Assignment: Application: Systems Theory

For this Assignment, you apply systems theory to the examination of a problem in a department or a unit within a health care organization. (Note: You may use the same problem you identified for the Discussion as long as it meets the criteria for this assignment.)

To prepare:

• Review the Meyer article, “Nursing Services Delivery Theory: An Open System Approach,” in this week’s Learning Resources. Focus especially on the information presented in Table 1 (p. 2831) and Figure 2 (p. 2833).
• Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering.
• Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback.
• Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures.
• Research professional standards that are pertinent to your identified problem.
• Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate. (Depending on the organization you have selected, you may have explored these in the Week 1 Discussion.)

To complete:

Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:

• Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback.
• Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback).
• Based on this information, explain how you would address the problem as follows:
  • Formulate a desired outcome.
  • Identify goals and objectives that would facilitate that outcome.
  • Translate those goals and objectives into policies and procedures for the department or unit.
  • Describe relevant professional standards.
• Explain how your proposed resolution to the problem would uphold the organization’s mission and values and improve the culture and climate.

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements. All papers submitted must use this formatting.

Please Note: 3 or more 4 references not more than 5 years required.

Please use the assignment rubrics for the paper.

I need two simple responses to 2 of my classmates’ answers, and answer one question.

please remember that – simple responses without advance vocabulary ( international students).

– less than half page each response.

– I need them with references.

(Define Triage from the healthcare facility perspective. Relate this to the concepts of Surge Capacity and Capability vs. altered standards of care.) you do not need to answer this. This is just to explain.

—the question is ( what is the difference between surge capacity and surge capability??). this is my question.

—Here, I need two simple responses to 2 of my classmates’ answers.

just to identifying, this was their question (Define Triage. Compare and contrast the purpose and scope of “Triage” methods on the scene (MASS, SALT, Transport priority and destination facility).)

first one’s answer:

START Triage

START triage is used as scene management system. It’s very effective for mass casualty incidents. Like many aspects of emergency prehospital management, you don’t get much warning. Learning how to use the triage system is very efficient in a mass casualty incident. It is very useful to use when making decisions to transport patients. Immediate victims (red), followed by delayed victims (yellow), followed by the walking wounded victims (green). There is also deceased victims who are tagged by Black color. As myself, I learned to use this method more often than the other ones. In EMS school, we had an event called (EMS Olympics). We were divided into teams to perform triage to a mass casualty incident simulated by the school as part of the training we received.

SALT Triage

SALT, which stands for Sort, Assess, Lifesaving interventions, Treatment and/or transport is the four-step process for responders to manage mass casualty incidents. The main idea behind the SALT Triage is to move patient away from the incident as priority. With the SALT system, assessment and lifesaving interventions go hand in hand. In the SALT triage, there is no need to time the radial pulses or to count respirations, only answering simple yes or no questions. For example, if you find that a patient has massive hemorrhage, provide rapid bleeding control with a tourniquet. If a patient’s airway is closed, open it. As SALT is adopted by additional agencies, more EMS providers will find this method is easy to learn system helpful to manage mass casualty incidents of all sizes.

MASS Triage

It is similar to the SALT triage. It main concept is move, assess, sort and send. First, ask the patients to move to a specific location away from the incident. Then, the second part is assessing the remaining patients. To help you identify patients you can ask them to waive for example. Followed by the third step which is sorting patients and categorize them based on the severity of their injuries. Then finally. Sending them to a medical facility appropriate to them.

second one’s answer:

The original concepts of triage were primarily focused on mass casualty situations. Many of the original concepts of triage, the sorting into immediate, urgent, and non-urgent with the use of the holding category in the warfare situation, remain valid today in mass casualty and warfare situations.

With the development of organized medical systems in the western world, the early 1900s saw triage emerging in the emergency departments in the US, UK, and Europe. Triage at this time consisted usually of a brief clinical assessment that determined the time and sequence in which the patient should then be seen by the limited resources, or, if applied in the field, the speed of transport and choice of hospital destination for initial treatment.

Triage is defined as “the sorting of and allocation of treatment to patients and especially battle and disaster victims according to a system of priorities designed to maximize the number of survivors”

The START triage determining if patient could walk, which would triage them as green. If unable to walk, respirations reported less than 30 breaths per minute and systolic blood pressure (BP) greater than 80 mm Hg (correlating with radial pulse or normal cap refill), and patient was following commands, patient will be triaged as yellow. If there is any abnormality in the aforementioned group with respirations, BP, and ability to follow commands, patient will be triaged as red. If patient was apneic, they were triaged as black/expectant

The MASS triage which stands for move, assess, sort and send, is based on asking patient to move to another specified location, assess patients who are not following command, sorting patients on the severity of their injuries, and then send the patients to a specific medical facility.

