We can work on Compliant and non-compliant from the TJC list

This task is the longest and has two distinct areas for us to work on. The first area an overall review where we discuss what we did right and give a little scope to what we need to correct to a lesser extent. The second area is staffing issues. These may be new areas for some of you but actually it will be simpler than you think. You will need the artifacts from task 4 assessment area

  1. List all 18 compliant and non-compliant from the TJC list using the FSA sheet (I can send the list, or you can simply take it from the slides or the TJC site itself) Missing one of the 18 is the most common error remember the UP is part of the NPSG Leadership and Nursing are two separate EP Types).
  2. List all compliant EP’s again and say why each is important in a sentence or two.
  3. List one EP that is non-compliant and what we did wrong from the FSA sheet. This gives upper management an idea of the scope of the issues and lets them know that it is fixable.
  4. You will then choose two reports from the compressed files. My lecture I do Fire Drills and the Pain Management in the ER for instance. Here we look at poor performance over the course of several months.
  5. You are now ready to change gears and go into staffing, discuss what you see in the graphs, related to staffing patterns for 3E, 4E, and ICU when comparing ulcers and falls.
  6. Do you see any strong correlation between man hours and falls on 3E and ICU. If you think these falls are caused by manpower issues say so, if these falls are independent of staffing, then discuss briefly that the number of falls though not large there is room for improvement.

Sample Solution

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Somerset’s misguided focus on his foreign policy enabled domestic tension to evolve which threatened state stability and thus pushed England into a state of ‘crisis’. Williams (1995) asserts that Somerset’s “policy had cost an immense sum… [yet] achieved nothing at all.” Williams assertion is supported by Sir William Paget‘s letter to the Duke; warning Somerset of the confusion and chaos that had been created by his policies. Paget explains that as a result of English victory at the Battle of Pinkie (1547), which was precipitated by Somerset, “Scotland” was left “desir[ing] revenge” whilst “France [saw] a most propitious time to fall out with [Somerset] and ally with Scotland.” Despite creating the conditions to start a war, Somerset appeared “ready to have the Emperor [Charles V] to fall out with [him]”. Indeed, the Scottish Council had offered a marriage union between Mary Queen of Scots and Henry II’s son in exchange for further French aid. Additionally, Somerset’s failure to negotiate an Anglo-Scottish union, through the marriage of Edward VI and Mary Queen of Scots, only resulted in alienating Charles V. Thus, the source reliably conveys that Somerset’s foreign policy was misguided, suggesting Williams view is convincing as Somerset switched between aggression and negotiation yet “achieving nothing” positive. The source further supports Williams view as Somerset’s policy had quite literally spent an “immense sum” to fund his war with Scotland, spending £580,000 in his war with Scotland, debasing the coinage to fund the war which exacerbated inflation, and debased the coinage to fund the garrisons in the Firth of Tay (also exacerbating inflation). Thus Paget’s claim that Somerset had left England “in beggary, in debt” is also reliable. One should also recognise the significance of Paget himself writing such a letter to Somerset. Sir William Paget was one of the few major politicians who rose to power under Henry VIII, who in 1543 was appointed one of the two principal secretaries of state, and became comptroller of the household in 1547 under Edward VI’s reign. Furthermore, Paget was a personal friend of Somerset’s, playing an important role in the establishment of Somerset’s protectorate, and had written the letter on the night of Christmas. Therefore, Paget’s letter is a very useful source with regards to understanding how damaging Somerset’s foreign policy was, as even his close friend, who was knowledgeable in foreign affairs and management of the country, felt compelled to warn his superior at a time of celebration. Consequently, Somerset’s protectorate period can be labelled a ‘crisis’ as the Duke proved to be an incompetent leader, pur>

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