Category: Nursing

Psychiatric notes are a way to reflect on your practicum experiences and connect

Psychiatric notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Comprehensive psychiatric evaluation notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.
For this Assignment, you will document information about a patient that you examined at your practicum site, using the Comprehensive Psychiatric Evaluation Note Template provided. You will then use this note to develop and record a case presentation for this patient.
TO PREPARE
Review this week’s Learning Resources and consider the insights they provide about impulse-control and conduct disorders.
Select a patient for whom you conducted psychotherapy for an impulse control or conduct disorderduring the last 6 weeks. Create a Comprehensive Psychiatric Evaluation Note on this patient using the template provided in the Learning Resources. There is also a completed template provided as an exemplar and guide. All psychiatric evaluation notes must be signed by your Preceptor. When you submit your note, you should include the complete comprehensive evaluation note as a Word document and pdf/images of the completed assignment signed by your Preceptor. You must submit your note using Turnitin.
Please Note: Electronic signatures are not accepted. If both files are not received by the due date, Faculty will deduct points per the Walden Grading Policy.
Then, based on your evaluation of this patient, develop a video presentation of the case. Plan your presentation using the Assignment rubric and rehearse what you plan to say. Be sure to review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.
Include at least five scholarly resources to support your assessment and diagnostic reasoning.
Ensure that you have the appropriate lighting and equipment to record the presentation.
THE ASSIGNMENT
Record yourself presenting the complex case for your clinical patient.
Do not sit and read your written evaluation! The video portion of the assignment is a simulation to demonstrate your ability to succinctly and effectively present a complex case to a colleague for a case consultation. The written portion of this assignment is a simulation for you to demonstrate to the faculty your ability to document the complex case as you would in an electronic medical record. The written portion of the assignment will be used as a guide for faculty to review your video to determine if you are omitting pertinent information or including non-essential information during your case staffing consultation video.
In your presentation:
Dress professionally and present yourself in a professional manner.
Display your photo ID at the start of the video when you introduce yourself.
Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information).
Present the full complex case study. Be succinct in your presentation, and do not exceed 8 minutes. Include subjective and objective data; assessment from most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; current psychotherapeutic plan (include one health promotion activity and one patient education strategy you provided); and patient progress toward treatment goals.Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What was the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
Objective: What observations did you make during the psychiatric assessment?
Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses in order of highest to lowest priority and explain why you chose them. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5-TR diagnostic criteria and is supported by the patient’s symptoms.
Plan: Describe your treatment modality and your plan for psychotherapy. Explain the principles of psychotherapy that underline your chosen treatment plan to support your rationale for the chosen psychotherapy framework. What were your follow-up plan and parameters? What referrals would you make or recommend as a result of this psychotherapy session?
Reflection notes: What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.
PRAC_6645_Week7_Assignment2_PT1_RubricPRAC_6645_Week7_Assignment2_PT1_RubricCriteriaRatingsPts
This criterion is linked to a Learning OutcomePhoto ID display and professional attire5 to >0.0 ptsExcellentPhoto ID is displayed. The student is dressed professionally.0 ptsFair0 ptsGood0 ptsPoorPhoto ID is not displayed. Student must remedy this before grade is posted. The student is not dressed professionally.
5 pts
This criterion is linked to a Learning OutcomeTime5 to >3.0 ptsExcellentThe video does not exceed the 8-minute time limit.3 to >0.0 ptsGoodThe video exceeds the 8-minute time limit. (Note: Information presented after 8 minutes will not be evaluated for grade inclusion.)0 ptsFair0 ptsPoor
5 pts
