Today, airlines are struggling to stay in business and they look to cut down on costs wherever possible. Fewer flights are being scheduled, airplanes are more crowded, and airlines are overbooking flights. Many times passengers are left without seats, and frequent flyers regularly chose to give up their seats and delay their departures in exchange for free ticket vouchers. Also, passengers are being bumped from flights involuntarily more often. The purpose of overbooking is not to leave passengers without seats, but to compensate for the millions of no-shows that decrease the amount of expected revenue.

This week for your discussion, conduct further research on this issue and please comment on the following:

• Do you feel that the decision support system utilized by airlines to overbook flights is working well?
• Answer from the viewpoint of the airline.
• Then answer from the viewpoint of the customer.
• What organization, people, and technology factors are responsible for excessive bumping issues?

I just need an very simple answer…

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Topic Narcotic Violation

Ethical Perspectives: Based on your research and the connections you made between your topic and biological concepts and processes, provide an overview of the current ethical perspectives, viewpoints, and legislative actions related to your topic

. For example, are there methods in place for regulating or testing your topic? How does the general population or the media view this topic? Are there multiple sides of a debate that have formed around this topic?

B. Positive-Negative Balance: Based on your research and the connections you made between your topic and biological concepts and processes, are the negative aspects of your topic balanced by positive outcomes? Why or why not? Support your response with real-world examples.

C. Personal Impact: Based on your research and the connections you made between your topic and biological concepts and processes, how can individuals make changes in their own lives to lessen the negative impacts or promote the application of the positive outcomes of this topic? Support your response with real-world examples.

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Date: ________ Student Name: _______________________ Clinical Site:____________________________________

Clinical Site Instructor:___________________________________ __________________________________________

Room #_405_________Client Initials: ____SR___ ____Client age: ____52 years_______  Gender: ___Male_______

Allergies: Diphenhydramine______________________________ Code Status: ___Full code______________ ________________

Diet/Nutrition: _________Regular___________________ Activity: _______________________________ Fall Risk: Yes / No Yes (High fall risk)

Use of (type/amount/frequency): Alcohol: ___________________ Tobacco (pack years): ________________________

Treatments: _______________________________ IV/Tubes/Ostomies: ______________________________________

Dressings/Wounds: (type & location) _Shoulder-healing, Back-Tegaderm and clear absorbent.__________________________________________________________________

Oxygen: (delivery method & amount) ____N/A___________________________ Dialysis: ______N/A_____________________

LAB RESULTS: (minimum of 2 labs) Why is this lab significant for this client’s condition? Write down ABNORMAL lab results and include what the NURSE needs to monitor for or do related to the abnormal lab result under the significance column. ONLY USE ABNORMAL LAB RESULTS QSEN: Informatics, Safety SLO: 3, 8

Date  Test Normal Value Client Value Significance 

7/24 Sodium____135-145_   132

7/25 Hemoglobin 14-18    9.4 __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

LABS

Look at the 2 labs you looked up for this week. For each of the labs look up what body system or system(s) it tells you about, what does an elevated level mean, and what does a low level mean. Also, are there any special considerations or client education regarding prepping the client for the test? (example: fasting for 6 hours, etc.) QSEN: Informatics, Safety SLO: 3, 8

Lab Test#1: __Sodium 135-145_______________Systems affects: ______________________________________________

Elevated level: _____________________________________________________________________________

Low level: _132___________________________________________________________________________

Lab Test #2: _Hemoglobin 14-18_________________Systems affects: ______________________________________________

Elevated level: _____________________________________________________________________________

Low level: 9.4_______________________________________________________________________________

Date: ____________ Client Initials: _SR_____ Student Name: ___________________________­­­­____________________

Medical Diagnosis(s): (found in paper chart)

Admitting/Primary: Motor Vehicle Accident

____________________________________   ______________________________________

Medical History (includes medical and surgical)

Acute post hemorrhagic anemia _____________________________________

Alcohol abuse ___________________________________  _____________

PTSD____________________________________

Adjustment disorder with other symptoms___________________________________ ____

Traumatic ischemia of muscle__________________________________ ______________________________________

__________________________________ ______________________________________

____________________________________ ______________________________________

____________________________________ ______________________________________

End of Shift Report or SBAR: QSEN: Informatics, Team-Work Collaboration SLO: 3

DATE

TIME

Date: ____________ Client Initials: ______ Student Name: _______________________________________­­­­_________

PRN Medication List (found in paper chart) QSEN: Safety, Evidence Based Practice. SLO: 2, 4

