Nursing Assignment Tutor Dann

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University of Phoenix Material

Sample Educational Practicum Learning Agreement – Not Implemented

Student’s Name   Manda Ragland- McIntyre Faculty A.     Jean Pickus RN MSN
Student’s
Phone
Number
 919-923-5697 UPXCampus  Online
Name of Practicum Site  N/A – Virtual project Address, City, State, and Zip Code of Practicum Site N/A – Not implemented
Approved – AJP – 5-12-2015
Mentor’sName and Educational
Credentials (Minimum of an RN MSN required)
Sherri-Strain-Garner RN MSN Mentor’sAgency 850-225-0903
Mentor’s Job Title Child Psychiatric Nurse Mentor’sPhone
Number and Email
sl.garner@msn.com

 
 

Practicum Goal:1.      To analyze, develop, implement, and evaluate an educational program on the nursing process to first semester nursing students.
2.   To utilize advanced nursing knowledge to assist nursing students in understanding the nursing process, critical thinking skills, and implementation needed to deliver best nursing practice.
 

 

Complete this column for Week One – NUR/590A Complete this column for Week Two – NUR/590A Complete this column for Week Two – NUR/590A Complete Before Midpoint Review Complete Before You Start NUR/590B
Learning Objectives Learning Strategies Evidence of Accomplishments Midpoint Review
(at 30 hours of Practicum Project)
Outcome-
To Be Completed Prior to Starting NUR/590B
1.0 Analyze the educational needs of   the novice nursing students related to the nursing process, critical thinking and implementation needed to deliver quality nursing care to patients. 
 
 
 
 
.
1a. Conduct a literature review of at least 15 peer reviewed articles on the nursing process, critical thinking, and the implementation needed to deliver quality nursing care (specifically as it relates to novice nurses) 
 
 
 
1b. Discuss with mentor  the  review the results of the literature review onthe nursing process, critical thinking, and the implementation needed to deliver quality nursing care(specifically as it relates to novice nurses)
 
 
1a. Submit a minimum of a 15 item annotated bibliography of literature reviewed on the nursing process, critical thinking, and the implementation needed to deliver quality nursing care (specifically as it relates to novice nurses) 
 
 
1b. Submit summary of meeting with mentor to reviewresults of the literature review onthe nursing process, critical thinking, and the implementation needed to deliver quality nursing care(specifically as it relates to novice nurses)
 
 
 
 
 
 
 
.
Completed 
 
 
 
 
 
 
 
 
 
 
 
 
 
Completed
Completed literature search of 15 articles that outlined the nursing process and critical thinking for novice nursing student. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
To gain feedback regarding articles.

 
 
 
 
 
 
 

Learning Objectives Learning Strategies Evidence of Accomplishments Midpoint Review
(at 30 hours of Practicum Project)
Outcome-
To Be Completed Prior to Starting NUR/590B
2.0 Develop an educational curriculum for incoming nursing students that will provide knowledge and resources for understanding the nursing process and critical thinking skills and the implementation needed to deliver quality nursing care. 
 
 
2a. Literature search of 15 articles on instructional methods. 
 
 
 
 
 
 
 
 
2b. Identify conceptual framework for curriculum development and how major concept will be threaded throughout curriculum.
 
 
 
 
2c. Develop an educational curriculum for nursing students on the nursing process, critical thinking and the implementation needed to deliver quality nursing care to include:
1.     Measurable terminal learning objectives
2.     Content outline
3. Teaching   
      Strategies/resources
4. PowerPoint presentation with speaker’s notes
5.   Handouts
 
 
 
 
 
 
 
2d.    Discuss with mentor to review conceptual framework and all educational materials as developed.
2a. Submit a minimum of a 15 item annotated bibliography of literature reviewed on instructional methods. 
 
 
 
 
 
 
2b. Submit summary of conceptual framework and how major concepts will be threaded throughout curriculum.
 
