Week 5

Soap Note 1 Acute or Chronic Conditions (10 Points)

Iron Deficiency Anemia

Must use the sample template for your soap note, keep this template for when you start clinicals.

Late Assignment Policy

Assignments turned in late will have 1 point taken off for everyday assignment is late, after 7 days assignment will get grade of 0 (zero). No exceptions 

Follow the MRU Soap Note Rubric as a guide

Use APA format and must include minimum of 2 Scholarly Citations.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 25% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25%. Copy-paste from websites or textbooks will not be accepted or tolerated.

Please see College Handbook with reference to Academic Misconduct Statement.

The use of tempates is ok with regards to Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient. 

MRU MSN5600L SOAP NOTE Template 2021-1.docx MRU MSN5600L SOAP NOTE Template 2021-1.docx  September 4 2023, 10:25 AMMRU Soap Note Rubric 2021-1.docx MRU Soap Note Rubric 2021-1.docx  

PN 1

Module 06 Written Assignment – Stress and Immunity

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Module 06 Content

1.

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Your written assignment for this module should be a 1-2 page paper (not including title page and reference page) that describes the following:

· What are the different types of immunities and give an example of each

· Describe how stress impacts the immunity of a person

You should include a minimum of 3 scholarly references. Include a title page, in-text citations, and a reference page in APA format.

Submit your completed assignment by following the directions linked below. Please check the 
Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date.

NOTE Strictly APA, CITATION,AND REFERENCING,PLAGIARISM- CHECK Bottom of Form

Quality Management in Logistics and Supply Chain Management IP

 

Quality Tactics and the Logistics and Supply Chain Functions (300) 

  • Identify what tools are applicable internally and why
  • Identify and explain what tools are applicable externally with vendors 
  • Include your cited references from three new sources

Response

 Due 10/13/23 @ 1600 EST

Respond by sharing ideas for how shortcomings discovered in their evaluations and/or their examples of incivility could have been managed more effectively. 

using APA, at least 2 scholarly references 

 

WORKPLACE ENVIRONMENT ASSESSMENT

I recently conducted a Work Environment Assessment to evaluate workplace civility in the acute psychiatric inpatient unit. The results of the assessment painted a mixed picture. On the positive side, most staff members consistently exhibited professionalism and respect in their interactions with colleagues and patients. Team collaboration during shift handoffs and interdisciplinary meetings was generally effective and respectful.

.However, the assessment also revealed challenges. There were instances of incivility during high-stress situations, such as patient crises or when dealing with challenging patients. Communication breakdowns occurred when staff members were overwhelmed, leading to frustration and occasional conflicts. Some employees expressed concerns about a lack of adequate resources, contributing to heightened tensions ((Abt et al.,2021)

.Overall, the workplace in the psychiatric inpatient unit could be characterized as moderately civil. While there were numerous examples of professionalism and respect, the high-stress nature of the environment occasionally led to lapses in civility. In my personal experience, I encountered incivility during a team debriefing following a challenging patient case. The charge nurse became frustrated with a staff member she believed had not followed protocol during the crisis, leading to a heated argument in front of the team.

This situation needed urgent action to stop any further deterioration. The parties could speak freely and with less hostility because of this one-to-one discussion. The clinical supervisor subsequently mediated the process, delving into the underlying issues to devise an alternative means of communication between the two parties. The latter included conflict resolution/communication training that was introduced in advance. An acute psychiatric inpatient unit is a high-stress healthcare setting where it is essential to deal with incivility simultaneously to maintain a therapeutic and civil working environment (Mabona et al.,2022).

References

Abt, M., Lequin, P., Bobo, M., Vispo Cid Perrottet, T., Pasquier, J., & Ortoleva Bucher, C. (2021). The scope of nursing practice in a psychiatric unit: A time and motion study. Journal of Psychiatric and Mental Health Nursing29(2), 297–306. https://doi.org/10.1111/jpm.12790Links to an external site.

Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nursing20(1). https://doi.org/10.1186/s12912-021-00684-2Links to an external site.

