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Portfolio: Capstone Synthesis Practicum – Nursing Informatics and Leadership & Management

– 1 –

Looking for someone to finish putting together my portfolio.  ALL papers are written and I have Portfolio started, I just need the checklist filled out and the papers matched up with the portfolio template.  I got called into work.  I NEED THIS TONIGHT so I can post it and be done prior to leaving for work.  AGAIN the template is started and the papers are written I just need it put together.  COMMENT FROM MY TEACHER:   you cut and paste the portfolios into the Professional Portfolio. In the template, there is a template/ checklist that tells you want to put into the portfolio. No Zip file, just save as a PDF and it should upload easily. 

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Walden University – School of Nursing

Final Portfolio

NURS 6600 (add section #) Capstone Synthesis Practicum – Nursing Informatics and Leadership & Management

Month Day, Year

Your full name

Address

City, state, zip

Area code and telephone number

E-mail address

Your position

Agency where you work

City, State

Table of Contents

Program of Study [Insert Page Number]

Professional Development Plan (PDP) ……………………………………………………….

CV or Résumé ………………………………………………………………………………..

Portfolio Assignments from each of the following courses:

NURS 6001: ……………………………………………………………………………………..

NURS 6050: ……………………………………………………………………………………….

NURS 6051: ……………………………………………………………………………………..

NURS 6052: ……………………………………………………………………………………..

NURS 6053: ……………………………………………………………………………………..

NURS 6201 OR 6401:

NURS 6211 OR 6411:

NURS 6221 OR 6421:

NURS 6231 OR 6441:

NURS 6241 OR 6431:

NURS 6600 ………………………………………………………………………….

Continuing Education (CE)

End of Program Outcomes Evidence Chart

Final Reflection…………………………………………………………………………………..

Insert Program of Study

Insert Professional Development Plan

Use this as a Sample: Curriculum Vitae/Résumé

Student First Name and Last Name

4524 Street Avenue ( Jackson, WI 54214

262-555-1212 (home) ( 262-555-1212 (cell)

studentsemail@yahoo.com

Objective

To obtain a _________ position that will utilize my _________ and _________ skills. (Used only in a résumé.)

Qualifications (if résumé)

· Thrives in a multi-task environment

· Excellent computer skills

· Hardworking, independent and reliable

· Able to grow with company through versatility and adaptability

Education (first if CV)

Full Degree Name Month/Year-Present

Concentration (if any)

School Name

City, State

Expected graduation date:

Full Degree Name 7/1999

Concentration (if any)

School Name

City, State

Employment History (first if résumé)

Company, Title 03/2004 – Present

Company, Title 02/2002 – 03/2004

Company, Title 04/2001 – 06/2001

Company, Title 06/2000 – 12/2000

Licenses and Certificates

RN License

ID #

Date

Awards and Honor

Employee of the Month 9/2010

References Available Upon Request

Insert course Portfolio Assignments here.

(Include the title page and references with each Portfolio Assignment.)

Table 1

Continuing Education (CE) – Optional

Course NameNumber of Hours/UnitsDate of Completion
{fill in your CEUs here if applicable} delete this page if not applicable
Ex: Taking an accurate BP1.01/1/13
Add rows as needed

Table 2

Other Non-Electronic Documents

List those documents for which you do not have electronic versions (meeting programs, evaluation forms, certificates, etc.) below.

DocumentDescriptionDate
Add rows as needed

You may add additional artifacts as you deem necessary.

End of Program Outcomes Evidence Chart

MSN Graduate CharacteristicsIndividual Student Learning Outcomes (ISLOs)Course #; Learner Assessments (Evidence according to alignment of learner outcomes from Syllabus chart)Student Outcome:Service(Community/ Professional)Student Outcome:Scholar-Practitioner(Scholarship/ Practice)Student Outcome:Social Change
LEADERS/CHANGE AGENTSLO1—Synthesize organizational/systems leadership for cost-effective specialist nursing practice that contributes to high-quality healthcare delivery, advancement of the nursing profession, and social change.
SCHOLAR-/EVIDENCE-BASED PRACTITIONERSLO2—Critique evidence-based literature drawing from diverse theoretical perspectives and pertinent research to guide decision making that demonstrates best practices for specialist nursing practice in a global society.
PROFESSIONALS/ COLLABORATORSLO3—Integratively assess, diagnose, plan, implement, and evaluate cost-effective healthcare strategies that reduce health disparities by patient/population advocacy for access to specialist nursing care.
EFFECTIVE COMMUNICATORSLO4—Demonstrate the ability to effectively communicate using audience-specific oral, written, and information technology for professional delivery of specialist nursing care.
EDUCATORS/CONSULTANTSLO5—Evaluate health needs of diverse populations for necessary teaching/coaching functions based on specialist nursing knowledge to restore/promote health and prevent illness/injury.
LIFELONG LEARNERSLO6—Exhibit ongoing commitment to professional development and value of nursing theories/ethical principles (altruism, autonomy, human dignity, integrity, social justice) in accordance with ethically responsible, legally accountable specialist nursing practice.
HEALTHCARE PROVIDERSLO7—Implement specialist nursing roles to promote quality improvement of patient-centered care in accordance with professional practice standards that transform health outcomes for diverse populations.

Final Reflection

– 2 –

Walden University – School of Nursing

Final Portfolio

NURS 6600A-2 Capstone Synthesis Practicum – Leadership & Management

May 16, 2016

Amanda R Swenty

N11313 Nejedlo Rd

Wausaukee, WI 54177

906-290-1932

Amoran@waldenu.edu

Nurse Educator

College of Menominee Nation

Keshena, WI

Table of Contents

Program of Study 3

Professional Development Plan (PDP) ……………………………………………………….3-7

CV or Résumé ………………………………………………………………………………..7-10

Portfolio Assignments from each of the following courses:

NURS 6001: ………………………………………………………………………………3-7

NURS 6050: …………………………………………………………………………​​​​……10-11

NURS 6051: ……………………………………………………………………………….

NURS 6052: ……………………………………………………………………………………..

NURS 6053: ……………………………………………………………………………………..

NURS 6201 OR 6401:

NURS 6211 OR 6411:

NURS 6221 OR 6421:

NURS 6231 OR 6441:

NURS 6241 OR 6431:

NURS 6600 ………………………………………………………………………….

Continuing Education (CE)

End of Program Outcomes Evidence Chart

Final Reflection…………………………………………………………………………………..

Insert Program of Study

Masters of Science in Nursing Leadership and Management

Insert Professional Development Plan

Program of Study and Professional Development Plan

As I begin on this journey towards greater good I need to first develop my program of study and professional development plan. The purpose of this paper is to assist me in broadening my perspective on being a student and enable me to fully understand my personal and professional goals. In addition I will share my professional and educational background as well.

Education and Professional Background

My name is Amanda and I am a BSN, RN working at NuRoc Community Care Center. I teach CNA, psychology, and Medical Terminology classes at NWTC. In addition I field insurance claims from home. I am divorced and recently purchased a house in Northeast WI. I have three beautiful acres of land and love living here.

I started my career at UW Milwaukee and got a bachelor’s degree in Kinesiology. I then went on to Marquette University to obtain my Master’s in Physical Therapy. After completing my MPT I went back to UWM to obtain my bachelor’s in nursing and Masters in business administration. I truly love knowledge and value my education.

I have a lot of diverse experience under my belt as a nurse and prior to being a nurse. I worked for a year in the wound clinic at Freidert Hospital in Milwaukee. Here I treated all different types of wounds as a Physical Therapist. After becoming an RN I began to work at the Nursing home. This has tremendously expanded my critical thinking skills. I also worked at the hospital for two years mostly in oncology but also float/pool. In the midst of this I expanded my experience farther by obtaining my teaching certificate. I teach CNA courses and this semester for the first time I am teaching leadership development for associate degree nurses. I am very excited to start this course.

How do you ever know if one is ready to start school again? I feel I am as I wish to advance in my current field and eventually own a CBRF in the near future. I truly love school and learning more about nursing. In the field I have been in many leadership roles, charge nurse, team leader, facilitator, MDS Coordinator. Being involved in leadership roles confirmed my desire to advance my career in leadership and administration.

