The roles and responsibilities of the federal bureaucracy

Describe how the federal bureaucracy is organized and staffed. Why? Describe the roles and responsibilities of the federal bureaucracy The Federal Bureaucracy is the unelected, administrative body in the Executive Branch. It is the backbone of the US Government. It is arranged into departments, agencies, and commissions

 

Differences between the various computer networks supporting HIS applications

What are the benefits of a CPOE system?

Explain the differences between the various computer networks supporting HIS applications today (e.g., LANs, WLANs, WANs, WWANs, and SANs).

Identify some of the emerging technologies being used to support HIS and describe how they are benefiting the delivery of care.

Which technologies are being utilized today in computer networks, data centers, servers, and applications to provide increased availability and allow HIS to remain accessible, even in the event of a hardware or component failure?

Discuss the benefits of server virtualization and describe how it is affecting HIS applications.

 

Identify the various types of client computing devices

Identify the various types of client computing devices that are being deployed in hospitals today and explain which types of advantages they bring.

How can ID badge and virtual desktop infrastructure technology improve the delivery of care?

What are the important steps a healthcare organization should consider before implementing a mobile computing strategy such as bring-your-own-device technology?

Why is security information event management an important technology for managing the security of EHRs and other HIS applications?

The strategy for delivering chemotherapy to children

You are the nurse manager of a pediatric oncology unit. You are also the manager of the same-day chemo unit that is attached to your inpatient unit. The strategy for delivering chemotherapy to children under the age of 18 is going to change in order to accommodate family schedules and school needs. Children will now be receiving their chemotherapy after 4 PM or on the weekend. This means that many of them will not be finished with their infusions until 10 PM or later and the unit will need to be staffed on the weekend which was not the case previously. This will greatly alter the staffing needs of the unit.

 

1. What is your course of action in the situation?

 

2. What is the fiscal impact of this change?

 

3.  What data will drive this change?

 

4.  Whose responsibility is it to provide education and support in the given situation?

 

5.  How would you evaluate the outcome(s) of this change?

Asthma and Obstructive Sleep Apnea Syndrome

Review the case study and identify 2 differential diagnoses (Asthma and Obstructive Sleep Apnea Syndrome) please provide rationales to support them. also, discuss treatment plans for them.

Please use the two differential diagnoses provided

Please use and provide 3 peer review journals thank you

“My daughter has been coughing for the past 3 months.  She cannot even play & run with her playmates.” HPI:  3 1/2-year-old Shelly has been seen several times in the office for colds, coughs, and wheezing.  She has been on Orapred 3 times in the past year for this.  No other meds have been given.

PMH:  She was a term baby delivered without complication. No feeding, or growth issues and is developmentally on target for age.  Mom does report 3 years ago Shelly was very sick in the hospital with an infection in New Jersey.  Immunizations are up to date.

 

Review of Systems: (obtained from mom)

General:  “A normal 3 year old, she just coughs all the time, and when she has a cold it settles in her chest!”

HEENT:  She sometimes has very dark circles under her eyes. I think it is from her not sleeping and coughing all night.

Chest/Resp:         Coughing, sometimes to the point of not catching her breath.  Maybe she is out of shape but she can’t play like her friends, she just coughs and has to stop. Coughs every day & night, especially in the winter. (FMH of both parent with Asthma)

Chest/Card:         No color changes

GI/GU:  Eats well, no issues

MSK/Extremities:   Walks without an issue

PE:

She is wheezing bilaterally, is unable to really take in a good breath, afebrile, and VSS.

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Children’s Depression Rating Scale

Alert & oriented X 3, speech clear, coherent, goal-directed, spontaneous. The self-reported mood is “sad”. The effect was somewhat blunted, but the child smiled appropriately at various points throughout the clinical interview. He denies visual or auditory hallucinations. No delusional or paranoid thought processes were noted. Judgment and insight appear to be age-appropriate. He is not endorsing active suicidal ideation but does admit that he often thinks about himself being dead and what it would be like to be dead.

The PMHNP administers the Children’s Depression Rating Scale, obtaining a score of 30 (indicating significant depression)

Describe one cancer that predominately impacts women

Describe one cancer that predominately impacts women (i.e. breast, lung, colorectal, endometrial, cervical, uterine, ovarian, skin).

    • How many people are diagnosed with this cancer every year? Has the rate gone up/down?
    • What are the signs and symptoms of cancer?
    • What (if any) is the screening recommendations? How can you prevent this cancer?
  • Describe risk factors for cardiovascular disease.
    • What are the risk factors for cardiovascular disease? Which risk factors are modifiable?
    • Why are women at increased risk for cardiovascular disease? Other than gender, who (race/ethnicity, age, income) is more at risk for cardiovascular disease?
    • What can you do to decrease your risk factors?
  • In the U.S. there are more than 30 million cases of diabetes, equally common in men and women. Why?
    • What are the three forms of diabetes?
    • What are the risk factors for diabetes? What are the rates of these risk factors?
    • Provide 1-2 reasons and justify why this might be the case.

proposal for solutions to the nursing shortage

Determine the type of impact this change plan will have on the organization and its stakeholders. Discuss the expected outcomes for initiating a proposal for solutions to the nursing shortage. Identify potential barriers to implementing the change plan. identify steps for overcoming the nursing shortage

Identifies effective strategies for communicating

You work for a company that has employees from each of the five generations: Traditionalists, Baby Boomers, Generation X, Millennials, and generation Z. Because there is a great deal of generational diversity in your company, your managers have sometimes struggled to effectively communicate with their teams. In order to help your colleagues, you decide to put together a part of a training plan to discuss the importance of managing a diverse workforce and provide guidance to managers.

Instructions

Create a training plan that:

  • Researches and summarizes each of the five generations in the workforce:
  • Traditionalists
  • Baby Boomers
  • Generation X
  • Millennials
  • Generation Z
  • Identifies effective strategies for communicating with, motivating, and supporting a generationally diverse workforce.
  • How does each generation prefer to communicate?
  • How do you keep them engaged?
  • Examines the benefits that companies have experienced employing multigenerational workforces and why these are important for organizational success.
  • Analyzes potential communication and collaboration challenges that could occur among the different generations and why these are important to understand when managing a diverse workforce.

 

 

AHIMA Code of Ethics

Since May, you have been working with a recruiter to obtain a new position in HIM. Your experience includes over ten years in inpatient and outpatient coding, you are an AHIMA-approved ICD-10 trainer, and you have worked with your state association on coding projects over the past two years.

Nothing the recruiter has presented to you has been a good fit, but in late September, the recruiter calls with positions open for coding auditors. You have never done that type of work before, but are confident you could learn, and the recruiter gets you a phone interview. During the conversation, the HIM manager for the organization says that she sees you have been an auditor since May. You immediately recognize that the HIM manager has the wrong impression of your experience. Determine the appropriate course of action in response to the interviewer’s statement. Provide justification based on the AHIMA Code of Ethics.