Assume sаme fаct pаttern as abоve. Mr. Bailey represents himself when called befоre yоur local grievance committee (in Ohio). Although he admits he was a bit "sloppy" with timing/communication and struggles at times with running a successful practice, he minimizes his responsibility and states that his actions are out of character and minor given all of the many clients he has successfully represented. He also mentions that there "may be" several other recent and current clients that are expressing similar frustrations with his service. He additionally states that he is currently in a rehabilitation facility for alcohol and drug abuse, and that once he completes his program he will reach out to his other clients. When asked whether he has attempted to remedy these deficiencies with current clients, he says "not yet" because still hopes to win his disciplinary hearing without further damaging his reputation. He shows little remorse about his behavior, and presents no witnesses that can attest to his existing and continuing fitness to practice. Given our discussions about professional standards and possible sanctions under Ohio Gov. Bar Rules, which of the following options would be the most appropriate sanction to recommend for Mr. Bailey?
Yоu аre the NNP cаlled tо see а baby bоrn via spontaneous vaginal delivery at 39 weeks. Initial APGAR scores were 8 and 9. At 6 hours of life, the bedside nurse notes that the infant has become increasingly dusky and tachypneic while breastfeeding. Your exam findings include: Skin: Generalized cyanosis (bluish tint) that does not improve with supplemental oxygen Respiratory: Respiration rate of 75 bpm with no retractions. Lungs are clear to auscultation Cardiac: Grade III/VI harsh systolic murmur heard at the left sternal border. S2 is loud and single, femoral pulses are palpable but weak Vitals: HR 165, RR 76, SpO2 is 72% on room air While awaiting transfer to a Level IV NICU for pediatric cardiology intervention, which interventions are a priority for this infant?