SITUATION: IS THIS SOMETHING THAN CAN BE LEGISLATED? Identify the problem/concern: State your proposal/idea. BACKGROUND: DO YOUR RESEARCH Include studies, reports, personal experience, or anecdotal stories related to your proposal. Has there been similar legislation introduced and/or passed in other states? If so, include it. ASSESSMENT: FINANCES AND STAKEHOLDERS Identify financial impact if any (e.g., added costs, cost savings, increased revenue): Hospital Board of Directors RECOMMENDATION Make an appointment with your legislator to discuss your proposal.]]>

You are a recent immigrant who has moved to the United States to attend a U.S. university. Your family has never been to the United States, and you are excited to tell them all about it, in particular the fundamentals of the U.S. government you are learning about in one of your courses.
Compose a 3-page letter to your family in which you outline the fundamentals of the U.S. government. Be sure to include the following:
A brief explanation of the Constitution and its purpose.
A brief explanation of two American ideals (e.g., democracy, liberty, equality, justice, freedom, or opportunity). This should include a definition and your understanding of what those ideals mean to the average U.S. citizen.
A current event (from the last 6 months) that serves as an example of one of the two ideals you chose to explain. This will be the current event you selected in the Searching for Current Events About American Ideals activity in Week 4.
A constitutional liberty that has benefitted/affected you as a student or a citizen in the United States. For example, Title VII of the Civil Rights Act of 1964 is a federal law that prohibits employers from discriminating against employees on the basis of sex, race, color, national origin, and religion. Title VII also applies to private and public colleges and universities, employment agencies, and labor organizations. So if you chose this one, in your letter you would identify this constitutional liberty and how it applies to you specifically.
At least one quality reference cited using the Strayer Writing Standards. This should be the current event article you selected in the activity in Week 4.

Set up a MS Word document to include both of the following steps:
Step 1:
You will research information about an ethical issue and an emerging technology.
• Find at least three (3) sites that identify and describe the ethical issue that you want to research• Enter these into a Word document• Find at least three (3) sites that identify an emerging technology of your choosing• Enter these into the Word document as well• NOTE: Your chosen ethical issue and your chosen emerging technology must be related in some way• For instance, if social media is your emerging technology, then choose an issue that is ethically related to that  emergingtechnology• Keep all (6) URLs in the Word document.▪ NOTE: URL means address of a Web page
Step 2:  
Create a bibliography (reference page) using the Word references feature.
Include each of your sources. Use the resources available on the GCF LearnFree website  on “How to create a bibliography or works cited page in Word.
Once you’ve been through the above site,
•  •  ▪  ▪ For each of your 6 URLs (from Step 1), create a source through MS Word’s Citations and Bibliography section ▪ Have MS Word generate your Bibliography or Works Cited table to include APA-style information on your 6 sources▪ Enter your Bibliography or Works Cited table into the Word document

It is important to promote the professional role of the nurse to provide health promotion and disease preventive care. Collaborating with other health care professionals and consumer groups in the community in redesigning health care can help meet the goals for Healthy People 2020.Refer tohttp://www.healthypeople.gov/to open the Healthy People 2020 home page.Develop a PowerPoint presentation (15-20 slides) with accompanying speaker’s notes and citations.For help designing PowerPoint slides refer to the Create Your First Presentation PowerPoint tutorial located on the Microsoft website:https://support.office.com/en-us/article/Create-your-first-presentation-ac88d138-a7a0-402c-b5a5-812641e59c8e?ui=en-US&rs=en-US&ad=USIn the presentation address the following:APA format is required for essays only. Solid academic writing is always expected.