 
2c. Submit educational curriculum for nursing students on the nursing process, critical thinking and the implementation needed to deliver quality nursing care to include:
1.     Measurable terminal learning objectives
2.     Content outline
3.     Teaching  
      strategies/resources
4.     PowerPoint presentation with speaker’s notes
5.     Handouts
 
 
 
 
 
 
2d. Submit summary of meeting with mentor to review
conceptual framework and all educational materials as developed.
 
 
Completed 
 
 
 
 
 
 
 
Completed
 
 
 
 
 
Completed
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Completed
 Literature review completion of 15 articles to examine teaching method. Diverse teaching method was reviewed example: flipped classroom. Simulation, concept mapping,  and traditional method 
 
Several Conceptual frame work   reviewed to implement best framework  to educate students.
 
 
Educational curriculum develop to   teach novice nursing on the nursing process. Several strategies used to enhance knowledge.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Discuss  best framework to implement teaching to novice nursing students.
Learning Objectives Learning Strategies Evidence of Accomplishments Midpoint Review
(at 30 hours of Practicum Project)
Outcome-
To Be Completed Prior to Starting NUR/590B
3. 0 Analyze the implications to students, faculty, and the organizational if the educational curriculum on the nursing process and critical thinking skills was actually implemented.   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
4.0 Evaluate overall project with an emphasis on student’s learning in project completion
 
3a. Complete a literature search and review related to change theory, and the process of facilitating changes (minimum of 15 peer-reviewed sources). 
 
 
 
 
 
 
 
3b.  Analyze the implications of your proposed project if it was put into place related to the changes that would be required in the students, faculty, and/or organization, identify any potential barriers to this change and how you might overcome them.
 
 
 
3c. Review learning with mentor by phone and request feedback
 
 
 
4a.  Complete 2-3 page self-evaluation of project including both strengths and weaknesses.
 
 
 
4b. Have mentored complete written evaluation of project.
3a. Submit a minimum of a 15 items annotated bibliography related to literature reviewed on change theory and the process of facilitating change 
 
 
 
 
 
 
 
3b.  Submit a minimum 2-3 pages APA analysis related to the changes that would be required in the students, faculty, and/or organization if project were implemented and identify any potential barriers to this change and how you might overcome them.
 
 
3c. Submit summary of phone meeting with mentor.
 
 
 
 
4a. Submit 2-3 page self-evaluation of project including both strengths and weaknesses.
 
 
 
4b. Submit written evaluation from mentor of project.
 
 
 
 
 
 
 
 
Completed 
 
 
 
 
 
 
 
 
 
 
Completed
 
 
 
 
 
 
 
 
 
 
Completed
 
 
 
Completed
 
 
 
Completed
 Literature search completed of 15 articles to examine different types of change theory. Lewin’s Change theory used in this practicum. 
 
 
 
 
 
Paper completed to discuss the analyze implication of the practicum.
 
 
 
 
 
 
 
 
To discuss overview of practicum.
 
 
 
Wrote  self-evaluation  on the benefit of the practicum.
 
 
Discuss to the overall review of the practicum  and obtain feedback.
 

 
 
 

Grading Criteria – Week ThreeFinal Learning Agreement  Points
Learning agreement goal(s) objectives, learning strategies, and evidence of accomplishments have been updated based on feedback provided by instructor  10 points/10 points
The final practicum agreement reflects an appropriate level MSN rigor 20 points/20 points
A minimum of an RN MSN mentor is noted on the contract 5 points/5 points
Materials are presented within the content of the MSN practicum contract template 3 points/3 points
Total points 38 points/38 points Nicely done final practicum learning agreement.

 
 
 
 

Practicum Project Pesensentation

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(Pathophysiology)

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Nursing Evidence-Based Practice Process.

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Nursing : Complementary Alternative & Therapies, Forum 2

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Change Affecting Team Views

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The change to move from manual to electronic health records
 
While the change from manual to electronic health records instigated substantial progress in the way health information technology was implemented and sourced, it still has yet to launch advanced use of health information technology in a highly operational healthcare system. In order for success to be achieved, systematic changes need to take place with medical payments. .
Making and receiving payments has been quicker with the use of EMR and the medical coding process. With everything being done electronically, medical payments are distributed quickly and efficiently. In addition to the requirement imposed by the Affordable Care Act (ACA) to use EHRs in health care settings, positive outcomes of using the EHR like improved patient relationship, quality of care, patient centered care are a testimony to the fact that the use of EHRs will continue to trend upward.
The people involved in regards to the delivery of health care support the implementation of electronic health records. This is because it has more advantages compared to the manual system such as ease in storing, analyzing and retrieving patients’ information. This will in turn lead to improved efficiency and productivity.
 
