Please carefully read all the instructions below and use the attached Prospectus Checklist and Template to complete this assignment in APA format with a minimum of 15 to 20 scholarly references less than five years old.
The facility recently transitioned to a new and better electronic health record system and also purchased standardized care plans which are supposed to be more efficient, unfortunately, the compliance with using the standardized care plans by the inpatient nurses is only 40%. Also, the facility recently had a visit of the Joint Commission and received a negative mark for the nurses not adding care plans based on the patients’ primary problem (s) or diagnosis in the patients’ charts upon admission.
Title: Educating Inpatient Nurses to use Standardized Care Plans (Based on this title, please formulate a PICO question which gear on educating the nurses to use the hospital standardized care plans)
Main Problem with the nurses in the Hospital.
(1) There’s poor compliance with the nurses not adding the standardized care plans to the patient’s chart based on the patients’ diagnosis or primary problem(s) upon admission to the facility.
(2) Nurses are not using the already built in standardized care plans in the electronic health record system of the hospital to include individualized standardized care plans to the patients’ chart based on the patients’ diagnosis or primary problem(s) upon the patients’ admission to the hospital.
(3) The hospital recently had a visit of the Joint Commission and got penalized for the nurses not adding care plans to the patients’ chart based on the patient’s diagnosis or primary problem(s) to the already built-in individualized patient care plans in the hospital electronic health record system.
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What are the benefits of adding and documenting on individualized standardize care plan in patient’s chart?
___ Set of care plans are available and nurses do not have to develop a care plan
___ If nurse selects and adds care plan, it will automatically populate into patient’s chart
___ Patient’s educational tablet is dependent on nurses’ completion of adding care plan to the
patient’s chart.
___ Decreases nurses’ workflow time because preset care plan
___Nurses do not have to do any follow up teaching on care plan
Revised PICO Question: Will an educational tool increase the inpatient nurses’ knowledge about the use of the hospital newly built-in standardized care plans system as compared to not using the standardized care plans? (based on all the above, I came up with this question, but you can correct it or formulate a better one which gears towards educating the inpatient nurses to use the standardized care plans)
Problem:
1) Poor compliance, just 40% of the hospital inpatient nurses are using the hospital newly built-in standardized care plans.
2) The Joint Commission (JHACO) penalized the hospital during a recent visit to the hospital because only a small percentage of the admitted patient had a care plan upon admission based on their diagnosis or primary problem(s).
3) The hospital recently transitioned to a new and better electronic health record system (EHRs) and some nurses are stating that they haven’t received enough education on how to use the standardized care plans on the hospital new EHRs.
Below is the Joint Commission Standard for Care Plans
Joint Commission Standard
- The medical record contains the following clinical information:
– The reason(s) for admission for care, treatment, and services
– The patient’s initial diagnosis, diagnostic impression(s), or condition(s)
– Any findings of assessments and reassessments
– Any allergies to food
– Any allergies to medications
– Any conclusions or impressions drawn from the patient’s medical history
and physical examination
– Any diagnoses or conditions established during the patient’s course of
care, treatment, and services (including complications and hospital acquired
infections).
– Any consultation reports
– Any observations relevant to care, treatment, and services
– The patient’s response to care, treatment, and services
– Any emergency care, treatment, and services provided to the patient
before his or her arrival
– Any progress notes
– All orders
– Any medications ordered or prescribed
– Any medications administered, including the strength, dose, route, date
and time of administration
– Any access site for medication, administration devices used, and rate of
administration
– Any adverse drug reactions
– Treatment goals, plan of care, and revisions to the plan of care
– Results of diagnostic and therapeutic tests and procedures
– Any medications dispensed or prescribed on discharge
– Discharge diagnosis
– Discharge plan and discharge planning
- The hospital plans the patient’s care based on needs identified by the patient assessment, reassessment, and results. The written plan of care is based on patient goals and time frames required to meet goals. Patient care plan is based on established goals where staff evaluate the patient progress Patient’s care plan is revised with goals based on patient’s needs
POPULATION: Inpatient Nurses
INTERVENTION: (Will an educational tool?) Best method on educating inpatient nurses on identifying appropriate patient’s diagnosis or primary problem upon admission to select individualized care plan and document on the interventions / progress toward patient goals each shift in Epic EHRs.
