Nursing Sensitive Indicators

Question Introduction: National initiatives driven by the American Nurses Association have determined nursing-sensitive outcome indicators that are intended to focus plans and programs to increase quality and safety in patient care. The following outcomes are commonly used nursing-sensitive indicators: •  Complications such as urinary tract infections, pressure ulcers, hospital acquired pneumonia, and DVT •  Patient falls •  Surgical patient complications, including infection, pulmonary failure, and metabolic derangement •  Length of patient hospital stay •  Restraint prevalence •  Incidence of failure to rescue, which could potentially result in increased morbidity or mortality •  Patient satisfaction •  Nurse satisfaction and staffing Scenario: Mr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia. He was admitted for treatment of a fractured right hip after falling in his home. He has received pain medication and is drowsy, but he answers simple questions appropriately. A week after Mr. J was admitted to the hospital, his daughter, who lives eight hours away, came to visit. She found him restrained in bed. While Mr. J was slightly...
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ORGANIZATIONAL SYSTEMS & QUALITY LEADERSHIP

Question Introduction: Healthcare organizations accredited by the Joint Commission are required to conduct a root cause analysis (RCA) in response to any sentinel event such as the one described below. Once the cause is identified and a plan of action established, it is useful to conduct a failure mode and effects analysis (FMEA) to reduce the likelihood that a process would fail. As a member of the healthcare team in the hospital described in this scenario, you have been selected as a member of the team investigating the incident. Scenario: It is 3:30 p.m. on a Thursday and Mr. B, a 67-year-old patient, arrives at the six-room emergency department (ED) of a sixty-bed rural hospital. He has been brought to the hospital by his son and neighbor. At this time, Mr. B is moaning and complaining of severe pain to his (L) leg and hip area. He states he lost his balance and fell after tripping over his dog. Mr. B was admitted to the...
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Identify a specialty need seen in your Microsystem–Smoking Paper

Question Identify a specialty need seen in your Microsystem--Smoking. Review the relevant health policies (local, state, and national) that exist or that could be developed to address this specialty need. 2. Describe the policy, the relevance to your Microsystem, and strategies that can be implemented by the CNL to improve health promotion efforts in the Microsystem. Topic --Smoking Microsystem -- The VA.  Please include a reference page Answer Smoking Microsystem One of the specialty needs seen in the microsystem is smoking. There is need to offer counseling to patients on life-style modification with regard to smoking. Currently, there are a number of local, state, and national health policies that address the specialty need. The VA healthcare facility has adopted a smoke-free policy at the local level that applies to all VA healthcare facilities. All VA healthcare facilities have adopted a smoke-free policy. This policy was initially adopted in 1991. This policy is conversant with the federal policy of establishing smoke-free zones to all employees...
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Clinical Immersion Project Development Part B/ Also order Part A

Question 1.Conduct a review of the literature related to Post-Infection in Total Knee Arthroplasty  clinical site VA Hospital. Limit search to the last 5yrs. Databases may include, but are not limited to, PubMed, CINAHL, ProQuest, and Cochrane Systematic Reviews. Synthesize essential findings from your review of the literature: What is known? Where are the gaps? What findings or recommend will support your project? 2.Locate evidence-based guidelines or best practices related to your identified problem and delineate components of the selected guidelines/best to guide the project. 3.Identify the performance improvement goals for the patient cohort. What are the anticipated outcomes of the project/ goals must be measurable. Answer Clinical Immersion Project    Question 1 Post infection following a total knee arthroplasty has received great attention over the years. Numerous researches have focused on establishing the root causes of post infection following a Total Knee Arthroplasty procedure, and ways of minimizing patient risks. Singh (2011) carried out a detailed meta-analysis to examine the impacts of smoking on...
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Identify the two activities on your unit by ICD-10 code

Question Finance Assignment 1. Identify the two activities on your unit by ICD-10 code. A list of ICD-10 codes can be found at the Center for Medicare and Medicaid Services (CMS) website.2. What types of reimbursement arrangement or contracts with third party payers are in place for these services?3. Who are major payers by percentages of revenue? For example, what percentage of reimbursement is from 1st-party payers, 2nd-party payers, and third-party payers? List the 3rd party payers.What are the high cost components of these high frequency activities? Answer Identify the two activities on your unit by ICD-10 code The ICD-10 codes provide more accurate data compared with the earlier ICD-9 code system. The new code system is well suited to the current medical practices. The ICD-10 code for a patient who receives a hip replacement procedure can be written as Z96.649 (“CMS”, n.d.). This indicates an unspecified hip joint. The ICD-10 code for a patient who has undergone knee arthroplasty can be written as Z96.65....
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Module 4 Assignment 1: Organizational Analysis – The Nurse Leader

Question Module 4 Assignment 1: Organizational Analysis – The Nurse Leader The major assignment for this course is analysis of your organization. In this assignment, you will analyze your nurse leader’s characteristics and behaviors regarding others in managing, leading, and communicating. By respectfully, but critically, critiquing these attributes of the nurse leader you have been “shadowing,” you can identify the attributes that you consider most and least effective, and most and least similar to the way you see yourself managing, leading, and communicating. Overview: Organizational Analysis – The Nurse Leader Complete this document to record your analysis of your nurse leader. Objectives Explain how organizations function. Compare and contrast characteristics of leadership and management. Apply trends, issues, theories, and evidence as guidelines for management decisions. Evaluate effectiveness of communication patterns using specific management situations Answer Nurse Leader Assignment Nursing leadership contributes significantly towards the achievement of patient health outcomes. The type of leadership by nurse leaders depends on the specific leader characteristics as well as behaviors. These...
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Forms of Nursing  Inquiry: Quality Improvement (QI), Research, and Evidence-Based Practice(EBP)

Question  Evidence-Based Practice (EBP) has captured the attention of healthcare providers, healthcare organizations, and consumers to positively influence patient outcomes. However, confusion abounds about how evidence-based practice differs from research and quality improvement.   Select either EBP, research, or QI and identify how the selected approach is implemented to improve outcomes at your workplace. How do you know this approach is utilized? Is this selected approach used apart from or in conjunction with the other approaches? Can one approach be effectively applied without the others? Why or why not?   Forms of Nursing  Inquiry: Quality Improvement (QI), Research, and Evidence-Based Practice(EBP) Student’s Name Professor’s Name Course Title Date   Forms of Nursing Inquiry: Quality Improvement(QI), Research, and Evidence-Based Practice (EBP) These are approaches sought to investigate and resolve a clinical problem. Evidence-Based Practice (EBP) This is a systematic problem-solving approach to clinical decision making in a health-care organization. It involves the integration of the best available scientific evidence with the best available experiential evidence, for example, practitioner and patient experiences. Quality Improvement(QI) Information acquired from EBP can lead to...
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