Use of Personal Communication Devices in Patient Care Settings (graded)
How can the use of the nurse’s personal communication device(s) impact patient care positively and/or negatively? What are the ethical and legal implications? What does the professional literature say about how communication devices can support safe nursing practice?
RespondTopic responsesDiscussionExpand AllMoreSort By:RE: USE OF PERSONAL COMMUNICATION DEVICES IN PATIENT CARE SETTINGSHello Class,
In the ADN program in which I teach, our student use an app called Nursing Central on their phones. It has disease, drug and lab information readily available to them in the clinical area. When they first started to use it on their clinical rotations a few years ago, hospital staff were quite wary of this, thinking that the students were using their phones for personal purposes. Since then, I see nurses in both acute and long term care using their smart phones to look up patient related information.
What’s the policy where you work? Is staff use of personal devices getting in the way of patient care?
Or, if you are more recently a student, what was the policy at your sc

BodyMass IndexTheUnited States is becoming more health conscious, and as a result, the problem of obesity has gotten more attention. The Body Mass Index (BMI), relates a persons height and weight, and is often used to determine if someone is overweight. The table below tells the weight status for a given BMI.
BMI
Weight Status
Below 18.5
Underweight
18.5 – 24.9
Normal
24.9 – 29.9
Overweight
29.9 and above
Obese
TheBMI is calculated using the formula:BMI = 703*w/ h2 where w is the weight in pounds and h is the height in inches.Solvingthis formula for h, we see that h = sqrt[703w / BMI] .jpg”>
1. Find the weight of your favorite celebrity. This could be a movie or television personality, athlete, politician or even yourself.
2. Using the weight from part 1, determine the height the celebrity would need to be in order to fall into each of the four weight status categories listed in the table. In other words, select a BMI less than 18.5 (any value, you make it up) and find h; then repeat using a new BMI in the range from 18.5 to 24.9, and so on.
3. Using the Internet or other library resource, find the actual height of the celebrity.
4. Determine his or her actual weight status (underweight, normal, overweight or obese) using the original BMI formula at the top of the instructions.
5. How tall would he or she need to be for the normal weight status?
6. Would you consider him or her to actually be in the weight status this formula says based on his or her actual height and weight and considering his or her other physical characteristics? Why or why not? Think about why there may be differences in your calculations and the actual figures.
7. The BMI formula was created by a Belgian Statistician (not a physician), Lambert Adolphe Quetelet, in the early 1830s. Do you think BMI is a fair indication of a persons weight classification? Why or why not?
8. Summarize your findings in writing using proper style and grammar.Includenreferences formatted according to APA style if you are using any information that is not common knowledge. BodyMass Index The United States is becoming more health conscious, and as a result, the problemof obesity has gotten more attention. The Body Mass Index (BMI), relates apersons height and weight, and is often used to determine if someone isoverweight. The table below tells the weight status for a given BMI.BMI weight StatusBelow 18.5Underweight18.5 – 24.9Normal24.9 – 29.9Overweight29.9 and aboveObeseTheBMI is calculated using the formula:Solvingthis formula for h, we see that h = sqrt[703w / BMI] .jpg”>1.Find the weight of your favorite celebrity. This could be a movie or television personality, athlete, politician or even yourself.2.Using the weight from part 1, determine the height the celebrity would need to be in order to fall into each of the four weight status categories listed in the table. In other words, select a BMI less than 18.5 (any value, you make it up) and find h; then repeat using a new BMI in the range from 18.5 to 24.9, and so on.3.Using the Internet or other library resource, find the actual height of thecelebrity.4.Determine his or her actual weight status (underweight, normal, overweight orobese) using the original BMI formula at the top of the instructions.5.How tall would he or she need to be for the normal weight status?6.Would you consider him or her to actually be in the weight status this formulasays based on his or her actual height and weight and considering his or herother physical characteristics? Why or why not? Think about why there may bedifferences in your calculations and the actual figures.7.The BMI formula was created by a Belgian Statistician (not a physician),Lambert Adolphe Quetelet, in the early 1830s. Do you think BMI is a fairindication of a persons weight classification? Why or why not?8.Summarize your findings in writing using proper style and grammar.Includereferences formatted according to APA style if you are using any informationthat is not common knowledge.

