Were the nurses carrying out their responsibility as licensed healthcare professionals or were they overstepping their role?

Medical Law

Case Study I

Marion is a 92-year-old patient who weighs 78 pounds. She has had poor eating habits for at least 20 years and refused all attempts by her two daughters to improve her nutrition. In addition, Marion had been a heavy smoker all her life and suffered frequent respiratory problems. During the past two years she has become quite forgetful, has suffered a broken hip as a result of a fall out of bed, and has been treated for pneumonia. Her daughters, who have their own family responsibilities and cannot bring their mother to live with them, have found an excellent nursing home near them. In spite of Marion’s protests, she enters the nursing home. However, she quickly adjusts to her new home and likes the care and the attention that she receives.

During her third week in the nursing home, Marion develops a cough, high temperature, and respiratory problems. She is hospitalized with a diagnosis of pneumonia. Marion immediately becomes disoriented and attempts to remove her intravenous and oxygen tubing. Since she tried to climb out of bed, her daughters must remain at her side. The attending physician tells the daughters that in addition to treatment for pneumonia, Marion will also need to have a pacemaker inserted to regulate her heartbeat. Marion would then be unable to return to the nursing home since the facility is not equipped to care for someone recovering from surgery.

One of Marion’s daughters has been granted a medical power of attorney for her mother. Before Marion became confused, she clearly explained to her daughters her wishes not to receive extraordinary measures to prolong her life. She also signed a living will indicating her wishes. After thoughtful discussion with other family members, Marion’s daughters tell the physician that they do not want to put their confused mother through the surgical procedure. They state that they want to spare her the pain of recovery from a surgical procedure since she is quite confused and elderly. Further, they are concerned that their mother will not survive an anesthetic and a surgical procedure in her frail condition.

The physician seems to be understanding of this decision. He says that he will place their request in Marion’s chart not to have the pacemaker inserted. However, the floor nurses take the daughters aside on several occasions to tell them that this is not a dangerous procedure and that they need to sign a permit for surgery. In fact, the nurses make the daughters feel that they are not acting in their mother’s best interests by not signing the surgical permit. Marion returns to the nursing home without a pacemaker. She lives another four years without any cardiac problems.

Were the nurses carrying out their responsibility as licensed healthcare professionals or were they overstepping their role?

Were Marion’s daughters acting in the best interests of their mother since they knew that if she had the surgery she could not return to the nursing home where she was receiving good care?

What should happen when a physician agrees with the family members and the nursing staff does not?

Case Study II

Jerry McCall is Dr. William’s office assistant. He has received professional training as both a medical assistant and a LPN. He is handling all the phone calls while the receptionist is at lunch. A patient calls and says he must have a prescription refill for Valium, an antidepressant medication, called in right away to his pharmacy, since he is leaving for the airport in 30 minutes. He says that Dr. Williams is a personal friend and always gives him a personal supply of Valium when he has to fly. No one except Jerry is in the office at this time. What should he do?

Does Jerry’s medical training qualify him to issue this refill order? Why or why not?

Would it make a difference if the medication requested were for control of high blood pressure that the patient critically needed on a daily basis? Why or why not?

If Jerry does call in the refill and the patient has an adverse reaction to it while flying, is Jerry protected from a lawsuit under the doctrine of respondeat superior?

What is your advice to Jerry?

PART II: LIRN ACTIVITY

Directions: After reading the following LIRN article in your Module 3 Lecture Notes, please answer the question below. Your response should be 1 to 2 paragraphs in length.

Feng, Z., Wright, B., & Mor, V. (2012). Sharp rise in Medicare enrollees being held in hospitals for observation raises concerns about causes and consequences. Health Affairs, 31(6), 1251-9. Retrieved from http://search.proquest.com/docview/1021174889?accountid=141600

According to the article, hospital observation services can be seen as a halfway point between emergency department treatment and full inpatient admission. There has been a rising trend in the prevalence and duration of hospital observation services in the fee-for-service Medicare population. Please discuss whether these hospital observation services are a damaging and unethical practice.

PART III: RESEARCH

Directions: Discuss the type of information that is available on the website for the American Medical Association (www.ama-assn.org). Click on the Resources tab and then click on Legal Issues.

Then read the Hot Topics: Important and timely medical-legal issues.