This criterion is linked to a Learning OutcomeDiscuss Subjective data:• Chief complaint• History of present illness (HPI)• Medications• Psychotherapy or previous psychiatric diagnosis• Pertinent histories and/or ROS10 to >8.0 ptsExcellentThe video accurately and concisely presents the patient’s subjective complaint, history of present illness, medications, psychotherapy or previous psychiatric diagnosis, and pertinent histories and/or review of systems that would inform a differential diagnosis.8 to >7.0 ptsGoodThe video accurately presents the patient’s subjective complaint, history of present illness, medications, psychotherapy or previous psychiatric diagnosis, and pertinent histories and/or review of systems that would inform a differential diagnosis.7 to >6.0 ptsFairThe video presents the patient’s subjective complaint, history of present illness, medications, psychotherapy or previous psychiatric diagnosis, and pertinent histories and/or review of systems that would inform a differential diagnosis, but is somewhat vague or contains minor inaccuracies.6 to >0 ptsPoorThe video presents an incomplete, inaccurate, or unnecessarily detailed/verbose description of the patient’s subjective complaint, history of present illness, medications, psychotherapy or previous psychiatric diagnosis, and pertinent histories and/or review of systems that would inform a differential diagnosis. Or subjective documentation is missing.
10 pts
This criterion is linked to a Learning OutcomeDiscuss Objective data:• Physical exam documentation of systems pertinent to the chief complaint, HPI, and history• Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses10 to >8.0 ptsExcellentThe video accurately and concisely documents the patient’s physical exam for pertinent systems. Pertinent diagnostic tests and their results are documented, as applicable.8 to >7.0 ptsGoodThe response accurately documents the patient’s physical exam for pertinent systems. Diagnostic tests and their results are documented, as applicable.7 to >6.0 ptsFairDocumentation of the patient’s physical exam is somewhat vague or contains minor inaccuracies. Diagnostic tests and their results are documented but contain inaccuracies.6 to >0 ptsPoorThe response provides incomplete, inaccurate, or unnecessarily detailed/verbose documentation of the patient’s physical exam. Systems may have been unnecessarily reviewed, or objective documentation is missing.
10 pts
This criterion is linked to a Learning OutcomeDiscuss results of Assessment:• Results of the mental status examination• Provide a minimum of three possible diagnoses in order of highest to lowest priority and explain why you chose them. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and is supported by the patient’s symptoms.20 to >17.0 ptsExcellentThe video accurately documents the results of the mental status exam…. Video presents at least three differentials in order of priority for a differential diagnosis of the patient, and a rationale for their selection. Response justifies the primary diagnosis and how it aligns with DSM-5 criteria.17 to >15.0 ptsGoodThe video adequately documents the results of the mental status exam…. Video presents three differentials for the patient and a rationale for their selection. Response adequately justifies the primary diagnosis and how it aligns with DSM-5 criteria.15 to >13.0 ptsFairThe video presents the results of the mental status exam, with some vagueness or inaccuracy…. Video presents three differentials for the patient and a rationale for their selection. Response somewhat vaguely justifies the primary diagnosis and how it aligns with DSM-5 criteria.13 to >0 ptsPoorThe response provides an incomplete, inaccurate, or unnecessarily detailed/verbose description of the results of the mental status exam and explanation of the differential diagnoses. Or assessment documentation is missing.
20 pts
This criterion is linked to a Learning OutcomeDiscuss treatment Plan:• A treatment plan for the patient that addresses psychotherapy and rationales including a plan for follow-up parameters and referrals20 to >17.0 ptsExcellentThe video clearly and concisely outlines an evidence-based treatment plan for the patient that addresses treatment modality, psychotherapy choice with framework principles, and rationale. … Discussion includes a clear and concise follow-up plan and parameters…. The discussion includes a clear and concise referral plan.17 to >15.0 ptsGoodThe video clearly outlines an appropriate treatment plan without evidence-based discussion for the patient that addresses treatment modality, psychotherapy choice with framework principles, and rationale. … Discussion includes a clear follow-up plan and parameters…. The discussion includes a clear referral plan.15 to >13.0 ptsFairThe response somewhat vaguely or inaccurately outlines a treatment plan for the patient and provides a rationale for the treatment approaches recommended…. The discussion is somewhat vague or inaccurate regarding the follow-up plan and parameters…. The discussion is somewhat vague or inaccurate regarding a referral plan.13 to >0 ptsPoorThe response does not address the treatment plan or the treatment plan is not appropriate for the assessment and the diagnosis or is missing elements of the treatment plan. … There is no discussion for follow-up and parameters. … There is no discussion of a referral plan.
20 pts
This criterion is linked to a Learning OutcomePresentation style5 to >4.0 ptsExcellentPresentation style is exceptionally clear, professional, and focused.4 to >3.5 ptsGoodPresentation style is clear, professional, and focused.3.5 to >2.0 ptsFairPresentation style is mostly clear, professional, and focused.2 to >0 ptsPoorPresentation style is unclear, unprofessional, and/or unfocused.
5 pts
Total Points: 75