COMPARISON: Regular Care plan
OUTCOMEs:
- Patient Outcome:
- Reduced variability in patient care delivery. Accurate monitoring of progression toward evidence-based care plan interventions and goals.
- Accurate monitoring of patient education progression driven from correct diagnosis-based care plan added on admission to the patient’s chart.
- Metrics: nursing documentation on education, interventions, and care plan goals
- Process Outcome:
- Nurse will increase correct application of evidence-based care plan based on identification of correct diagnosis or primary problem upon admission Increase documentation of evidence-based interventions and patient progress toward care plan goals in EPIC each shift. .
- Increase completion of education/learning assessment upon admission and each shift.
- Metrics’ compliance: correct application of care plan based on admitting diagnosis, shift documentation of evidence-based interventions and care plan goals, patient education/learning assessment documentation
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Prompt Reflections On My Thoughts And Feelings For Becoming An Advanced Practicing Nurse
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Summary:The journal is intended as a reflection on your experience with the course material and exploration of pertinent APN issues. Journaling allows students to express thoughts and feelings regarding aspects of their weekly discovers with the course content. Journaling offers the student the opportunity to exercise the Theory of Caring Science by becoming more centered and aware of one’s consciousness and state of presence.Directions:You are expected to journal at least one page (single spaced) for each week of Week 1, 3, 5, 7. You may choose to journal more, if you wish.You should address and reflect the Reflection Topic assigned for each week. You will not be graded on the content of the journal, as long as it is relevant to the reflections guided topic for the week.Completion of at least one page per week (or equivalent) throughout the course will receive full credit. APA formatting is not required for this assignment. Your thoughts and reflections should be free flowing.Save the file with Student First Name_Last Name_ReflectionSubmit completed template to the D2L Dropbox.You may choose to create a vlog, screencast, YouTube, podcast, or another format for your reflective journal. Feel free to be creative, as long as you are journaling week 1, 3, 5, 7. Any alternative format must consist of at least five (5) minutes of content. Copy the link to the video onto a Word document and submit in the respective week’s D2L Dropbox.
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Proposal 19328673
/in Uncategorized /by developerDo you have experience hiring and/or managing people? Yes
Please describe your experiences and associated responsibilities and duties in those roles. Please highlight how many people you managed in each case.
Do you have experience owning and operating your own business? Yes
Please describe your responsibilities and duties in these roles. Please highlight relevant people management experience.
If selected to own and operate a Delivery Service Partner, what personal and business goals would you hope to achieve by starting your company?
What three words would you use to describe the culture you would foster at your company? Explain why you chose each word to represent your company’s culture.
Please describe your leadership style
Please list and briefly describe your current involvement in the community (i.e. social, public, private, and professional organization)?{ ANS: PROFESSIONAL Organisation, provides health services to individuals with intellectual and developmental disability}
Is there anything in your personal, professional, or financial history that requires explanation?
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Proposal And Final Submission 19214861
/in Uncategorized /by developerIn today’s world of healthcare, capital expenses are a common element to the financial management process. In fact, all healthcare organizations, at some point, must convert to an Electronic Health Record (EHR) system to be compatible with the rest of the world. However, this is a major capital expense that will cost many healthcare organizations millions of dollars. Purchasing an EHR system will undoubtedly require the acquisition and use of long-term assets under a capital budget.
The final assignment of your project will require you to make a recommendation to finance an EHR system, based on information from previous assignments. You will compile all the information in a proposal format, which will be addressed to the organization’s executive managers. You will create a separate presentation as an overview of your proposal.
