• Read the case study presented at the end of Chapter 11 (Guido, p. 222)
  • Did the facility have sufficient evidence to suspend the nurse?
  • How should the testimony of the other nurses in the unit affect the outcome of this case?
  • What additional questions should the institution address before the court rules in this case?
  • How would you have ruled in this case?
• Read the case study presented at the end of Chapter 12 (Guido, p. 238)
  • Did the ANP have a duty to consult with the child’s physician or another emergency center physician regarding the possibility of child abuse before she reported her findings to the case worker?
  • What questions would you anticipate might be asked regarding the injury itself and the possibility that the child had caused her own injury?
  • Did the ANP have a duty to report the injury, even though the diagnosis was not absolutely conclusive at the point that the child was initially examined?
  • How would you determine liability in this case, assuming that the trial court found liability against any of the three defendants?
• Read the case study presented at the end of Chapter 16 (Guido, p. 329)
  • Did the nurse manager have a responsibility to supervise the care of the patient?
  • Was the care of this patient appropriately assigned to the LPN by the charge nurse, or could the charge nurse have delegated this patient’s care more appropriately?
  • If the charge nurse assigned the care of the patient to the LPN, did she retain any supervisory responsibility that would result in her liability in this case?
  • How do the principles associated with delegation and supervision figure into this case?
  • How would you decide this case?

e your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

Professional Development Exercises :

