Professional Portfolio

Details:

The purpose of this assignment is for the nursing education student to have a forum to showcase personal achievements and to demonstrate current qualifications in preparation for certification as a nurse educator or in seeking a position as a nurse educator.

There is no one right way to submit a portfolio. Organizations that utilize this format for clinical advancement and/or peer review may have a standard format that is to be followed for submission. Organizations may also require a portfolio as part of a job application. These may or may not have specific formatting guidelines. For the purposes of this assignment, the portfolio must contain the following pieces:

1. Introduction that includes a professional goal(s) statement2. Current license and credentials3. Reference list comprising of at least three references4. Two letters of reference5. Integration of the Boyer’s model for scholarship and the National League for Nursing (NLN) eight competencies for nurse educators, outlining your accomplishments in each of the eight areas6.  

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

NUR-665E-ProfessionalNursingPortfolioTemplate.docx

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fluid administration in kidney injury patient due to sepsis

Question Description

To prepare:

  • Consider Parts 1 and 2 of your Course Project. How does the research address your PICOT question?
  • With your PICOT question in mind, identify at least one nursing practice that is supported by the evidence in two or more of the articles from your literature review. Consider what the evidence indicates about how this practice contributes to better outcomes.
  • Explore possible consequences of failing to adopt the evidence-based practice that you identified.
  • Consider how you would disseminate information about this evidence-based practice throughout your organization or practice setting. How would you communicate the importance of the practice?

To complete:

In a 3- to 4-page paper:

  • Restate your PICOT question and its significance to nursing practice.
  • Summarize the findings from the articles you selected for your literature review. Describe at least one nursing practice that is supported by the evidence in the articles. Justify your response with specific references to at least 2 of the articles.
  • Explain how the evidence-based practice that you identified contributes to better outcomes. In addition, identify potential negative outcomes that could result from failing to use the evidence-based practice.
  • Outline the strategy for disseminating the evidence-based practice that you identified throughout your practice setting. Explain how you would communicate the importance of the practice to your colleagues. Describe how you would move from disseminating the information to implementing the evidence-based practice within your organization. How would you address concerns and opposition to the change in practice?

BY DAY 7 OF WEEK 10

This part of the Course Project is due. It should be combined with the other two components of the Course Project and turned in as your Portfolio Assignment for this course.

Note: In addition, include a 1-page summary of your project.

For this final iteration, you will need to:

  • Submit your paper to Grammarly and SafeAssign through the Walden Writing Center. Based on the Grammarly and SafeAssign reports, revise your paper as necessary.
  • Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references.
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A 25-year-old Asian American man arrives at the emergency department in a panic.

1. A 25-year-old Asian American man arrives at the emergency department in a panic. Except for a bout with bronchitis a week earlier, he has been healthy his entire life; today he has blood in his urine. What is the most likely cause of his hematuria and how should it be treated? (Points : 0.4)       His Goodpasture syndrome should be treated with plasmapheresis and immunosuppressive therapy.       His membranous glomerulonephritis should be treated with corticosteroids.       His immunoglobulin A (IgA) nephropathy has no known effective treatments.       His Kimmelstiel-Wilson syndrome should be treated with control of high blood pressure and smoking cessation.

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Principles of nursing management of patients/clients with respiratory or cardiac medical or surgical conditions.

Nursing – Neurological Systems – Critical Analysis Assignment Help

Task:

The written assignment for this unit is based on students choosing a topic from the list of topics provided and undertake a literature search relevant to the chosen topic (10 peer reviewed journal articles). Students will then provide a critical analysis of the chosen topic with the support of the literature reviewed including a discussion on how the knowledge gained will assist in advancing their role in the work place.

Principles of nursing management of patients/clients with respiratory or cardiac medical or surgical conditions.

Principles of nursing management of patients/clients with medical or surgical conditions relevant to cerebral/ neurological systems

Principles of nursing management of patients/clients with medical or surgical conditions relevant to hematological / vascular systems

Gerontological/Aged care nursing – Principles of nursing management of older people requiring aged care: choose either a or b

Rehabilitation Nursing: Principles and management of patients/clients requiring

Community/Rural and Remote (Bush) nursing: Principles and management of clients in community health care settings

Mental Health Nursing principles (meeting the needs of people with altered mental health status in hospital/institutional and community settings.

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You are the nurse manager on a large unit that has 14 FTE RNs on staff, 25 FTE LPNs, and 15 FTE nursing aides, orderlies, and clerks.

