Establishing a Base for Medical Helicopter Operations

In this assignment, a hospital executive receives two voicemails regarding concerns about increased patient numbers, diversity, and trauma cases in the area. The first voicemail is from the ER manager, reporting staff threats to leave due to workload and unfamiliarity with the new patient demographics. The second voicemail is from the Women's Services manager, requesting a meeting with the County Child Protection Services Director about a 4-fold increase in teenage pregnancy, attributed to adolescent girls' infatuation with guys with accents linked to the new resort complex. The executive must develop a teaching plan for nurses to be culturally aware and sensitive to the newest community members, create a handout addressing an area of health concern, and compose a report on primary, secondary, and tertiary prevention in the hospital's service area.

Final Project (Paper)
Student will search and write a paper that address the requirements of the paper listed below.
Responses to the questions (in the table below) are to be based on your nursing educator role at the
hospital. Each student should address the questions using their own creative plan, including
rationales and supporting data need to be given as appropriate.
Write a paper that include:
1. Title page
2. Abstract page
3. Content (7 pages)
4. Reference page …… so, the total pages are (10 pages)
Scenario
Your (health educator) position has just been downsized by a large healthcare corporation whose
mission and statement has been redefined as a result of 3 years of significant financial losses. Your
parents are increasingly failing in health and you have gotten several phone calls from their
neighbors concerned for your parent’s safety. You make the decision to relocate to assist them in
Lawrenceburg, Indiana (IN), USA. You will be able to supervise your parents and the local
hospital has a position that has been open for over 18 months for a Master’s prepared nurse. You
have been awarded the position.
A major construction boom is occurring in Lawrenceburg. A large casino corporation is building
another resort/casino complex. This building boom has brought additional Native Americans to the
area as they will be benefiting from the casino profits. The construction of the complex has been
awarded to a company with contracted laborers from Mexico. The company estimates 500- 1000
workers with a majority of them from Mexico City, Mexico. A small portion of the complex has
already been built for use in training the casino staff. The casino company has been successful in
recruiting Eastern European workers to manage and operate the casino games. The also rely on a
large portion of immigrant workers in hospitality. Currently, there are approximately 250 workers
training for the facility operations.
Upon the first week of your employment you are requested to go to a community planning
committee regarding the hospital role in the developing/changing Lawerenceburg economy. Your
assessment is the group is overwhelmed by the changes occurring in the area. They have concerns
that a small locally owned grocery store might closing because a large chain store has built outside
of town and sales at the store are very weak. The store’s importance was a program providing free
diabetic medications from their pharmacy. The store provides free Glucophage, Glyburide,
Glucovance and regular Insulin. Many residents are worried they will not be able to afford their
medications to keep their diabetes under control. Diabetes and COPD are common chronic diseases
in the area as 25% of the population smokes compared to 20% in the nation.
The committee also recognizes with the influx of workers, the two primary care providers in town
are not able to schedule return appointments because they are overwhelmed with acute visits. Many
diabetics have not been seen in over 9 months. Primary Care Physicians are concerned about the
many unique conditions they are seeing with the Eastern European, Mexican and Native American
populations. One MD who is approaching his 78th birthday says by the end of year he will be