• Read the case study presented at the end of Chapter 11 (Guido, p. 222)
•  A nurse had been working in a critical care unit for more than 25 years, gaining respect for her competence and dedication before suspicions began to gather that she was diverting narcotics for her
• own use. The acute care hospital had recently installed a “computerized medicine cabinet” for enhanced distribution and better monitoring of narcotics. The cabinet recorded the nurse’s per
• 222 Part 4 • Impact of the Law on the Professional Practice of Nursing
• nurses testified that they often deviated from the physician’s order for an IM injection, electing to give the medication by an IV route. Finally, there was testimony that the hospital had no formal policy for which nurse was to document narcotics in the paper record when two nurses, such as a preceptor and a mentee, both had responsibility for the patient. The nurse who was suspended testified that she, too, frequently entered data into the paper record long after she had administered the medication and, in some rare instances, entered the data on the following day.
•   QUESTIONS    1. D   id the facility have sufficient evidence to suspend the nurse from their employee?      2.    How should the testimony of the other nurses in the unit affect the outcome of this case?      3.    What additional questions should the institution address before the court rules in this case?      4.    How would you have ruled in this case?
• sonal keypad code and the patient’s data before it could be unlocked and narcotics dispensed. The nurses were also required to document the narcotic usage by handwriting the patient’s name, medication, time, route, and dosage on a more traditional paper medication administration record (MAR). D iscrepancies were noted between this nurse’s patients’ electronic data for narcotic administration and the handwritten notations made on the paper record. The nurse was first questioned by her supervisors and then she was suspended, as they did not find her explanations credible. Her grievance was upheld by the arbitrator assigned to the case and the hospital appealed. A t trial, other nurses from the same unit testified that they frequently completed their paper record documentation during their breaks or at the end of the shift, often when they could not remember exactly what medications or dosages they had administered to patients. There was additional information that the nurses would electronically sign for narcotics, prepare IV drip bags in advance of when they were needed, and then discard these same IV bags when they were no longer required or the physicians had changed the medication orders. Additionally, these
  • Did the facility have sufficient evidence to suspend the nurse?
  • How should the testimony of the other nurses in the unit affect the outcome of this case?
  • What additional questions should the institution address before the court rules in this case?
  • How would you have ruled in this case?
• Read the case study presented at the end of Chapter 12 (Guido, p. 238)
•   preschool teacher called child protective services about a child who appeared to have a vaginal infection and the child protective services worker instructed the mother to take her child to the emergency center at the local acute care facility. In the emergency center, the child was examined by an ANP who found a vaginal tear, which the ANP felt could have been caused by digital penetration. The child would not talk about the injury with the ANP. T he ANP then discussed the child’s case with the child protective services worker, and the child was admitted to the facility. The parents were subsequently questioned regarding potential abuse of the child. Charges of child abuse were filed against the father, who is now a registered sex offender in the state. The parents filed suit against the preschool teacher, the case worker and the ANP. A t trial, evidence was presented that the ANP did not share her findings or impressions of possible child abuse with the mother, the child’s primary pediatrician, or other emergency center physicians. She also did not recommend that the mother contact the
• child’s pediatrician for an evaluation and a second opinion. The ANP also admitted that it was possible that the child had scratched herself as a result of the infection and that the child herself had caused the vaginal tear.
  • Did the ANP have a duty to consult with the child’s physician or another emergency center physician regarding the possibility of child abuse before she reported her findings to the case worker?
  • What questions would you anticipate might be asked regarding the injury itself and the possibility that the child had caused her own injury?
  • Did the ANP have a duty to report the injury, even though the diagnosis was not absolutely conclusive at the point that the child was initially examined?
  • How would you determine liability in this case, assuming that the trial court found liability against any of the three defendants?
• Read the case study presented at the end of Chapter 16 (Guido, p. 329)
•   licensed practical nurse (LPN) employed by a nursing personnel agency worked one evening shift at the Veterans Administration Hospital in a major city. She cared for a patient who had recently undergone hip replacement surgery. Since his surgery, the patient had consistently spiked significant temperatures, and his temperature generally responded well to oral Tylenol, 500 mg, 2 tablets, every 4 hours as needed. The change nurse explained to the LPN that the patient was to continue on vital signs every 4 hours, including temperatures, and that he was to be medicated if his fever increased, even if only at low-grade levels.  During the evening that she worked, the LPN obtained the patient’s temperature at 4 p.m. and again at 8 p.m. He had a lowgrade fever at the 4 p.m. hour and his temperature had risen to 102 degrees orally at 8 p.m. At both intervals, the LPN administered Tylenol as ordered. The charge nurse did not assess the patient during the evening, nor did she inquire about the patient’s condition. The nurse caring for the patient at midnight noted that his temperature was still elevated (102.4 orally). When notified, the attending physician ordered blood cultures, additional treatment for his ever-increasing fever, and a change in antibiotic therapy.
• D espite this aggressive therapy, the patient developed a fatal septicemia and the patient’s family sued for wrongful death. At trial, the court determined that the charge nurse had been derelict in her duty to supervise this patient and assessed partial liability against the LPN and the charge nurse
  • Did the nurse manager have a responsibility to supervise the care of the patient?
  • Was the care of this patient appropriately assigned to the LPN by the charge nurse, or could the charge nurse have delegated this patient’s care more appropriately?
  • If the charge nurse assigned the care of the patient to the LPN, did she retain any supervisory responsibility that would result in her liability in this case?
  • How do the principles associated with delegation and supervision figure into this case?
  • How would you decide this case?

 

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Please complete ALL THREE of the Professional Development exercises.

• In the Chapter 7 summary, Staggers and Nelson state, “In a way all of us are already informatics nurses.” Reflect on this summary statement and describe a scenario from your clinical experience where you manipulated data, information, and knowledge to make a wise decision. Focus specifically on the key concepts of data, information, knowledge and wisdom.  
• What do you believe are the advantages and disadvantages of having a single shared consensus-driven model of terminology use? How can a single agreed model of terminology use (with linkages to a single terminology) help to integrate knowledge into routine clinical practice?
• Hospital C is looking to implement an EHR. It has been suggested that a NIS be hired. This position does not involve direct patient care and the administration is struggling with how to justify the position. How can this position be justified?

Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook.

McGonigle, D. & Mastrian, K. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Boston: Jones & Bartlett.  (Chapters 6 and 7)

 

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Professional Development

Directions: Complete Step 1 by developing (or copying and pasting) a curriculum vitae (CV) in the space provided. 

