Quality Improvement

Question (1)

Quality Improvement

200 word count

1st Reference: Chapter 21: Nursing Research: Methods and Critical Appraisal for Evidence-Based Practice, 8eISBN: 9780323100861 Author: Geri Lo-Biondo-Wood Copyright © Elsevier Inc. (2014)

2nd Reference needed:

How would you describe the phases in the improvement process to a colleague and what QI tools might you use in each phase of the improvement process?

What is the difference between a needs assessment, an evidence based practice process, a change project and a quality improvement process?

Question (2)

Jount Commission

200 word count

1st Reference Joint Commission web site?

2nd Reference needed

Visit the Joint Commission website and locate the program related to your proposed change project.

Ascertain how accreditation is achieved in this area.

What did you discover about the program related to your change project at the

What is the program area for your change project?

In what ways is your change project related to accreditation in this area?

Question (3)

Regulatory Bodies

350 word count

1st Reference: Healthfinder.gov

2nd Reference Needed

.Research local, state, and federal regulatory bodies on websites like

Identify why it is important to consider regulation at all levels of government.

Why is normal saline used for wound care to post-op patients instead of using povidone-iodine? Which is more suited as best practice to prevent infection?

Professional Portfolio

Why is normal saline used for wound care to post-op patients instead of using povidone-iodine? Which is more suited as best practice to prevent infection?

You will be required to identify a nursing problem or issue that relates to the specialty area of practice in which you are completing your clinical placement for this unit. (done. refer to question above)

Once you have identified a nursing problem/issue you will need to develop this into a question for exploration which is subject to approval by your LIC/Tutor. This question needs to be realistic in the context of your speciality clinical placement in relation to nursing practice. This question will lead you to contemporary literature.(this is done already)

Calculating Inventory Turnover

Study the “Calculating Inventory Turnover” portion of the chapter closely, whereby the cost of goods sold divided by the average inventory equals the inventory turnover.

Required

Compute two inventory turnover calculations as follows:1. Use the LIFO information in the previous assignment to first compute the average inventory and then to compute the inventory turnover. 2. Use the FIFO information in the previous assignment to first compute the average inventory and then to compute the inventory turnover.

Practice Exercise 8–I: Depreciation Concept

Assume that MHS purchased equipment for $600,000 cash on April 1 (the first day of its fiscal year). This equipment has an expected life of 10 years. The salvage value is 10% of cost. No equipment was traded in on this purchase.

Required

  1. Compute the straight-line depreciation for this purchase. 2. Compute the double-declining balance depreciation for this purchase.

Assume that MHS purchased two additional pieces of equipment on April 1 (the first day of its fiscal year), as follows:1. The laboratory equipment cost $300,000 and has an expected life of = years. The salvage value is 5% of cost. No equipment was traded in on this purchase. 2. The radiology equipment cost $800,000 and has an expected life of 7 years. The salvage value is 10% of cost. No equipment was traded in on this purchase.

Set up a purchase scenario of your own and compute the depreciation with and without salvage value.

The Metropolis Health System managers are also working on their budgets for next year. Each manager must annualize his or her staffing plan, and thus must convert staff net paid days worked to a factor. Each manager has the MHS worksheet, which shows 9 holidays, 7 sick days, 15 vacation days, and 3 education days, equaling 34 paid days per year not worked.

The Laboratory is fully staffed 7 days per week and the 34 paid days per year not worked is applicable for the lab. The Medical Records department is also fully staffed 7 days per week. However, Medical Records is an outsourced department so the employee benefits are somewhat different. The Medical Records employees receive 9 holidays plus 21 personal leave days, which can be used for any purpose.

Required

  1. Compute net paid days worked for a full-time employee in the Laboratory and in Medical Records. 2. Convert net paid days worked to a factor for the Laboratory and for Medical Records so these MHS managers can annualize their staffing plans.

Metropolis Health System (MHS) uses a basic work week of 40 hours throughout the system. Thus, one full-time employee works 40 hours per week. MHS also uses a standard 24-hour scheduling system of three 8-hour shifts. The Director of Nursing needs to compute the staffing requirements to fill the Operating Room (OR) positions. Since MHS is a trauma center, the OR is staffed 24 hours a day, 7 days a week. At present, staffing is identical for all 7 days of the week, although the Director of Nursing is questioning the efficiency of this method.

The Operating Room department is staffed with two nursing supervisors on the day shift and one nursing supervisor apiece on the evening and night shifts. There are two technicians on the day shift, two technicians on the evening shift, and one technician on the night shift. There are three RNs on the day shift, two RNs on the evening shift, and one RN plus one LPN on the night shift. In addition, there is one aide plus one clerical worker on the day shift only.

Required

  1. Set up a staffing requirements worksheet, using the format in Exhibit 9–4. 2. Compute the number of FTEs required to fill the Operating Room staffing positions.

Explain what aspects of nursing ethics and state/ federal law were violated

Instructions for Litigation Paper

  1. Find a litigated case study that involves nursing malpractice or negligence. Be sure that you have full citation of the case (e.g. Smith vs St. Elsewhere Hospital, 2014, Cincinnati, Ohio) from a reputable source (e.g. nursing journal)
  2. Write a summary of the case
  3. Explain what aspects of nursing ethics and state/ federal law were violated
  4. Draw from ANA ethical/ practice codes & standards, medical/ nursing specialty organizations positions, and the California Nursing Practice Act as relevant.
  5. Explain how Bentham/ Mills/ Kant would feel about the case
  6. Note the relationship of consequences (both ethical and legal) with the above codes and laws.
  7. Include documentation

Rubric for Review of Litigation/ Case Paper

  1. a) Description of a legal case, including ethical and legal criteria
  1. b) Identification of applicable legal and ethical codes and their violations

c)Citation of theoretical/ didactic material in text and on reference page according to APA standards