If MR C is assigned to Shana, what resources are available to help her? Do you think there is overlapping of roles in this scenario?

Case Scenario

There are two RN’s and four RPN’s working in a medical floor on a day shift in a hospital. All nurses are assigned four patients each. One RN has been assigned to two complex patients out of the four. The other RN, Shana has just started working in the hospital and is a new grad. The new Grad RN, Shana, is working with an RPN Melissa. Melissa has been working on the same floor from the last five years. The hospital has adequate support system, including support nurses, registered therapists, doctors on call and PSW’s to help. There is another RN present who is working as charge nurse.

Patient 1

Mr B has paraplegia from last 10 years. He has muscular contractures and is total care. He has been admitted for a week with diagnosis of left leg cellulitis. Mr B has family members that stay with him during the day and night. Mr B. is receiving IV antibiotics for his cellulitis. Mr B. is also scheduled to have daily dressing for his left leg cellulitis. MR B needs turning and repositioning every 2 hrs and as needed. His vital signs have been stable. The plan is to discharge him with PO antibiotics once the course of IV antibiotics is done. The patient is otherwise medically stable.

Patient 2

Mr C is just admitted from emergency today with diagnosis of acute heart failure and lower GI bleed. The Hgb is 75, the patient is ordered to have 2 units of PRBC. The patient gets SOB on minimal exertion and is on 5 L of oxygen. The oxygen saturations are between 94-95% on 5 L of oxygen. The patient is very anxious and is calling for help often.

The charge nurse assigns Mr. C to RPN Melissa RPN and Mr. B to Shana RN. The charge nurse thinks that Melissa has dealt with more complex situations in the past and is familiar with the routine and possesses more knowledge, skill and judgment.

Questions:

Is the assignment appropriate? Utilize the three-factor framework from the CNO guideline, the Nurse, the Client, the Environment to support your discussion.
If MR C is assigned to Shana, what resources are available to help her?
Do you think there is overlapping of roles in this scenario?
If Melissa considered the assignment to be inappropriate, what should she do?

What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?

CASE STUDY 1

The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines.

Assignment 1

As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur?

In this Lab Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios.

To Prepare
Review the scenarios provided by your instructor for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your scenarios.

Based on the scenarios provided:
Select one scenario and reflect on the material presented throughout this course.
What necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.

The Lab Assignment
Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature.

Write a detailed 1-page narrative (not a formal paper) addressing the following:

· Explain the health assessment information required for a diagnosis of your selected patient (include the scenario number).–

Where, or in what ways, can a researcher acquire information/data that can be used for a case study?Discuss

Description

INSTRUCTIONS

Answer the following four questions using current APA format throughout (including your title page, appropriate vocabulary, and sentence structure, writing in third person, in-text citations, page numbers, levels of headings throughout the document, an introductory statement, a conclusion statement, and consistency between your in-text citations and references). Use your course textbooks, including your Introduction to Research textbook and the Publication Manual, and at least two additional scholarly references. This Case Study Assignment must have a title page, plus 2 – 4 pages of appropriate content, and a reference page. Give the answers to these questions in your own words and with your own explanation. Cite your sources in-text, and list your various sources as references on your references page.

This Case Study Assignment is requiring level one headings based on each of the questions. Create your own brief phrase for a properly formatted level one heading based on each question to be clear about which item you are answering. Your headings must not be simply copied/pasted from the questions. An acceptable heading must clearly capture the essence of each question. Headings are typically brief statements. See various sections of your Publication Manual for details about the requirements in this Case Study Assignment.

1. What is a case study?

2. What are advantages and disadvantages of this approach?

3. What are some reasons for using a case study approach?

4. Where, or in what ways, can a researcher acquire information/data that can be used for a case study? In other words, what are some various sources for information that a researcher can use in a case study? Note: For question four, these are two ways of stating the same question; these are not two separate questions.

What does literature say about this weakness in relation to managing patient care and planning discharge?

Description

Patchwork 4 is self-reflecting on your strengths and weaknesses and applying them to a third-year skill of managing a patient’s care (including assessment, planning, referrals, interventions and initiations) and planning discharge.

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Strength

•Choose a personal strength or characteristic which enables you to carry out effective management of patient care and planning discharge

•What does literature say about this strength in relation to managing patient care and planning discharge?

Weakness

•Choose a personal weakness or characteristic which might inhibit you to carry out effective management of patient care and planning discharge

•What does literature say about this weakness in relation to managing patient care and planning discharge?

Opportunity

•Identify opportunities in practice and university which will allow you to develop your identified weakness from the previous section (This also needs supporting with literature)

Threat

•Identify threats either personal or environmental which may prevent you from being able to improve your identified weakness

•What can you do to minimise this?

Conclusion

•Nothing new to be included in the conclusion

•Summarise the learning from carrying out this self-assessment

•Summarising the learning from the literature

•How will you apply this in your future practice?

•Conclusion should be referenced using literature previously used from the main body

Structure & clarity: 15 marks

• Well-structured logical organisation

•Elements clearly identified

•Grammatically correct

•Spelling and punctuation

•Coherent & well expressed

•Logical flow

•Beginning, middle and end

•Concise

Application: 30 marks

•Credible literature focussed on topics

•Theory directly related to practice

•Contextualised personal reflection

•Clear demonstration of theory/practice links

Evaluation: 30 marks

•Analysis: what does it mean?

•Well organised arguments

•Use of literature to support arguments

•Drawing evidence based conclusions

Level of investigation: 25 marks