The Lab Assignment

• Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.

• Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

Topic: Negligence and Medical Malpractice

Reply prompt: Respond to threads posted by your classmates who reached a different conclusion than you did. Identify the points of difference in your analyses and explain how your sources and analysis led you to your conclusion.

The reply assignment asks you to respond to classmates who reached a different conclusion than you did. As often happens on this case, most of the initial threads agree on an overall finding of liability. If you look more closely, however, you will see differences among your threads.

Issues to examine as you write your replies:

• Look for differences in your analyses, how you reached your conclusions, etc.
• Where does liability lie? (just the doctor, just the hospital, other caregivers, some combination, etc.) Each entity that you are holding liable must meet all four of the elements.
• Is the hospital only vicariously liable through respondeat superior for employee negligence, or is it also directly liable for its own actions?
• If the hospital is liable through respondeat superior for the negligence of its employees, should it seek indemnification (reimbursement) from those employees for money it has to pay the Smiths for the employees’ negligence?
• How far does liability extend?
• liability for the initial staph infection is somewhat straight-forward, but was the autoimmune impact a reasonably foreseeable outcome from a breach (failure to change gloves, etc.)
• i.e., is there proximate/legal cause as well as factual cause for all of the injuries?

You might also consider options for the various parties at this point, including ADR, Biblical dispute resolution models, etc. 450 words . atleast 3 peer reviewed sources in APA format

Reply 1

Clinical nurse leaders play an important role in managing quality measures and setting policy thus involves dealing with fiscal responsibility and being answerable for the overall quality of patient care delivery, patient satisfaction and organization outcomes (McBride, 2019). Nonetheless, CNL role is coordinated to collaborate work with other professional teams. Education requirement for nurse leaders based on practice skills. In masters nurses get to improve care, quality and safety of patients, team working is highly encouraged in leadership.

A good leader should have the following trait; integrity, critical thinking, communication skills. Integrity is central in making a nurse leader (McBride, 2019). Integrity help nurses to make sound decisions regarding patients’ treatment plans and safety (Harris, Roussel & Thomas, 2016). Furthermore, effective leadership in nursing practice requires high level of integrity. Due to increased multidisciplinary collaboration, critical thinking skill is very important. Interdisciplinary alliance makes critical thinking an important skill for nurse leaders. Moreover, communication in leadership is key since it helps promote team spirit or teamwork translating to better care outcome.

References

McBride, A. B. (Ed.). (2019). The growth and development of nurse leaders. Springer Publishing Company.

Harris, J. L., Roussel, L. A., & Thomas, T. (2016). Initiating and sustaining the clinical nurse leader role. Jones & Bartlett Learning.

reply 2

According to Dwight Eisenhower as quoted by Mind tool blog (n d) leadership is defined as the art of bringing another person to do something that you want done because he/she wants to do it. Nurses occupy different leadership positions in the healthcare industry and I want to discuss about Nurse Managers. Nurse managers are typically Advanced Practice Nurses who has at least BSN but many hospitals require completion of Master’s degree or current enrollment in a Master’s program, also some nurse managers find it helpful to obtain Masters in Business Administration (MBA). Nurse managers are also called Nurse Administrators (Nurse org, 2020)

Essential responsibilities of a nurse managers include administrative meetings, working with new employees, serving in different committees throughout the hospital, interviewing and hiring of new nurses, acting as a liaison between hospital management and employees, collaborating with medical employees, managing unit budget, handling of disciplinary actions to those who have erred, ensuring that the mission of the hospital is maintained by the employees, set work schedules, oversee patient care, etc.(nurse org, 2020)

Leadership traits are those personal traits needed to be successful as a nurse manager include, advocacy, to speak up for her employees and the patients, should be able to participate in patients care and also in management meetings, he/she should be supportive of her staff and should also be mature in her judgement, strong communication skill is a trait that a nurse manager should possess, he/she should be able to communicate the hospital decision to her employees and also communicate her employee’s concerns to the hospital management (Duquesne, blog, 2017). The leadership style that I feel will make the nurse manager to succeed in his/her job Is the transformational style. Transformational leadership is a leadership style that can inspire positive changes in those who follow. Transformational leaders are generally energetic, enthusiastic, and passionate. Not only are these leaders concerned and involved in the process; they are also focused on ensuring that every nurse under her car becomes the best nurse they can ever be and also be successful in their nursing career. (Cherry, 2020). In order to succeed, a nurse leader should have qualities like listening, flexibility, organized. Be a problem solver, leadership skill, analytical ability, empathetic, confidence, decisiveness, confidence, etc. (nurse org, 2020)

