Category: Nursing

Define active and latent errors. Provide examples from your clinical experience, if possible. How can
such errors be avoided to support better patient care?
300 words
APA

Describe the health care problem or issue you selected for use in assessment 2(from the assessment topic areas media piece) and provide details about it.

In this exercise, you will complete a 5-essay type question Knowledge Check to gauge your understanding of this module’s content. Possible topics covered in this Knowledge Check include:
Growth and development
Normal growth patterns
Scoliosis (ortho)
Kawasaki
Alterations in children
Congenital (heart syndrome)
PDAs
Sudden Infant Death Syndrome (SIDS)
Asthma
Lead poisoning and effects on neurological functioning
Sickle cell
Hemophilia
1.Scenario 1: Acute Lymphoblastic Leukemia (ALL)An 11-year-old boy is brought to the clinic by his parents who states that the boy has not been eating and listless. The mother also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen. Maternal history negative for pre, intra, or post-partum problems.PMH: Negative. Easily reached developmental milestones. PE: reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern.LABS: CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl.DIAGNOSIS: acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his parents.CONFIRMED DX: acute lymphoblastic leukemia (ALL) was made after extensive testing. Question1. Explain what ALL is? 2.Scenario 1: Acute Lymphoblastic Leukemia (ALL)An 11-year-old boy is brought to the clinic by his parents who states that the boy has not been eating and listless. The mother also notes that he has been easily bruising without trauma as he says he is too tired to go out and play. He says his bones hurt sometimes. Mother states the child has had intermittent fevers that respond to acetaminophen. Maternal history negative for pre, intra, or post-partum problems.PMH: Negative. Easily reached developmental milestones. PE: reveals a thin, very pale child who has bruises on his arms and legs in no particular pattern.LABS: CBC revealed Hemoglobin of 6.9/dl, hematocrit of 19%, and platelet count of 80,000/mm3. The CMP demonstrated a blood urea nitrogen (BUN) of 34m g/dl and creatinine of 2.9 mg/dl.DIAGNOSIS: acute leukemia and renal failure and immediately refers the patient to the Emergency Room where a pediatric hematologist has been consulted and is waiting for the boy and his parents.CONFIRMED DX: acute lymphoblastic leukemia (ALL) was made after extensive testing. Question1.Why does ARF occur in some patients with ALL? 3.Scenario 2: Sickle Cell Disease (SCD)
A 15-year-old male with known sickle cell disease (SCD) present to the ER in sickle cell crisis. The patient is crying with pain and states this is the third acute episode he has had in the last 10-months. Both parents are present and appear very anxious and teary eyed. A diagnosis of acute sickle cell crisis was made. Question
1.Explain the pathophysiology of acute SCD crisis. Why is pain the predominate feature of acute crises? 4.Scenario 2: Sickle Cell Disease (SCD)
A 15-year-old male with known sickle cell disease (SCD) present to the ER in sickle cell crisis. The patient is crying with pain and states this is the third acute episode he has had in the last 10-months. Both parents are present and appear very anxious and teary eyed. A diagnosis of acute sickle cell crisis was made. Question
1.Discuss the genetic basis for SCD.
5.Scenario 3: Hemophilia
8-month infant is brought into the office due to a swollen right knee and excessive bruising. The parents have noticed bruising about a month ago but thought the bruising was due to the attempts to crawl. They became concerned when the baby woke up with a swollen knee. Infant up to date on all immunizations, has not had any medical problems since birth and has met all developmental milestones. FH: negative for any history of bleeding disorders or other major genetic diseases. PE: within normal limits except for obvious bruising on the extremities and right knee. Knee is swollen but no warmth appreciated. Range of motion of knee limited due to the swelling.
DIAGNOSIS: hemophilia A. Question
1.What is the pathophysiology of Hemophilia