retiring to Florida because the office pace and increasing documentation demands from Medicare
and other insurances are too much to keep up with at his age.
As a side note, a dissident on the committee keeps talking about the “Swim out of the Weeds”
Fund. This fund was established to teach Lawrenceburg children how to swim. In the early 1940’s
multiple children drowned in Ohio River. A trust fund was set up to assure each child was taught
to swim in the 1st and 2nd grade. The fund has grown to a principle of $1.5 million dollars. The
local school is no longer teaching swimming in this age category because of state mandated
educational requirements. The school has not asked for funding from this source for
the past 2 years. The fund has had no withdrawals from its principle in the past 2 years. There
are very elderly grandchildren to the benefactor family still in the area. The grandchildren have
some direction on the fund, but the fund is managed by the local Farmer’s State Bank. The
meeting was interrupted by the news two siblings were found to have drown in the river.
The hospital is a critical access hospital and is seeing an increase in census and in the number of
patients being transferred out for higher level of care. A new ambulance service has added three
paramedic staffed ambulances responsible just for inter-facility transfers. A for-profit air
ambulance service is negotiating with the county airport authority on placing a base for a medical
helicopter in operation.
You return to the hospital to recover from the mass information gathered at the meeting, and go
through your voicemail. You have an angry voicemail from the ER manager who says her staff is
threatening to leave because they feel overwhelmed with the increased numbers of patients seen,
the unfamiliarity with the new diversity to the area and the recurrence of critical traumas
including 1-2 construction accidents, 2-3 alcohol related accidents daily and a large increase in
domestic violence with 1-2 cases a week as compared to 1 a month a year ago. The most recent
domestic violence incident was a father that shot his wife in front of two kids, then shot at and
killed one child while the other was able to escape. The next voicemail is a request from the
manager of Women’s Services that in the past 12 months there has been a large increase in
teenage pregnancy, a 4-fold increase in deliveries with co-morbid gestational diabetes. She states
the County Child Protection Services Director wants a meeting with you and her because of a
report from two of your L&D nurses who state the increased teenage pregnancy rate is related to
adolescent girls’ infatuation with guys with accents and can be traced back to the new resort
complex.
You skip the rest of your voicemail and receive an email reminder on your I-Phone of an upcoming
health fair in one week. This had slipped your mind, and you had committed staff to attend the
community health fair to be held in conjunction with a hiring event for the resort at the training
facility. You must develop a teaching plan for your nurses so they will be culturally aware and
sensitive to the newest members of the community, as well as developing a hand out that appeals to
an area of health concern for the population.
As you head for lunch, the HR director notifies you the Nursing Educator who has been on
extended maternity leave has decided to not return to work. You are now responsible for
developing a report regarding the challenges of primary, secondary and tertiary prevention in the
hospital’s service area.

Grading Criteria Pts. Develop a Health Promotion Activity aimed at the primary
needs of the various groups in Lawrenceburg, IN.
Population Health
Concerns
9 1. What are current population health issues in Lawrenceburg? How do
they compare statewide, nationally?
Genetic/genomic 9 2. What are the possible genetic/genomic challenges of Lawrenceburg?
How could these be solved?
Human
Diversity issues 9 3. What makes Lawrenceburg, IN unique? How?
Physical Assessment
& Documentation 9 4. Describe what physical assessments are needed for the Health
Promotion Activity and how this will to be documented on the
medical record (in or outpatient care)
Pathophysiology 9 5. Describe the Pathophysiology related to the Health Promotion
Activity (you can focus on pathophysiology of Diabetes)
Pharmacology 9 6. For a minimum of two medications describe the usual and
customary dose, purpose, med action, any administration skills or
precautions needed, side effects, and cost.
Nursing Education 9 7. Develop a teaching plan for nursing staff regarding the Health
Promotion Activity.
Levels of Prevention 9 8. Describe how the Health Promotion Activity will fit in to
Primary, Secondary, and Tertiary levels of Prevention
Model or
Nursing Theory 9 9. Briefly describe a model or theory that guides your work. Give
the rationale that relates it to the Health Promotion Activity.
Ethical Issues 9 10. Each group will address at least one Provision (there are 9
options) of the Nursing Code of Ethics and a minimum of two
interpretive statements of that provision. The Ethical Issue must
apply to the scenario.
Patient
Education
handout
9 11. Create a patient education handout for the Health Promotion
Activity and describe how this will be utilized. A copy of this
brochure needs to be in an Appendix to the paper.
APA format of
the written paper 16 Title page, Abstract and a Reference page. Points are taken off after the
third error in spelling, formatting, citations or the References.
Total Points 115 points possible

Grading Rubric for paper
100%  Clear and logical statements that either
interprets, summarize, infer, explain,
exemplify, discuss or comment as
requested
 Explanation and/or examples provided to
support ideas
 Addresses all parts of the assignment
 Shows insight and creativity
95%  Addresses all required topics
 Could have been further developed
85%  Addresses most of the topics correctly,
did not answer all parts of the assignment
75%  Some unclear content, incorrect, did not
answer all parts of the assignment.
65%  Confusing, lacks explanation of reasoning
0  Not submitted or submitted too late
Hi Mark,
There are many types of Diabetes. I would like you to focus on only Type 1 diabetes
(diabetes mellitus) in the sections of the physical assessment, pathophysiology,
pharmacology, health promotion and levels of prevention.
Thank you
Kholoud