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Case Study 2: Mortgage Approval Time Study

Week 8 Case Study 2

Read the following case study:

A major financial services company wishes to better understand its mortgage approval process. In particular, the company is interested in learning about the effects of credit history (good versus fair), the size of the mortgage (<$500,000 versus >$500,000), and the region of the United States (western versus eastern) on the amount of time it takes to get a mortgage approved. The database of mortgages approved in the last year is accessed, and a random sample of five approved mortgages is selected for each of the eight combinations of the three variables. The data are shown in the table

Mortgage Approval Time Study     

Credit History    Mortgage Size   Region             Approval Times (Days)

Good                <$500,000        Western            59        50        64        62        47

Fair                  <$500,000        Western            81        58        69        65        74

Good                >$500,000        Western            38        52        58        60        65

Fair                  >$500,000        Western            146      159      133      143      129

Good                <$500,000        Eastern             28        26        38        41        21

Fair                  <$500,000        Eastern             42        53        40        50        64

Good                >$500,000        Eastern             49        31        49        42        38

Fair                  >$500,000        Eastern             106      115      126      118      138

First, conduct an analysis using the following steps:

  1. Use the data shown in the table to conduct a design of experiment (DOE) in Microsoft Excel in order determine the nature and magnitude of the effects of the three variables on mortgage approval times. What are the key drivers of this process?
  2. Determine the graphical display tool (e.g., Interaction Effects Chart, Scatter Chart, etc.) that you would use to present the results of the DOE that you conducted in Question 1. Provide a rationale for your response.
  3. Assess the data sampling method. Our sample contained only five mortgages per combination. Under what circumstances would it have been appropriate to select a larger sample? Is a sample of five mortgages adequate to access the relative magnitudes of the effects of the variables? What sample size would you recommend? What could you learn from a larger sample size? (Hint: Look back at chapter 2, 3, 5, and 6 for discussion of sampling.)
  4. Provide other variable responses that might be of interest to measure and study. (Hint: If you were getting a mortgage or a loan, what are the two and most important measures of the process you would have to go through?)
  5. Propose one overall recommendation to the financial services company, based on the DOE, that could help reduce mortgage approval times.
  6. Use http://research.strayer.edu to identify at least two (2) quality references to support your discussion. Note: Wikipedia and other Websites do not qualify as academic resources.

Second, create a PPT presentation to communicate the data analysis you completed. Your presentation must follow these formatting requirements:

  • A PPT presentation with at least 10 slides that include the answers to questions 1 through 5.
  • A reference slide which follows APA format. Check with your professor for any additional instructions.
  • Formatting of the slides should be consistent and easy to read.
  • Cover slide containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date.

Note: The cover slides and the reference slides are not included in the required assignment slides length.

The specific course learning outcome associated with this assignment is:

  • Develop recommendations to improve business processes, using statistical tools and analysis.

Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills, using the following rubric:

