NUR 4636 – DB 3.4

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Answers must:Be 100 words or moreUse the stand English grammar and spellingReferences are cited (if necessary)APA FormatRead the case study below and answer the following questionsWorking with the HomelessSally Anne, aged 19, brought two children into the emergency room. The 6-month-old boy’s complaints are a cold with mild fever, fatigue, vomiting with dry coughing spells, decreased intake of cola (2 ounces every 3 hours—her version of clear liquids), one scraped diaper per 12 hours— the diaper is not soaked so Mom recycles it after scrapping off the solids. The child’s cry is weak, red eyes, sneezing moves thick mucus, prolonged cough, high-pitched noise during intake. The child’s condition did not improve over the last 24 hours.The family of three lives in the family sedan parked behind a service station due to Mom’s fear of lack of shelter safety. Turk, the 3-year-old, sports bruises on arms and legs, and a knot on his forehead. He appears semiconscious (responds to light pain), coughs when disturbed, refuses fluids and food, and pulls away from touch. Mother states that he has been sick for more than a week, but she is concerned that he has not been as fussy the last 24 hours. His skin tents when pinched. Sally Anne believes he lost weight but has not used a scale. Turk does not look adults in the eye or follow a finger point. He moans but has not communicated with words. He appears to fantasize, and finger plays violently. His fingers seem to attack each other. He does not seem to listen nor does he respond to questions. Both children are wearing dirty clothing. Mom is exhausted and asks for help with formula and diapers.Treatment: Both children kept overnight for assessment in a room with a bathroom and couch. Mother permitted to bath and wash children’s clothing after their baths. Cooling mist tent ordered. Children placed next to each other for convenience and for precautions. Social worker involved for discharge planning. The boys are placed on IVs for hydration and given clear fluids for drinking. Antibiotics are placed in the IV.What information is needed for a complete assessment?Will this family be worse off when released from the hospital? What community resources for homeless families could be activated in the small town? What prevents the family from falling through economic cracks that will prevent developmental assessments and treatments?

 
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Leadership and management #3

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What does it mean to “owe a duty of care”? What are the common clinical practice areas that give rise to allegations of malpractice? What are the most common acts of negligence by nurses?For what activities can health care organizations be held liable? What can nurse managers do to help avoid corporate liability?following the APA style guideline500 wordsSite two resources  to complete assignment

 
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stakeholder analysis

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The next step in the process is to begin identifying the challenges and impediments to implementing a quality improvement plan. In the analysis consider the individuals affected by the change as well as the cost of implementing the quality improvement plan.Post a description of some of the proposed action steps for implementing improved practice and explain where potential challenges might compromise your proposed improvement project. Describe what resources are needed for your solution and explain whether those resources are cost-effective or not. Continue to collaborate with the selected individuals in your practice environment as needed in the development of the Practice Experience Project and share this information with your group.

 
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Interview a Nurse Practitioner due 11/6/2022 by 6pm

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Part 1: Interview a Nurse Practitioner currently working in a primary care or urgent care setting.  You must include complete responses to all questions provided by instructor.  Please write as question-and-answer format.  Additional issues may be addressed by student at student’s discretion.  Summarize and describe what you learn from the interview and the NP’s role.    Any comment or suggestions regarding NP practice role?· NP credentials include specialty; education level; if not doctoral prepared, plan for doctoral degree? DNP? PhD? EdD? And rational for continue or not continue education.· Type of practice setting· Job description and responsibilities· Years in practice· Any leadership roles in the practice, such as in charge of QI/QC, budgeting, scheduling, practice protocols/polices etc.· Age range of patients· Average # pts. Seen per day· Billing/coding responsibilities· Own Medicare billing number?· Direct reimbursement?· Listed as Primary Care Provider (PCP) in any Manage Care Organization’s or insurance agencies?· How do they accomplish Chart Review with collaborator?· How do they maintain continuing education responsibilities?· If possible, find out what specific protocols are being used in the practice setting.· Ask to see their collaborative practice agreement if applicable.· You may include ANY other information you find interesting. (What do they like most/least about their position? About being an NP in general? Do they belong to any professional organizations? Which ones and why?)· Did this assignment help you understand primary care NP’s role?

 
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Health system and Policy (Public Health)

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ppt voice over presentation. for aprrox 5-7 mins long.

 
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homework

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no reference required for your response, the goal is really to see what your colleagues had to say)

 
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Ethics Essay

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Cite a contemporary moral issue in our society. In an essay apply one ethical theory learned in class to judge this moral issue. Use the theory’s claims to back up and support your arguments. Not applying the ethical doctrine is an automatic zero.