Reflect on your experiences as a member of a clinical team. What makes a team ef

Reflect on your experiences as a member of a clinical team. What makes a team effective or ineffective in terms of achieving expected outcomes for the patients? (Saunders, 2014)
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
Discussion Rubric
Criteria Ratings Points
Identification of Main Issues, Problems, and Concepts
Distinguished – 5 points
Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.
Excellent – 4 points
Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts.
Fair – 2 points
Identifies and demonstrate an acceptable understanding of most of issues, problems, and concepts.
Poor – 1 point
Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts.
5 points
Use of Citations, Writing Mechanics and APA Formatting Guidelines
Distinguished – 3 points
Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.
Excellent – 2 points
Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.
Fair – 1 point
Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.
Poor – 0 points
Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.
3 points
Response to Posts of Peers
Distinguished – 2 points
Student constructively responded to two other posts and either extended, expanded or provided a rebuttal to each.
Fair – 1 point
Student constructively responded to one other post and either extended, expanded or provided a rebuttal.
Poor – 0 points
Student provided no response to a peer’s post.

2 points
Total Points 10

This is not a traditional “writing assignment” so please be sure to view the att

This is not a traditional “writing assignment” so please be sure to view the attached file that is to be completed before bidding on this order.

* How you have used your experiences in this program to apply quality improvemen

* How you have used your experiences in this program to apply quality improvement or systems-based analysis to your nursing practice?
* Give an example from your practicum or work place experiences. 
*I work in outpatient oncology*
*Practicum completed with inpatient oncology*

Research paper with one evidenenced based question using articles within the las

Research paper with one evidenenced based question using articles within the last 5 years. One article must be evidenced based and the other article must be non evidenced based. Topics should focus on healthcare problem in human subjects and cannot be in-vivo (test-tube) studies or not on animals research.

The BSN prepared nurse must understand the history, development, role and scope

The BSN prepared nurse must understand the history, development, role and scope of the nursing profession. Consider what you learned in this course and your views on the professional nursing practice. Use Gibb’s sequence of analysis to guide your reflection as you consider the prompt above.

Based on the AACN’s Essentials of Baccalaureate Education for Nursing, the stude

Based on the AACN’s Essentials of Baccalaureate Education for Nursing, the student will identify a quality care or patient safety issue that exists in their clinical setting and create a proposal with goals, objectives, and strategies to address the issue.  This project will integrate and demonstrate leadership and/ or management qualities which include identification of the problem, data collection, research review and interprofessional communication. Included are elements of budgeting, staffing, staff and patient satisfaction, and measurable elements that can be evaluated.  The project will require collaboration with stakeholders such as quality councils, finance, nursing, and other departments.  The student will attempt to present the proposed project to the leadership of the facility.  Course faculty will guide the students in completion of this assignment.  Your implementation and measurement strategies must be developed from evidence-based literature and be presented in correct APA format.
EBP Leadership Scholarly Paper for the Project:
The project focuses on a need of the unit/agency where you practice.  It is a demonstration of how you have mastered the process improvement and evidence-based professional practice content grounded in the nursing process based on evidence from previous courses. The project will be presented in a scholarly paper that includes the following:
Brief description of the practice setting which the EMERGENCY DEPARTMENT 
Clear definition of the management or leadership problem
Significance of the problem for nursing practice
Review of the literature related to the problem (supported by peer-reviewed references)
Proposed interventions to address the problem – Include alternatives and why you chose one intervention over the other (supported by peer-reviewed references)
Resources required to implement – Personnel, equipment and fiscal, stakeholders, regulatory/ legal components
Potential barriers and how to overcome
How you will evaluate your intervention -Specific, Measurable, Attainable Goals or Outcomes – Includes the time frame and how you will measure the goals. Include any results, if implemented and available. Use SMART goals.
Impact of the proposed interventions – Anticipated if not implemented completely
How will you disseminate your results after the completion of the project?
Conclusion
APA (7th ed.) format should be followed in the paper.  Clear and concise writing is critical to presenting your thoughts.  The paper should be 8-10 pages excluding the title page, references,