Professional Goals

The purpose for my completing a graduate program was originally to take my mind of stress in my life but has evolved into an aspiration in owning a CBRF. I want to become DON at my current job to test out how I will do as a leader and authority figure. I would like to take on a role of staff development coordinator, which will incorporate my teaching skills and nursing skills. I also aim to obtain my MSN and use it to further my career as a nursing professional.

Course Learning Goals

Healthcare finance and budgeting is probably the most important class for me to do well in. This course will assist me in having the necessary tools for eventually starting a CBRF on my own. In addition to this learning APA format will assist me in producing professional documentation and presenting my ideas professionally. In addition it will help me to effectively communicate with my coworkers. My goal is to be able to communicate effectively and be a respected leader in my profession.

Practicum

I have contacted a local nurse at the local clinic in Wausaukee to shadow her in practicum. I view practicum as the final and key tool in my learning success. It will let me take all, my knowledge and use it to treat patients in a real life setting. This will also teach me aspects of healthcare that you don’t learn online or in a book. The nurse I will be working with is a reputable member of society and she is an excellent leader and mentor. She feels confident that she will still be working at the clinic in two years.

Summary

I am already familiar with the online learning curriculum, since that is how I got my teaching certificate. I look forward to moving ahead with my masters at Walden University. This experience should broaden and expand my horizons. On the next few pages I have completed my plan of attack for completing my master s degree in an efficient and timely manner.

ADVANCE d4Program of Study FormMSN
NAME:STUDENT ID:ENROLLMENTDATE
PROGRAM:Nursing – MSN (BS to MSN)SPECIALIZATION:Leadership & ManagementFull08/24/2011
CourseNumberCourse TitleSemester/Term to be TakenSemester Credit Hours
Core Courses: (All core courses must be completed before starting the specialization courses.)
NURS 6000Success Strategies in the Master of Science in Nursing Online EnvironmentFT1, 111
NURS 6110The Nurse Leader: New Perspectives on the ProfessionFT1, 113
NURS 6101Policy and Politics in Nursing and HealthcareST2, 113
NURS 6125Integrating Theory and Research for Evidence-Based PracticeST2, 113
NURS 6150Promoting and Preserving Health in a Diverse SocietySUT1, 113
Specialization Courses: (Not transferable)
NURS 6200The Nurse Administrator: Leading and Managing for ExcellenceFT 2, 124
NURS 6210Health Care Finance and BudgetingFT 2, 124
NURS 6220Human Resources ManagementST 2, 124
NURS 6230Case Study: Quality Nursing in a Complex Health Care OrganizationST 2, 124
Capstone Courses: (Final Courses in the Program.)
NURS 6500Capstone: Synthesis Practicum ISUT 2, 123
NURS 6510Capstone: Synthesis Practicum IINuRoc community care center3
TOTAL35
Transfer Credit Awarded (if any)
CourseNumberCourse TitleInstitutionWaldenEquiv.SM/YRGR/CR
Total Transfer Credit       

AMANDA R SWENTY

N11316 Nejedlo Rd

Wausaukee, WI 54177

906-290-1932(C) 715-856-5299(Fax) Email: aswenty@menominee.edu

——————————————————————————————————————-

PROFESSIONAL OBJECTIVE: I am seeking a full time position as an RN where I can mentor others through the sharing of knowledge and life experience.

EDUCATION

WALDEN UNIVERSITY

Minneapolis, MN

Masters of Science in Nursing

05/2016

Emphasis on Leadership and Management

UNIVERSITY OF WISCONSIN-MILWAUKEE

Milwaukee, WI

Bachelor of Science in Nursing

Graduated December 18, 2005

Registered Nurse License #155874, Expires February 29, 2016

UNIVERSITY OF WISCONSIN- MILWAUKEE

Milwaukee, WI

Bachelor of Science in Kinesiology (Exercise and Fitness)

Graduated May 2003

MARQUETTE UNIVERSITY

Milwaukee, WI

Masters of Physical Therapy

Graduated December 2003

MORAINE PARK TECHNICAL COLLEGE

Fond du Lac, WI

Train the Trainer Certificate

SKILLS

SUPERVISORY SKILLS

Acquired nearly eight years of supervisory experience in various fields of work. Responsible for supervising full-time and part-time staff, as well as volunteer assistants. Fulfilled role as charge nurse with the responsibility to supervise RNs, LPNs, CNAs, and other members of the health care team. Have worked independently in instruction in the classroom and in the community.

LEADERSHIP SKILLS

Have taken an active leadership role in the development and implementation of innovative programs, in staff training procedures, and supervising staff and program participants.

TEACHING SKILLS

Have taught CNA classes, LPN classes, Medical Terminology, Leadership and Development classes, medication administration and more for several years. Managed challenging students, tutored students, and developed curriculum and tests along with overseeing online learning and in class learning.

ASSESSMENT SKILLS

Acted as patient advocate: assessed patient status and notified physicians of clinical changes. Developed special sensitivity to meet diverse patient needs in varied patient situations.

CERTIFICATIONS

BLS for Healthcare Provider

CBRF Teaching Certificate

WORK HISTORY

COLLEGE OF MENOMINEE NATION

Green Bay, WI

Adjunct TPN/CNA Instructor

August 2015 – Present

DUNGARVIN

Marinette, WI

RN Staff Educator

October 2014 – Present

ASSISTIVE CARE MANAGEMENT LLC

Green Bay, WI

Home Health RN (PRN)

April 2013 – Present

ELITE NURSES

Green Bay, WI

Home Health/Insurance Assessments/LTC (PRN)

June 2012-Present

APPLIED BEHAVIOR ANALYSTS

Marinette, WI

RN Case Manager

April 2013 – October 2015

CUSTOMIZED MEDICAL STAFFING

Madison, WI

Travel RN

January 2011 – July 2013

NURSES AFFILIATED PHYSICIANS

All over WI

Travel Nurse for Flu Clinics

August 2008 – August 2015

NORTHEAST WISCONSIN TECHNICAL COLLEGE

Crivitz, WI

Adjunct Instructor Medical Term./Leadership Develop./CNA

August 2009 – January 2012

NEWCare

Crivitz , WI

RN/Charge Nurse Manager/MDS Coordinator/Wound Nurse

July 2006 – January 2010

Bay Area Medical Center

Marinette, WI

RN/Charge Nurse/Peds/L&D/ICU

October 2007 – July 2008

BELLIN HEALTH

Green Bay, WI

RN-Peds/ICU/L&D

March 2007 – October 2007

Summary of Community Health Project

Amanda Moran

Walden University 6150

February 24, 2012

Summary of Community Health Project

This is the final summary of my community health project and its intended outcome. I plan to map out for my final conclusions and lead into my PowerPoint presentation created to supplement and summarize my project. I have designed the project with a very diverse population in mind. I am hoping that this paper along with my PowerPoint will present and tie together all three parts of my project.

The setting I designed my PowerPoint for is an online audience. I added very lively sound effects and photos to supplement the information provided and keep a varied and diverse groups interest in the presentation. I hoped to add a level of personal trust by adding personal photos to my PowerPoint along with the information and some very generic pictures. The design of the power is very simplistic to help the learner focus on the facts. The sounds effects were strategically placed to highlight the beginning and the end of the presentation and add a little fun to the presentation.

I plan to place this PowerPoint online along with a recorded lecture to accompany it and have the link to it on my Facebook page. This will give access to a large population at any time. Therefore people will be more apt to participate due to my projects accessibility. The easier it is to get involved the more likely someone will get involved. I am hoping that this will aid in maximum participation.

