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CHSU COMPETENCY ASSIGNMENT
Patient Advocacy (Advocate)
_______________________________________________________________________________
COMPETENCY ASSIGNMENT (CA)
Competency assignments reveal competency in areas of efficiency aligned to PLOs. CAs are backwards designed to create proof of competency for the focused studying outcomes. CAs should be OBJECTIVE measures of INDIVIDUAL efficiency (sometimes by rubric or guidelines) with affordable inter-rater reliability. CAs ought to align to PLO rubrics and indicators (the rows inside the PLO rubric) however could add extra context and focus related to the course. Every course sometimes has one to 2 competency assignments.
Description Desk:
CA
CA Description
Design for PLO
Analysis Instrument
Publish-Mortem Case
Essay on Publish-Mortem Case
PLO Patient Advocacy (Advocate)
Modified AACU Inquiry and Assessment Rubric
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PLO KSM Desk
PLO Patient Advocacy (Advocate)
Programs
Listing the programs right here
Patient Self-Care (S1)
Patient Care I (S3)
Patient Care II (S4)
Patient Care III (S5)
Listing the programs right here
Superior Patient Assessment (S3)
Listing the programs right here
Superior Patient Assessment (S3)
P3 OSCEs (S6)
Pharmacy Regulation (S6)
KSM
Introduce/Expertise
Observe/Motion
Competency
Information
PC I – III:
RATs/Block Exams
ADVANCED PATIENT ASSESSMENT:
APPs on Recognition of Advocacy Problem
ADVANCED PATIENT ASSESSMENT:
Closing Simulation/SOAP Word/Rubric
P3 OSCEs:
St 5: Weak Patient Populations (ADVOCATE)
PHARMACY LAW:
Essay – Publish-Mortem Case
Expertise
PATIENT SELF-CARE:
Counseling Simulation
Motivational Interviewing Ability Set
PC I: Counseling
PC II: APPs
PC III: P&T Presentation on Formulary
ADVANCED PATIENT ASSESSMENT:
Preliminary Simulation/SOAP Word
Mindset
FULL DESCRIPTION OF THE ASSIGNMENT AND EXPECTATIONS
You concentrate on forensic Assessment and see your self because the affected person’s advocate even in dying. A regulation agency contacted you regarding the sudden dying of a hospital affected person. The agency is creating a case in opposition to Therapeutic Arts Medical Middle on behalf of the affected person’s household. You might be serving as a part of the claimant’s aspect and you’re tasked with offering a report of your skilled Assessment of the affected person’s care and proposals for modifications.
FULL CA INSTRUCTIONS FOR STUDENTS:
You’ll consider the medical data obtained from the case narrative. Your report will describe the sequence of occasions throughout the hospital keep. Use the PICO Mannequin to make sure you embrace all related data. The report will conclude together with your skilled suggestions to forestall this state of affairs from repeating, and methods on disclosing errors to sufferers and dying to their members of the family.
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The PICO Mannequin of Evaluate
The PICO Mannequin will enable you embrace all related data as you describe the sequence of occasions throughout the hospital keep.
P = Patient or Inhabitants
• Describe the affected person.
• Why was the affected person admitted?
• What was the remedy pathway for this case?
I = Intervention
• What was the group treating with every medicine featured within the case?
• What kinds of medicine and non-medication remedy choices got?
• What kind of prognosis do sufferers have when admitted with comparable circumstances?
C = Comparability
• How does the intervention and remedy plan described right here evaluate to the rules and proof on treating this situation?
• What, if something, may have been achieved in a different way?
O = Final result
• What did the intervention hope to perform, measure, enhance, or have an effect on (i.e., the therapeutic aim)?
• How did the therapeutic objectives change?
Suggestions
The report will conclude together with your skilled suggestions to forestall this state of affairs from repeating and methods on disclosing errors and deaths to sufferers and their members of the family.
• What data, not included within the case narrative, would you like and clarify how you utilize this data?
• What could possibly be improved, measured, or modified at Therapeutic Arts Medical Middle to Help stop this state of affairs from repeating sooner or later?
