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Response Plan

Instructions : Deliverables: Submit three Response Plans to complete this assessment.

Use the 3 Intervention Scenarios

For each scenario, develop a separate Response Plan in the form of a 1–2 page outline.

Label each outline using the example below:

Example: Response Plan for School Nurse.

Analyze each Intervention Scenario and describe the leadership, communication, and management strategies you believe would be most effective for each situation. 

Scenario One: Inpatient nephrology unit

You are the new nurse manager for a busy nephrology medical/surgical unit in a large university medical center. The renal physicians have complained that daily weights and intake/output records are not being completed. This lack of documentation affects the patient’s plan of care and is resulting in an increased length of stay for the unit. The night-shift nurses think the day-shift nurses need to do the daily weights since they have more staffing. The day-shift nurses think the night-shift needs to do the weights since breakfast arrives during report most days. No one is consistently recording the intake/output records. How will you handle this problem?

National Kidney Foundation: Clinical Practice Guidelines.

Scenario Two: Outpatient chest pain/stroke unit

You have just been promoted to the nurse manager position in a 12-bed chest pain/stroke outpatient center. The hospital is at 18 months of the 36-month Joint Commission accreditation cycle, so you are expecting a survey sometime within the next 18 months. You are reviewing the Joint Commission Core Measures for Outpatient Departments.

You discover an issue with the administration of aspirin on arrival for the chest pain/acute MI patients not being documented 50 percent of the time. Also, the time to CT scan for ruling out acute ischemic stroke patient is 75 minutes, which is 30 minutes above benchmark time of 45 minutes. Who needs to be involved in examining these processes in order to improve compliance prior to the survey? Would you develop one team to work on both issues or two teams so that each works on one issue? Why?

Scenario Three: School nurse

You are the only school nurse in a high school (grades 10, 11, and 12). The school is located in a small rural conservative town. There has been a 15 percent increase in students contracting sexually transmitted diseases and three girls in the junior class are pregnant. The community insists that the area schools only teach abstinence to the students. The school board does not want to anger the parents. While you respect the culture of the town, you realize this is a huge community health problem. Where do you start to address this issue?

CDC: Adolescent and School Health; Sexual Risk Behaviors.

Use the following subheadings to organize your Response Plan outline for each situation.

Change Theory: Explain concepts of change theory and how it can be used as a tool to manage situations.

Identify elements of change theory that fit best with the scenario.

How can you use change theory to deal with conflict?

Strategies and Rationale: Describe an effective leadership style you would employ to address a problem.

Explain the rationale for choosing a leadership strategy to solve a problem.

Identify interventions to address the problem.

Expected Outcome: Describe how outcomes or success of the style selected for each situation could be measured.

Describe how you could determine improved outcomes or measure success of the leadership style selected for each situation.

What might go wrong and how would you deal with that?

Professional Standards: Explain how professional and legal standards guide the effective nurse leader when making decisions.

Response Plan
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