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Nurse Ethics and Legal Issues in Leadership
The hospital where you work is at maximum capacity; every bed is occupied on every unit.
The emergency department (ED) is full, and patients awaiting admission are being held in the hallways.
You have just left a Director’s meeting where everyone has been informed that the ED is not able to go on diversion.
Therefore, patients awaiting admission from the ED will be sent to the nursing units within the next three hours.
You have been asked to admit patients to your unit and place them in the alcoves at the end of each hallway.
Rental beds and privacy screens will be delivered within the hour.
You are the nurse manager of a progressive care unit where all patients are monitored for their cardiac rhythms.
Cardiovascular Disease in Women
Case Study Vignette
J.S. is a 54-year-old Hispanic woman who presents to her primary-care clinician for follow-up regarding elevated blood pressure. She was last seen 2 weeks prior with a blood pressure of 162/94 mmHg. She has no significant medical history, she is a 1 ppd tobacco user with a history of 25 pack-years, and she has a family history of premature cardiac death.
Evaluation:
Her vital signs are as follows: height, 5 ft 4 in.; weight, 188 lb.; pulse, 84 beats/min; blood pressure, 168/98 mmHg; and body mass index, 32.3. As J.S. has been found to be hypertensive (>149/90) on two consecutive office visits, starting an antihypertensive medication is indicated.
Questions:
What is your initial choice for an antihypertensive medication in this patient? (Support your treatment plan with a discussion of the evidence based guideline you utilized)
Which therapeutic lifestyle change is a priority in helping J.S. achieve blood pressure control?
Which of the following diagnostic tests would you order for J.S. to establish a baseline before starting an anti-hypertensive?
Staff Performance Appraisal Paper
Write a report in which you:
Explain policies and agreed ways of working for appraisals in the work setting.
Research models of appraisal to explore their applicability in the work setting.
Evaluate how appraisals are used to inform:
• achievement of objectives
• overall performance
• future objectives.
Explain how appraisals are used to develop practice.
Differentiate between appraisals and disciplinary processes.
Use research on the theories of power to explore the relationship between appraiser and appraisee.
Explain how power can be managed within the appraisal process to facilitate the participation of the appraisee.