Read and summarize some of the important points mentioned. Your response should be 100 to 200 words. Please remember to use proper APA citation. Please visit the Academic Resource Center (ARC) for helpful APA guidelines.

Does this case set precedent for same-sex marriage?

Unit VII Scholarly Activity

Unit VII Scholarly Activity

Sociologists research and write about current topics that are culturally, politically, socially, and economically important. One such subject is same-sex marriage.

For this assignment, you will research a few court cases. Your goal here is to study this subject as a scientist would. Therefore, it does not matter whether you agree with the ruling or not, you can still write objectively about it. Use the Internet to find court cases and news articles from mainstream news outlets to use for your references, along with the textbook.

Begin by looking up the Loving v. Virginia case. Next, list the states that allow same-sex marriage. What were some of the arguments the states used in their legalization? What were some of the legal arguments against same-sex marriage? (Note: When looking for information, please refrain from religious reasoning or personal opinions; remember, you are looking at this as a scientist.) Do you think that the Supreme Court’s ruling on Loving v. Virginia changed much about American attitudes and practices? Does this case set precedent for same-sex marriage? How has this view changed over time? Do you see a shift in America’s view towards same-sex marriage? In what way is it changing?

Finally, briefly discuss how you feel about the subject. To what groups do you belong that help to shape your feelings about this issue? How do they help shape them?

Your assignment must be a minimum of two pages in length. As always, use APA formatting. Pay special attention to the proper citation of Internet resources.

Answer

Submitted by hurryson on Mon, 2016-01-04 06:18

What were some of the legal arguments against same-sex marriage?

Case Study

Unit VII Scholarly Activity

Sociologists research and write about current topics that are culturally, politically, socially, and economically important. One such subject is same-sex marriage.

Begin by looking up the

Loving v. Virginia case. Next, list the states that allow same-sex marriage. What were some of the arguments the states used in their legalization? What were some of the legal arguments against same-sex marriage? (Note: When looking for information, please refrain from religious reasoning or personal opinions; remember, you are looking at this as a scientist.) Do you think that the Supreme Court’s ruling on Loving v. Virginia changed much about American attitudes and practices? Does this case set precedent for same-sex marriage? How has this view changed over time? Do you see a shift in America’s view towards same-sex marriage? In what way is it changing?

Finally, briefly discuss how you feel about the subject. To what groups do you belong that help to shape your feelings about this issue? How do they help shape them?

Your assignment must be a minimum of two pages in length. As always, use APA formatting. Pay special attention to the proper citation of Internet resources.

Information about accessing the Blackboard Grading Rubric for this assignment is provided below.

Answer

Is the paper written well – is the grammar, spelling, and vocabulary suitable to graduate level work?

job design, job enlargement and job enrichment

JOB DESIGN, JOB ENLARGEMENT, AND JOB ENRICHMENT

Assignment Overview

Job Design

Designing jobs for employees must be a strategic initiative because optimizing productivity levels without overworking an employee can be difficult to accomplish. Job design refers to organizing tasks, duties, responsibilities, and other components into a productive unit of work. As such, there is a correlation between job design and job performance; job design and job satisfaction; job design and organizational commitment; and job design and physical and mental health. Once the job and tasks are defined, a detailed job description needs to be developed.

A job description will usually indicate the different tasks for which a potential employee will be responsible. Organizations are known to come up with job descriptions that provide a general standard for interested applicants. Organizations are also notorious for including the following sentence at the end of a job description: Employee may be asked to perform other duties as required. This significant sentence legally allows an employer to modify job descriptions at any time and without notice. The Occupational Information Network (or O*NET) is a useful website for learning about different jobs and the tasks associated with each job (www.onetonline.org). The following job description illustrates the tasks for which an Assistant Professor of Marketing is responsible.

Job Description Example

Assistant Professor of Marketing

Responsibilities: Teach general Marketing courses and/or concentration courses as appropriate per academic credentials, advise students, and serve on Department and University committees. The preferred candidates will be able to conduct research in their areas of expertise and/or related fields. Participate in the ongoing development of the curriculum. Continue professional development and scholarship in teaching areas, research and academic writing. Positions require teaching excellence and scholarly productivity. Employee may be asked to perform other duties as required.

It can be concluded from the brief job description above that a potential employee is responsible for researching (creative), performing other duties as required (adaptive), and teaching (routine) at the university. Task-based job performance has three general categories: creative, adaptive, and routine. The “CAR” acronym, can be used for recalling the task performance criteria.

