SOAP note
SOAP note Heart Failure
SOAP note Heart Failure
You are the Corporate Director for Universal Medical Supplies, Inc. You have been asked to present at an upcoming business leadership conference. The presentation will cover Critical Thinking for Challenges in Communication in the Workplace, related to specific topics. The intended audience is business leaders in many different industries.
Instructions
Choose an element of or an issue related to
one of the following specific workplace challenges: Conflict Resolution, Diversity Awareness, or Gender Issues. Create a slideshow presentation that includes concepts of critical thinking related to your chosen topic and include industry examples. Audio narration/voiceover must be incorporated that fully explains your ideas.
Your presentation should include:
· An introductory slide.
· Minimum of 2 slides on critical thinking skills in reading, listening, and writing, related to your chosen topic.
· Minimum of 2 slides on valid and invalid arguments, including cogent reasoning, related to your chosen topic.
· Minimum of 2 slides on inductive and deductive reasoning, related to your chosen topic.
· Minimum of 1 slide on inference in communication, related to your chosen topic.
· A conclusion slide to summarize ideas presented.
· Reference slide with all resources listed.
· Audio/voiceover narration to accompany the slideshow. It should be between 7 and 10 minutes in length and include detailed information about the topics on each slide.
Create a final presentation using a screen recording tool such as Screencast-O-Matic or PowerPoint with audio.
For assistance with creating a PowerPoint presentation with voiceover, please see the following:
·
Rasmussen Guide to Writing PowerPoint Presentations
·
How do I make a video of a PowerPoint presentation using Screencast-O-Matic?
Go to the ANA home page and search for their Advocacy Policy. Read through the ANA Advocacy Policy’s web pages.
Look at issues at a federal, state, or local level for which the ANA is advocating change or new policies.
Which one are you most eager to see enacted? Why does it interest you? How will passage of such legislation affect you or your patients?
Please, one full page at least and reference
Week 5 Abstract, Significance, and Summary
This week, you will submit the final portions of your paper for review. Please make sure to review all of your instructor's feedback and prepare your research for final submission in week 7.
Abstract
The abstract is generally used as a searchable, comprehensive overview of your research. When online databases search research, they pull keywords from the abstract. Compose the abstract for your research project. Your abstract should be one page in length, and include the following:
· Describe the research problem and why it is important.
· Identify the purpose of the study.
· State the theoretical foundations and/or conceptual frameworks, as appropriate.
· Summarize the key research question(s).
· Describe, concisely, the overall research design, methods, and data analysis procedures.
· Conclude with a statement on the implications for positive social or institutional change.
Your abstract must be a clear and concise overview of your research that would be easily searchable if you were to publish in a journal.
Significance and Summary
In 3–4 pages, summarize your study. Provide a summation of evidence (referencing your literature) that the problem is current, relevant, and significant to the discipline. Reiterate the gap in the literature and how your project contributes to social or organizational change in nursing and nursing education.
Within your summary, state the significance of your research by identifying potential contributions of the study that advance knowledge in the discipline. This is an elaboration of what the problem addresses. Provide a strong “take home” message that captures the key essence of your research.
Lastly, describe recommendations for further research that are grounded in the strengths and limitations of the current research as well as the literature you reviewed. Ensure recommendations do not exceed the research boundaries.
Review the rubric for grading criteria.
