Nursing Informatics and Patient Safety

In 2011, Mason General Hospital was named by Hospitals & Health Networks magazine as one of the “Most Wired” hospitals in the United States. What makes this particularly significant is that Mason General is a small, 25-bed, rural hospital in the state of Washington. It credits its success to nurse Eileen Branscome, director of clinical informatics. Under her leadership, the hospital adopted such innovations as visual smart boards where real-time patient information is always available. According to the magazine, those hospitals designated as “Most Wired” “show better outcomes in patient satisfaction, risk-adjusted mortality rates, and other key quality measures through the use of information technology (IT)” (Mason General Hospital and Family of Clinics, 2012).

Developments in information technology have enabled patients and health care providers to collaborate for quality improvement at an unprecedented level, and nurses have consistently been at the forefront of these efforts. This week you focus on the IOM report “To Err Is Human” and consider how health information technology has helped to address the issues of patient safety and quality health care.

Students will:

• Analyze the utilization of health information technology to address issues raised in the IOM report “To Err Is Human”
• Assess the role of informatics in improving health care safety.

Note: 1 or 1 1/2 pages discussion with 3 references, APA.

Nursing – Policy – Health Care Law

Details:

Choose a public policy that is needed or needs to be changed that relates to nursing, health care, or the public health.  Policy changes can occur by working with members of your legislature, and state or national nurses’ associations, to introduce a new bill and/or change to a current law in your state or federal government.

Examples of public policy includes any component of the current legislation governing health care, Medicare Part D, Medicaid, nursing regulation, medication technicians, etc.

In 700+ words, propose a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that needs to change and why.

1. The policy must not be a clinical care policy for individual care. The policy involved may include public or community health, legislative or regulatory, professional organization (nursing-oriented), advanced nursing practice, health plan, or hospital plan.

2. Include a specific section for the exact wording for the bill or change in wording of the law.

3. Include the plan for the implementation of your policy development, to lobbying for passage, to next steps after passage.

4. Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations). Are these individuals also influential in making changes occur? Did you vote for the individual in office that you want to help you make this change?

Resources:

1. Review different pieces of legislation for ideas on wording.

2. Visit your state’s legislative governmental affairs website site to understand the process your policy change could take if you wanted to introduce to into legislation.

Prepare this assignment according to the APA, 3 references

Week 2 DB nursing-SR

250 words must have in text citations and references must match them. 

Review the Rating System for the Hierarchy of Evidence for Intervention/Treatment Questions (see below link)

•  Review and become knowledgeable about the hierarchy of research logistics. The “lowest to highest” ranking order of the evidence/research. 

•  Select two different peer-reviewed nursing research articles. 

•  Identify and summarize the levels of evidence/research presented in selected articles (i.e. Student’s selected articles). 

•  Discuss how an advanced practice nurse critically evaluates evidence/research through either a “quantitative methodology” –  e.g. ANOVA, Pair t Test, or (Logistic/Multiple) Regession; OR a “qualitative methodology” –  e.g. validity, reliability, and applicability in practice.

Include each selected article’s reference information in the initial discussion post (i.e. APA format required).

Ethics Discussion Paper-Nursing. APA

Week 3 Discussion- APA format Paper

•  1.  How does the NCSBN model compare with Florida’s Nurse Practice act and regulations?
•  2.  Which Act/ Rules do you prefer and why?
• 3.  Which one is more restrictive for nurses?
• 4.  Comment on the following scenario:

The RN is taking care of an 86 year old patient 10 days post a 5 vessel bypass. The patient’s fluid balance has been precarious with frequent bouts of congestive heart failure and third spacing of fluids. Today the nurse obtains a BP of 72/40 and starts a bolus of normal saline at 150 mL per hour. The nurse has not tried to contact the physician and there are no standing orders to cover his other actions.  Is the RN within his or her scope of practice as set forth in the Florida Nurse Practice Act? In particular, section 464.003 (2).   

Readings/Resources:

1111 unread replies.1111 replies.

Read the Florida Nurse Practice Act sections 464.001, .002, .003, .016, .017, & .018 and also the Rules of the Board of Nursing sections 64B9-1.001, 5.001, 5.002, 5.003, 5.009, 5.010, 5.011, 5.012, 8.003, 8.0045. 8.005, 8.006 (scan only 8.006), 9.002,9-12, 9-14, 9-15.002 all found at: http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0464/0464ContentsIndex.html&StatuteYear=2014&Title=%2D%3E2014%2D%3EChapter%20464 (Links to an external site.)

(Just FYI, you would check the following to determine the most current Board of Nursing Rules):

www.flrules.org/gateway/Division.asp?toType=&DivID=332   (Links to an external site.)

Optional: Go to the National Council of State Boards of Nursing website and review their Model Nurse Practice Act and regulations, found at: 

 Link https://www.ncsbn.org/1982_BB_Part3.pdf (Links to an external site.

Nursing Case Study- Short Essay

Case Study 1

Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”

Laboratory values are as follows:

Hemoglobin = 8 g/dl

Hematocrit = 32%

Erythrocyte count = 3.1 x 10/mm

RBC smear showed microcytic and hypochromic cells

Reticulocyte count = 1.5%

Other laboratory values were within normal limits.

Question

Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an APA format essay of 500-750 words, explain your answer and include rationale. For internet references please only use .mil, .edu, .gov, and medical/nursing journals. All original work and no plagiraism please.