write down the main ideas corresponding to each chapter anything in bold or script. Try to be as simple and direct as possible. Avoid lengthy and complex sentences. Keep straight to the point. This will help you remove unnecessary words that are better left out.

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write down the main ideas corresponding to each chapter anything in bold or script. Try to be as simple and direct as possible. Avoid lengthy and complex sentences. Keep straight to the point. This will help you remove unnecessary words that are better left out.

 

 

Psychology Research class 401.

Instructions for summarizing a chapter or article.
Assignment:

1. Write down each chapter title of the book. This will serve as the topic for each segment of the book you are summarizing.

2. Below each chapter title that you have listed, write down the main ideas corresponding to each chapter anything in bold or script. Try to be as simple and direct as possible. Avoid lengthy and complex sentences. Keep straight to the point. This will help you remove unnecessary words that are better left out.

3. The chapter titles and their corresponding main ideas that you have just listed down will serve as the outline of your book summary. Try to pick things up from there and expand your sentences by elaborating the ideas.

• DO NOT write whether the book is poorly written or excellently discusses the ideas. Remember, you are simply writing a summary and NOT a book review.

• DO NOT write down irrelevant ideas. They only make your book summary a mess.

• DO NOT make-up ideas that are not included in the book. Be as honest as possible. Write only what the author has said and not what was not stated.

• Read the entire text, noting the key points and main ideas.
• Summarize in your own words what the single main idea of the essay is.
• Paraphrase important supporting points that come up in the essay.
• Consider any words, phrases, or brief passages that you believe should be quoted directly.
The Title of the Article is

Nursing Leadership Interview

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Nursing Leadership Interview

Strictly APA format
Nurse Manager, House Supervisor/Nursing Service Coordinator, or Unit Manager
(Interview)
Leadership Paper
Introduction
Background of your leader described/Education obtained and location
The Important qualities or characteristics
Personal philosophy of leadership
Learning experiences most influence personal development as a leader
How leadership is evolving in nursing
Challenging issues in current position
How mentor has effected leadership style
Advice for someone aspiring towards a leadership position
why you choose specific nurse leader for interview?
Do you agree with the interviewee’s characterisitic of professional nurse?
Do you agree with interviewee’s opinion of the future changes in nursing?
Conclusion and Recommendations

Depend on which manager you choose also include the below topics of discussion in the essay.

Unit Manager Interview

1. Identify roles and functions of the Unit Manager position.

2. Discuss the process of the day-to-day activities of the work group. What is the leadership style used?
3. How does the manager develop the budget?
4. What is the unit manager’s span of control (how many people are supervised?)
5. How are staffing decisions made?
Is there an acuity index or a patient classification system.

House Supervisor/Nursing Service Coordinator
1. Identify examples of this person’s practice of management by describing instances of planning, organizing, directing, and evaluating.

2. Identify and discuss this person’s authority concerning decision making within the facility.
3. Discuss how the organizational structure directs and impacts this person’s role and services.

4. Discuss the challenges of the role and tactics this person has developed (or protocols developed for the role)
to manage the responsibilities of the role.

5. In what types of projects or committees does this person participate?

Nurse Manager

1. Identify roles and functions of the Nurse Manager position.

2. What are 3 of the key job responsibilities?
3. What types of interpersonal skills are needed for this position?
4. How does the nurse manager handle employee conflicts?
5. Who does the nurse manager report directly to?
You can use below Textbook has first reference Leadership Nursing care management 5E
ISBN 9781455740710

Compare and contrast the current literature related to advanced nursing practice

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Compare and contrast the current literature related to advanced nursing practice

The purpose of this assignment is to compare and contrast the current literature related to advanced nursing practice. And to relate this literature to my practice and the role of the palliative care nurse across clinical settings.

In my current role as a pain nurse specialist, I am involved in the care and management of patients with intrathecal (IT) catheters mainly for patients with intractable cancer pain

Threats to Patient Safety: The Role of Nursing

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Threats to Patient Safety: The Role of Nursing

: Discuss one of the major threats to patient safety in hospital, home, or community settings. One of the key problems that threaten the safety of the patients in the hospitals, at home and in the community settings is medical errors (Caldwell, 2010)

.What is the importance of vocabulary standards, language, terminology, nomenclature, and the interrelationships among healthcare language components?

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.What is the importance of vocabulary standards, language, terminology, nomenclature, and the interrelationships among healthcare language components?

