PROFICIENCY REPORT FROM Ms. O
PRACTICE
Ms. O is a registered nurse on the inpatient psychiatric unit for (35-37) acute / rapid stabilization of (MH/BS), assigned to evening tour of duty, coed patients with diversified backgrounds at different developmental stages. The patient’s clinical presentation typically presents as acute depression, bipolar, schizophrenia, anxiety, substance abuse problems, and PTSD including psychosocial issues. Ms. O functions as charge nurse continue to demonstrate leadership, greater accountability, and knowledge in the delivery and application of her nursing practice, critical thinking, planning, prioritizing, collaboration, and coordination of skills while guiding, and directing (13-15) staffs in the provision of direct quality nursing care with minimal supervision.
Practice: Applies the nursing process to systems or processes at the unit/team/work group level to improve care. Demonstrates leadership by
Involving others in improving care.
Ms. O applied nursing process to the provision of patient care in order to improve care outcome. Ms. O demonstrated using nursing process in the following ways: completes and implements initial assessment, reevaluation with follow-up based on the patients presenting individual clinical presentation, provides education upon assessment of patient/family’s educational needs, and team for a safe discharge plan. She participates to address the overall holistic function and maintenance of the Veteran’s physical, emotional, and social environment toward the goals of achieving physical survival, self-determination, and autonomous community functioning because of (assessment, planning, monitoring, advocacy, and implementation) contributing to the Veterans full potential. Ms. Oke assist to safely discharge approximately (25-30) patients per week and this discharge performance contributes to helping reduce the length of stay (LOS) as indicated from fy 2014, from (12.3-7.56) days per utilization management. During shift reports as Charge nurse, assist staff with focusing on problem areas unique for the patient’s treatment, behavior, or psychosocial well-being. Monitors and implements crisis intervention for those patients having active suicidal, homicidal or aggressive behavior because of diminishing mental and physical conditions. Implementation of one to one observation, medication administration, or rapid response. Provides goal/wrap-up groups and informal health education in the areas of medication compliance, suicide, smoking, and alcohol cessation while inpatient and upon discharge to patient and family members when applicable. She is competent in administering medications like insulin, and PRN effectiveness f/u within (60-120 minutes), monitors adverse reactions and critical syndromes (Extrapyramidal side effects, Tardive dyskinesia, and Neuroleptic malignant syndrome) associated with this class and use of antipsychotic medications for sustained quality clinical care and ...
PATIENT ASSIGNMENTS AND NURSING CARE RESPONSIBILITIES.pptxPRADEEP ABOTHU
Patient Assignments and Nursing Care Responsibilities
Functional Nursing:
Functional nursing is a care delivery model in which nursing tasks are divided among team members based on their specific skills and expertise. In this model, each member of the nursing team is assigned specific functions to perform for a group of patients. For instance, one nurse may be responsible for administering medications, while another nurse may focus on vital sign monitoring. This approach aims to promote efficiency by utilizing the specialized skills of each team member. However, it can also result in fragmented care and reduced continuity as different nurses handle different aspects of patient care.
Team Nursing:
Team nursing is a collaborative care delivery model that involves a team of healthcare professionals working together to provide comprehensive care to a group of patients. The team typically includes registered nurses, licensed practical nurses, and nursing assistants, among others. A registered nurse usually leads the team and coordinates care, delegating tasks to team members based on their abilities and scope of practice. This model encourages teamwork, shared decision-making, and a holistic approach to patient care. By leveraging the collective skills and knowledge of the team, team nursing aims to provide high-quality care while maintaining efficiency.
Primary Nursing:
Primary nursing is a patient-centered care delivery model in which a registered nurse takes full responsibility for coordinating and providing care to a specific group of patients. The primary nurse develops a therapeutic relationship with the patients, assesses their needs, creates individualized care plans, and provides direct care throughout their healthcare journey. This model emphasizes continuity of care and places a strong emphasis on the nurse-patient relationship. By having a dedicated primary nurse, patients benefit from personalized attention, improved communication, and a sense of continuity in their care.
Case Management:
Case management is a care delivery model that focuses on coordinating healthcare services for patients with complex medical conditions or multiple healthcare needs. A case manager, often a registered nurse, plays a key role in this model by working closely with the patient, their family, and other healthcare professionals to ensure seamless transitions between healthcare settings and to optimize resource utilization. The case manager assesses the patient's needs, develops and implements care plans, advocates for the patient, coordinates appointments and services, and collaborates with various healthcare providers. The goal is to provide comprehensive and efficient care while maximizing patient outcomes and resource allocation.
Each of these care delivery models has its own strengths and weaknesses, and the choice of model depends on factors such as the healthcare setting, patient population, and available resources.
PATIENT ASSIGNMENTS AND NURSING CARE RESPONSIBILITIES.pptxPRADEEP ABOTHU
Patient Assignments and Nursing Care Responsibilities
Functional Nursing:
Functional nursing is a care delivery model in which nursing tasks are divided among team members based on their specific skills and expertise. In this model, each member of the nursing team is assigned specific functions to perform for a group of patients. For instance, one nurse may be responsible for administering medications, while another nurse may focus on vital sign monitoring. This approach aims to promote efficiency by utilizing the specialized skills of each team member. However, it can also result in fragmented care and reduced continuity as different nurses handle different aspects of patient care.
Team Nursing:
Team nursing is a collaborative care delivery model that involves a team of healthcare professionals working together to provide comprehensive care to a group of patients. The team typically includes registered nurses, licensed practical nurses, and nursing assistants, among others. A registered nurse usually leads the team and coordinates care, delegating tasks to team members based on their abilities and scope of practice. This model encourages teamwork, shared decision-making, and a holistic approach to patient care. By leveraging the collective skills and knowledge of the team, team nursing aims to provide high-quality care while maintaining efficiency.
Primary Nursing:
Primary nursing is a patient-centered care delivery model in which a registered nurse takes full responsibility for coordinating and providing care to a specific group of patients. The primary nurse develops a therapeutic relationship with the patients, assesses their needs, creates individualized care plans, and provides direct care throughout their healthcare journey. This model emphasizes continuity of care and places a strong emphasis on the nurse-patient relationship. By having a dedicated primary nurse, patients benefit from personalized attention, improved communication, and a sense of continuity in their care.
Case Management:
Case management is a care delivery model that focuses on coordinating healthcare services for patients with complex medical conditions or multiple healthcare needs. A case manager, often a registered nurse, plays a key role in this model by working closely with the patient, their family, and other healthcare professionals to ensure seamless transitions between healthcare settings and to optimize resource utilization. The case manager assesses the patient's needs, develops and implements care plans, advocates for the patient, coordinates appointments and services, and collaborates with various healthcare providers. The goal is to provide comprehensive and efficient care while maximizing patient outcomes and resource allocation.