The purpose of this assignment is to stimulate synthesis, critical self-reflecti

The purpose of this assignment is to stimulate synthesis, critical self-reflection, dialogue skills, and discussion among peers. It is anticipated that it will take 8-12 hours to complete.
Directions:
After reading the previous module assignments and chapter 17, Maximizing APRN Power and Influencing Policy, 
identify a current or emerging issue impacting the role and scope of practice for the advanced practice nurse, you may include nurse educators. 
Find one peer-reviewed journal article related to either the current or emerging issue selected.
Initial post should be a minimum of 500 words. Response to a peer should be a minimum of 300 words.
Reflect on what the assigned reading means to advanced practice nursing and answer and complete the prompts above. 
After completing the assignment and initial post, read peer postings and respond to at least 1 peer with a minimum of two in-text citations, citing appropriate evidence-based resources, such as the textbook or peer-reviewed articles, by the due date posted. When preparing to post a response to peers utilize the peer-reviewed journal articles and/or textbooks that supported the initial post.
Cite the initial reading and the response posts in APA format. 
Posting and responses are due on or before the due dates posted on the Comprehensive Course Calendar.
Attach a PDF of the peer-reviewed article(s) utilized in the responses to the original postings.
All postings must be original postings. Do not reuse a posting from a previous or current course.

Information:  Nurses must understand research in order to
effectively participat

Information:  Nurses must understand research in order to
effectively participate in the      provision of evidence-based nursing care. As a
student nurse, learning to be a lifelong        learner and integrating evidence based
research into your daily routine is important. 
A     provider  who incorporates evidence based approaches to practice seeks the
best, most current     evidence available to make judgments, apply clinical
expertise while integrating the client’s  values and beliefs into decisions
about their care.  The purpose of this assign-ment
is to investigate the research process while completing a critical examination
of       qualitative or quantitative research relative to a current nursing issue or
practice.  The      goal is for student to
further investigate the research process, improve knowledge of          evidence based
practice, refine information literacy skills, understand research and en-    gage in
activities to become a lifelong learner.
This assignment encourages students to investigate each step of the research
process & complete a critical examination of quantitative &/or qualitative
research relevant to their nursing practice. Nurses must understand research in
order to effectively participate in the provision of evidence-based nursing
care.
Objectives of this assignments are to:
·       Value
the concept of EBP as integral to determining best clinical practice
·       Develop
& Demonstrate scholarly writing skills
·       Integrate
and explain the role of evidence in determining best clinical practice
·       Seek
resources related to clinical practice topics and strategies of lifelong
learning
Outcome:
Students will integrate best current evidence with clinical expertise, patient/fam-ily
preferences and values for delivery of optimal nursing care while incorporating
strategies of lifelong learning.
Assignment
1.    
Formulate a research question from a
recent clinical experience (PICOT structure)
2.     Search
for Evidence-Identify 5 or more peer reviewed research articles (within 5
years) pertaining to your research question. At least 2 most be original
research
Lifelong
learning opportunities
·       Locate
available resources
·       Search
databases (i.e. CINAHL, PubMed, Ebsco, etc.)
·       Journal
articles
3.     Review
and assess the evidence learned
4.     Identify
what type of research would be most appropriate for studying this       issue and why
(i.e. Qualitative or quantitative).  Also
include, if similar research   was completed what method/techniques would you use
to gather data (i.e.- experiments, focus groups, case studies etc.). Please
include a rationale
Reflection- Write
a 2-3 page reflection in APA on the following:
·      
How you would integrate the results of the
of literature assessment into       practice, taking into consideration the patient’s
preference, evidence learned from peer reviewed articles, and your clinical
experience.  Specifically address how you
would incorporate what you learned in practice (i.e. patient educa-   tion, change
in practice etc.). Include any anticipated challenges with implementation or
how barriers can be overcome to improve practice.
·       Please
include information in the reflection on how you will utilize this dynamic
process of questioning, learning and obtaining knowledge in the future as a
lifelong learner.  
·       Include
all of your citations on the reference page.