You are the nurse manager on a large unit that has 14 FTE RNs on staff, 25 FTE LPNs, and 15 FTE nursing aides, orderlies, and clerks. The schedule for the next 2 months is due in administration by next week, and you are beginning to work on it. Various requests have been submitted by personnel for vacations, educational conferences, time to attend a wedding, and long weekends, and a request from one nurse asks not to be rotated to weekend evenings or nights because her husband bowls on weekends, and she has no babysitter for their three young children. Then answer the following questions:

  • What types of additional information do you need to complete this schedule?
  • How do you honor requests as submitted? What if two of the requests for vacations came from RNs scheduled to work the same weekends, and they both asked for exactly the same days off?
  • How do you inform staff whether their requests have been honored? Are they informed by seeing the posted schedule?
  • Are requests taken in the order in which they are received? Or do you have another means of honoring requests?

 Provide your responses on an APA formatted paper.

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choose a family in your community and conduct a family health assessment using the following questions below.

1. Family composition.  

 Type of family, age, gender and racial/ethnic composition of the family.

2. Roles of each family member.  Who is the leader in the family?  Who is the primary provider?  Is there any other provider?

3. Do family members have any existing physical or psychological conditions that are affecting family function?

4. Home (physical condition) and external environment; living situation (this must include financial information). How the family support itself.  

 For example; working parents, children or any other member

5. How adequately have individual family members accomplished age-appropriate developmental tasks?

6. Do individual family member’s developmental states create stress in the family?

7. What developmental stage is the family in?  How well has the family achieve the task of this and previous developmental stages?  

8. Any family history of genetic predisposition to disease?

9. Immunization status of the family?

10. Any child or adolescent experiencing problems

11. Hospital admission of any family member and how it is handle by the other members?

12. What are the typical modes of family communication?  It is affective?  Why?

13. How are decision make in the family?

14. Is there evidence of violence within the family?  What forms of discipline are use?

15. How well the family deals with crisis?

16. What cultural and religious factors influence the family health and social status?

17. What are the family goals?

18. Identify any external or internal sources of support that are available?

19. Is there evidence of role conflict? Role overload?

20. Does the family have an emergency plan to deal with family crisis, disasters?

Identify 3 nursing diagnosis and develop a short plan of care using the nursing process.

Please present a summary of your assessment in an APA format on a 12 Arial font, word document attached to the forum in the discussion tab of the blackboard title “family assessment” Please use at least 3 scholarly evidence-based practice references besides the class textbook to sustain your assessment.  A minimum of 1000 words are required, excluding the first and reference page (Websites can be used but will not count toward grading).   

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What advantages or disadvantages do you see in using both types of methods in a nursing study?

The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature.

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Identify what you believe are the top three challenges in setting up a hospital-based committee from a managerial perspective.

Select either Option A or Option B to respond to and indicate within your post which option you chose.
 
Option A: Identify what you believe are the top three challenges in setting up a hospital-based committee from a managerial perspective.  In a 250- to 300-word post, discuss your rationale and address the following questions:
 

Why are committees advantageous for health care organizations?
 
What are some of the steps that you as a manager, could take to overcome these challenges?
 
How would you address conflict and/or divisiveness within the committee or team? 

Option B : Committees have been determined as a necessary component to health care organizations.  As a manager, you have been tasked to set up a committee with one of the hospital departments.  In doing so, consider the following questions:  
 

How much influence should the committee have in the overall management structure?
 
How would you maintain authority without adopting an autocratic leadership style?
 
How would you set up an employee team without violating union and labors laws? 

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SOAP NOTE ON GENITALIA ASSESSMENT

Patients are frequently uncomfortable discussing with health care professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.

In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

GENITALIA ASSESSMENT

Subjective:

  • CC: “I have bumps on my bottom that I want to have checked out.”
  • HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
  • PMH: Asthma
  • Medications: Symbicort 160/4.5mcg
  • Allergies: NKDA
  • FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
  • Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

  • VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs
  • Heart: RRR, no murmurs
  • Lungs: CTA, chest wall symmetrical
  • Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia
  • Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney
  • Diagnostics: HSV specimen obtained

Assessment:

  • Chancre
  • PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

To prepare:

With regard to the SOAP note case study provided:

  • Review this week’s Learning Resources, and consider the insights they provide about the case study.
  • Consider what history would be necessary to collect from the patient in the case study.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

To complete:

Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study.  Using evidence based resources, answer the following questions and support your answers using current evidence from the literature. 

  • Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  • Analyze the objective portion of the note. List additional information that should be included in the documentation.
  • Is the assessment supported by the subjective and objective information? Why or Why not?
  • Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis? 
  • Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature. 
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Child Miscarried

This week students will create a powerpoint to address the following questions…

Case Study:

A mother expecting her first child miscarried at home on June 22, 2010. The pregnancy was six months along. An ambulance was called at 4:57 a.m. The EMTs helped the mother to the stretcher and then went inside to retrieve the fetus from the bathroom floor. The baby was seen moving its head. The EMTs requested ALS to the scene. The baby was placed inside a small container. The ALS personnel visually assessed the fetus and stated the fetus was “non-viable”. There was never a fetal heart check in the field. Mother and fetus were transported to the hospital arriving at 5:16 a.m.

At the hospital, a nurse noticed that the fetus was warm and had a heartbeat. The baby was raced to the special care nursery and placed on a warmer. The staff then proceeded to resuscitate the baby. The baby was dusky and noted to have a heart rate of 30 with respirations of 6-8 at 5:40 a.m., and cardiopulmonary resuscitation was initiated. The oxygen saturation was 2-10%. The baby was intubated at 5:55 a.m. At 6:05 a.m., the blood pressure was 44/24. By 6:15 a.m., the baby was on a ventilator with oxygen saturation of 96%, a heart rate of 102, but remained dusky. By 6:30 a.m., the baby’s heart rate was 120 and blood pressure 52/24.

At 7:45 a.m., the baby was transported to a Boston hospital NICU for further care and treatment. Unfortunately, the baby died on August 10, 2010 at age 1 month and 16 days, not from prematurity but rather from brain damage due to lack of oxygen.

The plaintiffs’ claimed the accepted standard of care for basic and paramedic emergency medicine technicians in Massachusetts in 2010 required basic and paramedic EMTs to provide appropriate evaluation and treatment by following established protocols. It is beyond the scope of practice for EMTs at any level to make determinations in regard to viability of a patient. As a result of the negligence, the baby was improperly designated as “non-viable”, was placed in a Pizzeria Uno’s delivery plastic bag inside of a box with a lid on it further depriving the baby of oxygen, and as a result was not resuscitated for the first several minutes of life.

Lubin & Meyers. (2016). EMT negligence lawsuit settles for $1 million. 2011 medical Malpractice Trial Report. Retrieved from http://www.lubinandmeyer.com/cases/emt-malpractice.html

  1. Title page (1 slide)
  2. What are the facts of the case? This should include: what do we need to know, who is involved in the situation, where does the ethical situation take place, and when does it occur? (3-4 slides)
  3. What is the precise ethical issue in regards to autonomy, nonmaleficence, beneficence, fidelity, and justice? (4-5 slides)
  4. Identify the major principles, rules, and values of the case.  Values are sets of beliefs about good and bad, right and wrong, and about many other aspects of living and interacting in the society with others. A principle is a personal rule that governs personal behavior. A rule is generally imposed by a figure of authority, and used to guide and govern people. (3-4 slides)
  5. Locate the scope of practice for EMTs in your state.  Is your scope of practice dictated by the state or facility the EMT works for? Does the scope of practice vary from state to state? Explain and support your answers (4-5 slides)
  6. Locate your professional code of ethics for EMTs.  Does the code of ethics address autonomy, nonmaleficence, beneficence, fidelity, and justice? Explain and provide an example for each (5-6 slides)
  7. Based on the scope of practice and code of ethics found, do you support the EMT’s decision in this case? Why or why not? Be specific with examples (3-4 slides)
  8. If you were a member of the ethics committee at this facility, what actions or changes would you recommend changing? Why? (2-3 slides)

For the presentation, insure information is referenced and cited in your slides. The presentation should start with a title slide and end with a reference slides. At least 3 references are required for this assignment. You must include at least 5 pictures or graphics. All pictures or graphics taken from outside sources must be referenced and cited.

Assignment Expectations:

  • Length:
    • 25-33 slides
    • Use the tips at http://www.garrreynolds.com/preso-tips/design/ to create the slideshow.  Because good PowerPoints have very few words, submit a script that describes the content of each slide – about 50 words per slide.  Place this script in a separate Word document that shows each slide number and the text for each slide as shown in the provided PowerPoint Slide Notes.docx.
  • Structure:
    • Include a title page and reference page in APA style
  • References:
    • References are required. You should include the appropriate APA style in-text citations and references for all resources utilized to answer the questions
  • Format:
    • save your presentation as a Microsoft PowerPoint  (.ppt or .pptx)
    • Save the slide script as a Word document
  • File name:
    • name your saved file according to your last name, first initial and the week (for example, “jonesb.week1”)
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