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CASE: CHARTING A COURSE FOR CONFLICT RESOLUTION—‘IT’S A POLICY’

Read the case below from Chapter 10 in your textbook:

Background 
The setting is an 82-bed hospital located in a small city. One day an employee of the maintenance department asked the supervisor, George Mann, for an hour or two off to take care of some personal business. Mann agreed, and he asked the employee to stop at the garden equipment dealership and buy several small lawnmower parts that the department required. While transacting business at a local bank, the employee was seen by Sally Carter, the supervisor of both human resources and payroll, who was in the bank on hospital business. Carter asked the employee what he was doing there and was told the visit was personal. On returning to the hospital, Sally Carter examined the employee’s time card. The employee had not punched out to indicate when he had left the hospital. Carter noted the time the employee returned, and after the normal working day she marked the card to indicate an absence of 2 hours on personal business. Carter advised the chief executive officer (CEO), Jane Arnold, of what she had done, citing a long-standing policy (in their dusty, and some would say infrequently used, policy manual) requiring an employee to punch out when leaving the premises on personal business. The CEO agreed with Sally Carter’s action. Carter advised Mann of the action and stated that the employee would not be paid for the 2 hours he was gone. Mann was angry. He said he had told the employee not to punch out because he had asked him to pick up some parts on his trip; however, he conceded that the employee’s personal business was probably the greater part of the trip. Carter replied that Mann had no business doing what he had done and that it was his—Mann’s—poor management that had caused the employee to suffer. Mann appealed to the CEO to reopen the matter based on his claim that there was an important side to the story that she had not yet heard. Jane Arnold agreed to hear both managers state their position.




Present a 12 – 15 slide PowerPoint answering the case study questions. The number of slides exclude the title and reference pages. Substantial Speaker Notes are required throughout the entire presentation.  Below you will find articles with more info on speaker notes.



Develop the argument you would be advancing if you were in George Mann’s position.
In similar fashion, thoroughly develop the argument you would advance if you were in Sally Carter’s position.
Assuming the position of the CEO, Jane Arnold, render a decision. (Document your decision in whatever detail may be necessary, complete with explanation of why you decided in this fashion)
Based on your responses to Questions 1 to 3, outline whatever steps—policy changes, guidelines, payroll requirements, or something else—you believe should be considered to minimize the chances of similar conflict in the future.
Reference your readings and include a minimum of 5 peer-reviewed, scholarly, or similar articles.

Format your PowerPoint according to APA guidelines.

Review the attached Grading Rubric, Presentation Tips, and Articles on Speaker Notes


Below are articles on what Speaker notes are and how to add them to your presentation:
https://www.free-power-point-templates.com/articles/speaker-notes/ 
https://www.lifewire.com/what-are-powerpoint-speaker-notes-2767471
https://support.office.com/en-us/article/Add-speaker-notes-to-your-slides-26985155-35F5-45BA-812B-E1BD3C48928E

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Health History and Medical Information
Health History
Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.
Case Scenario
Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.
Objective Data
1.    Temperature: 37.1 degrees C
2.    BP 123/78 HR 93 RR 22 Pox 99%
3.    Denies pain
4.    Height: 69.5 inches; Weight 87 kg
Laboratory Results
1.    WBC: 19.2 (1,000/uL)
2.    Lymphocytes 6700 (cells/uL)
3.    CT Head shows no changes since previous scan
4.    Urinalysis positive for moderate amount of leukocytes and cloudy
5.    Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mr. M.'s situation. Include the following:
1.    Describe the clinical manifestations present in Mr. M.
1.    Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
2.    When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
3.    Describe the physical, psychological, and emotional effects Mr. M.'s current health status may have on him. Discuss the impact it can have on his family.
4.    Discuss what interventions can be put into place to support Mr. M. and his family.
5.    Given Mr. M.'s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