Each of these care delivery models has its own strengths and weaknesses, and the choice of model depends on factors such as the healthcare setting, patient population, and available resources.
PROFESSIONAL OBJECTIVES
To obtain a full-time position to utilize my working knowledge of leadership and nursing and to continue to develop and apply evidence-based practices, quality assurance and professional interpersonal relationship experiences.
1. The Incident Command System (ICS) is a tool forA. Co.docxstilliegeorgiana
1. The Incident Command System (ICS) is a tool for:
A. Command, control, and coordination at an incident
B. Interagency responses only
C. Multi-jurisdictional responses only
D. Responses involving first-response personnel only
2. ICS can be used to manage all types of incidents.
A. True
B. False
3. Federal law requires that ICS be used for all natural disasters.
A. True
B. False
4.The ICS General Staff includes:
A. Branch, Division, Group, and Unit managers
B. All managers of operational resources.
C. Planning, Operations, Logistics, and Finance/Administration Section Chiefs
D. Incident Commander and the Information, Safety, and Liaison Officers
5. All incidents, regardless of size, will have an Incident Commander.
A. True
B. False
6. In an ICS environment, the optimum span of control is:
A. Two (2) resources
B. Five (5) resources
C. Eight (8) resources
D. Ten (10) resources
7. Which section is responsible for providing incident facilities?
A. Planning
B. Operations
C. Logistics
D. Finance/Administration
8. Which section is responsible for documenting the status of resources, incident response, and developing the IAP?
A. Planning
B. Operations
C. Logistics
D. Finance/Administration
9. The Incident Commander is responsible for all the following EXCEPT:
A. Protecting life and property
B. Controlling resources assigned to the incident
C. Maintaining accountability
D. Coordinating the community-wide response
10. Given what you know about your agency, your job and you capabilities, where would you most likely be assigned in an ICS structure? To whom would you report? Be sure to include what your job is or would be during an event.
.
1. The Thirteenth Amendment effectively brought an end to slaver.docxstilliegeorgiana
1. The Thirteenth Amendment effectively brought an end to slavery in the United States. Lincoln had issued the Emancipation Proclamation over 3 years earlier. Why, then, was the Thirteenth Amendment issued? Was it necessary? How come?
2. The Fourteenth Amendment settled the question of who is a citizen of the United States. (anyone naturalized or born here). Why are Indians excluded?
3. Persons who are citizens may not be denied the right to vote according to the Fifteenth Amendment. The Civil Rights crises of the 1960s, and the work of Martin Luther King (and many others) sought, among other things, to assure that the right to vote was available to all. Why? The Fifteenth Amendment had been passed almost a hundred years earlier. How could persons be denied the ballot?
4. How could Andrew Johnson, Lincoln's successor, veto the Civil Rights Bill in 1866 when the 13th Amendment had already been passed in 1865? What issues did he cite to justify his veto? (Hint: look at the Johnson primary source)
5. The 14th Amendment. How does Foner explain the relationship between the Federal and the State as a result of the 14th Amendment?
https://util.wwnorton.com/jwplayer?type=video&msrc=/wwnorton.college.public/history/give/reconstruction-johnson.mp4&csrc=/wwnorton.college.public/history/give/reconstruction-johnson.vtt&cp=1
https://util.wwnorton.com/jwplayer?type=video&msrc=/wwnorton.college.public/history/give/14th-amendment.mp4&csrc=/wwnorton.college.public/history/give/14th-amendment.vtt&cp=1
https://util.wwnorton.com/jwplayer?type=video&msrc=/wwnorton.college.public/history/give/reconstruction-amendments-2.mp4&csrc=/wwnorton.college.public/history/give/reconstruction-amendments-2.vtt&cp=1
.
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PROFESSIONAL OBJECTIVES
To obtain a full-time position to utilize my working knowledge of leadership and nursing and to continue to develop and apply evidence-based practices, quality assurance and professional interpersonal relationship experiences.
1. The Incident Command System (ICS) is a tool forA. Co.docxstilliegeorgiana
1. The Incident Command System (ICS) is a tool for:
A. Command, control, and coordination at an incident
B. Interagency responses only
C. Multi-jurisdictional responses only
D. Responses involving first-response personnel only
2. ICS can be used to manage all types of incidents.
A. True
B. False
3. Federal law requires that ICS be used for all natural disasters.
A. True
B. False
4.The ICS General Staff includes:
A. Branch, Division, Group, and Unit managers
B. All managers of operational resources.
C. Planning, Operations, Logistics, and Finance/Administration Section Chiefs
D. Incident Commander and the Information, Safety, and Liaison Officers
5. All incidents, regardless of size, will have an Incident Commander.
A. True
B. False
6. In an ICS environment, the optimum span of control is:
A. Two (2) resources
B. Five (5) resources
C. Eight (8) resources
D. Ten (10) resources
7. Which section is responsible for providing incident facilities?
A. Planning
B. Operations
C. Logistics
D. Finance/Administration
8. Which section is responsible for documenting the status of resources, incident response, and developing the IAP?
A. Planning
B. Operations
C. Logistics
D. Finance/Administration
9. The Incident Commander is responsible for all the following EXCEPT:
A. Protecting life and property
B. Controlling resources assigned to the incident
C. Maintaining accountability
D. Coordinating the community-wide response
10. Given what you know about your agency, your job and you capabilities, where would you most likely be assigned in an ICS structure? To whom would you report? Be sure to include what your job is or would be during an event.
.
1. The Thirteenth Amendment effectively brought an end to slaver.docxstilliegeorgiana
1. The Thirteenth Amendment effectively brought an end to slavery in the United States. Lincoln had issued the Emancipation Proclamation over 3 years earlier. Why, then, was the Thirteenth Amendment issued? Was it necessary? How come?
2. The Fourteenth Amendment settled the question of who is a citizen of the United States. (anyone naturalized or born here). Why are Indians excluded?
3. Persons who are citizens may not be denied the right to vote according to the Fifteenth Amendment. The Civil Rights crises of the 1960s, and the work of Martin Luther King (and many others) sought, among other things, to assure that the right to vote was available to all. Why? The Fifteenth Amendment had been passed almost a hundred years earlier. How could persons be denied the ballot?
4. How could Andrew Johnson, Lincoln's successor, veto the Civil Rights Bill in 1866 when the 13th Amendment had already been passed in 1865? What issues did he cite to justify his veto? (Hint: look at the Johnson primary source)
5. The 14th Amendment. How does Foner explain the relationship between the Federal and the State as a result of the 14th Amendment?
https://util.wwnorton.com/jwplayer?type=video&msrc=/wwnorton.college.public/history/give/reconstruction-johnson.mp4&csrc=/wwnorton.college.public/history/give/reconstruction-johnson.vtt&cp=1
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https://util.wwnorton.com/jwplayer?type=video&msrc=/wwnorton.college.public/history/give/reconstruction-amendments-2.mp4&csrc=/wwnorton.college.public/history/give/reconstruction-amendments-2.vtt&cp=1
.