End of Program Outcomes Evidence Chart

MSN Graduate CharacteristicsIndividual Student Learning Outcomes (ISLOs)Course #; Learner Assessments (Evidence according to alignment of learner outcomes from Syllabus chart)Student Outcome:Service(Community/ Professional)Student Outcome:Scholar-Practitioner(Scholarship/ Practice)Student Outcome:Social Change
LEADERS/CHANGE AGENTSLO1—Synthesize organizational/systems leadership for cost-effective specialist nursing practice that contributes to high-quality healthcare delivery, advancement of the nursing profession, and social change.
SCHOLAR-/EVIDENCE-BASED PRACTITIONERSLO2—Critique evidence-based literature drawing from diverse theoretical perspectives and pertinent research to guide decision making that demonstrates best practices for specialist nursing practice in a global society.
PROFESSIONALS/ COLLABORATORSLO3—Integratively assess, diagnose, plan, implement, and evaluate cost-effective healthcare strategies that reduce health disparities by patient/population advocacy for access to specialist nursing care.
EFFECTIVE COMMUNICATORSLO4—Demonstrate the ability to effectively communicate using audience-specific oral, written, and information technology for professional delivery of specialist nursing care.
EDUCATORS/CONSULTANTSLO5—Evaluate health needs of diverse populations for necessary teaching/coaching functions based on specialist nursing knowledge to restore/promote health and prevent illness/injury.
LIFELONG LEARNERSLO6—Exhibit ongoing commitment to professional development and value of nursing theories/ethical principles (altruism, autonomy, human dignity, integrity, social justice) in accordance with ethically responsible, legally accountable specialist nursing practice.
HEALTHCARE PROVIDERSLO7—Implement specialist nursing roles to promote quality improvement of patient-centered care in accordance with professional practice standards that transform health outcomes for diverse populations.

Final Reflection

amanda/App1.MoranA.docx

Program Development 1

Professional Development PaperAmanda MoranWalden UniversityNursing 6000 Section 23, Success Strategies in the Master of Science Program in NursingSeptember 11, 2011Program of Study and Professional Development PlanAs I begin on this journey towards greater good I need to first develop my program of study and professional development plan. The purpose of this paper is to assist me in broadening my perspective on being a student and enable me to fully understand my personal and professional goals. In addition I will share my professional and educational background as well.Education and Professional BackgroundMy name is Amanda and I am a BSN, RN working at NuRoc Community Care Center. I teach CNA, psychology, and Medical Terminology classes at NWTC. In addition I field insurance claims from home. I am divorced and recently purchased a house in Northeast WI. I have three beautiful acres of land and love living here.I started my career at UW Milwaukee and got a bachelor’s degree in Kinesiology. I then went on to Marquette University to obtain my Master’s in Physical Therapy. After completing my MPT I went back to UWM to obtain my bachelor’s in nursing and Masters in business administration. I truly love knowledge and value my education.I have a lot of diverse experience under my belt as a nurse and prior to being a nurse. I worked for a year in the wound clinic at Freidert Hospital in Milwaukee. Here I treated all different types of wounds as a Physical Therapist. After becoming an RN I began to work at the Nursing home. This has tremendously expanded my critical thinking skills. I also worked at the hospital for two years mostly in oncology but also float/pool. In the midst of this I expanded my experience farther by obtaining my teaching certificate. I teach CNA courses and this semester for the first time I am teaching leadership development for associate degree nurses. I am very excited to start this course.How do you ever know if one is ready to start school again? I feel I am as I wish to advance in my current field and eventually own a CBRF in the near future. I truly love school and learning more about nursing. In the field I have been in many leadership roles, charge nurse, team leader, facilitator, MDS Coordinator. Being involved in leadership roles confirmed my desire to advance my career in leadership and administration.Professional GoalsThe purpose for my completing a graduate program was originally to take my mind of stress in my life but has evolved into an aspiration in owning a CBRF. I want to become DON at my current job to test out how I will do as a leader and authority figure. I would like to take on a role of staff development coordinator, which will incorporate my teaching skills and nursing skills. I also aim to obtain my MSN and use it to further my career as a nursing professional.Course Learning GoalsHealthcare finance and budgeting is probably the most important class for me to do well in. This course will assist me in having the necessary tools for eventually starting a CBRF on my own. In addition to this learning APA format will assist me in producing professional documentation and presenting my ideas professionally. In addition it will help me to effectively communicate with my coworkers. My goal is to be able to communicate effectively and be a respected leader in my profession.PracticumI have contacted a local nurse at the local clinic in Wausaukee to shadow her in practicum. I view practicum as the final and key tool in my learning success. It will let me take all, my knowledge and use it to treat patients in a real life setting. This will also teach me aspects of healthcare that you don’t learn online or in a book. The nurse I will be working with is a reputable member of society and she is an excellent leader and mentor. She feels confident that she will still be working at the clinic in two years.SummaryI am already familiar with the online learning curriculum, since that is how I got my teaching certificate. I look forward to moving ahead with my masters at Walden University. This experience should broaden and expand my horizons. On the next few pages I have completed my plan of attack for completing my master s degree in an efficient and timely manner.Program of Study FormMSNNAME:STUDENT ID:ENROLLMENTDATEPROGRAM:Nursing – MSN (BS to MSN)SPECIALIZATION:Leadership & ManagementFull08/24/2011CourseNumberCourse TitleSemester/Term to be TakenSemester Credit HoursCore Courses: (All core courses must be completed before starting the specialization courses.)NURS 6000Success Strategies in the Master of Science in Nursing Online EnvironmentFT1, 111NURS 6110The Nurse Leader: New Perspectives on the ProfessionFT1, 113NURS 6101Policy and Politics in Nursing and HealthcareST2, 113NURS 6125Integrating Theory and Research for Evidence-Based PracticeST2, 113NURS 6150Promoting and Preserving Health in a Diverse SocietySUT1, 113Specialization Courses: (Not transferable)NURS 6200The Nurse Administrator: Leading and Managing for ExcellenceFT 2, 124NURS 6210Health Care Finance and BudgetingFT 2, 124NURS 6220Human Resources ManagementST 2, 124NURS 6230Case Study: Quality Nursing in a Complex Health Care OrganizationST 2, 124Capstone Courses: (Final Courses in the Program.)NURS 6500Capstone: Synthesis Practicum ISUT 2, 123NURS 6510Capstone: Synthesis Practicum IINuRoc community care center3TOTAL35Transfer Credit Awarded (if any)CourseNumberCourse TitleInstitutionWaldenEquiv.SM/YRGR/CRTotal Transfer Credit       

amanda/App8amoran (1).docx

RUNNING HEAD: SUMMARY PROJECT 1

Running Head: SUMMARY PROJECT

Summary of Community Health Project

Amanda Moran

Walden University 6150

February 24, 2012

Summary of Community Health Project

This is the final summary of my community health project and its intended outcome. I plan to map out for my final conclusions and lead into my PowerPoint presentation created to supplement and summarize my project. I have designed the project with a very diverse population in mind. I am hoping that this paper along with my PowerPoint will present and tie together all three parts of my project.

The setting I designed my PowerPoint for is an online audience. I added very lively sound effects and photos to supplement the information provided and keep a varied and diverse groups interest in the presentation. I hoped to add a level of personal trust by adding personal photos to my PowerPoint along with the information and some very generic pictures. The design of the power is very simplistic to help the learner focus on the facts. The sounds effects were strategically placed to highlight the beginning and the end of the presentation and add a little fun to the presentation.

