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It is no secret that phones, computers, and technology in general have started to take over the world. It is safe to say that every one of our co-workers owns a cellphone of their own and has probably used it in the workplace at one point or another. “Information technology opens our windows and doors upon the world, allowing us to quickly communicate and exchange data and information within facilities, within healthcare delivery systems, and even across the globe” (Chamberlain College of Nursing, 2020). This can become tricky when put into legal terms in relation to patient safety and privacy. “Communication within the medical field is critical to ensure safe, timely delivery of healthcare” (Chandra, et al., 2023). Considering this patient scenario, it is both unethical and unlawful to take photos and send and receive patient photos on your personal cellphone. This can very easily violate the HIPAA policy because the patient photos are not sent under a secure network and can be breached through the firewall of your own personal cellphone by hackers. It is also possible that someone is using your phone and sees it mistakingly, or you decide to show friends or family the photos of another patients wound. With that being said, technology is very important in healthcare as it allows for more efficient healthcare when used appropriately. “Technology in healthcare today allows for global healthcare information systems (HISs), more specialized clinical information systems (CIS), and the electronic health record” (EHR) (Hebda et al., 2019). Many facilities have started to incorporate secure messaging devices in order to taking pictures, and send messages relating to patient data/care. This makes it so that the healthcare personnel are not taking any healthcare data home as they are to return the device at the end of their shift and the messages delete are a certain amount of time if not deleted previously by the employee. My facility has specific guidelines regarding the use of personal communication devices in patient care settings. This policy states that we are not allowed to take phones within the health care setting that could breech patient information. This includes taking pictures at the desk that could possibly include patient care charts and patient boards in the background of the photo. We do have access to our hospital email, and secure messaging services within applications on our personal cellphones but we have to download and encrypt our phone with certain secure firewalls in order to keep these apps so that the messages remain secure. This allows for us to use our personal phones, almost like in the scenario, but we would be messaging the PCP with a secure application that could not be hacked or shared. 

 

Resources 

Chamberlain College of Nursing. (2020). 
NR-361 RN Information Systems in Healthcare: Week 7 Lesson. Downers Grove, IL: Online Publication.

Chandra, S., Oberg, M., Hilburn, G., Wu, D. T., & Adhyaru, B. (2023). Improving Communication in a Large Urban Academic Safety Net Hospital System: Implementation of Secure Messaging. 
Journal of medical systems
47(1), 56. https://doi.org/10.1007/s10916-023-01956-x

Hebda, T., Hunter, K., & Czar, P. (2019). 
Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.

module 4 dicussion

 

Scenario – There is a new Board running the hospital, and they are aggressive about the hospital being the best in the State. They have decided that you are best suited to lead the nurses in the hospital so that they will initially get status. From there, they are planning on having the nurses lead the way by having every nurse be a leader in their field. Your knowledge of how to reach these milestones is the reason that you were selected to lead the nurses in the hospital.

Instructions:

  1. Read the scenario above, and then answer the following questions:
    1. What will the nurses need to do so that the hospital will become magnet status and be respected in the industry?
    2. What other certifications and awards, etc., will the nurses need to obtain so that the hospital will be named a magnet institution?
    3. What types of organizational designs and structures will need to happen for magnet status?
  2. Answer the questions as thoroughly and concisely as possible.
    • Be sure to reference any works that you utilize in answering the questions (Be sure that references are in APA format).
  3. Please respond to at least one (1) of your classmate’s postings.
  4. To see the grading rubric, click on the 3-dot menu 3-dot menu on the top-right side of screen. 

Self-Assessment of Leadership Skills

 

  1. Determine your preferred leadership style using The Foundation of Nursing Leadership’s Leadership Development – Test One – What is your leadership style?Links to an external site.
  2. Analyze your leadership’s skills based on your self-assessment.
  3. Identify strengths and opportunities for improvement based on your self-assessment.
  4. Create an action plan to address self-assessment capitalizing on strengths and addressing opportunities for improvement.

Submission Instructions:

  • The is to be clear and concise, and students will lose points for improper grammar, punctuation and misspelling.
  • The is to be 2 – 3 pages in length, excluding the title, and references page.
  • Incorporate a minimum of 2 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

Health Assessment

 

A 20-year-old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but the greatest intensity and pressure occurs above the eyes and spreads through the nose, cheekbones, and jaw.

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each

Case Study

 

A 60-year-old male patient is admitted with chest pain to the telemetry unit where you work. While having a bowel movement on the bedside commode, the patient becomes short of breath and diaphoretic. The ECG waveform shows bradycardia.

  • What other assessment findings should you anticipate?
  • Why does this patient probably have bradycardia?
  • Does this dysrhythmia need treatment? Why or why not? What intervention would you implement first?
  • What is the drug treatment and dosage of choice for symptomatic bradycardia? How does this drug increase heart rate?

Please use complete sentences to answer the questions. Ensure that you are using correct grammar. In additions, support your answers by using your textbooks, scholarly journals, and credible Internet sources. All citations must be in APA format.

Capstone nrs493

Create a 10-15 slide Power Point presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence-based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated. Submit the presentation in the digital classroom for feedback from the instructor.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center

Nursing assignment 1-a

 

After studying Module 2: Lecture Materials & Resources, submit the following:

  • Starting with the precursor substance tyrosine or tryptophan, draw three diagrams showing how the various enzymes convert this substance to serotonin, dopamine and norepinephrine.

Submission Instructions:

  • Your diagrams must be hand-drawn. Scan your diagrams and submit them as an attachment of an image file or PDF. 
  • Follow APA 7th Edition formatting guidelines for graphs and figuresLinks to an external site.
  • Complete and submit the assignment by 11:59 PM ET on Sunday.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

7 cl

 

discuss a very brief description (one paragraph for the group session– do NOT include the actual 12-steps) to include the following

Nursing help with homework

Quality Improvement

 

Instructions

· Use the following steps to apply quality improvement principles in your current clinical situation.

· Identify a process or procedure that you perform routinely and wish to improve.

· Using a flowchart, delineate each step of the procedure.

· Identify the step in the flowchart where you would insert a change for quality improvement.

· Design a new flowchart that now shows the improved process.

· This paper requires the use of at least one professional resource. 

· You will need:

· An introductory paragraph which explains what you would like to improve

· Another paragraph which explains the step where you hope to change the pattern and insert a quality improvement process

· Another paragraph explaining the new flow after you make the change.

· Please add a cover page with the title of your Quality Improvement project.

Resource: Flowcharts are easily made in Microsoft Word. Here is a video explaining the process:

Challenges in Practice

Scenario: 

 The radiologist at your hospital reports to the administrator that 30 patients have been diagnosed with brain tumors during the past 2 months. The administrator requests a report detailing the number of patients diagnosed with brain tumors during the past 6 months. However, the radiology department uses a free-text entry for their diagnoses, and their system does not communicate with the larger electronic health record (EHR) system installed at the hospital. You recognize an opportunity to address challenges with the EHR system in your hospital and decide to also write a proposal for a solution to improve your hospital’s EHR system. 

 compose a proposal for how the hospital in the scenario might overcome each of the following challenges related to the scenario:

  • Vocabulary standards
  • Interoperabiliy
  • Workarounds
  • Patient safety
  • Patient privacy and security when pulling reports
  • Recommend a change theory that might assist in your convincing the hospital administration to implement the EHR solution and improvements you propose. Be specific and provide examples.
  • Support your proposal by explaining how the EHR solution might benefit data analysis for the promotion of improved health outcomes.
  • Provide references within 5 years to support your answers.
  • Note: The title page, introduction, summary, and references are in addition to the required page count.