i need this answer

Mary Martin

Reply 1

Supplemental nursing is on the rise with the current pandemic, its when nurses are privately hired and temporary in assignments. This form of nursing is important in instances like the one we are currently in, seeing the rise in cases and the lack of bedside nurses currently now more than ever having supplemental nurses is crucial for the patients outcomes. Although, supplemental nursing does raise questions on the safety of the patients as Aiken et al (2007) discuss the belief that many have in which supplemental nurses have a correlation with negative patient care quality and increased risks, yet their study actually shows no correlation. Floating nurses are hired by the facility yet are believed to be well rounded in all areas of care in order to float where more staffing is needed per day. O’Connor and Dugan (2017) explain that while it is a remedy for short staffing it could create more anxiety, stress, and frustration for the nurses. When it comes to different units I think there are increased risk of both in ICU settings as each hospital has different protocols and floating nurses may have a difficult time handling the care of the patients and their own worries or doubts of their abilities as its not their specialty. 

 

Reference: Aiken, L. H., Xue, Y., Clarke, S. P., & Sloane, D. M. (2007). Supplemental nurse staffing in hospitals and quality of care. The Journal of nursing administration37(7-8), 335–342. https://doi.org/10.1097/01.nna.0000285119.53066.ae 

OʼConnor, K., & Dugan, J. L. (2017). Addressing floating and patient safety. Nursing47(2), 57–58. https://doi.org/10.1097/01.NURSE.0000511820.95903.78

Reply 2

Yanet

 Floating is the reassignment of staff starting with one nursing unit then onto the next. It is usually due to a hospital being short staffed and having to work in several units which a nurse may be unfamiliar to. Floating, on one hand, allows nurses to become familiarized with all aspects of the hospital and have the opportunity to work in multiple areas, enhancing their knowledge. However, having less amounts of nurses causes more stress on the nurses when treating the patients, which decreases the quality of care and leaves them unsatisfied. Hospital tend to practice floating in order to save money by paying less nurses. Working in unfamiliar area makes nurses uneasy by not knowing what to expect. This can raise safety concerns relating to the use of supplemental staff, citing the potential for less familiarity with hospital and unit procedures and practices and disruptions in continuity of care and team communication as specific risks (Aiken, 2010). The level of stress will always be present, but it varies depending on the unit a nurse is assigned to as well. If one is used to working in a neuro or GI floor and has never been introduced to working with tr

This criterion is linked to a Learning Outcome1. Pathopysiology for admitting diagnosis, S/S, Diagnostic test and proposed treatment

10 pts

Proficient

Pathophysiology is explained in complete detail with accurate and in-depth understanding of Admitting diagnosis. and presenting signs/symptoms supported by diagnostic tests and proposed treatment plan; APA references.

7.6 pts

Acceptable

Pathophysiology is explained in some detail with some understanding of Admitting diagnosis and presenting signs/symptoms somewhat supported by diagnostic test and understanding to proposed treatment plan; with references.

6 pts

Needs Improvement

Pathophysiology is explained vaguely with marginal understanding Admitting diagnosis. and presenting signs/symptoms vaguely supported by diagnostic test and vague understanding to proposed treatment plan; no references cited.

0 pts

Unsatisfactory

Pathophysiology details limited with poor understanding of chief complaint and presenting signs/symptoms does not support medical diagnosis, not supported by diagnostic tests and with no proposed treatment plan; no references cited.

10 pts

This criterion is linked to a Learning Outcome2. History of other health problems, hospitalizations, surgeries, and social issues

10 pts

Proficient

Complete details given of other health problems (includes explanation of all relevant medical and surgical history) with full understanding as to its relation to the patient’s/ client’s present health problem(s).

7.6 pts

Acceptable

Some details given of other health problems with partial explanation of all relevant medical and surgical history) with full understanding as to its relation to the patient’s/client’s present health problem(s).

6 pts

Needs Improvement

Vague details given of other health problems with minimal explanation of relevant medical and surgical history) with full understanding as to its relation to the patient’s/client’s present health problem(s).

0 pts

Unsatisfactory

No details given of other health problems, without explanation of relevant medical and surgical history) with full understanding as to its relation to the patient’s/client’s present health problem(s).

10 pts

This criterion is linked to a Learning Outcome3. Family, Culture and Ethnic background


Concept Map (TEMPLATE)

Student Name:

Instructor:

DATE Care Provided and UNIT:


Patient Information

(1)

Patient Initials:

Age & Gender:

Height/Weight:

Code Status:

Living Will/ DPOA:


History of Present Illness (HPI), Pathophysiology of Admitting Dx (Cite References) Medical, Surgical, Social History (1).

WHAT BROUGHT THE PT TO THE HOSPITAL? WHAT EVENTS LEAD UP TO THIS? WHAT HAPPENED WHEN THEY GOT TO THE HOSPITAL- UNTIL NOW WHEN YOU ARE PROVIDING CARE? (USE SEPARATE ATTACHED WORD DOC WHEN NEEDED)


Medical History: (SEE RUBRIC REQUIREMENTS)

PAST DIAGNOSED MEDICAL PROBLEMS


Surgical History: (SEE RUBRIC REQUIREMENTS)

PAST DIAGNOSED SURGICAL PROBLEMS


Social History:

SMOKING/ CIGARETTE/ TOBACCO/ E-CIGARETTE /MARIJUANA USE ALCOHOL/ ELICIT DRUG USE


Chief Complaint


Admitting Diagnosis & Admission Date


Erickson’s Developmental Stage Related to pt. & Cite References (1) *List and Discuss specific stage (based on objective assessment)


Cultural considerations, ethnicity, occupation, religion, family support, insurance. (1) (14) Socioeconomic/Cultural/Spiritual Orientation & Psychosocial Considerations/Concerns: include the following Social Determinants of Health (SDOH)

❋Economic Stability ( MAY DELETE THESE ‘TIPS” TO USE SPACE)

❋ Education

❋Social and Community Context

❋ Health and Health Care

❋ Neighborhood and Built Environment


Concept Map (TEMPLATE)

Student Name:

Instructor:

DATE Care Provided and UNIT:


Key Diagnostic Tests/ Procedures and Lab Results with Dates and Normal Ranges (3)

Lab Tests

Normal Ranges

Admission Lab Values

Current Lab Values

Explain Abnormal Labs R/T Your Pt

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