| Course | NR 718 Topics in Advanced Practice Leadership I |
|---|---|
| Week | 8 |
| Paper type | Project proposal presentation with speaker notes |
| Length | About 950 words, 4 pages |
| Format | Slides with speaker notes, APA 7 references |
| School | Chamberlain University |
| Program | Doctor of Nursing Practice (DNP) |
| Updated | October 2026 |
Free sample paper for NR 718 Week 8
Project Proposal to the Emergency Department Operations Meeting: Kilograms-Only Weights for Every Child, Locked Before It Is Taught
Student Name
College of Nursing, Chamberlain University
NR 718: Topics in Advanced Practice Leadership I
Instructor Name
Month Day, Year
Slide 1: One in Five Children's Weights Was Not Measured in Kilograms
400 pediatric triage records, May to July 2026
228 measured in kilograms; 61 converted by hand; 88 stated by a parent; 23 missing
Nine hand conversions off by more than 10%
Speaker notes: Our own numbers come first. Just over half of the children we saw this summer were weighed in kilograms. The rest were weighed in pounds and converted, or the parent told us a weight, or nothing was recorded. Nine of the conversions were wrong by more than ten percent, and in the past year three safety reports involved a pound figure used as kilograms.
Slide 2: The Change in One Sentence
Every child weighed on a scale that reads only kilograms
Weight typed into a field that refuses pounds
All of it before a dose is calculated by weight
Speaker notes: This is the whole change. It is what national pediatric readiness guidance for emergency departments already recommends (Remick et al., 2018), and it targets the most common weight error found in a study of three emergency departments, pounds entered as kilograms (Hirata et al., 2019).
Slide 3: Why Lock First, Then Teach
2023 weighing campaign, education only: rose to 71%, back to 55% in four months
2024 sepsis prompt, built into the record: 94% and holding two years
Speaker notes: We have run this experiment ourselves. Posters and a staff meeting moved weighing for six weeks. A required step in the record changed practice for good. So the proposal locks the scales and the field first, and teaches in the two weeks after, with the triage nurses designing the routine.
Slide 4: Are We Ready? Yes, on Three Conditions
Record field change scheduled before rollout
A physician champion named before the medical director retires in March
Weighing time counted separately from door-to-provider time, for a three-month period
Speaker notes: The readiness assessment did not find us ready everywhere. It found us ready to begin if three things are true. If any is missing at the end of January, I recommend we wait rather than repeat 2023.
Slide 5: Who Has to Agree, and What They Lose
Triage nurses: two to three minutes per child
Night charge nurse: some control over triage routine
Information technology: ten weeks of queue position
Biomedical engineering: an afternoon locking and checking scales
Speaker notes: Every change costs someone something, and these are the costs. The workflow has already been shaped by the night charge nurse together with two triage colleagues. The quiet risks are the scale settings and the record queue, which is why the requests to those teams come from the manager, with exact specifications.
Slide 6: How the Change Will Be Led
Unfreeze in November: audit, near miss and trial results shown by the night charge nurse
Move in January: scales and field locked, huddles for two weeks
Refreeze from February: monthly audit, recognition board, physician champion
Speaker notes: The plan follows Lewin's three steps, with most effort before the lock (Lewin, 1947). The one-week trial on two scales will tell us how much time weighing really adds, so the November meeting argues about a measured figure, not a feared one. Everything after November is a plan, not a result.
Slide 7: Risks and What We Will Do
Workarounds: watch for round-number weights and old clinic weights
Broken-scale reports: biomedical engineering checks within one shift
Field not built by January: rollout waits
Travel nurse turnover: card and huddle at every orientation
Speaker notes: These are the ways this could go wrong. The monthly audit will look for workarounds, not only for kilograms, because a lock can push a problem somewhere less visible. If the field is not built, we do not proceed on schedule.
Slide 8: What It Costs
Chair scale replacement: about $1,150
Record field build: about six analyst hours
Huddles: ten minutes per shift for two weeks, inside existing shift time
Monthly audit: about two hours of educator time
Speaker notes: The direct cost is one scale. The rest is time that is mostly already in the schedule. I am not presenting any savings, because none can be claimed before the change exists.
Slide 9: Measures Reported From February
Measured-in-kilograms rate above 90% for three consecutive months
Stated weights below 5%
Weight-related safety reports reviewed monthly with pharmacy
Speaker notes: These are the measures we will report to this meeting monthly from February. I am deliberately not projecting results. The first figures will come from the February audit, and if they are poor, this meeting will hear that first, along with what the night and day charge nurses think should change. A measure reported only when it is good would not be worth the two hours a month it takes to collect, and the triage nurses will see the same figures posted beside the door-to-provider time.
Slide 10: The Request
Approve the rollout for January 2027, subject to the three conditions
Manager: request priority for the record field change this week
Medical director: name a physician champion by 1 March
Approve $1,150 for the chair scale from the equipment budget
Speaker notes: This is what I am asking this meeting for today, and nothing else. If these four things happen, the November staff meeting can start the change. If they do not, I would rather know now so that we can adjust the plan instead of starting a change we cannot finish.
