“The technologist’s role in acheiving Safe and the highest of Quality, Nuclear Cardiology images”

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Running head: nuclear cardiology imaging

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Nuclear cardiology imaging

The technologist’s role in achieving safe and the highest quality, nuclear cardiology images is essential in accurate patient diagnosis. Assuring patient safety is very important when performing these tests. With the ongoing advancement in nuclear cardiology we must be aware of the necessary patient preparations prior to the study, and adjusting the test to their needs while also obtaining meaningful information for the physician. Firstly, patient safety is key in providing quality care for the patient and assuring the patient feels comfortable to carry out with the study, so that as much information as possible can be captured. With the drastic increase in patient awareness regarding radiation exposure, explaining the procedure appropriately and flowing the necessary protocols regarding different patient weights and dosing should also be considered when evaluating a patient. In addition, transparent communication between the patient, technologist and referring physician is crucial before performing the test to assure that proper imaging protocol is followed. For instance, if the patient is smaller they should consider following the one-day stress/rest test protocol, where as those patients whom are much larger and heavier should go for the two-day protocol so enough counts are obtained and image quality might turn out better with their body type. However, depending on the patients history and age such as if they are much older and have a pretty high chance of coronary artery disease (CAD) or a history of left ventricle (LV) dysfunction, then a one-day stress test may not typically be recommended due to the relatively low stress dose, image artifacts are more likely to appear. These artifacts are also bound to lead to misinterpretation or make it more difficult to interpret especially in these patients where this test is more meaningful (DePuey, 2012).

Another key point that helps technologists provide high quality patient care and safety while performing cardiac imaging is being familiar with the equipment and camera systems that are used for the study. Familiarity with the equipment used is beneficial in getting patients in and out faster and helpful when needing to adjust to camera to get the heart centered in the correct field of view, along with deciding whether supine and prone images need to be taken, or just supine. Being knowledgeable with regards to the camera systems is important when providing the referring physician with the images, as well as assuring there is enough information obtained in order to accurately interpret the image results. It is important to review the protocol book established by the hospital in order to assure you are following the detailed procedures correctly to receive the most valuable high quality image for interpretation. Furthermore, when the images are being interpreted, results must be communicated in a clear, timely fashion in case any high-risk findings are present, the referring physician should be quickly notified. Reporting explicit conclusions is critical for an easy interpretation from the referring physician and in return, a more accurate patient diagnosis (Douglas, 2006). It is also important for technologists to clearly indicate specific and significant findings to aid the ordering physician in patient diagnosis. Lastly, carrying out high-quality images leads to greater improvement in decision making and overall patient care.

All in all, in order for technologists to achieve safe and high-quality cardiac images, personal dosimeters must be worn correctly and ALARA (as-low-as-reasonably-achievable) principles must be practiced at all times. Patient satisfaction is also a key aspect while imaging patients. As a technologist, respecting the patient and being empathetic is necessary when looking to gain patient satisfaction and making patient care a top priority. Overall, effective and efficient communication, quality patient care, and gaining knowledge on the systems used to perform the study will lead technologists in achieving safe and high-quality nuclear cardiology images.

References

DePuey, G. & Mahmarian, J. (2012). Patient-centered imaging. ASNC Preferred Practice Statement. Journal of Nuclear Cardiology.

Douglas, P,. et al. (2006). Achieving Quality in Cardiovascular Imaging. Journal of the American College of Cardiology. 48 (10). 2141-2151. Doi:10.1016/j.jacc.2006.06.076

 
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Journal Entry

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Journal Entry

· Title: 40 million reasons to celebrate

This Journal Entry is about the May 11 through May 18. 2019 “Nurses Week Celebration”. The title was: 40 million reason to celebrate.

1. 5:00pm there was a thanksgiving prayer service

2. 6:00pm there a catering ceremony with different speakers who talked about the history of the Nursing Profession.

