One of the most important skills a nurse needs is clinical judgment. This is a skill that can be learned. Reflect on your own ability to critically think and the reading for this module.

When see yourself as a nurse and giving care, discuss what qualities and behaviors you possess that make you a person that would have good clinical judgment. What three strategies can you use to develop better clinical judgment? As a nurse, what areas of the nursing process do you think might be more challenging to you given the critical thinking and clinical judgment skills you have now?

After already assigning patients to her team (consisting of one RN, two LPN/LVNs, and one CNA), the charge nurse, Kate, an RN, is notified that her unit must accept four more patients in varying degrees of acuity. She must develop patient care assignments for her team, using the five rights of delegation and demonstrating she understands principles of delegation, supervision, and scope of practice.

SCENE 1: The charge nurse, Kate, an RN, has been notified that the post anesthesia care unit (PACU) has run out of beds due to unexpected surgeries, while three more ORs are still running. Four patients are being transferred to this unit. The staff that day includes John, an RN; two LPN/LVNs, Mike and Sabrina; and one CNA, Nina. The patients that need to be assigned are: fresh post-op patient from PACU following a herniorrhaphy; a 24-hr postop of a below-knee amputation (BKA) with dressing change needed; two overflow post-CVA patients (one with dysphasia, one with right-sided weakness who needs assistance ambulating).

1.     What do you notice about the location of the huddle where these new patients are being reassigned? Why or why not is it appropriate for this to occur in a conference room?

2.     How would you expect the charge nurse to assign these four patients among the RN, two LPN/LVNs, and CNA?

SCENE 2: Kate, the charge nurse, makes staff assignments while everyone looks at the white board in the conference room: The post-op BKA in need of a dressing change is assigned to Mike, an LPN/LVN; the post-op patient fresh from the PACU is assigned to John, the RN. The stable CVA patient with dysphagia is assigned to LPN/LVN Sabrina, and the stable CVA patient ready for discharge any day is assigned to Nina, the CNA.

  3.     Did the charge nurse delegate appropriately to the team? Why or why not? Do you see any problems with the assignments?

SCENE 3: Some time later, Mike comes running to the conference room to notify Kate that Mr. Gladys (the patient with dysphagia) is choking.

4.     Why would a rapid response team (RRT) be called in this situation?

5.     If you were the nurse manager of this unit, what aspects of the delegation in this case would you want to address with the charge nurse after this event?

6. What factors would you consider when delegating patient care assignments to this team or any team?

Suggest at least one approach to assessing health risks for individuals in your state to address a significant disparity. How might prevention strategies and approaches based on race and ethnicity improve or hinder accurate risk assessment?

Think about some Health Behavior you wish to change? Paragraph 1, you'll concisely post what your single (1) Health Behavior Modification was that you chose to work on; Paragraph 2, you'll post in outline form, Short/Long Term Goals, Action Steps, etc. I do Not want to see a Diary report. Please stick to this concise Bullet List. Paragraph 3, you'll summarize findings from your research to substantiate your goals..

Speculate as to the causes of these disparities. Using the data on the Trust for America's Health Web site, other data sources you find, and your own analysis, suggest and explain at least two possible causes for the disparities you found.

Present the facts regarding health disparities, race, and ethnicity in your state in regard to one health condition that you believe is significant, including a comparison to other states.

SOCIAL LEARNING THEORY

What are the laws pertaining to establishing and running a community home for mentally ill clients in texas?

Discuss the pros and cons of this type of community group home for these clients.

Discuss the pros and cons of this type of community group home for the neighborhood that it is in.

1. State and explain 5 importance of storage

this should be according to human resource management

Not more than 1 and half pages

The Truth About Nursing" or "Johnson and Johnson" listed in my course announcement and discuss a method used in their campaign to promote the nursing profession. Do you think the method is effective? why or why not?  

In a one page Word Document, plan interventions with rationale which will promote an environment of safety for the described client below. Consider the client’s medical history and medications. Mr. Joe Smith, a 75-year old man, recently suffered a left cerebrovascular accident. He has the right visual field deficits and residual weakness in this right arm and leg. He uses a walker for mobility. He takes Metoprolol for his blood pressure and the physician started him on Coumadin because he has recently been diagnosed with atrial fibrillation. Use at least two scholarly sources to support your interventions and rationale. Be sure to cite your sources in-text and on a reference page using APA format

Calvin is a 15-year-old, obese young man with severely elevated serum lipid levels. The healthcare team has decided to prescribe lovastatin (Mevacor).

a)What are the concerns for teenagers who are taking lovastatin?

b)What classification of lipid-lowering medication is lovastatin, and how does it work?

c)What impact does weight, specifically obesity, have on lipid levels?