I plan to place this PowerPoint online along with a recorded lecture to accompany it and have the link to it on my Facebook page. This will give access to a large population at any time. Therefore people will be more apt to participate due to my projects accessibility. The easier it is to get involved the more likely someone will get involved. I am hoping that this will aid in maximum participation.amanda/APP8AMoran.docxRunning Head: PORTFOLIO 1PORTFOLIO 2Portfolio PaperAmanda MoranWalden UniversityDecember 23, 2011Portfolio PaperOne of the biggest eye opening topics we covered in this class was the topic of interprofessionalism. I have learned to respect and assist my fellow healthcare professionals. I now understand that by working together we can provide the most complete and highest quality of care available. This benefits me, my coworkers, my students, and my patients I treat. Collaborative nursing is working together as a team to fully meet the special needs of the individual patient. In reading and researching for this class I have come to the decision that collaborative nursing is essential for effective, safe, competent, and ethical nursing practices. I also learned to seek clarity in my role as a nurse and in the role of other health care providers in order to work effective in a collaborative relationship. If I clearly know my role and understand my coworker’s roles we will be able to understand how each one is helping to aid the patient in seeking and receiving medical treatment.I have learned so very much this semester about healthcare and healthcare reform. One of the most valuable insights I learned about in this class was the Wisconsin Nurses Association (WNA). After doing much research and using the website for a reference several times I have now joined the WNA and actively am participating in the letter writing campaign for staffing reform in Wisconsin. According to the WNA (2011) they are defined as a professional organization for nurses in Wisconsin to broaden their horizons, obtain details on new happenings in practice, education, research, legislation, and other areas affecting nursing professionals. The WNA website holds many answers to tough nursing decisions faced by nurses every day. There are forms and instructions for reporting things like unsafe staffing, abuse, neglect, workplace violence, and much more. The WNA also works hard to ensure nursing as a valued and growing profession in Wisconsin. There is access to scholarships to further education, question and answer forums, current legislation, and current licensing laws. Four times a year the WNA holds meetings and compiles a Working for You document, providing a snapshot of all we are doing to support WNA’s mission –“nurses caring for nurses and nursing supporting and advancing the profession of nursing.”(WNA, 2011). In addition to the politics there is information and forums for advanced practice nurses, Practical nurses, Registered Nurses, and Graduate Nurses as well. This association in a rich and invaluable tool for all nurses in WI.Nurses take an ethical oath when we get our license and become caregivers. We have a responsibility to a lot of different affiliations. My view on this is the same as it has been since I took Ethics and Values in the Health Professions as a freshman in college. I live by nonmaleficence, above all do no harm. According to Twomey (2008), this defines a basic part of the nurse-patient relationship as respect for patient’s dignity and self-worth. In any situation the nurse has to make a list of pros and cons and carefully weigh the outcome of all nursing decisions made. You always have a loyalty first to yourself and then each individual nurse will prioritize their loyalties and how they fall in place for them as an individual.

Twomey (2008) defines legal issues as one that has a specific law behind it and if not obeyed to full extent is punishable by legal consequences. Nurses are guided by a strict code of ethics and well defined laws to assist us in abiding by them. There and always a “gray” area in any well set of guidelines. In any situation I have found that with hard work and vast knowledge the ethical and legal aspects of nursing complement each other. In WI we have a very well set of checks and balances in our system.ReferencesWisconsin American Nurses Association. (December, 2011). Support the RN Safe Staffing Act. Retrieved from

https://secure3.convio.net/ana/site/Advocacy?cmd=display&page=UserAction&id=346

Twomey, J. G. (2008). Guide to the Code of Ethics for Nurses. Alexandria, VA: Grammarians, Inc.

amanda/last_paper_for_msn.docx

Running head: NURSING

NURSING 2NursingAmanda MoranWalden UniversityOctober 25, 2012NursingCase study; Poor Hygiene and Improper handling of Patients in Hospital WardsIn St. Francisca hospital, the issue of hygiene and cleanliness within and around the hospital’s wards is a factor that needs to be considered. In this case, there are health risks which are associated with the hygiene of the hospital.The wards are not regularly cleaned. This leads to unhealthy environment in the wards. Nursing becomes an issue as patients would always seize more time to recover. This is because of infection and re-infection with communicable diseases such as common cold, Tuberculosis, among others (Joan, 2010).The bedding in the wards is not cleaned often. In some cases patients are given clothing and bedding which had been used by other patients. This poses great risk to both the patients and the nursing staff. This condition can generate a series of infections whereby a patient can be infected with a new disease in the hospital wards apart from the sickness which he or she was already suffering from. In the case of sharing or using unclean bedding, such infections as skin infections are common among patients. Whenever patients use unclean bedding, they would come back to the hospital later with skin infections (Joan, 2010).Poor hygiene has also caused diarrhea among patients. Hospital cabins where patients keep their stuff are always dirty exposing the patients to high risks of infections. Stomach infections are common among patients being taken care of in improperly cleaned wards. The water used by both patients and the entire hospital is not safe for drinking. This leads to cases of stomach upsets and other difficulties. Patient use untreated water and the wards are rarely cleaned, and when cleaned, contaminated water is used. This water is obtained from the drainage system of the hospital. This is occasioned by the shortage of water in the facility forcing the workers to recycle water. The issue of recycled water leads to poor health conditions in the hospital.Patients in the hospital share items such as utensils, toilet papers among others. These pose a lot of risks as control of contagious disease becomes so hard to be attained. The hospital management has failed to offer enough of these facilities to ensure that there is no sharing of items. Disease control and quick recovery of patients is not enhanced (Paul, 2007).The shortage of items in the hospital has compelled the patients and care takers to resort to bringing items from the nearby hotels and other sources of food stuffs. This increases the risks associated with sharing of utensils since most of the food and utensils sourced from outside the hospital do not have guaranteed health conditions. Food and items from outside the hospital increases the health risks associated with hygiene since such sources are not closely monitored and managed (Joan, 2010).There is shortage of sanitary equipment within the hospital. Such equipment as gloves and disinfectants are not readily supplied to the hospital. This forces the nurses and other individuals to use bare hands most of the time while handling their patients. This poses a great deal of risk to both the nurses and the patients. There are high chances that the nurse can get infected with the diseases which the patients are suffering from. This is very dangerous since such cases can lead to re-infections (Paul, 2007).The choice of this case study is the magnitude of the risks that the case poses to the individuals around this environment. The level of exposure to health risks in such a condition is too high that it needs to be used to avoid a similar situation in any other health facility.Actions and Interventions to Solve the ProblemThe wards should be cleaned and hygiene maintained at all times. The hospital management should ensure that the environment within and outside the hospital is maintained at high standards always. This will control the level of infection and re-infections among the patients. It will also improve the rate of recovery among patients.The bedding and clothing used by the patients as well as the nursing staff should be ensured that they are clean and in good state. Whenever a patient is getting admitted, the management should ensure that he or she is given clean bedding and cloths which has not been used by any other patient. The management should ensure that there is enough supply of such facility in the hospital. Patients should not be left to share bedding and clothing. When this is ensured, the level of infection among the patients will greatly be reduced (Paul, 2007).The hospital management should ensure that there is enough and safe water to be used in the facility by all. The patients should get access to clean and safe water. If this is ensured, cases of diarrhea and other infections related to consumption of unsafe water will greatly decline.The management should ensure that items as utensils and toilet papers are sufficient in the facility. When the patients are not sharing such personal items as plates, spoons, toilet papers among other items, the rate of recovery is improved greatly and the infection and re-infection rate declines.The management should discourage the moving of items and utensils in and out of the hospital. Patients should use items which are strictly provided by the hospital. Items and food from outside the hospital should be discouraged as it increases or leads to poor hygiene in the hospital. The management should hence ensure that enough food and other facilities are availed in the health facility (Joan, 2010).Safety equipment such as gloves, towels, disinfectants among others should be availed in the hospital in sufficient quantities. The nurses should not encounter any challenges related to the shortage of these items and equipment. This enables the nursing stuff to work with minimal challenges and also ensure that cases of infection in the course of duty are greatly minimized. When there are sufficient facilities and equipment at the nurses’ and staff’s disposal, the treatment and care given to patients is highly enhanced. Lack of this equipment may lead to very deadly cases such as infection of the staff with HIV/AIDS, as well as spread of other infectious diseases among the patients and even to the staff. The nurses risk getting infected if they do not use the appropriate measures and equipment. The equipment is hence very crucial in maintaining a good service delivery in the hospital (Joan, 2010).Patients should also be educated on matters pertaining to health and the manner in which they should conduct themselves while undergoing treatment and care in hospitals. They should be educated on the basic hygienic measures and actions that they should take for a quick recovery.The staff should also be given regular training to ensure that they are at pace with the changing situations such as the utilization of new items. In such cases the management should ensure that regular training and close supervisions are given to the nurses and other staff to make sure that they conform to the expected code of conduct, such as the set ethics and basic rules and regulations of the system (Paul, 2007).Generally, the management of any health system or facility should ensure that optimum condition and environment is set to enable the stuff to work properly and assist the patients to recover sooner than latter.ReferencesRita, H. (2011). Forensic Nursing: A Handbook for Practice. New York; Jones & Bartlett Publishers.Susan, B. (2008). Nurse as Educator: Principles of Teaching and Learning for Nursing Practice. New York; Jones & Bartlett Learning.Paul, K. (2007). Nursing Informatics: The Impact of Nursing Knowledge on Health Care Informatics. California; IOS PressSadia, N. (2011). Nursing: The Ultimate Management Guide. Washington DC. Demos Medical Publishing,Joan, T. (2010). Leadership and Management in Nursing. New York; Jones & Bartlett Publishers.amanda/PA8Amoran .docxRunning Head: Summary 1Running Head: SUMMARY 3Professional Portfolio summaryAmanda MoranFebruary 25, 2012Professional Portfolio SummaryThe purpose of this paper is to evaluate how my expectation of evidence-based nursing has changed throughout this course. In addition I will explore how to apply research to my nursing practice in the future. Last I will evaluate how this will affect others I work with as well. All of these points will be evaluated and incorporated into this paper.How have my expectations of evidence-based practice changed?I have realized how important evidence –based practice is to the nursing profession. I never realized that most of nursing process comes from evidence based practice. We draw on evidence-based research for all types of things in the nursing field from what type of shoes we wear to how to administer medications. I never realized how imbedded in the field the research is. According to Parker and Smith (2010), a theory is an idea that “explains experience, interprets observation, describes relationships, and projects outcomes (p 7)”. This has many implications in the field of nursing. I plan to use evidence- based nursing practice to continue to develop and refine the nursing role.How will it affect others who work with me?I already see the effects of my interest in evidence-based nursing at my current job. I never complain about things instead I formulate a plan of action to change what I deem an unfit practice of nursing. I will research the topic in question and explore different proposed solutions to eliminate the issue. Other nurses that I work with have begun to make an effort to solve issues instead of making constant empty complaints. According to Parker and Smith 2010, a discipline offers a unique perspective or view of the problem. Using our judgment, research and practice, we are able to identify this issue and solution highlighting our clinical findings and nursing perspectives.I hope this paper gave you some insight into how I have grown as a nurse and how I will continue to grow. I plan to make evidence-based research an integral part of my nursing career. It has become an important and well used part of my nursing career. I hope to continue to be a contributing member of my healthcare team.References