 
 

Health Promotion And Wellness ESSAY

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Consumer Health Informatics

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Consumer Health Informatics (CHI) is the field that helps to connect the gap between patients and health resources. Its focus is to provide patients with the most complete health information possible.

Using the South University Online Library or the Internet, research on CHI. Based on your readings and understanding, create a 3- to 4-page Microsoft Word report that provides the answers to the following questions:

  • What role will medical informatics professionals play in CHI? What are some of the barriers to the growing role of CHI?
  • What do you believe is the most important thing that needs to happen next in order for CHI to continue evolving? How can it best be addressed?
  • What are the key factors in training users of health information systems technologies?
  • How can personal health record systems and electronic health systems contribute to advancing the role of CHI?
  • What are the three options for CHI that could improve healthcare quality and lower costs in the future?

Support your responses with examples.

Cite any sources in APA format.

Medical Coding ICD-10

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1. This 60-year-old patient was admitted with emphysematous nodules.  A thoracoscopic wedge resection was performed in the left lung to remove the lung nodules.  A resection was done in the upper and lower lobes.  Which of the following answers is correct? (Points : 2)

J98.4, 32666, 32667
J43.9, 32666
J98.4, 32505
J43.9, 32666, 32667

Question 2. 2. A neonatal patient is brought to the operating room for repair of complete transposition of the great arteries under cardiopulmonary bypass. The infant is in critical condition and may not survive. Assign the correct diagnosis codes and CPT codes to report the administration of anesthesia, including physical status, Level I and II modifiers, and qualifying conditions for this procedure. (Points : 2)

Q20.3, 00562–AA–23, 99100
Q20.1, 00561–AD–P5, 99140
Q20.3, 00561–AA–P5
Q20.3, 00563–AA–P5, 99100, 99140

Question 3. 3. A 69-year-old patient was hit by a car, causing intra-thoracic trauma and hemorrhage.  The patient was taken directly from the Emergency Department to the operative suite where the chest was opened and hemorrhage was controlled, but the patient’s heart stopped.  Open heart massage was performed but the patient expired before the patient could be admitted.  Assign the appropriate CPT code(s) and any required modifier(s) to report this service. (Points : 2)

32110-CA
32110, 32160
32160-CA
32110-CA, 32160-CA

Question 4. 4. A non-Medicare patient with carcinoma of the oral cavity and lower lip is receiving daily intramuscular injections of the interferon alfa-2a (3 million units) in the outpatient cancer center.  Which of the following will be reported for this service?  The payer does accept HCPCS Level II codes for drugs. (Points : 2)

Z51.12, I49.8, 96401, J9213
C14.8, 96372, J9213
C06.9, C00.2, 96372
Z51.12, 96549

Question 5. 5. An elderly patient has an abscess formation around a pacemaker pocket on his chest wall that requires that the device be removed and the pocket reformed in another location.  Which of the following code sets is appropriate for this outpatient surgical service?  (Points : 2)

T82.7XXA, L02.219, 33222
L02.219, 33222
T82.7XXA, 33223
T82.857A, L02.219, 33999

Question 6. 6. Assign the appropriate ICD-10-CM diagnosis code for aspiration pneumonia due to inhalation of food. (Points : 2)

J15.9
J69.0
J18.9
J69.1

Question 7. 7. A hospital-based pediatric clinic is treating a newborn with talipes equinovarus by manipulation and short leg casting. Which of the following code sets is reported for a visit where the condition is evaluated with a -problem-focused history and examination and parents’ questions are answered, followed by foot and ankle manipulation and replacement of the plaster cast? (Points : 2)