Mabona, J. F., Van Rooyen, D., & Ten Ham-Baloyi, W. (2022). Best practice recommendations for healthy work environments for nurses: An integrative literature review. Health SA Gesondheid27https://doi.org/10.4102/hsag.v27i0.1788

Outline

After fully exploring the CMS website, review in detail the Hospital-Acquired Condition Reduction Program. Choose one of the CMS PSI 90 conditions below and using the Six Sigma DMAIC model, outline how you would create a process improvement plan by separately using the outline:

Define:

Measure:

Analyze:

Improve:

Control:

  • PSI 06 — Iatrogenic Pneumothorax Rate
  • PSI 08 — In Hospital Fall with Hip Fracture Rate
  • PSI 09 — Perioperative Hemorrhage or Hematoma Rate
  • PSI 10 — Postoperative Acute Kidney Injury Requiring Dialysis Rate
  • PSI 11 — Postoperative Respiratory Failure Rate
  • PSI 12 — Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate
  • PSI 14 — Postoperative Wound Dehiscence Rate
  • PSI 15 — Abdominopelvic Accidental Puncture/Laceration Rate

wk7

Week 7: Intervention for Proposed Clinical Change Project

You are designing an executable population-based change project addressing identified
practice-related problems or questions. This strongly emphasizes collaboration between
advanced practice nurses and community agencies and include working with an agency
using practice data to provide answers, which are responsive to the needs of clinicians,
administrators, and policy makers for improvement of programs or practices.

This section of the change project should include a discussion of key concepts.

1. Clarify the issue under study.
2. Propose solutions or interventions based on the literature
3. Compare other views on the problem and solutions.
4. Address the APRN role in the intervention and discuss implications for clinical

practice.
5. Discuss the implications of your change project.
6. Some important things to consider and address:
7. Does your intervention have a clear connection to your research problem?
8. What are the specific methods of data collection you are going to use, such as

surveys, interviews, questionnaires, or protocols?
9. How do you intend to analyze your results?
10. Provide a justification for subject selection and sampling procedure.
11. Describe potential limitations. Are there any practical limitations that could affect

your data collection? How will you attempt to control the limitations?
12. How will your change project help fill gaps in understanding the research

problem?
13. This section should be 6–7 pages in length, not including the cover or reference

page. You must reference a minimum of 5 scholarly articles.

14. Use the current APA format to style your paper and to cite your sources. Review

the rubric for more information on how the assignment will be graded.

Rubric

Criteria Ratings Pts

This criterion is linked to a

Learning Outcome Content 64 to >52.48 pts

Meets Expectations

Succinctly clarifies the issue under study. Provides

a brief summary of the project including main

points and anticipated findings. Provides keen

insight into obstacles and proposes sound,

creative solutions or interventions based on the

literature review findings. Expertly compares other

views on the problem and solutions with detail.

Uses examples to thoroughly address the FNP role

in the intervention and discusses implications for

clinical practice. Thoughtfully discusses the

implications of the change project and its

significance to the nursing profession and filling

gaps in knowledge. Accurately categorizes and

thoroughly explains specific methods of data

collection to be used. Explains in detail how data

will be analyzed and used. Provides a sound

justification for subject selection and sampling

procedure. Accurately and thoroughly describes

potential limitations to data collection and control.

Meets all of the criteria of the written assignment.

64 pts

This criterion is linked to a

Learning Outcome

Organization
8 to >6.56 pts

Meets Expectations

Content is well written throughout. Information is

well organized and clearly communicated.

8 pts

This criterion is linked to a

Learning Outcome APA

Format/Mechanics

8 to >6.56 pts

Meets Expectations

Follows all the requirements related to format,

length, source citations, and layout. The

assignment is free of spelling and grammatical

errors.

8 pts

Total Points: 80

  • Week 7: Intervention for Proposed Clinical Change Project

see below

 

Describe the problem or issue that your project will address.

  • What is the context or “big picture” of the problem or issue?
  • What is the significance of this problem?
  • Where does this problem “live” that is, what is the “neighborhood” like?

Specific Strategies and Tools

 

  • Week 3: General Quality Strategies and Tools (300) 
    • Create a comparative table that shows the various definitions, risks, and value of each of the following quality management tactics:
      • Establishing customer expectations
      • Designing quality
      • Defining metrics
      • Mistake-proofing
      • Kaizen
      • Six Sigma

Vital Organs / Unconscious State

 

After studying the course materials located on Module 5: Lecture Materials & Resources page, answer the following:

  1. Name some very important organs that are not vital organs.
  2. List the functional description of all the normal vital organs, including today’s exceptions.
  3. Is it possible to live without a vital organ? Why? Example?
  4. Distinction between assisting or substituting vital organs. Bioethical analysis.
  5. Do the following practices assist or substitute the vital organ? Why?
    • Dialysis
    • Respirator
    • Ventilator
    • Tracheotomy
    • CPR
  6. Read and summarize ERD PART FIVE Introduction.
  7. Unconscious state: Definition.
  8. Clinical definitions of different states of unconsciousness: Compare and contrast
  9. Benefit vs Burden: bioethical analysis.

Submission Instructions:
 is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.

  • If references are used, please cite properly according to the current APA style

nursing

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

  • The full citation of each peer-reviewed article in APA format.
  • A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
  • A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
  • A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
  • A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.