Please see attachment for directions

 

describes the clinical problem and the following:

• Reason for choosing this topic
• The PICOT question
• Possible integration of the evidenced that you found in clinical practice
• Methods to evaluate the effectiveness of implementation

Vaccination for Infants and Children Worksheet

Complete the following –using references provided in pediatric prep information. (5 points )

Age	Recommended Childhood Vaccines Include route of administration (oral, IM or Subcutaneous) And indicate if a combination vaccine is indicated.	Special Considerations for Age and Vaccine Site of Administration, Angle of Insertion, and Needle and Syringe Size, etc.
Within 12 hours of Birth
2 months
4 months
6 months
12 months
15-18 months
2 years
5 years
11-12 years
16 years
Infants 6 months to 18 years of age

2

Review the technique, sites, angle of insertion, correct sized syringe and needle, combination vaccines, and recommended vaccines for each age group. Here are a few questions to get you thinking… (points 2.5)

1. A 15 month old child is to be immunized.

a. What immunizations will you consider him/her?

b. List supplies needed for these immunizations.

c. What size syringe will you select for these immunizations? What size needle?

d. What angle of insertion will you use in administering these immunizations?

2. A 6 month old infant is to receive all her recommended vaccines today.

a. What is the name of the combination vaccine used that is given at this visit and what are the 3 components?

b. Which site do you select for her injections?

c. What do you tell the child’s parents before they leave the clinic?

3. A seventh grader requests an MMR booster

a. What questions will you ask to determine if he/she is an appropriate candidate?

b. What will you tell the student (client) before he/she leaves the clinic?

Post your cost comparison document from Unit 2. Assuming you might prescribe this drug for your patient, how would you minimize cost or assist the patient in getting the medication at the lowest cost possible. What resources are available to reduce drug costs? Find at least 2 resources for free or reduced cost medications. Respond to two other student posts as per the discussion board rubric.

This is my paper from week 2

Comparing pharmacological alternatives, prescription, and over-the-counter drugs stand out. A good example is “Lisinopril,” a hypertension treatment, and “Ibuprofen,” a painkiller. Consider 10mg “Lisinopril” prescription medication. Both brand-name and generic versions exist. Retail chains, small pharmacies, and internet platforms charge various prices for Lisinopril, which is also affected by geography in the US. In contrast, “Ibuprofen” is an over-the-counter painkiller available without a prescription. Its range of formulas and amounts makes it affordable and widely used. Comparing the generic and brand-name versions of Lisinopril, which have the same active component but cost less, may show the economic benefits of choosing the generic. This comparison between prescription and OTC drugs shows how regulation, accessibility, and cost affect pharmaceuticals. Starting the prescription drugs, Lisinopril is commonly prescribed for the management of hypertension. For a 10mg dose, let us examine the price differences between brand and generic options at different types of pharmacies in different locations in the United States.

Prescription Drug – Lisinopril 10mg (30 tablets)

1. Large Chain Pharmacy – Walgreens (Chicago, IL):

Brand: Prinivil – Cash Price: $45.00

Generic: Lisinopril – Cash Price: $12.00

2. Grocery Store Associate Pharmacy – Publix (Atlanta, GA):

Brand: Zestril – Cash Price: $43.00

Generic: Lisinopril – Cash Price: $10.00

3. Privately Owned Local Pharmacy – Victory Pharmacy (Seattle, WA):

Brand: Qbrelis – Cash Price: $47.00

Generic: Lisinopril – Cash Price: $11.00

4. Pharmacy Associated with Big Box Store – Walmart (Dallas, TX):

Brand: Prinizide – Cash Price: $50.00

Generic: Lisinopril – Cash Price: $9.00

Lisinopril 10mg (30 pills) price among pharmacies and geolocations gives useful information into pharmaceutical cost trends. The study found that generic Lisinopril is much cheaper than brand-name versions at all drugstore types and locations. Walgreens in Chicago sells Prinivil for $45.00 and Lisinopril for $12.00. Zestril, the brand, costs $43.00 at Publix, an Atlanta supermarket store associate pharmacy, whereas Lisinopril costs $10.00. Victory Pharmacy, a Seattle-based private pharmacy, sells Qbrelis for $47.00 and Lisinopril for $11.00. Walmart in Dallas follows this pattern, selling Prinizide for $50 and Lisinopril for $9.00. The consistent price disparity emphasizes the economic logic of adopting generic products wherever available, particularly for financially strapped people seeking cheaper healthcare. This report highlights the significant influence of pharmacy choice on patient spending, pushing consumers to be cautious and aware of the pharmaceutical market.

Over-the-Counter Drug – Ibuprofen 200mg (100 tablets):

1) Large Chain Pharmacy – CVS (New et al.):

Brand: Advil – Cash Price: $10.00

Generic: Ibuprofen – Cash Price: $7.00

2) Grocery Store Associate Pharmacy – Kroger (Houston, TX):

Brand: Motrin – Cash Price: $9.00

Generic: Ibuprofen – Cash Price: $6.00

3) Privately Owned Local Pharmacy – Greenway Pharmacy (San et al.):

Brand: Nurofen – Cash Price: $11.00

Generic: Ibuprofen – Cash Price: $7.50

4) Pharmacy Associated with Big Box Store – Target (Minneapolis, MN):

Brand: Up & Up – Cash Price: $8.00

Generic: Ibuprofen – Cash Price: $5.00

Ibuprofen 200mg (100 pills) pricing across pharmacies and locales reveals an interesting price difference between brand-name and generic choices. This difference highlights the constant benefit of generic versions, supporting the pharmaceutical industry trend. In huge chain pharmacies like CVS in New York City, Advil costs $10.00, and Ibuprofen costs $7.00. Kroger, a Houston grocery store associate pharmacy, sells Motrin for $9.00 and generic Ibuprofen for $6.00. San Francisco's privately held Greenway Pharmacy follows this approach. Brand-name Nurofen costs $11.00, whereas generic Ibuprofen costs $7.50. Even in 'big box' pharmacy sections, Target in Minneapolis perpetuates the idea with $8.00 Up & Up and $5.00 generic Ibuprofen. The constancy of this pattern supports the economic case for buying generic drugs. This decision saves customers money and emphasizes educated consumption. This research highlights how competition and price tactics shape customer choices in the market. It promotes intelligent pharmaceutical selections and cost-effective solutions by encouraging active healthcare expenditure evaluation.

Comparing brand names with generic prescription and over-the-counter medications shows that generics are cheaper across pharmacies. This cost disparity supports educated consumption by choosing generic versions. The results highlight the importance of pharmacy selection in determining medicine procurement costs as individuals traverse the complicated healthcare environment. The long-term trend shows that well-informed healthcare choices may save money and ensure access to excellent treatments.

 

Describe a form of interdisciplinary collaborative care you’ve seen on your current assigned clinical or work site. Then have a discussion about the following questions:

• Who coordinated that care? What was the nurse’s role in ascertaining that the care was provided?
• Was the patient’s outcome met? How or why not? What would you, a novice nurse-leader, have done differently to achieve the patient’s goals?