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NR 544 Week 7 Assignment; Project Presentation of a Patient Safety Issue and Resolution

$15.00
Contributor
Lisa Anderson
Category
Nursing
Course
NR 544 Quality and Safety Core Elective
Institute
Chamberlain
Pages
13

Presentation to Performance Improvement Subcommittee CLC Performance Improvement Committee Report- NEC NAME FACILITY: CARL VINSON VA MEDICAL CENTER PRESENTATION DATE: CPIC Meeting Minutes CPIC meeting minutes CLC Performance Improvement Committee on 5/19/2022 was canceled due to quorum not met. Meeting minutes from is attached and uploaded to SharePoint. Adobe Acrobat Document MRSA Swab admission collection rate Unit April MRSA Admission Swab Rate CLCs 89% 90% is our goal for each neighborhoo d 15B/B86 100%/N/A 8A East 100% 12A 67% 17/19B No Required Swab 8A West 100% 10A 100% Hospice No Required Swabs Unit May MRSA Admission Swab Rate CLCs 100% 15B/B86 91% 8A East No Required Swab 12A 100% 17/19B No Required Swab 8A West No Required Swab 10A 100% Hospice No Required Swabs Infection Prevention April andDMasahyb2o0a2rd2 PIP for Hospital Acquired CAUTI ❖ ❖ The PSDA model was utilized to perform a PIP for CAUTI which was warranted on 2/19/2022. Potential outcome was to reduce CAUTI rates within the CLC. Plan-The CG&EC instructed CLC Providers to discontinue orders for monthly routine Foley Cather change to PRN (as medically indicated). Do-Staff was educated on hand hygiene and foley catheter care by the CLC Nurse Educator, and she assessed staff knowledge via quiz. WCN Manager spearheaded the research & purchase of CAUTI wipes and performed training to frontline staff. Study-The Infection Prevention Nurse intensely collaborated with the CLC Leadership Team and reported data monthly in the CPIC monthly meetings. The CLC QN’s, WCN’s, and NM/ANM performed random observations, and on-the-spot training, and monitored for compliance. Act- In conclusion, the PIP will be adopted. The CAUTI rate has decreased by 30% in three consecutive months for Cycle 1. CLC had 0 CAUTI for 1 Quarter! March, April, and May 2022!!! This had a positive impact on the CLC SAIL Quality Metric: HAI-CAUTI with a decrease from 2.56% FY22Q1 to 1.96% in FY22Q2!!! Kudos to the CLC Team!!!! Microsoft Word Document QM: Long Stay Residents with Weight Loss May 2022 RD’s- to track residents with significant weight loss and residents that has loss 5lbs in1 month 0-Cardinal Circle 0- Ole Timers Lodge 3- Freedom Lane 0- Magnolia Court 0-Heroes Haven  Microsoft Excel Worksheet Restorative Participation Days Goals for 2022 To average 24 days participation To have 5 RAs on duty daily Participation Days ▪ ▪ Goal not met Up until now the percentages captured on MDS and the participation percentages have continued to improve. For the month of April 2022, there has been a decline. There is multiple reasons for this decrease such as some residents have had a decline in functional status and didn’t want to participate. However, the most significant reason is because Restorative has only 7 RAs and which often leaves only 2 RAs on the floor due to scheduling. RA’s hours per patient Restorative Participation Days Cont’d Plan of Action     Restorative position has been posted Applicants were interviewed. However, no selection was made. CNG&EC to repost position. CNG&EC to collaborate with Restorative NM to review scheduling alternatives. IDEAS April 2022 14th )Discussion CLC