Complete Step 2 by completing a statement identifying your professional development goals space identified. 

Complete Step 3 by writing a statement proposing how you might align one or more of your professional development goals with the University’s emphasis on social change.

 

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Professional Development Exercises :

• Read the case study presented at the end of Chapter 9 (Guido, p. 185-186). 
•  he patient, on the first day postoperative for a transurethral prostate resection, received a unit of packed cells early in the morning on the supposition that he was bleeding internally. That afternoon at 3:22 p.m., the patient’s wife informed the nurse that her husband was breathing “heavily” and requested that the nurse assess him. The nurse, according to the testimony of the wife, informed her that the doctor was aware of the patient’s breathing pattern and that there was nothing about which she should worry. The nurse did not leave the nursing station. The patient subsequently died 
• related to a shock from the internal bleeding complicated by a reaction to the blood transfusion.  In court some years later, this same nurse testified that she had called the surgeon immediately to report that the patient’s respirations were 50, that she had taken vital signs that were within the normal limits for this patient, and that she had obtained a pulse oximeter reading that was acceptable. She also testified that she kept calling the physician’s office to report these findings.  None of this nursing care was documented in the progress notes that the patient’s nurse placed in the patient’s chart the next day. The nurse testified that she had compiled the progress notes from scratch notes she had written during the previous afternoon. The nurse further testified that it was her practice to make handwritten notes during the time that she worked and then to type her progress notes on the hospital system the next day. Additionally, this nurse never documented taking vital signs during the critical 2 hours between the spike in the patient’s respirations and the time he was pronounced. T he surgeon’s office nurse testified that a call was received from the hospital at 4:00 p.m. and that the surgeon immediately left the office for the hospital. The surgeon testified that he called the hospital from his car phone and that he immediately called a code as soon as he reached the patient’s room. 
•   
  • Did the lack of documentation in the admitting nurse’s assessment and notes affect the ultimate outcome of this case?
  • Was there negligence on the part of the nursing staff in the care of this patient?
  • What could the nurse have done differently to facilitate a different outcome in this case?
  • How would you decide this case?
• Using the sample professional liability insurance policy (Guido, p. 193-194), locate the various provisions: 
• DECLARATIONS Policyholder’s Name: ___Judy Doe __________________________________________ Covered Professional Occupation: Registered Nurse; Staff position Acute care institution or community health/home health Coverage Period: May 1, 2008 through April 30, 2009 Duties in Event of a Claim: If there is a claim, you must do the following: 1. notify us and our program administrator, in writing, as soon as possible; 2. specify the names and addresses of the injured party(s) and any witnesses, information on the time and place of the event; 3. verbally discuss the nature of the event with our claims representative; 4. immediately forward all documents that you receive in connection with the claim to us: 5. fully cooperate with us, or our designee, in the consummation of settlements, the defense of suits or other proceedings, enforcing any right of contribution or indemnity against another who may be liable to you because of injury or damage. You shall attend hearings and trials, assist in securing and giving evidence, and obtaining the attendance of witnesses; 6. refuse, except at your own cost, to voluntarily make any payment, assume any obligation, or incur any expense. Limits of the policy: $1,000.000 per claim/$3,000,000 aggregate
• In consideration of payment of the premium, in reliance upon the statements in the declarations and subject to all of the terms of this policy, agrees with the named insured as follows:
• COVERAGE AGREEMENTS The company will pay on behalf of the insured all sums that the insured shall become legally obligated to pay as damages because of:
• COVERAGE—INDIVIDUAL PROFESSIONAL LIABILITY Injury arising out of the rendering of or failure to render, during the policy period, professional services by the individual insured, or by any person for whose acts or omissions such insured is legally responsible, except as a member of a partnership, performed in the practice of the individual insured’s profession described in the declarations including service by the individual insured as a member of a formal accreditation or similar professional board or committee of a hospital or professional society.
• EXCLUSION This insurance does not apply to: 1. Liability of the insured as a proprietor, superintendent, or executive officer of any hospital, sanitarium, clinic with bed and board facilities, laboratory or business enterprise other than as stated in the above declarations; 2. Liability of the insured as a nurse-anesthetist or as a nurse midwife.
• LIMITS OF LIABILITY Individual Professional Liability The limit of liability stated in the declarations as applicable to each claim is the limit of the company’s liability for all damages because of each claim or suit covered hereby. All claims arising from the same rendering of or failure to render the same professional services shall be considered a single claim for the purposes of this insurance. The limit of liability stated in the declarations as aggregate is, subject to the above provision respecting each claim, the total limit of the company’s liability under this coverage for all damages. Such limits of liability shall apply separately to each insured.