· The following is the guideline for the journal entry:

NUR 4945C Journal Writing Guidelines

Purpose:

Journaling a “critical” incident analysis is a specific technique in reflection that asks the student to describe and analyze a particularly meaningful incident experienced or observed in the clinical setting and correlates with course competencies (Billings & Halstead, 2012, p. 275). The intent is to experience a new concept, skill, or body of knowledge pertinent to your clinical setting and identified problem.

Goals:

1. To provide an environment and create opportunities to meet course competencies

1. To provide the rudiments for identifying the problem statement and rationale for selecting teaching projects and strategies

1. To develop basic transferable writing skills necessary for writing scholarly papers

1. To promote active learning

1. To develop and enhance critical thinking skills

Format:

1. All journal entries are typed and double-spaced

1. Font size = 12- Times New Roman

1. Each entry is dated and correlated with the clinical dates of the occurrences.

1. Each entry is compliant with guideline questions.

1. Citations and reference list are compliant with APA 6th edition standards

Content:

1. Date (corresponds with journal entry)

1. What did I do? (Brief description of the activity)

1. What did I learn? (Personal reflection)

1. What were the positives and or negatives about the experience?

1. What were the components that impacted your practice?

1. Recommendations for future experiences or practice.

1. There should be at least one evidence-based reference cited per entry.

 
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The Pacific Healthcare Case Analysis(USE AS A GUIDE)

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The Pacific Healthcare Case Analysis

Procurement Evaluation

Procurement Solutions

Conclusion

Questionnaire

1. What alternatives should Barney Rubble consider when addressing the problem?

2. Should Pacific’s supply policies allow for any medical staff personnel to control sourcing decisions?

3. What are the advantages and disadvantages of staying with Kodak—or changing suppliers? How would you evaluate these?

4. What action could Mr. Rubble have taken prior to Mr. Howell’s death to obtain reduced film prices?

 
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The Future Of Healthcare Informatics

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Assignment:

The Future of Healthcare Informatics

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

  1. Identify the current role of the informatics nurse and predict the future role of the informatics nurse, based on scholarly sources.
  2. Explain what is meant by connected health. Provide three examples of connected health in today’s healthcare environment. Explain the benefits and drawbacks of each.
  3. In what ways has informatics impacted public health – please provide at least three examples.

Assignment Expectations:

Length: 500 words per essay prompt/section (1500 total for this assignment)

Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion. 

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.

  • Posted: 8 Days Ago
  • Due: 23/07/2019
  • Budget: $25

Tags: nursingANSWERS 1

 
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BIOMEDICAL ETHICS

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Applying the Four Principles: Case Study

Part 1: Chart (60 points)

Based on the “Healing and Autonomy” case study, fill out all the relevant boxes below. Provide the information by means of bullet points or a well-structured paragraph in the box. Gather as much data as possible.

Medical IndicationsBeneficence and NonmaleficencePatient PreferencesAutonomy
Quality of LifeBeneficence, Nonmaleficence, AutonomyContextual FeaturesJustice and Fairness

©2019. Grand Canyon University. All Rights Reserved.

Part 2: Evaluation

Answer each of the following questions about how principlism would be applied:1. In 200-250 words answer the following: According to the Christian worldview, which of the four principles is most pressing in this case? Explain why. (45 points)2. In 200-250 words answer the following: According to the Christian worldview, how might a Christian rank the priority of the four principles? Explain why. (45 points)References:Blog ArchiveCopyright © 2019 HomeworkMarket.com Read More

 
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Capstone Project

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In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the “Educational and Community-Based Programs” page of the Healthy People 2020 website.

Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following:

  1. The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
  2. The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
  3. A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
  4. Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
  5. Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
  6. A proposed solution to the identified project topic

You are required to retrieve and assess a minimum of 8 peer-reviewed articles. Plan your time accordingly to complete this assignment.

Prepare this assignment according to the guidelines found in the APA Style enter.

