From Chapter 18-Review the newest Joint Commission Safety Goals compared to those from 2016 in the text on Page 477. https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals/2020/2020-hap-npsg-goals-final.pdf?db=web&hash=17AB9546CAD521158182BC25A8387B2E Review the information on QSEN on Pages 482-483. 1. Discuss what changes you have seen in Quality Improvement (QI) at your facility and research any local facility at http://www.qualitycheck.org to look at current and previous facility surveys. Would you change your mind about using the facility based on what you found? From the ANA read over the "Handle with Care" section then research the resources for advocacy and the healthy nurse. https://www.nursingworld.org/practice-policy/work-environment/health-safety/handle-with-care/ 2. Discuss an issue where you felt your safety was at risk while providing care either in practice or in clinical. 3. While the way his error occurred 30 years ago might not be as relevant today, you can see how the electronic MAR helps prevent errors. However, errors can still be made and there is great impact on the client, the nurse, and facility. Read the Focus On Research section in Chapter 18 on Page 488.  Comment on your medication implementation practice. 1a). Discuss why you think networking with other health care professionals would be beneficial to your nursing career.  Discuss the characteristics you hope to find in a future mentor. Discuss your plans to build or add to a professional portfolio. 2b). After reading about the shortage of nurse educators and reviewing the characteristics of the ideal nursing program from the text, what changes do you think would be most beneficial for the future? Discuss any future plans you have to become involved in nursing education. (Obtaining a Master's degree to pursue teaching or to become a clinical instructor). We currently have a former student, who finished her BSN a year ago, doing clinical as an adjunct for the first nursing course. Respond to the concern in the article about so many nurses retiring. 3b) . What was your reaction to the commentary on the Affordable Care Act not saving money? Thoughts on what will happen if those who are insured no longer have this option. 4b). Provide one comment, at least, about the nurse working during the fires in California.