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Read pages 4-39. Response to Writing Prompts: 1. What did you learn about Kierkegaard that you found interesting? 2.

Read pages 4-39. Response to Writing Prompts:
1. What did you learn about Kierkegaard that you found interesting?
2. You can choose one of these, so choose whichever you’re comfortable responding to. Number one is, what do you think of this understanding of the stages of life? Or the second possibility Have you ever had an experience of anxiety as Kierkegaard describes it?
3. Can you think of some things that we would be reluctant to do if we didn’t have faith in other people?
4. Kierkegaard claims that we inescapably live by faith. What do you make of this claim and why?

Everything must be in a question

B. Discuss the impact of a clinical practice problem on the patient

B.  Discuss the impact of a clinical practice problem on the patient or patients and the organization it affects.

1.  Identify each of the following PICO components of the clinical practice problem:

•   P: patient, population, or problem

•   I: intervention

•   C: comparison

•   O: outcome

2.  Develop an evidence-based practice (EBP) question based on the clinical practice problem discussed in part B and the PICO components identified in part B1.

Note: Refer to the “Appendix B: Question Development Tool” web link for information on the creation of an EBP question.

C.  Select a research-based article that answers your EBP question from part B2 to conduct an evidence appraisal.

Note: The article you select should not be more than five years old.

1.  Discuss the background or introduction (i.e., the purpose) of the research-based article.

2.  Describe the research methodology used in the research-based article.

3.  Identify the level of evidence for the research-based article using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model.

Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to level a research-based article.

4.  Summarize how the researcher analyzed the data in the research-based article.

5.  Summarize the ethical considerations of the research-based article. If none are present, explain why.

6.  Identify the quality rating of the research-based article according to the JHNEBP model.

Note: Refer to the “Appendix E: Research Evidence Appraisal Tool” web link for information on how to establish the quality rating.

7.  Analyze the results or conclusions of the research-based article.

a.  Explain how the article helps answer your EBP question.

D.  Select a non-research-based article from a peer-reviewed journal that helps to answer your EBP question from part B2 to conduct an evidence appraisal.

Note: The article you select should not be more than five years old.

1.  Discuss the background or introduction (i.e., the purpose) of the non-research-based article.

2.  Describe the type of evidence (e.g., case study, quality improvement project, clinical practice guideline) used in the non-research-based article.

3.  Identify the level of evidence in the non-research-based article using the JHNEBP model.

Note: Refer to the “Appendix F: Non-Research Evidence Appraisal Tool” web link for information on how to level the non-research-based article.

4.  Identify the quality rating of the non-research-based article according to the JHNEBP model.

5.  Discuss how the author’s recommendations in the non-research-based article help answer your EBP question.

E.  Recommend a practice change that addresses your EBP question using both the research-based and non-research-based articles you selected for part C and part D.

1.  Explain how you would involve three key stakeholders in supporting the practice change recommendation.

2.  Discuss one specific barrier you may encounter when implementing the practice change recommendation. 

3.  Identify one strategy that could be used to overcome the barrier discussed in part E2.

4.  Identify one outcome (the O component in PICO) from your EBP question that can be used to measure the recommended practice change.

F.  Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

G.  Demonstrate professional communication in the content and presentation of your submission.

Pharmacy Sterile and Nonsterile Compounding # Hazardous and Nonsterile Compounding and Pharmacy

Read pages 4-39. Response to Writing Prompts: 1. What did you learn about Kierkegaard that you found interesting? 2. Philosophy Assignment Help Pharmacy Sterile and Nonsterile Compounding

# Hazardous and Nonsterile Compounding and Pharmacy Management

Question 1 (5 points)

 

Verifying the proper interval for a drug’s infusion is an example of

Question 1 options:

A) 

right time.

B) 

right strength.

C) 

right route.

D) 

right meditation.

Question 2 (5 points)

 

When compounding a nonsterile or sterile hazardous drug (HD) preparation, USP chapter ___ guidelines must be followed.

Question 2 options:

A) 

B) 

C) 

D) 

Question 3 (5 points)

 

Which of the following USP chapters identifies environment controls, training, techniques, and documentation for preparing radiopharmaceuticals aseptically?

Question 3 options:

A) 

B) 

C) 

D) 

Question 4 (5 points)

 

Which of the following medications is listed on the National Institute for Occupational Safety and Health (NIOSH) hazardous drug list?

Question 4 options:

A) 

Ondansetron

B) 

Cefuroxime

C) 

Dexmedetomidine

D) 

Fosphenytoin

Question 5 (5 points)

 

The walls, ceiling, and storage shelving where radiopharmaceuticals are prepared or stored should be cleaned and disinfected

Question 5 options:

A) 

weekly.

B) 

daily.

C) 

monthly.

D) 

bi-weekly.

Question 6 (5 points)

 

When wearing double gloves, you’ll need to

Question 6 options:

A) 

tuck both gloves under the gown sleeve.

B) 

wash the outer glove immediately if it’s contaminated.

C) 

tuck the gown sleeve in the inner gloves.

D) 

tuck the inner glove under the gown sleeve and the outer glove over.

Question 7 (5 points)

 

Along with a quality assurance program, ___ should be in place to ensure that personnel are trained.

Question 7 options:

A) 

SOPs

B) 

CSPs

C) 

ISOs

D) 

USPs

Question 8 (5 points)

 

Which of the following situations allows for pre-planning, but will also require additional stocking and ordering ahead of medications and supplies?

