Describe the goals and objectives of your plan to decrease ER wait times at Wishmewell.

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Assignment 1: LASA 2: Implementing Six Sigma at Wishmewell Hospital

Emergency departments (ED) at many hospitals have been overwhelmed in the past year, as more patients without health insurance use the ED as a primary care solution. Wait times in the ED are increasing as more and more Americans are using the Emergency Department for their general health concerns. Across the country, the average ED wait time is now 222 minutes (approximately 3 hours, 42 minutes).

Wishmewell Hospital’s average wait time in the ED is more than five hours, and the board of directors is concerned about this long wait time. The danger is that a patient’s condition may escalate during his/her waiting time in Wishmewell’s ED.

The board has tasked you to take on a new quality improvement initiative to decrease wait time in the ED using the Six Sigma approach.

Develop a quality improvement program using the Six Sigma approach to decrease waiting time in Wishmewell’s emergency department.

The quality improvement program must include the following elements in an approximately 10-page MS Word document:

  • Describe the goals and objectives of your plan to decrease ER wait times at Wishmewell.
  • Describe each step of the Six Sigma (DMAIC) process:
    • Define the problem
    • Measure the process; what Six Sigma tools will you use?
    • Analyze the data; what tools will you use to analyze the data?
    • Improve the process; explain your improvement plan
    • Control; how will you continue to monitor the results and adjust as necessary?
  • Describe the key players (stakeholders) who should be members of your implementation team and explain why teamwork is an important factor in implementing a quality improvement program.
  • Explain at least three factors that might inhibit the implementation of your decreased wait time program.

Describe one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Include dietary considerations related to treatment.

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  • Explain the differences between types of diabetes including type  1, type 2  gestational, and juvenile diabetes.
  • Describe one type of drug used to treat the type of diabetes you selected including proper preparation and administration of this drug. Include dietary considerations related to treatment.
  • Explain the short-term and long-term impact of this diabetes on patients including effects of drugs treatments
  • References including

How could you as a health educator include the topic of obesity to a group of nurses on a pediatric unit?

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One of the leading health indicators from the Healthy People website is obesity. How could you as a health educator include the topic of obesity to a group of nurses on a pediatric unit? Defend in 400 words. With at least 2 references and citations

2.  Describe if there is any similarity  between both culture regarding the health care beliefs.

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1.  In your own words discuss and compare the development of health care in the Chinese and Guatemalan heritage.

2.  Describe if there is any similarity  between both culture regarding the health care beliefs.

APA format word document, a minimum of 2 evidence based references no older than 5 years, and a minimum of 500 words are required.

. Discuss at least 3 assumptions and variant cultural characteristics of The Purnell Model for Cultural Competence. Give at least 1 example.

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1. In your own words and using the appropriated evidence based references discuss The Purnell Model for Cultural Competence.

2. Discuss at least 3 assumptions and variant cultural characteristics of The Purnell Model for Cultural Competence. Give at least 1 example.

APA format word document, a minimum of 2 evidence based references no older than 5 years, and a minimum of 500 words are required.

· Outline your plan for passing the appropriate National Certification Exam

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Certification Plan

Begin to develop a plan to pass the Certification Exam. Compare your home state’s laws in regards to Advanced Practice Nursing Practice to an alternate state with a less or more restrictive practice environment.

To prepare:

· Consider the differences in certification exams options for your specialty

· Reflect on how to approach relocating licensure from one state to another

Write a 3-4 page paper which summarizes the following:

· Identify the certification exam you selected and explain why

· Outline your plan for passing the appropriate National Certification Exam

· Describe the NP Practice environment for your home state highlighting restrictions or limitations for practice

· Describe 3 strengths identified from the FHEA Exit Exam

· Describe 3 areas of weakness identified by the FHEA Exit Exam and develop a study plan for addressing these areas of weakness

http://www.aanpcert.org/index

Resources

http://www.aanpcert.org/index

http://www.nursecredentialing.org/

http://c.ymcdn.com/sites/www.nonpf.org/resource/resmgr/imported/NPPrimaryCareAcuteCarePracticeFINAL.pdf

https://www.ncsbn.org/boards.htm

https://www.bartonassociates.com/locum-tenens-resources/nurse-practitioner-scope-of-practice-laws/

http://www.nursingworld.org/EspeciallyForYou/AdvancedPracticeNurses

https://class.waldenu.edu/bbcswebdav/institution/USW1/201810_27/MS_NURS/NURS_6565/artifacts/Contact_Hour_Dynamic_Flyer-_CertificationReviewfor%20NP_02_17.pdf

. Describe key signs and symptoms that were consistent with this disease. If you diagnosed the patient with the disease, describe your experience in telling the patient that she had the disease, as well as the patient’s reaction to the diagnosis.

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Each week you will complete a Practicum Journal entry and Time Log that prompts you to reflect on and document your Practicum Experiences.

Practicum Journal

Continue documenting your Practicum Experiences in your Practicum Journal. Reflect on your practicum experiences and relate them to your Professional Goals and Self-Assessment of Clinical Skills that you identified in Week 1.

Follow journal entry format and choose any illness or patient…..

E.g

Reflect on a patient who presented with a disease. Describe key signs and symptoms that were consistent with this disease. If you diagnosed the patient with the disease, describe your experience in telling the patient that she had the disease, as well as the patient’s reaction to the diagnosis. Explain how the diagnosis might impact the patient’s life short-term and long-term. Include an explanation of the patient’s medical history, drug therapy and treatments, and follow-up care. If you did not have an opportunity to evaluate a patient with this background during the last four weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.

 Briefly discuss the implications of taking your suggested policy action, as well as impact of inaction. Discuss pros and cons, consider unintended consequences that may occur and address limitations or potential opposing arguments

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  1. Indicate who your audience is for the Policy Brief: Are you presenting this to local or national decision makers, health professionals, journalists, the general public, or more than one of them?
  2. Define the problem: Identify a health care policy or healthcare finance issue of interest to ARNPs that can be improved through a change in the policy..
    • What is the historical context of the issue?
    • What aspects of the issue remain problematic and why?
    • In what contexts does this issue exist? What is its scope?
  3. State the policy:  Identify 1–3 specific policy actions that will address the problem.
  4. Make your case: Using as strong an argument as you can, with supporting evidence, describe the specific policy action(s) you suggest as the best solutions to this issue
  5. Discuss the Impact: Briefly discuss the implications of taking your suggested policy action, as well as impact of inaction. Discuss pros and cons, consider unintended consequences that may occur and address limitations or potential opposing arguments

 Summarize Chapters 7&8. You would have to either have the book or be able to obtain online.

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Book : How god changes your brain by Andrew Newberg and Mark Waldman.

Summarize Chapters 7&8. You would have to either have the book or be able to obtain online.

Chapters consist of 38 pages in total.