Author: chris

Case Study:

REFERENCE : (from 2005- 2013)
References: 15

(I have mentioned the marking criteria at the last page , please consider marking criteria and relate with case study )

The aim of this assignment is to examine the role of the Registered Nurse (RN) role in the case study below, with particular emphasis placed on the legal and
professional nursing practice roles and responsibilities.

Your interpretation and examination of the key issues that occurred for the patient throughout his admission are to form part of your argument.

Reference is to be given to the Australian Nursing and Midwifery Council (ANMC) Competency Standards for the Registered Nurse, the ANMC Code of Ethics and the ANMC Code of Conduct. Comments on potential policy/procedural issues by the hospital in the case study are also to be included in your discussion.

Your argument is to be supported by references to contemporary, scholarly research, as well as to NSW Ministry of Health documents and policy.

The case study is to include an introduction and conclusion and headings are to be used to highlight and break-up the main points of discussion.

You should review the marking criteria so that you are clear on how marks are allocated to this assignment.

Case Study

Mr Max Sheppard is a 64 year-old man who underwent a laparoscopic cholecystectomy at the large metropolitan Springfield hospital on the morning of 21 May 2013. Mr Sheppard was transferred to the Extended Day Only Unit (EDOU) at 1430 hours following the procedure. Mr Sheppard was to stay in the EDOU overnight with discharge planned for the following morning (22 May 2013).

A Medical Officer (MO) assessed Mr Sheppard at 1630 hours on 21 May due the patient reporting abdominal pain and distension. Mr Sheppard’s distended abdomen and pain levels were documented in the patient’s health record by the MO and a phone call was made to report this information to the surgeon who performed the procedure. Analgesia was prescribed (10mg morphine SC) at 1715 hours to be given PRN 6 hourly in response to the patient’s reports of pain.

Ms Sally Price was the RN working on the 12-bed EDOU with an Enrolled Nurse (EN) on 21 May. Ms Price had been registered as a nurse for five years. As per hospital policy, Ms Price and the EN were the only two staff members rostered to the unit on night-shift that commenced at 2245 hours.

The EDOU was at capacity on the night of 21 May. Two of the other male patients
admitted to the unit were distressed; one was continuously vomiting post-appendectomy and the other was experiencing urinary retention following a Transurethral Resection of the Prostate (TURP). There was also a female patient admitted to the unit who was very upset at being placed in a room with male patients due to her religious beliefs. This patient, who had very limited English language skills, was continually wailing and expressing anger over the fact that hospital management had not resolved this issue as promised to the patient and her husband on the afternoon shift.

It was hospital procedure that staff in the Post-Anaesthesia Care Unit (PACU), located adjacent to the EDOU; assist the EDOU staff when needed. The RN in-charge of the PACU on night-shift was required by hospital policy to ‘regularly’ check by phone with the EDOU RN to see if assistance was required. There was no such request made for assistance by Ms Price on the night of 21 May despite the fact the in-charge of the PACU reportedly contacted Ms Price five (5) times throughout the shift.

At 0210 hours on 22 May 2013, Ms Price documented the following in Mr Sheppard’shealth record:

‘Temp 38.9, P 126, Resp Rate 16 and BP 110/72 (approx)’

These were the only observations documented during the night-shift. There was no
evidence of analgesia administration documented on Mr Sheppard medication chart by the time day-shift staff commenced work. The day-shift RN for 22 May did report that Ms Price had verbally stated that she had been “flat out” all shift and had not finished her “notes” by the time handover occurred.

At 0630 hours on 22 May, Mr Sheppard’s temperature was recorded by the day-shift RN as being 39 degrees, heart rate 140bpm and blood pressure 80/46mmHg. He was experiencing acute abdominal rebound tenderness and reported that his pain levels had rapidly increased throughout the early morning. At 0645 hours a PACE call was made. Mr Sheppard was ultimately returned to theatre where a perforated bowel was identified and successfully repaired.

Marking Criteria : (all the questions should answered related with case study )

1. Identification and examination of the legal registered nursing roles and responsibilities in case study .

2. Identification and examination of the professional registered nursing roles and responsibilities
3. Argument is supported by reference to the ANMAC documents and to NSW Ministry Health polices.
4. Argument includes reference to potential policy/procedural issues by the hospital
5. Identification and examination of key events that occurred throughout the patient’s admission

