Avoiding Crises Essay Assignment Help
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Avoiding Crises Essay Assignment Help
Some people always seem to manage by crisis. The following scenarios depict situations that likely could have been avoided with better planning. Write down what could have been done to prevent the crisis. Then outline at least three alternatives to deal with the problem, as it already exists.
It is the end of your 8-hour shift. Your team members are ready to go home. You have not yet begun to chart on any of your six patients. You have neither completed your intake/output totals nor given patients the medications that were due 1 hour ago. The arriving shift asks you to give your handoff report now.
You need to use the home computer to write your midterm essay, which is due tomorrow, but your mother is online doing the family’s taxes, which must be mailed by midnight. The taxes will likely take several additional hours.
Your computer hard drive crashes when you try to print your term paper, which is due tomorrow.
An elderly, frail patient pulls out her intravenous line. You make six attempts, over a 1-hour period, to restart the line but are unsuccessful. You have missed your lunch break and, now, must choose between taking time for lunch and finishing your shift on time.
Avoiding Crises Essay Assignment Help
Avoiding Crises Essay Assignment Help
Plan Your Day
It is October of your second year as nursing coordinator for the surgical department. A copy of your appointment calendar for Monday, October 27, follows.
Appointment Calendar for Monday, October 27
8:00 AM Arrive at work 8:15 AM Daily rounds with each head nurse in your area 8:30 AM Continuation of daily rounds with head nurses 9:00 AM Open 9:30 AM Open 10:00 AM Department head meeting 10:30 AM United Givers committee 11:00 AM United Givers committee continued 11:30 AM Open Avoiding Crises Essay Assignment Help
Noon Lunch 12:30 PM Lunch 1:00 PM Weekly meeting with administrator—budget and annual report due 1:30 PM Open 2:00 PM Infection control meeting 2:30 PM Infection control meeting continued 3:00 PM Fire drill and critique of drill 3:30 PM Fire drill and critique of drill continued 4:00 PM Open 4:30 PM Open 5:00 PM Off duty You will review your unfinished business from the preceding Friday and look at the new items of business that have arrived on your desk this morning. (The new items follow the appointment calendar.) The unit ward clerk is usually free in the afternoon to provide you with 1 hour of clerical assistance, and you have a charge nurse on each shift to whom you may delegate.
Assign a priority to each item, with 1 being the most important and 5 being the least important.
Decide when you will deal with each item, being careful not to use more time than you have open on your calendar.
If the problem is to be handled immediately, explain how you will do this (e.g., delegated, phone call).
Explain the rationale for your decisions.
Correspondence
Item 1
From the desk of M. Jones, personnel manager
October 24
Dear Joan:
I am sending you the names of two new graduate nurses who are interested in working in your area. I have processed their applications; they seem well qualified. Could you manage to see them as early as possible in the week? I would hate to lose these prospective employees, and they are anxious to obtain definite confirmation of employment.
Item 2
Avoiding Crises Essay Assignment Help
Avoiding Crises Essay Assignment Help
From the desk of John Brown, purchasing agent
October 23
Joan:
We really must get together this week and devise a method to control supplies. Your area has used three times the amount of thermometer covers as any other area. Are you taking that many more temperatures? This is just one of the supplies your area uses excessively. I’m open to suggestions.
Item 3
Roger Johnson, MD, chief of surgical department
October 24
Ms. Kerr:
I know you have your budget ready to submit, but I just remembered this week that I forgot to include an arterial pressure monitor. Is there another item that we can leave out? I’ll drop by Monday morning, and we’ll figure something out.
Item 4
October 23
Ms. Kerr:
The following personnel are due for merit raises, and I must have their completed and signed evaluations by Tuesday afternoon: Mary Rocas, Jim Newman, Marge Newfield.
- Jones, personnel manager
Item 5
Roger Johnson, MD, chief of surgical department
October 23
Ms. Kerr:
Avoiding Crises Essay Assignment Help
The physicians are complaining about the availability of nurses to accompany them on rounds. I believe you and I need to sit down with the doctors and head nurses to discuss this recurring problem. I have some free time Monday afternoon.
Item 6
5 AM
Joan:
Sally Knight (your regular night registered nurse) requested a leave of absence due to her mother’s illness. I told her it would be OK to take the next three nights off. She is flying out of town on the 9 AM commuter flight to San Francisco, so phone her right away if you don’t want her to go. I felt I had no choice but to say yes.
Nancy Peters, night supervisor
P.S. You’ll need to find a replacement for her for the next three nights.
Item 7
To: Ms. Kerr
From: Administrator
Re: Patient complaint
Avoiding Crises Essay Assignment Help
Date: October 23
Please investigate the following patient complaint. I would like a report on this matter this afternoon.
Dear Sir:
My mother, Gertrude Boswich, was a patient in your hospital, and I just want to tell you that no member of my family will ever go there again.
She had an operation on Monday, and no one gave her a bath for 3 days. Besides that, she didn’t get anything to eat for 2 days, not even water. What kind of a hospital do you run anyway?
Elmo Boswich
Item 8
To: Joan Kerr
From: Nancy Newton, RN, head nurse
Re: Problems with X-ray department
Date: October 23
We have been having problems getting diagnostic x-ray procedures scheduled for patients. Many times, patients have had to stay an extra day to get x-ray tests done. I have talked to the radiology chief several times, but the situation hasn’t improved. Can you do something about this?
Item 9
To: All department heads
From: Storeroom
Re: Supplies
Date: October 23
The storeroom is out of the following items: toilet tissue, paper clips, disposable diapers, and pencils. We are expecting a shipment next week.
RUBRIC
Excellent Quality 95-100%
Introduction 45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support 91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology 58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score 50-85%
40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality 0-45%
37-1 points The background and/or significance are missing. No search history information is provided.
75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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Avoiding Crises Essay Assignment Help