• SUPPLEMENTARY PAYMENTS The company will pay, in addition to the applicable limit of liability:
•  1. All expenses incurred by the company, all costs taxed against the insured in any suit defended by the company, and all interest on the entire amount of the judgment therein that accrues after entry of the judgment and before the company has paid or tendered or deposited in court that part of the judgment that does not exceed the limit of the company’s liability thereon. 2. Such premiums on appeal bonds required in any such suit, premiums on bonds to release attachments in any such  suit for an amount not in excess of the applicable limit of liability of this policy, and the cost of bail bonds required of the insured because of accident or traffic law violations arising out of the use of any vehicle to which this policy applies, not to exceed $250 per bail bond, but the company shall have no obligation to apply for or furnish such bonds. 3. Reasonable expenses incurred by the insured at the company’s request in assisting the company in the investigation or defense of any claim or suit, including actual loss of earnings not to exceed $25 per day.
• DEFINITIONS “Insured” means any person or organization qualifying as the policy holder in the person’s insured provision of this policy. The insurance afforded applies separately to each insured against whom claim is made or suit is brought, except with respect to the limits of the company’s liability. “Damages” means all damages, including damages for death, that are payable because of injury to which the insurance applies. “Named insured” means the person or organization named in the declarations of this policy.
• CONDITIONS Insured’s duties in the event of occurrence, claim, or suit: 1. Upon the insured’s becoming aware of any alleged injury to which this insurance applies, written notice containing particulars sufficient to identify the insured and also reasonably obtainable information with respect to the time, place, and circumstances thereof, and the names and addresses of the injured and of available witnesses, shall be given by or for the insured to the company or any of its authorized agents as soon as practicable. 2. If claim is made or suit is brought against the insured, the insured shall immediately forward to the company every demand, notice, summons, or other process received by him or his representative. 3. The insured shall cooperate with the company and, upon the company’s request, assist in making settlements, in the conduct of suits and in enforcing any right of contribution or indemnity against any person or organization who may be liable to the insured because of injury or damage with respect to which insurance is afforded under this policy; and the insured shall attend hearings and trials and assist in securing and giving evidence and obtaining the attendance of witnesses. The insured shall not, except at his own cost, voluntarily make any payment, assume any obligation, or incur any expense.
• SUBROGATION In the event of any payment under this policy, the company shall be subrogated to all of the insured’s rights of recovery therefore against any person or organization, and the insured shall execute and deliver instruments and papers and do whatever else is necessary to secure such rights. The insured shall do nothing after loss to prejudice such rights.
• ASSIGNMENT The interest hereunder of any insured is not assignable.
• CHANGES Notice to any agent or knowledge possessed by any agent or by any other person shall not effect a waiver or change in any part of this policy or stop the company from asserting any right under the terms of this policy; nor shall the terms of this policy be waived or changed, except by endorsement issued to form a part of this policy, signed by a duly authorized representative of this company
  • Limits of liability
  • Declarations
  • Deductibles
  • Exclusions
  • Reservation of rights
  • Covered injuries
  • Defense costs
  • Coverage conditions and supplementary payments
  • Did you have difficulty finding some of the sections? Would this be a policy that you would consider purchasing for your own liability coverage? Why or why not?
• Read the case study presented at the end of Chapter 10 (Guido, p. 198)
•  During an unexpected heat wave, the administrator of a nursing home decided against turning on the air conditioner, which resulted in the death of four of the residents of the home. One of the deceased resident’s daughters brought a lawsuit against the home for a wrongful death suit. She was awarded a judgment of $275,000. She then filed a second lawsuit against the nursing home’s insurance company to collect payment on the judgment.  The insurance company refused to pay, stating that the judgment underlying the lawsuit was professional liability and the insurance company did not cover the nursing home for professional judgment. The nursing home then filed a lawsuit against the insurance company for payment of this judgment. 
•   
  • What provisions of an insurance policy would you consult to determine if an insurance company should pay such a claim, and what would the limits of the liability be?
  • Is the nursing home insurance company correct in saying that this is a professional judgment issue?
  • Which insurance company (the nursing home’s or that of the administrator of the nursing home, assuming she has coverage) should pay the court-ordered judgment?
  • How would you decide the case?