Burns, N., & Grove, S. K. (2009). The practice of nursing research (6th ed.). St. Louis, MI: Saunders Elsevier. Parker, M. E., & Smith, M. C. (2010). Nursing theories and nursing practice (3rd ed.). Philadelphia, PA: F.A. Davis Companyamanda/PA8AMORAN.docx

Empowerment 1EmpowermentNursing 6100Amanda MoranOctober 27, 2011Empowerment 2This paper is a reflection on empowerment and how my organization empowered is. The first step is to define empowerment. Grossman & Valiga (2009) define empowerment as: “A process through which individuals feel strengthened, in control, and in possession of some degree of power.”(p 167). This is a good start to the idea but empowerment is so much more than a simple definition can provide for us.I work for NuRoc Community Care Center and on a scale of 1-4 they are a 4 as far as empowerment. Grossman & Valiga (2009) state that,”Nurses are empowered when a shared governance model is in place.”(p 167). This is very true at my job we set our schedules and work independently with one another to cover all shifts. We also are encouraged to actively participate in peer review. I feel peer review is one of the greatest methods of feedback and sources of empowerment a nurse can use. There is even a system in place if we feel we want peer review anonymously. The administrator randomly picks out a few people and has them fill out a peer review form. That form is then typed up and we can read them without knowing who is saying what. This is a great way to look at your work performance unbiased and find ways to improve you as a nurse.One of the “no” answers that needs to change is my organization should be pushing us to strive for excellence. In theory they think they are but it’s really a gets the job done without disrupting my schedule attitude. They are working on trying to change that and it is clear to staff but in the mean time they do not push excellence. Another no question that goes along with this is that the channels of communication are not always made open and clear. At times when in crisis I’m not always sure who to turn to in the administration. The administration has very poorly defined roles in the company. I’m never really sure who to talk to about things theEmpowerment 3director of nursing, assistant director of nursing, administrator, human resources etc. This gets discouraging and overwhelming for staff members and some will even give up.I am taking it into my own hands to empower myself and going to school to get my masters in nursing. As mentioned by Grossman & Valiga (2009) the most significant source of empowerment for nurses is knowledge. We gain knowledge in many ways throughout our lives and careers. The most influential way is through schooling and credentials. Think about how you choose a doctor or a lawyer, you look for their credentials. Well nursing is the same the more credentials the more book smarts a nurse has. Do not forget that a lot of important knowledge comes through experience as well. Learning to communicate effectively with others and handle situations comes from experience.Empowerment 4Reference pageGrossman, S. C., & Valiga, T. M. (2009). The New Leadership Challenge: Creating the future of nursing (3rd Ed.). Philadelphia: F. A Davis.amanda/PA8AMORAN.pptxCommunity Health Project Amanda Moran Nursing 6150 February 2012Drinking In Wisconsin“ 1 in 4 kids in Wisconsin report having more than a sip of alcohol before the age of 13” Hochstedler (2009). This picture is a “Sunday Fun day” with a mother and daughter starting the day with Bloody Marys’s at the local Tavern.. Marinette County reports alcohol abuse in 41% of the population. This is almost half of the persons living in Marinette County.Changing the CultureAccording to the WHD (2010) WI has 1 tavern to every 7 people and 30 people to every square mile, that’s four taverns per square mile and that is 4x the national average. Its in the Culture!Implementing ChangeChange behaviorChange cultureChange the examples setChange educationChange activitiesImplement and Carry outUtilize local resourcesFamily fun night and alcohol education and outreach programAlcohol free activities in the communityPromote alcohol education in the schoolFacebook page for education and promotion of community events.Instill a sense of pride in the community and utilize volunteers to assist in execution of family education programsIncrease involvementFacebook-increase involvementRespected Community membersFire department, Rescue squad, School teachersLocal businesses to facilitateEffectivenessSurveys prior to startingEvaluate education level of subjectsEvaluate education on subject matterPost test to evaluate effectiveness and need for change or further educationContinue ChangeSpread the WORD!!!!Flyers, Facebook events, raffle tickets…Raise donations 50/50 raffles, meat raffles, silent auctions…Soup walks, dances, bike runs….Change is always a chance for us to grow and learn ! Accept new ideas and ways of living, learn from it, grow with it, and accept it!References

Marinette County Department of Health and Human Services (2011). Census and Statistics. Retrieved from: http://www.MCDHH.census.gov.

McGraw, P., (2011). Parents Set the Example. Retrieved from: http://drphil.com/articles/article/466. Updated August 2011.

Wisconsin Health Department. (2010). Impact of Alcohol on Wisconsin. Retrieved from: http://www.whd.gov/alcohol/u

amanda/PA8Amoran1.pptx

Learning Experience Summary

Amanda Moran

Portfolio

April 17, 2012

Chief Nursing Officer

“There are six themes critical to the work of the CNO that include communication, continuous learning, quality health care, partnerships, relationships, and future orientation. “ (Roussel, 2009, p.10).

All of these elements are what make the CNO an effective leader.

The CNO at my facility definitely fits the role of a transformational leader. Grossman and Valiga (2009) defines this as, “leaders and followers raise one another to higher level of motivation and morality.” (pg. 63).

She motivates but maintains the separation between friend and leader.

Importance of always being on stage and in control.

Employees view you as a role model and a source of guidance.

Must maintain a positive working environment and working relationship and trust with employees.

Director of Environmental Services (DES)

The primary role of the DES is to develop, implement, monitor, and maintain environmental policies and procedures for promoting a sustainable environment for both the public and private sector in the healthcare facility.

This is the framework for all other departments in the facility.

Ensure proper training of the staff and recognize their contribution opt all levels of healthcare.

