Discussion 7.1 - Alterations in Oxygenation Discuss the physical manifestations that occur with alterations in oxygenation.

This assignment is worth 4.0% of your final grade and is due by Thursday, 11:59 PM ET of week 7.

Instructions

There are many tools available to assist you as an RN to organize your thoughts, make nursing judgments, and implement the 5 rights of delegation. SBAR – Situation, Background, Assessment, and Recommendation, is a standardized tool used in many institutions that provides a framework to facilitate clear communication between health care providers.

The components of SBAR are as follows, according to the Joint Commission:

• Situation: Clearly and briefly describe the current situation.
• Background: Provide clear, relevant background information on the patient.
• Assessment: State your professional conclusion, based on the situation and background. State what it is you are concerned about. Identify role responsibilities.
• Recommendation: Tell the person with whom you’re communicating what you need from him or her, in a clear and relevant way. Confirm that they understand your request.

Read the following patient care scenario.

Mrs. Evans is an 86-year-old female that has been assigned to your team. She was admitted to the hospital four days ago with pneumonia. Mrs. Evans was placed on IV antibiotics and cough suppressants and her condition improved. The night RN reports that now Mrs. Evans has an increased cough. Her temperature at 6:00 am was 100.4 degrees F, her heart rate was 98 beats per minute, her BP was 98/50 mmHg, and her respiratory rate was 22 breaths per minute. You are working with the Assistive Personnel (AP) Eric, today. You will be delegating the task of obtaining Mrs. Evan's vital signs every 2 hours instead of the routine every 4-hour schedule to Eric.

Develop an SBAR to address delegating to the Assistive Personnel.

Under the column, RN statement, identify what you will say to the AP for each step of the SBAR. In the next column, Five Rights of Delegation/Explanation, identify which of the five rights of delegation your statement addresses and provide a brief explanation for your answer.  

What is the BEST tool for measuring knowledge of student in research?

Discuss infant growth and development as it relates to respiratory tract function.

The client is a 5 year old girl. The teacher tells the client’s mother that the daughter appears inattentive and stares out into spare several time throughout the day in which she saw the rapidly during these episode, lasting a minute or two. The provider suspects the client is experiencing a type of seizure disorder and has order a liquid antiepileptic medication?

1. Identify what type of seizure the client is likely to experiencing, list symptoms
2. Describe three specific teaching point for the nurse to review with the client and family regarding any antiepileptic medication
3. Discuss any clinical signs that the clients mother should monitor and report to the provider if they should occur during drug therapy with the class of medication
4. After a year of being on medication therapy, the client mother state the seizure has disappear and want to take the child of medication. Discuss the nurse interventio

Peptide antibiotics can be used to with cystic fibrosis patients, answer the following:

→ give the name of a peptide antibiotic that can be used to with cystic fibrosis patients:

→ Explain the therapeutic use of this peptide with cystic fibrosis patients?

1- Give your opinion in authorship in the following situation: A student worked for 3 years in the lab and developed a vaccine for a specific virus. His advisor then took the results and published them. The advisor put his name first and the student name second. His reason was that the student did the work in his lab. What is your opinion about what the advisor did?

2- How truthful is the following statement" Negative results are always communicated in science.

select one:
a) Negative results shouldn't be reported at all because they are useless.

b) Not truth at all Scientists can never publish negative results.

c) Scientists sometimes can publish negative results but its not usually the practice.

What is the main difference between: Murine MABs, chimeric MABs,

humanized MABs and fully human MABs?

Give one example on antibody drug conjugate (ADC) which was approved by the US FDA and used in the treatment of Hodgkin’s lymphoma and systemic anaplastic large-cell lymphoma?

What is the hierarchy of risk control measures from most to least preferred ?

this task will require you to reflect upon and analyse a written healthcare scenario from an ethico -legal perspective, using Driscoll’s reflective model as a guide. It is expected that you willdraw upon the unit content, personal experiences and relevant literature and learning resources to inform your reflection and analysis.

demonstrates an understanding of the ethico-legal complexities inherent in the situation, and considers the implications of different courses of action (40%)

demonstrates familiarity with key concepts of ethical practice (covered in this unit) pertaining to the chosen situation (10%)

Shows evidence of developing ethical awareness and how self-reflection may inform your practice and relationships with others (20%)

writes clearly and succinctly using Driscoll’s model (written in the first person), with correct grammar, ethico-legal terminology and referencing (Harvard style) (10%)

Integrates relevant literature and resources to support and justify key ideas and observations (20%)

