Please, write a one paragraph response to the discussion posted below by using one reference from peer-reviewed English Nursing Journal not older than 5 years. APA required, no cover page needed.

  Ms. Johnson was fortunate to have been offered such a great opportunity of becoming the new director of nursing at the long term care facility she is currently employed. Ms. Johnson obtained her associates degree about three years ago, which is fairly recent. Her current position is assistant director of nursing. Some realities that Ms. Johnson should consider is that most manger or supervisor nursing positions should obtain higher education classes and specialty certifications in order to gain knowledge of varies strategies and resources because this can influence the outcomes of residents in the facility (Trinkoff et al., 2015). Studies have shown that nursing homes or long term care facilities that have nurses with high credentials had lower rates of deficiencies than other facilities with less credentialed nurses. BSN prepared nurses are highly preferred in hospitals and facilities because they are linked to decreased mortality and morbidity (Saver, Cichra, & Kline, 2015). Granted, she has been there for only a few months in this long term care facility, it is still possible for her to be able to provide great leadership skills and possibly work towards her BSN degree. BSN degrees prepare the nurse by teaching evidence-based practices and leadership and management skills. As the DON, Ms. Johnson will be responsible to motivate the nursing staff to modify standards and apply best practices. Credentials distinguish the level of certifications in the nursing profession to other healthcare professionals and to the patients and their relatives (Tabloski, 2014). The benefits that she will encounter is a substantial salary increase, but risks may be that she is not fully capable of carrying so much responsibilities. DON responsibilities include developing, implementing, assessing, and improving quality of nursing care in the facility. A nurse with an associate’s degree has less educational courses and training that a nurse with a BSN degree, which means the facility may see a decline in patient health. For example, there may be increase in pressure ulcers, catheter uses, and increase in pain levels. Education is important among leaders in hospital and facilities because there is a relation with lower adverse outcomes (Trinkoff et al., 2015). 

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In this Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.

To prepare:

• Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Assignment. – For this assignment, the topic of choice is Melanoma. Please see this link for details on melanoma – https://www.visualdx.com/visualdx/diagnosis/melanoma?moduleId=101&diagnosisId=51936• Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?• Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.• Consider which of the conditions is most likely to be the correct diagnosis, and why.

To complete:

• Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format, rather than the traditional narrative style.  Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.• Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least 3 different references from current evidence based literature.

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ITS IMPORTANT TO MEET THE COMPETENCES. PLEASE READ THE COMPETENCES !

Write 8-10 pages in which you identify a major patient-safety issue within your own organization and use evidence-based best practices and technology to develop a plan to improve the safety issue.

Quality improvement and patient safety are central to the nursing leadership role.

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

• Competency 2: Safety and Quality Practices – Incorporate concepts of patient safety, clinical management, and quality improvement to improve patient outcomes.            
  • Describe a patient safety issue and compare currently used organizational processes for handling this issue with concepts, principles, and practices that contribute to quality improvement and patient safety.
• Competency 3: Nursing Research and Informatics – Incorporate evidence-based practice interventions (for example, information systems and patient care technologies) as appropriate for managing the acute and chronic care of patients, promoting health across the lifespan.            
  • Recommend evidence-based interventions, including technology, to address specific patient-safety issues.
• Competency 4: Policy, Finance, and Regulations – Understand the scope and role of policy, finance, and regulatory environments in relationship to individual and population outcomes.            
  • Analyze the legal and ethical consequences of not addressing patient-safety issues.
• Competency 5: Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.            
  • Write coherently to support a central idea in appropriate APA format with correct grammar, usage, and mechanics as expected of a nursing professional.
• Competency 6: Organizational and Systems Management – Apply knowledge of organizational behavior, nursing theory, and systems (micro- and macro-) as appropriate for the scope and role of one’s own practice.            
  • Describe strategies to overcome specific organizational barriers to change.

Assessment Instructions 

Preparation

As you prepare for this assessment, complete the following:

1. Before you begin, examine your organization’s history of safety in a specific area and how your organization addresses patient safety issues. If possible, consult with a key stakeholder in the organization (such as an administrator) to better understand specific patient-safety concerns and how the organization is working to resolve the concerns. This person should also be able to discuss some of the organizational barriers impacting the patient safety issue.
2. Next, look at the basic concepts, principles, and practices that contribute to organizational quality improvement and patient safety. Review the literature for best practices and how technology might be used to improve the issue.
3. Finally, be sure to consider the legal and ethical implications associated with the safety issue, as well as possible organizational barriers to change.

Directions

As you construct this assessment, address each point as completely as possible:

• Describe a patient-safety issue within your organization, comparing the way your organization addresses the issue with the concepts, principles, and practices that contribute to quality improvement and patient safety.
• Analyze the legal and ethical consequences of not addressing the issue.
• Recommend evidence-based interventions, including technology, to address the patient-safety issue.
• Describe strategies to overcome specific organizational barriers to change, based on your knowledge of the organization.

Additional Requirements

• Format: Include a title page and reference page. Use APA style and formatting.
• Length: Ensure your completed assessment is 8–10 pages in length, not including the title page and reference page.
• References: Cite at least five current scholarly or professional resources.
• Font: Use double-spaced, 12-point, Times New Roman font.

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Develop a power point on the Topic: Safety Promotion and Injury Prevention for *toddlers.

Include subtopic:

-Falls

-Aspiration and Suffocation

-Bodily Injury

*Include grow and development in toddlers as per Erikson. 

*Include normal vital signs for toddlers.

*Provide information about safety prevention differences between adults and toddlers.

*How to approach to a toddler during a physical assessment.

*Why are toddlers at highest risk for injury?

Do 10 slides.

Provide references.

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Please read the attached file and fill out the table

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