DQ 1:
· Select one question as your DQ 1
· Follow the discussion questions participation and submission guidelines.
· Minimum three paragraphs per DQ
· All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5
· Minimum of two references, not older than 2016.
Textbook
Author: Masters, K. (2020). Role development in professional nursing practice. Burlington, Massachusetts: Jones & Bartlett Learning.
ISBN: 978-1-2841-5292-0
Chapter 3: Philosophy of Nursing
1. Where do you see yourself and your understanding of truth on the continuum of realism and idealism?
2. How would you define person? Look at the following attributes given to a person: (1) the ability to think and conceptualize, (2) the capacity to interact with others, (3) the need for boundaries, and (4) the use of language (Doheny, Cook, & Stopper, 1997). Would you agree? What about Maslow’s description of humanness in terms of a hierarchy of needs with self-actualization at the top? Another possibility is that persons are the major focus of nursing. Do you see humans as good or evil?
3. Where do you see yourself and your understanding of truth on the continuum of realism and idealism?
4. What are your beliefs about the major concepts in nursing—person, environment, health, nursing?
5. Do you believe there is more than one right answer to situations? How do you value the whole individual? What barriers prevent us from responding to the contextual needs of our patients?
6. Do I believe in health care for everyone? Does health care for everyone have value to me as a person? Does it have value to me as a nurse? What value does universal health care have to my patients?
7. How does my personal philosophy fit with the context of nursing? Does it fit? What areas, if any, need assessing?

The Purnell Model for Cultural Competence and its relevance for advanced practice nurse.
The importance of effective communication that promotes cultural competence.

rite three short- and two long-term goals (or vice versa) professional nursing SMART goals. Each goal must be written in the SMART format and include a month and year deadline. In addition, each SMART goal must include three action steps that need to be accomplished to meet the goal. SMART goals must be related only to your professional nursing career development and growth.
SMART Goals TemplateDownload SMART Goals Template
Review the rubric for more information on how your assignment will be graded.
Important: After you receive feedback from your instructor on this portfolio item, integrate the suggestions and revise it for your final portfolio submission.
Rubric
SMART Goals
SMART Goals
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeSMART Goals
10 to >8.9 ptsFive or more goals (two Long-Term and three Short-Term SMART goals) are provided in correct SMART format.
8.9 to >7.5 ptsFour goals are provided in correct SMART format.
7.5 to >5.9 ptsThree goals are provided in correct SMART format, or four goals are provided, but not all are in SMART format.
5.9 to >0 ptsNo SMART goals are provided.
10 pts
This criterion is linked to a Learning OutcomePlan for Achieving Goals with Completion Dates
10 to >8.9 ptsThe students provides a detailed plan for achieving all five goals and includes completion dates for each.
8.9 to >7.5 ptsThe student provides a general plan for achieving all five goals but some plans may lack detail or structure. Completion dates are included.
7.5 to >5.9 ptsThe student provides a generic or vague plan for achieving goals. There are few if any details. All five goals may not be provided. Completion dates may not be provided.
5.9 to >0 ptsNo goal plan is provided.
10 pts
This criterion is linked to a Learning OutcomeAPA Style and Mechanics
10 to >8.9 ptsThe student uses APA Style accurately and consistently. The assignment meets all formatting requirements (length and style). Punctuation, spelling, and capitalization are all correct. There are minimal to no errors.
8.9 to >7.5 ptsThe student uses APA Style, but there are with only 1–2 errors. The assignment meets most formatting requirements (length and style). Punctuation, spelling, and capitalization are generally correct with 3–4 errors.
7.5 to >5.9 ptsThe student reflects incomplete knowledge of APA Style with 5–6 errors. The assignment meets most formatting requirements (length and style). Errors in punctuation, spelling, and capitalization detract from the readability of the paper.
5.9 to >0 ptsThe student does not use APA Style, or there are pervasive errors throughout the paper. The assignment does not meet formatting requirements (length and style). There are many distracting errors in punctuation, spelling, and capitalization.
10 pts
Total Points: 30
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ENGAGEMENT IN THE ACCREDITATION PROCESS ASSIGNMENT INSTRUCTIONS
READ: BILLINGS & HALSTEAD CHAPTER 28
OVERVIEW
Based on your experience with the accreditation process and the literature, the purpose of this assignment is to allow you the opportunity to explore the accreditation process and share any experience that you have with accreditation. INSTRUCTIONS
Considering your own experience with accreditation, please include the following criteria in your assignment:
1. What are some recommendations for better engagement of faculty in the accreditation process? 2. How can new or junior faculty be involved in the accreditation process? 3. What have you learned in this course that may be helpful with the overall assessment, evaluation, and accreditation of a nursing program?
4. How will you apply biblical principles to accreditation?
Note: If you do not have experience with accreditation, address each of the prompts above from the perspective of future involvement with and methods to increase engagement in both novice and seasoned faculty. Hint: Headings for this assignment:
1. Title of Paper is the heading for the introduction
2. Recommendations for Faculty Engagement in Accreditation
3. Engagement of Junior Faculty in Accreditation
4. Key Points Learned in the Course
5. Biblical Worldview 6. Conclusion
This paper should be 6 pages, use at least 3 scholarly in addition to the Bible, the textbook and utilize current APA format. All discussion, unless personal experience, needs to be supported with research/citations. Note: Your assignment will be checked for originality via the Turnitin plagiarism tool.
References
Billings, D. M. & Halstead, J. A. (2020). Teaching in nursing: A guide for faculty (6th ed.). Elsevier: St Louis, Missouri. ISBN: 9780323554725. **I do not have any experience with the accreditation process.

