(EXPALIN IN DETAILS IN YOUR OWN WORDS)

1.What is workaround? Identify a workaround (Specific to technology in a hospital setting) that you have used or perhaps seen someone else use, and analyze why you feel the risk taken behavior was chosen over behavior that conforms to a safety culture. What are the risks? Are there benefits? Why or Why not?

2.Discuss the current safety characteristics used by your current workplace or clinical site. Identify at least three aspects of your workplace or clinical environment that need to be changed with regard to patient safety (including confidentiality), and suggest a strategies for change.

This question is already on Q&A but its not well analyzed.

Please include reference too. Thanks

PKU case study

Name: Maryam T                               Word: Medical                       Bed: 6

Age: 17 years                                     Physician: Khaled Ahmad (unit C)

            Maryam is a 17 years old Kuwaiti girl. She is admitted to the hospital to do a surgery to implant internal fixation of plates and screws to maintain proper position of her fractured leg. She is diagnosed with phenylketonuria during the routine newborn screening test. She reported following low phenylketonuria diet since ever.

Diagnosis:                   leg fracture surgery

Medical plan:             Surgery to implant internal fixation of plates and screws to her fractured leg.

Medical history:         No medical history

Smoking:                    None

Family history:          Mother

Marital status:           Single

Physical examination:

Abdomen:      Normal                       

Chest/lungs: Clear   

Skin:               Soft, normal bowel sounds, no-tender           

Edema:           No

Stool:              Normal

Urine:             Normal

Vital signs:

BP:                                                      115/70

Pulse:                                                  62

Temperature:                                                37.3 ^OC

Height:                                                158 cm

Usual weight:                                     44 kg

Current weight:                                 44 kg

Biochemical lab test (before surgery):

question?

1. The medical food treatment which high in protein (eliminate Phenylalanine) make the patients feel full and increase satiety, which lead her to decrease food intake, how to avoid that? (5)

2. What is the right diet for infants (under 1year) with PKU? (10)

3. What range should Maryam keep her blood phenylalanine concentrations and how often should she be monitored? (8)

4. How long it is recommended to follow a restricted Phenylalanine diet? (10)

5. In the future when Maryam plan to be pregnant, why it is critical to control her Phenylalanine consumption? (10)

6. Why PKU patients are more sustainable to depression? (7)

7. Why does diet soda beverages are forbidden for PKU patients? (5)

8. What is the benefit of adding metabolic formula to PKU disorder patient diet? (5)

1. What will the patient’s serum look like under the following conditions? (Explain in 3-4 sentences)

a. Normal serum

b. Hemolyzed serum

c. Icteric serum

d. Lipemic serum  

. How can we promote healthy behaviors? What do you do?

Access medline University account. Click on catalog. Using the search box type in the name of this module.

A. Falls prevention. Tools and strategies _ 20_393882.

Create a teaching plan for a patient or coworker,where the learning module you just completed would be appropriate. The teaching plan must include;

1.The importance of the topic being discussed.
2.Risk factors for harm associated with this issue.
3.Strategies to prevent or ensure that appropriate interventions are in place..

Add/Modify the teaching plan to include;

A.The population being addresses.
B.How will you evaluate the effectiveness of the plan..

C.Create a Teaching Template.

1. A 55-year-old man presents with many pimples and some larger puss-filled boils on their lower arms and hands. The patient is in pain and has redness around the infected site. The doctor is quick to categorize it is a Staph infection, but the patient comments that they have already been on two rounds of antibiotics, and wants a second opinion, since the infection has persisted.
   1. Why did the infection persist after two rounds of antibiotics?  
   2. What type of clinical diagnostic test would be used to verify the species of microorganism?
   3. How would you obtain a sample from the patient and prepare it for testing?
   4. Hypothesize what medications were first given, and their mode of action, and speculate what medications should be utilized, and how their mode of action and effective will differ.

1. A 24-year-old patient presents with dehydration and diarrhea after hiking on the application trail for two weeks. You are handed a fecal sample in the lab with directions to identify the genus and species, to allow the doctor to prescribe the proper medication. You know that the issue could be bacterial, protists, or parasitic. Please describe the different testing techniques for each, including stains, agars, and more, in addition to possible treatments.
   1. What steps would you take if the organism was a gram-negative bacterium? How would you identify the species? What medications might be given?
   2. What steps would you take if the organism was a protists? How would you identify the species? What medications might be given?
   3. What steps would you take if the organism was a parasite? How would you identify the species? What medications might be given?