In Phase III Patriot’s Point MOCK surveys SAIL MRSA swabs CNAs RQI Privacy Dementia training Competencies/FS VISN survey LTCI JPSR (meets quarterly next meeting will be held July Action              All neighborhoods are open for visitation, and admission -Closed -Will resume per Chief Nurse -Frontline staff should attend to provide input and educate coworkers -CLC 100% compliance -competency to apply certain topical ointments/FSBS -Due June 30, 2022 -Implemented One Drive -Additional days for training, this an annual competency -being revised by CLC educator -findings minimum Performance Improvement to follow up -We are in the window staff will continue to be prepared -Any staff member can enter a JPSR, education pending. Resident Council   Freedom Lane and Cardinal Circle Resident Council meeting was held 5/19/2022 @1430. Magnolia Court Resident Council meeting canceled May 2022. Resident Council Cont’d ACTION TRACKER Date Started Action Items Responsible Party Due By Status/Date Completed 2/17/22 Linen for Dolphin Mattress Ruth Iliuta/EMS 6/30/202 2 In progress 10/20/21 Barber CNGEC 4/1/2022 Closed 6/15/2022, VCS offers “Patriots Clips” Mondays 0800-1400 Bldg. 2 Room 214-2 5/19/202 2 Request for copy of Patient Rights QM/CLC Management Team 6/30/202 2 Closed, 6/15/2022. Flyer received from QM, laminated, and posted. 5/19/202 2 Residents requested a written signed copy of the moving forward plan CG&EC/CNG&EC 6/30/202 2 In progress 5/19/202 2 The residents reported the inability to watch certain television stations (TV Land) etc. which were previously available. CNG&EC/Engineering 6/30/202 2 In progress 3/18/22 Interrupted Sleep- lights are turned on during hourly rounding CNG&EC 6/30/202 2 In progress-CNGEC reports, the penlights found are very small and would not provide sufficient lightening to be able to provide care such as bowel/bladder. I will need to continue to search to determine other methods of light that can be used. CLC Quality Metrics     CLC lost 95pts in FY21Q4. Since then, the CPIC and CLC Leadership Teams has been taking great strides towards improvement. The projected goal in January 2022 was to earn 195pts by FY22Q1, however this goal was not met. We have made some progress earning 85 points FY22Q2! Our new projected goals for FY22Q3 are to sustain points earned in FY22Q2 and to gain140 points, which will result in a 3-Start Rating in Quality. Microsoft Excel Worksheet Nursing Standards Committee • NSC meetings -Meeting canceled 4/26/2022 due to Ascellon Survey -Meet with ADPCS on 5/2/2022 to review policies -Meeting canceled 5/31/2022 due to medical emergency. ACTION TRACKER Date Started Action Items Expiration Responsib le Party Due By Status/Date Completed 4/15/2022 SOP 11G-202, Immunization in the CLC 5/3/2022 G&EC 6/30/2022 Routed to ADPCS for signature 6/14/2022. 2/25/2022 SOP 118-200, Influenza Outbreak Management 3/13/2022 Whole Health 3/13/2022 Signed by ADPCS, routed to QM on 5/2/22. Re-routed to QM to upload to SharePoint 6/14/22. 5/2/2022 SOP 118-531 Handling of Medication Brought in by patients 4/17/2022 Pharmacy 6/30/2022 In progress- Dr. Jackson is collaborating with Chief Miller. 11/15/2021 SOP: Nursing Dress Code Policy New Patient Care Services 6/30/2022 Policy in final stages of review by ADPCS with Chief’s and AFGE. 5/24/2022 SOP: MEHOC safe/COVID New Patient Care 6/30/2022 Workgroup has meeting scheduled for Positive/SI/HI Services 6/16/2022.