Assessment 3 Instructions: Improvement Plan In-Service Presentation
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For this assessment, you will develop an 8-14 slide PowerPoint presentation with thorough speaker’s notes designed for a hypothetical in-service session related to the safe medication administration improvement plan you developed in Assessment 2.
As a practicing professional, you are likely to present educational in-services or training to staff pertaining to quality improvement (QI) measures of safety improvement interventions. Such in-services and training sessions should be presented in a creative and innovative manner to hold the audience’s attention and promote knowledge acquisition and skill application that changes practice for the better. The teaching sessions may include a presentation, audience participation via simulation or other interactive strategy, audiovisual media, and participant learning evaluation.
The use of in-services and/or training sessions has positive implications for nursing practice by increasing staff confidence when providing care to specific patient populations. It also allows for a safe and nonthreatening environment where staff nurses can practice their skills prior to a real patient event. Participation in learning sessions fosters a team approach, collaboration, patient safety, and greater patient satisfaction rates in the health care environment (Patel & Wright, 2018).
As you prepare to complete the assessment, consider the impact of in-service training on patient outcomes as well as practice outcomes for staff nurses. Be sure to support your thoughts on the effectiveness of educating and training staff to increase the quality of care provided to patients by examining the literature and established best practices.
You are encouraged to explore the AONE Nurse Executive Competencies Review activity before you develop the Improvement Plan In-Service Presentation. This activity will help you review your understanding of the AONE Nurse Executive Competencies—especially those related to competencies relevant to developing an effective training session and presentation. This is for your own practice and self-assessment, and demonstrates your engagement in the course.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Analyze the elements of a successful quality improvement initiative.
Explain the need and process to improve safety outcomes related to medication administration.
Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative on medication administration.
Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs.
List clearly the purpose and goals of an in-service session focusing on safe medication administration for nurses.
Explain audience’s role in and importance of making the improvement plan focusing on medication administration successful.
Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
Slides are easy to read and error free. Detailed speaker notes are provided. Speaker notes are clear, organized, and professionally presented.
Organize content with clear purpose or goals and with relevant and evidence-based sources (published within 5 years).
Reference
Patel, S., & Wright, M. (2018). Development of interprofessional simulation in nursing education to improve teamwork and collaboration in maternal child nursing. Journal of Obstetric, Gynecologic & Neonatal Nursing​, 47(3), s16–s17.
Professional Context
As a baccalaureate-prepared nurse, you will often find yourself in a position to lead and educate other nurses. This colleague-to-colleague education can take many forms, from mentoring to informal explanations on best practices to formal in-service training. In-services are an effective way to train a large group. Preparing to run an in-service may be daunting, as the facilitator must develop his or her message around the topic while designing activities to help the target audience learn and practice. By improving understanding and competence around designing and delivering in-service training, a BSN practitioner can demonstrate leadership and prove him- or herself a valuable resource to others.
Scenario
For this assessment it is suggested you take one of two approaches:
Build on the work that you have done in your first two assessments and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to your safety improvement plan pertaining to medication administration, or
Locate a safety improvement plan through an external resource and create an agenda and PowerPoint of an educational in-service session that would help a specific staff audience learn, provide feedback, and understand their roles and practice new skills related to the issues and improvement goals pertaining to medication administration safety.
Instructions
The final deliverable for this assessment will be a PowerPoint presentation with detailed presenter’s notes representing the material you would deliver at an in-service session to raise awareness of your chosen safety improvement initiative focusing on medication administration and to explain the need for it. Additionally, you must educate the audience as to their role and importance to the success of the initiative. This includes providing examples and practice opportunities to test out new ideas or practices related to the safety improvement initiative.
Be sure that your presentation addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.
List the purpose and goals of an in-service session focusing on safe medication administration for nurses.
Explain the need for and process to improve safety outcomes related to medication administration.
Explain to the audience their role and importance of making the improvement plan focusing on medication administration successful.
Create resources or activities to encourage skill development and process understanding related to a safety improvement initiative on medication administration.
Communicate with nurses in a respectful and informative way that clearly presents expectations and solicits feedback on communication strategies for future improvement.
There are various ways to structure an in-service session; below is just one example:
Part 1: Agenda and Outcomes.
Explain to your audience what they are going to learn or do, and what they are expected to take away.
Part 2: Safety Improvement Plan.
Give an overview of the current problem focusing on medication administration, the proposed plan, and what the improvement plan is trying to address.
Explain why it is important for the organization to address the current situation.
Part 3: Audience’s Role and Importance.
Discuss how the staff audience will be expected to help implement and drive the improvement plan.
Explain why they are critical to the success of the improvement plan focusing on medication administration.
Describe how their work could benefit from embracing their role in the plan.
Part 4: New Process and Skills Practice.
Explain new processes or skills.
Develop an activity that allows the staff audience to practice and ask questions about these new processes and skills.
In the notes section of your PowerPoint, brainstorm potential responses to likely questions or concerns.
Part 5: Soliciting Feedback.
Describe how you would solicit feedback from the audience on the improvement plan and the in-service.
Explain how you might integrate this feedback for future improvements.
Remember to account for activity and discussion time.
For tips on developing PowerPoint presentations, refer to:
Capella University Library: PowerPoint Presentations.
Guidelines for Effective PowerPoint Presentations [PPTX].
Additional Requirements
Presentation length: There is no required length; use just enough slides to address all the necessary elements. Remember to use short, concise bullet points on the slides and expand on your points in the presenter’s notes. If you use 2 or 3 slides to address each of the parts in the above example, your presentation would be at least 10 slides and no more than 15 slides (not including the title, conclusion, or references slides).
Speaker notes: Speaker notes (located under each slide) should reflect what you would actually say if you were delivering the presentation to an audience. This presentation does NOT require audio or a transcript. Another presenter would be able to use the presentation by following the speaker’s notes.
APA format: Use APA formatting for in-text citations. Include an APA-formatted reference slide at the end of your presentation.
Number of references: Cite a minimum of 3 sources of scholarly or professional evidence to support your assertions. Resources should be no more than 5 years old.
SCORING GUIDE
Use the scoring guide to understand how your assessment will be evaluated.