Q66.6, 29450
M21.549, 29405
Q66.0, 29405
Q66.0, 99212–25, 29450

Question 8. 8. A 32-year old female has recently had surgery for melanoma of the right lower leg, Clark level IV>  She had no other signs of metastasis or adenopathy.  Under general anesthesia, a sentinel node biopsy of the deep axillary nodes was performed with a gamma counter probe.  An injection of isosulfan blue dye was performed and the nodes followed carefully to the single-bright-blue node.  This node was excised and sent for frozen section, which proved to be negative for melanoma.  Before the procedure, the radiologist performed a lymphoscintigraphy.  Which of the following code sets would the surgeon report. (Points : 2)

C44.691, 38525
C4A.71, 38525, 38792
C4A.71, 38525, 38792–51, 78195
C43.9, 38525, 38790–51

Question 9. 9. What code(s) is/are assigned for a patient receiving home care after a kidney transplant? (Points : 2)

Z48.29
Z48.298, Z94.0
N18.6
Z94.0

Question 10. 10. What would be the appropriate ICD-10-CM code for lumbar stenosis? (Points : 2)

M48.00
M48.06
M48.07
M48.26

Question 11. 11. Dr. Smith sent a patient to observation care at the local hospital following his visit to the nursing facility.  The patient was admitted for observation to rule out stoke due to a change in mental status.  The next morning, Dr. Smith left town, and his partner, Dr., Johnson, admitted the patient to inpatient care because of sudden worsening symptoms.  The patient expired later the same day.  Assuming documentation guidelines were met, how would E/M services for these two physician be coded? (Points : 5)

Dr. Smith: 99315; 99219; Dr. Johnson:  99236
Dr. Smith: 99219; Dr. Johnson:  99217, 99236
Dr. Smith: 99219; Dr. Johnson:  99236
Dr. Smith: 99315; 99222; Dr. Johnson:  99238

Question 12. 12. The following documentation is from the health record of a 3-year-old child.Parents bring their 3-year-old boy, who was born with hydrocephalus, to the pediatric neurology clinic at Unive3rsity Hospital to have the child evaluated by the pediatric neurologist and have his VP shunt lengthened to accommodate a growth spurt.  Their pediatrician requested a consultation to evaluate the shunt and replace the peritoneal catheter if needed.  Outpatient surgery had been previously scheduled tentatively pending this evaluation for the afternoon.
The catheter used in the shunt was removed and replaced in the outpatient surgery suite following a follow-up consultation, which included a detailed interim history, a detailed examination, and medical decision making of moderate complexity.  Findings documented in the consultation include “Assessment: Shunt valve malfunction requiring replacement”.  The VP shunt valve was replaced along with a new peritoneal catheter in a longer length.
Which of the following code sets will be reported for this service? (Points : 5)

Z45.41, 62230
T8503XA, Q03.9, 62230
Q03.9, Z45.41, 62225
Q03.9, 62230

Question 13. 13.This 21-month old male presents to the Emergency Department with nausea and vomiting since 10 pm last night, at least 8 times, which is nonbloody but bilious.  Temp of 39.8 since last night.  He has a history of Tetralogy of Fallot, s/p repair 2 months ago.  He has known immunodeficiency, laryngomalacia, and a gastrostomy tube.  After examination, working differential diagnoses are acute gastroenteritis, bacteremia, or possible septicemia.  Symptoms similar to episode about 1 month ago that was determined to be bacteremia with G-tube site infection.  The patient is treated with Zofran 2 mg IV, followed by Ceftriaxone 600 mg IV.  The patient is discharged after resolution of vomiting and fever.  Diagnosis listed as acute gastroenteritis.
Assign the correct ICD-10-CM codes for the facility services provided today.
(Points : 5)

D84.9, K52.9, Q31.5, Z87.74, Z93.1
D84.9, K52.9, Q31.5, Z98.89, Z93.1
D84.9, K52.9, Q33.5, Z84.74, Z98.89, Z93.1
D84.9, K52.9, Q31.5, Z84.74, Z98.89