Instructions are attached:

Assignment 2
Functional Assessment
***Don’t freak out at the amount of reading – I’m
just outlining a case for you here. Your answers
will actually take very little time. 
Breathe….breathing is good. I’ve highlighted the
actual questions in yellow.
Background
Joey is a seven year old boy with global developmental delays in a combination kindergarten/daycare
program. His teachers have called you in because he has begun to exhibit some disruptive behaviours in the
center and they need your help to figure them out. You agree to conduct a functional assessment.
A. Indirect Assessment:
Interview with Staff
Who is present? Other children, but I would say mostly other boys, and a variety of teachers. We
haven’t noticed that it is more or less likely to happen with one teacher.
Where does the behaviour occur? In the block room, up until yesterday, then it happened in the art room.
When does the behaviour occur? Only during free play time. Sometimes we’ve noticed that Joey is trying to get
the attention of the other boys and they are ignoring him, sometimes we’ve noticed
that the children are busy playing and the room is really quiet, not much action going
on, and sometimes one of Joey’s block structures has fallen over and he seems
frustrated.
Do any other behaviours occur just before? Other than him running to the shelf, we haven’t observed any other
behaviours.
Is there any time when the behaviour doesn’t occur? If Joey is involved in playing with a teacher or another
child, it tends not to happen…although once or twice it still did when his structure fell
over.
Can you specifically describe the behaviour for me? Joey runs to the right side of the block shelf, inserts his right
arm up to his elbow, so that his hand is touching the back of the shelf, and he runs along
the shelf pushing hundreds of blocks to the floor while yelling and laughing.
What happens immediately following this behaviour? A staff member immediately approaches him and tells
him that it isn’t okay to knock all the blocks off the shelf and now he has to pick them all
up. Then he is instructed, with the staff helping, to start stacking the blocks back on the
shelf. Thankfully, the other children join in as well, so the job gets done more quickly.
Does he ever get removed from the situation? Oh no, we believe it is important for him to fix what he has
dismantled.
***Question One: Come up with a plausible hypothesis for Joey’s shelf-clearing behaviour. Remember to list all
likely antecedents, behaviours and consequences.
B: Direct Observations: Here are a number of incidences recorded during direct observation
 Obs 1: Joey asked Daniel to play, Daniel said no, he wanted to play by himself. Joey ran over to the shelf
and cleared all of the blocks off, quietly finishing then sitting down. There were no teachers present, but
Daniel came over, told Joey he had to pick them up and Daniel and Joey cleaned up the blocks together.
 Obs 2: Joey playing with Daniel and Justin. Justin laughed and knocked the structure over. Joey yelled at
Justin, then ran to the shelf, yelling and clearing the blocks off. Mary, the teacher, ran in, told Joey he’d
have to clean up, and so Justin, Daniel, Mary and Joey cleaned up the blocks.
 Obs 3: Joey playing by himself in the blockroom, with teacher Mary present. Joey’s block tower fell over,
but he just shrugged and began building it again.
 Obs 4: Daniel using a block that Joey wants for his structure, Daniel said no when Joey was prompted by
Mary to ask for it. Joey ran to shelf and silently cleared all the blocks from the shelf. Mary told Joey he’d
have to clean them up, and Daniel, Joey and Mary cleaned the blocks up.
 Obs 5: Justin, Eric and Sam in room with Joey. Joey kept putting a block where the others didn’t want it,
so they kicked him out of the game. Joey went over to the block shelf, but just selected some other
blocks and began building them himself.
*Question Two: Using an ABC checklist, record the data for the five observations above. Remember to add in any
new antecedents and consequences that come up.
Obs 1 Obs 2 Obs 3 Obs 4 Obs 5
Antecedents
Behaviours
Consequences
*Question Three: Does the data from the direct observation match the information received from the indirect
assessment? What is your next step?
*Question Four: What kind of treatment might make sense, given the data? Give a brief outline of what you
might try and why it might work.

THE HEALTHCARE PROFESSION IT IS VERY IMPORTANT THAT DECISION MAKING IS EVIDENCE BASED.

