Diversion Program Research Paper

Week Eight Response to Jurgensen Michael, I chose the Clinical Nurse Leader (CNL) role in the emergency department (ED) for my project as well. However, the CNL facilitating the implementation of care for the ED boarded psychiatric patient is brilliant, and not something I had considered. Likewise, our ED boards psychiatric patients, frequently for numerous days prior obtaining inpatient placement for them. In various facilities a physician assistant (PA) assumes the responsibilities for establishing ED boarded psychiatric patient care, however, the CNL stands as a considerably superior individual to expedite care during the transitional period for the ED psychiatric patient boarding for extended periods (Jayaram, 2006).

D: Client was on time for intake appointment. Together, discussed the assessment recommendation and barriers to successful treatment outcomes. Client reviewed and signed of all treatment admission paperwork, including treatment agreement, ROIs, THS treatment policies, THS alcohol drug Services patient rights, THS patient responsibilities, THS health and safety information, THS counselor disclosure information, patient grievance procedures, THS HIV/AIDS information, THS notice of privacy practices, referral to Quit smoking, and marijuana policy. Treatment plan was developed, which was focused on Dim 4, 5, and 6; focusing on developing readiness to change, identifying relapse potential, and building a strong family and social support system.

Moreover, caseworker help recovered addicts go back to school, find housing, resolve their troubles with the law and find jobs. The detox department makes sure staff members understand first, and believe in their mission statement, which is; at Dimock they believe every life is precious. Most people believe that their regulations are strict; nonetheless it helps these individuals to avoid relapses and save their lives. I was told that regardless of all the security put in place, most the patients find ways to sneak in illegal drugs while in rehabilitation. One the many challenges they have is keeping the staffs and also the patients safe because some the patients’ symptoms become difficult to manage.

a. This portfolio shows the educational journey through the BSN program at Western Governors University(WGU). The curriculum at WGU was very challenging, nonetheless it prepared me to become a safe and effective nurse. The BSN curriculum provided avenues to keep me up to date with safe practices and learn how to master therapeutic communication. WGU also helped me sharpen my critical thinking skills in order to make decisions quickly and provide safe and effective care to patients. As the result of my training, I am ready to embark in the field of nursing and do my best to make a difference in my patients lives.

Ivy Tech Community College School of Nursing NRSG 128 Practice Issues for the Practical Nurse Discussion Rubric Name: ___Jasmine Liubakka___________ Date: _________10-27-15_______________ Topic of Discussion: Should the impaired nurse be allowed to return to work? Position on Topic: (1) Points ________________ Yes, I feel that as long as the nurse participates in a program that includes requirements of regular attendance at support group meetings, personal and active involvement with a 12-step sponsor, and close contact with a case manager or monitor of an alternative program, she should be allowed to return to work.

Even after having their lives turned upside down by the constant use and abuse of drugs and/or alcohol, the biggest challenge facing the people who want to break the cycle of addiction is admitting they have an illness. Once that hurdle is cleared, help is always available, though a good deal of effort should be put into finding the right rehabilitation center to begin the recovery process. If you live in the Northeastern part of Louisiana and need addiction treatment, you might be better served to temporarily relocate to one of several smaller communities in the area that have rehab centers. Depending on your circumstances or perhaps the circumstances of a loved one, the city of Tallulah might warrant consideration. With a population of just

In the New York Correctional Association’s 2005 report, is was brought to attention that 6.5 full time registered nurses out of the suggested 28.5 positions were not filled. There is also 3.0 full time licensed practical nurses out of 4.0 suggested positions left unfilled. The 23% vacancy of RN’s and 75% vacancy of LPN’s is a large part of why the medical services are falling short (“Fishkill Correctional Facility”, 2005). The nurses that are available are scheduled for extensive overtime, to the point that it is interfering with their family life. This also causes certain patients needs to not be met.

During this term an individual has a number of conditions to follow, in order to be successful in the program. These conditions include, that the probationer contact the Gateway call center to obtain a referral into available programs. The probationer is also to register as a drugs narcotics offender. In addition, they are to enroll in pre-trial services, which conducts drug testing two or more times a month. Further, they are obliged to contact the Department of Revenue, so that they can set up a payment plan.

For the last six years, I have been working in the substance abuse industry in both inpatient and outpatient settings. It would be fair to say that most people that are in need of substance abuse treatment have a co-occurring disorder such as depression, bipolar disorder, schizophrenia, and anxiety. These people are diagnosed by a psychiatrist or medical doctor and are typically given medication to help the patient. However, the problem can be that if a person sees a psychiatrist and is not honest about their substance abuse history the mental diagnosis can be deceiving.

Nursing Bedside Reporting, Patient Safety, And Satisfaction Scores The American Nurses Association estimates that up to 80% of serious medical errors involve miscommunication between caregivers when patients are transferred or handed off during shift report (ANA 2012). In the nursing profession change of shifts require the successful transfer of information from nurse to nurse to prevent medical errors and adverse events (Sullivan, 2010). Research shows that when patients are included and engaged in their health care there is greater potential to lead to measurable improvements in safety and quality of care.

Triggers, warning signs, and crisis planning are the components of the process, and require interdisciplinary work from the patient, nurse, doctor, counselor and other support staff. As with every human being, stress is a normal part of life. How we cope with those stressors is the difference between mental illness and mental wellness. With patients with substance-abuse issues, their coping mechanism is their substance of choice. So it is important to identify those stressors early on, identify early warning signs, look for inevitable situations where the patient feels like everything is falling apart, and most of all, prevent them from using.

Self-Regulation and the New Registered Nurse Introduction The nursing profession has been self-regulating in Ontario since 1963. Self-regulation is a privilege granted to professions that have shown they can put the interest of the public ahead of their own professional interests. It recognizes that Ontario’s nurses have the knowledge and expertise to regulate themselves as individual practitioners and to regulate their profession through the college (“What is CNO?”, 2018). Proactive self-regulation involves establishing learning goals, strategies to address goals, monitor progress of goals, creation of environments conducive to learning, and maintenance of self-efficacy (Zimmerman & Schunk, 2011).

There are out patient and in patient programs that are controlled by the offender with how much they are involved or not as reported to the drug court (Wormer, Persson,

Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,

Also, these people are judged quickly and written off as a loss cause, helpless or addicts. Identifying vulnerable populations and risk groups are part of the a nurses role we are responsible for an advocate on their behalf, collaborating with case managers, social workers, etc. for referrals meditation and resources. However, as a healthcare worker, we can do our part continue to advocate; often this group returns to what they know, but that is not a reason to give up and stop being a