Learned to budget time by making a detailed list of duties for the day.

Organized leaders are effective leaders and set a positive example

Maintain cleanliness throughout the hospital and order and supply needed ancillary suppliers for nursing staff

Build a strong bond between nursing staff and ancillary staff

Important for building a positive work environment

Clark (2008) pointed out that leadership is not simply handed over to individuals to be used without action, we must embrace our role, envision change and make it happen, and create opportunities that were absent before.

I learned to foresee the present and the future and think of how my decisions will affect now and the future.

I also learned to look at how my decisions affect others. The DES was always getting others input on different changes.

Healthcare compliance specialist (HCS)

Above all I learned to be a follower as well as a leader from the HCS.

They took charge and lead when they needed to but when they did not know they asked and followed.

Employee respect was gained and maintained by being a great follower and leader.

“The quality of medical information is particularly important because misinformation could be a matter of life or death.” (Eysenbach, 1998).

I learned to always check and double check the facts before using any information.

The HCS was constantly using literature and research to make changes and better the working environment.

All sources available should be used to make change

Effective leaders not only make change but justify and support it with research and facts.

HCS taught me to present the proposed idea and then get employee input

Employees will more readily support and adopt change if they are a part of it.

The HCS is the direct link between the recipients and providers of healthcare and how it is being provided in their institutions.

So in order to be effective you have to be respected and trusted.

Getting others involved develops a sense of community and pride and increases compliance.

Learned

After taking this class I have learned some important things.

1. A good leader is a respected leader.

2. Respect comes from setting the example and giving it.

3. Making the transition from friend to leader is hard but you have to do it to become a good leader.

References

Stull, D. N. & Houlder , D. (2005). Do your commitments match your convictions? Harvard Business Review, 83(1), 82–91.

Grossman, S. C. & Valiga, T.M. (2009). The New Leadership Challenge: Creating the Future of Nursing. Philadelphia, PA: E.A. Davis Company.

Roussel, L. (2009). Management and Leadership: For Nurse Administrators. Sudbury, MA: Jones and Bartlett Publishers.

Clark, L. (2008). Clinical leadership: Values, beliefs, and vision. Nursing Management, 15-30.

Eysenbach, G. (July, 1998). Towards quality management of medical information on the internet: evaluation, labeling, and filtering of information. Retrieved from Business Management journal website: http://www.bmj.com/content/317/7171/1496/short.

HCCA (2012). Compliance oversight for health care leaders training video. Retrieved from http://www.HCCA-ingo.org.

amanda/Week8ProjP2+Swenty+A.docx

Running head: Quality Improvement 1

Running head: Quality Improvement 2

Quality Improvement StrategiesAmanda SwentyOctober 23, 2015

Walden UniversityQuality Improvement strategiesAccording to, (Boone, 2006), quality can be defined as the standard or rather the characteristics of a product or a service that makes it suitable to satisfy the needs is meant to fulfill. Every product and services quality determines it worth to whatever it is meant to do. As technology and as days go by, the needs a product or service needs to fulfill get more complex and urgent hence the need for improvement is necessary so as to improve the quality of product or services offered.Health care is one of the most urgent and most important part in a human life hence needs to be handled with caution and expertise. Regular update and quality improvements on noted issues that drag the quality of healthcare services are of essence. In recent past, over-use and under-use of services are two dominant issues that have been noted to be so rampant in health care units that have been a thorn in the backbone of quality service production. Over-use of services occur where a patient receive unnecessary services that are not really needed which may actually endanger their life. Based on research and news, (quality, 2002), in America, it was discovered that at least one out of six operations conducted on patients is usually unnecessary.On the other hand, under-use of services is where the patients do not receive adequate healthcare and intervention as required which leads to further complications, added healthcare cost or even death. According to research, it was realized that in America, among all the patients who experienced heart attack, only 21% received beta blockers. A whole of 79% didn’t receive the beta blocker services hence endangering their life or condemning them to future complications which means added healthcare problems and cost.This two issues cause a huge drag on the quality of healthcare qualities and hence need to be addressed systematically to avoid future recurrences. There are two quality improvement strategies that have proved to be quit outstanding in addressing such issues, the six sigma and the PDSA improvement strategies. The PDSA, Plan-Do-Study-Act model is a quality improvement strategy that aims at encouraging positive changes in health care services and processes in order to effect favorable positive outcomes. This is a method that uses a cyclical model to impact change.The cycle starts by identifying the nature and scope of an issue. It evaluates what changes can or rather should be made and then it formulates a plan for a specific change. The plan allocates resources to be involved, it determines ways to determine the impact this issues cause the heath sector and how to counter the issue. The measure set implement set changes that collect any necessary information on the issue and an analysis of how to counter it and the results are assessed and interpreted. The feedback from the assessment are then used to take action on the issue and implement change, (Lohr KN, 2006).On the other hand, the six sigma model involves, improving, designing and monitoring a process to minimize errors and issues so as to increase satisfaction. It’s a model that uses inspection process to count and detect issues in a process and uses a statistical table converter to convert defect rate to a sigma. This method identifies the project, it reviews its historical data and defines the projects scope of expectations, it detects any flaw in the scope and measures its intensity and effects on the project (healthcare services), analyzes it and finds a way to improve the nature of the problem and if not possible to improve it, it tries to control the issue and its effects, (Report, 2006).Application of any of this two model strategies in a healthcare organization would aid minimize or totally eliminate the threat to quality, over-use and under-use of services.References Boone, L. E. (2006). quality. Lohr KN, S. S. (2006). PDSA model. quality, A. f. (2002). improving healthcare quality. Report, N. H. (2006). six sigma model. Rockville, MD.identify nature and scope of projectevaluate changesformulate planimplement planget implementation feedbackaction depending on feedbackamanda/WK8AssgnMoranA.docRunning Head: BUSINESS PLAN 1BUSINESS PLAN 2Business PlanAmanda MoranNursing 6210June 20, 2012IntroductionThe Select Specialty Hospital (SSH) is a business oriented unit aimed at improving the life quality by drawing its focus on:· Treatment options· Prognosis· Advance care planning and goal care· Psychological, emotional and physical suffering· Bereavement needs· Functionality capacitySelect Specialty Hospital will improve the life quality of the individuals that are seriously suffering life threatening illness. For this to be enhanced, the organization will address their unique and diverse needs through compassionate, multidisciplinary and comprehensive care. The physicians, nurses and other healthcare providers will be the main beneficiaries of this additional service by becoming more comfortable and familiar with the issues pertaining end of life and due to the role of the consulting service in fulfilling the critically significant, yet unmet patients’ needs.The financial impacts and budget implicationsBy the employment of the appropriate model for projecting the total consult volume, the total number of patients that are appropriate for consultation into palliative care will be identified. By the end of the second financial year, a total of 700 patients are projected to be contacted. The consult volume projections will continually be made for the first financial year all through the year 5 of the service operations on the basis of the assumed capture rate in the initial year. In addition, these patients are expected to encounter high cost of stay in the hospital.Staffing financial projectionThe staffing for service in Select Specialty Hospital will be based on the other projections such as patients expected admissions. For the first financial year, full support will be required from a chaplain, full time nurse practitioner as well as a social worker. The continuing support for the director is also proposed. By the year 1, the total salary increment is going to be $1.02 million. After addition of the year funding towards outreach and education ($18,605), as well as the supplies and office space ($13,234),the total funding will be $ 345,000 for the first financial year.The service cost saving is determined on the basis of the validated model (Hearn, 1998). On the basis of this method, we project a net gain of $6, 465 by the end of the first financial year. In the third year of operations (FY3), despite the requirement of an increased salary support, service is expected to result to a net gain of $192, 717.The consult service financial impact was also evaluated with an aim of determining the radiology utilization, use of high cost pharmaceuticals as well as the total number of patients required for the inpatient hospice. Out of the 789 identified patients, a total of $1.3M was observed to fall in the high cost pharmaceuticals, a total of 1,398 MRI’s and CT’s and 351 performer intervention radiology procedures. By incorporation of this model, the fist financial year is expected to result in 189 fewer inpatient CT’s, as well as 50 lesser patient for the interventional procedure of radiology. The revenue resulting from increasing radiology availability and increased usage of inpatient hospice combined with the physician billing revenue results in added revenue of $81, 654 for the first year (FY1).Projects volumes of service unitsCosting and pricingThe total starting capital for this business is $ 454, 647. This amount is expected to be repaid by the end of the third financial year. For the break-even analysis, the calculation of the fixed costs is done as a day to day running expense with the averaging being done at the course of the year. For this business, fixed costs will be inclusive of the owners’ salary, technical and legal support, the necessary insurance cover, employee salary and benefits as the continuous training and education. The variable costs are inclusive of direct costs per chiropractic care patient (Schmidt, 2011).Projecting the sales and losesThe sales are projected to increase from less than $450, 000 to more than $1.1 million by the end of the fourth financial year. Based on the nature of the business (service oriented with no need for expensive inventory or costing), modest profits are expected in the end of the FY1. Based on the fact that the year round residents are expected, the growth is hence projected to be linear as opposed to the cyclical trend. This growth is projected to level out somewhere in the middle of the FY3 as the maximum capacity is reached. Before this point, the business plan will be reviewed with an aim of determining if viability and need for space addition.When it comes to the breakeven, there is conservative projection in terms of cost of sales, fixed costs, as well as gross margin. The costs of sales and fixed costs have to be marginally lower in reality, with the gross margin being higher in comparison to the projection. Conservative projection is preferable as a way of ensuring adequate cash flow.Salary expenseDescription Expense per yearChaplain $250,000Registered Nurse (RN) $108,000Physician $180,000Case Manager $121,000Part time RN $98,000The financial projectionsThe management projects continuous profitability in Select Specialty Hospital (SSH), with an ability to generate more than $300, 000 by the end of the third financial year (FY3). The patients coming from the other services (trauma surgery, neurology, general medicine, cardiology, pulmonary, oncology and neurosurgery) are expected to be continuously transferred to the unit after clarification of goals has been facilitated by the Select Specialty Hospital team. Treatment of these transfers will incur lower costs in comparison to the previous services. Based on this understanding, the SSH projects an average of $750, 000 in cost-avoidance annually by the end of the fourth year of operations.For example, assuming that everything will constantly remain as projected, the management projects that the hospital will be able to welcome more than 200 transfers of patients from other units to Select Specialty Hospital. Given the adjustment to inflation and economic condition four years from the onset of this business, the average costs in Select Specialty Hospital be approximately $1200 on a daily basis less in comparison to the to the other units. Even by taking a conservative approach whereby direct cost is used as opposed to the total cost, almost $400, 000 is still projected in cost avoidance per transfer. This savings are projected to increase to $1.2 million in direct cost avoidance by the end of the fifth financial year.Notes· The growth towards the end of the FY3 will prompt addition of 4 more consults on a weekly basis in the second quarter, 12 more consults in the fourth quarter· The FY3 is expected to record an increase in admission of 300 more admission by the end of the financial year· The projected total expenditure encompasses $90, 000 that will be spent in hiring additional personnel by the end of the FY5.ReferencesHearn, J. (1998). Do specialist palliative care teams improve outcomes for cancer patients? A systematic review of the literature. Palliative Medicine, 12: 319-332.Miller, S. (2010). A Model for Successful Nursing Home–Hospice Partnerships. Journal of Palliative Medicine. 13 (5): 525-533.Miller, R. (2012). Chapter 22: Hospice & Palliative Care. Healthcare Business Market Research Handbook. 131-133.Schmidt, K. (2011). Pediatric Palliative Care: Starting a Hospital-Based Program. Pediatric Nursing. 37 (5): 268-274.amanda/wk8assgnmorana6220.docxRunning head: STAFFING DEVELOPMENT 1STAFFING DEVELOPMENT 7Staffing DevelopmentAmanda MoranWalden UniversityNursing 6220