Need a response to this discussion 3 pages long APA format 3 references1 from Walden University Library. Willing to pay 15 dollarsIntroductionIn the healthcare profession it is very important that decision making is evidence based. For a decision to be evidence based the question must be clearly articulated you must search for relevant evidence and you much choose the evidence of highest quality (Robeson Dobbins DeCorby Tirilis 2010. Pg.1). A crucial first step in EBP involves converting information needs into well-worded clinical questions that can be answered with research evidence (Polit & Beck 2017. Pg. 31).The PICOT guidelines are questions that help clinicians discover the answers to their research (Walden Student Center for Success 2012).With these guidelines in mind I formulated the question Is the daily use of CHG for all pediatric inpatients who have no allergy to CHG associated with a lower incidence of bacterial infection in these same patients? The P in the acronym stands for population or patients in the case the characteristics of the population would be all patients who are staying in the hospital especially for an extended period or those who have risk factors such as central lines. The I stands for the intervention which would be the daily chlorahexadine baths. This intervention would help reduce the risk of hospital acquired infections such as MRSA or c diff. Comparison is the next step and is what the C stands for. In this case the comparison of the effectiveness of daily CHG baths would be compared to not doing CHG baths. The O stands for outcomes that we would hope to see which would be a decrease in hospital acquired infections. The T is the last and final letter and stands for time. In my hospital the study was conducted over a three-month period to see if we saw a decrease in our hospital acquired infections. Using evidence based research I will find the conclusion to this question.Evidence Based ResearchWhen conducting research it is very important to have filtered information and unfiltered information. Filtered information is information that has been appraised for quality and clinical relevance (Hierarchy of Evidence Pyramid). Filtered information includes systematic review critically appraised topics and critically appraised individual articles (Hierarchy of Evidence Pyramid). Unfiltered information is evidence that has not necessarily been appraised for quality. This information tends to come from primary sources (Hierarchy of Evidence Pyramid). Unfiltered information includes randomized controlled trials cohort studies case-controlled studies and expert opinion (Hierarchy of Evidence Pyramid).When searching the Walden Database for articles on my PICOT question I used the search terms CHG Bath CHG Bath in Pediatric Patients and Reducing infection using CHG Bath. The first article I found multiple studies done on multiple patients with bone marrow transplants. The purpose of the study was to see if bathing them daily with CHG would decrease the acquired infections which it did. This article would be considered a systemic review because it had multiple resources and multiple studies. When searching for critically appraised topics it was very difficult to find one that had a cohort study that had to do with CHG baths there were some articles about other ways to reduce infection but none that involved CHG.The next article I found falls under the topic of expert opinion in the case the expert opinion came from the nurses. In this study done in 2017 they interviewed nurses nurses aides and nurse managers. They found that all interviewed did find a decrease in infection when CHG baths were used however many times the nurses did not have time to administer the baths.Research AdviceI think that when conducting a search for evidence base practice it is important to stay open minded and patient. Staying open minded will help you think of different search terms that may yield different search results. It is also important to be patient while searching so that you can stay focused and weed out the unwanted results.ReferencesLaureate Education (Producer). 2012g).Hierarchy of evidence pyramid. Baltimore MD:AuthorMusuuza J. S. Roberts T. J. Carayon P. & Safdar N. (2017). Assessing the sustainability of daily chlorhexidine bathing in the intensive care unit of a Veterans Hospital by examining nurses perspectives and experiences.BMC Infectious Diseases 17(1)Polit D.F. & Beck C.T. (2017).Nursing research: Generating and assessing evidence fornursing practice(10Thed.). Philadelphia PA: Wolters KluwerRobeson P. Dobbins M. DeCorby K. &Tirillis D. (2010). Facilitating access to pre-processed research evidence in public health.BMC Public Health 10 95.Rosselet R. Termuhlen A. Skeens M. Garee A. Laudick M. & Ryan-Wenger N. (2009). CH

Discussion: Professional Nursing and State-Level Regulations

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.

To Prepare:

  • Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
  • Consider how key regulations may impact nursing practice.
  • Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

MY STATE I RESIDE IN IS VIRGINIA

What’s the difference: LTC vs. Acute

ABC Medical Center is building a long term care (LTC) facility (nursing home) that will be connected to the hospital. You have been invited to a planning meeting with the HIM Director who must plan for the patient record system in the new facility. The HIM Director has asked you to prepare a PowerPoint presentation on the differences between an acute care setting and a long term care setting. What are some of the first things you could do to be sure you understand how medical records might be managed differently in this type of facility? What are some of the obvious differences between a hospital and a long term care facility that will likely affect health information at this facility?
Your presentation should be a minimum of 8 slides (including a Title slide and References slide) and address the following:
Overview of an acute care facility versus a LTC facility.
Examples of services that are specific to a LTC facility.
Differences in chart documentation.
Differences in health care payers.
Overview of how medical records might be managed differently in LTC versus an acute care facility.
Include APA formatted citations for your references.