Task Performance Criteria

Creative task performance is the degree to which employees develop and implement ideas that are both novel and useful. The reality is that creative task performance is playing a larger role in all jobs. For example, Google engineers can spend up to 20 percent of their time on a project of their choice because creativity is valued and encouraged by the organization. By the same token, the employees of 3M are allowed to use 15 percent of their time to think creatively. Both companies credit these unique programs as the source of their most successful products. In some professions (e.g., marketing or advertising), creative task performance is considered more important than any other task performance. Furthermore, professors are also encouraged to be creative and publish in prestigious academic journals. As a matter of fact, the example above illuminated the importance of a professor being able to publish. The classic saying, “publish or perish” holds true in academia. Imagine one-third of a professor’s job (or more) being dependent upon his or her ability to be creative and publish novel concepts. With globalization and competition, creative task performance will continue to play a major role in all jobs of the future.

Adaptive task performance requires an employee to be able to “adapt and overcome” novel or unusual situations. A case in point is when Chesley B. Sullenberger, the pilot of US Airways Flight 1549 (January 15, 2009), discovered his plane had lost power and he decided to land in the Hudson River. Captain Sullenberger’s heroic actions saved the lives of 150 passengers and crew. A different example (occurred on January 9, 2011) is when U.S. Representative Gabrielle Giffords was shot in Arizona and her aide (Daniel Hernandez Jr., who was only five days into his new job) came to her rescue and performed first-aid. Both examples elucidate adaptive task performances that are novel and unusual. All jobs have a component of adaptive task performance that can be extreme or insignificant.

Routine task performance is associated with being responsible for the same task each day with very minimal variety or change. A classic example of routine task performance would be an employee who works on an automobile assembly line. Each person who works on an automobile assembly line has a very specific job such as screwing on doors or bumpers. This “division of labor” concept is used in many organizations to help enhance productivity levels. For example, contemporary hospitals have been known to request radiologists to specialize and analyze specific digital images (e.g., CT scans, MRI scans, or mammograms) to help productivity, efficiency, accountability, and efficacy levels. In some situations, it makes more sense to divide work amongst a group of employees as opposed to having a group of employees working on the same tasks and doing double-work.

Drawing on the material in the background readings and doing additional research, please prepare a 3-5 page paper (not including the cover and reference pages) in which you:

Analyze your current occupation using the task performance criteria (CAR acronym).
Discuss how your job aligns with the task performance criteria (CAR acronym). Provide specific examples. What percent of your job focuses on creative, adaptive, and routine task performances? Discuss your findings.
Based upon the task performance criteria (CAR acronym), how can your job be changed to make it more meaningful?
Create a new job description for your current job that you could use to attract applicants.

Assignment Expectations

Your paper will be evaluated on the following points:

Precision – Does the paper address the question(s) or task(s)?
Clarity – Is the writing clear and the concepts articulated properly? Are paraphrasing and synthesis of concepts the primary means of response to the questions, or are excessive use of quotations how thoughts are conveyed? Are headings included in all papers greater than 2 pages?
Breadth – Is the full breadth of the subject addressed?
Depth – Does the paper address the topic in sufficient depth?
Grammar, spelling and vocabulary – Is the paper written well – is the grammar, spelling, and vocabulary suitable to graduate level work?
Referencing (citations and references) – Does the paper use citations and quotation marks when appropriate?
Critical thinking – Is the subject thought about critically, i.e., accuratel

What rules and regulations must be taken into consideration when making the decision?

workplace violence

WORKPLACE VIOLENCE

Assignment Overview

Betty Smith was recently hired as the Director of HR at Company XYZ. On her third day at work, the CEO called her in his office. He asked her to review the following terrifying timeline:

Date	Event/Location
September 25, 2014	A man fired from an Oklahoma food processing plant beheaded a woman with a knife and was attacking another worker when he was shot and wounded by a company official.
January 29, 2013	A gunman, 70-year old Arthur Douglas Harmon, allegedly shot and killed 48-year-old Steve Singer, CEO of the Scottsdale-based Fusion Contact Centers LLC, a call center company.
December 14, 2012	Adam Lanza killed 20 children and six adults at Sandy Hook Elementary School in Newtown, Connecticut.
December 11, 2012	Jacob Tyler Roberts, a masked gunman opened fire at Clackamas Town Center, a mall in suburban Portland, Oregon, killing two people, injuring one, and then killing himself.
July 20, 2012	James Eagan Holmes, dressed in tactical clothing, set off tear gas grenades and shot into the audience with multiple firearms, killing 12 people and injuring 58 others in Aurora, Colorado, during a midnight screening of the film The Dark Knight Rises.
April 2, 2012	Seven people were killed and three others wounded in a shooting rampage by 43-year-old One Goh at an Asian religious vocational school in east Oakland, California; police later detained the suspected gunman.
January 8, 2011	Jared Lee Loughner killed six people and injured more than a dozen others, including a congressional lawmaker, outside of a supermarket in Arizona.
February 12, 2010	Amy Bishop went on a shooting rampage during a faculty meeting at an Alabama university, killing three colleagues and wounding three others as a result of being denied tenure.
November 5, 2009	U.S. Army Major Nidal Malik Hasan is alleged to have killed 13 people after he went on a shooting spree at the busy U.S. military base in Texas.
April 16, 2007	Seung-Hui Cho killed 32 people and himself on Virginia Tech campus in Blacksburg, Virginia.
April 20, 1999	Students Eric Harris, 18, and Dylan Klebold, 17, opened fire at Columbine High School in Littleton, Colorado, killing 12 classmates and a teacher and wounding 26 others before killing themselves in the school’s library.
June 18, 1990	James Edward Pough shot people at random in a General Motors Acceptance Corp. office in Jacksonville, Florida, killing 10 and wounding four, before killing himself.
August 20, 1986	Pat Sherrill, 44, a postal worker who was about to be fired, shot 14 people at a post office in Edmond, Oklahoma.
July 18, 1984	James Oliver Huberty, an out-of-work security guard, killed 21 people in a McDonald’s restaurant in San Ysidro, California.

After reviewing the timeline, the CEO asks Betty what their organization can do to prevent such tragedies. After a brief conversation, the CEO mentions that the organization will be laying-off 10 employees in the next two weeks. The CEO asked her to think of some safety measures to be considered at their upcoming meeting with the entire management team.

Later that day, she receives an email from the CEO asking if it would be a good idea to bring his personal gun to work (for protection) and have it locked up in a safe. She is troubled and calls her friend who is a “Senior Professional in Human Resources (SPHR)” to help analyze this situation.

Case Study Questions

What questions would her SPHR friend ask Betty Smith?
Do you think it is a good idea for the CEO to bring a gun to work? Justify your response. Consider the Second Amendment.
Should there be covert “armed” employees at each organization that are carefully selected (after a thorough background check) by HR managers? Explain why or why not.
What are some issues with the traditional way of having an unarmed security guard sitting at the front desk?
What rules and regulations must be taken into consideration when making the decision? Interesting enough, Indiana is one of 13 states that signed into law a measure that bans employers from telling workers that they can’t have guns in their cars. Should all states consider such laws? Justify your response.

Case Assignment

Drawing on the material in the background readings and doing additional research, please prepare a 3- to 5-page paper (not including the cover and reference pages) in which you:

Address the five questions relating to the case study. It imperative that you use your critical thinking skills when addressing each question.

Assignment Expectations

Your paper will be evaluated on the following points:

Precision: Does the paper address the question(s) or task(s)?
Clarity: Is the writing clear and are the concepts articulated properly? Are responses made through paraphrasing and synthesis of concepts? (Or is there excessive use of quotations?) Are headings included in all papers longer than 2 pages?
Breadth: Is the full breadth of the subject addressed?
Depth: Does the paper address the topic in sufficient depth?
Grammar, spelling, and vocabulary: Is the paper well-written? Are the grammar, spelling, and vocabulary suitable to graduate-level work?
Referencing (citations and references): Does the paper use citations and quotation marks when appropriate?
Critical thinking: Is the subject thought about critically (i.e., accurately, logically, relevantly, and precisely)?

Should sexual education be abstinence only?

Persuasive essay on should sex education be taught in public schools? Should sexual education be abstinence only?

An outline for persuasive essay topic should sex education be taught in public schools? Should sexual education be abstinence only? Please use a visual organizer in a bullet form and integrate one of these sources, Douglas Kirby and J Barzelatto, Arthur Caplan and Emma Elliot .