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The situation at the regional Good Health Hospital has become overwhelming since the outbreak of Escherichia coli (E. coli) in Ward 10 on the second floor. It appears that there are six cases of the disease. To better understand the situation, communication with the Centers for Disease Control and Prevention has revealed that this particular bacterium can be found in many everyday items. The CDC recommends that investigation begin in the hospital kitchens because E. coli can be transmitted via contaminated vegetables, as well as delicatessen meats such as salami and other cold cuts. The following table shows the number of cases identified so far:
Case    Age    Gender
1    23    M
2    21    F
3    15    M
4    42    F
After a meeting yesterday with the chief administrator, Joe Wellborn, it has been decided that the litigation issues with one of the patients may need further information to determine whether the patient was already symptomatic with the bacteria before admission. Research has indicated that hospitals operating in the Tampa Bay area have been known to have cases of E. coli contamination. This substantiates the need for further investigations by the county health department. Due to the severity of the cases and the potential for further spread, it is recommended that the hospital seek alternative vending services because the present suppliers cannot verify sanitation protocols for their products. In conclusion, the study done at Good Health Hospital has indicated that the E. coli outbreak was in fact caused by spoiled food from the cafeteria.
As a social science researcher working for the regional hospital, you are placed in charge of contacting the department of health (DOH) from your home state, as well as the CDC for statistical data on nosocomial diseases (diseases starting in a hospital) that frequently cause illness at your health care facility. Using information from both agencies, evaluate the data on common nosocomial diseases and compile a treatment contingency plan for dealing with the hospital infections.
Assignment Instructions

Write a 5–6 page evaluation report in which you do the following:
Analyze Good Health Hospital’s records and itemize recent nosocomial infections that occurred within the past year. In your report, categorize the different parameters (that is, person, time, place, ethnicity, and gender) used in the compilation of data into the information summative.
Propose at least six questions for the health care administrator at Good Health Hospital regarding potential litigation issues with infections from the nosocomial diseases. In the report, rationalize the logic behind the six questions.
Identify a targeted audience within Good Health Hospital and prepare an implementation plan based on a hypothetical meeting with the hospital health care administrator. Propose four steps that will be useful in the final implementation plan.
Suggest at least five recommendations to the department head based on the steps taken in the implementation plan. Provide a rationale for suggestions.
Design a safety protocol itinerary that must be placed in public access areas of the hospital, using these approved recommendations.
Use at least four peer-reviewed academic resources in this assignment. These must come from journal sources. Note: Fact Sheets, Wikipedia, and nonacademic websites do not qualify as academic resources.
This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your faculty for any additional instructions.
The specific course learning outcome associated with this assignment:
Design a safety protocol itinerary based on an implementation plan for addressing nosocomial infections in a hospital.

Questions and Topics We Can Help You To Answer:
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Apply two ethical theories and one ethical perspective to the issue of legalizing recreational drugs. Make sure you write primarily on ethical topics and concepts. Clearly examine both sides of the issue and think about the evidence that will help make your case and use it

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How has your healthcare experience and/or community service activities influenced your decision to become a Physician Assistant?

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Describe your exposure to physician assistants in clinical practice- I work as a nurse in the community clinic with doctors and physician assistants

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Vicarious traumatization and burnout among therapist using Trauma-Focused CBT and EMDR Therapy to treat PTSD (continuation)

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New construction projects begin with a design phase, where architects blueprint the vision complete with design details. They work in collaboration with builders who use the designs to prepare the appropriate strategies, tools, and materials to bring the vision to reality. You are both architect and builder of your success. You have started to blueprint your vision in your Academic Success and Professional Development Plan. You have identified others with whom you will collaborate. Now you can begin to prepare the appropriate strategies, tools, and materials

How will you approach your studies? What types of resources are available to you, and how will you access and utilize them? Taking the opportunity to prepare these strategies, tools, and materials will help ensure you can “break ground” without incident and successfully move to the phase where you begin building your vision.

To Prepare:

Consider your goals for academic accomplishments while a student of the MSN program.
Reflect on the strategies presented in the Resources for this week.

