic changes underlie these mechanisms? What can we (humans) do to limit the spread of antibiotic-
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