Points: 190Case Study 2: Mortgage Approval Time Study
CriteriaUnacceptable Below 70% FFair 70-79% CProficient 80-89% BExemplary 90-100% A
1. Use the data shown in the table to conduct a design of experiment (DOE) in order to test cause-and-effect relationships in the mortgage approval time for the financial services company.   Weight: 16%Did not submit or incompletely used the data shown in the table to conduct a design of experiment (DOE) in order to test cause-and-effect relationships in the mortgage approval time for the financial services company.Partially used the data shown in the table to conduct a design of experiment (DOE) in order to test cause-and-effect relationships in the mortgage approval time for the financial services company.Satisfactorily used the data shown in the table to conduct a design of experiment (DOE) in order to test cause-and-effect relationships in the mortgage approval time for the financial services company.Thoroughly used the data shown in the table to conduct a design of experiment (DOE) in order to test cause-and-effect relationships in the mortgage approval time for the financial services company.
2. Determine the graphical display tool (e.g., Interaction Effects Chart, Scatter Chart, etc.) that you would use to present the results of the DOE that you conducted in Question 1. Provide a rationale for your response.
Weight: 16%
Did not submit or incompletely determined the graphical display tool (e.g., Interaction Effects Chart, Scatter Chart, etc.) that you would use to present the results of the DOE that you conducted in Question 1. Did not submit or incompletely provided a rationale for your response.Partially determined the graphical display tool (e.g., Interaction Effects Chart, Scatter Chart, etc.) that you would use to present the results of the DOE that you conducted in Question 1. Partially provided a rationale for your response.Satisfactorily determined the graphical display tool (e.g., Interaction Effects Chart, Scatter Chart, etc.) that you would use to present the results of the DOE that you conducted in Question 1. Satisfactorily provided a rationale for your response.Thoroughly determined the graphical display tool (e.g., Interaction Effects Chart, Scatter Chart, etc.) that you would use to present the results of the DOE that you conducted in Question 1. Thoroughly provided a rationale for your response.
3. Assess the data sampling method by determining if the sample size is sufficient, determining if effects of variables can be measured, recommending a sample size for future study, and stating what analysis can be done with larger sample sizes.   Weight: 16%Did not submit or incompletely assessed the data sampling method by determining if the sample size is sufficient, determining if effects of variables can be measured, recommending a sample size for future study, and stating what analysis can be done with larger sample sizes.Partially assessed the data sampling method by determining if the sample size is sufficient, determining if effects of variables can be measured, recommending a sample size for future study, and stating what analysis can be done with larger sample sizes.Satisfactorily assessed the data sampling method by determining if the sample size is sufficient, determining if effects of variables can be measured, recommending a sample size for future study, and stating what analysis can be done with larger sample sizes.Thoroughly assessed the data sampling method by determining if the sample size is sufficient, determining if effects of variables can be measured, recommending a sample size for future study, and stating what analysis can be done with larger sample sizes.
4. Provide other variable responses that might be of interest to measure and study.   Weight: 16%Did not submit or incompletely provided other variable responses that might be of interest to measure and study.Partially provided other variable responses that might be of interest to measure and study.Satisfactorily provided other variable responses that might be of interest to measure and study.Thoroughly provided other variable responses that might be of interest to measure and study.
5. Propose one overall recommendation to the financial services company, based on the DOE, that could help reduce mortgage approval times.   Weight: 16%Did not submit or incompletely proposed one overall recommendation to the financial services company, based on the DOE, that could help reduce mortgage approval times. Did not submit or incompletely provided a rationale for your response.Partially proposed one overall recommendation to the financial services company, based on the DOE, that could help reduce mortgage approval times.  Partially provided a rationale for your response.Satisfactorily proposed one overall recommendation to the financial services company, based on the DOE, that could help reduce mortgage approval times.  Satisfactorily provided a rationale for your response.Thoroughly proposed one overall recommendation to the financial services company, based on the DOE, that could help reduce mortgage approval times.  Thoroughly provided a rationale for your response.
6. Presentation Requirements   Weight: 10%Presentation does not have 10 slides in addition to a cover slide and a reference slide. There is no consistent theme or design and slides are difficult to read.Presentation does not have 10 slides in addition to a cover slide and a reference slide and/or there is no consistent theme or design in the presentation. Some slides may be difficult to read.Presentation includes at least 10 slides in addition to a cover slide and a reference slide. There is a theme or design throughout the presentation, but some slides may contain too much information to be easily read.Presentation includes 10 or more slides in addition to a cover slide and a reference slide. There is a consistent theme or design throughout, and all slides are easy to read.
7. Writing / Support for Ideas   Weight: 5%Rarely uses reasons and evidence that logically support ideas.Partially uses reasons and evidence that logically support ideas.Mostly uses reasons and evidence that logically support ideas.Consistently uses reasons and evidence that logically support ideas.
8. Writing / Grammar and Mechanics   Weight: 5%Numerous errors in grammar, spelling, and punctuation.Partially free of errors in grammar, spelling, and punctuation.Mostly free of errors in grammar, spelling, and punctuation.Free of errors in grammar, spelling, and punctuation.