The Assignment:
Clearly identify and accurately describe in detail at least three academic resources or strategies that can be applied to the MSN program.
Clearly identify and accurately describe in detail at least three professional resources that can be applied to success in the nursing practice in general or in a specialty.
Clearly and thoroughly explain in detail how you intend to use these resources, and how they might benefit you academically and professionally.

RUBRIC:
Continue developing your Academic Success and Professional Development Plan by appending the original document you began in Week 1 to develop the second component: academic resources and strategies. To do this:
·  Identify and describe at least three academic resources or strategies that can be applied to the MSN program.
Identify and describe at least three professional resources that can be applied to success in the nursing practice in general or your specialty in particular.
Explain how you intend to use these resources, and how they might benefit you academically and professionally.
Written Expression and Formatting - Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused--neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
Written Expression and Formatting - English writing standards:

Correct grammar, mechanics, and proper punctuation
Written Expression and Formatting - The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.
RESOURCES:
https://www.nursingworld.org/resources/
https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsdoj&AN=edsdoj.bb057097b8f415f95c888f9f757c6b7&site=eds-live&scope=site
https://academicguides.waldenu.edu/fieldexperience/son/home
https://www.waldenu.edu/online-masters-programs/master-of-science-in-nursing
https://academicguides.waldenu.edu/writingcenter/scholarlyvoice/activepassive
https://academicguides.waldenu.edu/writingcenter/templates

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Paper Instructions:

Choose one (1) of the statistical tests (Standard deviation , correlation ,hypothesis  testing)and provide a real-world example in which it is applicable. Explain why the test is appropriate for the example.
Conclude why reporting results with a margin of error is more informational than just the point estimate, such as the sample mean. Provide support for your rationale.

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Competency
Examine legal requirements for managing patient information, health information documentation, the release of information, and electronic health records.

Instructions
You have recently been promoted to Health Services Manager at Three Mountains Regional Hospital, a small hospital located in a mid-size city in the Midwest. Three Mountains is a general medical and surgical facility with 400 beds. Last year there were approximately 62,000 emergency visits and 15,000 admissions. More than 6,000 outpatient and 10,000 inpatient surgeries were performed. Three Mountains was recently in the news after employee emails were published where patients were discussed in very negative terms.

Due to the breach of information, many patients are skeptical about selecting Three Mountains as their hospital of choice. Even though specific names of patients were not disclosed as part of the inappropriate dissemination of information, parts of their medical records were mentioned. The patient information was not shared in a favorable light. Patients want to feel secure when they share information with their healthcare providers and be certain that it will remain private.

You will create an informational brochure educating patients about the contents of the medical record and the proper release of information. In a double-sided brochure you need to address the following topics:

The Electronic Medical Record: Definition and contents of the EMR. You will want to include some of the Joint Commission's requirements pertaining to what should be included in the medical record and when entries should be completed.
HIPAA/Confidentiality: Provide an overview of HIPAA and the level of confidentiality that the patient can expect from Three Mountains Regional Hospital.
Release of Information: Explain the process for a patient to obtain either copies or sections of their medical records. Discuss that information cannot be shared without their express permission.
Privacy Pledge: Craft a privacy pledge statement informing the patient that they can trust that their information will remain private.
The brochure that you will create should be a tri-fold design with two pages (the first for the outside and the second for the inside). Draw attention to your brochure by using well-placed art, an easy to read design, and use of color.

NOTE - APA formatting, and proper grammar, punctuation, and form required. APA help is available here.

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Paper Instructions:

Using your topic from Week 1 develop a one-page letter of intent that you can submit to your identified funder. The Letter Of Intent (LOI) should include a topic overview, the identification of the problem and how your proposal would address the problem. Review your funder's criteria and be sure to match your LOI to your funder's specific interests as well.

The letter should demonstrate a thorough understanding of audience and purpose in the Letter of Intent.

Uses appropriate, relevant, and compelling content to: illustrate need, summarize of how need will be addressed, and how the proposed project is particularly qualified to meet those needs. 

Demonstrates skillful use of high quality, credible, relevant sources to develop ideas that are appropriate for the genre of grant writing.

