Write an introductory cover letter of no more than 500 words in which you explain your professional objectives, professional interests, and strengths as an applicant.

Create a resume detailing your license(s), earned degree(s), certification(s), professional experiences, previous positions held, membership in professional organizations, publications, and skills.

Both the cover letter and resume should be formally written using a professionally accepted format. Review “Resume Resources,” located at for http://www.resume-resource.com/examples-medical.html for examples of approved formats; however, other professional templates may be used.

Share your resume with a colleague and elicit their feedback. Revise your resume if needed and submit the resume in the assignment section of the course.

APA format is not required, but solid academic writing is expected.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

Often health care organizations form comities that have the sole focus of quality improvement. These comities perform studies and audits that ensure that the standards, within their organization, are congruent with guideless set by regulatory organizations, certification boards, and professional organizations (Melnyk & Fineout-Overholt, 2015). Examples of audit criteria may be the prevalence of intensive care unit (ICU) acquired pressure ulcers, prevalence of ventilator- associated pneumonia (VAP), or the number of patients who acquire blood stream infections from the insertion of a central line. The committee then follows up with the unit standards and guidelines to ensure they are in accordance with the national standards.

This author will be focusing on the prevalence of ventilator associated pneumonia (VAP) in ICU patients. The standards currently set in this author’s ICU, to prevent VAP, include keeping patients head of bead (HOB) at 30 degrees, suctioning the oral and airway passages prior to laying down or turning the patient, the use of antiseptic mouth wash every two hours, and replacement of respiratory tubing daily. These guidelines were adopted by the organization after reviewing data that was collected from studies performed by accrediting bodies.

One of the accrediting bodies, that sets standards for health care organizations, is the American Association for Respiratory Care (AARC). Their guidelines are founded on evidence- based practice, and pertain to the management of ventilated patients and the prevention of VAP (Care of the Ventilator Circuit and Its Relation to Ventilator-Associated Pneumonia, 2013). Data collected via a systematic review of literature, obtained from PubMed, was used to collect data and form guidelines. In addition, a quantitative analysis was performed.

Although the guidelines do not mention a specific number of days a closed ventilator circuit is good for, AARC recommends that the circuit be changed frequently (Care of the Ventilator Circuit and Its Relation to Ventilator-Associated Pneumonia, 2013). In addition, AARC states that passive humidifiers need to be changed every 48 hours to prevent bacterial growth (Care of the Ventilator Circuit and Its Relation to Ventilator-Associated Pneumonia, 2013). Finally, AARC states that closed suction catheters should be utilized and do not need to be changed daily, although the safe appropriate length of use is unknown (Care of the Ventilator Circuit and Its Relation to Ventilator-Associated Pneumonia, 2013). Given the information provided, it appears that this authors institution is in compliance with the standards set forth by AARC.

Another way healthcare institutions can prevent VAP is by adopting a bundle that has been backed by an institution through evidence- based practice. Bundles are a set of guidelines and standards that are used simultaneously. This author reviewed another study that utilized a descriptive retrospective longitudinal study, using a quantitative approach, the determine the effectiveness of VAP bundles (Rodrigues, Fragoso, Beserra, & Costa Ramos, 2016). This particular study concluded that the bundle being used led to an increase in ventilator associated pneumonia and increased mortality rates by 50 percent.

This is an example as to why VAP bundles and guidelines need to be evaluated by an accrediting institution and appropriately modified.

Choose a health concern such as asthma, or diabetes, or another health concern you are interested in and then complete the following:

• Describe briefly the health concern you chose.
• State the socioeconomic factors that may impact this health concern. Explain why.
• Explain how lifestyle choices and behaviors play a role in this health care concern. Are they significant contributors to this issue?
• Discuss how a nurse can positively influence individuals and families who are impacted by this health concern.

Your initial post should be at least 150 words and have at least one APA-formatted reference.