When is the optimal time to secure a contingency plan to address potential issues with safe patient care due to the storm?

Amanda Willia is an experienced nurse on a medical/surgical floor at a community hospital. She arrives at 6:45 PM for her 12-hour night shift concerned about the impending blizzard that is forecasted to bring 2-3 feet of snow and damaging winds during the next 12-18 hours. At 9:00 PM several nurses begin to ask Amanda if she is going to contact the nursing supervisor to seek strategies to ameliorate probable staffing shortages in the morning in order to secure safe patient care.

Answer the following Questions:
1. When is the optimal time to secure a contingency plan to address potential issues with safe patient care due to the storm?
2. What are the potential challenges?
3. Who should be involved in the development of the plan?
4. When should the contingency plan be implemented?
5. How will leaders evaluate the effectiveness of the plan?
6. How will the nursing team evaluate the effectiveness of the leadership team in assessing, planning, implementing, and evaluating a plan to provide patient care during the emergency?

Systems Theory For this Assignment, you apply systems theory to the examination of a problem in a department or a unit within a health care organization.

Assignment: Application: Systems Theory For this Assignment, you apply systems theory to the examination of a problem in a department or a unit within a health care organization. To prepare:
1. Review the Meyer article, “Nursing Services Delivery Theory: An Open System Approach,” in this week’s Learning Resources. Focus especially on the information presented in Table 1 (p. 2831) and Figure 2 (p. 2833). 2. Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering. 3. Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback. 4. Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures. 5. Research professional standards that are pertinent to your identified problem. 6. Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate. (Depending on the organization you have selected, you may have explored these in the Week 1 Discussion.) To complete: Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:
1. Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback. 2. Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback). 3. Based on this information, explain how you would address the problem as follows: a. Formulate a desired outcome. b. Identify goals and objectives that would facilitate that outcome. c. Translate those goals and objectives into policies and procedures for the department or unit. d. Describe relevant professional standards. 4. Explain how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate.

Present the nursing practice problem with the PICO question.

Introduction to Nursing Research – Characteristics of Nursing Research Utilization and Evidence-Based Practice

This is a CLC assignment.

Choose a nursing problem from your current practice setting, and identify a possible solution to that problem.

Conduct a search of the literature related to this problem.

Analyze and critically appraise evidence-based literature to support the solution to the identified problem. A minimum of (5) articles must be identified. This may include guidelines from the National Guideline Clearinghouse, Joanna Briggs Institute, or a review from the Cochrane Database of Systematic Review.

Prepare a 10-minute (8-10 slides; no larger than 5 MB) PowerPoint presentation related to the problem, evidence appraisal, and practice implications.
Include the following components into the presentation:

1. Present the nursing practice problem with the PICO question.

2. Discuss your appraisal of the literature that addresses the problem.

3. Present the proposed practice changes from an integration of the findings.

In each case, answer the questions at the end of the case and give researched references to support your assertions; also, explain what would be the ethical course of action and the legal requirements for action in the case.

In each case, answer the questions at the end of the case and give researched references to support your assertions; also, explain what would be the ethical course of action and the legal requirements for action in the case.
Case One
Mrs. Lewis was head nurse on a medical surgical floor in a community hospital with 250 beds. Over the course of 6 months, she noticed that all patients admitted from the Shady Rest Nursing Home had signs of severe injuries other than those connected with the admitting diagnosis. There appeared to be patient abuse in the nursing home. Mrs. Lewis investigated discreetly and found no explanation possible except abuse. In accord with the obligations of the law in her state, she reported the matter to the Department of Welfare Bureau of Inspection.
The Welfare Department investigated immediately, found proof of abuse, and threatened to close down Shady Rest if there were any more recurrences. Mrs. Lewis was overjoyed until her hospital administrator, bypassing the director of nursing, called her in and warned her that she would be fired if she reported any other instances of abuse. Shady Rest sent the hospital a lot of business, and good relations had to be maintained.
Mrs. Lewis was even more shocked when she discovered that the administrator was a golf partner of the owner of Shady Rest and was doing an old buddy a favor. Despite fears of retaliation, Mrs. Lewis consulted a lawyer, who threatened the hospital with exposure and with penalties that would follow if one of its employees failed to follow the reporting provisions of the law on abuse in nursing homes.
Did Mrs. Lewis act correctly? What should she have done if she could not have afforded to consult with a lawyer? In what ways can whistle-blowers protect themselves? Must the art of intimidation be part of the toolbox of healthcare professionals in order to protect their patients? Is power an appropriate consideration in healthcare ethics?
Case Two
On a July weekend, Mrs. Allesfertig, nursing supervisor of the whole hospital, discovered that the intensive care unit was seriously understaffed. She pulled two nurses with previous ICU experience off other floors to bring the unit up to strength in view of the extreme level of acute care needed. On the following Monday, Dr. Bestknabe, who has overall responsibility for the ICU unit, closed the unit for further admissions until the staffing had been worked out on a permanent basis.
Should the new staffing policy give the nurses authority to refuse to admit patients when the staff is not sufficient to handle them? (In some hospitals, nurses have this authority.) Can any policy take precedence over the professional judgment of trained ICU nurses?