1. The Thirteenth Amendment effectively brought an end to slavery in.docxstilliegeorgiana
1. The Thirteenth Amendment effectively brought an end to slavery in the United States. Lincoln had issued the Emancipation Proclamation over 3 years earlier. Why, then, was the Thirteenth Amendment issued? Was it necessary? How come?
2. The Fourteenth Amendment settled the question of who is a citizen of the United States. (anyone naturalized or born here). Why are Indians excluded?
3. Persons who are citizens may not be denied the right to vote according to the Fifteenth Amendment. The Civil Rights crises of the 1960s, and the work of Martin Luther King (and many others) sought, among other things, to assure that the right to vote was available to all. Why? The Fifteenth Amendment had been passed almost a hundred years earlier. How could persons be denied the ballot?
4. How could Andrew Johnson, Lincoln's successor, veto the Civil Rights Bill in 1866 when the 13th Amendment had already been passed in 1865? What issues did he cite to justify his veto? (Hint: look at the Johnson primary source)
5. The 14th Amendment. How does Foner explain the relationship between the Federal and the State as a result of the 14th Amendment?
https://util.wwnorton.com/jwplayer?type=video&msrc=/wwnorton.college.public/history/give/reconstruction-johnson.mp4&csrc=/wwnorton.college.public/history/give/reconstruction-johnson.vtt&cp=1
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1. The Fight for a True Democracy
https://www.nytimes.com/2019/08/23/podcasts/1619-slavery-anniversary.html
(Follow the link to the podcast)
Directions:
Students will listen to this podcast and write 3 paragraphs about it. One paragraph should summarize the podcast episode, the second paragraph should discuss its significance in U.S. History, and the last paragraph should explain what the student thought about the podcast.
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1. The article for week 8 described hip hop as a weapon. This week's reading makes several references to hip hop and spirituality? Can hip hop be described as a spiritual movement? Why or why not?
2. In the movie, "I Love Hip Hop in Morocco" on of the rappers repeatedly used the "N" word. Do you agree with his use of the "N" word for Moroccans? How did he justify its use?
.
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1. The Hatch Act defines prohibited activities of public employees. Analyze the significance of these prohibitions with regard to an individual’s political actions. Provide a rationale for your response.
2. Analyze the key ethical challenges of privatization. Take a position on whether the private sector should be responsible for program outcomes of a public program or service. Provide a rationale for your response
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1. “The Case for Reparations” by Ta-Nehisi Coates (604-19) in Rereading America
2. “Choosing a School for My Daughter in a Segregated City” (152) by Nikole Hannah-Jones3. “From Social Class and the Hidden Curriculum of Work” (136) by Jean Anyon
4. John Taylor Gatto's "Against School" (114) in Rereading America
How to Do Extra Credit: 1. 5 Paged Essay-Must Be Singled Spaced.
For 100 points do extra credit where you review a film, video, music video, or lecture or book that reflects the discussions in class. Write a paper on themes presented in the class reflected in one of those mediums. Consider the ideas about culture. Observe how culture and condition were presented. Think about what values were being preserved or dismantled. Then, write in third person, what was learned. The essay is in third person; don’t write you, we, our us, or me. It is not considered academic.
Question: What are the themes in the event that link to the course, and how do those themes represent social problems or ways to resolve those problems?
1st Paragraph 100 POINTS FOR ESSAY
Introduction: Write summary of the event, lecture, music video, or song. (5 sentences)
Thesis: Answer the questions above. (1-2 sentences)
2nd Paragraph
Point: Write what is the importance of the theme. (1-2 sentences)
Illustration A. Summary (3 sentences)
Illustration B. Quotation (1-2 lines)
Explanation:
A. Explain the importance of the quote (2 sentences)
B. Explain how the importance is linked to Anzaldua (2 sentences)
3rd Paragraph
Point: Write what is the importance of the theme. (1-2 sentences)
Illustration A. Summary (3 sentences)
Illustration B. Quotation (1-2 lines)
Explanation:
A. Explain the importance of the quote (2 sentences)
B. Explain how the importance is linked Anzaldua (2 sentences)
4th Paragraph
Point: Write what is the importance of the theme. (1-2 sentences)
Illustration A. Summary (3 sentences)
Illustration B. Quotation (1-2 lines)
Explanation:
A. Explain the importance of the quote (2 sentences)
B. Explain how the importance is linked to Anzaldua (2 sentences)
5th Conclusion: Write 3 sentences on what you learned you didn't know before. Write in third person.
.
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1. Some people say that chatbots are inferior for chatting.Others disagree. Discuss.
2. Discuss the financial benefits of chatbots.
3. Discuss how IBM Watson will reach 1 billion people by 2018 and what the implications of that are.
4. Compare the chatbots of Facebook and WeChat. Which has more functionalities?
5. Research the role of chatbots in helping patients with dementia
6. Microsoft partners with the government of Singapore to develop chatbots for e-services. Find out how this is done.
APA format with 2 references.
2 pages
.
1. Some people say that chatbots are inferior for chatting.Other.docxstilliegeorgiana
1. Some people say that chatbots are inferior for chatting.Others disagree. Discuss.
2. Discuss the financial benefits of chatbots.
3. Discuss how IBM Watson will reach 1 billion people by 2018 and what the implications of that are.
4. Compare the chatbots of Facebook and WeChat. Which has more functionalities?
5. Research the role of chatbots in helping patients with dementia
6. Microsoft partners with the government of Singapore to develop chatbots for e-services. Find out how this is done.
APA format with 2 references.
2 pages
.
1. Some people say that chatbots are inferior for chatting. Others d.docxstilliegeorgiana
1. Some people say that chatbots are inferior for chatting. Others disagree. Discuss.
2. Discuss the financial benefits of chatbots.
3. Discuss how IBM Watson will reach 1 billion people by 2018 and what the implications of that are.
4. Compare the chatbots of Facebook and WeChat. Which has more functionalities?
5. Research the role of chatbots in helping patients with dementia.
6.Microsoft partners with the government of Singapore to develop chatbots for e-services. Find out how this is done.
Note: Each question must be answered in 6-7 ines and refernces must be APA cited
.
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1. Tell us about yourself and your personal journey that has to lead you to the University of the ABC. (Currently, I’m pursuing my masters in IT and next applying for Ph.D. In IT) in same ABC university
2. What are your research interests in the area of information technology? How did you become interested in this area of research?
