or organization (supervisors)

is this really needed? esp. since this text is for nurses, why do we need this here? students have learned the nursing process and the NPA, they know this about their peers

I don't believe this comma is necessary

here is some related information to my comment above, consider adding to the LO

without reading the chapter, I wonder if you want to expand this concept to include the new Essentials, inclusion, equity

the definition is the person who is delegating. I would clarify

both of these references appear to be the same, and if so, why not have just the one reference?

this content was discussed in great detail already. I suggest sharing examples: state which tasks could be delegated to which staff and to which patients.

This broad statement doesn't add much value as is.

you abbreviate RN but not this, these abbreviations have been shared multiple times so far

throughout this page and other chapters throughout this book, you have shared duplicate citations. why not use the same reference and citations?

consider adding leaders must include this information in employee orientation

prefer the "task"

either "also responsible" or did you mean accountable?

the text is too small to read. suggest making it larger

also, Was closed-loop communication used?

... use the five...

is this needed?

below you define accountability, may be helpful to define responsibility.

in this instance you refer to NPA when delegating to a licensed nurse, this sounds like it confirms previous points that an AP does not abide by the NPA

do you want to add in critical thinking? I believe this was referred to previously, albeit not the NGND guidelines.

bowel movements too

bowel movements too

AP abide by the NPA? I don't believe this was clear when the NPA was introduced in another chapter. unless my memory fails me....

applies to all verbal orders, not just emergencies

this would apply only to nurses, other team members do not abide by the NPA. I'd reword this sentence.

create an acronym, the 4 Cs?

delete 'often'

of "creating" proper assignments....

should be plural

delete

the document has a punctuation error:

IV's should be IVs

I would delete this word.

while attending college

awkward

delete

cares,

add comma

healthcare organizations

instead:

Patient A underwent (or something similar) a total right knee replacement who will be ...

this sounds awkward

Handoff Report?

Scenario E

would this be scenario F?

signs or symptoms

wouldn't it be “extra" activities....

?

add comma

506, respectively

there is always a comma before respectively

wound

same here

use a period, this is not a question.

Suggest putting this introductory statement as its own line after the para above.

none of Maslow's theory is cited

delete

I doubt every students knows all these abbreviations. I suggest a brief glossary of terms under the table to be sure.

nursing care?

isn't there a communication chapter in another text? I recall reading it, and would suggest linking that chapter as well

too many periods

previously abbreviated, ANA

nurses to protect their nursing licenses and follow...

they

nurses

this was abbreviated in the first sentence of this chapter

need citations in this paragraph

or population

sodium and diet...

note, you didn't refer to 'congestive' in this sentence, as it was mentioned above. wording is correct here.

suggest changing to HF, as congestive heart failure is just one of about 10 types of HF.

HF has been common practice for a number of years now... I know this as my dissertation was on HF

will students know what this means?

is this needed?

American Nurses Association (ANA)

new sub-chapter, need to abbreviate.

here too

here too

patient's

here you use patient, and not client.

stress is a major factor.

patient

you have been referring to the ANA on this page, why abbreviate now?

would you consider one other strategy, use of agency staff? It fits in with the discussion of economics as agency staff are costly

sometimes you refer to patients and clients, I suggest referring to patients.

do students know what this means? I don't believe I've read a definition so far in this chapter, it's my third one. there are many concepts defined multiple times in this text, suggest defining it here.

I teach global health and so many students (at the graduate level) think this has the same or very similar meaning as health inequities and health inequalities.

Patient-Centered

need a hyphen

effective and timely

accurate and timely

quality of care

capitalization?

other agencies? peers are people

I checked a few of these links, and as noted above, the reader would have to subscribe to read the content. is there another way to share the article?

should be 'and'

acute care hospitals (match up to the end of the sentence)

this article is only available to subscribers. I suggest linking to a CMS webpage

add a comma

2017,

comma

all of these examples are health insurance related, this is the only one that is not, more of a resource anyone can use

in my workplace, we were told not to use "American Indian". I read articles that state the term Indians came from C. Columbus, thinking he was in India.

Suggest using Native Americans or Indigenous

this is essential the same as the title of the program. adding in an example of special health needs would help

instead: laboratory and diagnostic testing

why is half the man 'covered' when it's only pregnant women being covered? this part of the image is confusing.

adults are covered, with disability, that is confusing.

transplantation

I feel this reads better:

Medicare and Medicaid were signed into law in 1965

I would clarify there is no financial penalty for the individual mandate

remove this content due to the point made earlier

individuals are no longer penalized for not having insurance, refer to this link.

and also lead to ethical dilemmas, such as providing futile care (long-term vented patients)

though I do see this is about economics... but futile care is quite costly

most of us have heard about GDP but will students know what it actually means? I suggest a sentence defining this concept so the graph can be more informative.

delirium?

did you mean affect?

this is an excellent image!

does this chapter share an example, such as SPAN, that I suggested earlier?

does this chapter refer to 3 right?

