To process a prescription order, RPS needs to know about the patients, the nursing home, and the nursing home unit where each patient resides. Each nursing home has at least one, but possibly many, units. A patient is assigned to a specific unit. An order consists of one or more prescriptions, each for one specific drug and one specific patient. An order, therefore, consists of prescriptions for more than one patient. Careful tracking and record keeping is crucial. In addition, each patient has multiple prescriptions, and one pharmacist fills each order.

1. Based on the above information, create an entity-relationship diagram that shows the data storage requirements for the system using Visio or its open source alternative software. Add six (6) attributes to each data entity and show minimum and maximum cardinality. Note: The graphically depicted solution may not exceed one (1) page per diagram.
2. Then, create a domain model class for the same information using Visio or its open source alternative software. Include six (6) attributes for each class and show minimum and maximum multiplicity. Note: The graphically depicted solution may not exceed one (1) page per diagram.

There are several points in the order-fulfillment process at which information must be recorded in the system. Case manifests must be printed at the start of each shift. Because a prescription may take a long time to be used completely, information must be entered into the system each time a medication is sent, noting the quantity sent and which pharmacist filled the prescription for that shift.  

Prescriptions contain basic information such as ID number, original date of order, drug, unit of dosage (pill, teaspoon, suppository), size of dosage, frequency of dosage, and special instructions (take with food, take before meals). There are several types of prescriptions, each with unique characteristics. Some orders are for a single, one-time-use prescription. Some orders are for a number of dosages. Some orders are for a certain time period. Information about the prescription order must be maintained. An order occurs when the nursing home phones in the needed prescriptions. Because prescriptions may last for an extended period of time, a prescription is a separate entity from the order itself. The system records which employee accepted and entered the original order.

The system has basic data about all drugs. Each drug has generic information such as name, chemical, and manufacturer. More detailed information for each type of dosage, such as the size of the pill, is also kept. A single drug may have many different sizes and types.

Information about the fulfillment of orders must also be maintained. For example, on a prescription for a number of pills, the system must keep a record of each time a pill or number of pills is dispensed. A record is maintained of which pharmacist fulfilled the order. Assume all prescriptions are dispensed only as needed for a 12-hour shift.

1. Develop an activity diagram for each use case related to entering new orders, creating case manifests, and fulfilling orders using Visio or its open source alternative software (at least three (3) total diagrams). Note: The graphically depicted solution may not exceed one (1) page per diagram. 
2. Develop a system sequence diagram for each use case using Visio or its open source alternative software. Note: The graphically depicted solution may not exceed one (1) page per diagram.
3. Develop a state machine diagram for an order using Visio or its open source alternative software. Note: The graphically depicted solution may not exceed one (1) page per diagram.
4. Design a three-layer architecture using Visio or its open source alternative software for this new system. Note: The graphically depicted solution may not exceed one (1) page per diagram.

The RPS system has users who process orders in the Reliable offices and users who place orders and monitor order information in the nursing homes.

1. Design two (2) separate menu hierarchies, one (1) for Reliable employees and one (1) for nursing home employees.
2. Write out the steps of the dialog between the user and the system for the use case Place new order for nursing home employees.
3. Review the input form you created for collecting orders from the nursing homes. Identify all of the input controls necessary to ensure the prescriptions are correct. Recommend other procedures or controls to ensure that there are no mistakes with prescriptions.
4. Create a work breakdown structure of your proposed plan. Write a memo to the senior executive team at RPS that includes a summary of the created system and three (3) recommendations for future changes / improvements to the system.

Your assignment must follow these formatting requirements:

• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
• Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
• Include charts or diagrams created in Visio or Dia. The completed diagrams / charts must be imported into the Word document before the paper is submitted.

 

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Question Description

• Legal issues, ethical considerations and risk management (insurance) – In your opinion, what is the relationship among these topics as they relate to NP’s?
• Define/describe what each of these are.
• Describe how each of these are interrelated.
• Provide an example of how ethics is interrelated into the legal issues of malpractice.
• Provide a journal summary to support your ideas.
• Please use ANA Code of Ethical Standards to guide the ethics discussion.

1. Post an initial substantive response of 250 words to each question
2. Please be sure to validate your opinions and ideas with citations and references in APA format.
3. References and citations should conform to the APA 6th edition.
4. Provide professional feedback to minimal of 2 colleagues. Provide constructive feedback that is helpful for improving the APN professional resume (Fonts, length, experience, etc)
5. Provide feedback using the “constructive feedback “sandwich” model. This is 1 positive, 2 constructive/improvements, and then 1 positive. Professor will grade on this.

Helens’ Resume:

Helen Love

316 East 4^th Street

Crowley, LA 70526

772-633-4545

Helen.love1@live.com

Family nurse practitioner with more than thirty years of healthcare experience that has enriched this APN with the ability to align with an organization’s mission while safely providing high quality care. As an APN working with your organization, knowledge gained through education and experience will be an asset to improve patient outcomes by utilizing current research models to improve care.

