what level of care is appropriate for a decubitis ulcer?

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Question Answered step-by-step what level of care is appropriate for a decubitis ulcer? what level of care is appropriate for a decubitis ulcer? Health Science Science Nursing HP 111 Share QuestionEmailCopy link Comments (0)

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Question The provider has ordered Regular Insulin 5 units/hr IV to infuse at250mL/hr. The nurse is sent Regular Insulin 100 units in 250 mL NS by the pharmacy. How many mL/hr does the nurse administer the insulin?Round your answer to the nearest whole number. Health Science Science Nursing BI 241 Share QuestionEmailCopy link Comments (0)
Question Answered step-by-step need a response to classmate's postRemoving printers and the supply of paper is an example of coercive persuasion. What other examples have occurred in your organization? In the facility I worked at recently, they attempted to use coercive persuasion when they switched pharmacies. I say attempted because they didn't successfully persuade. The staff still hates and complains constantly. The corporate managers stated how this pharmacy was so much better, easier to access, and we would get more perks using them. In reality, it has caused so much more work for the nurses. The pharmacy constantly messed up and doesn't give us medications in time. Also, it isn't local, so it is harder to access. The medications are separate and aren't prepackaged together. They don't dispense OTC medications, so the nurses must go through a sea of OTC bottles to find the right ones for their patients which adds double the amount of time it takes to pass medications. All that extra time added to the nurse while being incredibly short-staffed. That is time taken away from the residents and potentially not getting wound care performed. The previous pharmacy pre-packaged the medications for the morning, afternoon, evening, bedtime and would incorporate the OTC medications making it possible to pass medications in the required timeframe and giving the care necessary to the residents. No amount of kicking and screaming from the staff changed the outcome. In the end, it was about politics and money, not about staff and patient safety. Do you agree that change or learning occurs best through coercive persuasion? Why? Why not? Coercive persuasion should only be used as a last resort. Finding ways to persuade changes without coercion is a much better way to make changes. Coercion is a terrible thing in many cases. In fact, the Bulletin of the World Health Organization has lambasted the overreliance on coercion in mental health treatment (Sugiura et al., 2019). If this treatment is unfit for patients then it should be unfit for staff. The staff is going to resist changes because they are used to what they are doing, and change will add time that the staff feels like they don't have at that time. With any change, it is up to the upper management to talk up the change because of this. They need to try and persuade people how much better it will be for the staff (as long as it is actually true). Schein states that for coercive persuasion to work in an organization, you need to collectively and individually work at coercing the organization (Coghlan, 2020). Perhaps coercive persuasion can be used in some cases, but management must use it sparingly. Coercive persuasion should never be the first choice. It should only be used when the change is absolutely necessary, and all other attempts have failed. In a world where organizations strive to be high-reliability organizations, there is little place for coercive persuasion due to the fifth characteristic of deference to expertise. Deference to expertise, as defined by an article in the Healthcare Management Forum, is when an organization puts the final decision on the staff who work most closely with the process (Cochrane et al., 2017). Health Science Science Nursing NSG 5320 Share QuestionEmailCopy link Comments (0)
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