Assignment Directions
**Please note that plagiarism above 20% found in CopyLeaks

Assignment Directions
**Please note that plagiarism above 20% found in CopyLeaks will result in a 0 on the paper.  You must paraphrase information in your own words and cite in text to give credit to the source.  You may also use a limited number of direct quotes (3 total) in quotation marks and cite in text as well to give credit to the source.
For this assignment you will work independently to write a 2-3 page paper on “Medication Errors in American Society” in APA format.  The research must be focused on medication errors (not medical errors in general) and must use data from the United States, not other countries. Choose a specific type of medication error to focus on to focus your research.  Examples include, but are not limited to:
Insulin errors
Heparin errors
Pediatric medication errors
Medication errors in long term care
Errors in the 6 rights of medication administration (focus on right drug errors, right dose errors, right patient errors, etc.)
Emergency department medication errors
Surgical or post operative care medication errors
You must use at least two references.  One reference should be a written source (such as a journal article or text) and one should be a scholarly (reputable) web based source.  Wikipedia is not an acceptable source for this (or any) scholarly nursing paper. 
Examples of written sources include nursing journals such as Nursing Made Incredibly Easy or American Journal of Nursing.   You may access your written source using an online database.   Textbooks are also good resources.
Here are some suggestions for web based sources, however, you are not limited to just these sites.  If you have questions about whether or not your site qualifies as a scholarly site, please check with Chuchie or Amanda.
National Council for Medication Error Reporting and Prevention (categorizes med errors)
FDA (Food and Drug Administration)
ISMP (Institute for Safe Medication Practices)
The Joint Commission
Washington State Nursing Commission
National Coordinating Council (NCC) for Medication Error Reporting and Prevention (MERP) (look up as NCCMERP)
Content Portion: It is helpful to use the following section headings in your paper as a way to make sure you have all of the required elements in your paper. Note: section headings are required in correct APA format.
Introduction – State the purpose of the paper – In the first paragraph or two of the paper, inform the reader of what you will be writing about. This section should provide both an introduction to the topic in general and to the paper specifically (Please note that in APA format, you do not use Introduction as a section heading!)
Overview of Topic – Provide an overview of the type of medication errors you will be focusing on. Describe how they occur, why they are significant, and how they impact patients. 
Statistics – Numbers of errors made in the last few years.  Some statistics may be related to medication errors in general, but be sure that you include some statistics related to the type of error you have chosen to write about. How prevalent are medication errors? How prevalent are these types? How many have resulted in near misses or deaths?
Nursing Implications – What practices have been put in place to reduce these types of medication errors? Did they work? Why or why not? When possible, focus this section on practices that relate directly to the type of medication errors you have chosen to focus on. If you can’t find information with this focus, then say so and provide a description and evaluation of general practices to prevent medication errors. 
My Plan – What will you do in your practice to reduce these types of medication errors? It is a good idea to describe how the practices described in the previous section might be incorporated into your own practice (It is okay to use “I” in this section.)
Summary of paper – Summarize the important points you shared in the paper.  Do not include any new information in this section.
Writing Skills/APA Portion: APA Format Components
Paper must have a separate title page in the correct APA format.
Must be in 12 pt Times New Roman Font.
Margins must be 1 inch on all sides.
Must double spaced.
Must be left aligned. (Do not use justified or centered margins.)
Refer to APA guidelines for section heading formats
Paper must include in-text citations in proper APA format.
Reference list may only include works that were cited in the body of the paper!!!
Reference list must be in correct APA form.
Amanda Quintana is your best resource for APA format but there other resources available. 
Grammar:
Your paper will also be graded on grammar, spelling, and over-all presentation.  Your work should demonstrate  college level writing skills.
This assignment must submitted online by uploading your completed document to Canvas (WORD or PDF preferred).  I will not accept e-mailed submissions.