Fiscal Management in Healthcare Services
3 different assignments3 different Due datesSTARTLength: 2 pages
You have been promoted to a member of the management team in Kronas financial department. You have hired a new staff member who will to assist you in preparing materials for the next Board of Directors meeting in which the annual financial reports will be presented. You are required to accomplish the following:Write an e-mail to your new employee explaining the components and the process of creating an annual report. Focus strongly on how accounting inputs are formulated into financial reports and statements for the organization.Discuss 3 of the following annual reporting components what information they provide and why they are important to understand:Chairman of the Board LetterSales and marketing summary10-year summary of financial figuresManagement discussion and analysisCPA opinion letterFinancial statements (balance sheet check sales profits R&D spending inventory and debt levels over time) subsidiariesBrands and addressesFinancial and operating ratios (liquidity solvency and profitability)DonorsEndStartlength: 8 pages
Established in 1977 Krona Community Hospital is a 60-bed acute care hospital located in the heart of Banconota County. With a staff of nearly 100 physicians and specialists 400 employees and 75 volunteers they offer a full range of health care services. They are accredited by The Joint Commission.Nouveau Health a private not-for-profit health care chain took over the management of Krona Hospital. Last year state officials began to discuss Nouveaus proposal to build a new replacement hospital in Banconota County. The new facility would have 74 acute care beds four observation rooms four surgical operating rooms one c-section room a 24-hour emergency department a maternity center an intensive care unit and extensive support services including physical therapy and cardiac rehabilitation. All patient rooms would be private.You are a staff member in the finance department at Nouveau Health whose sole responsibility is to advance the success of the organization through assisting in planning forecasting and finance management.The chief executive officer (CEO) of Krona has asked that you complete the following:Prepare next years financial plan and operational budget.o Note: Keep in mind that the budget you created for your Phase 2 Individual Project did not take into account the growth of the new facility. The CEO has asked that you expand that budget and provide a finalized budget that will take into account the new services offered. The CEO has stated that there is $3 million that you can incorporate into the budget for additional staffing services maintenance and so forth.Make sure the budget reflects the following:o Increase in revenue reimbursemento Allocation for the proposed improvementso Increase in salariesDiscuss the following areas:Funding sourcesYour methodology in revenue forecastingHow the new services will impact revenueFixed and variable costsProject inpatient and outpatient visits based on current trendsEndStart
Established in 1977 Krona Community Hospital is a 60-bed acute care hospital located in the heart of Banconota County. With a staff of nearly 100 physicians and specialists 400 employees and 75 volunteers they offer a full range of health care services. They are accredited by The Joint Commission.Nouveau Health a private not-for-profit health care chain took over the management of Krona Hospital. Last year state officials began to discuss Nouveaus proposal to build a new replacement hospital in Banconota County. The new facility would have 74 acute care beds four observation rooms four surgical operating rooms one c-section room a 24-hour emergency department a maternity center an intensive care unit and extensive support services including physical therapy and cardiac rehabilitation. All patient rooms would be private.You are a staff member in the finance department at Nouveau Health whose sole responsibility is to advance the success of the organization through assisting in planning forecasting and finance management.Your Key Assignment Draft is designed to help you prepare for the presentation in Phase 5. The chief executive officer (CEO) of Krona has asked that you complete the following:Prepare next years financial plan and operational budget.Note: Keep in mind that the budget you created for your Phase 2 Individual Project did not take into account the growth of the new facility. The CEO has asked that you expand that budget and provide a finalized budget that will take into account the new services offered. The CEO has stated that there is $3 million that you can incorporate into the budget for additional staffing services maintenance and so forth.Make sure the budget reflects the following:Increase in revenue reimbursementAllocation for the proposed improvementsIncrease in salariesBe sure to discuss the following areas:Funding sourcesYour methodology in revenue forecastingHow the new services will impact revenueFixed and variable costsProject inpatient and outpatient visits based on current trendsInstructionsCreate a PowerPoint presentation of 710 slides (with speaker notes of 200250 words for each slide excluding the title and reference slides) that will be presented to the general meeting of directors.END

Self Evaluation
Students will submit a 5 to 7-page paper (NOT APA) addressing the following topics:
1. Reflections on the counselor-client relationship (e.g. what have you learned about the counselor-client relationship; what role did the relationship play in the counseling process; upon reflection how would you have wanted the relationship to be different if at all); I have learned that the relationship has to be sincere and as a counselor empathy and compassion are the most important aspects for me to portray to clients.