3. What unique qualities do you think you have that will help you in being successful in this program? (Ph.D. IT Program)
4. How can obtaining a doctorate impact your contribution to the practices of information technology? Where do you see yourself after obtaining a doctorate from ABC?
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1. Tell us what characteristics of Loma Linda University are particularly attractive and meaningful to you and why you have chosen to apply for advanced education.
(500 words)
2.
LLU believes deeply in integrating spiritual values into the educational experience. As a result, religion courses and chapel attendance are part of the curriculum. Tell us why you believe such a faith-based education would be of special benefit to you. (500 words)
3.
Tell us the desirable qualities that you see in yourself that you believe would aid us in considering your application. (1000 words)
4. Discuss how your spiritual origins, development, and experience have influenced and been integrated into your daily life. (1000 words)
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1. Tell us about yourself and your personal journey that has lead you to University of the Cumberlands.
2. What are your research interests in the area of information technology? How did you become interested in this area of research?
3. What is your current job/career and how will this program impact your career growth?
4. What unique qualities do you think you have that will help you in being successful in this program?
5. How can obtaining a doctorate impact your contribution to the practices of information technology? Where do you see yourself after obtaining a doctorate from UC?
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1. The Research paper will come in five parts. The instructions are:
RESEARCH PAPER TOPIC
Impact of Women in Missions History
o
Part 2:
Refined topic, edited abstract, outline, and ten sources - Students will incorporate any changes to topic, outline the paper, write questions to be answered by the research, and submit ten sources. Submit Part 2 by 11:59 p.m. (ET) on Sunday of Module/Week 3.
Note:
Some will need to limit their topic. Others will need to expand their topic. This process should begin this week and continue until the final project is submitted.
DUE SUNDAY, MAY 31ST
o
Part 3:
Introduction and first five pages - Students will submit the introduction and first five pages of the research paper. Submit Part 3 by 11:59 p.m. (ET) on Sunday of Module/Week 4.
DUE FRIDAY, JUNE 5TH
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Part 4:
Introduction and first ten pages - Students will submit introduction and first ten pages, incorporating changes made to initial submission. Submit Part 4 by 11:59 p.m. (ET) on Sunday of Module/Week 5.
DUE FRIDAY, JUNE 12TH
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Part 5:
Complete research paper - Students will submit the complete research paper. The paper will be 5000-6000 words in the body of the paper, with a minimum of ten academic resources cited. Submit Part 5 by 11:59 p.m. (ET) on Sunday of Module/Week 7
DUE FRIDAY, JUNE 19TH
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1. The minutiae points located on a fingerprint will help determine the _________________ of a fingerprint since it has been empirically demonstrated that no two fingerprints are alike.
2. A fingerprint will remain ______________ during an individual's lifetime.
3. The epidermis is the outer layer of the skin, while the ___________ is the inner layer of the skin.
4. The ____________ is formed by ridges entering from one side of the print, rising and falling, and exiting on the opposite side (like a wave).
5. Level 2 includes locating and comparing _________________
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1. The initial post is to be posted first and have 300-500 words
· The original post is substantive, showing depth of knowledge on the topic and requires 2 references. References are from LDRS 300 course text or readings.
· Substantive replies occur under two or more different threads, other than that belonging to you.
· Response posts to peers' original postings are respectful, show clear synthesis and evaluation of the content read, and provides depth, breath, or new insight to the topic.
· Be clearly written and contain no APA/spelling/grammatical errors
Use
APA Citations for all your sources and include an APA References list. (No Title Page, or other APA formatting is required)
Spelling and Grammar is important.
Discussion Question: Servant Leadership in a movie, book, or drama film you have enjoyed.
Based on our readings from
Lead Like Jesus
(Blanchard, Hodges, & Hendry, 2016),
Jesus on Leadership (Wilkes, 1998)
and thus far in the lectures of LDRS 300;
A Servant Leader models Jesus by having the following leadership traits
:
1. Followership.
2. Greatness in Service.
3. Takes Risks.
4. Shares Responsibility and Authority.
5. Practices
one of
the Being Habits or Doing Habits.
6. Embodies the Vision, Mission, and Values of the group.
7. Is a Performance Coach.
8. Displays Lessons Learned from The Work of a Carpenter.
Choose a character from a movie and discuss the following two questions.
1.
How did the character display TWO (2) traits of a Servant Leader like Jesus from the list above?
1.
Give
2 examples from the movie to support your position.
2. H
ow would you describe the EGO of this character in terms of the two ways EGO is discussed in this class? (
Edging God Out
Verses
Exalting God Only
)
1.
Give at least 2 examples from the movie to support your position.
.
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1. The key elements of supplier measurement are quality, delivery, and price. On the surface this appears to be a simple matter, but what are the complicating factors?
2. David Atkinson, the founder and Managing Director of Four Pillars, a management consulting and training company, states that “supplier relationship management is . . . process-focused. It’s a lot more about how the organization systematically plans, than it is about an ’interpersonal’ skill set of the procurement person or relationship manager.” Do you agree or disagree with this statement?
3. Supplier performance measurement is an essential lever for successful supplier management that encompasses both pre- and post-contract management. From this vantage point, how would you distinguish the focuses of supplier performance measurement undertaken pre-contract stage versus post-contract stage?
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1. Search the Internet and locate an article that relates to the topic of HACKING and summarize the reading in your own words. Your summary should be 2-3 paragraphs in length and uploaded as a TEXT DOCUMENT.
2. Do you feel the benefits of cloud computing are worth the threats and vulnerabilities? Have we arrived at a point where we can trust external agencies to secure our most precious data? Please explain your answer.
3. In a few short paragraphs, explain which cloud services you use (Google, Amazon, iCloud, Verizon, Microsoft One, Dropbox, etc) and what type of information you store (docs, photos, music, other files?). How much space do you have and what does this cost per month?
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1. Text mining – Text mining or text data mining is a process to e.docxstilliegeorgiana
1. Text mining – Text mining or text data mining is a process to extract high-quality information from the text. It is done through patterns and trends devised using statistical pattern learning. Firstly, the input data is structured. After structuring, patterns are derived from this structured data and finally, the output is evaluated and interpreted. The main applications of text mining include competitive intelligence, E-Discovery, National Security, and social media monitoring. It is a trending topic for the thesis in data mining.
Some research needs
Problem definition – In the first phase problem definition is listed i.e. business aims and objectives are determined taking into consideration certain factors like the current background and future prospective.
Data exploration – Required data is collected and explored using various statistical methods along with identification of underlying problems.
Data preparation – The data is prepared for modeling by cleansing and formatting the raw data in the desired way. The meaning of data is not changed while preparing.
Modeling – In this phase the data model is created by applying certain mathematical functions and modeling techniques. After the model is created it goes through validation and verification.