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NURS 6521 Week 7 Midterm Exam; All Correct

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NURS 6521N-33 Week 11 Final Exam

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NURS 6521N-38 Week 11 Final Exam

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NURS 6650 Week 11 Final Exam

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NRNP 6568 Week 4 Quiz - Knowledge Check

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NRNP 6568 Week 5 Quiz - Knowledge Check

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NURS 3020 Midterm Exam

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NURS 3020 Final Exam - 100 out of 100 Points

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NURS 6512 Week 11 Final Exam

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NURS 6521 Week 7 Midterm Exam - Condensed

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NURS 6521 Week 7 Midterm Exam - Drugs

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NRNP 6531 Week 11 Final Exam Compliation

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NRNP 6675 Week 6 Midterm Exam.

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NRNP 6675 Week 6 Midterm Study Guide

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NRNP 6675 Week 6 Midterm Exam - Fall QTR

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NRNP 6675 Week 6 Midterm Exam..

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NURS 6512N-48 Week 11 Final Exam

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NURS 6521N-35, Week 11 Final Exam

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NURS 6512N Week 11 Final Exam

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NURS 6512N-14 Week 11 Final Exam

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NRNP 6540 Week 1 Discussion; Evaluation Plan

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NRNP 6540 Week 6 Exam; Midterm Study Guide

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NRNP 6540 Week 6 Midterm Exam - All Correct

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NRNP 6541 Week 6 Quiz-Knowledge Check

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NRNP 6541 Week 3 Quiz-Knowledge Check..

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NRNP 6541 Week 3 Quiz-Knowledge Check.

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NRNP 6541 Week 9 Quiz-Knowledge Check...

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NRNP 6541 Week 9 Quiz-Knowledge Check..

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NRNP 6541 Week 9 Quiz-Knowledge Check.

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NRNP 6541 Week 11 Quiz-Knowledge Check.

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NRNP 6541 Week 11 Final Exam

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NRNP 6541 Week 11 Quiz-Knowledge Check

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NRNP 6541N-5, Week 11 Final Exam

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NRNP 6541N-9, Week 11 Final Exam..

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NRNP 6550 Week 4 DQ 1 and Responses

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NRNP 6550 Week 4 iHuman; Brianna Williams

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NRNP 6550 Week 5 Knowledge Check

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NRNP 6550 Week 7 Knowledge Check

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NRNP 6550 Week 8 Knowledge Check

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NRNP 6550 Week 6 iHuman; Tom Bradford

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NRNP 6550 Week 6 Midterm Exam - Spring Qtr

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NRNP 6550 Week 6 Midterm Exam

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NRNP 6550 Week 10 Knowledge Check

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NRNP 6550 Week 11 Final Exam Solutions

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NRNP 6550 Week 11 Final Exam

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NRNP 6552 Week 2 Knowledge Check.

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NRNP 6552 Week 5 Knowledge Check....

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NRNP 6552 Week 5 Knowledge Check...

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NRNP 6552 Week 5 Knowledge Check.

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NRNP 6552 Week 5 Knowledge Check..

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NRNP 6552 Week 2 Knowledge Check..

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NRNP 6552 Week 6 Midterm Exam..

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NRNP 6552 Week 6 Midterm Exam.

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NRNP 6552 Week 10 Knowledge Check..

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NRNP 6552 Week 10 Knowledge Check.

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NRNP 6552 Week 11 Final Exam Review

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NRNP 6552 Week 11 Final Exam

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NRNP 6552 Week 6 Midterm Exam....

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NRNP 6552 Week 6 Midterm Exam...

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NRNP 6568 Week 3 Assignment 1; Study Plan

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NRNP 6568 Week 3 Case Study; Focused SOAP Note

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NRNP 6568 Week 6 Assignment; Focused SOAP note

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NRNP 6635 Week 11 Final Exam

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NRNP 6665 Week 6 Midterm_Drugs

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NRNP 6665 Week 11 Final Exam Solutions

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NRNP 6665-01 Week 6 Midterm Exam

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NRNP 6675 Week 2 Assignment 2; Study Plan

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NRNP 6675 Week 3 Assignment; SOAP note

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NRNP 6675 Week 11 Assignment; Journal Entry

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NRNP 6675-15 Week 6 Midterm Exam

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NURS 6501 Week 11 Knowledge Check Quiz.

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NURS 6501 Week 11 Knowledge Check Quiz

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NURS 6501 Week 5 Knowledge Check Quiz

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NURS 6501 Week 6 Knowledge Check Quiz

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NURS 6501 Week 7 Knowledge Check Quiz.

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NURS 6501 Week 7 Knowledge Check Quiz

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NURS 6501 Week 9 Knowledge Check Quiz.

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NURS 6501 Week 9 Knowledge Check Quiz

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NURS 6501 Week 10 Knowledge Check Quiz..

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NURS 6501 Week 6 Midterm Exam..

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NURS 6501 Week 6 Midterm Exam.

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NURS 6501 Week 6 Midterm Exam

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NURS 6501 Week 11 Final Exam - All Correct

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NURS 6501 Week 11 Final Exam Review Guide

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NURS 6501 Week 11 Final Exam

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NURS 6531 Week 6 Midterm Exam - All Correct.