Write a three page essay discussing pelvimetry. Include the historical uses and the modern use. Clarify if YOU will use this examination in your practice and justify why or why not using literature. (**I will only use pelvimetry if necessary, but NEVER to tell a birthing person their pelvis is inadequate to birth a baby or take away their trial of labor. )
Your essay should include an introduction, a conclusion and at least five references using APA format (you can use your textbooks).
Please refer to the rubric below for more information on how this assignment is graded.

NOTE: For this assignment your project topic is “Would surgical patients benefit from the implementation of mandatory psychiatric assessment and treatment post procedure?” Please see attached document for reference regarding the paper topic.
For This Section of your Project:
A reference to the project’s benefits in terms of cost, time, and/or quality that address needs or changes, results, impacts, or consequences that the project has on people, programs, or institutions.
Goals and objectives that are measurable, shared, and hypothetically agreed on by all key stakeholders. They are directly linked to the concept of project success factors.
What variables need to be considered and and whether or not you have control over them.
For example, if you were to implement a clinic-wide practice change, would budget be an issue and how would you address that variable?
If you were to implement your study, consider how would you gather data. Would you choose the qualitative or quantitative method?
An explanation of what your research will provide to the community, or to social change.
A descriiption of the desired outcomes: Specifically, state the purpose, focus, and viewpoint of the project as well as its expected accomplishments.
While you may not be implementing your project, you should have a goal in mind that relates to solving your problem.
Establish a timeline for accomplishing your project goal(s).
This section should be 2-3 pages in length, not including the cover or reference page, and should address the intended outcomes of your project. You must reference a minimum of 3 scholarly articles.
Use current 7th edition APA format to style your paper and to cite your sources. Review the rubric for more information on how the assignment will be graded.