iMAGINE You work in a Hospital where, since last fiscal year, there is a budget deficit related to the reimbursement of payments for medical services offered in the medical-surgical area. This is because patient stays have been prolonged by complications related to nosocomial infections and hospital-acquired conditions. The medical plans have decided not to pay for these events related to the quality of the service and not with the reason or the diagnosis of admission of the patient.

These conditions or events include urinary tract infections in patients with urinary catheters, adverse reactions due to errors in Drug Administration, and the development of pressure ulcers in bedridden patients. This shortfall shows an economic loss of more than $1 million, which negatively affects the future recruitment of more nursing professionals and the acquisition of new equipment.

Imagine you are the manager of the medical-surgical area responsible for developing and establishing corrective action measures to amend the negative budgetary impact on your area.

you have a total of 100 beds, distributed in three subunits: medicine, 45 beds; Surgery, 35 beds; and intensive, 20 beds.

Consider the intensity of care in each subunit. The total number of staff assigned is: 30 RN BSN Nurses, 20 LPN nursing professionals, and 15 nursing professional assistants for the entire medical-surgical area. The staff works full-time and is interested in changing from eight hours to 12 hours per work shift.

The unit will not be able to recruit more nurses and you must demonstrate a plan of action in the implementation of corrective measures in the face of the economic loss related to the impact of the clinical services offered in your units.

**** Determine, how you would distribute the nursing staff in each medical-surgical subunit AND Explain your reasoning taking into account the limitation of fiscal and economic resources. Consider and highlight the following factors in your writing: the work shifts of these units, the stratification of the patients per unit, the direct care time required by the patients in the different units, the specific functions or roles Staff, skills and knowledge of staff by academic degree, workload and resources in different units, etcetera.

Describes what strategies you would implement to work with events that negatively impact the provision of nursing services and those that cause prolonged patient stay.

How do you consider that these strategies developed will promote the reduction of unnecessary expenses in the stays of the patients admitted in the medical-surgical unit?

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Imagine you wanted to lead your team in better understanding the identity of your organization, team, or department. Which question could you use to help your team establish and understand identity and purpose?

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Immunizations assignment

This is a scientific paper meant to provide an opportunity to review a relevant debate with real world materials (e.g., youtube, PubMed). Please demonstrate your ability to critically evaluation arguments for scientific rigor based on what you learned in the Research Methods sections of the class. Please also avoid judgmental statements (e.g., “parents who do/don’t vaccinate are idiots”) because everyone is ultimately trying to do what they think is best for their families.  1500-2000 words needed 

see attachment 

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Immigration in The Past

Lesson 18 addresses immigration to the United States in the late nineteenth and early twentieth centuries. From 1820 to 1880, the overwhelming majority of immigration to the United States came from Germany, Ireland, and England. Starting around 1880, immigration patterns in the United States shifted. Although immigrants still came from Germany and Great Britain, even more came from Eastern Europe, Russia, and Italy.

Between 1880 and 1915, 20 million immigrants came to the United States. The greatest number of immigrants came from Italy. Facing poverty, oppressive landowners, and rampant disease, many Italians left their homeland during this period. Approximately 25% of Italy’s population left the country and came either to the United States or South America.

Many of these immigrants went to work in industrial jobs, providing the labor needed for large-scale industrialization. These people came in search of economic opportunity, looking for the “American Dream.” Some were fleeing political or religious persecution, while others sought more economic opportunity.

Many did not speak English. Most were illiterate, poor, and either Jewish or Catholic. These people seemed very different from the German, British, and Irish immigrants who had flooded in the country in the “old immigration” of the 1840s. They often faced discrimination and segregation in the United States.

Most immigrants settled in large cities and went to work in factories, having a big impact on industrialization. Industry now had an abundant labor supply to exploit. These millions of new Americans played a vital role in the rapid industrialization experienced in the United States.

Immigration Today

Much of what was true about immigration to the United States in the past seems true today. Thousands who do not speak English, are illiterate, and poor seek the economic opportunities and political freedoms that Americans enjoy.

Our nation’s contemporary immigration discourse appears, at the moment, to center on the merits of building a wall across our border with Mexico. The author of the article I would like you to read suggests the opposite; he wants to open the borders.

• Why does the author believe open borders would be a good thing?
• Do you agree with the author? Why or why not?

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"