To Prepare:Review the national healthcare issue/stressor you examined in your Assignment for Module 1, and review the analysis of the healthcare issue/stressor you selected. Identify and review two e

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Do not need a running head





Analysis of Healthcare Issue: Lack of PPE During COVID-19 Pandemic


Walden University

NURS 6053: Interprofessional Organizational and Systems Leadership

June 12, 2020

Tamara, your paper was good, I found you covered most the required criteria. I found 3 outside sources. You should have included a minimum of one to two course readings with the outside sources also. See rubric for that requirement. Also heading levels ARE required for all written assignments in the course. I did find grammar errors in your paper. Please download and use Grammarly – link to that can be found in your Walden Writing Center. Do not use contractions in your scholarly writing, spell out those words. I did not find data to support your issue as required. I did find two article summaries but use heading levels to let the reader understand what you mean and heading levels help you to organize your content. I found Strategies and the positive and negative impact criteria as required. I had to guess your Conclusion so please use a heading level before your conclusion. I did not find a title for your paper on page 2 top and centered and bolded as required. I did not find a purpose for writing the paper either. See the reference correction in that section of the paper.

Week 3 paper will be added to this paper. What you would do is to add heading levels for week 3 as required so the reader can find YOUR week 3 content. You will need an additional 4 pages of content to be added to the week 2 paper. Use course and outside sources. Use Grammarly to check your grammar. You will add your references to your reference list from week 2 and will alphabetize your sources by author. Be sure to use Course readings and outside sources for the new section. If you have any questions, please do ask.





You need a title from page 1 centered also top of this page and bold that. See section 2.24 of the APA 7th ed. manual

Most professions require equipment that will allow professions to do their job. For example, civil engineers must have computer and computer programs to compete with their assignment. If they do not have these tools, they simply would not be able to complete the assignment. It is a little bit different from healthcare when a healthcare provider does not have the necessary tools to complete the job; while they are not able to complete the job and many times in healthcare settings delaying care or not providing healthcare service can cost a life. Missing a purpose for writing the paper as required.

Where are your required Heading Levels?

Healthcare Issue and Organizational Impact

Healthcare workers using Personal Protective Equipment (PPE) every day to protect not only themselves but also patients, family members, and others from potentially infectious patients or toxic materials and medications. There are standards of PPE usage and guidelines in each facility, clinic, doctor's office, or any healthcare facility. During the pandemic COVID-19 most of the countries experienced PPE shortage. When it comes to the USA, some areas experienced PPE shortage more than the other. The PPE shortage was experienced by rural areas. Most of the healthcare settings must ration PPE to conserve supplies. Many healthcare professionals ask themselves and administration a question How does this PPE shortage impact hospital ability to function on a regular level and be able to fight COVID-19 back? Did not find your data to support the healthcare issue? Needed to address that. I would have also used a source to support your healthcare issue.

Two Article Summaries

You are required to use heading levels for all papers in this course.

While researching this topic, I came across an article by Schlander (2020) “Begging for Thermometers, Body Bags, and Gowns: U.S. Health Care Workers Are Dangerously Ill-Equipped to Fight COVID-19". Schlander brought up a lot of facts that have been proved by numbers of surveys and direct quotes from healthcare professionals from all over the country. The author covered the organization called GetUsPPE.org - which pretty much-allowed healthcare professionals to voice their concerns about personal protective equipment anonymously. The idea of the organization is to give healthcare professionals a voice without fearing consequences. Within the first 3 weeks organizations received more than 7,000 responses from employees all over the country, not only nurses and doctors but also home health aide agencies, hospices, ambulance squads, and correctional facilities were asking for help with PPE (Schlanger, 2020).  

Another article written by Castles (2020) that came I came across while researching this topic is the article named “COVID-19: How a PPE shortage could cripple the healthcare system”. Here the author was more focused on the consequences of PPE shortage across the country. Some of the biggest concerns of the author in this article are: 

  • “Increased healthcare worker infections 

  • Increased patient to patient transmissions 

  • Healthcare worker burnout” (Castles, 2020). 