The SALT triage breaks triage into 2 steps. Sorting is first, in which patients who can walk are assessed last, those who cannot walk but can wave/purposefully respond are assess second, and those patients who are still/unresponsive are immediately seen. Assess and lifesaving treatment is next. Patients are triaged as green if they can obey commands or make purposeful movements, have a peripheral pulse, are not in respiratory distress, do not have a hemorrhage, and only present with minor injuries. This obviously required more interpretation from the chart. Patients are yellow if they meet all of the green criteria, but injuries are not considered minor. If the answer is no to any of the green criteria and the patient is likely to survive given resources (hemorrhage control, chest compressions, auto injector antidotes, and opening airway), then the patient is triaged as red.

Please provide references.

Here is all the readings for it I will start getting you what it is after you say you can help me.

Omar ibn Said (Introduction – “Further Reading”)

Autobiography of Omar ibn Said, Slave in North Carolina (1831)

Frederick Douglass (Introduction – “Further Reading”)

Narrative of the Life of Frederick Douglass, an American Slave. Written by Himself. (1845)

Chapters 1 and, pp. 156 – 162

Chapters 6, 7, 8, and 9, pp. 169 – 181

“What to the Slave Is the Fourth of July” (1852)

William Wells Brown (Introduction – “Further Reading”)

From Narrative of William Wells Brown, an American Slave. Written by Himself. (1847, 1850)

Notes to the Fourth American Edition to Chapter 4 pp. 223 – 234

From The Escape; or, a Leap for Freedom: A Drama in Five Acts (1858)

Your Choice – read ANY TWO acts

Martin Robison Delany (Introduction – “Further Reading”)

From The Condition, Elevation, Emigration, and Destiny of the Colored People of the United States (1852)

Chapter 1. Condition of Many Classes in Europe Considered

Chapter 2. Comparative Conditions of the Colored People of the United States

Your Choice – read ANY ONE of the following chapters

Chapter 3. American Colonization

Chapter 4. Our Elevation in the United States

Chapter 5. Means of Elevation

Chapter 6. The United States Our Country

Chapter 17. Emigration of the Colored People of the United States

Chapter 23. A Glance at Ourselves – Conclusion

Harriet Adams Wilson

From Our Nig, or Sketches from the Life of a Free Black

Preface, Chapter 1 and 2

Harriet Jacobs (Introduction – “Further Reading”)

• From Incidents in the Life of a Slave Girl. Written by Herself. (1861)
  • Chapters1- 6 (childhood); Chapter 7 (love); Chapter 37 (England)
  • Your Choice – read ANY ONE GROUP ofthe following chapters
    • 8 – 9; 22 (life as a slave)
    • 12 – 13 (religion, Nat Turner)
    • 3 – 4, 7, 10 – 11 (motherhood & Sexual Oppression/Harassment)
    • 3 – 4, 7, 14 – 16 (motherhood & Sexual Oppression/Harassment)
    • 17 – 21 (escape)
    • 23 – 29 (escape)
    • 30 – 41 (life in the north: Jim Crow, passing, tenuous freedom, Fugitive Slave Law)
    • I will just send you something for the ones that say pick anyone group or chapter.

1. Open the link to Darwin’s Game
2. Start with clicking “Learn about Natural Selection”
3. Continue on to “Survival Game”
4. Complete at least 3 Survival Games in which your creatures survive for a million years.
5. Draw your own creature. Use your imagination to create a unique animal that has a specialized behavioral adaptation. Your drawing should illustrate the behavior.
6. Write a 500 word essay: 1) Describe one of the games in which your creature survived for a million years (What adaptations were crucial to it’s survival and why?). 1) Describe your imaginary creature’s specialized behavioral adaptation. Include a description of the environmental or social context(s) that would have selected for your creature’s specialized behavioral adaptation. 2) Use Darwin’s 3 postulates in your description of how the adaptation evolved. Attach a copy of the drawing of your imaginary creature to your essay.
7. http://coolsciencelab.com/who_wants_to_live_a_million_years.htm

For this week’s assignment, you will write a 1-2 page essay on psychological command. Be sure to address all prompts and cite your sources in APA format. This is worth 75 points, so be thorough and give your best effort.

Chapter 10 explores the legal ramifications of psychological command. Your assignment this week is to read the section on page 364 of your text about the psychology of command. Answer the following questions in reference to this subject:

• What is the psychology of command?
• Why is psychology of command important?
• What are the different types of psychology of command?
• What are the legal ramifications of psychology of command?