How nursing informatics or technology in health care will help or hinder leadership

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How nursing informatics or technology in health care will help or hinder leadership
Compilation Summarize, in 3-4 pages, this assignment that provides information from Weeks 1 to 4. In addition to the work you completed in the last four weeks, your assignment should also:
• Include an introduction and a conclusion.
• Implement the recommendations from the instructor.
• Describe the role of nursing informatics.
• Explain how nursing informatics or technology in health care will help or hinder your leadership. Support your responses with examples.

Unionization and the Nursing Profession Essay Assignment

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Unionization and the Nursing Profession Essay Assignment
Unionization is a highly charged topic. No matter what your beliefs or thoughts are on the subject, one thing is clear—nurse managers have a significant responsibility to promote the goals of their organizations while appreciating the labor concerns that may prompt employees to join unions. Beyond that, it is helpful to reflect on the core values of nursing and consider the extent to which they align with unionization.
To prepare:

  • Review the information in the Learning Resources. Conduct additional research on unionization in health care.
  • Consider the professional basis of nursing and the presence of unions in health care. Does unionization conflict with a professional nursing orientation?
  • Reflect on the experiences you have had working in unionized settings, or consider what would be required of you in such a setting if you do not have that experience.
  • Consider how you would address transitioning from being a member of a collective bargaining unit to being a manager who cannot be a member of a collective bargaining unit. How you might prepare to make this sort of transition?

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Post your position on whether unionization aligns with or conflicts with a professional nursing orientation and what this may mean for the role as a nurse manager. Share your experiences working in a unionized setting or describe what might be required of you when transitioning from one circumstance to another.
 

Required Readings

Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Chapter 22, “Collective Bargaining, Unionization, and Employment Laws”
Chapter 22 discusses several key topics surrounding unions and collective bargaining in nursing and health care organizations. Unionization and the Nursing Profession Essay Assignment.

Manthous, C. A. (2014). Labor unions in medicine: The intersection of patient advocacy and self–advocacy. Medical care, 52(5), 387–392.
Copyright 2014 by Llippincott  Williams & Wilkins – Journals. Reprinted by permission of Llippincott  Williams & Wilkins – Journals via the Copyright Clearance Center.

Ash, M., Seago, J. A., & Spetz, J. (2014). What do Health Care Unions do?: A Response to Manthous. Medical care, 52(5), 393–397. DOI: 10.1097/MLR.0000000000000124.
Copyright 2014 by Llippincott  Williams & Wilkins – Journals. Reprinted by permission of Llippincott  Williams & Wilkins – Journals via the Copyright Clearance Center.

Bacterial Meningitis Nursing Care Question.

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Bacterial Meningitis Nursing Care Question.
A 6-month-old is admitted with bacterial meningitis.  Which action is the priority of care? (choose one of the following bacterial meningitis nursing care options, the answer and the explanation is given below)

1. Administering antibiotics
2. Avoiding environmental stimuli
3. Initiating seizure precautions
4. Measuring head circumference

 
Bacterial Meningitis Nursing Care Question Answer and Explanation:
Bacterial meningitis occurs when infection causes inflammation in the meninges of the brain and spinal cord.  This inflammation may lead to hydrocephalus and increased intracranial pressure (ICP).  Due to the risk for severe complications from meningitis and increased ICP (eg, hearing loss, permanent brain damage, death), the priority of care is immediate antibiotic therapy.  Lumbar puncture (LP) with cerebrospinal fluid culture is performed to determine the causative organism.  Antibiotic choice may be adjusted later based on LP results.  The client should remain on isolation precautions for a minimum of 24 hours following initiation of antibiotic therapy.
(Option 2)  Clients with meningitis are often very sensitive to stimuli (eg, bright lights, noise).  Although environmental stimuli should be reduced as much as possible, the priority of care is initiating antibiotic therapy.
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(Option 3)  Seizures may occur in infants with bacterial meningitis and are often accompanied by a shrill, high-pitched cry.  There is no indication that this client has experienced a seizure.  The nurse should carefully monitor for seizure activity and place the client on seizure precautions if necessary.  However, antibiotic therapy is the most critical intervention in treating bacterial meningitis.
(Option 4)  Although obtaining an initial head circumference is necessary to monitor for changes related to increasing ICP, the priority is obtaining blood cultures and administering antibiotics as soon as they are prescribed.
Educational objective:
Due to the risk for severe complications (eg, hearing loss, permanent brain damage) associated with bacterial meningitis, the most critical intervention is initiation of antibiotic therapy.  The causative organism is confirmed through LP and blood cultures.

Enoxaparin (Lovenox) Nursing Implications Question

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Enoxaparin (Lovenox) Nursing Implications Question
Before administering medications to a client hospitalized 3 days ago for acute asthma, the nurse compares the morning laboratory results with the admission data.  The nurse should confirm which prescription with the health care provider prior to administration?

  1. Albuterol nebulization every 4 hours
  2. Enoxaparin 40 mg subcutaneously every 24 hours
  3. Methylprednisolone 20 mg intravenously every 6 hours
  4. Potassium chloride 20 mEq/L every 24 hours

Enoxaparin (Lovenox) Nursing Implications Answer and explanation
The corect answer is 2- Enoxaparin 40 mg subcutaneously every 24 hours
Explanation:
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Enoxaparin (Lovenox) is a low-molecular-weight heparin anticoagulant administered for prophylaxis of deep venous thrombosis in hospitalized clients.  Bleeding and thrombocytopenia (platelet count <150,000/mm3 [150 x 109/L]) are possible complications of anticoagulant therapy.  Heparin-induced thrombocytopenia (HIT) is a serious condition that often develops rapidly, requiring prompt recognition and treatment.  Unlike other drug-induced forms of thrombocytopenia, HIT can result in arterial or venous thrombosis(eg, stroke, extremity infarction), although the exact association is unknown.  This client’s platelet count (96,000/mm3 [96 x 109/L]) has dramatically decreased since admission.  The nurse should note this drastic change and question the continuation of the prescription with the health care provider before administering the medication.
(Option 1)  Bronchodilators such as albuterol and ipratropium are indicated in acute asthma and chronic obstructive pulmonary disease exacerbations.
(Option 3)  Methylprednisolone (Solu-Medrol) is an anti-inflammatory corticosteroid drug indicated for treatment of lung inflammation associated with asthma; the route, dosage, and frequency are correct.  This client’s elevated white blood cell count is likely due to glucocorticoid administration and is an expected effect of corticosteroids.
(Option 4)  Potassium chloride is an electrolyte replacement drug and is indicated by the presence of hypokalemia (<3.5 mEq/L [3.5 mmol/L]); the route, dosage, and frequency are correct.  Frequent use of albuterol likely caused hypokalemia in this client.
Enoxaparin (Lovenox) Nursing Implications Educational objective:
Heparin-induced thrombocytopenia can result in arterial or venous thrombosis.  Platelet counts should be carefully monitored in any client receiving anticoagulant therapy.