Module 6: Assignment

Assignment:

Each assignment must contain an INTRODUCTION and CONCLUSION page. Make sure you follow the Grading Rubrics to write the homework. Each paragraph must have at least 2-3 in-text APA citation from the References list.

Overview

Emergencies or those sudden events with serious consequences that require an immediate response are handled by the persons involved and reported in the news every day. On the other hand, a destructive event that interferes with a population carrying out normal daily living activities is a disaster. Disasters may occur daily throughout the world but usually are not part of the usual public health practice, but the nurse must be prepared and know an immediate response when they do occur. This module will explore the types of disasters, the role of government in responding to those disasters, and the type of planning necessary to protect populations’ health. Emphasis will be placed on the nurse’s role in collaboration with other disciplines in all phases of disaster management.

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Goals Alignment

•             University Mission-Based Outcomes – 1, 2, 3, 4, 5

•             Program Learning Goals – 1, 2, 3, 4, 5, 6, 7, 8, 9

•             Course Learning Objectives – 1, 2, 3, 4, 5, 6, 7

  Learning Materials

•             Preparedness | State Public Health | ASTHO. (n.d.). Association of State and Territorial Health Officials.

•             MedCon: Pre-Event | CDC. (n.d.). Centers for Disease Control and Prevention.

•             Get Help. (n.d.). Emergency Preparedness | Red Cross.

•             American Public Health Association. (2014). Are you ready for hurricane disasters. March of Dimes.

•             Baack, S. (2013). Nurses’ preparedness and perceived competence in managing disasters. Journal of Nursing Scholarship, 45(3), 281-287.

Additional Resources

•             UN Office for Disaster Risk Reduction. (n.d.). Play and learn to stop disasters. 

Assignment:

Start by reading and following these instructions:

1.            Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2.            Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3.            Consider the course discussions so far and any insights gained from it.

4.            Create your Assignment submission and be sure to cite your sources if needed, use APA style as required, and check your spelling.

Assignment:

For this assignment, you are given a real-world scenario as follows:

The Medical Director has assigned the Director of Nursing (DON) for the local health department to develop a plan to handle an emergency plan with the local long-term care facility (LTCF). She will serve on a team with the health department emergency preparedness coordinator and the epidemiologist. Neither the DON nor the medical director has been in their current positions for more than six months.

•             The DON has resided in the area for several years, had worked at the local hospital for three years before obtaining her current position.

•             The medical director came from another health department in another state. He had been involved in a hurricane that impacted the local nursing home where two patients died due to a foodborne outbreak.

•             The emergency preparedness coordinator is experienced and works with the state-level emergency preparedness team.

•             The epidemiologist has lived in the area for 20 years and has been the epidemiologist for over 15 years at this health department.

•             The nurse is assigned to develop a nursing protocol regarding patient care to be included in the disaster plan coordinating agreement between the LTCF and the health department.

The health department team will work with representatives from the LTCF nursing department.

Use the following template to develop this policy/protocol:

•             Designated authority.

•             Describe the problem. List the proposed nursing diagnosis.

•             Background: Introduce the business case for why developing this protocol is necessary. Provide the data and information to support the protocol.

•             Identify other persons needed to serve on this team from both the LTCF and the health department.

•             Generate a list of what information about the nursing care facility is needed to develop this plan and delineate assignments to the appropriate persons.

•             Objectives: Delineate one to three objectives for this plan. Make sure the objectives are in behavioral terms, are measurable, and realistic.  Include timeframes.

•             Proposed Interventions: Develop a comprehensive list of action steps for both the LTCF and the health department to be included in this plan.

•             Expected Benefits: Describe the expected benefits and outcomes of the interventions taken.

•             Audit and evaluation: Describe how the outcomes will be evaluated. Propose what and how pertinent audit findings will be used to evaluate the success of the plan. Describe how ongoing monitoring and review of the strategies will be done.

•             Keep statements succinct, clear, and without opinions.

Assignment Expectations

Length: No more than 3 pages. Answers must use the template for development. 

Structure: Include a title page and reference page in APA style. These do not count towards the 3 page limit.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Format: Save your assignment as a Microsoft Word document (.doc or .docx).

File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”)

GRADING RUBRIC

This table lists criteria and criteria group name in the first column. The first row lists level names and includes scores if the rubric uses a numeric scoring method. Criteria

Does Not Meet 0%

Approaches 70%

Meets 80%

Exceeds 100%

Criterion Score

Content Weight: 30%

0 points

Topic is inappropriate to assignment, inaccurate understanding of concepts, unclear and difficult to understand; does not address many assignment requirements. Information has weak or no connection to the assignment topic.

21 points

Topic is mostly covered and appropriate to assignment, but does not adequately demonstrate accurate understanding of concepts; mostly clear and understandable; lacks some of the requirements of the assignment description and/or provides little detail; Information relates to the main topic, but few details and/or examples are given.

24 points

Topic is covered completely and appropriate to assignment; overview of key concept dimensions is evident; clear and understandable; addresses all of the requirements of the assignment description, with adequate attention to detail.