Education/Licensure/Certifications

Herzing University Madison, WI

Master of Science in Nursing with a Concentration in Family Nurse Practitioner Expected April 2019

Chamberlain College of Nursing Downer’s Grove, IL

Bachelor of Science in Nursing July 2013

Louisiana State University Eunice, LA

Associate of Science in Nursing June, 1983

Louisiana RN License: RN050913

Public Health Nurse 1, Lipid Management, PICC Line Insertion (needs renewal), Basic Life Support

Professional Experience

Acadia General Hospital Crowley, LA

Registered Nurse Medical/Surgical Floor 10/16 – Present

• Registered nurse medical/surgical floor
• Serve as Charge Nurse on weekends
• Involved in all aspects of the care and discharge of the patient

Aloha Home Care Melbourne, FL

Administrator 12/14 – 02/16

• Responsible for day to day agency operations
• Interviewing and hiring
• Joint Commission preparation

Director of Patient Care Services 01/13 – 12/14

• Manage and train professional staff on Oasis C1 documentation
• Marketed the service to physicians
• Revision of policies and procedures

Heartfelt Home Care Orlando, FL

General Manager 10/11 – 08/12

• Wrote a urology program for the agency
• Provided in-services to the staff on documentation
• Agency was a member of an accountable care organization

Rescare Home Care Melbourne, FL

Director of Nursing 08/07 – 01/10

• Supervised RNS, PT, OT, ST, and home health aids
• Negotiated contractual agreements
• Quality assurance and chart reviews

Mederi/CareTenders Vero Beach, FL

Clinical Manager 07/02 – 07/07

• Coding for the agency
• Patient care visits
• Documentation of Oasis data

Physician’s Choice Home Health Vero Beach, FL

Patient Care Liaison 05/99 – 07/02

• Marketing for the agency
• Radio and television appearances
• Successfully obtained more than 30 Medicare referrals per month

Experience Works Vero Beach, FL

Administrator 02/97 – 04/99

N

• Two Medicare surveys without discrepancies
• Went before the board of directors of Indian River Medical Center requesting funding for agency
• Patient care visits

Clinical Experience

Iberia General Hospital New Iberia, LA

House Supervisor 08/90 – 09/96

Dauterive Hospital

Med/Surg, ICU, L&D, ER, HouseSupervisorNew Iberia, LA

06/83 – 08/90

Brookes Resume:

Brooke Arrington MSN, APRN, FNP-C

3305 Charles Street, Cuyahoga Falls, OH 44221

Cell: 330-219-3960 – barrington379@gmail.com

OBJECTIVE

Seeking the opportunity to deliver primary care management to patients of all ages across the lifespan while developing and building a trusting and lasting relationship to bring about positive outcomes.

EDUCATION

Herzing University –

Master of Science-Family Nurse Practitioner, 2018

Ohio University – Athens, OH

Bachelor of Science: Nursing, 2012

Graduated Cum Laude

Cuyahoga Community College – Cleveland, OH

Associate of Applied Science: Nursing, 2003

PROFESSIONAL EXPERIENCE

Summa Health-Akron City Hospital – Akron, OH

January 2008 to Current

Registered Nurse, Clinical Coordinator-Emergency Department

Care of patients in a high volume Level I Trauma Center and Certified Stroke Center. Troubleshoot and oversee overall function of ER to achieve prompt patient care and rapid patient turnaround time. Provides input into employee performance evaluations. Guides, counsels and assists with employee discipline process.

University of Akron-School of Nursing – Akron, OH

August 2014 to December 2017

Part Time Faculty-Clinical Instructor

Mentor students during clinical rotations at local hospitals. Provide feedback. Participate in discussions using Springboard; as well as grading of various assignments.

American Mobile Healthcare – San Diego, CA

July 2005 to December 2005

Registered Nurse; Travel-Intensive Care Unit

Care of patients in multiple ICU settings including SICU, MICU, NICU, Cardiac and Trauma ICU.

Cleveland Clinic – Cleveland, OH

May 2003 to January 2008

Registered Nurse-Cardiothoracic Intensive Care Unit

Care of patients immediate post open heart surgery. Including recovery phase, vent management, chest tube removal; as well as experience with multiple IV drug infusions, arterial lines and Swan Ganz catheters. During part of this time I also worked on the heart and lung transplant team assisting with organ harvesting and procurement.

Professional organization

American Academy of Nurse Practitioners (AANP)

Emergency Nurses Association (ENA)

Certifications

Basic Life Support (BLS)/Advanced Cardiovascular Life Support (ACLS) 2003 to present

Board Certified Family Nurse Practitioner (FNP-C) 2018

Certified Emergency Nurse (CEN) 2015

Trauma Nurse Core Course (TNCC) 2008 to present

NIH Stroke Scale Certification 2014 to present

Skills and Strengths

RN preceptor Dependable

RN scheduler Motivated

 

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1. Compare and contrast definitions of health from a public health nursing perspective.

2. Explain the difference between public/community health nursing practice and community-based nursing practice.

3. Discuss major contemporary issues facing community/public health nursing and trace the historical roots to the present.

4. Discuss and explain the steps to identified/diagnosed community health problems.

As stated in the syllabus please present your assignment in an APA format word document, Arial 12 font attached to the forum in the discussion board. A minimum of 2 evidence-based references is required (not counting the class textbook) no older than 5 years. A minimum of 700 words is required.

 

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Personal Philosophy of Nursing Essay

Use the questions from Box 3-2 on page 111 of your textbook as a guide as you write your personal philosophy of nursing. The essay is to be APA format and double-spaced (1,000 words) and should include the following:

1. Introduction that includes who you are and where you practice nursing

2. Definition of nursing

3. Assumptions or underlying beliefs

4. Definitions and examples of the major domains of nursing

5. Summary that includes answers to the following questions: a. How are the domains connected? b. What is your vision of nursing for the future? c. What are the challenges that you will face as a nurse? d. What are your goals for professional development?

 

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