What is the most likely value of the correlation coefficient of the data in the table?

distance, correlation, slope

Time (x) (minutes)	10	20	30	40
Distance (y) (miles)	4	8	12	15

Time (x)

(minutes)

Distance (y)

(miles)

Part A: What is the most likely value of the correlation coefficient of the data in the table? Based on the correlation coefficient, describe the relationship between time and distance traveled by the toy car. (4 points)

[Choose the value of correlation coefficient from 1, 0.99, 0.5, 0.02]

Part B: What is the value of the slope of the graph of distance versus time between 10 minutes and 30 minutes, and what does the slope represent? (3 points)

Part C: Does the data in the table represent correlation or causation? Explain your answer. (3 points)

How does your group plan to discuss diversity?

Communications Diversity paper

1. What is diversity?

2. What does divesity mean?

3. Select one Fortune 500 company and describe their diversity plan. In your Journal Prompt explain why you selected this company and share what you like and dislike about their diversity plan.

4. How does your group plan to discuss diversity?

5. Why is Group Diversity important?

Write essay in apa format, 2-3 pages answering questions above, I have attached the source as well as a sample paper for your use.

What interdepartmental communication channels will be used for plan implementation?

Milestone dos 2-5 pages about patient data privacy

Utilizing evidence-based literature and quality standards, propose an initiative that addresses your problem selected in Milestone One. If you chose a problem in

your workplace, be sure to utilize data from that healthcare organization; if you created a hypothetical healthcare organization, you may use a public domain

database with instructor permission. You will also implement your performance improvement initiative and discuss what success of the performance

improvement plan will look like after implementation. As this is a scholarly initiative, this assignment must adhere to all APA requirements and formatting, and

include peer-reviewed and evidence-based sources to support any and all claims. As you develop this final part of the assignment, consider the following

prompts to formulate your paper.

III. Performance Improvement Initiative

A. Propose an initiative that will address this problem within the department of your chosen healthcare organization. What specific relevant quality

standard will this quality initiative address?

B. Discuss the data determinants of success, as related to this initiative. In other words, what type of data will be indicative of a quality outcome?

IV. Implementation of the Plan in the Organization

A. What interdepartmental communication channels will be used for plan implementation?

B. What manner of data interpretation will be used to communicate the findings within the organization?

C. If this initiative was implemented, what do you believe would be the hypothetical effect(s) on patient care outcomes?

How will health

information systems support those improvements in patient care?

D. What do you think the hypothetical effect of the quality or performance initiative will be on the culture of safety within the organization?

It juice

Guidelines for Submission: This paper should be two to five pages in length, not includ

How do the personalities of workers, colleagues, managers, and subordinates impact your performance in, and experience of, the workplace?

paper

In the next phase, ruminate on what you learned in your interview—especially anything that helped you to gain a deeper insight into the topics you studied in the course—and write a research and reflection paper in which you draw upon learning shared with your instructor and colleagues, your individual learning, and knowledge you have gained from the interview to demonstrate a more in-depth understanding of the foundational principles of management. In your paper, go beyond recitation of memorized facts or regurgitation of information; strive to synthesize the most important topics of management (i.e., leadership, personality, motivation, decision-making, communication, and the importance of good management to yourself and to society) into a hybrid research and reflection paper.

Your paper should integrate responses to each of the following questions in a well-organized and coherent paper:

What leadership precepts did your interviewee impart to you (or what can you glean on the topic as a result of your interview), and how do those dovetail with one or more of the modern theories of leadership?
How do the personalities of workers, colleagues, managers, and subordinates impact your performance in, and experience of, the workplace? How do they interact with one or more leadership models to create the most effective work environment?
In light of your interview, the leadership model(s) you’ve discussed, and your own personality, what one or two tenets of motivation theory have you taken away from the course?
How do your understandings of motivation theories impact your conceptions of the best practices when it comes to making decisions and communicating at work?
Based on your interview and on learning from this course, what does it take to be an effective employee, a successful manager, and an exemplary citizen of society?

Your well-written paper should meet the following requirements:

8-10 pages in length
Formatted according to the Apa requirement s
Cite at least three scholarly sources, at least one of which is not provided in, or linked from, the course, to support your assertions and strengthen your arguments.