1. Jane has been working in a drug testing lab for a few years. She is very familiar with antimicrobial testing. She is given a new drug to test for susceptibility and sensitivity. Her report needs to be detailed, listing all of the organisms that are susceptible and resistant, to back-up her results for the Minimal Inhibitory Concentration.
   1. Working in a lab where funding is an issue, describe how you would test the new drug. Be very detailed.
   2. Working in a lab where funding is no concern, describe how you would test the new drug.
   3. Create a small sample chart of the data that you would need to include in the report.

1. Research is coming out daily about COVID-19. One area of study is the primary versus second response infection response.
   1. Describe innate immunity to COVID-19.
   2. If a vaccine is approved, describe the adaptive immunity.
   3. What is the difference between primary and secondary responses, on a antibody/antigen level?
   4. Can a virus, like COVID-19, evade host defenses?

Sources?

1. Compare and contrast immune response in newborns, children, and the elderly, for VRE and MRSA.

• Research the Child Care and Early Year Act (CCEYA, 2014) for regulations pertaining to school-age care as well as the Bill 242 for extended care for kindergarten children. Links are provided in the Required Readings on SLATE.
• Based on the information researched, answer the following questions:

According to the CCEYA, what is the age group that school-age care programs serve? Please list all age groups.

According to the CCEYA, what are the staff/child ratio and maximum group size for different school-age care programs?

Based on Bill242, what are the staff/child ratio and maximum group size for kindergarten classrooms, and for extended care before and after school hours?

What is the staff qualification or training required to work in school-age care programs, or in kindergarten classrooms, or the extended care programs?

Are there different requirements for outdoor play areas for school-age children, or kindergarten children? Should the outdoor playground be fenced for the kindergarten children?

According to the CCEYA, what are the requirements for curriculum planning as well as indoor and outdoor schedules for school-age or kindergarten children during before and after school hours, PA days or March Break? Is the outdoor play time required for kindergarten and school-age children during PA days or March Break?

Has phenomenology influenced the way your think about nursing care and the way you care for patients?

1. What are some benefits of getting a cesarean section?

2. Why would a woman need an emergency c-section?

Jeri is a nurse on a medical-surgical unit. The unit director is encouraging all nurses to join a professional nursing organization. She recruits Jeri to create a display that describes the benefits of joining an organization, lists the organizations available, and explains social impacts on the perception of nursing.

1. How could Jeri describe how nursing organizations enhance the professional image of nursing?
2. Why might Jeri expect to meet resistance by the nurses on the unit?
3. Explain why it is important for nurses to understand the social impacts on the perception of the nursing profession.
4. How will the IOM recommendation of an 80% baccalaureate-prepared nursing workforce affect society's perception of the nursing profession? Take a stance for positive or negative and defend your position.
5. What steps can the nurse take to promote professionalism in daily practice?
6. The IOM recommendation of an 80% baccalaureate-prepared nursing workforce has changed the landscape of nursing education. Will this recommendation affect the professionalism of nursing practice?

• Medication error

  Medication Error Dale Buchbinder You are a physician making rounds on your patients when you arrive at Mrs. Buckman’s room. She’s an elderly lady in her late 70s who recently had colon surgery. She is also the wife of a prominent physician at the hospital. She has been known to be somewhat confrontational with the nursing staff. However, today she states she was just given a shot of insulin to cover her elevated blood sugar and the amount of insulin did not seem to be the usual amount. Even though Mrs. Buckman often complains, you are somewhat concerned about this observation and decide that it would be best to check on this. You ask the charge nurse to review the dose of insulin given. She, in turn, finds Mrs. Buckman’s nurse, who states that, as ordered, she had given the patient 80 units of insulin. You immediately become quite alarmed, as this is an extraordinarily large dosage. You make sure that the patient is given a large amount of glucose supplement and that her blood sugar is monitored every 15 minutes for the next two hours. To follow up, you also review the chart and note an order from the house physician to give Mrs. Buckman 8.0 units of insulin. You can readily see how this could easily appear to be 80 units. You meet with the charge nurse, the nursing supervisor, the Director of Nursing, and the treating nurse to determine what can be done to prevent this type of error in the future.

• Please answer the following questions.
• Background Statement?

• Major Problems and Secondary Issues?

• Your Role?

• Organizational Strengths and Weaknesses?

• Alternatives and Recommended Solutions?

• Evaluation?