Provide your answers to the following questions in a 2-page paper. Use APA Editorial Format for all citations and references used.

1. What should the “culture and environment of safety” look like when preparing and administering medications?
2. Discuss a common breach of medication administration.
3. Identify three (3) factors that lead to errors in documentation related to medication administration.
4. What can I do to prevent medication errors?

Planning is the key to successful completion of this course and program-related objectives. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course preceptor. Students must establish a plan for successful completion of

1. The required 50 community direct clinical practice experience hours, 50 leadership direct clinical practice hours, and 25 indirect clinical experience hours.
2. Completion of work associated with program competencies.
3. Work associated with completion of the student’s capstone project change proposal.

Students will use the “Individual Success Plan” to develop an individual plan for completing practice hours and course objectives. As a part of this process, students will identify the number of hours set aside to meet course goals.

Student expectations and instructions for completing the ISP document are provided in the “Individual Success Plan” resource, located in the Study Materials and in the assignment instructions.

Students should apply concepts from prior courses to critically examine and improve their current practice. Students are expected to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.

After the ISP has been developed by the student and approved by the course faculty, students will initiate a preconference with the faculty and preceptor to review the ISP

Consider the case scenario you described in Week 6. Continue with this unfolding case scenario by assuming that the change process is proceeding in an effective manner, and address the following.

1. Provide a concise introduction for your posting.
2. Identify the stakeholders who are impacted by the change at the micro-, meso-, and macro-levels, and discuss how you will engage those stakeholders in the change process.
3. Describe two supportive factors within the system that will facilitate your recommended change.
4. Provide an example of one barrier that may occur that would impede your recommended change.
5. Explain one leadership strategy to address or resolve the barrier, and include your rationale.
6. Recommend one leadership strategy to sustain the change within the context of a complex system, and explain your rationale.
7. Conclude with a succinct synopsis of key points and concise self-reflection of how this topic contributes to your growth as a future leader in the chosen specialty track.

Please note that the requirements for the Peer Engagement Forum are different from what you are accustomed to in the traditional discussion boards in your previous classes. Refer to the assignment guideline and rubric listed below for specific requirements regarding expectations for postings within the peer engagement forum.

Instructors reserve the right to alter assigned peer engagement groups to maximize the student experience and course outcomes.

Discussion 1: Cardiovascular Alterations

At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.

Consider the following scenario:

A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.

To Prepare

Cardiovascular Alterations·         Review the scenario provided, as well as Chapter 24 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.

·         Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.

·

Post a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient.