What is the purpose of an Health Information Exchange?

What opportunities can you demonstrate with the advancement of these organizations?

Can they cross geographic regions and enhance the care delivery process?

If so, how and why?

Three-week-old J.T. and her parents arrive at the cardiac cath lab for her cardiac catheterization. She was
born at term with Down syndrome and her pediatrician is concerned because of lack of weight gain and
poor feeding. You are getting her and her parents prepared for the procedure. After the catheterization, J.T. returns to the unit in a crib. The orders shown in the chart have been written. Chart View
Physician's Orders
Daily weights: Current weight 4 kg
Strict intake and output
O2 per nasal cannula as needed to maintain O2 saturation greater than 93%
VS every 15 minutes × 4, then every 1 hour × 4, then every 4 hours
Digoxin (Lanoxin) 60 mcg PO now, then 20 mcg PO every 12 hours
Furosemide (Lasix) 4 mg PO now, then 4 mg PO every 12 hours

You administer the ordered medication and proceed with your assessment. You note the following serum metabolic panel results for J.T.
Chart View
Laboratory Results
Glucose 85 mg/dL
Calcium 9.1 mg/dL
Sodium 142 mEq/L
Potassium 3.3 mEq/L
Chloride 101 mEq/L

The cardiologist consults with the family, and it is decided that J.T. will be discharged to home the
following day with medications and close monitoring. J.T. will return in several months for surgical
repair of the VSD.

Write a end of shift SBAR report.

Kodjo, 15 years old boy, is admitted to the medical ward with burns on the trunk and arms by Dr. Edinam Insoko. Kodjo came with the history of wound on the trunk, dizziness, painful arms and trunk, fever (38˚C) and insomnia. His folder number is 102/06-2020. Kodjo is a Catholic with allergy of ripped plantain. Kodjo was at home for social distance as a student of the L/A Basic School at Fiayase. Kodjo was nurse in bed M7. The physician ordered the following; diagnostic investigation; Blood for full blood count, fasting blood sugar, liver function test. Urine for urinalysis, BUE, ESR, medications prescribed included Tab Amoxiclav 312.5mg daily x 7, Suppository Paracetamol 1g PRN x 72 hours, Iv Normal Saline 500mls start, Ringer Lactate 500mls start. Dr Edinam Insoko scheduled her for nutritionist specialist review on Mondays and Wednesdays for a month then physiotherapy Tuesdays and Thursdays for three (3) months as well as the plastic surgeon every Friday for three (3) weeks. You are the student nurse in the male ward working for 24 hour period work scheduled due to the COVID-19. Demonstrate your care within the 24 hour care of Kodjo on the ward using the nursing process as a guide and follow all the MOH/GHS/WHO protocol for COVID-19 complete the Nursing Care Plan for Kodjo. As student nurse in the male ward working for 24 hour period due to the COVID-19. Demonstrate your care within the 24 hours of Kodjo on the ward using the nursing process as a guide complete your Nursing care plan for Kodjo. Also follow all the MOH/GHS/WHO protocol for COVID-19 in your care.write a full nursing care plan for Kodjo using the standard nursing care plan format

Stage 3: Your daughter is now 6 years old and is coming in for a MicKey GT for supplemental feedings overnight to help increase her weight gain. She has become a bit more independent with her ostomy and is able to help with emptying the bag into the toilet. She no longer pulls at the bag or wafer but has a nice cover over it to “keep her friend warm” and calls it her poop collector friend. We have told her that she is getting a feeding friend to keep the poop collector friend company as she tends to get lonely when she is in school. Your nurse needs to provide preop education and preop teaching about surgery and what to expect after surgery, as she will be going to surgery this afternoon. She is very hungry and keeps asking you why she cannot eat or drink anything. You also need education on the Mickey, care of the tube, and tube feeding. Your other questions are below:

1. How long in surgery? ___________________________________________________________________

2. What should we expect after surgery? __________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________

3. How will I know if she is in pain? __________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________

4. How do I take care of the tube and when do I give her the feeding? ______________________________ __________________________________________________________________________________________________________________________________________________________________________

5. Can she still eat dinner with the family? ____________________________________________________ _____________________________________________________________________________________

6. I am concerned about her social life as she doesn’t have too many friends. She plays with the dog a lot. Are friends important or can she play with our dog? What can I do to help her social life?