Evaluation – After the model is created, it is evaluated by a team of experts to check whether it satisfies business objectives or not.
Deployment – After evaluation, the model is deployed and further plans are made for its maintenance. A properly organized report is prepared with the summary of the work done.
Research paper Policy
· APA format
. https://apastyle.apa.org/
. https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html
· Min number of pages are 15 pages
· Must have
. Contents with page numbers
. Abstract
. Introduction
. The problem
4. Are there any sub-problems?
4. Is there any issue need to be present concerning the problem?
. The solutions
5. Steps of the solutions
. Compare the solution to other solution
. Any suggestion to improve the solution
. Conclusion
. References
· Missing one of the above will result -5/30 of the research paper
· Paper does not stick to the APA will result in 0 in the research paper
Spring 2020 Name: ______________________________
MATH 175 – Test 2 (Show Your Work )
7. Given
5
cos2
18
q
=-
and
180270
q
<<
oo
, find values of
sin
q
and
cos
q
.
8. Verify that each of the following is a trigonometric identity.
22
1sin
sec2sectantan
1sin
q
qqqq
q
-
=-+
+
9. Give the exact value of
4
cos2arctan
3
æö
ç÷
èø
without using a calculator.
10. Solve
2cos2cos2
qq
=
for all exact solutions in degrees.
PAGE
1
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Information Systems for Business and Beyond (2019)
Information System.
1. Students need to review 3 different social media platforms that a.docxstilliegeorgiana
1. Students need to review 3 different social media platforms that are not mainstream.
a. TikTok
b. Lasso
c. Vero
d. Steemit
e. Caffeine
f. Houseparty
g. Amazon Spark
h. Anchor
i. Facebook for Creators
j. Foursquare Swarm
k. Facecast
l. Google My Business
m. Reddit
2. Provide background of how the platform started, who owns them and how big of a following they have?
3. What are the platforms demographics?
4. Strategies and Tools/Platforms – Strengths, Opportunities for Improvement, and recommendation for each platform.
5. Monitoring and Measuring what to measure? What analytics? What tools to use?
6. What companies are currently posting on this platform?
7. Develop 2 case examples of how companies are using this platform to engage with their customers? Include images of posts.
.
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
PROFICIENCY REPORT FROM Ms. OPRACTICE Ms. O is a register.docx
1. PROFICIENCY REPORT FROM Ms. O
PRACTICE
Ms. O is a registered nurse on the inpatient psychiatric unit for
(35-37) acute / rapid stabilization of (MH/BS), assigned to
evening tour of duty, coed patients with diversified backgrounds
at different developmental stages. The patient’s clinical
presentation typically presents as acute depression, bipolar,
schizophrenia, anxiety, substance abuse problems, and PTSD
including psychosocial issues. Ms. O functions as charge nurse
continue to demonstrate leadership, greater accountability, and
knowledge in the delivery and application of her nursing
practice, critical thinking, planning, prioritizing, collaboration,
and coordination of skills while guiding, and directing (13-15)
staffs in the provision of direct quality nursing care with
minimal supervision.
Practice: Applies the nursing process to systems or processes at
the unit/team/work group level to improve care. Demonstrates
leadership by
Involving others in improving care.
Ms. O applied nursing process to the provision of patient care in
order to improve care outcome. Ms. O demonstrated using
nursing process in the following ways: completes and
implements initial assessment, reevaluation with follow-up
based on the patients presenting individual clinical presentation,
provides education upon assessment of patient/family’s
educational needs, and team for a safe discharge plan. She
participates to address the overall holistic function and
maintenance of the Veteran’s physical, emotional, and social
environment toward the goals of achieving physical survival,
self-determination, and autonomous community functioning
2. because of (assessment, planning, monitoring, advocacy, and
implementation) contributing to the Veterans full potential. Ms.
Oke assist to safely discharge approximately (25-30) patients
per week and this discharge performance contributes to helping
reduce the length of stay (LOS) as indicated from fy 2014, from
(12.3-7.56) days per utilization management. During shift
reports as Charge nurse, assist staff with focusing on problem
areas unique for the patient’s treatment, behavior, or
psychosocial well-being. Monitors and implements crisis
intervention for those patients having active suicidal, homicidal
or aggressive behavior because of diminishing mental and
physical conditions. Implementation of one to one observation,
medication administration, or rapid response. Provides
goal/wrap-up groups and informal health education in the areas
of medication compliance, suicide, smoking, and alcohol
cessation while inpatient and upon discharge to patient and
family members when applicable. She is competent in
administering medications like insulin, and PRN effectiveness
f/u within (60-120 minutes), monitors adverse reactions and
critical syndromes (Extrapyramidal side effects, Tardive
dyskinesia, and Neuroleptic malignant syndrome) associated
with this class and use of antipsychotic medications for
sustained quality clinical care and safety. Provides leadership
during response to fire drills, and disaster with the goal of
maintaining safety for patients and staff while meeting
timeframe activation for response to alarm. Maintain infection
control and procedures (PPE, hand washing, etc…) Her manner
of practice is sensitive to and respectively for diversity of
patients and staff in a non-judgmental way by promoting the
medical centers mission, vision, and core values “I CARE”
while contributing to the nursing profession with compassion
and respect for the dignity, worth, and uniqueness of all
individuals without regard to social, political, economic
standings, or healthcare problems. Regularly is complimented
by mental health patients for her care provided to them while
hospitalized. As a result of her practice, sustained quality
3. patient care has been maintained and or improved while
applying the ANA code of Ethics, Nursing process, and VHA
Nursing policies to guide her professional practice. Reflecting a
culture of values: Integrity, Commitment, Advocacy, Respect,
and Excellence; “I CARE.”
Ethics: Supports and enhances client self-determination. Serves
as a resource for client and staff in addressing ethical issues.
For example, serves as a resource for Veterans and staff in
addressing ethical issues. Advocates on behalf of the patient in
support of self-determination and diversity of all patients,
including staff. Continuously maintains patient privacy and
HIPPA policy during visitation, phone calls with family,
electronic medical records (EMR) use, and with others as a need
to know basis, including staff. Routinely ensures MHBS
patients are maintaining appropriate distance away from others
while in line for medication administration for patient privacy
sustainment per VISN directive.
Resource Utilization: Identifies and assesses resource
utilization and safety issues, taking appropriate action. She
demonstrates her ability to report safety hazards, incident
reports, staff injuries, and equipment failure or request for new
equipment from her supervisor. Initiates a compatible working
relation with other services such as (Biomedical, LIDS,
Environmental Services, IRM, Linen/Clothing room,
Maintenance, Units, Departments, VA Police, and Dietary) in
order to obtain needed resources, supplies, services, and repairs
for best possible patient care delivery. She collaborates with
AOD and ER for admissions, call pharmacy to clarify
medications for patients, notify nurse managers and NOD if any
incident or for staff issues. Ms. O collaborate with peers to
avoid spilling and to complete workload in a safe and timely
4. manner.