Question 8 options:

A) 

Wildfire

B) 

Tornado

C) 

Radiological or chemical exposure

D) 

Hurricane

Question 9 (5 points)

 

You’re compounding a CSP with a hazardous drug (HD). You must change your chemotherapy gloves at least every ___

Question 9 options:

A) 

30 minutes.

B) 

15 minutes.

C) 

2 hours.

D) 

60 minutes.

Question 10 (5 points)

 

Cleaning and disinfecting the PEC where radiopharmaceuticals are prepared should be performed

Question 10 options:

A) 

weekly.

B) 

bi-weekly.

C) 

daily.

D) 

monthly.

Question 11 (5 points)

 

Where is the number of dosages indicated for a radiopharmaceutical?

Question 11 options:

A) 

On the outer shield or label

B) 

On the inner label

C) 

This information isn’t indicated for radiopharmaceuticals.

D) 

On both the outer and inner labels

Question 12 (5 points)

 

The IV line should be flushed with which of the following?

Question 12 options:

A) 

Sterile water

B) 

Heparin

C) 

Enoxaparin

D) 

Warfarin

Question 13 (5 points)

 

A ___ is a measurement of radioactivity present in a container.

Question 13 options:

A) 

kit

B) 

radio assay

C) 

hot-cell

D) 

hot lab

Question 14 (5 points)

 

You’re to prepare the following vancomycin IVs: 750 mg— 2, 1250 mg— 2, and 1500 mg. Your pharmacy has in stock 500 mg ($40.23 each), 1-g ($54.02 each), and 5-g ($137.77 each) vials. All have a 50 mg/1 mL concentration. Which of the following combinations should you use so that there’s little to no waste while still maintaining good inventory practices?

Question 14 options:

A) 

5 vials of the 1-g vial and 1 vial of the 500 mg vial

B) 

1 vial of the 500 mg and 1 vial of the 5-g vial

C) 

11 vials of the 500 mg vial

D) 

2 vials of the 5-g vial

Question 15 (5 points)

 

A ___ is a non-classified radiopharmaceutical processing area without a PEC.

Question 15 options:

A) 

kit

B) 

radio assay

C) 

hot lab

D) 

hot cell

Question 16 (5 points)

 

Radiopharmaceuticals should be compounded in which of the following environments?

Question 16 options:

A) 

ISO Class 8

B) 

ISO Class 5

C) 

ISO Class 7

D) 

ISO Class 9

Question 17 (5 points)

 

When a medication is being administered, the time of service which can be billed to a third party includes

Question 17 options:

A) 

the time it takes to administer the infusion.

B) 

the time it takes to prepare the infusion and administer the infusion.

C) 

the time the patient is in the prescriber’s office, the time it takes to prepare the infusion, and the time it takes to administer the infusion.

D) 

the time it takes to prepare the infusion, administer it, and consult with the patient about the infusion.

Question 18 (5 points)

 

The beyond-use date (BUD) begins

Question 18 options:

A) 

at the start of the preparation.

B) 

at the time of administration to the patient.

C) 

as soon as the preparation is checked.

D) 

once the preparation is delivered to the nurse.

Question 19 (5 points)

 

If the time it takes for the infusion to be administered is 15 minutes or less, it can be billed for an

Question 19 options:

A) 

IV infusion.

B) 

epidural infusion.

C) 

IVP.

D) 

IM injection.

Question 20 (5 points)

 

To reduce the risk of respiratory exposure, a(n) ___ must be worn during deactivation, decontamination, compounding, or unpacking of hazardous drugs (HD).

Question 20 options:

A) 

ISO 5 fitted mask

B) 

surgical mask

C) 

N-95 fitted mask

D) 

face shield

Research the main stakeholders in the health care policy development process. Select

Research the main stakeholders in the health care policy development process.

Select one of the main stakeholders at the government level (federal or state), a professional organization, or an interest group.

Write a 525- to 700-word paper that details the importance and impact this stakeholder has on the policy development process. Your paper must be specific to the one stakeholder you select. Include the following in your paper:

Identify your chosen stakeholder and their level in the policy development process.

Describe that stakeholder’s role in the policy development process.

Describe why your chosen stakeholder is important in the policy development process.

Describe the impact your selected stakeholder has on the policy development process.

Cite at least 2 reputable references. Reputable references include trade or industry publications, government or agency websites, scholarly works, a textbook, or other sources of similar quality.

Format your assignment according to APA guidelines.

Health Care Fragmentation The United States health care industry is fragmented (focusing

Health Care Fragmentation

The United States health care industry is fragmented (focusing and acting on the parts without adequately appreciating their relation to the evolving whole). In health care, this concept involves multiple decision-makers making uncoordinated health care decisions for each patient. For example, think about a patient with atrial fibrillation, Type-2 Diabetes, and back pain related to arthritis. The patient sees a cardiologist, a primary care doctor, and a rheumatologist specialist for each respective problem. Each of these three care providers most likely recommends specific treatments for their specialty without consulting the other two physicians. The result is an individual treatment plan from each physician.

Use the MTSU library to research information to accomplish the following tasks:

Define the concept of fragmentation in the United States health care industry and provide an example

Discuss the potential impact on patients

Discuss one potential remedy for fragmentation from the patient perspective. Your proposal must be supported with evidence

Prepare a Microsoft Word document with content to fulfill the requirements above.

Your document must:

Include a title page with document title, your name, class, and current date

Include three sections with headings for:

Fragmentation Definition & Example

Impact on Patients

Potential Remedy

Use the APA citation format for your document and cite all material used.

Suggestion: You can use the MTSU Library JEWL Search functionality to find information. I suggest your first search term be “health care fragmentation.” You can then branch out from that term.

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