Wgu At1 Task 1

Management of the acutely ill adult is a complex and perplexed procedure. It requires underpinning knowledge of the pathophysiology of the disease currently affecting the patient, as well as ensuring that professionals are equipped to deal with the development of a rapid deterioration. The National Institute for Clinical Excellence (2007) explain that patients are sometimes inadequately treated due to staff not acting in a sufficient time manner, and so a systematic assessment of the patient recommended by the Resuscitation Council (2006) should initially be followed (Jevon, 2009).

Nightingale Community Hospital identified a recent sentinel event involving the ambulatory surgical center. A sentinel event is defined as an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof (http://www.jointcommission.org/sentinel_event). A three year old female presented to the hospital on September 14th for a planned outpatient procedure. The child was accompanied by her mother. The mother registered the patient with the registrar prior to the procedure. The patient and her mother went to the pre-operative area to complete the informed consent and the necessary physical assessment. The pre-operative nurse obtained the necessary contact

A. Nurse sensitive indicators are factors that are directly impacted by nursing.  There indicators fall into three categories; structure, process and outcomes of nursing care.  The structure indicators are the organizational piece of nursing care. These relates to the amount of staff on duty at a given time, how many RN's are on duty and experience level of the staff. For example, evidence indicates institutions with a higher number of RN’s possessing a Bachelor Degree in nursing result in improved patient outcomes. The process indicators measure nursing care such as patient assessment, patient care and intervention. These are the organizational policies and procedures of nursing.   The patient outcomes are indicators directly related to

Cognitive Development refers to the construction of the thought process that includes problem solving, remembering and the ability to make decisions, from childhood up to the adulthood stage. Cognitive/Intellectual Development is the ability to learn, reason, and analyze the fact that a process begins from infancy and progresses as the individual (Educational Psychology). Cognitive Development contains events that are logical, like thinking and remembering. Some factors remain the same throughout many of the theories on cognitive development. All theorists agree that people go through specific steps and/or

Association gave [city/county name] a grade of “C” on the number of Ozone Days. This was

As Jane was presenting with a symptom of a life threatening event it was important that treatment was immediate. Priority was initially made from assessment of the airways, breathing and circulation, level of consciousness and pain. Jane’s respirations on admission were recorded at a rate of 28 breaths per minute, she looked cyanosed. Jane’s other clinical observations recorded a heart rate of 105 beats per minute (sinus tachycardia), blood pressure (BP) of 140/85 and oxygen saturation (SPO2) on room air 87%. It is important to establish a base line so that the nurse is altered to sudden deterioration in the patient’s clinical condition. Jane’s PEWS score (Physiological Early Warning Score) was 4 and indicated a need for urgent medical attention (BTS 2006). Breathing was the most obvious issue and was the immediate priority.

| 1. Complete the Teamwork section of the course of study. 2. Schedule and conduct first team meeting (Note: Detailed instructions for scheduling the first team meeting can be found in the course of study.) 3. Complete the Team Contract and have team leader submit to

I would involve all who concern by starting with the children while understanding the sensitive nature of this group, i.e. their culture, traditions, and values. Increase access to health risk assessments to control high blood pressure and obesity. I would promote, design and plan a program to make eating healthy for the residents who do not have access to affordable options. I would prevent and reduce food insecurities, obesity and diabetes by designing concepts for a healthier and reasonable community.

In the year 2014, sixteen people were killed every week by train accidents. Chelsea is a small suburban town in the state of Alabama. It is located just miles south of one of Alabama's largest cities, Birmingham. There are many railroad crossings located in the city of Chelsea, but the crossing located on Highway 377 is not up to date on safety features. The plan is to use Chelsea’s Public Works leftover to build crossing gates and warning signals, and since there is money left a donation will be given to the Chelsea schools.

This report demonstrates the current financial situation for the Stratton Township Park and makes recommendations for the annual program budget for the next fiscal year. We first show the current annual budget program, indicating line-item details for each function by account and summarizing the park budget as a whole. Second, we find the break-even points for the golf course green fee and the pool admission to determine what the park would have to charge in order to cover expenses of the these operations. Next, we calculate the marginal revenues and expenses to determine the impact of shutting down certain programs in the park. Lastly, this report prepares the revised budget for the upcoming fiscal year based on our recommendations.

There are errors and hazards in care that occurred in the Mr. B scenario. One error was the emergency room physician’s failure to recognize the signs and symptoms of deep vein thrombosis (DVT) that Mr. B was presenting. If not treated early, a DVT can become a pulmonary embolism, a fatal condition that Mr. B unfortunately developed. Another error in care that happened in the Mr. B scenario is the nurses’ failure to monitor Mr. B’s ECG and respirations. Early detection of critical ECG and respiratory changes could have initiated medical interventions that would have saved Mr. B’s life. One hazard is the emergency room nurses’ heavy patient load at the time of Mr. B’s sentinel event. Another hazard is having a licensed

These patients are more at risk of developing sepsis because their immune system may not have the capacity to fight off the infection as the rest of the population (McClelland, 2014). If sepsis develops in a patient, especially a patient who is more at risk, it is important for the nurse to recognize that an infection has developed such as redness, swelling, fever, and drainage. The nurse should assess the patient for possible signs and symptoms of infection including a urinary tract infection, infection in a wound either from diabetes or a surgical wound and presence of a respiratory infection (Bernstein, 2013). An infection can occur anywhere in the body and completing an assessment is important when there is an infection present. If the infection is ignored or not treated, it can become systemic. A systemic infection will destroy the tissue and can eventually reach the blood stream causing a fever, increased heart and respiratory rate, decrease in blood pressure, increase in blood glucose, altered mental status and a severe increase or decrease in WBC. Once treatment has been initiated, how the body responds to the treatment will depend on the severity of the sepsis. If the body does not respond to the rapid fluid replacement or other measures to sustain life, then the patient is in septic shock (McClelland,

The Revised Atlanta Classification now divides AP into three classes of severity. It is mild, moderately severe or severe, whereas the previous classification referred only to mild and severe AP. Factors that determine the severity of disease include the presence of transient or persistent organ failure, and local or systemic complications. Mild AP occurs in the majority of patients with AP. It is characterized by the absence of organ failure, local or systemic complications. These patients are usually treated conservatively, do not often require imaging and may be discharged in the early phase. Symptoms usually resolve within 1 week. Moderately severe AP, this additional severity subtype was added in the most recent revised Atlanta Classification. It includes patients with AP and transient organ failure less than 48 hours and/or local complications. Mortality is much less than in those with severe disease. Severe AP is characterized by persistent organ failure for more than 48 hours. POF may involve one or multiple organs. Severe disease is associated with a mortality of 36 to 50% (17).

Within 1 hour of chest pain onset, the patient will: Display vital signs within normal limits and display normal depth and rate of respirations

inflow of patients is higher than the available beds. You are treating an elderly man who is breathless and cyanosed. While you assess whether he has chronic obstructive pulmonary disease or heart failure, he becomes drowsy and starts gasping. You quickly intubate him with some difficulty, prolonging his period of hypoxia, and put him on ventilator support. You then get a phone call from a senior consultant in the hospital that an important social activist is about to arrive with chest pain and will need to be admitted. You are directed to