[SOLVED] A change to policy
For this assignment the directions are below. The project to I would like to develop is a change to policy. The problem we identified is that in our treatment center there are four units in detox. 2 male nursing stations and 2 female nursing stations. Narcotics are passed from a room that is in the center of these four stations. We found there to be several medication documentation errors and that the count for the narcotics was often off. We determined this was because too many nurses were utilizing one station and multiple nurses were pulling/documenting their actions. Often items weren’t logged because another nurse was logging their medications in the one controlled substance binder. To solve the problem, we created a policy that changed how medications are passed. Since statistically there are less female clients, we changed the four nursing rooms to 2 male detox nursing stations and 1 female nursing station, the fourth room was converted to the narcotic station. All clients report to their respective nursing stations for vitals, nursing assessments and to receive their regular schedule medications. After doing this they would be given a slip to take to the narcotics station to receive their controlled substances. This slip only has the current set of vitals and issue or concerns from the primary nurse. This slip also lets the narcotics nurse know they have seen their primary nurse and are cleared to receive their controlled substances. This concept put one nurse exclusively in charge of the narcotic inventory and the documentation of each substance that was administered to the client. This immediately remedied missing documentation in the narcotic binder as well as ensured the inventory count was always correct since only one nurse now has access to the medications. The person I worked on this project with is our executive director, Lisa Molyneaux. I will create the cost table and I can supply the policies if they need to be attached to the final assignment before submission. If there is any other information that is needed to complete this paper please communicate this with me via the chat feature. I did not include the rubric this time since it is similar to all the previous ones, as long as you answer each part of the instructions the paper should meet all the requirements.
Nursing is a practice discipline that includes direct and indirect care activities that affect health outcomes. As a baccalaureate nursing student, you are developing new competencies in leadership, and in order to achieve mastery, you must apply those competencies to live practice experiences and situations. This Leadership Learning Experience (LLE) is designed to allow you to choose a clinical focus (e.g., practice, policy, education, population) in which you apply your leadership problem–solving skills. The LLE requires engagement with other people within the setting to complete.
You will develop a project within a practice setting that allows you to develop these leadership skills. You will identify a problem area in a practice setting that you specifically want to address (e.g., practice, policy, population, education) that aligns with organizational priorities. Example sources for the problem area may include the following:
• Practice: joint commission standards, core measures as quality indicators, other data
• Policy: legislation, staffing ratio, regulations from state boards
• Population: children with diabetes, adult obesity
• Education: future of nursing, Benner’s recommendations about nursing education
You will focus on a real-life solution for the problem. You should choose a topic that is timely, manageable, and realistic to the current healthcare environment. An external resource person (i.e., manager, clinical leader, clinical educator, policy expert, or population expert) must confirm the relevance of the selected project and your engagement in the setting as part of project completion. As with all projects, you should think how you, as a nurse, function in the following roles: detective, scientist, and manager of the healing environment.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
Note: Any information that would be considered confidential, proprietary, or personal in nature should not be included. Do not include the actual names of people, stakeholders, or other personally identifiable information. Fictional names should be used. Also, agency-specific data, including financial information, should not be included but should be addressed in a general fashion as appropriate.
Note: Your submission may be in a variety of formats (e.g., report, multimedia presentation).
A. Develop a written proposal by doing the following:
1. Identify a problem or issue related to practice, policy, population, or education that aligns with the organizational priorities you seek to solve.
Note: You may need to meet with your organization or practice setting, your manager, or your supervisor to help choose a current problem or issue.
a. Explain the problem or issue, including why it is applicable to the area of practice you chose and the healthcare environment.
2. Discuss your investigation of the problem or issue.
a. Provide evidence to substantiate the problem or issue (e.g., organizational assessment, national source documents, evidence from a stakeholder).
3. Analyze the state of the situation using current data.
a. Analyze areas that might be contributing to the problem or issue.
4. Propose a solution or innovation for the problem or issue.
a. Justify your proposed solution or innovation based on the results of your investigation and analysis.
5. Recommend resources to implement your proposed solution or innovation. Include a cost-benefit analysis of your proposed solution or innovation. (I will complete this part and insert it)
6. Provide a timeline for implementation based on your proposal. (you may write this how ever you see fit in real life this took approximately 3 months from start to finish. We identified the problem, presented a plan for improvement, got approval from the corporate team. Built out the new work station, educated the staff on the policy changes and then implemented the change. We have been monitoring the effectiveness of the changes for about a month now.)
7. Discuss why each key stakeholder or partner is important for the implementation of the solution or innovation.
a. Summarize your engagement with the key stakeholders or partners, including the input and feedback you received.
b. Discuss how you intend to work with those key stakeholders or partners in order to achieve success.
8. Discuss how your proposed solution or innovation could be implemented, including how the implementation could be evaluated for success.
B. Explain how you fulfilled the following roles during your process of investigation and proposal development:
1. scientist
2. detective
3. manager of the healing environment
C. Submit the completed attached “Professional Verification Form” from the organizational leader advising you in your leadership experience. (I will complete this)
D. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.
E. Demonstrate professional communication in the content and presentation of your submission. a change to policy a change to policy a change to policy a change to policy
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