Question 14. 14. A 48-year-old man came in to the emergency department complaining of vomiting material resembling coffee grounds several times within the past hour.  He has abdominal pain and has been unable to eat for the past 24 hours.  He is dizzy and lightheaded.  Two stools today have been black and tarry.  While in the emergency department, he vomited bright-red blood and some material resembling coffee grounds.  A nasogastric tube was inserted by the ED physician and attached to suction.  An abdominal exam showed a fluid wave consistent with ascites.  CBC and clotting studies were drawn.  A detailed history and physical exam with high-complexity medical decision making were documented.  A GI consultant was called and the patient was taken to the Endoscopy for further evaluation of upper GI bleeding.  Diagnosis:  Hematemesis, rule out esophageal varices; blood loss anemia, acute; ascites.Which of the follow is the correct diagnosis and CPT procedure assignment for the independent ED physician? (Points : 5)

K92.0, D62, R18.8, 99285, 43752
K92.0, R10.9, R42, 99284-25, 91105
R18.0, K92.0, D50.0, 99284, 43752
K92.0, D62, R18.8, 99284-25, 43752

Question 15. 15. The following documentation is from the health record of a 39-year-old female patient.This 39-year-old female was diagnosed with breast cancer 2 years ago.  At that time she had a mastectomy performed, with no evidence of metastases to the lymph nodes.  About 8 months ago, metastases were found in her liver.  The patient was given chemotherapy.  She has been losing weight and developing increased fatigue.  Patient was referred to hospice care program, with a life expectancy of 4 to 6 months.  Progressive weight loss due to loss of appetite led to cachexia and program of home intravenous hyperalimentation.  Progressive, unrelenting abdominal pain led to chronic use of analgesics.  Patient is awake, alert, and desires to spend more time with family.  Progressive weakness and dropping hemoglobin led to the decision to transfuse the patient every 2 weeks with 2 units of packed cells.  Patient is stable and more comfortable on this regimen.
What are the correct diagnosis codes assigned in this case? (Points : 5)

D63.0, D64.81, C78.7, Z85.3, T45.1X5
D64.9, C78.7, Z85.3, T45.1X5
D63.0, C78.7, Z85.3, T45.1X5
D64.9, C78.7, Z85.3

Question 16. 16. The patient is a four-year-old male with acute lymphocytic leukemia who has had a fever for the last 24 hours.  It has been nine days since his last chemotherapy, which was his first.  A comprehensive history is documented.  On examination, the skin over his Hickman site is extremely red and starting to break down.  No other abnormal findings are noted in the comprehensive exam.  Labs show that the patient is not neuropenic.  The physician lists the diagnoses as :  ALL not in remission, infected Hickman.  The patient is given 770 mg of Ceptz over 10 minutes through a new peripheral IV site and admitted for continued treatment.  Medical decision making is moderate.What code set is reported for the services of the emergency physician? (Points : 5)

C91.00, T827XXA, R50.9, 99284-25, 96374
T80218A, Y83.8, 99284
C91.00, T8579XA, R50.81, 99285
C91.00, T80219A, 99285-25, 96374