there are more than 3 rights, the IHI explains the 5 rights, though there are many others, such as 6, 8, etc.

when using EHRs?

suggest removing the large spaces under this and the next section of this table. Others look good.

what were the repercussions? it was helpful reading this info in other sample cases, suggest adding this here, as the student would be very curious what would happen to them if they are in this situation.

with all these sample cases, I suggest adding a space in between case and the first word of the sentence

Wisconsin? clarify

suggest sharing somewhere in this chapter, maybe here, that some states have programs in place to assist nurses with substance abuse, such as in NY, SPAN

I know it's hard to find images for a section like this one, but this just doesn't fit. maybe if some of these images were smaller it would look better?

here is an example where the citation is at the end, not in the heading.

suggest an into sentence leading into this example

as with previous comments, these citations should be in the text below.

I don't see how this illustrates breach of duty, this image is not helpful. as with previous comments, this and other images are way too large

a heading would not have a citation. move the citation to the narrative below.

reword to newborn (if this is what you meant)

'the moment they enter the clinical setting'

students may overhear client information though may not have provided care.

sounds awkward having a double negative. hard to figure this out. do you need unreasonably here?

making an error? causing doesn't fit too well

this image is a poor example.

wouldn't this be "reasonable doubt"

mixture of singular and plural

is "a law"

as noted below, PICOT is a question not an outline

also add prisoners

achieved?

one word

do students know these concepts?

do they still refer to this old concept? could you share the updated indicators?

revise: Patient-Centered

consider adding that this is a specialization with certification from ANCC, which was mentioned earlier

plural here as well

"The following"

revise to "NPSGs"

you are referring to all of them, not just one.

this is the same link as the one for TJC above

earlier you used an "&", which is correct. change to & here

these figures are too large, other sections as well

consider "provide"?

reword, "no"

as noted in a previous comment by someone else, this concept is written as "unfreezing" multiple times. I suggest using the same concept throughout.

match up this wording to the wording in the narrative

the image is not an illustration of change. either change the image to reflect the description or change the description.

I suggest referring to "Greenleaf Center", not the URL

this was abbreviated earlier, you write ANA here

wouldn't this be abbreviated CCT?

vague, which techniques were taught and did the patient understand?

Which pain meds were given?

this documentation needs further refining.

documentation should include objective measurements, just as pain is measured as an 8/10.

and checking liver function bloodwork

consider sharing a brief paragraph on CAM

if you refer to the figure first and the table second, show them in the order they are discussed.

Senna can be addictive, and should not be taken long-term, usually about 2 weeks. I suggest adding this important information.

is this exclamation mark needed?

I suggest adding fentanyl to this list, replacing either hydromorphone or Dilaudid, as it corresponds to the image you direct your reader to... Also, hydromorphone and Dilaudid are the same medication--brand and generic

this is not the brand name for Ketorolac. it is Acuvail, Acular LS, Acular

Tramadol is not an NSAID

is this needed? Sounds as if their original work was modified or updated. If so, then it makes sense, if not, I'd delete.

capitalized here and below.

do you want to add that some states offer nurses assistance with addiction. From the SPAN website:

We believe every nurse deserves access to treatment, help in preserving his or her license and employment status and ongoing support throughout the recovery process

https://www.statewidepeerassistance.org

do you want to refer to the Code of Ethics here?

singular

I suggest breaking up this paragraph, it's long, and could be intimidating to read.

capitalized, it's part of the name

whose research? no citations in this para

suggest something like this instead:

Individuals learn the concept of pain throughout all stages of life

unclear what this means, I would clarify, such as, sharing an example about inability to follow the flow of the conversation

should be this:

gastrointestinal (GI) bleed.

add citation

back in the 80s we used to give back rubs to everyone on the evening shift. A lost art.

such as IV pump alarms

would it be presence?

do you want to refer to individuals?

is there an objective measurement you can add here?

leading to weight gain (I would add this point if that source identified this fact)

is it necessary to write 'this stage' for all three stages? I suggest beginning with "the transition between...."

in a previous chapter on subjective assessments, you advised the student to put these statements in quotation marks.

this is about communication, which sense does this apply? Hearing? I would tie in the applicable sensory organ to show the connection

are you referring to "electronic" devices?

(such as gum)

add this to the first point

such as scatter rugs and oxygen tubing

this is routine, regardless of visual impairment

since you are sharing only one goal, make this singular

for a hearing impairment (they may not know oto refers to the ear)

a good rapport...

citation needed

vision

not sure why there is a paragraph on cognition and aging. the first sentence addressed sensory and aging, but then the rest goes into just cognition, how is this related to sensory functioning?

missing a space between figure number and title

singular, self-care

is there supposed to be a hyperlink here?

is the box below supposed to have a hyperlink?

excellent image

I don't see how this image depicts anxiety and wandering

add a brief definition here as you did above

(increased confusion at night)

... with dressing

at times you may also observe inappropriate laughing

now this is a very good image of dementia, needing help with dressing