PROFESSIONAL DEVELOPMENT
Development Education/Career: Acquires knowledge and skills
to maintain expertise in area of practice. Participates in
educational activities to improve clinical knowledge and
enhance role performance. She completed her BSN in 2018. She
continuously accountable for meeting the qualification
standards and functional statements of assigned grade and Basic
Life Support (BLS) certification, has maintained all annual
education requirements for medical center and Nursing
employees. Ms. Oke guide and assist newly hired Registered
Nurse (RN), Licensed Practical Nurses (LPN) having no
previous knowledge or employment experience within VHA
system.
Performance: Evaluates practice of self and others using
professional standards, relevant statutes, and regulations. Takes
action to improve performance. Ms. Oke assess and maintain the
educational need for her position. She is up to-date with the
TMS educational requirements and competencies needed to
perform her duties. Her nursing license is current for the
practice. Ms. Oke work ethics is an exemplary, stay away from
excessive call- out. She advice and recommended staff to avoid
excessive call-outs. She participates in the training of new staff
education and understanding of 2-North unit standard. Ms. Oke
oriented staff that comes from other units to work in 2 – North
and actively involved in evaluating unit practices against the
standards set by JACHO OSHA. She conducts teaching group of
patient’s on Diabetes. She plays a huge role in calculating and
graphing how well 2-North unit follow-up in PRN effectiveness
when compared to benchmark and the rest of the Hampton
5. VAMC and consistently performs draw note for continuity of
care, communication, and assess for high risk for falls patients,
documents in CWAD.
COLLABORATION
Collaboration: Uses group process to identify, analyze, and
resolve care problems. Ms. Oke routinely communicates
anticipated discharges and transfers of patients with Emergency
Psychiatric Nurse attempting to admit MH/BS patients to the
units, whom have been waiting in ED under virtual bed status.
This lead to Ms. Oke partnering with unit Environmental staff
to develop a back-up plan for improved communication, bed
allocation, and cleaning called “To be cleaned,” (TBC) when
electronic bed board system is inoperable or as a second layer to
ensure timeliness of room preparation and assignment to
maintain seamless ACCESS TO CARE. She delegates tasks
appropriately and per level for NA’s, LPN’s and as well as
RN’s. Example RN’s performs the first hour rounds to ensure no
patient is on the floor or having behavior or medical issues. As
charge nurse on night tour, Ms. Oke performs research to
complete what we call the AM Worksheet. The AM worksheet
has in it names of resident patients who are scheduled for
bloodwork to be drawn, who have urine to be collected, who
have withdrawal scale assessment.
Collegiality: Educates colleagues and/or students and serves as
a preceptor and/or mentor. Ms. Oke routinely, provides role
modeling, educational learning and guidance to nursing students
when performing clinical rotation on the (MH/BS) unit
regarding specific practices unique to Mental Health Nursing,
such as use of coping skills, designation of a temporary
detainment order (TDO) vs. involuntary committed (IC),
application of restraints, signs and symptoms of Alcohol
withdrawals with use of Clinical Institute Withdrawal
6. Assessment for Alcohol (CIWA) scale, for score aggregation
and management with benzodiazepines. Consistently, informally
in-services medication nurses of proper protocol and procedures
when verifying insulin to uphold infection control standards and
application safety.
SCIENTIFIC INQUIRY
Quality of Care: Initiates/participates in quality improvement
activities that result in approved outcomes. Quality of Care:
Ms. Oke uses knowledge to validate or change work group
practices as appropriate, such as VHA National Pain
Management Strategy and TJC standards; assessing for pain
with vital signs as the fifth assessment and completion of the
comprehensive pain assessments for monitoring and
improvement in outcomes of pain treatment in the VHA system.
Research: Uses a body of research to validate and/or change
work group practice. Ms. Oke given the escalating concerns in
healthcare regarding accountability and responsibility for
providing high-quality patient care and safety, removal of the
behavior is crucial. Interventional educational awareness and
effective zero-tolerance policies to deflect the disruptive events.
The technique uses pre-written responses to the most common
distruptive behaviors, while ultimately improving staff relations
and who have blood sugar assessment, who have stool collection
for occult test, who are on blood pressure medications for vital
assessments, and who have special procedures such as NPO, I &
O.
Ms. Oke demonstrates her ability to report safety hazards,
incident reports, staff injuries, and equipment failure or request
for new equipment from her supervisor. Initiates a compatible
working relation with other services such as (Biomedical, LIDS,
Environmental Services, IRM, Linen/Clothing room,
Maintenance, Units, Departments, VA Police, and Dietary) to
7. obtain needed resources, supplies, services, and repairs for best
possible patient care delivery. She collaborates with AOD and
ER for admissions, call pharmacy to clarify medications for
patients, notify nurse managers and NOD if any incident or for
staff issues. Ms. Oke collaborate with peers to avoid spilling
and to complete workload in a safe and timely manner.
Goals
Ms. Oke achieve her BSN in October 2018. She is in school for
her master program in Nurse Practitioner at Walden University.
She plans to get certify in Mental Health Board certification
soon. Ms. Oke obtain mandated CEU requirements for
Registered Nurse for Virginia renewal.
PROFICIENCY REPORT FROM Ms. I
PRACTICE
Practice: Below are some of practices I believe I do.
She is a registered staff nurse on 4 East, a Medical Surgical
Unit with Telemetry. She practices using the nursing process
which she utilizes in her every day work and maintains optimum
standards of care for our Veterans with a wide variety of health
problems. She has demonstrated the ability to care for veterans
with integrity, honesty and accountability. While providing
care she also provides patient education and therapies geared
towards control, management, prevention of infections and
complications. For example: When at the bedside discuses with
the patient about their blood glucose levels and what insulin or
medications they will be receiving. Providing diabetic teaching
by explaining diet requirements and how to take medications
8. appropriately. She maintains a professional attitude toward
veterans and staff members. She provides privacy during care
and maintain patient confidentiality when speaking about
patient concerns and conditions. She is mindful to always be
respectful to veterans and peers.