The IT Professional Assignment

Competency

In this project, you will demonstrate your mastery of the following competency:

  • Articulate the roles and functions of the information technology professional

Scenario

Whether you are just beginning your career in information technology or taking the next step in your career path, it is vital to understand the numerous opportunities available to you within this field. In this project, you will be conducting a survey of the information technology field that includes several career options aligned with your interests and begins to sketch out the training and certifications necessary for those roles.IT professional at work.

Directions

The Information Technology Field: Before you explore career options in information technology, it is important to distinguish between the various disciplines that exist within this field. In this section, you will be considering these disciplines, as well as two primary tools for information technology professionals: programming and scripting.

  • IT Disciplines: To begin your report on careers within the information technology field, define the distinction between computer science, information systems, engineering, and information technology. In your description, first define each discipline and then describe how that discipline is related to others within IT. In your definition, address the following:
    • What roles and careers within the IT field are related to these disciplines?
    • What tools and technologies are most applicable to these disciplines?
  • Programming and Scripting: Following your description of the different disciplines within information technology, explain the relationship between programming and scripting and their uses within the IT field. In your explanation, first define scripting and programming, then address the following:
    • What distinguishes a script from a program?
    • How would an IT professional use scripting in their work? How would they use programming?
    • Describe a potential case where an IT professional would use a scripting language in their work. Describe a potential case where an IT professional would use a programming language in their work.

Information Technology Careers: Once you have defined the fields available in the world of information technology, it is time to start examining careers. For this section, you will be examining three positions within your chosen area of interest.

  • Careers of Interest: First, identify careers of interest within the IT field. You will choose an appropriate entry-level position, mid-level position, and ultimately the position you will strive to achieve. Then, determine whether each position is most closely aligned with information technology, computer science, information systems, or engineering. In your report, describe the roles and responsibilities of each of these careers. As evidence, ensure that you are submitting the job postings referenced in your report.
  • Tools and Technologies: Next, within each of your identified careers, describe the tools and technologies specific to your chosen IT roles. For each career, identify and describe various tools, including hardware and software, that a professional working in that career would use.
  • Training and Certifications: Finally, identify education, training, and certifications necessary for chosen IT roles. For your identified roles, describe these trainings and certifications, using the information in your identified job postings and descriptions as a reference. For each training and certification, describe its utility in the information technology field and sketch out how an interested person would obtain each certification. Finally, describe the transferable skills within these certifications and how they might prepare you for other careers and fields within the information technology profession.

What to Submit

To complete this project, you must submit the following:

Information Technology Career Report
You will create a report describing the information technology field, including distinguishing between the various disciplines within the IT field and identifying at least three careers of interest within the field. This report should be between 800–1,200 words. You should also include copies of your selected job postings for your instructor’s reference.

CriteriaExemplary (100%)Proficient (85%)Needs Improvement (55%)Not Evident (0%)Value
IT DisciplinesExceeds proficiency in an exceptionally clear, insightful, sophisticated, or creative mannerDefines the distinction between computer science, information systems, engineering, and information technologyShows progress toward proficiency, but with errors or omissions; areas for improvement may include accuracy, clarity, logic, and detailDoes not attempt criterion18
Programming and ScriptingExceeds proficiency in an exceptionally clear, insightful, sophisticated, or creative mannerExplains the relationship between programming and scripting and their uses within the IT fieldShows progress toward proficiency, but with errors or omissions; areas for improvement may include accuracy, clarity, logic, detail, and thoroughnessDoes not attempt criterion18
Careers of InterestExceeds proficiency in an exceptionally clear, insightful, sophisticated, or creative mannerIdentifies careers of interest within the IT field and describes their roles, responsibilities, and qualificationsShows progress toward proficiency, but with errors or omissions; areas for improvement may include accuracy, clarity, logic, and detailDoes not attempt criterion18
Tools and TechnologiesExceeds proficiency in an exceptionally clear, insightful, sophisticated, or creative mannerDescribes the tools and technologies specific to chosen IT rolesShows progress toward proficiency, but with errors or omissions; areas for improvement may include accuracy, clarity, logic, detail and correct alignment of tools to IT rolesDoes not attempt criterion18
Training and CertificationsExceeds proficiency in an exceptionally clear, insightful, sophisticated, or creative mannerIdentifies education, training, and certifications necessary for chosen IT rolesShows progress toward proficiency, but with errors or omissions; areas for improvement may include accuracy, clarity, logic, and detailDoes not attempt criterion18
Articulation of ResponseExceeds proficiency in an exceptionally clear, insightful, sophisticated, or creative mannerClearly conveys meaning with correct grammar, sentence structure, and spelling, demonstrating an understanding of audience and purposeShows progress toward proficiency, but with errors in grammar, sentence structure, and spelling, negatively impacting readabilitySubmission has critical errors in grammar, sentence structure, and spelling, preventing understanding of ideas5
Citations and AttributionsAttributes sources where applicable using citation methods with very few minor errorsAttributes sources where applicable, but with consistent minor errorsAttributes sources where applicable, but with major errorsDoes not attribute sources where applicable5
Total:100%