• What kind of labor setting and tradition is important for this incident to develop into a studying expertise at Therapeutic Arts Medical Middle?
• What are the present “finest practices” for healthcare organizations disclosing medical errors to sufferers and dying to their members of the family?
Assessment TOOL (RUBRIC(s) and INSTRUCTIONS:
• Every pupil should obtain 80% on this project to reveal competency.
• The paper must be higher than two pages and not more than 4 pages.
• You should utilize 1-inch margins on all 4 sides, normal portrait paper, double spaced, 12 pt. font, and use a sans-serif font (e.g., arial, caliibri, tahoma, however not comedian sans).
• An project add will probably be made obtainable on BrightSpace a couple of weeks earlier than the due date.
• Late papers will obtain a lowered grade.
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Modified AACU Inquiry and Assessment Rubric
Capstone
four
Milestones
three 2
Benchmark
1
Rating
Clarification of central thesis, drawback or concern
The central thesis, concern, or drawback is said clearly and described comprehensively, delivering all related data essential for full understanding.
The central thesis, concern, or drawback is said, described, and clarified, so omissions don’t significantly impede that understanding.
Concern/drawback/thesis is said, however description leaves some phrases undefined, ambiguities unexplored, boundaries undetermined, and backgrounds unknown.
Concern/ drawback / thesis is said with out clarification or description.
Most rating = 20
Present Information, Analysis, Views, and makes use of the PICO mannequin.
Synthesizes in-depth data from related sources representing varied factors of view/approaches.
Presents in-depth data from related sources representing varied factors of view/approaches.
Presents data from related sources representing restricted factors of view/approaches.
Presents data from irrelevant sources representing restricted factors of view/approaches.
Most rating = 20
Assessment
Organizes and synthesizes proof to disclose insightful patterns, variations, or similarities associated to focus.
Organizes proof to disclose vital patterns, variations, or similarities associated to focus.
Organizes proof, however the group just isn’t efficient in revealing vital patterns, variations, or similarities.
It lists proof, however it’s not organized or is unrelated to focus.
Most rating = 20
Conclusions and Suggestions
States a conclusion and proposals which might be a logical extrapolation from the inquiry findings.
States a conclusion and proposals targeted solely on the inquiry findings. The conclusion arises particularly from and responds particularly to the inquiry findings.
States a common conclusion and proposals that, as a result of it’s so common, additionally applies past the scope of the inquiry findings.
States an ambiguous, illogical, or unsupportable conclusion and proposals from inquiry findings.
Most rating = 20
Management of syntax and mechanics
Makes use of elegant language that skillfully communicates which means to readers with readability and fluency and is just about error-free. Correct use of citations.
Makes use of easy language that typically conveys which means to readers. The language has few errors — correct use of citations.
Makes use of language that typically conveys which means to readers with readability, though writing contains some errors — missing correct use of citations.
Makes use of language and construction that impedes which means due to errors in utilization — missing correct use of citations.
Most rating = 20
Most rating = 100
Professional Witness/Testimonial File
Background: You’ve got been contacted by a authorized agency to evaluate the fabric associated to sudden dying within the hospital from 2018. The household of the person has been working with their lawyer to conduct a radical evaluate of all data associated to the dying of their household patriarch and chief. The household has obtained authorized Help and has developed a case in opposition to Therapeutic Arts Medical Middle. You might be serving as a part of the claimant’s aspect and are tasked with reviewing all of the medical data and offering your skilled Assessment and analysis of the following steps within the case.
Case Abstract File:
Therapeutic Arts Medical Middle is a group healthcare facility. The hospital can maintain as much as 200 inpatients and has a number of outpatient clinics. Medical providers embrace; an emergency division, ICU, CICU, common surgical procedure, labor and supply, pediatrics, NICU, and a most cancers middle. The medical middle has fashionable diagnostic tools, and superior expertise supporting fashionable remedies. Additionally, the middle has a state-of-the-art digital well being data (EHR) system that comprises affected person medical historical past, diagnoses, computerized supplier order entry (CPOE), immunization dates, allergic reactions, radiology photographs, and laboratory and check outcomes. The CPOE system can warn clinicians ordering drugs about potential allergic or antagonistic reactions, duplicate remedy, interactions with different drugs, and a transaction log.