Points Possible: 50
NURS_692B_DE – NURS 692-B Week 5 Abstract, Significance and Summary Rubric
NURS_692B_DE – NURS 692-B Week 5 Abstract, Significance and Summary Rubric |
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Criteria |
Ratings |
Pts |
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This criterion is linked to a Learning Outcome Abstract |
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15 pts |
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This criterion is linked to a Learning Outcome Significance and Summary |
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25 pts |
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This criterion is linked to a Learning Outcome Mechanics |
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7.5 pts |
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This criterion is linked to a Learning Outcome APA Format |
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2.5 pts |
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Total Points: 50 |
Professor and class,
I have been lucky enough to work with three different EHR systems between clinical and my current job in the ED. I have been able to compare and contrast the pros and the cons between the EHRs’ and their health information systems. Upon starting in my ED a year and a half ago I was originally oriented to the EHR called Cerner. I really enjoyed this EHR as I felt that the HIS worked well at providing safe and efficient patient care. The allergies and current patient medications came up as a “to-do” flag within each patient upon admission. This ensured that the nurse was able to check off what the patient may have already taken that day, or what they may be allergic to before giving a patient a medication. After entering the patients history it was then documented in a place that was easy for the doctors and pharmacy to locate in order to enter and verify medications. This allowed for three different healthcare professionals to verify that this patient would be getting a medication that was safe for them. I now work with the EHR “Epic.” Although I like EPIC a lot, I feel that there are some flaws with it’s HIS system. I did some research, and found a study on the effectiveness of healthcare information systems throughout the city of Neyshabur in 2019. “Despite great effort to develop and utilize HISs and improve their effectiveness in improving patient care, the present study indicated an index of 64.42 out of 100 and reflected that there was still a gap to complete effectiveness” (Mohammadpour et al., 2021). They found many gaps in the staffs’ understanding on how to gather and implement data in order to form safe and efficient interventions for each patient. I find that, with EPIC, it is easier to be quickly inputting data within the ED and forget to acknowledge the patients prior history and allergies as the system does not prompt you to do so (at least with the version of EPIC that we have). With that being said, it is easier for medication errors to happen. I also feel that EPIC does not communicate with the PYXIS (medication administration station) as well as it could. With Cerner it would not let you scan a medication in to give it to a patient if it was not physically ordered within the chart. In Epic it will let the nurse scan any medication into the chart, and will open the medication up under a “non-ordered” medication admin panel. If not paying attention, this could make for a huge medication error in the ED as we mainly pull potentially dangerous medications on override when in emergent situations. Lastly, with Epic patients now have 24/7 access to their health chart. They can view and screenshot their labs, meds, appointments etc. This is exciting for the patient as they are able to easily access appointment changes, and medication requests through all of their HCP. “Astute nurses need to be familiar with these advantages and disadvantages so that they can advise patients correctly” (Chamberlain College of Nursing, 2020). The nurse should be able to properly advise the patient on how to interpret their laboratory values. It is important for the patients to be educated on the need to speak with the HCP after getting new laboratory results before coming to their own conclusions. A struggle that I have seen through my ED is that we will be very busy and start what we call protocols in the waiting room. This is where the nurse draws the patients blood without them being sent to a room yet in order to speed up their care. This ensures we see the sickest patients as soon as possible. The patients will then get these results back while in the waiting room, and google them. This allows some patients extreme health anxiety while in the waiting room, and on the other hand will result in patients leaving without treatment as they feel whatever results they got back were “good enough to go home.” These three things have made the transition from Cerner to Epic negative for me, but I feel as though my nursing supervisor actively works on any complaints that we have regarding the transition we are having as a hospital. Epic has a lot of different versions and updates and through our feedback we are working out all of the “kinks”. This makes the transition into a new EHR less scary, and more positive, as I always think back to how much technology has the potential to upgrade as we identify areas in need of change. I feel that technology is very important in healthcare as it allows for quick and “easy” access to patient records, but there will always be room for improvements which means that nurses need to be that more cognizant of the potential of errors.
Resources
Mohammadpour, A., Ghaemi, M. M., Darrudi, R., & Sadagheyani, H. E. (2021). Use of Hospital Information System to Improve the Quality of Health Care from Clinical Staff Perspective.
Galen medical journal. DOI:
10.31661/gmj.v10i0.1830
Chamberlain College of Nursing (2020).
NR361 Information Systems in Healthcare: Downers Grove, IL: Online Publication.
