solution

/in /by

You are working on the evening shift of a surgical unit. Mr. Jones returned from the post-anesthesia care unit following a hip replacement 2 hours ago. While in the recovery room, he received 10 mg of morphine sulfate intravenously for incisional pain. Thirty minutes ago, he complained of mild incisional pain but then drifted off to sleep. He is now awake and complaining of moderate to severe incisional pain. His orders include the following pain relief order: morphine sulfate 8–10 mg, IV push every 3 hours for pain. It has been 2½ hours since Mr. Jones’ last pain medication. What would you do?

 

 
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

solution

/in /by

You are the director of a home health agency that has recently become part of a managed care system. In the past, only a physician’s order was necessary for authorization from the Medicare system, but now approval must come from the managed care organization (MCO). In the past, public health certified nurses (all BSNs) have acted as case managers for their assigned caseload. Now the MCO case manager has taken over this role, creating much conflict among the staff. In addition, there is pressure from your board to cut costs by using more nonprofessionals who are less skilled for some of the home care. You realize that unless you do so, your agency will not survive. You have visited other home health agencies and researched your options carefully. You have decided that you must use some type of team approach. ASSIGNMENT: Develop a plan, objectives, and a time frame for implementation. In your plan, discuss who will be most affected by your changes. As a change agent, what will be your most important role?

 

 
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

solution

/in /by

Richard Mudd, an employee of
Compuserve, is called for jury duty in Wayne County, Michigan. His immediate
supervisor, Harvey Lorie, lets him know that he “must” avoid jury
duty at all costs. Mudd tells the judge of his circumstances and his need to be
at work, but the judge refuses to let Mudd avoid jury duty. Mudd spends the
next two weeks at trial. He sends regular e-mails and texts to Lorie during
this time, but on the fourth day, gets a text message from Lorie that says,
“Don’t bother to come back.” When he does return, Lorie tells him he
is fired. Does Mudd have a cause of action for the tort of wrongful discharge?

Yes, because he was
discriminated against under Title VII.

No, because his employer has
the right to fire him for any reason.

Yes, because he was exercising
a legal duty.

No, because he didn’t do enough
to satsify his boss that he wasn’t lying about jury duty.

 
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

solution

/in /by

You are the head nurse of an intensive care unit and are interviewing Sam, a prospective charge nurse for your evening shift. Sam is currently the unit supervisor at Memorial Hospital, which is the other local hospital and your organization’s primary competitor. He is leaving Memorial Hospital for personal reasons. Sam, well qualified for the position, has strong management and clinical skills. Your evening shift needs a strong manager with the excellent clinical skills, which Sam also has. You feel fortunate that Sam is applying for the position. Just before the close of the interview, however, Sam shuts the door, lowers his voice secretively, and tells you that he has vital information regarding Memorial’s plans to expand and reorganize its critical care unit. He states that he will share this information with you if you hire him. ASSIGNMENT: How would you respond to Sam? Should you hire him? Identify the major issues in this situation. Support your hiring decision with rationale from this chapter and other readings.

 

 
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"