Instructions
You will be assigned one scenario from the four options listed below to help you create your project planning documents. Note that only basic information is provided in your scenario. You will need to use critical thinking skills to determine reasonable financial considerations, actions to complete your project, and appropriate outcomes. Be creative and make your own assumptions where information is not provided; make sure your assumptions are reasonable and functional.
I picked scenario 1:
PICC Line Placement
The PICC line procedure is a benefit to patients who need long-term antibiotics or other medications but have poor venous access or are being discharged from the hospital. The PICC line procedure is less expensive than a surgical alternative. Currently, there is one radiologist who performs these procedures, and the patient must wait until that one radiologist is available to have the procedure done. The proper training to perform this procedure will help avoid delays. The patient will benefit from being able to recover at home and use a less expensive home health agency for continued treatment. The hospital could experience lower costs while receiving improved reimbursement from insurance companies.
Financial Considerations
The estimated expense to meet the objectives for improving the PICC line placement should be minimal. The radiologist already performs this procedure and is willing to train the hospitalists to perform it as well. The cost would only be the time for training by the radiologist.
Possible Risks
1. Conflicting physician schedules
2. Unstable patient being brought for a procedure
3. The risk for infections like any catheter procedure
4. Catheter clotting
Assumptions
1. The radiologist is willing to share his or her experience.
2. Hospitalists are willing to be trained in this procedure.
3. Hospitalists will utilize their knowledge of the patient, their condition, and exercise good judgment in performing the PICC line procedure.
ANSWER
Table of Contents
Section 2: Work Breakdown Structure. 3
Section 3: Project Schedule. 3
Section 4: Resource Utilization. 4
Section 5: Assumptions and Risk Analysis. 4
Risk Analysis and Mitigation. 4
Implement a PICC Line Placement in hospitals
The objectives of the project are as follows:
| Level | Activities |
| 1 | Project proposal |
| 2 | Requirement Analysis |
| 3 | Training of medical staff by radiologist |
| 4 | Mentorship of trained staff |
| TASK \ Weeks>>> | W0 | W1 | W2 | W3 | W4 | W5 | W6 | W7 | W8 |
| Project Proposal | |||||||||
| Requirement Analysis | |||||||||
| Training | |||||||||
| Mentorship |
| Revenue | $62,000 |
| Expenses | |
| Salary expenses | $13,000 |
| Equipment costs | $20,000 |
| Contractual services | $0 |
| Supplies | $5,000 |
| Total | $100,000 |
| Risk | Mitigation |
| Conflicting physician schedules | Involve the radiologist in the project plan. |
| Unstable patient being brought for a procedure (Seckold 2015) | Include psychology training in the requirement analysis |
| The risk for infections like any catheter procedure (Chopra 2014) | Ensure safety gear for all medical practitioners. |
| Catheter clotting | Actively engage in new research on how to handle this. |
References
Chopra, V., Ratz, D., Kuhn, L., Lopus, T., Chenoweth, C., & Krein, S. (2014). PICC-associated bloodstream infections: prevalence, patterns, and predictors. The American journal of medicine, 127(4), 319-328.
Purran, A., Weller, G., & Kerr, C. (2016). Evaluation of a PICC care training programme. Nursing Standard (2014+), 30(20), 45.
Seckold, T., Walker, S., & Dwyer, T. (2015). A comparison of silicone and polyurethane PICC lines and postinsertion complication rates: a systematic review. The journal of vascular access, 16(3), 167-177.
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