August 14, 2012The process of staffing a hospital is an important matter because it has tremendous effects on the quality of care and patient health outcomes. Hospitals with good staffing ratios generally record better patient health outcomes compared to the hospitals with poor staffing ratios. Hospitals with low staffing levels have a high rate of bad patient health outcomes and experience high levels of preventable diseases like pneumonia, shock, cardiac arrest and urinary tract infections (Ramey & Sefani, 2010).Staffing is always a costly feature in a hospitals budget. The justification of staffing needs in health care settings is based on the number of patients, the list of activities that are performed on the patient that need to be considered in the entry in the budget and the hospital standards of care (Joint Commission Resources ,2007).The factors that will determine the composition of the staffing for the health care project are the number of patients, the services to be offered at the hospital and the specific patient functions that the hospital needs to perform on its patients. The staff required for the Operationalization of the hospital includes,1) A hospital manager (one position)The hospital manager acts as the business manager or the chief executive officer of a hospital. The hospital manager is responsible for watching over the day-to-day activities of a hospital. The hospital manager coordinates the setting of the priorities for the hospital (Simone, 2009). Since the hospital is average, sized one hospital manager can effectively be responsible for overseeing the day-to-day running of the hospital.2) Hospital techniciansVarious types of hospital technicians are required to assist doctors, nurses and hospital administrators in the provision of care.The technicians that are required at the hospital include,Health information technicians Health information technicians keep track of the health records of patients like medical history and insurance using coding systems and other specialized software. Health information they help keep track of the diagnosis, the medical procedures and prescriptions (Swanburg & Richard, 2002). The hospital requires two health information technicians; one for the day and one for the night shift.Laboratory technicianLaboratory technicians conduct tests for diagnosis for planning the treatment of patients. They also collect and prepare laboratory samples for testing and operate testing equipment (Simone, 2009). The hospital requires two laboratory technicians: one to work during the day and the other to work at night.Pharmacy techniciansPharmacy technicians are useful in hospitals because they assist pharmacists in labeling, preparing medications and keeping inventory of patients (Ramey & Sefani, 2010). The hospital requires three technicians to simplify the process of issuing medication and alternating between night and day shifts.Registered nursesRegistered nurses help families and individuals to promote health and prevent diseases. Registered nurses care for the patients in hospitals, coordinate the care of patients and provide patients with emotional support. Registered nurses are trained to degree level (Simone, 2009). The hospital requires 20 registered nurses so that there can be a reserve of registered nurses for alternating between night and day shifts.Practical nursesPractical nurses work in providing nursing care to patients under the guidance of the registered nurses and doctors (Simone, 2009). The hospital’s requires 15 registered nurses to be able to achieve adequate staffing for both night and day shifts.Nursing aides and nursing attendantsNursing assistants and attendants help nurses in providing basic care for patients in hospitals. They visit patients, move patients around hospitals and offer emotional support to patients. They also provide care to patients with physical disabilities and other health care needs. They usually do not hold any mandatory professional requirements to practice (Joint Commission Resources, 2007). The hospital requires ten nursing assistants so that they can be alternating well in the night and the day shift.Secretary/administrative assistantA secretary or administrative assistant performs duties like correspondence, typing and arranging for meetings. Secretaries also do bookkeeping, update websites and arranging travel arrangements (Simone & Sefani, 2010). The hospital requires two secretaries, one to work during the night and the other secretary to work during the day.ReceptionistReceptionists are the employees that take up office and administrative positions usually done in a waiting area. Receptionists are needed in hospital to be able to welcome and direct patients answering from patients and directing patients to the appropriate room (Simone, 2009). The hospital requires two receptionists, one to work during the day and the other to work at night.Doctors and physiciansSince the hospital will be operating on a 24-hour basis and serving a substantial number of patients per day, the hospital requires three full time doctors at the hospital facility.Recruitment processThe process of recruitment of new staff at the hospital is not an easy one. The hospital has stringent criteria of making sure that it hires the competent physicians and other health practitioners that cannot put the lives of people in danger. The plan for the hiring staff at the hospital will be done in stages.The first step is the preparation for hiring staff at the hospital. The hospital will evaluate its requirements of staff and then determines the positions that should be filed. If there are vacancies to be filled, the hospital management will grant permission for the advertisement of the vacant positions.The next step is making a request for submission of applications for the position from various potential employees. The hiring process then begins with a medical recruitment team evaluating the potential candidates on three aspects, the possession of the required qualifications, their attitudes to work and the experience level of the potential employees. The medical recruitment team will also perform some background checks of the candidates to ensure that the medical staff backgrounds are very clean.When a suitable candidate is identified, the employee will be made to sign a contract that binds the medical personnel and makes them responsible for their own actions. An orientation process is then carried out to familiarize the employee with the working processes and the culture of the hospital.A summary of the projected working schedule of staff at the hospital and expected salariespositionNumber of hours of work per dayExpected salary and other perks per yearProvision for overtimeHospital manager8-10$8000020 $ per hourRegistered nurse8-10$ 66095$ 18 per hourPractical nurse8-10$41546 per year$16 per hoursecretary8-10$33411$10 per hourreceptionists8-10$32411$10per hourLab technician8-10$36000$15 per hourPharmacy technician8-10$37000$12 per hourNurse assistants10 hours$ 26500$10 per hourDoctors and physicians8-10hours$180-200,000$50 per hourReferencesJoint Commission Resources (2007) Staffing effectiveness in hospitals. New York: Author.Ramey, M., & Sefani, D., (2010). The Leaders Guide to Hospital Case Management. London:John & Barlet LearningSimone, K., (2009). Hospital recruitment and retention building a hospital medicine program.New York: John Wiley & Sons.Swanburg, R., & Richard, S., (2002) Introduction to management and leadership for nurseManagers. London: John Bartlett learning.