I think that all these points are very important, we should not only pay attention to curing patient population, which of course is very important but also, controlling the spread of the infection in the general population as well as spreading it among healthcare workers. Burnout is also a big factor during a pandemic. “Studies suggest that physician burnout costs the US healthcare system $4.6 billion per year and causes a two-fold increase in unsafe patient care” (Castles, 2020, p. number). Direct quotes require author, year, and p. or para. number.

Strategies, Positive and Negative Impact

Need heading levels.

Some of the strategies that are used in most hospital to target PPE shortage is reprocessing and reusing of the PPE, which is a very controversial topic. Most hospitals including the hospital I am currently working at right is reprocessing N95 masks as well as face shields. The Food and Drug Administration (FDA) has issued two emergency use authorization (EUA) for sterilizing and reprocessing N95 masks, once in March and once in April. The FDA agency says this “has the potential to decontaminate approximately 4 million N95 or N95-equivalent respirators per day in the U.S. for reuse by health care workers in hospital settings” (Ward, 2020, p, or para. number required also for all direct quotes).

There are two ways of looking at this issue. First, by reprocessing and reusing PPE do we ensure safety for our patients. Initially, our N95 masks were not intended for reuse, it even says on a box “DO NOT REUSE”, then how come they became reusable. This measure was initiated by the Center for Disease Control and Prevention (CDC) when they realized that it either reprocessed masks or there are going to be no masks available due to such high demand and not enough supply. What was the second way to look at this issue?

The way the hospital been dealing with the COVID-19 pandemic PPE shortage issue is most likely very similar to most hospitals. We are trying to reuse most PPE as much as possible. For example, we do recycle our N95 masks, which takes up to 48 hours to disinfect one mask and we can reuse it for up to 5 times. We also reusing gowns and are limited for up to 5 gowns a shift. We have a special unit designated to only coronavirus positive patients and if patients assigned to one nurse don’t have any other infections then one gown can be used for multiple patients. We are trying to cluster care for our patients to save PPE. Our hospital also provided us with walkie-talkies (which were not used before on regular floors, besides emergency department), we find it extremely helpful, it helps with teamwork and reduces the number of entering rooms because we also have a designated person who acts as a runner (not wearing a PPE) and helps us in case we need extra supplies.

Conclusion

Being on the COVID floor and dealing with a lack of PPE for almost three months now made me realize that the most important thing in this difficult time is to stay united. We do not know how effective reused PPE when caring for our patients, but if that is all that’s available at this moment, we must make the best of it. I am guessing this is the conclusion…USE A HEADING Level to let the reader know that you are ending the paper.

References

Castles, T. (2020, April 10). COVID-19: How a PPE shortage could cripple the healthcare system. https://www.mdlinx.com/article/covid-19-how-a-ppe-shortage-could-cripple-the-healthcare-system/4zPN2rH1bzHQCOrDuPPEin 

Schlanger, Z. (2020, April 20). Coronavirus Is Causing a Huge PPE Shortage in the U.S. Retrieved June 12, 2020, from https://time.com/5823983/coronavirus-ppe-shortage/ 

Ward, B. (2020, April 15). FDA Says 4M N95 Masks Could be Reused Thanks to Emergency Order. Retrieved June 12, 2020, from https://www.healthleadersmedia.com/covid-19/fda-says-4m-n95-masks-could-be-reused-thanks-emergency-order

1. hanging indents required for all references

2. 9.35: The words "Retrieved from" or "Accessed from" are no longer necessary before a URL. The only time the word "Retrieved" (and not "Retrieved from") is needed is in those rare cases where a retrieval date is necessary (see p. 290, 9.16).

3. no longer need retrieval dates

4. 9.23 A webpage is now considered a stand-alone source. As such, webpage titles should be italicized.

5. I did show you how to format the first reference