Readings & References 

My area of research would involve evaluating and establishing the critical point areas of intervention in emergency trauma care following accidents. Most fatalities and associated complications following road accidents occur because the medical intervention is not well aware and equipped with the right knowledge and capability to identify and address the critical point areas of trauma that need care (Terrier et al., 2017). Consequently, the research will seek to evaluate and understand the precise areas that are common and prevalently in need of trauma care to save and preserve lives. There is scanty research on the subject and lack of prevalent attention on the actual areas where critical intervention, if well directed would help to save lives (Ton et al., 2019). Subsequently, the focus of this research will evaluate actual cases and develop a guiding template that would potentially help to intervene and improve strategic efforts of intervention following the occurrence of such incidents.

I settled for this topic because there is scanty research on the subject, yet accidents account for high levels of fatality and loss. The narrow moment after an accident and first response following the event plays a critical role in defining and influencing the status of the victim. However, when this window is not utilized effectively, this often results in many cases of fatality and deaths (Thao et al., 2018). Consequently, there is an opportunity to save lives and enhance the process of intervention to a point where it can identify and closely meet the needs of patients during instances of emergency care. Ultimately, I also seek to make a viable contribution to the efforts of intervention and prevention against many of the fatalities during accidents. The study will add to the existing few studies on the subject and contribute that would effectively save lives.

                                                                              References

Terrier, J.-E., Paparel, P., Gadegbeku, B., Ruffion, A., Jenkins, L. C., & N’Diaye, A. (2017). Genitourinary injuries after traffic accidents. Journal of Trauma and Acute Care Surgery, 82(6), 1087–1093. https://doi.org/10.1097/ta.0000000000001448

Thao, P. T. N., Tra, T. T., Son, N. T., & Wada, K. (2018). Reduction in the IL-6 level at 24 h after admission to the intensive care unit is a survival predictor for Vietnamese patients with sepsis and septic shock: a prospective study. BMC Emergency Medicine, 18(1). https://doi.org/10.1186/s12873-018-0191-4

Ton Thanh Tra, Thao T.N Pham, Van Khoi N, Quoc Hung L, Wada K, et al. (2019) Clinical Factors Affecting Mortality in Patients with Traumatic Shock Caused by Road Traffic Accidents Admitted to The Emergency Department: A Prospective Cohort Study. Emerg Med Trauma Care J: EMTCJ-100002


Highlights from a retrospective study using an expert panel review methodology indicates that "Potentially preventable or preventable deaths represented 7% of cases that had attempted resuscitation from paramedics; and system of care was considered suboptimal thus providing opportunities to improve trauma systems" (Beck et al, 2019). Hence there are indeed opportunities to improve emergency and trauma care in our population.

In 1975 R. Adams Cowley stated in an article that "the first hour after injury will largely determine a critically injured person's chances for survival" (Rogers et al, 2014). This is widely known as the golden hour and is considered most important time to provide quality care for a patient that received traumatic injury. Hence, in light of this findings from research in this area can be useful to save lives and improve emergency care provided to patients.

Resources

Rogers et al (2015). The golden hour in trauma: Dogma or medical folklore? DOI: https://doi.org/10.1016/j.injury.2014.08.043. Retrieved from: https://www.injuryjournal.com/article/S0020-1383(14)00417-3/fulltext#articleInformation

Beck et al. (2019). Potentially preventable trauma deaths: A retrospective review. DOI:https://doi.org/10.1016/j.injury.2019.03.003. Retrieved from: 
https://www.injuryjournal.com/article/S0020-1383(19)30100-7/fulltext

Once an accident occurs, the clock begins ticking. There is a narrow window to assess injury and treat said injuries. When you establish these critical care points will you establish those points with in field treatment, treatment in route, and treatment in ER care? This is a very interesting topic of research, and if you were to focus on different points in which care should be done, such as with in field care, you could expand this research to include education. This could include education for bystanders, and emergency responders. This is a great topic.

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Paper Instructions:

What takes precedence for the organization: reducing waste, improving a product, or streamlining a process; or deliver on a brand promise? Defend your answer.