Your organization is considering financing a 1.5 million dollar EHR system (if an EHR system not a good fit for your case, you can choose any major health information system/technology but the 1.5 million dollar reference should remain the same). Based on the financial outlook of your case/organization, make a recommendation to purchase or not purchase the system. You will need to draw on the material you have learned in throughout the class and assignments; as well as background information from your case description. Collectively, that information will serve as the foundation to support your recommendation.
Your final Financial Analysis report should be a minimum of eight (8) pages in length, excluding title and reference pages.
Your Presentation should be created in MS PowerPoint to include a minimum of seven (7) slides. You will also add a narration to your presentation that should be 15-20 minutes in length. Be sure to discuss your project components in a concise, yet effective manner. You should highlight key points of each component of the Financial Analysis Report, leading up to your EHR recommendation outcome. Include graphical displays (such as graphs or other pictorials) to add visual interest and support of your information. Use a professional tone and keep in mind that you are presenting to the executive management team; consider their interests as stakeholders.
Presentation Outline
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Proposal For Change 19263005
/in Uncategorized /by developerSelect a health care facility or service (e.g., hospital, physician practice, long-term care facility, ambulance service, pharmacy, or skilled nursing facility).
Design a 700- to 800-word proposal for a process improvement or cultural change that would affect all levels of staff in the organization (e.g., Lean Six Sigma or Studer Group).
Cite 1 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).
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Proposal For Change For Nyanya
/in Uncategorized /by developerSelect a health care facility or service (e.g., hospital, physician practice, long-term care facility, ambulance service, pharmacy, or skilled nursing facility).
Design a 700- to 1,050-word proposal for a process improvement or cultural change that would affect all levels of staff in the organization (e.g., Lean Six Sigma or Studer Group).
Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).
Format your assignment according to APA guidelines.
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Proposal Paper 19205063
/in Uncategorized /by developerFollow instructions in the Proposal paper outline file. The Annotated Bib is the site you can use for the paper.
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Proposed Evidence Based Change Project Plan
/in Uncategorized /by developerDevelop a proposed evidence-based change-project plan specific to the environment you are using to implement your change project. Your environmental assessment will include a work breakdown structure, a budget plan, and a measurement tool.
This week, you will design a plan that is at least four pages in length and includes all the information listed in the instructions below to discuss the elements of your proposed plan.
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Proposed Project
/in Uncategorized /by developerYou are now a public safety manager. You and your team have been working on a new catastrophe (your topic), and you have been tasked with presenting your proposed project for approval and funding to the County Board of Commissioners, Sheriff, Chief of Police, Fire Chief, Emergency Operations Director, or State Commissioner for approval and funding in this scenario.
Briefly, and in your own words, explain to the class what you are proposing, its intended propose, and how the organization and community will benefit from this proposed plan. This is a brief summary whereas you need to sell this plan to your audience in two paragraphs or less.
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Prospectus Assignment
/in Uncategorized /by developerUse the PICO question below to complete the Prospectus assignment in APA format and a minimum of 20 scholarly references (literature search and review) related to the PICO question. See Prospectus Template Format attached in the file section. Please use the template to answer all level 1 headers as well as level 2 headers for each section and specific amount of paragraph.
PICO Question for my Project
Does the use of standardized care plans by the nurses of a small community teaching hospital increases the monitoring of the patients’ progression toward an evidence-based care plan education as compared to a non-standardized care plan?
P- The nurses of a small community teaching hospital
I- The use of standardized care plans
C- Non-standardized care plan
O- Increasing the monitoring of the patients’ progression toward an evidence-based care plan education.
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Prospectus Checklist
/in Uncategorized /by developerPlease carefully read all the instructions below and use the attached Prospectus Checklist and Template to complete this assignment in APA format with a minimum of 15 to 20 scholarly references less than five years old.