JF is a 62-year-old Caucasian male who was dropped at the emergency division on October eight, 2019, for shortness of breath. He was additionally affected by extreme leg ache inflicting a ground-level fall and varied issues associated to his bodily wellness. The course of remedy within the emergency division included ordering a battery of investigational labs (CMP, CBC, CK, ABG, UA, UDS, D-dimer and US) and begin oxygen remedy (nasal cannula), IV fluids, diuretics, and extra renal and cardiac monitoring. The course of the emergency division was uneventful and JF was admitted for extra essential care within the CICU (Cardiac Intensive Care Unit) inside hours of admission. The preliminary impression and analysis had been per pulmonary congestion and an overlapping deep vein thrombus. The person will probably be handled for congestive coronary heart failure exacerbation and venous thromboembolism within the intensive care unit. The plan will probably be to stabilize his situation after which transition his care again dwelling to his household.
Within the CICU, JF spent 15 days in essential and acute care as his coronary heart failure was being handled and as his circulation was being stabilized. He was positioned on a ventilator and has periodic assessments for arterial blood gases and common labs for physique chemistry. He was additionally on cardiac monitoring utilizing an EKG, and his urine output was collected and analyzed whereas in care. He was positioned on furosemide remedy for his cardiac and pulmonary congestion and he was given each quantity enlargement with varied crystalloid fluids and vasopressors (dobutamine and epinephrine) for cardiac stability, contractility, and chronotropy. Throughout this time, he was positioned on heparin to Help him with the steadiness of the clot. To guage the protection of the medicine routine, renal perform was assessed periodically, and the anticoagulation was monitored utilizing aPTT, PT, and periodic INR checks.
In the course of the care within the ICU, JF quickly stopped producing urine three days into remedy, and his furosemide remedy was stopped. With a serum creatinine at 5.eight (up from 1.5 at admission), he was additionally rigorously
titrated on his IV fluids and pressor remedy. Throughout this time, on day 5, he additionally developed an higher
respiratory tract an infection that needed to be handled and began on a mixture of antimicrobial brokers
(ceftriaxone, levofloxacin, and vancomycin). Cultures and sensitivities on sputum had been sought out and
he was evaluated holistically for different indicators and signs of infections. On day 7, his fever subsided
and was beginning to get weaned off the ventilator and the drip charges of the IV fluids had been modified
accordingly. JF was transferred to the final acute care ward early on day eight and a few of his dwelling
drugs had been continued. He was nonetheless on heparin remedy and was restarted on his dwelling brokers,
together with enoxaparin. The medicine was thought to have a big DDI with heparin, so it was
stopped by pharmacy throughout rounds. On day 9, the house drugs surfaced as soon as extra and had been repopulated
on the Remedy Administration File. Enoxaparin was on the record as soon as once more and nobody
halted the agent. Heparin was nonetheless getting used throughout this time and was given concurrently with heparin
for a complete of three days. On day 12, the nurse known as the pharmacist and doctor rounding within the unit that
the affected person had blood within the urine and had been having an altered psychological state. The affected person was given
vitamin Ok and protamine to Help reverse the situation to no avail. Packed pink blood cells had been
administrated, as was FFP with no enchancment. The affected person died.
The final bodily examination and laboratory outcomes reported within the medical chart.
Bodily examination:
1. Confused state up till dying – confusion elevated, and dementia-like signs and
irritability adopted by extraordinarily nonetheless conduct.
2. Petechiae of the eyes and oral mucosa
three. Bruising on the legs and arms in locations of friction with the mattress
Laboratory Outcomes:
1. Bleeding time (BT) elevated
2. Platelet depend lowered (< 75)
three. Activated partial thromboplastin time (aPTT) elevated
four. Prothrombin time (PT) elevated,
5. Thrombin time (TT)
6. LFT elevated > 150 for AST and ALT
7. INR: 2.four