                                                                                    References

Cherry, K. (2020) Transformational leadership. Very well mind. Retrieved from https://www.verywellmind.com/what-is-transformational-leadership-2795313

Duquesne University blog, (2017) Nurse manager: leading the Nurse profession into the future. Retrieved from https://onlinenursing.duq.edu/blog/roles-nurse-manager-leading-nursing-profession-future/#:~:text=Nurse%20managers%20are%20responsible%20for,and%20make%20decisions%20about%20personnel.

Nurse.org (2020) Nurse manager. Retrieved from https://nurse.org/resources/nurse-manager/

Mindtool (n d). What is leadership. Retrieved from https://www.mindtools.com/pages/article/newLDR_41.htm

Reply1

The influence of leadership can be far-reaching in practice and improving patient outcomes even when not in a formal role. Describe advocacy strategies that you can use as a leader to create positive change in your current workplace. In response to peers, describe a time when you provided leadership and the outcome. Was there anything that you would do differently?

A leader can use some strategies such as analyzing the work capacity in the floor to keep the nurse-patient ratio within the safety range to prevent medical errors and patients care issues, empower nurses, being proactive leaders helping nurses who are overwhelmed for the assignment, ensure that nurses have the supplies to provide patient care, communicate with doctors to ensure patients with change of condition are evaluate and treat before their condition gets worse, empower organizational values and beliefs to ensure patient safety and team work.

I am the clinical unit supervisor at the hospital where I work. I have the responsibility to ensure a smooth and safe work environment. Being a leader involves the capacity to communicate openly and with respect, seeing everybody as equal, support nurses to be able to provide safe excellent care. Lead with optimism. Create a positive and healthy work environment. Be visible and available to others. Foster interpersonal and organizational trust.Cultivate relationships with others. Set goals and provide feedback when necessary. Produce meaningful work. Encourage autonomy and individual growth. Communicate and be transparent. Use powerful but simple strategies to keep others engaged (Clark, 2018).

Reference:

Clark, C. (2018). 10 tips to boost employee engagement. American Nurse Today, 13(1), 12-14. Retrieved from https://www.americannursetoday.com/10-tips-boost-employee-engagement/

reply2

 Every nurse is a leader in her/his own right. Our impact on the patient outcome is unquestionable. Along with effective patient outcome we are also responsible for the advocacy of our profession and making it a better workforce. Health care is reforming and nurses will benefit in future from it but nurses presently are the ones who deal with work stress. Hence to see any advancement in reforms, we need to advocate for our profession (Tomajan, 2012). Advocacy skills can be defined as “The ability to successfully support a cause or interest on one’s own behalf or that of another requires a set of skills that include problem solving, communication, influence, and collaboration” (Tomajan, 2012, para. 7). I can be an active player in solving problems by listening to my team members concerns and suggesting solutions that are acceptable and beneficial to all. Working towards the implementation of those changes is also a way of giving back to profession and improving workplace environment. By taking part in shared governance is another way I can advocate to create a positive change in my workplace.

Being a proactive nurse in itself is a being a leader who is willing to bring about positive changes in the system and its people. This would mean looking at the problem from different angles, collecting data to support it, using latest technology to maximize resources, taking everyone’s opinion into consideration and working towards a solution that is acceptable and aims at achieving common goal. Empowering my team members and coworkers is another way to improve the workplace dynamics. This would give a sense of power and confidence to each member and tap the talent and innovation that is in each one of us. It would also boost the sense of responsibility and accountability in each member. Team dynamics would show positive change with this and result in better care and better work environment.

Reference

Tomajan, K. (2012). Advocating for nurses and nursing. OJIN: The Online Journal of Issues in Nursing, 17. Retrieved from http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No1-Jan-2012/Advocating-for-Nurses.html

Whitney, S. (2018). Every nurse is a leader. In Trends in health care: A nursing perspective. Retrieved from https://lc.gcumedia.com/nrs440vn/trends-in-health-care-a-nursing-perspective/v1.1/#/chapter/5