_____________________________________________________________________________________________________________________________________________________________________

watch the movie, "my sisters keeper” and

My sister Keeper movie.

Brief introductory summary.

Critical analysis applied to morals, ethics and bioethics.

Healthy People 2020 highlights the importance of addressing the social determinants of health by including “Create social and physical environments that promote good health for all” as one of the four overarching goals for the decade. , discuss how the dental hygienist can impact the social determinants of health to improve the health of our community.

Perform research in the University library using at least 8–10 relevant peer-reviewed academic or professional journal articles that were published within the past 5 years, and complete the following to prepare your report: On Patient Abuse

• Analyze the ethics of the case from each end of the ethical spectrum (ultraconservative to ultraliberal) from the perspective of 3 of the following stakeholders:
  • Patient,
  • Patient’s immediate family or guardians
  • Emergency medical personnel or first responders
  • Doctors, surgeons, specialists, or other medical providers
  • The hospital or health care facility
  • A pharmaceutical or medical device company
• Identify policies at the federal, state, and local levels relating to the provision of health care and patient rights that played the following roles in the case:
  • Assesses opposing views of these policies from the perspectives of the provider and patient
  • Analyzes the implications of these policies on the operations of health care organizations
• Identify at least 3 state or federal laws that are relevant to the case, and complete the following:
  • Evaluate key legal factors that are inherent in the case.
  • Assess various policies and procedures that are inherent in these laws that relate to the provision of health care by providers or patient rights.
• Differentiate between the demands of legal policies and ethical issues with relevance to the needs of the provider and patient.
• Formulate an assessment of the potential impact of the case on decision-making options in the future for providers, patients, and administrators.

You writing about patient abuse and answering the following that is required toward patient care and abuse

How does nursing history, theories, caring, and evidence-based practice assist with developing yourself as a nursing professional?

Please include a reference and be in APA format. It should be at least 100 words.

The healthcare quality management consists Measurement performance which includes measurement,assessment,improvement. Describe the Assessment phase in the Cycle of Measurement, Assessment, and Improvement. What is the question it asks? Give a healthcare example.

please give correct answer.required one page answer.

Medication Error Scenario Event Description Ellie, an 85-year-old nursing home patient, was admitted to the hospital for hip replacement surgery following a left hip fracture. She has a history of cognitive impairment and congestive heart failure. Her admission vital signs were normal. Ellie’s daughter provided an admission history for the nurse. The daughter informed the nurse that she did not have a written list of medications, but could remember all prescribed medications and dosages. The nurse asked the daughter to provide a written medication list to the nursing staff next time she visited. A medication reconciliation form was completed that included an order for Lasix 20 mg. as well as a number of other medications. All medications were verified with the hospitalist on call and entered into the electronic health record. Unfortunately, the patient’s daughter gave inaccurate information to the admitting nurse. Her mother was actually prescribed Lasix 40 mg daily. Additionally, the daughter forgot to provide a written medication list to the nursing staff. Ellie’s surgery was eventful in that she experienced significant blood loss during surgery. Ellie’s daughter was visiting her mother on the first day post-op when the staff nurse was giving medications to Ellie. The nurse scanned the patient’s identification band and medication, and explained she was administering Lasix 20 mg. Her daughter informed the nurse that the medication color was different than her mother received at home. The nurse verified the order and told the daughter that she is to receive Lasix 20 mg. Ellie was weighed on the second day post-op with a noted 3 lb. weight increase from admission. The weight was recorded in her chart with an indication that a call would be placed to Ellie’s physician. Orders were received: Give Lasix 40 mg now and continue daily weights; call physician for weight gain of 2 lbs or more. Continue to monitor Complete Blood Count (CBC). On the fourth day post-op, the patient’s hemoglobin and hematocrit were noted to be above normal and the physician ordered 1 unit of packed Red Blood Cells (RBCs) to be administered intravenously along with Lasix 40 mg also intravenously. The physician’s orders were written at 09:00am; the IV was initiated at 10:00am, but the ordered medications were not administered yet. Ellie’s nurse was delayed in delivering the packed cells since no IV Lasix was available and an emergency occurred with another patient. At 3:00pm Ellie had not yet received packed RBCs and it was noted she was experiencing extreme difficulty breathing and extreme swelling. Her vital signs were well above normal with a Blood Pressure of 190/110 and Heart Rate of 120. Her lungs were assessed and were moist with crackles throughout. The nurse initiated the rapid response team. The attending physician was called. The physician ordered Ellie to be transferred back to the hospital from the nursing home. While awaiting the ambulance, Ellie went into cardiac arrest and could not be resuscitated.