Standardized Clinical Placement

Amanda Swenty

MSN-Learner

Walden University

NURS 6600

April 30, 2016

Introduction

Summary of Practicum Project Topic

Project Goals

Project Objectives

Rationale for Goals

Practicum Project Methodology

Practicum Project Findings

Conclusion

I would like to welcome the faculty and course members to this presentation of a topic that I am passionate about as a current faculty member. This project will explain in detail the need for a standardized placement tool for academic settings and hospitals to use.

2

Current difficulty placing students in the clinical setting

Limited sites for faculty led/preceptor led clinical

Disorganized Process of placement of students

Current placement is done individually by each site and it time intensive

Current process shows favoritism

Summary of Practicum Project Topic

As a former student I have felt the pains of placement for students in the clinical setting. As a faculty member I have been exposed to the difficulties that placing students has placed on the colleges and faculty, and the hospitals that host students. The difficulties are in the following areas:

Lack of qualified faculty willing to be flexible in unique clinical times (weekends/nights)

Poor communication between the school/hospital

Time extensive placement for current process ( School sends a request, hospitals wait for requests from all colleges before approving, placement approvals/denial sent back to college). This process can take up to months for a response.

Due to the poor communication sites are limited as managers don’t respond timely so sites go without students on site

The faculty from each college and placement coordinators from each hospital all meet monthly to discuss process. At this meeting it was discovered that one hospital places favoritism to the college associated with them and also the technical college as they have tenure with them. This makes fair placement an issue.

In the Greater Green Bay Healthcare Alliance meeting I presented the proposed topic for approval on April 8, 2016. The above listed issues were discussed and all members agreed to provide data to make placement a standardized process. All faculty and placement coordinators agree to provide all data available to create a useful tool that can be used by all members for student clinical placement.

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Project Goals

Gather all necessary information to create an effective standardized placement tool

Create a standardized student placement tool

Presentation approved by the Greater Green Bay Health Care Alliance

Successful completion of this course to better prepare me for this advanced degree in nursing

The project goals that I have set for this project are related to the creation of a standardized tool that can be useful for academic setting and healthcare facilities to use to place students in the clinical setting. As listed in the introduction the current process lacks organization, standardization, and shows favoritism to certain academic settings, leaving the rest to “fight” for sites.

At the end of this course I hope to have created a tool that will support the placement of every nursing student in the Green Bay area in the five hospitals that place students.

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Rationale for Goals

Comprehensive information to build standardized plan is imperative to success of this plan

If this plan is successful there will be:

Decreased frustration for academic settings and hospitals regarding current placement methods

Decreased time allotted to Deans and placement coordinators for current placement efforts

A standardized placement that will be useful for all involved.

This means working with many different organizations at one time. Getting all the information into one standardized place in a main system is the goal set about by the rationale used for the goal.

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Program Objectives

Objective 1:

By the end of nursing 6600 I will be able to effectively communicate my role as clinical coordinator to students and university staff/leaders as defined by evidence-based practice.

I was clearly able to define and outline the role of clinical coordinator. In doing this I was able to lay the groundwork for bridging the gap between clinical instruction, students, and clinical sites in the greater Green Bay area.

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Program Objectives

Objective 2:

By the end of nursing 6600 I will have undergone the experience necessary to expand on conflict resolution skills. This experience will be gained from the practicum mentor who is a member of fulltime faculty at a private college with 4 years of tenure. This will guide me to be a more effective leader.

The past decade has seen a significant increase in the use of electronic media in educational settings. This use of technology has created many opportunities to develop new teaching strategies in nursing. Of concern, however, are challenges facing faculty who did not “grow up” in the computer age. Today’s expectation that faculty will use electronic technologies in their teaching can be particularly stressful for nursing faculty with little or no computer knowledge. This can be compounded when the faculty person is teaching many students who have grown up in the computer age. As nurses, leaders, and professionals we need to be able to cope with such conflicts effectively in order to engage everyone in a learning and safe environment.

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Project Objectives

Objective 3:

By the end nursing 6600 I will have acquired the skills necessary to analyze and effectively evaluate situations. Specifically to this project the standardized placements for clinical sites for students in the ADN and BSN programs

Throughout this experience I have developed a tool to quickly identify open clinical sites for students and at what facility. Takes a great amount of stress off the faculty and the institutions in which the students are sent for clinical experience.

This tool will be useful for 4 acute care medical facilities and 4 academic setting. Presentation to the Greater Green Bay Healthcare Alliance committee takes place May 13, 2016. The roll out of the program will depend on how the committee wants to proceed.

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Practicum Project Methodology

Fundamental research- consists of the following attributes:

◾Aims to solve a problem by adding to the field of application of a discipline

◾Often several disciplines work together for solving the problem

◾Often researches individual cases without the aim to generalize

◾Aims to say how things can be changed

◾Acknowledges that other variables are constant by changing

◾Reports are compiled in a common language

(Allan, AJ, Randy, LJ, 2005)

For this project I did the following:

Used questionnaires, interviews, and surveys to determine the degree to which the project is solving the problem meant to attend

And to gather information from the audiences. The questionnaires will be open ended or cross ended.

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Practicum Project Findings

This is the tool we developed for presentation. It includes the schools, number of students, clinical sites, and clinical sites available for students at each site and in which location.

The schools provided the information for us via email, surveys, in person meetings, and questionnaires.

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Conclusion

This research contributes to the identification of the skills that play an important role in the nursing leadership.

Informatics skills are important in the current technological world.

Moreover competence in leadership and informatics is essential for the success of nursing leadership

By integrating clinical placement and clinical site to a central location we are integrating the clinician and the faculty. This sets leadership role example for future nurses and students.

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References

Allan, AJ, Randy, LJ, 2005, Writing the Winning Thesis or Dissertation. A Step-by-Step Guide, Corwin Press, California

Herrin, D., & Spears, P. (2014). Using nurse leader development to improve nurse retention and patient outcomes. Nursing Administration Quarterly, 31(3), 231-243.

Conger, J.A., Spreitzer, G.M. & Lawler, III, E.E. (eds.) (1999). The leader’s change handbook: An essential guide to setting direction and taking action. San Francisco:

References Continued

Small, S. 2012: Bridging Research and Practice in the Family and Human Services, in: Family Relations, 54, 320-334.

Tanenbaum, S. 2011 Evidence-Based Practice in Mental Health: Practical Weaknesses Meet Political Strengths, in: Journal of Evaluation in Clinical Practice, 9, 287-301.

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