My PICOT statement will be: In adult ED patients, what is the impact of a sepsis policy on length of stay, patient mortality and best patient outcomes as compared to no policy over 1 year.

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Capstone project topic select and approval

Question descriptionFor my capstone, I have chosen Sepsis as my topic.
My PICOT statement will be: In adult ED patients, what is the impact of a sepsis policy on length of stay, patient mortality and best patient outcomes as compared to no policy over 1 year.
The first assignment is as follows:
Due Date: Jul 01, 2018 23:59:59 Max Points: 50
Details:
In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the Healthy People 2020 website.
Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following:

  1. The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
  2. The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
  3. A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
  4. Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
  5. Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
  6. A proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Pain assessment and Richmond Agitation – Sedation Scale (RASS) documentation, health & medical homework help

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Pain assessment and Richmond Agitation – Sedation Scale (RASS) documentation, health & medical homework help

Question descriptionAPA FORMAT and STRONG ACADEMIC WRITING PREFFRED (Total pages Limited to 4 pages excluding Cover page and reference)
Pain assessment RASS documentation (Running head)
Pain assessment and Richmond Agitation – Sedation Scale (RASS) documentation on patients using patient Controlled Analgesia (PCA).( title of project)
Goal
Pain is the most common symptom experienced by patients with cancer. Mostly seen in patients followed by stem cell transplant patients using High dose chemotherapy. Untreated or undertreated pain impairs physical and psychological health, functional status, and quality of life. The purpose of this project is to identify the personal pain goal (PPG), Promote optimal pain management through assessment, control pain by using Patient Controlled Analgesics (PCA), and improve RAAS documentation by staff education. The expected outcome of the project is to increase patient safety, increase staff knowledge and compliance on pain assessment and RASS documentation on patients using PCA. Improve patient satisfaction and HCHAP score, and maintain compliance with the JCAHO standards.
Aim:
Increase staff compliance on pain assessment and RASS documentation by 90% on patients using PCA, in stem cell unit SW POD by December 2017.
Methodology (Develop following findings)
1
Why: Noncompliance on RASS documentation on patients on PCA.
What: Pain assessment and RASS (Richmond Agitation Sedation Scale) documentation.
Where: Stem Cell Transplant Unit G-18 SW pod.
When: project is done in a 6 month period, will be completed by December 2017.( Project 1 and 2 together.)
Who: Clinical nurses. (Nurses who care for patients with pain, using PCA)
Costs: ?
And how: Random chart audit is done. Total 34 charts audited in almost two-month period for
Different patients using PCA. Most of the nurses working in day and night shift were audited.
Total no. of nurse audited 34. Out of 34 nurses, 25 nurses did not document RASS, Please make a chart.
2
Applicable change theory or other nursing or quality theory (at least one).
(These are the two-theory provided by the school)
3.
Role of the CNL in the project. Is it appropriate for the CNL and what CNL roles fit in the project?
4. Literature review, very brief, from attached 8 references (previous literature review -ATTACHED)
5.The student’s anticipated outcome(s) – 25%
6. The Capstone Committee members – 5%
Capstone committee members
1. Dr. Patricia Davis DNP, RN-BC, MS, NEA-BC, CNL. (Major Professor)
2. Joylynmae Estrella MSN, RN, CNL (Clinical co coordinator)
3. Clem Banglorioso MSN, RN, CNL (Preceptor)
4. Alice Thomas BSN, RN, CPN. (CNL student)
5. Lourine Davis BSN, RN, OCN (Associate Director SCT Unit G-18)
6. Anita Aickareth BSN, RN, BMTCN (Nurse Educator)
7. Victoria Showunmi RN, BSN, MSN, CCM (Case Manager)
8. Ancy Mathew BSN, RN (Clinical Nurse in SCT Unit- G-18).
7. Initial References (in APA format) – 15%
Rubric
Structure and Design of the Capstone Proposal and Project
The design of the proposal and project depends upon the topic and methods for measurement. The
project and proposal will use evidence from the literature and a quality framework to organize the
presentation. A nursing theory and/or change theory should be applied within the project. The role of
the CNL is to be considered in both the proposal and the project
Proposal Minimum Requirements The written (Word) and verbal proposal (PowerPoint) will share the
following information headers presented using APA format to the degree possible. The grading rubric is
indicated for each area of the proposal as a % of 100 points:
1. Cover page (APA format) – 5%
2. The title and topic to be addressed – 10%
3. The goals of the project to be undertaken – 10%
4. The methodology (processes) to be utilized – 30% – Why, what, where, when,
who, costs, and how? – Applicable change theory or other nursing or quality
theory (at least one). – Literature Search is described briefly. Library orientation
is a requirement in the first CNL Roles course. If students need a refresher they
can request help from the UTMB library at any time. – Role of the CNL in the
project. Is it appropriate for the CNL and what CNL roles fit in the project?
5. The student’s anticipated outcome(s) – 25%
6. The Capstone Committee members – 5%
7. Initial References (in APA format) – 15%
Length – Not to exceed 4 Word processed pages, not including title page or references.