Question:

Complete the Fishbone Diagram based on the scenario.

At the bottom of the Fishbone Diagram or on the next page, answer the question, "What corrective actions should be taken to ensure that a medication error like this does not happen again?"

1. A nursing informatics specialist is preparing a seminar for a group of staff nurses about the history of the use of informatics and nursing research. Which event would the nurse specialist most likely include as occurring first?

   A. The development of evidence-based practice
   B. Publication of the journal Nursing Research
   C. Creation of the National Institute for Nursing Research D. Use of case studies to describe intervention effectiveness

2. A nurse researcher is accessing the Agency for Healthcare Research and Quality site for information. The nurse would most likely find information about which area?

   A. Public microdata
   B. Information technology C. Client satisfaction
   D. Clinical nursing topics

3. A nurse is collecting data about wait times for certain diagnoses across all emergency departments in hospitals in the United States. The nurse is most likely using which source for the data?

   A. Agency for Healthcare Research and Quality B. DataFerrett
   C. Centers for Medicare and Medicaid Services D. World Health Organization Data

4. While reviewing information about implementation of the electronic health record and technology, a nurse reads about self-service kiosks. The nurse demonstrates understanding of the technology comparing it with which other technology?

   A. Client portal
   B. Clinical decision support system C. Business intelligence

D. Information governance

5. A nurse is engaged in a group discussion about using research findings to improve clinical nursing practice. Which suggestion would be most appropriate to foster the use of research findings? Select all that apply.

   A. Subscribing to clinical practice journals
   B. Attending professional meetings
   C. Reading source documents for new guidelines D. Purchasing statistical software
   E. Knowing how to use a spreadsheet

6. A group of nurses are conducting a research study about the effects of nutrition on wound healing. Which action would the group do first when summarizing the data with descriptive statistics using the BrightStat program?

   A. Select the variables
   B. Code the data
   C. Insert the formula
   D. Download the spreadsheet

7. A nurse is preparing to conduct a research study about a clinical topic and wants to obtain the most recent evidence on the topic. Which site would be most appropriate for the nurse to search?

   A. Centers for Medicare and Medicaid Services B. Agency for Healthcare Research and Quality C. National Institute of Nursing Research
   D. National Health Interview Survey

8. An electronic medical record is best described as a:
   A. Complete record of a client's healthcare information.

   B. Record of a client's stay in an agency such as a hospital. C. Record that is accessible by outside agencies.
   D. Record that allows clients to enter data.

9. An nursing informatics specialist is conducting a group discussion on the implementation of personal health records. Which aspect would the specialist include as being currently available for promoting interoperability?

   A. Protocols for use
   B. Standardized data
   C. Computer technology D. Procedures for use

10. A nurse is reading an article about electronic health records in use by most healthcare agencies in the current healthcare climate. Based on this information, the nurse would expect to read about which type of record?

