Stakeholders are essential to change because they are the ones who need to buy into the idea. For my project I have proposed to add education on life style changes into our existing free education class. In order to make this happen I would need the support of my facility administrator, Regional director, and medical director. Outside of my organization it would be important to collaborate with the existing program in the community at the local health department. Empowering the people around you will give better results this includes stakeholders (Halm, 2010). You may have the idea but they have the resources to put the ideas into action. In order to make sure that the change is effective coming up with a plan is essential and executing the plan is the next part (Fineout-Overholt, 2011). I plan to first address my idea with my mentor and facility administrator by doing a presentation. Then I will address it with the regional director and medical director. I am most excited about reaching out to the public health nurse in charge of the diabetic education in my area. I will start there and then hope to meet with the board to address the epidemic in our area of diabetes ending in end stage renal disease and how are we going to work together to educate the community? Fineout-Overholt, E. , Williamson, K. M. , Gallagher-Ford, L. , Melnyk, B. M. & Stillwell, S. B. (2011). Evidence-Based Practice, Step By Step: Following the Evidence: Planning for Sustainable Change. AJN, American Journal of Nursing, 111(1), 54-60. doi: 10.1097/01.NAJ.0000393062.83761.c0.Halm MA. (2010). “Inside looking in” or “inside looking out”? How leaders shape cultures equipped for evidence-based practice. American Journal of Critical Care, 19(4), 375–378. https://doi-org.lopes.idm.oclc.org/10.4037/ajcc2010627

 

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Read Chapter 6 & 7

1. Discuss the importance of effective communication in the personal relationship, the therapeutic relationship, and the relationship within the interprofessional health-care team.

2. What similarities and differences can you identify among the above interactions?

3. Explain the concept of congruence between verbal and nonverbal communication.

4. There are many pitfalls to electronic communication. Identify a situation in which an electronic form of communication may result in a miscommunication. What other method of communication would have been more effective?

5. How have you seen ISBAR used during your clinical experiences?

6- Develop a hand-off report for yourself. Include items that you believe are pertinent for safe and effective nursing care. Refer to the information in the chapter for creating this report form. Using the information from the chapter, determine the effectiveness of the system currently in use on your unit for communicating shift-to-shift reports.

7-Dr. Roberts comes into the nurses’ station demanding, “Where are Mr. Adams’s lab reports? I ordered these stat, and they’re not here! Who’s responsible for this patient?” How would you, as the nurse, respond?

8-Explain the concept of accountability in delegation. What are the legal ramifications of accountability in delegation?

9. Dennie and Elias arrive in the unit for the 7:00 p.m. to 7:00 a.m. shift. Both nurses completed orientation 4 weeks ago. They find that they will be the only two RNs on the floor that night. There is a census of 48 clients. The remaining staff consists of two NAPs/UAPs and one LPN. What are the responsibilities of the RN, NAP/UAP, and LPN? Can Dennie and Elias effectively delegate client care tasks and care safely for all 48 clients? Use the Delegation Tree to make your decisions.

10. Discuss the differences between direct delegation and indirect delegation.

1. You have to observe delegation procedures in your assigned unit:

A-What considerations does the RN take into account when delegating patient care?

2-You have to look at the unit census and prioritize the patient care:

A- Give the rationale foryour choices.

3.Answer the following questions during your clinical experiences:

a. What specific tasks did your patients require that you might have been able to delegate?

b. How effective was your nurse/preceptor in delegating tasks to others?

c. How did your nurse/preceptor ensure that the tasks were completed safely and appropriately?

 

USE APA FORMAT , NEW ROMAN 12. AND PLEASE DO NOT WRITE THE QUESTIONS , JUST USE THE NUMBERS. IF YOU HAVE A QUESTION LET ME KNOW. THANK YOU.

 

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What interview types did this person describe? For example, consider the screening, the selection, the group, the competitive, the panel, or the stress interview types.

 

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· Review the Case Study Assigned by your Instructor for this Assignment

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs:

Synthroid 100 mcg daily

Nifedipine 30 mg daily

Prednisone 10 mg daily

· Justify Why you would recommend this Drug Therapy Plan for this patient. 

· -Be Specific and provide Examples.

 

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Surgical smoke in the operating room is harmful to staff and patients. The Center for Disease Control and Prevention has identified harmful byproducts such as benzene, hydrogen cyanide, formaldehyde, bioaerosols, dead and live cellular material, HPV, blood fragments, and viruses in the smoke of electrocautery devices (Robison & Neville, 2019). The proposed solution that I am trying to address with my project is to reduce/eliminate surgical smoke in the operating room and educate the operating room staff on the health hazards that surgical smoke can impose on staff and patients. In order to reduce exposure to surgical smoke I am purposing the purchasing of adaptors that will be utilized with the Neptume 3 waste management system. I am also developing an educational/competency program on the hazards of surgical smoke and the importance of using evacuation equipment along with proper PPE for all surgical procedures that generate surgical smoke.In 2016 when I started my career as a RNFA I began getting awful headaches during certain cases along with a runny nose and throat irritation. At first, I thought maybe I was beginning to develop an allergy to the type of surgical mask I was using so I made an appointment with our occupational health department. Occ health and an ENT doc also felt that it was probable due to the mask, so I was ordered my very own supply of hypoallergenic surgical masks. Those masks didn’t work, I continued to have symptoms. I finally figured out that it was due to surgical smoke inhalation. During my investigation I realized that much of the OR staff had no knowledge of the hazards and potential health risks of surgical smoke. Also, our operating rooms are not equipped with the proper smoke evacuation equipment.My vision of the proposed project has not changed since I began researching the subject. Exposure to surgical smoke requires an intervention.ReferenceRobins, T., & Neville, R. (2019). Utilizing a shared governance approach for smoke evacuation

 

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