ITECH5402- Enterprise Systems

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Team assignment – Semester 1, 2016
TEAM ASSIGNMENT CONSISTS OF TEAM REPORT AND TEAM PRESENTATION
Weighting: 25% (15% for the report and 10% for the presentation)
TEAM REPORT
REQUIRED
Form a team of between 2 – 3 members. Write a team report of about 3000 words on one of the following research topics. The report must include at least one case study to reflect the topic of discussion.
• Domain-based ES, such as ES in finance, supply chain, accounting, healthcare, customer-relationship management, knowledge management, and outsourcing
• ES implementations, which include Cloud ES, ERP II and Business Process Modelling Tools
• ES in business intelligence and analytics, which include ES role in big data, mobile ES, ES-facilitated social networking interaction
• ES integration within and across organizational boundaries
Each team is expected to present their report findings to as part of the “Team Report Presentation” assessment task during week 10.
You are reminded to read the “Plagiarism” section of the course description. Your essay should be a synthesis of ideas from a variety of sources expressed in your own words.
All reports must use the APA referencing style.
University Referencing/Citation Style Guide:
The University has published a style guide to help students correctly reference and cite information they use in assignments (American Psychological Association (APA) citation style,
http://www.ballarat.edu.au/aasp/student/learning_support/generalguide/print/ch06s04.shtml or Australian citation style
Reports are to be presented in hard copy in size 12 Arial Font and double spaced. Your report should include a list of references used in the essay and a bibliography of the wider reading you have done to familiarize yourself on the topic.
Report Submission: Hard-copy to tutors/lecturers assignment box in week 11. Double-sided printing for the hard-copy is encouraged in order to save paper. Declaration should be done to declare how much (percentage) each of the team has contributed to the report.
A passing grade will be awarded to assignments adequately addressing all assessment criteria. Higher grades require better quality and more effort. For example, a minimum is set on the wider reading required. A student reading vastly more than this minimum will be better prepared to discuss the issues in depth and consequently their report is likely to be of a higher quality. So before submitting, please read through the assessment criteria very carefully.
Team Report
Weighting: 15% for Team Report
Student IDs:
Assessment Criteria:
Score Very Good Good Satisfactory Unsatisfactory (0)
Presentation /Layout
/1 mark Information is well organized, well written, and proper grammar and punctuation are used throughout. Correct layout used. Information is organized, well written, with proper grammar and punctuation. Correct layout used. Information is somewhat organized, proper grammar and punctuation mostly used. Correct layout used.
Information is somewhat organized, but proper grammar and punctuation not always used. Some elements of layout incorrect.
Structure
/1 mark Structure guidelines enhanced Structure guidelines followed exactly Structure guidelines mostly followed. Some elements of structure omitted
Introduction
/1 mark Introduces the topic of the report in an extremely engaging manner which arouses the reader’s interest. Gives a detailed general background and indicates the overall -plan- of the paper. Introduces the topic of the report in an engaging manner which arouses the reader’s interest.
Gives some general background and indicates the overall -plan- of the paper. Satisfactorily introduces the topic of the report.
Gives a general background.
Indicates the overall -plan- of the paper. Introduces the topic of the report, but omits a general background of the topic and/or the overall -plan- of the paper.
Discussion of topics
/7 marks All topics discussed in depth. Displays deep analysis of issues with no irrelevant info. Consistently detailed discussion. Displays sound understanding with some analysis of issues and no irrelevant information Most topics are adequately discussed.
Displays some understanding and analysis of issues. Inadequate discussion of issues Little/no demonstrated understanding or analysis of most issues and/or some irrelevant information.
Case Study
/2 marks Case study clearly reflects at least one of the points discussed and the lessons learned Case study clearly reflects the topic discussed, but lessons are not well abstracted Case study is relevant but does not clearly reflect the point of discussion Case study is irrelevant to the topic of discussion
Conclusion
/1 mark An interesting, well written summary of the main points.
An excellent final comment on the subject, based on the information provided. A good summary of the main points.
A good final comment on the subject, based on the information provided. Satisfactory summary of the main points.
A final comment on the subject, but introduced new material. Poor/no summary of the main points.
A poor final comment on the subject and/or new material introduced.
Referencing
/2 marks Correct referencing (APA). All quoted material in quotes and acknowledged. All paraphrased material acknowledged. Correctly set out reference list. Mostly correct referencing (APA). All quoted material in quotes &acknowledged. All paraphrased material acknowledged.
Mostly correct setting out reference list. Mostly correct referencing (APA ) Some problems with quoted material and paraphrased material
Some problems with the reference list. Not all material correctly acknowledged.
Some problems with the reference list.
SubTotal-1
/15 marks
Team Report Presentation
Weighting: 10% for Team Presentation
Students are expected to create and present a 10-15 minute overview of the findings from their Team Report.
Student IDs:
Assessment Criteria:
Criteria Marks
Introduction
/1
Content
/4
Conclusion
/1
Presentation Style eg clarity, engagement
/2
Team participation /1
Timing (10-15 minutes)
/1
SubTotal-2 /10
General Comments:
Team assignment Total = SubTotal-1 + SubTotal-2.