Answer critical Thinking question #2 for chapter 6 on page 180. Answers should be submitted in word document with any associated references used

1 E.Coli was incubated with aeration in a nutrient medium containing two carbon sources, and the following growth curve was made from this culture

A) Explain what happened at the time marked x

B) Which substrate provided “better” growth condition for the bacteria? How can you tell?

2  Assume that after washing your hands you leave ten bacterial cells on a new bar of soap. You then decided to do a plate count of a soap after it was left in soap dish for 24 hours. You dilute one gram of the soap 1:106 and plate it on heterotrophic plate count agar. After 24 hours of incubation, there are 168 colonies. How many bacterial were on the soap? How did they get there?

3) Heat lamps are commonly used to maintain food at about 50 degree C for as long as 12 hours in cafeteria serving lines . The following experiment was conducted to determine whether this practice poses a potential health hazard.

Beef cubes were surface-inoculated with 500,000 bacterial cells and incubated at 43-53degree C to establish temperature limits for bacterial growth. The following results were obtained from heterotrophic plate counts performed on beef cubes at 6 and 12 hours after incubation.

This week, you will submit your polished, final version of Final Project II: Bioethics. Before you submit, make sure you have incorporated all the suggestions you received from your instructor for Milestone Three.

To complete this assignment, review the Final Project guidelines.

Feed Back from previous assignment that needs to be included in to paper that was missing is:

1)The bioethics are listed on page 22 in the textbook. You need to include one or more of the four principles listed on that page (ie: autonomy, beneficence, nonmalfecience, justice, etc.)

2) You did a good job in the conclusion, but you need to provide the analyze with one or more of the principles.

The paper that needs to be revised is attached below with the rubric and the Bioethics Case.

Application 1: Identification of a Practice Issue for the Evidence-Based Practice (EBP) Project

In many of the courses in the DNP program, you have been asked to analyze research literature when exploring issues in health care. Reflect now on an issue in your practice area that has different outcomes from what is supported by the literature. For example, the literature evidence notes that nosocomial infections are reduced when procedures such as hand washing, glove use, and isolation strategies are implemented. In your clinical area, you have implemented these strategies and you are not seeing a reduction in nosocomial infections.

For Application 1, you select an issue that will serve as the launching point for your Evidence-Based Practice (EBP) Project.

Before you proceed with this assignment, you may wish to review the overview of the full EBP Project assignment. (see attached file)

To prepare for Application 1:

• Consider      the specifics of your practicum setting, as well as practice-related      challenges in your specialty area that interest you. Brainstorm practice      issues in which an outcome is different from what would be expected      according to the research literature (based      on the PIICOT Question previously formulated).
• Select      one issue to focus on for this assignment (based on the PIICOT Question previously formulated).
• .      This will be your issue for the entire EBP Project, so be sure it is one      that will enable you to fulfill the project requirements (e.g., you can      develop new approaches to practice). You may wish to speak with your      Practicum Mentor about your selection.
• Explore      the research literature on this issue.

To complete: In a 2-page paper, in APA format and at least 3 references, address the following as numbered below:

1) Introduction ending with a purpose statement (e.g. the purpose of this paper is…)

2) Provide a summary of the selected practice issue in which the outcome is different from what would be expected according to the research literature. (Note: The issue you select must be suitable for completing the entire EBP Project.)

3) Conclusion

PIICOT Statement

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients

C: minimal mobilization of the patients

To students: In addition to the Learning Resources and facilitated discussions provided each week, you are expected to integrate articles from peer-reviewed journals to inform and support your positions and conclusions in the Application Assignments. Graduate-level scholarship provides the foundation for your work and requires a higher level of evidence than lay references, such as the dictionary, Wikipedia, general Internet sites, nursing newspapers, expert opinion, and the like. 

Must include at least 1 reference from the list of provided Required Readings and at least 2 references from scholarly articles from peer-reviewed journals

This assignment is due on Wednesday 09/05/18

The purpose of this assignment is to create an educational program that supports the implementation of risk management strategies in a health care organization.