2. Reflections on technical ability (e.g., what do you perceive to be your most developed skills contrast these with your least developed skills; from your perspective which skills are easiest/most difficult for you and what might be the reasons). Be sure to discuss all of your core counseling skills; My perceived skills that I am comfortable with are paraphrasing and reframing. I need to keep working on asking open ended questions versus closed questions.
3. Reflections on assessment and goal-setting (e.g. what did you learn about the importance of assessment and goal-setting; upon reflection what might you have done differently or more/less of); The most important part of the therapy sessions is to set reasonable goals for the client to focus on. This will hopefully bring comfort to them. Reflections help the client to understand their feelings. I might have worked more on the goal setting early on in the sessions to give the client more to work on immediately instead of just reflections. It is positive for the client to focus on goals and positive resolution for them.
4. Reflections on the working stage (defining strategies and selecting interventions) and preparations for termination. What role did interventions other than helping skills play in this process? Be sure to discuss each intervention (affective cognitive behavioral systemic); add your own professional thoughts please
5. Reflections on your knowledge of psychopharmacology and how this will help you in your work as a counselor; add your own professional thoughts please. Just know as a mental health counselor I cannot prescribe meds but can suggest them in conjunction with therapy.
6. Reflections on what you have learned about yourself through your experiences in this course (e.g. what have you learned about yourself as a person; how does this relate to you in your role as a counselor); and I have learned that my style seems to be person-centered therapy in that I am very empathetic to the clients and their stories. I will have to learn to control my emotions thought. I found myself feeling overly sensitive when watching all of the counseling session videos in class.
7. Whats next (e.g. based on what you have learned what are your next steps in your development as a counselor). My next steps are to continue the next year working diligently on my graduate degree. I hope to gain a lot of experience with the upcoming internship in the spring. I hope to develop and maintain microskills that will be second nature for me as a therapist. I hope to learn how to use many different approaches and theories that will be incorporated in my practice as a therapist.
COURSE SYLLABUS:
Mental Health Counseling
Catalog Description of Course:
This course will introduce you to basic skills that initiate counseling relationships and follow with the four principal approaches to counseling: cognitive affective behavioral and family/systemic. These approaches will provide the context for assessment goal setting and the integration of skills into interventions. In addition this course also provides an introduction to the understanding of the basic neurobiology of psychopathology and the different types of psychotropic medications to treat these conditions. As such this aspect of the course emphasizes the counselors role as a member of a multidisciplinary treatment team in facilitating treatment compliancemonitoring the efficacy as well as side effects of the psychotropic medication prescribed and the counselors role in integrating pharmacologic treatments with other non-pharmacological modalities.
B. Student Learning Objectives:Upon successful completion of MHC 669 students will be able to:
1. Demonstrate satisfactory understanding of counseling attitudes skills and techniques.
2. Demonstrate satisfactory performance of counseling attitudes skills and techniques necessary to develop and maintain the therapeutic relationship.
3. Demonstrate a working knowledge of and adhere to issues of confidentiality and professionalism with students faculty and staff within and carried through to clinical placements.