 
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Project Manager Roles and Responsibilities

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Project Manager Roles and ResponsibilitiesPurposeThe purpose of this discussion is to explore the responsibilities of the DNP-prepared nurse as a project manager. The project manager has the lead role and responsibility for project success. Project managers are accountable for the project scope, project team, resources, and the success or failure of the project. Our discussion this week allows us to look at activities in the project planning and implementation phases.InstructionsReflect upon your readings and professional experience and address the following:Examine why is it important to identify stakeholders and the project team early on when undertaking a project.Consider the organizational culture where you plan to implement your DNP project. Describe organizational cultural barriers that may be present that will need to be overcome for project success.For your DNP project, detail your implementation plan to include milestones.*Know that All responses will be Turnitin checked.Instructions:Use anAPA 7 style and a minimum of 250 words. Provide support from a minimum of at least (2) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation.citations and references are included when information is summarized/synthesized and/or direct quotes are used, in whichAPA stylestandards apply. Include the Doi or URL link.• Textbooks are not considered scholarly sources.• Wikipedia, Wikis, .com website or blogs should not be used

 
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Responding

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1)For my final assignment I have chosen to talk about how hackers have gained access to hospital computer software and manipulated systems. This trend has the ability to place patients at harm.   The best way to prevent these kind of attacks is to educate our healthcare professionals on what to look for.’To solve these problems, there are many levels of technology, such as cryptography technology, network security technology and so on.”(Ming, Chen, Guo, 2019). Cryptography is the art of writing or solving codes. Network security technology is also another way to prevent hackers from manipulating systems. Healthcare professionals also have a responsibility in detecting possible computer hackers as well. Upon employment, employers are educated on not opening suspicious emails   that maybe an attempt  for hackers to gain access into computer software. Healthcare employers who use screens and monitors in their field of work, also need to be educated on how to recognize when software has been manipulated. For example, areas of care that use monitors for diagnosing purposes need to be able to decipher  actual patient data from manipulated   data possibly shown on screens and monitors.Other ways to prevent software attacks are to keep computer software updated frequently. Companies and organizations should invest in the latest computer security programs. Never use open wi-fi on a computer router, always update your password frequently and create a password that does not involve birthdays or any significant events in your life that will be easy to figure out,  and do not wander on websites that are not allowed by the organization.Preventing computer hackers is the responsibility of everyone in an organization. On going computer education  training is  a must in order to prevent computer hackers  and software malfunctions.2)I selected to do my final assignment on universal electronic health records. I would say there is a lot of misconception out there regarding these records and just the terminology that a lot of caregivers use interchangeably.  Before this course I thought the electronic medical record and the electronic health record to be virtually the same. I know differently now and the way I find it easiest to remember is that the electronic medical record is basically a digital version of the paper chart. It contains basic past medical history and is held and collected in an office or medical organization. The electronic health record is an oversight of the whole health of a patient. It goes wherever the patient goes and can be shared by healthcare providers. An all-inclusive patient record has more benefits for sicker patients that will hopefully improve outcomes.The first part of training of electronic medical records would be the security aspect of sharing data electronically.  This would be ongoing annual training as well as training updates for employee’s that might have a breach of confidently. The Health Insurance Portability and Accountability Act  of 1996 set forth rules and regulations to protect medical records and other health information that could identify an individual. The penalties for known violation of HIPAA can be processed criminally.  A fine can be imposed up to $50.000 dollars and up to one year and jail  according to an article in Hospital Access Management (2018). This in my opinion is much worse than just losing your job.The actual training would be required on the version of the electronic record itself that is currently being used in the organization where you might be employed. This subject is very current with me at present due to being thirty days out from our EPIC conversion. Training on EPIC modules has been ongoing over the last five weeks. There have been zero tolerance measures for tardiness and cell phone disruption. The first day of training 7 people that were not quite in the door were turned away with two of those being physicians.  That information spread quickly across the hospital that the trainers meant what they said about being on time.After the completion of the modules with the trainers from EPIC ongoing practice as well as system update training will be required to stay current with the records. Super Users have been selected from all departments that will help with training as well as when new employees are hired. The use of any electronic record is a better value purchase for an organization when people are trained properly. When users are aware of the information that they can pull out for reporting purposes and use the system at a high functioning level it is beneficial for all.200 words each

 
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epidemiology paper

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1. Go to http://www.healthypeople.gov/2020/default.aspx and review the Healthy People 2020 initiative. Pay close attention to the objectives, goals and the indicators.2. Using your city or county public health department identify an epidemiological and surveillance data related to population based communicable illnesses described in box 4-1 page 122 of our class text book. Besides the illnesses describe you can also choose influenza or any other illnesses that are currently affecting your community.3. Once you have chosen your topics you must send me an e-mail telling me what illnesses you choose.4. Choose 3 population based communicable illness and prepare an analysis discussing how this 3-communicable illness affect your community and how they were identified and a plan of action to contained them base on healthy people 2020.5. Presentation must be in APA format word document, Arial 12 font attach to the forum/thread in the assignment tab and turnitin with a minimum of 1000 words (excluding first and references page) with a minimum of 3 evidence based references (excluding the class textbook) no older than 5 years are required. The assignment must include the zip code of the city or county chosen. Follow the APA example paper that was sent to you at the beginning of the course for guidance. Make sure references are use according to APA guidelines and electronic references must be from reliable sources such as CDC. Once again, the assignment will be posted in turnitin under the tab epidemiology assignment to verify originality and on the discussion tab of the blackboard under forum/thread epidemiology assignment. You are posting the assignment twice but only you will receive one grade

 
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