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NURS 6531 Week 6 Midterm Exam - All Correct

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NURS 6550 Week 6 i-Human Case Study Tom Bradford

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NRNP 6645 Week 6 Midterm Exam

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NRNP 6645-1 Week 11 Final Exam

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NRNP 6645 Week 6 Midterm Exam

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NURS 6550 Week 6 Midterm Exam - Spring Qtr

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NR 548 Week 7 Collaboration Café

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NR 548 Week 8 Exam Study Guide

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NR 548 Week 1 Collaboration Café

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NR 548 Week 1 Reflection on Learning

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NR 548 Week 8 Exam 4 - Real Exam Questions

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NR 548 Week 6 Exam 3

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NR 548 Week 6 Exam 3 - Review

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NR 546 Week 8 Exam 2 - Final

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NRNP 6540 Week 6 Midterm Exam

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NRNP 6670 Week 6 Midterm Exam - All Correct.

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NRNP 6670 Week 6 Midterm Exam

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NRNP 6670 Week 6 Midterm Exam - All Correct

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NURS 6512N-49; Exam - Week 6 Midterm

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NURS 6512N-53; Exam - Week 6 Midterm.

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NURS 6512 Week 6 Midterm Compilation

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NURS 6512 Week 6 Midterm Review Questions

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NURS 6512N-44 Week 6 Midterm

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NURS 6512N-29; Exam - Week 11 Final

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NURS 6512N-34, Week 11 Final Exam

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NURS 6512N-38 Week 11 Final Exam

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NURS 6512N-49; Exam - Week 11 Final

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NURS 6512N-50, Week 11 Final Exam

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NURS 6512 Week 11 Final Exam

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NURS 6512C-24, Week 11 Final Exam

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NURS 6501 Week 6 Midterm Exam..

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NURS 6501 Week 6 Midterm Exam.

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NR 548 Week 7 Collaboration Cafe

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NR 548 Week 7 Reflection on Learning

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NR 548 Week 8 Exam Study Guide

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NR 548 Week 6 Exam 3 Study Guide

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NR 548 Week 6 Exam 3

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NR 546 Week 8 Exam 2 - Final.

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NR 565 Week 8 Final Exam.pdf

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NR 565 Week 8 Final Exam - Practice

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NR 511 Week 1 Homework; Clinical Log

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NR 511 Week 1 Quiz - 10 out of 10 Points...

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NR 511 Week 1 Quiz - 10 out of 10 Points..

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NR 511 Week 1 Quiz - 10 out of 10 Points.

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NR 511 Week 1 Quiz - 10 out of 10 Points

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NR 511 Week 1 Quiz - 10 out of 10 Points-

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NR 511 Week 1 Collaboration Café....

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NR 511 Week 1 Collaboration Café...

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NR 511 Week 1 Collaboration Café..

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NR 511 Week 1 Collaboration Café.

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NR 511 Week 1 Collaboration Café

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NR 511 Week 3 Quiz - 10 out of 10 points

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NR 511 Week 2 Homework; Clinical Log

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NR 511 Week 2 iHuman Case - Gemma Jones

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NR 511 Week 2 iHuman Case - Olive Chaney

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NR 511 Week 2 iHuman Reflection....

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NR 511 Week 2 iHuman Reflection...

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NR 511 Week 2 iHuman Reflection..

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NR 511 Week 2 iHuman Reflection.

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NR 511 Week 4 Midterm Exam

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NR 511 Week 8 Homework; Clinical Log

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NR 566 Week 8 Final Exam

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NR 578 Week 1 Case Study Discussion

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NR 576 Week 3 Assignment; SNAPPS ORAL PRESENTATION

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NR 576 Week 8 Reflection..

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NR 576 Week 1 Quiz

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NR 576 Week 3 iHuman Assignment Reflection Worksheet

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NR 576 Week 5 iHuman Assignment Reflection Worksheet

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NR 576 Week 6 iHuman Assignment Reflection Worksheet

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NR 576 Week 8 Reflection..

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NR 606 Week 4 Midterm Exam Actual

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NR 606 Week 8 Final Exam

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NR 606 Week 8 Reflection.

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NR 606 Week 1 Discussion.

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NR 601 Week 6 Quiz

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NR 601 Week 8 Assignment; ePortfolio

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NR 601 Week 8 Final Exam Practice Questions

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NR 601 Week 2 iHuman Reflection

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