Medication

(Include dose, time, route, & Frequency)

Classification

Indication for use

OxyCODONE   (Immediate release) 5mg tablet-10mg PO

Ibuprofen 400mg tablet PO q6h

Medication Data Sheet

Date: ____________ Client Initials: ______ Student Name: ___________________________­­­­________________________

(Scheduled medications to be given to your client during your clinical shift) QSEN: Safety, Evidence Based Practice. SLO: 2, 4

Drug Name, Dose, Route   & schedule

Drug Classification,   Expected action & indication for use

Side Effects/ Adverse   Reactions

(List 3-5)

Medication/Food   Interactions

(List 3-5)

Nursing Administration   Considerations & Assessments

(List 3-5)

Client education &   Evaluation of Medication Effectiveness

(List 3-5)

Mirtazapine 7.5mg PO at HS

Nicotine 21mg/24hr Patch   Transdermal

Gabapentin 100mg capsule PO

Methocarbamol 500mg   tablet-1000mg PO

Enoxaparin 40mg/0.4ml   injection 40mg subcutaneous

Melatonin 3mg tablet PO at   HS

Date: ____________ Client Initials: ______ Student Name: _______________________________________­­­­_________

Patient________________________ Room:__________ Hallway:_____________

Nurse: ____________________________ NA: _________________________

Temp

Oral/Tympanic

HR

Regular/ Irregular

BP

Laying/Sitting/Standing Right/left

Resp.

O2 %

Room Air/ Oxygen _____L

Pain

Location: Description:

Pain Intervention:

Edema:

Location:__________________ Degree:________________ pitting/non-pitting

Lung sounds:

Right_______________________  Left_________________________

Cough?_____________________ SOB?__________________________

Bowel Sounds_________________________________________

Date of Last BM______________

Trach: 

Times Suctioned: Type of Trach suction: In-Line / Sterile

Vent Settings:

RR TV HA LA PEEP Mode

LMV Sensitivity Insp Time FiO2 O2  L

Keep O2 above %

Treatments Done?

Foot care Done?

PATHOPHYSIOLOGY: For each diagnosis below, provide a 3-5 sentence explanation of the pathophysiology of the problem. (**we count sentences**) QSEN: Evidence Based Practice, Informatics, Client Centered Care. SLO: 1, 2, 4

1. Primary Diagnosis: Open displaced fracture of pelvis

(3-5 sentences)

Treatments: (3 minimum)

Potential complications: (3 minimum)

Potential Nursing Diagnosis (2 minimum)

Potential Nursing Interventions: (2 minimum)

2. Diagnosis: Alcohol dependence with withdrawal

(3-5 sentences)

Treatments: (3 minimum)

Potential complications: (3 minimum)

Potential Nursing Diagnosis (2 minimum)

Potential Nursing Interventions: (2 minimum)

3. Diagnosis: Closed fracture of multiple ribs of left side

(3-5 sentences)

Treatments: (3 minimum) 

Potential complications: (3 minimum)

Potential Nursing Diagnosis (2 minimum)

Potential Nursing Interventions: (2 minimum)

4. Diagnosis: Closed fracture of transverse process of lumber vertebra

(3-5 sentences)

Treatments: (3 minimum)

Potential complications: (3 minimum)

Potential Nursing Diagnosis (2 minimum)

Potential Nursing Interventions: (2 minimum)

5. Diagnosis: Acute blood loss anemia 

(3-5 sentences)

Treatments: (3 minimum)

Potential complications: (3 minimum)

Potential Nursing Diagnosis (2 minimum)

Potential Nursing Interventions: (2 minimum)

6. Diagnosis: Respiratory failure

(3-5 sentences)

Treatments: (3 minimum)

Potential complications: (3 minimum)

Potential Nursing Diagnosis (2 minimum)

Potential Nursing Interventions: (2 minimum)

7. Diagnosis: Acute pain due to trauma

(3-5 sentences)

Treatments: (3 minimum)

Potential complications: (3 minimum)

Potential Nursing Diagnosis (2 minimum)

Potential Nursing Interventions: (2 minimum)

8. Diagnosis: Transection of urethra

(3-5 sentences)

Treatments: (3 minimum)

Potential complications: (3 minimum)

Potential Nursing Diagnosis (2 minimum)

Potential Nursing Interventions: (2 minimum)

Student evaluation of clinical performance:

Please describe any procedures/skills you performed/ observed during the clinical experience. Also, include your assessment of how well the day went.

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