1.What is the importance of vocabulary standards, language, terminology, nomenclature, and the interrelationships among healthcare language components?

Describe each of them. 2. Explain and describe the meaning of data sources and data uses as they pertain to healthcare and the EHR. Please provide examples of each. Address the data-information-knowledge continuum. 3.Describe how bridge technologies fit into the overall EHR migration path.

global business

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everything is stated in the pdf file. (global business midterm)

Patient with Breast Cancer on Adjuvant Chemotherapy: Development of Neutropenic Sepsis

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Introduction

The case study to follow will be based on a 41-year-old female with Breast Cancer (Appendix 1, The Case). The patient commenced first cycle Epirubicin/Cyclophosphamide (EC). 7 days post chemotherapy, the patient presents with rigors and pyrexia of 38.1

0

C.  ital signs taken showed temperature 38.5

0

C, heart rate 110, blood pressure 105/60 and respirations 22 and Oxygen saturations 94% on room air (Appendix 2, normal ranges). Two litres of oxygen was applied and all bloods were taken as well as cultures. Antibiotics (Piperacillin/Tazobactam) were administered along with intravenous (IV) paracetamol and IV fluids. Absolute Neutrophils Count confirming neutropenia (ANC) 0.19 x10

9

/l (Appendix 3, normal ranges). Patient was admitted to the ward and was discharged 4 days later once the neutrophils recovered and antibiotic course had finished. I will outline the diagnostic tests undertaken and reflect upon the management plan critically in light of the evidence base.



Neutropenia

Neutropenia is characterised by an unusually low volume of neutrophils circulating in the blood, the neutrophils make up most of the white cell count and act as a defence against infections (Sammut and Maazar, 2012). When a patient develops neutropenia following systemic anti-cancer therapy (SACT) they are susceptible to infection and septic shock (Clarke et al, 2013). Neutropenic sepsis (NS) is a common complication following SACT with mortality rates reported between 2-21% (Scullin and Forde, 2016). The neutrophils post chemotherapy is likely to drop between days 7-14, this is when a patient is most susceptible to infection (Marshall and Innes, 2008). This is highlighted in the scenario presented.



Education

Neutropenia following chemotherapy is estimated to occur in 70-100% of patients making a patient vulnerable to sepsis (Clarke et al, 2013). Therefore, it is essential patients are educated prior to treatment on possible side-effects and complications they might incur ensuring the 24-hour on-call contact details are emphasised (Roe and Lennan, 2014). Staff holding the 24-hour on call phone are trained in using the UKONS, (2010) triage tool (Appendix 4) which uses a traffic light flow chart to assess the urgency of side effects a patient might experience; with a fever it automatically triggers a red alert for urgent admission and assessment.  In the scenario given the patient had been well educated as evidence suggests and attended the outpatient department within 40 minutes of calling to report a fever. However, it was reported that 56% of patients delayed reporting side effects by 2 days to avoid hospital admission even though they were aware of side effects to report (Warrington et al, 2016).



Presentation

On arrival the patient’s vital signs were taken and clinical presentation of patient was assessed which sparked concern of suspected neutropenic sepsis (Appendix 1).Due to the temperature being above 38

0

C it is relevant to suspect sepsis (NICE, 2012).As per NICE guidelines, (2012) and the Surviving sepsis Campaign, (SCC) (2012) bundle oxygen was applied, bloods were taken including full blood count, liver and kidney function, CRP, lactate, coagulation and blood cultures. Antibiotics were administered within the one-hour door to needle time frame without waiting for lab confirmation of neutropenia, which is recommended by NICE, (2012) and NCAG, (2009). A systematic review found that mortality was reduced by 33% when antibiotics were administered within the one-hour door to needle time (Johnson et al, 2017).  IV fluids were administered, and urine output was measured (SSC, 2012). However, although the one-hour door to needle time for antibiotic administration is recommended several studies found that antibiotics were delayed by up to 3 hours (Clarke et al, 2011); (Forde and Scullin, 2017). The National Confidential Enquiry into Patient Outcomes and Death (NCEPOD) (2008) looking at the deaths within 30 days following SACT, highlighted insufficient care of NS with frequent delays in antibiotic therapy.