4.3 Unit Assignment: Retirement Planning. — Business

PLEASE COMPLETE ALL THE ASSESSMENT CRITERIA AT THE BOTTOM

Introduction

This assignment gives practice in simulation with two data points over time. You will be calculating potential portfolio returns over many years and need to incorporate uncertainty about wage growth and market performance into the model.

Instructions

To assist with this assignment, first read the following scenario:

You have been hired as a financial planner for your friend Grace. Her current annual salary is $60,000 and she has $100,000 in her portfolio currently. She would like to retire in 25 years with a nest egg of at least $2,000,000.

Grace can save 6% of her annual salary to her portfolio, and her portfolio invests solely in an index fund that tracks the S&P 500. She is hoping you can help her plan for retirement with a better understanding of her wage growth and portfolio returns.2

  • Based on this scenario:Submit both the report and the MS Excel file 

Assessment Criteria

Assessed ItemPoints
The report is written with business stakeholders as the intended audience and is of sufficient length to address the prompt.10
The population statistics were calculated correctly and an appropriate distribution was selected.20
Future wage growth and portfolio returns were calculated correctly.20
The report discusses the risks inherent with the simulations and provides sound advice for Grace’s savings goals and retirement date.30
Total Points80

Pre-Departure Training Paper

For this assignment, imagine again that you work for the global company you chose in your first assignment. You are in charge of improving the training and development for employees who are selected for international assignments.

Develop a 3–4 page (plus the cover page and reference page) outline of pre-departure training with a thorough description and explanation of the training programs that you suggest for improving expatriate performance.

Your assignment must address the following:

Articulate the training needs of new expatriate employees and the components of pre-departure training that will address those needs.
Determine the areas of emphasis and the details of the training.
Describe how the training will improve the expatriate experience for the new assignment.
Provide citations and references from the textbook and a minimum of two sources found on the Strayer databases at the Strayer Library.
Your assignment must:

Be typed, double-spaced, using Times New Roman font (size 12), with 1-inch margins on all sides.
Include a cover page containing the title of the assignment, your 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.
This course requires the use of Strayer Writing Standards.

CIPD Candidate Assessment Activity

Title of unit/s  Using Information in Human Resources
Unit No/s  
Level5
Credit value4
Assessment method(s)  Written Business Report
Expiry date 
Learning outcomes: Understand the research process and different research approaches.Be able toconduct a critical review of information sources in an area of HR/business practice and analyse the findings.Be able todraw meaningful conclusions and evaluate options for change. 4    Know how todeliver clear, business-focused reports on an HR issue.
Assessment brief/activity   Activity 1 Your CEO has asked each departmental head to undertake a critical review of their systems, processes and practices as part of a major organisational change agenda.  You have been asked to review an area of HR/business practice and present a business report to key stakeholders with recommendations for improving practice.  To provide the basis for your report, you have been asked to conduct a critical review of information sources relevant to the area of practice. You should:

Select an area of HR/business practice and give the reason for your choice   Undertake a critical review of different information sources (at least four) e.g. research digests, academic and professional literature, online databases, key texts relevant to the selected area of practice.   Draw meaningful conclusions from the review of the different information sources.Make justified recommendations to named stakeholders for sustaining and/or improving practice.   Your report structure should include: Title page (report title and their name, submission date)Executive summary (overview, methods of analysis, findings, recommendations)Table of contents (list of numbered sections)Introduction (terms of reference)Main body (headings and sub-headings – these could be for each information source reviewed). Candidates should use a mix of narrative and diagrammatic formats to present their findings.Conclusions RecommendationsReference list/BibliographyAppendix if used i.e. information supporting their analysis but not essential to its explanation.   Activity 2 Summarise the key stages of the research process.  Compare two different research methods.    
Assessment Criteria

    4.1         2.1     2.2

 
3.1               4.1                   1.1
Evidence to be produced/required

A written business report for stakeholders and written answers to activity two of approximately 2600 words.  The title page, executive summary, reference list and any appendices are excluded from the word count.   You should relate academic concepts, theories and professional practice to the way organisations operate, in a critical and informed way, and with reference to key texts, articles and other publications and by using organisational examples for illustration.   All reference sources should be acknowledged correctly, and a bibliography provided where appropriate (these should be excluded from the word count).  

Assessment Guidance

Using Information in Human Resources – LOs 1, 2, 3 & 4   To pass, candidates should provide a written business report for stakeholders of approximately 2600 words which reflects the guidance given below.    The title page, executive summary, reference list and any appendices are excluded from the word count.   Candidates should relate academic concepts, theories and professional practice to the way organisations operate, in a critical and informed way, and with reference to key texts, articles and other publications and by using organisational examples for illustration.   All reference sources should be acknowledged correctly, and a bibliography provided where appropriate (these should be excluded from the word count).
AC 2.1




AC 2.2, 1.1
              AC 4.1, 3.1
Candidates should identify an area of HR/business practice for the focus of their literature review e.g. good practice in employee engagement, recruitment and selection, pay and reward, learning and development, they should explain why they have selected the particular area e.g. to benchmark their own organisational practice against good practice reported in the literature   Candidates should then review different information sources relevant to the area of practice with a justification for the information sources chosen. They should show evidence of engaging critically with each of the sources by: Summarising the focus of the sourceExamining the methodology used (quantitative or qualitative)Evaluating the conclusions from each source based on the methodology used and evidence presented.

Candidates should write a business report for identified stakeholders e.g. CEO, executive team, shareholders. A typical structure would be:

Title page (report title and their name, submission date)Executive summary (overview, methods of analysis, findings, recommendations)Table of contents (list of numbered sections)Introduction (terms of reference)Main body (headings and sub-headings – these could be for each information source reviewed). Candidates should use a mix of narrative and diagrammatic formats where appropriate to present their findings.Conclusion (including major inferences and recommendations for change)Reference list using appropriate scholarly conventionBibliography if appropriateAppendix if used i.e. information supporting their analysis but not essential to its explanation.

WEEK 5 DISCUSSION Memory

CLINICAL PSYCHOLOGY 
WEEK 5 DISCUSSION Memory 
Memory Distortions
Consider eyewitness testimony, a facet of the judicial system that relies on the soundness of memory for its effectiveness. The following story demonstrates the grave consequences inherent in certain kinds of memory distortion.
In the days following Jennifer Thompson’s 1984 rape by an unknown assailant, law enforcement officials presented her with a “photographic lineup.” It was composed of local individuals who loosely fit Thompson’s description, including one man the police considered a likely suspect in the attack. Police and the prosecution relied on Thompson’s eyewitness testimony as a critical building block in the case against Ronald Cotton. Thompson’s memory-based selection of Cotton’s image eventually brought him to trial as a defendant.
Jennifer Thompson’s eyewitness testimony led to the conviction of Ronald Cotton for rape. Thompson described memorizing the details her attacker’s appearance that fateful night so that she might later help to catch him. Based on Thompson’s testimony, the prosecution won, and Cotton received a sentence of life plus 54 years in prison.
After serving nearly 11 years, Cotton was exonerated on the basis of DNA evidence. In the years since Cotton’s release from prison, he and Thompson have reconciled. They now travel together throughout the United States, speaking about the lack of reliability of eyewitness testimony in criminal cases. Unreliable eyewitness accounts of crimes serve as one example of memory distortion. Consider factors in the Cotton case that may have affected the accuracy of Thompson’s memory.
In this Discussion, you examine factors that might influence and create distortions of memory. You also explain potential consequences of memory distortion on eyewitness testimony.
With these thoughts in mind:
Post by Day 4 a brief description of factors that might influence and create distortions of memory. Then explain how one of those factors might create a memory distortion. Provide an example to support your response. Finally, explain three consequences of memory distortion in the context of eyewitness testimony. Justify your response using the Learning Resources and current literature.
Be sure to support your postings and responses with specific references to the Learning Resources.