Please combine all of these responses into a single Microsoft Word document for submission

Please submit only complete assignments (not partial or “draft” assignments). Submit only the assignments corresponding to the module in this section.

You are not required to adhere to the 500-1000 word count for each of the responses, but please be thorough in your responses so that you adequately address all aspects of each question.

 

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Write a 3 page analysis that assesses your professional development needs as a nurse leader.

Note: The assessments in this course build upon each other, so you are strongly encouraged to complete them in sequence.

For professional nurse-leaders, effective communication skills are essential for interprofessional teamwork and collaboration. Kelly and Tazbir (2014) emphasize the importance of this interaction:

Interprofessional teamwork and collaboration among staff nurses and other disciplines in the health care setting are so critical to optimizing patient care safety and outcomes that they are a priority for most health care administrators, directors, and managers (p. 140).

Successful leadership strategies are based on a leader’s strengths, the situation, the environment, and the stakeholders involved. Developing a plan for professional development is integral in developing leadership and management skills.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 1: Integrate key nursing leadership, management, and communication concepts into collaborative practice situations.
  • Differentiate between leadership and management.
  • Explain key nursing leadership, management, and communication concepts that facilitate collaboration and support interprofessional teams.
  • Describe a personal leadership and communication style.
  • Identify skills or areas for future professional development.
• Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.
  • Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.

 

Use the Internet to research key nursing leadership, management, and communication concepts, and take several self-assessment tests to identify your leadership style and understand how to adapt your style to various situations. Although most of the free online tests are informal measures of skills and attitudes, the results may provide helpful insight into your leadership style and strengths and weaknesses.

Instructions

Deliverable: Develop a Professional Development Needs Assessment.

Scenario:

You have been promoted to Nurse Manager. As you transition into your new role, Human Resources (HR) requires you to participate in a leadership and management training workshop. The first day of the workshop involves a self-assessment of your leadership and communication style and an examination of key characteristics of an effective nursing leader, culminating in an assessment of your professional development needs. HR requires you to submit a Professional Development Needs Assessment so future training sessions are designed to meet those self-identified needs.

Use the following subheadings to organize your Professional Development Needs Assessment:

• Leader and Manager: Differentiate between leadership and management.
  • What job tasks require a manager?
  • What situations require a leader?
• Key Concepts: Explain key nursing leadership, management, and communication concepts that facilitate collaboration and support interprofessional teams.
• Explain how key nursing leadership, management, and communication concepts facilitate collaboration with interprofessional teams.
• Leadership Self-Assessment: Describe your personal leadership and communication style.
  • Explain the strengths of your style that make an effective leader.
• Skill Development: Identify skills or areas for future professional development.
  • What training do you need to be a successful leader in your new position?

Additional Requirements

• Written communication: Written communication should be free of errors that detract from the overall message.
• APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
• Length: The plan should be 3 pages in content length, double-spaced.
• Font and font size: Times New Roman, 12 point.
• Number of resources: Use a minimum of three peer-reviewed resources.

 

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