Evaluation of Plan Effectiveness Criteria

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Plan effectiveness criteria

Question description

Evaluation of Plan Effectiveness Criteria
In the evaluation component of the Capstone project, you are expected to discuss how you would evaluate the effectiveness of the interventions.
Some questions you should seek answers to are:

  1. Would I be able to implement the interventions? If not, what barriers exist?
  2. What visible signs of success (for example, reduced health issues) would I look for? What is your projected effectiveness?

The evaluation component of the final paper should describe your evaluation of the implementation. Include responses to points 1 and 2 above. The evaluation component of the final Microsoft Word submission document should be a minimum of 2 pages.
The complete summary document should use the Mobilize, Assess, Plan, Implement, Track (MAP-IT) steps used in pulling together your project.
Over the past nine weeks, you selected an aggregate and conducted a risk assessment of its health, developed a care plan to address those health risks, and considered the effectiveness of the interventions on the health of the aggregate. It’s time now for you to present your final submission of this Capstone project.
Your final submission should include: the documentation of the work accomplished through your Capstone project, a Microsoft Word Document that contains the evaluation and summary, and a Microsoft PowerPoint presentation highlighting the main aspects of the project including the key things learned during the 10 weeks of working with this project.
The summary document should use the Mobilize, Assess, Plan, Implement, Track (MAP-IT) steps used in pulling together your project. The complete documentation of the work accomplished over the course of the project should contain a minimum of 6–7 pages in a Microsoft Word document and should include the following information:

  • A detailed description of the aggregate
  • A description of the aggregate’s strengths and weaknesses
  • A risk assessment of the aggregate
  • Diagnoses based on the risk assessment
  • A detailed care plan for the aggregate
  • A description of how at least one intervention might be implemented in the aggregate to address an identified issue
  • An evaluation of the effectiveness of the intervention

The Power Point presentation should be concise and should include the highlights of the Capstone project and the key things learned over the course of this project, from developing, planning interventions, and evaluating the care plan. Your presentation should not exceed 15 slides.
Submit your final Microsoft Word document containing the evaluation and complete summary to the W10 Assignment 2 Dropbox by Tuesday, December 12, 2017. Use bold sub-headings in the paper to differentiate between the evaluation and the summary information.
Phase 7 and 8: Final Submission
Name your Microsoft Word document SU_NSG4075_W10_A2_LastName_FirstInitial_Phase7and8.doc
Name your PowerPoint presentation
SU_NSG4075_W10_A2_LastName_FirstInitial.ppt
Submit your Microsoft Word document and PowerPoint presentation to the W10 Assignment 2 Dropbox by Tuesday, December 12, 2017.

Assignment 2 Grading Criteria Maximum Points
Presented the evaluation of the implementation plan. 20
Described plan for implementation of interventions and anticipated signs of success. 20
Cited at least two journal articles as references for ideas in the work. 12
Submitted the complete documentation of the Capstone project including a description and analysis of the aggregate and a comprehensive care plan based on the results of the risk assessment. 52
Presentation highlighted the main aspects of the Capstone project, such as a description of the aggregate, the results of the risk assessment, the major health risks, a summary of the strategies included in the care plan, a description of at least one intervention that might be implemented, and a note about the anticipated effectiveness of the plan. 32
Presentation included the key learning from the Capstone project. 24
Written components. 40
Total: 200

what is capstone project

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what is capstone project

Question descriptionIn this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.
Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

  1. Background
  2. Problem statement
  3. Purpose of the change proposal
  4. PICOT
  5. Literature search strategy employed
  6. Evaluation of the literature
  7. Applicable change or nursing theory utilized
  8. Proposed implementation plan with outcome measures
  9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
  10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.