As a RN on this unit here are some of her practices in the unit:
Demonstrate the ability to function effectively in the charge
nurse and leader roles. Utilize effective problem –solving skills,
seeking confirmation from co-workers and supervisors when
confronted with difficult situations. Readily identified a
potential critical situation, taking the appropriate actions to
provide quality positive patient outcomes. Her professional
practice is patient focused, am consistently advocating for my
patients and striving to maintain high standards and patients
right. As charge nurse, makes assignment in a manner that
reflects optimum use of available staff while prioritizing patient
cares and needs. Changing assignments per the unit acuity level
and work load. Promote planning and continuity of care through
developing an individualized interdisciplinary plan of care in
collaboration with the patient, family and the health care team
******* She applies the nursing process to improve care, and
manages complex care. She showed this in evaluation of a
general surgery patient s/p foot surgery with long post-operative
course, initially post operatively the patient was on Telemetry,
but after 3 days the doctor discontinued monitoring as patient
had no events (history of MI); an EKG was obtained before
discontinuation of telemetry which was normal sinus rhythm --
this was performed on day shift. Working a PM shift on the
telemetry unit and had worked with the patient previously the
past few days determined something was ‘off’, with her rhythm
couldn’t put her finger on it which warranted continued
observations/assessment. Her thorough assessment and intuition
determined the patient had a new onset of atrial fibrillation.
Doctor was notified and Patient was started on cardiac meds,
9. and converted back to normal sinus rhythm within 24 hours of
my assessment. Her assessment and subsequent interventions
resulted in prompt treatment of atrial fibrillation, and resulted
in saving the patient’s life and probably not having to be anti-
coagulated for the rest of his life.
Ethics: Supports and enhances client self-determination. Serves
as a resource for client and staff in addressing ethical issues.
Provide Examples and Measurable Outcomes Demonstrating
How Dimension/Criteria Met:
This nurse serves as resource to patients, providers, families,
and other staff when ethical issues arise: She provides ethical
resource information to patients, families and staff, adhere to
VAMC ethics and compliance standard in work activities. She
supports and enhance patient’s self-determination, provide
accurate information needed for patients to understand the
implications of Advance Directives, informed consent and
Patient's Bill of Rights. She assists staff and new Medical
students to comply with the HIPPA regulations on patient
confidentiality; reminding them to promptly Log off
computer/system when two steps aware, shred un-needed papers
with patient’s identifiable information, not seek to know
information of the patients not under direct care. Putting patient
first good knowledge of ethical issues and to provide accurate
information to patient. She treats patients and family with
respect. Proactively, respect patient self-dignity, space and
privacy without compromising standard of care given. She
promptly encourages others to provide privacy when changing
linen and during hygiene activities. She assists providers,
patients and families to comply with informed consent for
procedure.
Resource Utilization: Identifies and assesses resource
utilization and safety issues, taking appropriate action.
Provide Examples and Measurable Outcomes Demonstrating
How Dimension/Criteria Met:
10. This nurse effectively provides care to patients and minimizes
waste without compromising patient positive outcome. She
makes safety rounds as a charge nurse and uses sound
judgement to identify malfunctioning equipment and take
prompt actions to contact engineering department for repairs
and replacement. She demonstrates the ability to prioritize and
coordinate patient care by completing assignment within the
scheduled hours of work to decrease overtime. She considers
factors related to safety, effectiveness and cost in delivering
care. She possesses effective leadership skills in emergent
situations and knows how to adjust staff assignments to meet
the needs. She is able to assess unit activity and patient acuity
to assign staff appropriately.
PROFESSIONAL DEVELOPMENT
Education/Career Development: Acquires knowledge and skills
to maintain expertise in area of practice. Participates in
educational activities to improve Clinical knowledge and
enhance role performance.
Provide Examples and Measurable Outcomes Demonstrating
How Dimension/Criteria Met:
She personally develops and pursues educational plans to help
maintain and improve knowledge in her specialized area of
professional practice. She currently holds a BSN and has almost
completed her MSM. She maintains current ACLS and CPR
certifications. She effectively attends continuing educational
program; reviewing current literatures and research findings
that are relevant to her present job skill and competence
development. She assumes responsibility for completing
mandatory education requirements on the TMS learning
program, complete annual mandatory training on time. She
attends and participates in skill fares, participates on in-
services, seminars and conferences for skill development.
Performance: Evaluates practice of self and others using
professional standards, relevant statutes, and regulations. Takes
11. action to improve performance. Examples and Measurable
Outcomes Demonstrating How Dimension/Criteria Met:
This nurse does not require supervision to solve routine clinical
problems. She attends seminars, read current literatures, review
current research findings for self-professional improvement.
She utilizes close assessment findings to identify areas of
patient/family knowledge deficit, initiate educational plans to
meet patient care needs. She is always on the lookout for actual
or potential problems and intervenes promptly; making sure that
intubated patients and those on tube feeding have HOB elevated
up to 30 degrees to prevent aspiration. She anticipates changes,
prioritize, initiate and modify her work to accommodate staff
and patient needs, she is flexible and readily available for
pulling to other departs within organization in other to cover
staff needs. She attends continuing education program, review
new policies and new regulations and applies new changes as
needed into practice. She practices OSHA sanitation act and
JACHO privacy act in her nursing care. She adheres to current
procedures for patient safety, observe universal precautions and
effectively handle hazardous material and equipment associated
with my job. Demonstrate knowledge of occurrence reporting
system and use system to report potential patient safety issues,
such as fall and near incidents.
Collaboration/Collegiality: Educates colleagues and/or students
and serves as a preceptor and/or mentor.
She encourages collaboration and teamwork; She works
effectively with others and encourage cooperation among staff.
She communicates effectively and professionally with internal
and external customers. A team approach is the best way to care
for patients. For example: I) Encouraging our veterans to use
the resources available to them such as transportation, and
social services for assistance. II). Encouraging veterans / family
members to use correct equipment when entering isolation
rooms and using disposal equipment to help prevent infection.
Listening to patient complaints and coming up with resolutions.
12. These are to encourage the patient to get involve with their own
health care.
SCIENTIFIC INQUIRY
Quality of Care: Initiates/participates in quality improvement
activities that result in approved outcomes.
Research: Uses a body of research to validate and/or change
work group practice.
She uses scientific based evidence for practice in her
profession. She observes diverse methodologies which focus on
the understanding and relieve of symptoms of acute and chronic
illness. Her eight years as a nurse with five years at Hampton
VA has helped her to constantly improve her critical thinking
and problem solving skills. She effectively uses traditional
approaches in controlling pain, behavioral activities and
anxiety-induced confrontations that did not require utilizing
medications such as dimming the light, talking to patient in a
soft tone of voice, reposition them to make them comfortable.
She makes sure that she is compliant with HVAMC’s policy and
performance initiatives.
GOALS:
Her goal is to ensure proper care of our veterans and use
optimum standards of care.
Complete her MSN and enhance her nursing knowledge and
skills so that she can go on to provide more efficient care for
her patients.
She will continue to endeavor hard to do her very best in
providing excellent care to our Veterans and to be a constant
asset in this organization.