30 points

In-depth coverage of topic; outstanding clarity and explanation of concepts demonstrated in information presented; approaches assignment with depth and breadth, without redundancy, using clear and focused details.

Score of Content Weight: 30%,/ 30

Organization Weight: 25%

0 points

Organization is confusing and interferes with reader’s ability to follow ideas.  Weak or no introduction of topic or purpose is unclear, weak, or missing. Conclusion lacks a summary of topic, or is missing or irrelevant.

17.5 points

Ideas are sometimes disorganized or irrelevant; Flow is sometimes choppy; somewhat clear organization. Basic introduction that states topic but is presented in an uninteresting way. Conclusion contains basic summary of topic without final concluding ideas, may inappropriately introduces new information.

20 points

Structures ideas in a coherent, organized order that has good flow and an obvious framework.  Proficient introduction that is interesting and states topic.  Conclusion contains good summary of topic with credible concluding ideas and introduces no new information.

25 points

Exceptionally clear, logical, mature, and thorough organization permitting smooth flow of ideas; Introduction that grabs interest of reader and states topic in clear, unambiguous terms.  Excellent concluding summary with succinct and precise ideas that impact reader.

Score of Organization Weight: 25%,/ 25

Logic/Argument Weight: 15%

0 points

Demonstrates little logical reasoning for the claims and thoughts within assignment; Many claims are weak or illogical.

10.5 points

Lacks some logical reasoning for the claims and thoughts within the assignment; Some claims are weak.

12 points

Uses solid logical reasoning for the claims and thoughts within the assignment.

15 points

Provides exemplary logical reasoning for the claims and thoughts within the assignment.

Score of Logic/Argument Weight: 15%,/ 15

Support Weight: 20%

0 points

Lacks support; Uses poor sources for references; Citations lack credibility, relevance, or academic quality or are not current; Does not meet the minimum number of required citations in assignment description.  APA format and style are not evident.

14 points

Provides weak support or not enough support; Citations are not consistently credible, current, relevant or academic; Meets the minimum number of required citations in assignment description   Missing APA elements; in-text citations, where necessary, are used but formatted inaccurately and not referenced.

16 points

Provides sufficient support with credible, current, relevant academic citations; Meets the minimum number of required citations in assignment description. ; In-text citations and a reference page are present with few format errors. Mechanics of writing are reflective of APA style.

20 points

Provides very strong support from credible, current, relevant, academic citations; Meets or exceeds the minimum number of required citations in assignment description.  Accurate citations and references are presented. No APA errors are evident.

Score of Support Weight: 20%,/ 20

Quality of Written Communication Weight: 10%

0 points

Style and voice inappropriate or do not address given audience, purpose, etc. Word choice is excessively redundant, clichéd, and unspecific. Inconsistent grammar, spelling, punctuation, and paragraphing. Surface errors are pervasive enough that they impede communication of meaning.

7 points

Style and voice are somewhat appropriate to given audience and purpose. Word choice is often unspecific, generic, redundant, and clichéd. Repetitive mechanical errors distract the reader. Inconsistencies in language, sentence structure, and/or word choice are present.

8 points

Style and voice are appropriate to the given audience and purpose. Word choice is specific and purposeful, and somewhat varied throughout. Minimal mechanical or typographical errors are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

10 points

Style and voice are not only appropriate to the given audience and purpose, but also show originality and creativity. Word choice is specific, purposeful, dynamic and varied. Free of mechanical and typographical errors. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.

Score of Quality of Written Communication Weight: 10%,/ 10

Rubric Total ScoreTotal

/ 100

Overall Score

Overall Score

Level 10 points minimum

Level 270 points minimum

Level 380 points minimum

Level 4100 points minimum

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Patient safety nursing protocol

Nursing protocol

Date

Health care involves the maintenance and improvement of health through prevention, diagnosis, and treatment of diseases or other deficiencies. According to Brown (2020), emergency preparedness involves taking action to reduce the impacts of a disaster. Therefore, patient care improved and retained at a higher level through emergency preparedness. The emergency plans help prevent epidemics and spread of diseases, respond to emergencies, assist in recovery, and ensure easy access to health care. This paper intends to develop a nursing protocol on patient care to be included in a coordinated disaster plan between the LTCF and the Health Department.

Designated authorities

Designation of authorities fundamentally translates to assigning responsibilities of performance of activities related to patient care. For this reason, designated authorities in this nursing protocol include the National Institute of Health, the Agency for Healthcare Research and Quality, and the Health Resources and Service Administration.