 
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Neurocognitive Disorde

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  • Analyze diagnostic criteria for neurocognitive disorders
  • Analyze evidence-based psychotherapy and psychopharmacologic treatment for neurocognitive disorders
  • Evaluate benefits and risks of neurocognitive therapies
  • Compare differential diagnostic features of neurocognitive disorders
 
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Respiratory

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#1 Patient Profile: 

A 62-year-old female client with a history of COPD has been admitted to the hospital with acute exacerbation and left-sided pneumonia. 

The nurse observes increased anterior-posterior diameter of the chest, reddish-blue skin tone, and prolonged expiratory phase when breathing. 

Admission vital signs: temperature 101.5 F (oral), blood pressure 154/92, heart rate 110, and respiratory rate 26 breaths/minute.

Critical Thinking Questions:

 Answer each question thoroughly and with details

1)    What nursing diagnosis is the priority for this patient and why?

2)    During the initial physical assessment of the patient, the patient exhibits a frequent cough with copious purulent secretions expectorated.

 This assessment finding is compatible with which etiology of pneumonia?

 What type of nursing care would you then provide?

3)    What should the nutritional plan for this patient include? Explain why?

Case Study: Burn/Trauma

You are caring for Mr. Stevenson a 26 year male patient who is an employee in a chemical plant on the assembly line. There was a unusual event and two explosive chemicals combined and caused a chemical explosion in the plant. Mr. Stevenson was near to the explosion and sustained severe burns from the accident. 

He is now a patient in the Burn/Trauma ICU receiving life saving care. Mr. Stevenson received 3rd degree burns to his entire chest and back and his entire right leg front and back. He sustained second degree burns to his entire face. He is intubated, sedated and on a ventilator at the moment.

Please answer the following questions.

1) According to the Rule of Nines, what percentage of his body received burns? Please explain your answer in details.

2) Explain in details what is meant by treating the ABCDE’s of Burn Injuries?

3) What would be his fluid resuscitation goals for the first 24 hours? How about after that?

4) According to the American Burn Association, name at last 5 findings that would necessitate a referral to a burn center?

5) Explain the process of skin grafting for burn management.

GI CASE STUDY: 

#1 Patient Profile: A 56-year-ld male patient tells you that he has been having abdominal pain about 3 hours after he eats. It feels like burning and is mostly in the upper abdomen. He gets some relief with over-the-counter antacids. 

Critical Thinking Questions: Answer each question completely and thoroughly.

1) What is the differential diagnosis?

2) An endoscopy is ordered on this patient, and he is found to have multiple scattered duodenal ulcers. Now what do you think?

3) Suppose the serum gastrin is high. How can a diagnosis of Zollinger-Ellison syndrome be confirmed?

4) What are the signs and symptoms of Zollinger-Ellison and how would you educate your patient?

#2 Patient Profile:

 A 46-year-old patient tells you he’s been vomiting blood, but he does not bring any in for you to see. 

Critical Thinking Questions: Answer each question completely and thoroughly.

1) What is the differential diagnosis and what priority question should you ask?

2) What lab tests would you expect the physician to order?

3) What is an appropriate nursing diagnosis and what education would you provide?

 
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– Circulatory Assist Devices to include IABP (intra-aortic balloon pump) and VAD (ventricular assist device)

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#1.  Please write a 3-5 paragraph discussion post on your assigned topic.   The posts should be detailed and comprehensive.  

– Circulatory Assist Devices to include IABP (intra-aortic balloon pump) and VAD (ventricular assist device) 

#2.  Please write a 3-5 paragraph discussion post on your assigned topic.   The posts should be detailed and comprehensive.  

– DIC ( disseminated intravascular coagulation )

#3. Please write a 3-5 paragraph discussion post on your assigned topic.   The posts should be detailed and comprehensive.  

– Review types of immunities ( active, passive, innate and acquired )

#4. Please write a 3-5 paragraph discussion post on your assigned topic.   The posts should be detailed and comprehensive.  