Creating a Plan of Care

Preview the document

This discussion post begins with creating a plan of care, using the Plan of Care Template, for one of the two patients described below:

Client Madison is a 15-year-old who comes to the clinic to see the nurse. She is shy and embarrassed, but she confides that her new boyfriend asked her to come in to be tested. She is very much in love and he will not have physical contact with her until she is seen by someone. She is not sure why, but he mentioned chalmydia. 

Client Patricia is a 39-year-old who is employed as an administrator at the clinic. She is ready to start a family and has been trying to conceive for fourteen months. Her husband has a teenage son from a previous relationship, but he would like at least one child with her. She is becoming frustrated every month when she gets her menstrual period.  

Select from the following list of nursing diagnoses to use when developing your care plan:

  • Chronic sorrow
  • Ineffective health management
  • Powerlessness
  • Ineffective sexuality pattern
  • Readiness for enhanced knowledge
  • Impaired comfort
  • Social isolation

Your initial post is due by Thursday at 11:59 PM EST.  Your responses are due by Sunday at 11:59 PM EST.

Response to Others

After you have posted, read through the postings of your peers.  In response to at least two other students, select a patient different from your chosen patient. Suggest one additional intervention that would make the plan more patient-centered and provide a rationale for your suggestion.

Discussion Guidelines

Posts need to be written in a professional manner. The content should have a clear beginning, middle, and end. Professionals communicate using correct grammar and spelling. It is acceptable to use a grammar or spelling editor prior to submitting your post. Language that is disrespectful or discourteous is not acceptable. Your posts should be of sufficient length to answer the question, but information that is extraneous or irrelevant will not strengthen your post.

The purpose of the discussion is to explore topics and to share information. Your original thought about the question is important. It is acceptable to use personal experiences from a professional standpoint. Your information and opinions should have support from the textbooks, professional position statements, and journals. It is not acceptable to copy and paste information from outside sources without using direct quotes. It is preferable to paraphrase information. When you restate the information in your own words by paraphrasing, you demonstrate that you have read about the topic and that it has meaning to you. You are showing that you can apply the information.

Evaluation

Kidney and Urinary Disorders

You are a clinical coordinator of a medical unit specializing in the care of patients with kidney and urinary tract disorders. You are charged with making assignments for this unit for the day shift. Your discussion post should be focused on the appropriate assignments of staff members to client groups. Your unit has 12 beds. Currently, your census is 11, with one empty bed. Please include your assignments for the shift with your rationale for making those assignments. Include your personal role as the coordinator during this shift. You may wish to review course materials from Nursing 108 on delegation and supervision. 

The staff for the next shift includes:

  • Raul; an experienced RN.
  • Tara; an RN orientee assigned with Raul for the shift. It is her third day on the unit.
  • Monique; a supplemental RN. The last assignment in this unit was three weeks ago.
  • Dorothy; an experienced LPN.
  • Timmy; an experienced nursing assistant.
  • Val; unit secretary, split between your unit and the one next door as your secretary called in sick.

Patients currently on unit:

#2201: PP, a 51-year-old female with T1DM (type one diabetes) who has ESKD (end-stage kidney disease). She was admitted for a revision of her A-V fistula. She has a temporary Hemodialysis catheter in place. She’s scheduled for hemodialysis this morning. 

#2202: RP, a 72-year-old male patient with a CBI (continuous bladder irrigation) who is post-op from a TURP yesterday. He has had many clots passed through the CBI and has needed the catheter manually irrigated three times during the past shift. 