Further Tests

A patient must have further diagnostic tests to detect the source of infection including chest X-ray if clinically indicated, a urine sample, sputum sample and stool sample whilst awaiting on lab results confirming neutropenic sepsis (NICE, 2012). In this scenario neutropenic sepsis was confirmed by the lab results with a count of 0.19 x10

9

/l, as per local policy the patient was admitted onto a ward and was put on isolation precautions for the duration of hospital stay ([Unnamed Hospital], 2010).  The patient accepted the admission was required and was informed that further chemotherapy would be given at a reduced dose. Neutropenia caused by chemotherapy can have substantial psychological consequences as treatment may be delayed and dose intensity on future treatments would be reduced (Warnock, 2016). The patient recovered and was discharged from hospital 4 days later.

In conclusion the patient in this scenario called the 24-hour on call as educated, the nurse triaged the patient appropriately using the UKONS triage tool and the patient attended for urgent review. The patient was assessed quickly and proficiently, and was treated within the 1 hour door to needle timeframe as suggested by NICE Guidelines, (2012).


Appendix 1- Case Study

41-year-old female with Breast Cancer.

Histology shows ER+, PR-, HER2-, 3/16 nodes involved, grade 3 with no obvious metastatic disease.

Past medical history of pernicious anaemia.

The Patient had 2 lumpectomies and total lymphadenectomy.

Patient commenced adjuvant chemotherapy 3 weekly regime of Epirubicin/Cyclophosphamide (EC).

14:20-7 days post chemotherapy, the patient called in via the 24-hour on call telephone with a temperature of 38.1

0

C and shivery.

The Nurse in charge of the 24-hour on-call used the UK Oncology Nursing Triage rapid assessment tool and patient was asked to attend outpatient’s department for urgent review.

14:35-Patient presented with evident rigors, vital signs taken showed temperature 38.5

0

C, heart rate 110, blood pressure 105/60 and respirations 22 and Oxygen saturations 94% on room air.

It was suspected the patient was neutropenic septic.

14:40-2L of oxygen was applied and all bloods were taken as well as cultures.

15:00-Antibiotics (Piperacillin/Tazobactam) were administered along with IV paracetamol and IV fluids.

15:15- patient had further diagnostic tests including CXR, urine sample and sputum sample.

15:20-Absolute Neutrophils Count came back at (ANC) 0.19 x10

9

/l.

15:30-Patient was admitted to an inpatient ward and was placed on isolation precautions.

The patient was discharged 4 days later once the neutrophils had recovered and antibiotic course had finished.


Appendix 2

Royal College of Physicians, (2017)

National Early Warning Score (NEWS) 2.

Available at:

https://www.rcplondon.ac.uk/projects/outputs/national-early-warning-score-news-2

. Accessed 02/10/2019.


Appendix 3

[Unnamed Hospital] (2019)

Haematology reference ranges.


Appendix 4

UK Oncology Nursing Society, (2010)

Oncology/Haematology. 24 Hour Triage Rapid Assessment and Access Toolkit.

Available at:

https://az659834.vo.msecnd.net/eventsairwesteuprod/production-succinct-public/578dfe8d80804d458b365da5efa8fb19

. Accessed 01/10/2019.


Reference List

: What do you need to do in order for your client to access other services such as financial support or housing?

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: What do you need to do in order for your client to access other services such as financial support or housing?

What do you need to do in order for your client to access other services such as financial support or housing?As you reflect on Meilaender’s readings, what is his distinction between procreation and reproduction, as well as that of being begotten versus being made? Do you agree with his description? Why or why not?

A “no wrong” door approach is the current Australian health policy model. What does this mean in relation to your client with coexisting needs?

What do you need to do in order for your client to access other services such as financial support or housing?

How would you access specialist services for your client with coexisting issues?

Classic Sound is a start-up company that produces vinyl records for numerous record labels worldwide. The company has two full-time employees working in the production department while the CEO splits

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Classic Sound is a start-up company that produces vinyl records for numerous record labels worldwide. The company has two full-time employees working in the production department while the CEO splits her time 80/20% between developing new business and overseeing the production process. Information taken from the accounting records for the first three months of operations is shown below. Beginning raw materials inventory $ 0 Purchases of raw materials 50,500 Ending raw materials inventory 25,250 Direct labour 40,450 Manufacturing overhead 30,350 Beginning work in process inventory 0 Ending work in process inventory 5,100 Purchase of production equipment 105,000 Rent for production facility 9,150 Required: 1. Prepare a schedule of cost of goods manufactured for the company for the month.