    A. Electronic medical record B. Electronic health record C. Personal health record
    D. Patient health portal

11. Which software is considered to be the highest level of integration of healthcare information records?

    A. Electronic medical record B. Electronic health record C. Personal health record
    D. Smart card

12. A nurse is reading a journal article about implementing personal health records. Which benefit would the nurse expect to find? Select all that apply.

    A. Improved collaboration between provider and client
    B. Enhanced privacy due to use of unique client identifiers C. Greater standardization of data
    D. Greater effectiveness in treating a client's disease
    E. More useful methods of data presentation

13. When describing privacy and security associated with personal health information, which issue would the nursing informatics specialist identify as most important for their maintenance?

A. Standards
B. Policies
C. Consumerism D. Confidentiality

14. A nurse is speaking with a client who has just seen his healthcare provider for a routine follow-up appointment. The nurse is explaining to the client about the new client portal that is now available. When describing the portal, which functions would the nurse most likely include? Select all that apply.

    A. Notifying about appointments B. Scheduling appointments
    C. Renewing prescriptions
    D. Alerting about immunizations E. Testing blood glucose levels

15. When describing consumer informatics to a group of nurses, which factor would the nursing informatics specialist identify as contributing to its development?

    A. The declining costs of healthcare
    B. The complexity of navigating the Internet
    C. Desire by consumers for increased responsibility D. The continued pervasive culture of paternalism

16. When discussing online support groups with clients, which precaution would the nurse include?

    A. Limited range of areas covered B. Consistent quality of information C. Variable sponsorship
    D. Mostly nonmoderated

17. A nurse is evaluating a web page that was designed for use with clients. Which feature would be most important to assess?

    A. Design
    B. Accessibility

C. Usability
D. Artistic approach

18. During a healthcare visit, a client shows the nurse information that he or she has obtained from the Internet about his or her current condition. When discussing this information with the client, the nurse should keep in mind that:

    A. The information may be correct.
    B. The source needs to be verified.
    C. References must always be listed.
    D. The information is likely to be out of date.

19. A nurse is reviewing a client education handout and checking its readability using the Flesch Reading Ease. Which score indicates that the handout is easy to read?

    A. 32 B. 46 C. 53 D. 67

20. When describing foundational interoperability to a group of nurses, what information would the nursing informatics specialist include?

    A. Automatic interpretation of messages exchanged B. Action by computer without human intervention C. Coordination of workflow management
    D. Information transmission and reception for use

21. A nurse reviewing statistics on global morbidity and mortality rates understands that this information is based on:

    A. ICD-9 codes. B. ICD-10 codes. C. ICD-11 codes. D. ICD-12 codes.

22. Which organization would be most involved with setting standards for interoperability of the electronic health record?

    A. Digital Imaging and Communications in Medicine
    B. Comité Européen de Normalisation
    C. Health Level Seven
    D. International Health Terminology Standards Development Organization

23. A nursing informatics specialist is conducting a seminar about electronic health records and the importance of interoperability. As part of the seminar, the nurse is describing the mission of the Nationwide Health Information Network. Which description would the nurse specialist include?

    1. A group of interworking networks to support health information exchange

    2. An organization that recommends the use of ICD-10 for mortality and morbidity

       statistics

    3. An agency whose purpose is to expedite standardization for international commerce

    4. An organization that sets standards for functional and semantic interoperability for electronic healthcare data

24. An informatics nurse specialist is describing the different types of interoperability to a group of staff nurses whose agency has just adopted health information technology. Which term would the nurse specialist use to explain structural interoperability?

    A. Automatic interpretation B. Information transmission C. Workflow management D. Algorithm interaction

25. A nurse working in a primary care setting is involved with the billing of healthcare services. With which would the nurse most likely be involved? Select all that apply.

    A. ICD codes with clinical modifications (ICD-CM)   B. Digital Imaging and Communications in Medicine C. Outcome and Assessment Information Set (OASIS) D. Health Level Seven

26. E. Diagnosis-related groups (DRGs)