Pathophysiology

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Anemia and clotting disorders are common features of alcoholic liver disease. What are the mechanisms that cause these hematologic disorders?

Discussion 6

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  Florida Nurses Association 

Go to the FNA website and critically read and review the topics under the tabs “legislative” and “get involved”.  Based on the textbook reading and FNA website discuss at least 2-topics below:

  • The Nursing Legislation and Advocacy page on the FNA website identifies 4-different ways for you to get involved with advocacy.  Discuss which way(s) you would most likely get involved with and why?
  • Find and peruse the Barbara Lumpkin Toolkit (BLT).  What are your thoughts about the information provided in the toolkit and what did you learn that you didn’t know before?
  • The Florida Keys community experiences unique healthcare needs.  Identify 1-healthcare issues or trends would you consider advocating for that would have an impact on nursing in the Florida Keys.  Based on the BLT how would you go about advocating for the healthcare issue?

week 5

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Cassandra Birth

Yesterday Oct 2 at 11:04am

Bar code medication administration (BCMA)

 

Bar code medication administration (BCMA) is when the patient’s armband is scanned along with the medication, if they match, the medication may be administered (Hebda et al., 2019). This is new technology that helps prevent medication errors. BCMA and e-MAR ensures that the right patient receives the correct medication, this adheres to the 5 patient rights for medication administration (Naidu & Alicia, 2019, p. 511). The 5 patient rights for medication administration are right patient, right medication, right time, right dosage, and right route. While scanning the patient and each medication, if the e-MAR doesn’t recognize the medication for the patient, it won’t allow for the nurse to document that it was given. However, nurses still need to be aware of these pop-ups and place the medication aside because that medication isn’t supposed to go to that patient at that specific time and they need to figure out why. BCMA doesn’t completely prevent medication errors. Nurses still need to focus on the medications they are giving to their patients. Getting distracted by patients and their families can cause the nurse to misplace a medication when scanning them. Ensuring that all the scanned medications are the ones actually given to the patient is critical. Nurses still need to be aware that some medications may be the wrong dosage and may need to be split. They also need to be aware of vital signs and if the medication is still appropriate for the patient to take. Ethically this can be taking away some of the nurse’s autonomy of checking the medication name, dosage, and expiration date on the medication label. BCMA is supposed to reduce medication error, but nurses still need to be focused when administering medications. They need to ensure the patient is in the right condition to be taking specific medications. BCMA doesn’t take into consideration patients vital signs and stability to take a medication, so the nurse will have to still document “not given” in these scenarios. Patient armbands could also be ripped, or wet and unreadable to the scanner. Ensuring that the scanner is working properly and if something is wrong to fully check that it is the correct patient before administering the medications.

 

Naidu, M., & Alicia, Y. L. (2019). Impact of bar-code medication administration and electronic medication administration record system in clinical practice for an effective medication administration process. 
Health, 
11(05), 511-526. 

https://doi.org/10.4236/health.2019.115044


Links to an external site.

 

 

Hebda, T., Hunter, K., & Czar, P. (2019). 
Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.

Nursing Theory Week 5

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Using the criteria presented in week 2, critique the theory of Self-Efficacy using the internal and external criticism evaluation process, use three references

Evidence-Based Patient-Centered Needs Assessment

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Scenario

The purpose of a needs assessment is to identify priorities of a community or patient population. The findings of a needs assessment can be an extremely useful tool to help organize and plan care decisions for a specific patient or group. By conducting a needs assessment, a nurse can then use the best evidence to guide the interventions selected to meet the identified needs and improve patient engagement. 

Full instructions in attachment “Assessment 1 Instructions_Evidence-Based Patient-Centered”

sociology discussion 7

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Respond to two (2) of the following prompts:

  1. Describe formal and informal education. From your experiences with schooling, provide specific examples of each and explain how they are built into the curriculum or culture of the school. (USLO 6.1)
  2. Reflecting on your own experience (or your child’s) with schooling, explain one sociological theory that best relates to your (or your child’s) academic journey. Describe two examples of how this theory applies to your schooling. (USLO 6.4)
  3. What do you think is the most significant concern with the education system today? Provide a suggestion for how this issue could be improved. (USLO 6.3)
  4. What is the difference between mainstreaming and inclusion? Which do you think is the optimal way to include people with disabilities in the classroom and why? (USLO 6.2)
  5. Karl Marx studied the social impact of religion and believed religion reflects the material base, which is comprised of the means and modes of production and the relations of production. Marx argued that religion maintains inequality and perpetuates the status quo. Is Marx’s argument that religion maintains inequality and perpetuates the status quo true? Present an example that supports your assessment of Marx’s argument. (USLO 6.8)
  6. Emile Durkheim argued that religion promotes social cohesion, and social control, as well as offering meaning and purpose to human life. Is Durkheim’s argument true? Present an example that supports your assessment of Durkheim’s argument. (USLO 6.8)
  7. What is required of a society for its political structure to be considered democratic? While this question might seem straightforward, it is not and is a topic of contentious debate in current political philosophy circles. The Democracy Index lists 60 different indicators that must be considered when discerning whether a nation is a democracy. While you in no way will be expected to discuss all indicators, please talk about a few of the conditions that must exist for a government to qualify as a democracy. Include textual evidence to support your view. (USLO 6.5, 6.6)
  8. In recent years in the United States, citizens have increasingly made claims that our judicial system is institutionally racist. Evidence provided for these claims has pointed toward unfair drug sentencing laws, stop and frisk policies, the use of police force, and the overwhelming number of black men in prisons and jails in comparison to the rest of the population. Select one claim and discuss whether these claims have merit, presenting specific examples to support your position. Include textual evidence to support your view. (USLO 6.7)

Nursing homework 9

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Vaccination for Infants and Children Worksheet

Complete the following –using references provided in pediatric prep information. (5 points )

Age

Recommended Childhood Vaccines

Include route of administration

(oral, IM or Subcutaneous)

And indicate if a combination vaccine is indicated.

Special Considerations for Age and Vaccine

Site of Administration, Angle of Insertion, and Needle and Syringe Size, etc.

Within 12 hours of Birth

2 months

4 months

6 months

12 months

15-18 months

2 years

5 years

11-12 years

16 years

Infants 6 months to 18 years of age

2

Review the technique, sites, angle of insertion, correct sized syringe and needle, combination vaccines, and recommended vaccines for each age group. Here are a few questions to get you thinking… (points 2.5)

1. A 15 month old child is to be immunized.

a. What immunizations will you consider him/her?

b. List supplies needed for these immunizations.

c. What size syringe will you select for these immunizations? What size needle?

d. What angle of insertion will you use in administering these immunizations?

2. A 6 month old infant is to receive all her recommended vaccines today.

a. What is the name of the combination vaccine used that is given at this visit and what are the 3 components?

b. Which site do you select for her injections?

c. What do you tell the child’s parents before they leave the clinic?

3. A seventh grader requests an MMR booster

a. What questions will you ask to determine if he/she is an appropriate candidate?

b. What will you tell the student (client) before he/she leaves the clinic?

6051 DQ1

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Due Wednesday 8/30

Please Reply to the following 2 Discussion posts

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Please see the attachment for instructions