Role Of The Nurse In Labor

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Having a baby is one of the most joyful and challenging times of a womans life. Nurses offer relaxation techniques to help women through discomfort and make sure they have everything they need during labor and delivery. Labor and delivery is about more than the delivery of a healthy baby, it is also about a woman’s change into motherhood. Giving birth is a powerful emotional experience, and many women remember numerous details about the experience, even after their children are grown. Women who understand the process of normal labor are better equipped to know what to expect during childbirth and to experience the best possible outcomes. As a labor and delivery room nurse you can make a vital difference in the lives of other people.

Labor and delivery room nurses play an important role for expecting and new mothers. Labor and delivery room nurses not only provide birthing education, do medical tasks, support the doctor in emergencies, but also provide emotional support. They also care for mothers who stay in the hospital after childbirth due to difficulties. These nurses are highly trained in all aspects of maternal and child health, including certification in obstetrics, maternal-fetal medicine, neonatology and breastfeeding support. One of the most important roles of a labor and delivery nurse is to monitor all vital signs of the mother and the fetus, (Thompson Scott 2012) nurses must recognize any signs of distress, such as erratic heart rates or unconsciousness. These nurses instruct patients on all aspects of childbirth including positioning, timing of contractions and proper pushing techniques.

ROLE OF THE NURSE IN LABOR AND DELIVERY 4

A labor and delivery nurse should be the connection between the patient and the obstetrician or physician. The nurse should consult with the doctor about the progress and alert him as to when the mother is ready to deliver the baby. During a routine vaginal delivery, the doctor may not arrive to the delivery room until minutes before a baby is ready to be born. The nurse should constantly inform the mother and her partner about the progress and consult with both about any possible medical interventions you may need. Labor and delivery nurses take care of women and newborns before, during and after the delivery. (Parker, Mike 2011) The RN creates a personalized care plan based on the woman’s medical history and situation, and assists the doctor during the delivery of the newborn. In case of a cesarean delivery, the RN may also function as a scrub nurse. The labor and delivery nurse is responsible for interpreting the fetal heart rate, cervical change, and the status of the patient. RN’s are responsible for initiating inductions, assisting the laboring patient with pain control or helping those who chose to labor un-medicated. Once the patient is completely dilated the nurse instructs the pushing process, and call for the physician once the baby is ready to be delivered. The labor and delivery nurse is the main caretaker of the patient and baby until the moment of delivery at which point the doctor arrives. Labor and delivery nurses assist with cesarean sections, as well as fetal demise.

When a mother is in position to give birth, the nurse cleans her to prevent infection, and assists the doctor in the delivery process. Assisting can involve the support and guidance of the baby’s head, cleaning the baby’s mouth and nose, checking to make sure the umbilical cord is not wrapped around the baby’s neck and clamping and removing the cord. Nurses may have to

ROLE OF THE NURSE IN LABOR AND DELIVERY 5

perform any or all of these procedures alone in the event of an emergency birth without a doctor. Those nurses with high-level training can function quite independently, making decisions, prescribing medications, delivering babies and even attending as the primary caregiver during at home births. Labor and delivery involves a lot of patient contact and is a very fast paced work environment but yet can be very rewarding.

The work environments and responsibilities of maternity nurses vary greatly based on certification level and training:

•RNs tend to play a supporting role in labor and delivery settings by monitoring vital signs, assisting with procedures and performing administrative tasks.

•RNs are responsible for planning and delivering patient care in labor and delivery units, operating rooms and nurseries.

•Advanced practice nurses (NPs, CNSs and CNMs) are found in many outpatient settings, including community health centers, obstetric medical offices and private practices. Many also work as educators, policy makers and researchers. Maternity nurses employed by hospitals typically work extended shifts that cover nights, weekends and holidays. They also spend some of their time off “on call,” meaning they may be summoned to work on short notice. (Davila, Lisa 2012)

A labor and delivery nurse must possess excellent critical thinking skills and an ability to make decisions quickly using good professional judgment. All childbirth experiences are unique in their own way and labor and delivery nurses know that birth itself is not predictable, therefore

ROLE OF THE NURSE IN LABOR AND DELIVERY 6

working as a team and communication is vital in keeping patients comfortable, informed and safe. The nurse must be able to recognize complications and act quickly in order to stabilize the situation and communicate with the patient, the patient’s family, and the appropriate physicians and specialists in order to ensure a healthy delivery.