The problem and nursing diagnosis

When a health epidemic strikes, such as flooding or hurricane, it causes poisoning, viral, or bacterial infections. Foodborne diseases, typical in such disastrous incidence, are overly severe, culminating in premature deaths. Victims of these illnesses should be handled with care and efforts to reduce infections for increased survival chances. The nursing diagnosis includes;

Nursing diagnosisMedical diagnosis
Persistent diarrheauntreated water, parasite entamoeba historitica
Inflammatory diarrheasalmonella species, entamoeba historitica
Illnesses (fever, headaches)Hepatitis A and E viruses.
Acute diarrheaall pathogens (bacteria, fungi, virus)
Vomitingviral gastroenteritis

Background

Pierce et al. (2017) state that the purpose of nursing protocols is to ensure proper care for the patients and to identify the various problems faced in health care concerning patient care. It also aims to provide solutions that guarantee patient safety. In health care, the nurses play a critical role in ensuring that patients are well cared for by monitoring their health, perceiving risks, and understanding care processes to prevent any disaster from occurring (Labrague et al., 2018). This protocol purposes to ensure timely, efficient, and equitable health care delivery in the context of a flooding disaster. Consequently, improving patient situation to quicken the recovery process by addressing late treatment issues.

Personnel’s         

Other persons needed to serve on the team include epidemiologists, directors of nursing, nursing assistants, emergency preparedness coordinator, insurance companies, and disaster managers. The health department personnel include patients, employers, and physicians, nursing delegate, disaster medical assistant team, operations coordinator, and safety coordinator also form part of the team.

Responsibilities

The information needed about the nursing care facility to generate this protocol includes the institution’s nature of operations, whether communal or private. It also includes determining whether emergency medical care is provided, whether services are long-standing or short-range, and the various services deemed for offer.

The stakeholder’s responsibilities will include;

Director of nursing; ensuring healthcare amenities are safe and meet the patients’ needs effectively.

Medical director; hiring and handling the medical and non-medical staff.

Epidemiologist; keeps the public informed of methods to maintain and improve public health.

Physicians; diagnosing and treating illnesses.

Insurance companies; help people to pay for healthcare. Insurance makes the cost of healthcare to be affordable to all people.

Objectives

The main objectives of this protocol are;

To ensure the health care providers provide proper diagnosis and treatment to all patients.

To increase patient’s safety and to reduce the cost they would incur by staying in the hospitals.

To assess whether the strategies the nurses use in caring for the patients are effective and efficient.

To effectively manage disasters, particularly in preparedness, response, mitigation, and recovery process.

To specify procedures of handling sudden or unexpected situations, prevent injuries and fatalities, and reduce damage to infrastructure.

Interventions

LTFC will include some actions like providing patient care appropriately to ensure patients recover faster, providing proper home care, and educating people on issues of home-based care for their patients (Jackson et al., 2017). The health department will take some actions like ensuring the community’s safety, providing diagnosis and treating some diseases like the foodborne illnesses either independently or dependently, recruiting the subordinates, and formulating plans that help in disaster preparedness like having a disaster response and recovery plan.

Benefits of interventions

Intervention benefits include ensuring proper healthcare for the patients, reducing the health epidemics, ensuring that the services are known worldwide maybe through mass media platforms (Rouleau, Gagnon & Côté, 2015), effective diagnosing of diseases, and administering the appropriate drug efficiently. Also, it proves that all the stakeholders are collaborating to achieve the objectives.

Audit and Evaluation

An in-house audit will be done based on the results of disaster preparedness and patient care. It will be done by the audit team that will include stakeholders from LTFC, namely, the director of nursing and the medical director (Douma et al., 2016). The audits will be recorded as NP 001 two weeks upon completion of the on-site audit. The protocol evaluation will be done after every three years to update the guidelines from the feedback and reviews from various individuals.

Conclusion

In conclusion, the nursing protocol plan assimilated into the emergency plan for flooding or hurricane incidence enhances coordination between the LTCF and the health department to ensure that the coordination between the LTCF and the health department shall help in emergency preparedness. The protocol makes patients recover fast as they are well catered for, and they get the most appropriate healthcare. This protocol purposes at ensuring all the objectives are met to ensure the wellbeing of the community.

References

Douma, M. J., Drake, C. A., O’Dochartaigh, D., & Smith, K. E. (2016). A pragmatic randomized evaluation of a nurse-initiated protocol to improve timeliness of care in an urban emergency department. Annals of emergency medicine68(5), 546-552.

Jackson, S. F., Fazal, N., Gravel, G., & Papowitz, H. (2017). Evidence for the value of health promotion interventions in natural disaster management. Health promotion international32(6), 1057-1066.

Labrague, L. J., Hammad, K., Gloe, D. S., McEnroe‐Petitte, D. M., Fronda, D. C., Obeidat, A. A., & Mirafuentes, E. C. (2018). Disaster preparedness among nurses: a systematic review of literature. International nursing review65(1), 41-53.

Pierce, J. R., Morley, S. K., West, T. A., Pentecost, P., Upton, L. A., & Banks, L. (2017). Improving long-term care facility disaster preparedness and response: a literature review. Disaster medicine and public health preparedness11(1), 140-149.

Rouleau, G., Gagnon, M. P., & Côté, J. (2015). Impacts of information and communication technologies on nursing care: an overview of systematic reviews (protocol). Systematic reviews4(1), 1-8.

Start, R., Brown, D. S., May, N., Quinlan, S., Blankson, M., Rodriguez, S. R., & Matlock, A. M. (2020). Strategies for creating a business case that leverages the RN role in care coordination and transition management. Nursing Economics38(4), 203-217.