Organisation, Style & Language

Research & Referencing

The Johari Window emphasizes that we may not be aware of everything that there is to know about ourselves. Others may know things about us that we just cannot see or are unwilling to admit. One way to improve our personal relationships is to increase what we know about ourselves and what others know about us. The following two (2) behaviors are key to improving personal and professional relationships:
Openness to Feedback – we have to recognize that others see things in us that we may not be aware of and accept information they provide.
Willingness to Disclose – we have to trust others enough to share personal information with them.
Grasping the realities of organizational behavior begins with an understanding one’s own personality and behavioral tendencies. Assignment 1 is designed to address issues of personal understanding, planning, and professional development. By analyzing your own assessment, you will understand how intuitiveness, culture, diversity, and leadership style influence decision making. Reference the scores of the assessments that you completed for homework in Week 1 as you complete this assignment.
Write a two to three (2-3) page paper in which you:
Develop a profile of your personality characteristics and assessment results.
Summarize the results of the assessments you completed for homework in Week 1.
Analyze how attributes / scores speak to your relationships and career choice.
Submit the completed Self-Assessment Score Sheet as an appendix in Assignment 1.
Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:
Analyze the relationship between the basic organizational behavior models of individual, group, and organizational processes and the productivity of an organization.
Determine how workplace stress contributes to individual performance.
Explore how individual differences, personality traits, and perspectives impact the productivity of an organization.
Use technology and information resources to research issues in organizational behavior.
Write clearly and concisely about organizational behavior using proper writing mechanics.

Discuss a strategic decision problem, situation or scenario in a health care setting where bounded rationality may be present in the solution to your identified problem.

Now that you have researched several assistive technology devices that could help Sherri with her writing skills, how will you evaluate the effectiveness of the selected device? Also consider how you will begin to “fade” out the use of this tool, without her regressing, so she doesn’t become dependent on it throughout her schooling. What fading suggestions would you also include for her mother to implement at home?

Guided Response: Respond to at least two of your peers’ posts. Assume the role of the parent and play devil’s advocate. Dispute the fading suggestions for both home and school and cite examples of how this technology will benefit her indefinitely. Then, assume the role of the special educator by responding to the parents’ disputes and discuss the rationale for implementing this strategy as a class-wide universal design option.

As you have most likely discovered, this class emphasizes how math is used in real life situations. We will continue that theme for the Final Project where you will create a five slide presentation that details how you will use math in your future profession.

My future profession is Parole Officer

What to include on each slide:

Slide 1: This is your title page. Include your name, project title, the course and section number and the date.

Slide 2: Introduce your future profession by giving an overview. Explain what your future profession is, what type of job you would like to get and what responsibilities you will have. Write your overview as if you are explaining your job to someone who has no idea what you will be doing.

Slide 3: Identify a concept from the course and explain how it will be used in your profession. Give an example to illustrate the concept.

Slide 4: Identify a second concept from the course and explain how it will be used in your profession. Give an example to illustrate the concept.

Slide 5: List any resources that you used in creating your presentation. Because we are using concepts covered in class, your you used in creating your presentation.

The case is based on “Tom Collins Doesn’t Mix Well. ” Read the case carefully then write a professional memorandum recommending a specific course of action. The memorandum is a specific personnel action that you are initiating as an executive or analyst within the human resources department as Hearing Officer/Fact Finder. This will involve a high level of analytic, evaluative, and decision-making skills. You must do this, hypothetically, in your official capacity with the Phoenix Union High School District (PUHSD).
Working with whatever memorandum style you choose, you will need to address the document to the superintendent of the PUHSD and include the: (1) issue being addressed, defining the problem, or problem statement; (2) facts on all sides of the issue, historical chronology; (3) positions of the association and the district; (4) issue analysis based on the strongest and weakest points regarding Nighthorse’s case; and (5) Hearing Officer/Fact Finder (which can literally be you or your Committee) recommendation at the end of the case study. Your recommendation can side with the employee association (union), the school district, or be independent from the two. Whatever recommendation you arrive at, it must be based on the known facts, explicit policy (e.g., MOUs, district policy, handbook, etc.), case law, and federal law. If policy alternatives are recommended, then appropriate policy goals, procedures and strategies related to public sector human resources need to be made explicit.

Using and misusing figurative language may make it more difficult for others to engage in productive thinking. Listed below are ten (10) types of figurative language.
1. idiom 6. amphiboly
2. analogy 7. “flame word”
3. metaphor 8. hyperbole
4. simile 9. euphemism
5. cliché 10. colloquialism

Define the meaning and function of each term.
Provide an example for each term.
Describe the appropriate circumstances for using the example for each term and when it might lead to misunderstanding.

Critique of Quantitative Methods Journal Paper(Aalbers, Dolfsma&koppius,2013)

Describe and discuss the ways in which the laws and legal limitations in the United States have impacted the use of coercive interrogation techniques. Then discuss what we lose and what we gain from these legal constraints.

1. You are having lunch at a restaurant. After you finish your meal, it starts to rain heavily. You forgot to bring your umbrella. You notice, however, that there are several umbrellas in a stand near the door. You decide to borrow one so that you can get home without getting soaked. Your idea is to use the umbrella to get home. Once there, you will get your own umbrella and then walk back to the restaurant and return the borrowed umbrella to the umbrella stand. Just as you are leaving your house with the borrowed umbrella, the police arrive and arrest you for stealing the umbrella from the restaurant. Can you be found guilty of larceny? Fully explain your answer.