Question 4 Jerry is the area co-ordinator for a State-wide community services program. Jerry has been in the job for five years now and knows the ins and outs of the program well. His job requires him to travel to each of the service delivery centres throughout the State to provide training and support to staff. Because of his experience in the program he is often called to provide advice of how to deal with various crisis situations. He is always busy and frequently stressed. There never seems to be enough time to get things done. He has paperwork everywhere – usually before each trip he throws all the relevant files in the back of the car but frequently gets to his location finding he has the wrong files. He does his paperwork in the evenings in his hotel room – there isn’t time during the day – he is too busy talking with staff, doing training, sorting out issues and dealing with phone calls. Sometimes he is so tired he doesn’t get his notes written up in the evenings – then he has to do it when he gets home several days later – sometimes he can’t even remember then what the issues are. Once he even turned up at the wrong centre! He was meant to be in Heathcote but he ended up in Northcote! His job seems to be out of control – he used to love it and he knows that he is well respected for his knowledge and experience – but he is not sure how long he will be able to keep this up.

a)What are some time management and other organisational strategiesthat Jerry could use to manage his work time better?(Suggest at least five)

Question 4 b
One of the disadvantages of life “on the road” is that Jerry does not tend to get much exercise (he is seldom home so he let his gym membership expire) and he eats a lot of takeaway food. He knows this isn’t very good for him but he is far too busy to exercise and cook for himself!
b)What impact could this lifestyle have on Jerry’s physical health? (List at least five health impacts).

Question 4c
Jerry doesn’t have a very good work/life balance. He is either travelling around the State or if he is at home he is bored and lonely. His marriage split up a year ago (because his wife said he was never home) and his daughter doesn’t seem to want to see him (she is a teenager now and seems to have a life of her own).
c)What could Jerry do to improve his work/life balance (Suggest five things).

CHALLENGES OF BEING A MEDICAL TECHNOLOGIST?

Mr. Aburu, 81, with a history of cerebral vascular accidents, was hospitalized as an outpatient for a surgical procedure to incise and drain a skin lesion on his chest. After the procedure, he returned to the long term care facility with sterile packing in the partially sutured incision site. The packing was to remain for 3 days, then removed, and the wound covered with a dry dressing. The risk of complications for this type of surgery was considered quite low, and both the nursing home administrator and the attending surgeon saw no reason why the patient could not be adequately cared for in the nursing home immediately after surgery.

Approximately 5 hours after Mr. Aburu returned to the nursing home, blood was observed at the incision site. He was transferred back to the acute care hospital, where he died the following day. Evidence at the trial showed that for the 5 hours that Mr. Aburu was at the nursing home, several licensed and unlicensed personnel attended to him. At lunch time, two aides escorted Mr. Aburu to the dining room; lunch was about 3 hours after his return to the nursing home. None of the personnel examined his dressing until an aide noticed that he was bleeding through his bed sheets. Shortly after discovering the bleeding, the patient was transferred by ambulance to the hospital. His family has filed a lawsuit for the wrongful death of their father, alleging that the care given to the patient after surgery fell below the acceptable standards of care.

What should the standards of care be for such patient?

Even though the nursing care plan did not specify that the wound should be checked hourly, how should the prudent nurse have acted?

Should the lawsuit center primarily on the surgeon for allowing this patient to be sent back to the nursing home for post-operative care rather than insisting he be kept for 24 hours in an acute care facility post-operatively?

How would you decide this case?

positive and negative influences on public health

Researchers think that there are both positive and negative effects of social media on teenagers and young adults. Please respond to both questions.

1) What are the positive and negative impacts on adolescent health of cell phone and social media technologies?

2) How can electronic media enhance the health and well-being of adolescents?

A. Arrange the following questions to become research questions using the PICOT template from Polit and Beck in Table 2.1. The question template should match the type of question you are asking.

1. When classifying nurse managers as summarizing their personal information, are there significant differences in their identified leadership styles?

2. What are the results of the nurse managers’ leadership styles as observed by the staff nurses in relation to additional work, effectiveness, and satisfaction?

B. What are the independent and dependent variables you will measures?

Describe how differences in communication styles, belief systems, socioeconomic circumstances, linguistic factors, culture, race, and/or ethnicity can impact health care and education fields. Use evidence to support your response.

Question set #2:

Read about how hospital workers at Palisades Medical Center were punished for peeking at George Clooney’s patient file (about his motor-vehicular accident in 2007).

1. What information in George Clooney’s EMR do you think the staff found enticing to look at? (Birthday? Reason for admission? Lab results?)
2. How can you, as a nurse, prevent this from happening in your unit or hospital? Describe at least 1 patient advocacy role you consider appropriate.

c. Your patient with a right AV fistula is scheduled for hemodialysis this morning. • Explain what actions you will take to prepare the patient and which of these you can delegate to a PCA • Explain what actions you will take to after the patient returns to the unit.

d. Discuss these possible complications of hemodialysis for this patient and what assessments you would perform. with Infection/bleeding of access site and Disequilibrium syndrome

What is one character trait you believe everyone who is a "great nurse" possesses? At least one page

Describe the steps that occur when the blood glucose is greater than 180 mg/dl.