The facility recently transitioned to a new and better electronic health record system and also purchased standardized care plans which are supposed to be more efficient, unfortunately, the compliance with using the standardized care plans by the inpatient nurses is only 40%. Also, the facility recently had a visit of the Joint Commission and received a negative mark for the nurses not adding care plans based on the patients’ primary problem (s) or diagnosis in the patients’ charts upon admission.
Title: Educating Inpatient Nurses to use Standardized Care Plans (Based on this title, please formulate a PICO question which gear on educating the nurses to use the hospital standardized care plans)
Main Problem with the nurses in the Hospital.
(1) There’s poor compliance with the nurses not adding the standardized care plans to the patient’s chart based on the patients’ diagnosis or primary problem(s) upon admission to the facility.
(2) Nurses are not using the already built in standardized care plans in the electronic health record system of the hospital to include individualized standardized care plans to the patients’ chart based on the patients’ diagnosis or primary problem(s) upon the patients’ admission to the hospital.
(3) The hospital recently had a visit of the Joint Commission and got penalized for the nurses not adding care plans to the patients’ chart based on the patient’s diagnosis or primary problem(s) to the already built-in individualized patient care plans in the hospital electronic health record system.
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
What are the benefits of adding and documenting on individualized standardize care plan in patient’s chart?
___ Set of care plans are available and nurses do not have to develop a care plan
___ If nurse selects and adds care plan, it will automatically populate into patient’s chart
___ Patient’s educational tablet is dependent on nurses’ completion of adding care plan to the
patient’s chart.
___ Decreases nurses’ workflow time because preset care plan
___Nurses do not have to do any follow up teaching on care plan
Revised PICO Question: Will an educational tool increase the inpatient nurses’ knowledge about the use of the hospital newly built-in standardized care plans system as compared to not using the standardized care plans? (based on all the above, I came up with this question, but you can correct it or formulate a better one which gears towards educating the inpatient nurses to use the standardized care plans)
Problem:
1) Poor compliance, just 40% of the hospital inpatient nurses are using the hospital newly built-in standardized care plans.
2) The Joint Commission (JHACO) penalized the hospital during a recent visit to the hospital because only a small percentage of the admitted patient had a care plan upon admission based on their diagnosis or primary problem(s).
3) The hospital recently transitioned to a new and better electronic health record system (EHRs) and some nurses are stating that they haven’t received enough education on how to use the standardized care plans on the hospital new EHRs.
Below is the Joint Commission Standard for Care Plans
Joint Commission Standard
– The reason(s) for admission for care, treatment, and services
– The patient’s initial diagnosis, diagnostic impression(s), or condition(s)
– Any findings of assessments and reassessments
– Any allergies to food
– Any allergies to medications
– Any conclusions or impressions drawn from the patient’s medical history
and physical examination
– Any diagnoses or conditions established during the patient’s course of
care, treatment, and services (including complications and hospital acquired
infections).
– Any consultation reports
– Any observations relevant to care, treatment, and services
– The patient’s response to care, treatment, and services
– Any emergency care, treatment, and services provided to the patient
before his or her arrival
– Any progress notes
– All orders
– Any medications ordered or prescribed
– Any medications administered, including the strength, dose, route, date
and time of administration
– Any access site for medication, administration devices used, and rate of
administration
– Any adverse drug reactions
– Treatment goals, plan of care, and revisions to the plan of care
– Results of diagnostic and therapeutic tests and procedures
– Any medications dispensed or prescribed on discharge
– Discharge diagnosis
– Discharge plan and discharge planning
POPULATION: Inpatient Nurses
INTERVENTION: (Will an educational tool?) Best method on educating inpatient nurses on identifying appropriate patient’s diagnosis or primary problem upon admission to select individualized care plan and document on the interventions / progress toward patient goals each shift in Epic EHRs.
COMPARISON: Regular Care plan
OUTCOMEs:
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