4. Demonstrate their ability to maintain professionalism and composure in difficult situations.
5. Begin to apply counseling theory to counseling practice.
6. Demonstrate insight and the ability to focus on the context as well as the content of interpersonal interactions.
7. Describe the basic mechanisms of the central nervous system (CNS) and the impact of mental illness on its functioning.
8. Describe how different psychotropic medications affect the CNS and their impact on the course of mental illness.
9. Identify the appropriate pharmacological treatments for specific disorders.
10. Identify and monitor the signs of effective psychopharmacological treatment.
11. Identify and monitor side effects of psychopharmacological treatment.
12. Demonstrate an ability to be a valuable member of a treatment team or case conference.
13. Demonstrate effective consultative skills regarding psychotropic medication.
14. Demonstrate evidence of self-awareness with regard to biases fears concerns and personal circumstances and their potential impact on counseling and the therapeutic relationship.
C. Outline of Course Content CACREP Standard Course Calendar and Topics:
Counseling Skills:
Ethics Multi-Cultural Competence and WellnessAttending and Observation Skills: Basic CommunicationQuestions: Opening CommunicationEncouraging Paraphrasing & Summarizing: Skills of Active ListeningObserving & Reflecting Feelings: A Foundation of Client ExperiencingHow to Conduct an Interview Using only Listening SkillsThe Skill of Confrontation: Supporting While ChallengingFocusing the Interview: Exploring the Story from Multiple PerspectivesReflection of Meaning and Interpretation/Reframing: Helping Clients Restore Their LivesSelf-Disclosure and Feedback: Bringing Immediacy into the InterviewLogical Consequences Information/Psychoeducation and Directives: Helping Clients Move to ActionDecisional Counseling Skill Integration Treatment Plans and Case ManagementApplications of Microskills: Cognitive-Behavioral Crisis Counseling and Brief Interviewing and CounselingDetermining Personal Style: Self Evaluation and the FutureClinical Psychopharmacology for Mental Health Practitioners:Integrated ModelsNeurobiologyPharmacologyPreliminary Diagnostic ConsiderationsDepressive DisordersBipolar DisordersAnxiety DisordersObsessive-Compulsive DisorderPsychotic DisordersPost-Traumatic Stress DisorderBorderline Personality DisorderSubstance-Related DisordersAntidepressant MedicationsBipolar MedicationsAntianxiety MedicationsAntipsychotic MedicationsChild and Adolescent Psychopharmacology
D. Means of Assessing Student Learning:Clinical Mental Health Counseling Standard Grading Scale:A = 1000-930 points A = 929-900 points B + = 899-870 points B = 869-830 pointsB = 829-800 points C + = 799-770 points C = 769-700 points F = 699 points or lessPoints of Assessment Date Due How much of total grade Which Learning Objective will this assessment meet?Journals Weekly online 7% 6 14Chapter Quizzes Weekly online 18% 7-11Skills Demonstration Week 3 online 5% 2 12Psychopharmacology Research Paper Week 4 online 10% 7-10Midterm Evaluation of Counseling Skills Start of Residency 12.5% 2 5Mock Counseling Dyad Week 6 online 5% 1-6 12-14Self-Evaluation Paper End of Residency 12.5% 1 5 6 13 14Final Evaluation of Counseling Skills End of Residency 15% 2 5Class Participation Weekly 15% 4 6 12As per the 2013-2014 Mental Health Counseling handbook a student earning a C- or lower (i.e. an F) in any course is required to repeat the course; a student may carry a maximum of two C grades on their transcript during the program EXCEPT in the following core courses where a B- or better MUST be achieved in MHC 650 MHC 631 MHC 600 MHC 620 MHC 605 MHC 669 MHC 670.