– Acute pharyngitis, sinitus, and peritonsillar abcess (often called a quincy)

 
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Critically analyze current practice to formulate researchable problems.

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Critically analyze current practice to formulate researchable problems.

With the help of our reading assignments and additional lecture material, I learned about critical analysis and how to formulate problems that were researchable. It was not until I began researching the problem I chose for my proposal that I learned how popular an area of research it is and in the process came across so many other great choices for the assignment.

Evaluate research as the basis for decision-making to improve outcomes through translation into evidence-based practice.

Again I believe the text was critical for understanding how to evaluate because it would breakdown every aspect of the evaluation process and translated it in small doses that made it manageable. The proof was in the results of the research and in many instances the studies did not necessarily yield what the researcher anticipated, but it was the process that unearthed knew directions, proposals, and in some cases new ways to practice.

Synthesize an understanding of the research process through the development of a proposal to address a nursing problem or focus area identified in nursing practice.

I believe that this was achieved piece by piece with every weekly assignment. Each weekly assignment had built onto the next, which helped the “synthesis.” This was especially evident within the first few weeks of building the proposal. The building of the foundation for the assignment was front-loaded with information to ensure comprehension of the process. Whenever I had lost focus of the Rubric in the assignment, Dr. Cornelius would aide in narrowing it and point you in a better direction.

Investigate ethical issues related to the conduct of scientific research, including informed consent, data management, data analysis, and protection of human subjects.

The above was achieved through our readings, lecture, and PHRP (Protecting Human Research Participants Online Training). Ethical issues are constantly revisited with every Evidence-Based Research read throughout the course. We translated it with a portion of our proposal in a few different sections. The Data analysis and management was achieved through organization specific to pre-existent demographics in our week eight assignment(Grove,2016).

Explore national and international initiatives and research priorities.

Other than reading about the international initiatives in some of the research articles, I did not explore this as much. I did, however, focus on research priorities which revolved around improvement in the access and quality of care.  I am sure with the trend of globalization of healthcare, international initiatives will be better understood especially when credible schools such as Johns Hopkins are heavily involved in Global Initiatives.

Discussion #2

Research is something that has never been my strong suit and something that I have not been very interested in. However, I’ve gained a wealth of knowledge by taking this course and growing to like research and learning how it makes such a difference in health care. A solid basis of understanding in nursing research is fundamental in improving patient care outcomes, utilizing the best evidenced based practice, and advancing the field.  

Upon the completion of this course abilities gained included: formulate research questions utilizing the PICOT (population, intervention, comparison intervention, outcome, and time) framework, contrive background and significance of proposed research, develop problem statements, obtain research purposes, form research and null hypotheses, choose an appropriate methodology, select a fitting research design, and identify independent, dependent, operational, and extraneous variables.  Creating literature reviews delivers current information regarding research findings and other contributions to the chosen topic, while theoretical framework is applied to guide and support the research.  Appropriate ways to select the sample and size making research more generalizable and valid was also discovered.   Additionally, developing the skill of not only performing individual research, but also recognizing when outside research was valid and significant in order to advocate for changes to be made.  

At the root of all research ethical behavior should be conducted by all involved parties in order to protect human subjects, ensure privacy, provide informed consent, explain risk to benefit ratio, maintain respect, fairly select an appropriate sample, justify clinical value and scientific validity.  Once these guidelines have been met it is necessary to have the proposal reviewed by an institutional review board to continue to monitor that these remain in place and that the study is conducted without bias.  Data derived during the research must be handled properly in order to protect subjects and validity, instruments must be chosen to correctly measure data, and data should be analyzed in a way that provides meaning to the research performed.  While there are multiple national and international initiatives and research priorities available, the Agency for Healthcare Research and Quality monitors progress of the U.S. Healthcare system by producing clinical practice guidelines, quality indicators, tools to improve patient safety, research tools, and data resources to advance healthcare performance (USDHHS, 2018)

 
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