References
Hirata, K. M., Kang, A. H., Ramirez, G. V., Kimata, C., & Yamamoto, L. G. (2019). Pediatric weight errors and resultant medication dosing errors in the emergency department. Pediatric Emergency Care, 35(9), 637-642. https://doi.org/10.1097/PEC.0000000000001277
Lewin, K. (1947). Frontiers in group dynamics: Concept, method and reality in social science; social equilibria and social change. Human Relations, 1(1), 5-41. https://doi.org/10.1177/001872674700100103
Remick, K., Gausche-Hill, M., Joseph, M. M., Brown, K., Snow, S. K., Wright, J. L., American Academy of Pediatrics Committee on Pediatric Emergency Medicine and Section on Surgery, American College of Emergency Physicians Pediatric Emergency Medicine Committee, & Emergency Nurses Association Pediatric Committee. (2018). Pediatric readiness in the emergency department. Pediatrics, 142(5), Article e20182459. https://doi.org/10.1542/peds.2018-2459
NR 718 Week 8 instructions, in plain terms
Build the deck for the people who will decide, not for a grader alone. Open on the problem in one slide with a local number. Give the proposed change its own slide. Compress earlier weeks to their findings: what supports the change, what threatens it and who has to agree. Show your framework as a simple visual or a short list rather than a paragraph. Include a slide on risks and what you will do about each, and one on costs. Say how success will be measured without projecting results for something that has not begun. Put the sentences in the speaker notes and keep slides short. Give the request a slide of its own, listing each approval you need and from whom, and keep within any stated time or slide limit.
Inside the NR 718 Week 8 example
Slide 1 gives the audit figures and the three safety reports. Slide 2 states the change in three short lines and links it to national guidance and a study of weight errors. Slide 3 contrasts the faded 2023 campaign with the sepsis prompt that held, as the reason to lock first. Slide 4 lists the three readiness conditions. Slide 5 names what four groups lose. Slide 6 compresses Lewin's three steps, with everything after November labeled as a plan. Slide 7 lists four risks, including workarounds the audit will look for. Slide 8 prices the chair scale and the staff time. Slide 9 lists measures reported from February without projecting results. Slide 10 makes four requests of the meeting, the manager and the medical director.
NR 718 Week 8 rubric: what full points look like
The most costly deck is a paper pasted onto slides and read aloud. Next is no ask: a presentation that describes a project thoroughly and never tells the room what it wants. Claiming outcomes for something not yet begun costs heavily, since it reads as careless or invented. Marks are also lost for skipping risks, because a decision maker who spots an unmentioned obstacle stops trusting the rest, and for overrunning the stated time. Graders reward decks that compress earlier weeks to findings, keep slides short with the detail in the notes and give the request a slide of its own with named approvals. Stopping at the start line, with measures but no projected results, earns credit.
NR 718 Week 8 help from the desk
Turning eight weeks of papers into about ten slides means deciding what the room must approve and cutting nearly everything else. Share your change, your findings from earlier weeks and the names or roles of the people who will decide. From those, each week can be compressed to one finding, slides kept short with the full sentences moved into notes, risks and costs listed plainly and the request given a slide of its own with each approval named. Resisting the urge to project results for a change that has not yet started is part of the same discipline. The proposal and its figures stay yours.
Get a NR 718 Week 8 example written to your instructions
Send the presentation instructions, the slide template your section provided and the recording length required. An example deck with speaker notes gets built to your brief and returned inside 24-48h. The first one is free, and it exists to be read against your own slides rather than presented.
More NR 718 papers and DNP samples
- NR 718 Week 1: Leadership Change Post
- NR 718 Week 2: Leadership Self-Assessment
- NR 718 Week 3: Leadership Theory Analysis
- NR 718 Week 4: Organizational Readiness Assessment
- NR 718 Week 5: Stakeholder Analysis
- NR 718 Week 6: Change Model Application
- NR 718 Week 7: Implementation Position Paper
- NR 717 Week 8: Policy Presentation
- NR 716 Week 8: Recommendation Presentation
- NR 702A Week 8: Readiness Memo
- NR 715 Week 8: Practice Problem Synthesis
NR 718 Week 8 questions, answered
Slides, a recording, or both?
Check what your section requires, since practice differs and some ask for narrated slides while others take the deck alone. Build the notes field properly either way. If narration is required it becomes your script, and if it is not, faculty still read the notes to see the reasoning that would not fit on a slide.
What belongs on the last content slide?
The request, followed by what happens immediately after a yes: who is told, what gets scheduled, when preparation would begin. It stops there. This course covers the work up to approval, so a deck that reaches forward into results is answering questions nobody has asked yet and losing focus for it.
How much of the earlier assignments can be reused?
The findings, yes, and reusing them is the point of a sequence like this. What cannot travel is the prose. A readiness paragraph pasted onto a slide overwhelms it, so each earlier paper contributes its conclusion in a phrase, with the argument moved into speaker notes where it can be delivered aloud.
Where can I find a free NR 718 Week 8 sample paper?
This page has the complete ten-slide proposal for kilogram-only pediatric weights, with speaker notes and a separate request slide.
Why does the NR 718 Week 8 deck claim no results?
The change has not started, so it lists the measures to be reported from February and stops at the start line instead of projecting outcomes.