Deliverable 3 - Clinical Reasoning Appropriate for the SituationDeliverable 3 - Clinical Reasoning Appropriate for the SituationDeliverable 3 - Clinical Reasoning Appropriate for the Situation

After graduating from nursing school and passing your boards, you accepted a position as an RN in the emergency center at Rasmussen General Hospital (RGH). In the weeks ahead, your emergency center plans to implement a new initiative where clients diagnosed with low-risk deep vein thrombosis (DVT) will be sent home on 3 months of oral anticoagulation therapy with rivaroxaban. Historically, clients diagnosed with DVTs in the emergency center were admitted to the hospital's observation unit. However, when surveyed about their experiences, many clients reported that this was costly, time-consuming, and inconvenient. Under RGH's new program, emergency center nurses will be responsible for educating clients about their new medication and administering the first dose to the client before discharge. As part of this new initiative, all emergency center nurses at RGH must be trained to properly educate these clients on all aspects of their new medication regimen. Because you have demonstrated a keen interest in pharmacology, your manager has asked you to develop the educational tools that will be used to train the nurses at RGH. It's worth noting that the standard dosing for all low-risk DVTs is as follows:  15 mg BID, 12 hours apart, for 21 days After 21 days, use 20 mg once per day After 90 days, the client will follow up in the thrombosis clinic to evaluate if they meet criteria for discontinuing the medication Assignment Instructions Your manager explained that all of the emergency center nurses at RGH will be educated in small groups through a short, in-service training session. You have been asked to develop a professional-looking PowerPoint presentation that the trainers will use to guide the in-service sessions. Your PowerPoint will need to:  Be professional-looking (show current evidence-based practices), have a title slide, and 10-15 content slides. Use the Speaker Notes feature in PowerPoint to reduce the amount of text that appears on the content slides. The Speaker Notes for each slide will contain the text that will guide what the trainer will say while presenting the slides during the in-service. The speaker notes should be written in full sentence format. The speak notes should show comprehension of the material, this means the speaker notes should add additional information to the notes on the slide; they should explain definitions, diagrams, and provide examples. The speaker notes should be easy to understand and follow. The speaker notes should add to the presentation and not be directly copied from the content slides. (Speaker notes should follow APA guidelines) The Speak Notes need to be copied onto a word document and submitted through grammeraly. The content slides themselves should be clear and easy to understand; they serve as an outline so the audience can follow along with what is being presented (Slide should follow APA guidelines) Both slides and speaker notes should be written using proper spelling/grammar and at a level that would be appropriate for the audience. Remember the purpose of the training is to help nurses learn about this medication so they can educate their clients about the use of a medication. With that in mind, it may be helpful to provide examples of how to explain the information to a client in an easy-to-understand way without complicated, technical terms. Include APA formatted in-text citations on each slide as well as in the speaker notes. This assignment requires 3 scholarly references and present the sources in APA format on a References slide. Contain content addressing the items below. Pharmacotheraputics State the drug name and its therapeutic category Pharmacodynamics (how does this drug work? How does it affect the body?) Pharmacokinetics (how is this drug absorbed, distributed, metabolized, and excreted; why is this information important to the nurse? How can you connect this information to nursing care?). Discuss dosage, scheduling, route, and length of therapy. Describe what clients can expect regarding their therapeutic response and when it should develop Introduce non-drug measures that clients can do to enhance their therapeutic response (e.g., specific diet to follow, exercise requirements, substances to avoid, special precautions to take, etc.) Side Effects, Adverse Effects, and Interactions Explain the symptoms of common side effects, and what clients can do to minimize any discomfort. Ask yourself what can nurses do to prevent and/or treat some of the common side effects listed? Explain the symptoms of any major adverse effects. What should clients do if they experience them?How can clients prevent these major adverse effects? How can nurses assess for these adverse effects? How can nurses prevent and/or treat these adverse effects? List the major adverse drug-drug interactions and drug-food interactions that clients need to be made aware of Follow-up Care Provide information regarding when clients should call their doctor for advice (e.g., questions, non-urgent symptoms, unpleasant side effects, etc.) Emphasize any symptoms for which clients should seek immediate care (e.g., when to go to the emergency center or call 911)

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.To Prepare:Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.Reflect on which type of dissemination strategy you might use to communicate EBP.By Day 3 of Week 10Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.By Day 6 of Week 10Respond to at least two of your colleagues on two different days by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination.3-5 SENTENCES EACH WITH AT LEAST 2 REPLIES EACH