In this assignment, you will develop an outline for an “in‐service”‐style educational risk management program for employees of a particular health care organization that will then form the basis for a PowerPoint presentation in Topic 5. Select your topic for this educational session from one of the proposed recommendations or changes you suggested in the Risk Management Program Analysis – Part One assignment to enhance, improve, or secure compliance standards in your chosen risk management plan example.

Create a 500‐750-word comprehensive outline that communicates the following about your chosen topic:

1. Introduction: Identify the risk management topic you have chosen to address and why it is important within your health care sector.
2. Rationale: Illustrate how this risk management strategy is lacking within your selected organization’s current risk management plan and explain how its implementation will better meet local, state, and federal compliance standards.
3. Support: Provide data that indicate the need for this proposed risk management initiative and demonstrate how it falls under the organization’s legal responsibility to provide a safe health care facility and work environment.
4. Implementation: Describe the steps to implement the proposed strategy in your selected health care organization.
5. Challenges: Predict obstacles the health care organization may face in executing this risk management strategy and propose solutions to navigate or preempt these potentially difficult outcomes.
6. Evaluation: Outline your plan to evaluate the success of the proposed risk management program and how well it meets the organization’s short-term, long-term, and end goals.
7. Opportunities: Recommend additional risk management improvements in adjacent areas of influence that the organization could or should address moving forward.

You are required to incorporate all instructor feedback from this assignment into Educational Program on Risk Management Part Two ‐ Slide Presentation assignment in Topic 5. To save time later in the course, consider addressing any feedback soon after this assignment has been graded and returned to you. It may be helpful to preview the requirements for the Topic 5 assignment to ensure that your outline addresses all required elements for submission of the final presentation.

You are required to support your statements with a minimum of six citations from appropriate credible sources.

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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Assignment:

Exercises:

1. How is strategy formulation related to situational analysis?
2. How might a retrenchment strategy and a penetration strategy be linked together? What are some other logical combinations of strategies? How may a combination of strategies be related to vision?

Professional Development:

1. Collect examples of mission, vision, and values statements from various health care organizations — be sure to include those that are for-profit, not-for-profit, public and private. The Internet provides a useful tool for obtaining real-time examples to review and evaluate. Utilizing the criteria discussed in the textbook readings, determine the extent to which the actual statements apply the principles discussed. Identify the similarities and differences between “for profit” and “not-for-profit” examples. Compare and contrast statements obtained from public and private health care organizations.
2. Work through Exhibit 6-4 (p. 212), “Strategic Thinking Map – Hierarchy of Strategic Decisions and Alternatives,” for an organization with which you are familiar. Practice selecting different alternatives under each strategy type.

Exhibit 6–4: Strategic Thinking Map – Hierarchy of Strategic Decisions and Alternatives

Directional Strategies

Adaptive Strategies

Market Entry Strategies

Competitive Strategies

Implementation Strategies

• Mission

• Vision

• Values

• Goals

Expansion of Scope • Diversification • Vertical Integration • Market Development • Product Development • Penetration

Contraction of Scope • Divestiture • Liquidation • Harvesting • Retrenchment

Maintenance of Scope • Enhancement • Status Quo

Purchase • Acquisition • Licensing • Venture Capital Investment

Cooperation • Merger • Alliance • Joint Venture

Development • Internal Development • Internal Venture

Strategic Posture • Defender • Prospector • Analyzer

Positioning Marketwide • Cost Leadership • Differentiation Market Segment • Focus/ Cost Leadership • Focus/ Differentiation

Service Delivery • Pre-service • Point-of-service • After-service

Support • Culture • Structure • Strategic Resources

Unit Action Plans • Objectives • Actions • Timelines • Responsibilities

Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2013). Strategic Management of Health Care Organizations (7th ed.). San Francisco: Jossey-Bass.