Course Format:
The class will utilize Blackboard to maximize the time and potential for learning. This course combines classroom experiences as well as independent work (done before the residency Nov 18-23). The clinical skills portion of theMidterm Evaluation of Counseling Skills (125 points); near start of ResidencyThis is an evaluation by the course instructor of a 20-minute counseling practice session performed in class. Your grade will be based on the quality of your counseling skills demonstrated in the class. Feedback will include an evaluation of your progress on the Prepracticum Clinical Skills Evaluation Form. Guidelines and a grading rubric will be provided.Mock Counseling Dyad (50 points); Due Week 6 online:Students will participate in a Role-Play Practice Session with a volunteer mock client of your choice. The session is expected to last 30 minutes and should focus on the development and/or enhancement of your microskills as discussed in the text. This session is practice for upcoming clinical experience and it is a way to show the instructor that you are ready to go into the field for your placements. Therefore it is to be taken seriously. You will record the session and select a 10-minute segment to be uploaded to a private class YouTube account and linked to on Blackboard for review by your Instructor and peers. Students will be assigned to Peer Review Groups and are expected to review each others videos and provide constructive feedback on Blackboard.Final Evaluation of Counseling Skills. (150 points) end of Residency:This is an evaluation by the course instructor of a 20-minute counseling practice session performed in class. Your grade will be based on the quality of your counseling skills demonstrated in the class. Feedback will include an evaluation of your progress on the Prepracticum Clinical Skills Evaluation Form. Guidelines and a grading rubric will be provided.Class Participation (150 points total)
1. Students are expected to come to class fully conversant with the content of the materials. You will have ample opportunity to demonstrate your knowledge of the material in class including discussion of the readings role-plays analysis of case studies and various other activities.
2. To help you to get started you are required to post at least ONE comment for each of the discussion questions as well as at least ONE response to a classmates comment posted on Blackboard. Comments on the class discussion board are expected to be thoughtful and reflective. Superficial comments and responses will result in lower points being awarded.
E. Course Attendance Policy (Clinical) Mental Health Counseling Attendance PolicyIn your development as a counselor it is essential that you understand the importance of commitment to classmates instructors supervisors and most importantly clients. Participation is a critical and mandatory part of your education and clinical training. In the event of a serious illness or family emergency that will result in your inability to participate students must immediately contact their Professor to notify them of their situation. It is expected that each member will not only attend consistently but will take an active part in the experiential aspects of the course. Participation will affect the final grade for the course. Students who do not participate as required may be at risk of (a) receiving a lower grade; or (b) failing the course. Students who fail to participate as required and/or fail to contact their instructor in a timely manner or who do not have an excused absence will be given an F for the course.
F. Textbooks:Title: Handbook of Clinical Psychopharmacology for TherapistsAuthors: John D. Preston John H. ONeal & Mary C. TalagaYear: 2013Edition: 7thPublisher: New Harbinger PublicationsISBN: 9781572247031Title: Essentials of Intentional Interviewing: Counseling in a Multicultural World.Author: Allen E. Ivey Mary Bradford Ivey Carlos Zalaquett & Kathryn QuirkYear: 2012Edition: 2ndPublisher: Thomson/Brooks/ColeISBN: 0-8400-3456-3G. Suggested Reading List: (CACREP current (5 years) educational material)Antonuccio D. (2008). Treating depressed children with antidepressants: More harm thanbenefit? J Clinical Psychology in Medical Settings 15(2) 92-97.Boyd-Franklin N. (2010). Incorporating spirituality and religion into the treatment of African American clients. The Counseling Psychologist 38(7) 976-1000. doi:10.1177/0011000010374881Hagan B. Wong-Wylie G. & Pijl-Zieber E. (2010). Tablets or talk: A critical review of the literature comparing antidepressants and counseling for treatment of depression. Journal of Mental Health Counseling 32 102-124.Kaut K. P. (2011). Psychopharmacology and mental health practice: An important alliance. Journal of Mental Health Counseling 33(3) 196-222.Morris J. & Stone G. (2011). Children and psychotropic medication: A cautionary note. Journal of Marital and Family Therapy 37 299-306.Nyamathi A. Shoptaw S. Cohen A. Greengold B. Nyamathi K. Mar