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

• Review the scenario provided, as well as Chapter 25 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.

Disaster Response Plan

For this assignment you will be developing a disaster plan to address a hypothetical disaster that could plausibly strike the community that you observed for your Windshield Survey.

A disaster can come in many forms. We might tend to associate disasters with mass natural disaster, like Hurricane Katrina or the 2011 earthquake and tsunami that struck Japan. However, disasters also include relatively small man-made disasters, such as a fire in an apartment building or a gas leak in a factory (Maurer & Smith, 2013).

You will also be asked to select one of the articles from the list below that addresses a response to a disaster, or provides guidelines for creating a disaster response plan. You will briefly evaluate the article’s disaster response practices and also explain aspects for the article’s disaster response that would be appropriate to incorporate into your plan, as well as aspects that would not be feasible to incorporate. By evaluating responses to disasters in communities outside of your own, you will be able to bring in global perspectives as well as gain a deeper understanding of aspects of disaster response plans that are universal, as well as aspects that are only primarily applicable to specific communities.

Choose one of the following articles (see the Resources area for links to these articles):

•Almutairi and Rondney’s 2013 article, “Critical Cultural Competence for Culturally Diverse Workforces: Toward Equitable and Peaceful Health Care,” from Advances in Nursing Science, volume 36, issue 3, pages 200–212.

•ÖztekÄ°n, et al.’s 2014 article, “Educational Needs Concerning Disaster Preparedness and Response: A Comparison of Undergraduate Nursing Students From Istanbul, Turkey, and Miyazaki, Japan,” from Japan Journal of Nursing Science, volume 11, issue 2, pages 94–101. •Yamashita & Kudo’s 2014 article, “How Should We Prepare Differently for the Next Disaster?” from Nursing and Health Sciences, volume 16, issue 1, pages 56–59.

•Zaré, et al.’s 2012 article, “Crisis Management of Tohoku; Japan Earthquake and Tsunami, 11 March 2011,” from Iranian Journal of Public Health, volume 41, issue 6, pages 12–20.

Your plan should address and include the following:

Section 1: Article Evaluation (1–2 pages)

•An evaluation of the disaster response presented in the article you selected from the provided list.

•An explanation of aspects of the article’s disaster response that you plan on incorporating into your own Disaster Response Plan. Please include your rationale for why you are choosing to incorporate these aspects into your plan.

•An explanation of aspects of the article’s disaster response that would not be appropriate or plausible to include in your disaster response plan. Please include your rationale for why these aspects would not be appropriate or plausible to incorporate these aspects into your plan.

Section 2: Community Disaster Response Plan (5–7 pages)

•Describe the hypothetical disaster for your surveyed community that your plan will be addressing. Be sure to include details such as:

◦Scope of the disaster.

◦Intensity of the disaster.

◾Effects on the community environment as a result of the disaster.

◾Immediate health impacts on people in the community.

◾Medium and long-term health impacts on people in the community.

•Communication procedures: When and how should public health department nurses communicate with each other in a disaster? When should they communicate with other first responders, law enforcement, and other resources/responders in a disaster?

•Communication procedures for coordinating care with hospitals and other resources.

◦Note: During disasters, acute care hospitals become overwhelmed—less critical patients may be treated at field hospitals, leaving room for critical patients in functioning acute care facilities. Identify who will communicate with whom.

•The triage system you would use for assessing victims.

•How will you address the needs of vulnerable populations (the elderly, children, mentally ill, homeless, and so on)?

•How will you address cultural groups and non-English speaking persons?

•Housing and shelter:

◦How will you let the residents of your community know where to go?

◦What system will you use to fill shelters?

◦How will you communicate shelter capacity to prevent overcrowding the shelters? What resources will you use to help staff shelters?

◦How many nurses will you allocate for shelters? Will you use nurses to staff shelters?

◦Will you use other nursing resources to staff shelters, such as Red Cross, U.S. Commissioned Corps, military nurses, and so on?

•What resources will you use to help provide food, water, and toilet facilities for victims?

◦Who will you call and when will you call?

•What procedures will you implement to prevent disease outbreak?

•How will you care for the needs of the public health department nursing staff?  Other requirements and considerations:

•Your plan should be as detailed as possible.