Discussion
During the course, you have done a thorough analysis of a company and the health care subsector in which the company operates now is the time to look at all your findings and insights and frame the situation of the company in terms of cost, access, and quality. Specifically:
Today’s health care environment gives nurses many reasons to be conflicted. Genetic testing, abortion, and end of life care are just some of the areas in which nurses may face ethical dilemmas. Consider how you feel about the following issues:
Then give an example of an ethical dilemma you may have confronted in your own clinical experience or workplace. How did you come to the decision you made? What feelings did you experience while coming to that choice? (If you have not yet faced an ethical dilemma, research one and comment on it, answering the same questions.)
At least 2 pages with reference
NSG 3200 – Health Promotion
Week 6 – ePortfolio: Submission of Artifact and Reflection
Process: For each nursing course in the RN to BSN program, you will upload at least one required artifact to your ePortfolio. The required artifact will be assigned by faculty and identified in the course syllabus.
(Please review the Patient education brochure to complete the BSN Reflection document). Along with the required artifact, students may also select additional course artifacts to demonstrate achievement of outcomes.
For the required artifact, you will complete a Reflection Document analyzing how the assignment demonstrates achievement of the identified PSLO/GEC/Essential.
Reflection Criteria: In the Reflection Document, begin by reviewing the three sets of standards that form the foundation of your RN to BSN program: the Program Student Learning Outcomes (PSLOs), the General Education Competencies (GECs), and the BSN Essentials. Next, select at least one item from each of the three standard sets (PSLOs, GECs, and BSN Essentials) that correlates with the required artifact. In your reflection, do not focus on the entire course as a whole. Instead, focus your reflection on the knowledge, skills and attitudes associated with creating the required course artifact. There is no maximum number of PSLOs, GECs, and BSN Essentials you must select. However, at minimum, you are required to choose one PSLO, one GEC, and one BSN Essential (along with the specific outcomes related to the BSN Essential) that relate to your course artifact. Answer the questions at the end of the Reflection Document to explain/reflect/discuss/analyze how creating the course artifact helped you to demonstrate the PSLO(s), the GEC(s) and the Essential(s) you selected.
BSN Reflection Document
Instructions for completing this document
During your progression in the RN-BSN program, you will use this process of completing and uploading a reflection and artifact in your ePortfolio. This activity is meant to demonstrate how you have achieved the Program Student Learning Outcomes, General Education Competencies, and AACN’s Baccalaureate Essentials through all the work you do in each course.
Please review and click in the checkbox, under each of the headings: Program Student Learning Outcomes (PSLO’s), General Education Competencies (GEC) and the AACN Essentials. Please follow the specific instructions under each of these headings, demonstrated through your assigned course artifact. For each artifact included in your portfolio, submit one reflection form.
Please note that not every artifact will cover all standards, so you may check one or multiple boxes under each of the three standards (PSLO’s, GEC and AACN Baccalaureate Essentials). However, you are required to reflect on at least one of the boxes you check for each standard. Each course reflection contains nine questions except for NSG4150 where students will complete additional questions 10-17 on Art and Science courses; and, NSG 4850 where students answer questions 18-24 only and complete the program reflection section
Once you have completed the Reflection Document, please click on the “Submit” button. This will save your progress and bring you to the list of your Reflection Documents, where you can download a PDF to submit in the assignment dropbox.
NOTE: Each time that you click the “Next” button, your work is saved. If you are at a stopping point in the document, be sure to click on the “Next” button. When you return to the Reflection Document, select “Edit” to make changes or to pick up where you left off.
1. Review your assigned course artifact and check at least one of the following BSN Program Student Learning Outcomes (PSLO) demonstrated through your artifact:
· Synthesize knowledge from the arts and sciences to form a foundation for the practice of professional nursing.
· Provide holistic, culturally competent care for individuals, families, and populations through health promotion and disease prevention across the lifespan and healthcare continuum.
· Integrate professional values and behaviors when delivering standards-based nursing care to diverse patients and populations.
· Develop leadership skills to provide and continuously improve the delivery of safe, patient-centered quality healthcare.
· Incorporate best practices and the most current evidence when using clinical reasoning to make practice decisions.
· Incorporate the use of information systems and technology in order to communicate, manage knowledge, mitigate error, and support decision-making.
· Integrate effective communication and collaboration skills to improve patient satisfaction and health outcomes.
2. Discuss one PSLO that you are reflecting on and explain how the assigned course artifact demonstrates your progression toward achieving the PSLO you checked above. Relate two class activities that helped you achieve the selected PSLO.
3. Analyze what you have learned by completing the assigned course artifact. What areas of growth or future learning needs must be met to meet the PSLO(s) for your baccalaureate education?
4. Review the assigned course artifact and check at least one of the following General Education Competencies (GEC) demonstrated through your artifact:
· Cultural Competence: Learners will demonstrate an understanding of philosophies that represent social, emotional, and behavioral attributes of society and individuals.
· Communication: Learners will demonstrate an understanding of the views of others and communicate in a professional manner.
· Critical Thinking: Learners will demonstrate the ability to draw conclusions based on evidence and consider prior knowledge, context, and perspectives in predicting implications or consequences.
· Information Literacy: Learners will demonstrate the ability to identify, evaluate and apply information to accomplish a specific purpose.
· Quantitative Literacy: Learners will demonstrate the ability to report, calculate, and analyze quantitative date.
· Scientific Literacy: Learners will gain the ability to read with understanding scientific content and engage in a dialogue about scientific issues.
5. Select one GEC and reflect on it by making specific reference to the course and your artifact as you explain how the assigned course artifact demonstrates your progression toward achieving the GEC you checked above. Relate two class activities that helped you achieve the selected GEC.
6. Review the assigned course artifact and check at least one standard listed under the nine BSN Essentials demonstrated through your artifact (only one standard under one BSN essential is required to be selected):
Essential I: Liberal Education for Baccalaureate Generalist Nursing Practice.
· Physical, natural, life science, math, social sciences.
· Fine art, performing art, humanities
Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety.
· Demonstrate knowledge and skills in leadership.
· Describe quality improvement.
· Advocate for patient safety.
· Demonstrate caring, effective communication with all constituents.
· Describe and navigate in complex organizational systems.
Essential III: Scholarship for Evidence Based Practice (Professional nursing practice is grounded in the translation of current evidence into one's practice).
· Provide evidence-based nursing interventions.
· Delineate interrelationships among theory, practice, research.
· Describe the elements of the research process and application.
· Advocate for protection of human subjects.
· Evaluate credibility of information.
· Participate in retrieval, appraisal, and synthesis of evidence.
Essential IV: Information Management and Application of Patient Care Technology.
· Understand information management and the impact upon patient outcomes.
· Employ a variety of patient care technologies.
· Demonstrate effectiveness in telecommunication technologies.
· Apply decision-making tools to support safe practice.
· Use CIS systems to document interventions and improve patient outcomes.
· Evaluate data to inform the delivery of care.
· Maintain ethical standards related to data and patient rights.
· Participate in evaluation of information systems.
Essential V: Health Care Policy, Finance, and Regulatory Environments
· Understand healthcare policies and financial implications.
· Explore regulatory environments and the impact on healthcare.
· Understand global trends.
· Be familiar with legislative and regulatory process in healthcare.
· Explore socio-cultural, economic, legal influence on practice.
· Describe role of regulatory agencies and impact on patient outcome, quality, and practice.
· Discuss healthcare policy related to access, equity, affordability, and social justice.
· Use an ethical framework to evaluate healthcare policies.
· Participate in political processes that influence healthcare policy.
Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Care Outcomes
· Understand multi-disciplinary roles of the healthcare team.
· Employ effective communication to resolve conflict, foster teamwork.
· Advocate for high quality care as a member of the healthcare team.
Essential VII: Clinical Prevention and Population Health.
· Assess protective and predictive factors, including genetics, which influence health.
· Assess health from a holistic perspective, including values, attitudes of families, groups, communities, and populations.
· Promote health, manage illness.