13. PROFICIENCY REPORT FROM MS. Y
PRACTICE
Practice: Ms. Y is a Bachelor’s prepared registered nurse
with….acute care nursing experience who utilizes the nursing
process and evidenced based practice to care for patients
Demonstrates proficiency using the nursing process in providing
care for clients with complex nursing care needs. Guides and
directs others who provide care.
• Functions in the capacity of charge nurse on the night
shift. As charge nurse duty ensures the smooth running of
operations on the unit. Also delegates patients assignments by
assigning patients to oncoming tours; coordinates new
admissions by assigning rooms to new admissions and ensuring
that orders are carried out; ensures team work on the shift, and
addresses others issues arising in the course of the night.
Ethics: Identifies ethical issues in practice and takes appropriate
action.
Takes appropriate action in identifying and serves as a resource
for clients and staff in addressing ethical issues.
. On June 2016, I had a patient who was in pain due to
orthopedic surgical procedure. During initial assessment,
patient rated pain 10/10 and did not have any pain medication
ordered. I called the on-call surgeon who directed me to call
the attending surgeon. Every attempt to reach the attending
surgeon failed. After several attempts, I called the on-call
surgeon back and eventually got orders for pain medication.
The patient threatened to leave and even attempted to get out of
bed. I was able to calm him down and eventually obtained order
for his pain medication. The patient was kept comfortable
throughout the shift. The attending surgeon called in the
morning and commended the nurse stating that he appreciates
all the efforts made to ensure his patient was comfortable
14. during the night.
Resource Utilization: Delegates care in a safe, efficient, and
cost-effective manner. Assists clients in identifying and
securing appropriate services.
• A patient who was discharged called the unit in June 2016,
saying that the husband lost his driver’s license when they came
for appointment and needed help finding it. I asked this patient
the locations they had been while in the hospital. I called some
places, and eventually, I called the pharmacy and found out the
patient left the drivers license at the pharmacy. I got back to
the patient and told them we found it, they were happy and
relieved.
PROFESSIONAL DEVELOPMENT
Education/Career Development: Implements an ongoing
educational plan to support own professional development.
• Currently, undertaking masters in Family Nurse
Practitioner.
With the growing demands for clinicians in VHA and the
ongoing proposal to recognize APRNS as full practice providers
within VHA facilities, obtaining this degree would benefit the
hospital in that it would provide more affordable care that is
safe and of high quality to the men and women who have
served; and also help alleviate provider shortages and ensuring
access to services in high demand.
• June 2011, I attended a course titled “Diabetes
Medications - Initiating, Advancing and Stopping for the
Advanced Practice Nurse” on myVEHU. The course addressed
common oral diabetic medications and insulins; and the safety
issues associated with them, with an emphasis on patient safety.
15. I have been able to incorporate knowledge gained into caring
for diabetics on the unit and providing education on lifestyle
management to keep their diabetes under control. For example,
I had a patient who was on insulin and has been hypoglycemic
in mornings for the past two days. After reviewing the chart, I
placed a call to the MD prior to end of my shift and the
patient’s AM insulin dosage was adjusted. The patient’s AM
blood glucose was controlled in a timely manner as a result of
this and this also led to a reduction in cost of hospitalization.
Performance: Conducts self-assessment of performance and
identifies own learning needs. Assesses performance of others.
• Continually assesses my own practice and makes
adjustment in practice as needed based on Evidenced-Based
practice. Open to correction and constructive criticism.
• For example, I when I came here newly, I heard a patient
complaining that she was given an intramuscular injection and
that the nurse did not mark the site properly. I brought this to
the attention of the clinical nurse leader. As a result, education
was provided to all staff on the proper sites for intramuscular
injections. This has enhanced knowledge about the area of
concern, lead to client satisfaction, and also prevent
complications that could arise from wrongful injection.
COLLABORATION
Collaboration: Refers to, consults with, and makes provision for
continuity of care with other health care providers.
• In May 2016, on the night shift, I had a patient who
developed nausea and vomiting, having greenish emesis. A call
was made to the physician who came in during the night. The
patient was taken to the OR the next day for surgery. The
physician was impressed and wrote to the Director of Nursing
about the episode. I received a commendation letter as a result
16. of this action. This has improved the image of the unit and also
promoted patient safety as the patient was saved from what
could have been a sentinel event. I also educated staff on the
use of SBAR to communicate with physicians.
Collegiality: Provides feedback regarding the practice of others
to improve client care.
SCIENTIFIC INQUIRY
Quality of Care: Participates in established quality improvement
studies and/or activities.
• Represents my unit at the Women Veterans Health
Committee. Even though I worked the night shift, stayed to
work as a volunteer at the VA Goes Red for Women event on
Friday, Dec 5th, 2016. At the event, we served about 100
participants. I provided education to female veterans about the
importance of being heart healthy. The outcome includes
improved veteran’s health, health promotion and disease
prevention; reduced cost of hospitalization related to
cardiovascular disease.
Research: Uses a body of research to validate and/or change
own professional practice.
• I use the SBAR in communicating with the providers when
needing clarifications with patient orders or any issues arising
in the course of my tour. On May 2016, I provided education to
colleagues on the use of SBAR in calling physicians and
delivering clear messages to promote quality of care and patient
safety. Evidenced-based practice shows that use of SBAR
17. enhances provider/nurses communication in that it aids in
providing accurate and concise information about a patients
care, treatments, current condition, and recent or anticipated
changes. Incorporating this into patient care has proved to be an
effective technique that can be used to clarify and streamline
information exchanges between doctors and nurses, thereby
reducing the chance of patient harm due to disorganized and
unclear communication.
GOALS:
Short Term Goal
Complete my master’s program in FNP in 2017.
Long-Term Goal
Certification in mental health nursing
Doctorate degree in Family Nurse Practitioner
Some of the things I have done.
This nurse participated in fire incident that occur on the unit, by
evacuating patient to safe area, also try to go in to make sure
there is no patient left on the unit and check the safety of all the
staffs working that day, Assisted to transfer patient to another
facility by coordinating care, among the staff as charge nurse.
DISTRUPTIVE BEHAVIOR: I was charge nurse by the help of
other disciplinary team to de-escalate the patient behavior to
maintain safety with other patient and staffs.
As charge nurse during rounding, I found the patient by the side
of his bed laying unconscious, help and rapid responded called
the patient situated and transfer to ED for further evaluation.
I helped patient found his belonging after left to another
faciility because there is changed in his status that lead to
critical, patient recover and came back looking for his
belonging this nurse, make call and able to locate patient
belonging and patient was happy and said to this nurse” You are
18. done so great for me, I never thought I would be able to find my
belongings after several attempt with other staff.
This charge nurse utilize the staff because of shortage of staff
when acity level was high for example 3 patient on 1:1 status,
before the NOD was able to found help for us, in which the
patient were safe and staff.
I worked on mental health unit for 2 years as Registered nurse.