•Use a minimum of four peer-reviewed journal articles (the article you select from the provided list counts as one of the four) to support the effectiveness of your plan. Be sure to use proper APA style and formatting. •Include a title page.

•Include a reference page.

Be sure to use proper APA style and formatting.

•Times New Roman font, 12 pt.

Write a 3–4 page evidence-based resourcing plan for one component of the Heart Failure Clinic.

It is important for the nurse leader to have not only a basic  understanding of the budget process, but to understand how to work with  variances in staffing, patient loads, and supply costs in order to meet  the needs of the patients, without compromising the funding process of  the clinic.

By successfully completing this assessment, you will demonstrate  your proficiency in the following course competencies and assessment  criteria:

• Competency 3: Apply management strategies and best practices for  health care finance, human resources, and materials allocation  decisions to improve health care delivery and patient outcomes.
  • Apply evidence-based management strategies and best practices for resourcing health care services.
  • Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.
• Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.
  • Apply legal and professional standards for resourcing outpatient services.
• Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.
  • Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.

Instructions

Deliverable: Develop one component of an evidence-based resourcing plan.

Scenario:

The hospital leadership team has already allocated the major  capital expenditures for the heart failure clinic, such as the facility,  legal services, IT, and security services. However, as a member of the  nurse team, you have been asked to develop one component of a resourcing plan for the next leadership meeting.

You may use any combination of documents (for example, a  spreadsheet or a table) in addition to explanatory information to convey  information clearly and succinctly.

Choose  one of the following:

Budget:

• Apply evidence-based management strategies and best practices for resourcing health care services.
  • Identify the business plan budget categories and subcategories (not necessarily the actual cost) to establish a new clinic.
  • Start-up expenses.
  • Examine fixed and variable costs.
  • Capital budget items.
    • Examples: salary and benefits, staffing mix, specialized equipment or materials, et cetera.
  • Contingency fund and parameters.
• Apply legal and professional standards for resourcing outpatient services.
  • Explain the alignment to best practices and professional standards for cost effective outpatient services.
  • How will uninsured or underinsured patients be managed?
• Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.
  • What data resources and tools analyze costs, health insurance, and hospitalization services?
  • How will billing be handled?
  • How will you determine if outpatient management is cost-effective?
  • How does transparency impact the consumer?

Staffing Plan:

• Apply evidence-based management strategies and best practices for resourcing health care services.
  • Identify the disciplines and skill mix needed for appropriate staffing.
  • Estimate staffing requirements by discipline and staffing ratios (evidence-based).
  • Develop a sample staffing schedule.
  • How will you staff to meet corporate diversity goals or the needs of diverse patients?
  • Explain how delegation, collaboration, negotiation will affect staffing plan.
    • How does a union contract affect the staffing plan or schedule?
      • Examine the Nurse Practice Act for your state.
        • How does the Nurse Practice Act affect your staffing plan?
• Apply legal and professional standards for resourcing outpatient services.
  • Align your staffing plan to best practices, the Nurse Practice  Act for your state, scope of practice, and the Joint Commission  standards for outpatients.
• Describe management and accountability tools and procedures used to manage health delivery services and patient outcomes.
  • How will you know if staffing is cost-effective?
  • How will you know if staffing mix or schedule impacts patient outcomes?

Additional Requirements

• Written communication: Written communication should be free of errors that detract from the overall message.
• APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
• Length: The plan should be 3–4 pages in content length, double-spaced.
• Font and font size: Times New Roman, 12 point.
• Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.

Assignment:

Information Security in a World of Technology

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which item you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

1. The textbook discusses several education methods. Discuss each method with an example of how the method could be used in the organization. Then discuss how you will evaluate the method and learning.
2. Healthcare continues to be a lucrative target for hackers with weaponized ransomware, misconfigured cloud storage buckets, and phishing emails. Discuss how an organization can protect patients’ information through:
   • Security mechanisms
   • Administrative and Personnel Issues
   • Level of access
   • Handling and Disposal of Confidential Information
3. You are providing education to staff on phishing and spam emails. Using the different educational methods discussed in Chapter 12:
   • Provide examples of how each method can be used
   • How will the method and learning be evaluated?

Some of the different educational methods are Ins