· Use EBP to guide health teaching, screening, and counseling, throughout lifespan.
· Assess health, healthcare, and emergency preparedness needs of a defined population.
· Develop an intervention plan that considers health, resources, prevention of illness, injury, disability, and premature death.
· Participate in prevention and population-focused interventions related to effectiveness, efficiency, cost-effectiveness, and equity.
· Advocate for social justice, including health of vulnerable populations.
Essential VIII: Professionalism and Professional Values
· Demonstrate professional standards of moral, ethical, and legal conduct.
· Exhibit accountability, role modeling professional values, professionalism, and integrity.
· Identify personal, professional, and environmental risks that impact personal and professional choices.
· Examine practice for promotion of social justice.
· Articulate value of professional growth and development and lifelong learning.
· Protect patient privacy and confidentiality.
Essential IX: Baccalaureate Generalist Nursing Practice.
· Demonstrate caring and health techniques that promote a therapeutic nurse-patient relationship.
· Conduct assessment across populations and lifespan.
· Recognize constructs of genetics on health, prevention, screening, diagnostics, prognostics, treat.
· Provide holistic care across the lifespan.
· Communicate effectively with patients, families, and healthcare team.
· Provide compassionate, patient-centered, evidence-based care.
· Provide nursing care based on evidence that contributes to safe and high-quality patient outcomes.
7. Select one of the BSN Essentials you have chosen and reflect on the relationship between the essential chosen, your learning, and the course artifact. Relate two class activities that helped you achieve the selected BSN Essential.
8. Describe what you have learned by completing the assigned course artifact. What areas of growth or future learning needs must be met to meet all of the program learning outcomes for your baccalaureate education?
9. Describe how your learning and achievement of these standards will impact your future role as a BSN nurse.
Grading of ePortfolio Assignments
Each ePortfolio assignment will be a graded using an assigned grading rubric.
A grade of 100% is the required passing score for all ePortfolio assignments
. Refer to the assignment rubric. If a revision is required to achieve a passing score, resubmission of an ePortfolio assignment must be completed within 72 hours of receiving your instructor feedback. Students are to refer to the ePortfolio tutorials for further guidance as needed.
All ePortfolio course requirements must be met in order to receive a passing end of course grade. As per the RN- BSN program incomplete policy, students have two weeks to submit the required coursework or the incomplete will be changed to a failing grade (F).
ePortfolio Rubric
Criteria |
Excellent |
Submission of URL/Link to ePortfolio Home Page • URL (link) to the ePortfolio is submitted to the assignment drop box. Submitted URL leads directly to the ePortfolio Home Page. The ePortfolio contents are viewable. |
15 pts Excellent The ePortfolio submission meets all criteria. |
Home Section • Welcome page contains a welcome message and optional upload of a professional photograph. • Welcome page contains a professional biography to include a summary of work experience, academic background, and professional goals. |
Excellent. 15 pts |
Creation of Course Section (e.g., NSG 3200) · Course Section (e.g., NSG 3200) is present. · Course Section (e.g., NSG 3200) is labeled using correct prefix and number. |
Excellent. 10 pts |
Creation of Course Artifact Page and Upload of Assigned Course Artifact · One course artifact page is present in the current course section (e.g., NSG 3200) and labeled as Artifact. · One assigned course artifact document is uploaded to the current course artifact page. · Course artifact was not linked from Dropbox submission. |
Excellent. 15 pts |
Completion of Reflection · 1 selection is made in each subsection (the PSLOs, GECs, BSN Essentials) of the reflection form. · All narrative prompts are completely addressed. · One course reflection page is present in the current course section (e.g., NSG 3200) and labeled as Reflection. · One completed PDF course reflection document is uploaded to the current course reflection page. |
Excellent. 25 pts |
ePortfolio Organization · Free of blank or duplicate course sections. · Free of blank or duplicate pages within the course section(s). · Evidence of previous submissions organized in one ePortfolio. |
Excellent. 20 pts |
Totals |
100 |
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