CASE STUDY

Ruth is a 7-month-old baby who was born with Tetralogy of Fallot, a serious heart defect that can be corrected with surgery. Ruth had her first surgery - a shunt between the aorta and pulmonary artery to provide adequate blood flow to her lungs-when she was 2 months old. The complete repair of her heart will be performed when she is strong enough and her condition is stable enough to tolerate the stress of a more complicated operation. Her local physician and the paediatric cardiovascular surgeon at the medical centre estimate that Ruth will not be ready for surgery for several months, perhaps a year. Despite the earlier surgery, Ruth's heart functions inefficiently. As a result, her lungs frequently fill with fluid and she turns blue and becomes extremely short of breath. When this happens, her parents must rush her from their farm to the nearest hospital in a small town about 15 minutes away. In the Accident and Emergency Ward (A & E) she is usually given oxygen and medicines to help her breathe more easily and remove the extra fluid from her lungs. Ruth’s parents, Sam and Maddi Phillips, have had to rush her to the A & E ward approximately once a week since she was born. Sam is 18 years old; Maddi is 17 years old. Neither has finished high school. They live with Sam’s father on his farm. In addition to helping his father on the farm, Sam works from midnight to 6 am. at a local grocery store, in order to make a little extra money. He is chronically sleep-deprived and exhausted. Maddi is also chronically tired, as Ruth's care makes demands on her day and night. Both parents are terribly frightened by Ruth's crises and fear they may not make it to the A & E ward in time. They have become very close to the health workers and depend on them for psychological as well as medical support. One night Ruth arrives to A & E in more distress than usual. The staff are working as fast as they can to give the drugs needed to save her life. One of the nurses caring for Ruth is inexperienced; she rarely works in A & E and has never worked with critically ill children. In the stress of the crisis, she grabs the adult rather than the paediatric vial of morphine (the narcotic given to help ease Ruth's breathing) and inadvertently gives Ruth an adult dose rather than the paediatric dose. As a result, Ruth receives ten times the recommended dosage. Because morphine is a powerful respiratory suppressant, Ruth suffers a respiratory arrest and stops breathing completely. The staff are present when Ruth experiences her respiratory arrest and immediately begin resuscitation. Within a few minutes they discover the cause of the arrest and promptly give Ruth a narcotic antagonist - a drug to reverse the effects of the morphine. The narcotic antagonist works quickly, and in less than a minute Ruth is breathing again. Meanwhile, the oxygen and medicines have had a positive effect, and her breathing, heart function, and general condition are much improved. The A & E registrar, Dr. Koh, approaches Maddi and Sam. Maddi begins to cry and through her tears she sobs, "This is just what we were scared would happen. She's getting worse, isn't she? That's why she stopped breathing, isn't it? I don't know what we would do if we couldn't count on you." Dr. Koh had intended to tell Sam and Maddi the true cause of Ruth’s respiratory arrest, but now she hesitates. Dr. Koh knows these parents well; she has personally resuscitated Ruth several times and has seen firsthand the parents' stress and the difficulty they usually experience coping with the alltoo-frequent crises her illness generates. Dr Koh wonders if it might be better not to tell Sam and Maddi about the medication error, as they may lose faith in the hospital. She is worried that the next time Ruth has an episode, they may decide to take her to another hospital half an hour further away. Any delay in resuscitating Ruth could cause death or irreversible brain damage.

In this task you will write a reflection about one of the key messages of the unit: Biased treatment matters in health care.
Reflective writing should demonstrate critical reading and thinking skills. The use of ‘I’ is expected in this assessment task (‘I think, I do not agree, I agree’, etc). Your essay should follow the following format: Introduction: Briefly identify the main points that you will explore in the essay (approximately 150 words)
1. Define intersectionality and use this framework to describe your cultural location (approximately 200 words)

In this task you will write a reflection about one of the key messages of the unit: Biased treatment matters in health care.
Reflective writing should demonstrate critical reading and thinking skills. The use of ‘I’ is expected in this assessment task (‘I think, I do not agree, I agree’, etc). Your essay should follow the following format: Introduction: Briefly identify the main points that you will explore in the essay (approximately 150 words)
2. Reflect on how your cultural location, attitudes, values and beliefs might affect the assumptions and practices you bring to the care of patients (approximately 200 words)

What is the Universal Declaration of Human Rights? Conduct the appropriate research and describe the main features of the declaration

A pharmacy technician was doing an initial inventory of scheduled drug for a new pharmacy. Describe how he/she should perform the inventory for each schedule of drugs. Explain when he/she can estimate and when he/she must count exactly.