#2203: empty bed.

#2204: MG, an 88-year-old female patient admitted two days ago with urosepsis. She’s currently getting IV antibiotics through a peripheral IV every eight hours. She has been incontinent of urine twice during the past shift. She is currently complaining about pain at the site of her IV. 

#2205: MW, a 44-year-old female patient who had a cystoscopy yesterday for a biopsy of her bladder. Cancer is suspected. She is currently waiting for the provider to write her discharge orders so she can go home today. 

#2206: JS, a 69-year-old male patient with uncontrolled hypertension and chronic kidney disease admitted last evening. He has a history of non-adherence to his medications at home and comes into the hospital every four to five months with chest pain, high BP readings, and weight gain. He’s been prescribed Lasix, Lisinopril, and metoprolol. His provider would like to send him home tomorrow. He has not been evaluated by the case-manager on your unit yet.

#2207: AM, a 21-year-old female patient with an acute kidney infection. She was admitted during the night. The patient currently has IV of NSS infusing at 100 ml/hr via peripheral IV and is complaining of 9 out of 10 back pain. Is febrile with a temp of 100.6 F 

#2208: MS, a 60-year-old male patient with a renal calculi diagnosed by CT scan. Being medicated with IV Fentanyl every three hours for 10 out of 10 pain reported by the patient. Receiving IV fluids and needs assistance to the bathroom. Urine must be strained each time the patient voids. 

#2209: SS a 72-year-old male admitted with hematuria. He is having diagnostic testing completed for renal carcinoma. The patient has a history of leukemia as a 40-year-old. This patient and his family are very upset by the diagnosis and the patient is intermittently tearful. 

#2210: CT, a 55-year-old female admitted with community-acquired pneumonia. She is currently on 4 L NC and has a 02 saturation of 92% at rest. She is short of breath and has been ringing for the nurse frequently as she is frightened of dying when she gets SOB. She is receiving Levaquin IV every 24 hours for her pneumonia. This patient also has an ileal conduit with a drainage bag attached. She had her bladder removed ten years ago due to cancer. 

#2211: RM, a 76-year-old male patient with cellulitis on his left shin. He’s on contact precautions for MRSA. He has been receiving continuous peritoneal dialysis at night, he’s assigned to your unit, as your staff has the training to use the PD equipment.

#2212: AF, a 40-year-old female patient with an intellectual disability from a group home setting. She was admitted with pyelonephritis during the night. She is scheduled for discharge today. She will need her IV discontinued and discharge instructions will need to be given to the patient and her caregiver. 

Please assign these patients to staff, being mindful of the scope of practice and ability levels of staff members. What nursing intervention is the top priority for each patient? Please indicate if the staff member is able to complete that priority independently, or if you (the charge nurse) need to assign it to another staff member. 

Include information about how you will assign yourself and your support staff during the shift. Keep in mind that an empty bed will mean somebody will get admission during the shift

Your initial post is due by Thursday at 11:59 PM EST. Your response to a peer is due by Sunday at 11:59 PM EST.

Discussion Guidelines

Posts need to be written in a professional manner. The content should have a clear beginning, middle, and end. Professionals communicate using correct grammar and spelling. It is acceptable to use a grammar or spelling editor prior to submitting your post. Any language that is disrespectful or discourteous is not acceptable. Your posts should be of sufficient length to answer the question, but information that is extraneous or irrelevant will not strengthen your post.

The purpose of the discussion is to explore topics and to share information. Your original thought about the question is important. It is acceptable to use personal experiences from a professional standpoint. Your information and opinions should have support from the textbooks, professional position statements, and journals. It is not acceptable to copy and paste information from outside sources without using direct quotes. It is preferable to paraphrase information. When you restate the information in your own words by paraphrasing, you demonstrate that you have read about the topic and that it has meaning to you. You are showing that you can apply the information.

Evaluation

Your work in the discussion will be assessed using the AD Discussion Rubric. All discussions combined are worth 25% of your grade; each individual discussion is worth 3.57%.

References

Outcomes