nurs 6565 week (1-11) discussion And Assignment Paper.
nurs 6565 week (1-11) discussion And Assignment Paper.
Practicum Assignment 1: Self-Assessment of Clinical Skills
A self-assessment is an opportunity for you to review what you have learned in the program, evaluate your clinical skills, and develop goals before exiting the NP program. For this assignment, you will complete the Risk Control Self-Assessment Checklist for Nurse Practitioners and identify your areas of strength and weakness. You also will explain how you plan to improve on these weaknesses, as well as how you plan to master clinical skills you have not obtained prior to exiting NP program.nurs 6565 week (1-11) discussion And Assignment Paper.
To prepare:
Complete the Risk Control Self-Assessment Checklist for Nurse Practitioners (http://www.hpso.com/Documents/Risk%20Education/individuals/NP_RM_Checklist_2012.pdf)
Review preceptor and faculty evaluations in Meditrek for all completed clinical courses. Consider your strengths and weaknesses. Review types of patients treated and clinical procedures performed
ORDER A PLAGIARISM-FREE PAPER HERE
Write a 2- to 3-page paper that addresses the following:
- Identify at least three strengths (eagerness to learn, ability to relate, compassion, Confidence)
- Explain why you consider these strengths and what you can do to maintain them in your practice
- Identify at least three weaknesses ( novice skills, Blunt personality, being more flexible)
- Explain how you plan to address each weakness
- Examine at least three clinical skills you need to obtain prior to exiting the program.
- Explain how you plan to master the clinical skills before exiting NP program
- Analyze the history of advanced practice nurses and the emerging role of your specialty area, and discuss what contributions you plan to make to advance the nursing profession
A self-assessment is an opportunity for you to review what you have learned in the nurse practitioner program, evaluate your clinical skills, and develop goals before exiting the NP program. For this assignment, you will complete the Risk Control Self-Assessment Checklist for Nurse Practitioners and identify your areas of strength and weakness. You also will explain how you plan to improve on these weaknesses, as well as how you plan to master clinical skills you have not obtained prior to exiting NP program.nurs 6565 week (1-11) discussion And Assignment Paper.
To prepare:
Complete the Risk Control Self-Assessment Checklist for Nurse Practitioners
Consider your strengths and weaknesses
Review types of patients treated and clinical procedures performed
To Complete
Write a 2 page paper that addresses the following:
Identify at least three strengths as a nurse practitioner
Explain why you consider these strengths and what you can do to maintain them in your practice
Identify at least three weaknesses as a nurse practitioner
Explain how you plan to address each weakness
Examine at least three clinical skills you need to obtain prior to exiting Nurse practitioner program
Explain how you plan to master the clinical skills before exiting NP program
Analyze the history of advanced practice nurses and the emerging role of your specialty area, and discuss what contributions you plan to make to advance the nursing profession
NURS 6565N Week 2 Board Vitals Exam: Walden University (Already Graded A)
- From Health Care, General Health Care
NURS 6565N Week 2 Board Vitals Exam: Walden University
1) A nurse practitioner enters a contract with a physician. What type of law governs this type of interaction?
a. Administrative law
b. Civil law
c. Rules and regulations
d. Criminal law
2) A young nursing student is interviewing a nurse practitioner about her profession. Which of the following is true?
a. The first nurse practitioners were family practitioners
b. The first nurse practitioner program was started in 2001
c. A nurse practitioner derives the legal right to practice from federal law
d. NP practice is not regulated by the Department of Health and Human Services
3) A nurse practitioner enters a contract with a physician. What branch of law governs this type of transaction?
a. Administrative law
b. Civil law
c. Rules and regulations
d. Criminal law
4) What was the major impetus for the creation of the nurse practitioner role?
a. Need for expert nurse clinician
b. Shortage of primary care physicians
c. Trend for specialized nurses to diagnose and manage unstable acute and chronic conditions
d. Movement of graduate nursing education to diagnosis and treatment of major illnesses
5) Who started the first nurse practitioner program?
a. Hildegard Peplau
b. Mary Breckenridge
c. Agnes Mcgee
d. Loretta Ford
6) When the NP is paid directly by the patient’s payer who agrees to pay the NP for providing care for a specific population, this is called a:nurs 6565 week (1-11) discussion And Assignment Paper.
a. Contracted service system
b. Second party system
c. Third party system
d. Fee for service system
7) Which of the following practices constitutes a barrier to safe and effective healthcare
a. Input from multiple team members
b. Raising an objection about quality of care to a team member with a higher level of health profession education
c. Use of informatics to inform team discussion
d. Inadequate disclosure of errors to patients and families
8) An established patient agrees to pay the nurse practitioner directly for providing a specific service which is a
a. Fee for service system
b. Third party system
c. Contracted service system
d. Second party system
9) A nurse practitioner is seeing patients in a clinic. Which of the following requirements must the NP meet to satisfy Medicare’s coverage requirements
a. The services must be provided under direct supervision
b. The services must be provided subject to restrictions and supervision requirements of the state
c. The services must be billed through a clinic that is directed by a physician or through a hospital or health agency
d. Services must be provided in a federally qualified health center (FQHC) or rural health clinic (RHC)
10) When advocating for the profession of nursing, a nurse practitioner knows that responsibility for interrupting scope of practice parameters rests with which of the following
a. The state medical licensure board
b. The state board of nursing
c. The state legislature
d. The individual NP
11) The NP knows that his or her legal right to practice is derived from
a. The laws of the state where he or she practices
b. The nurse practice act of the state where he or she practices
c. The federal medicare laws
d. The board of nursing in the state where he or she practices
12) Your nursing license may be in jeopardy if
a. You appropriately delegate medication administration to a trusted RN employee who administers a fatal dose
b. You delegate client assessment tasks to an LPN who has been floated to your outpatient clinic for the day
c. You provide nursing care services consistent with established standards of practice in your jurisdiction
d. The medical assistant in your supervising physician’s office exceeds the scope of her authority but you take prompt action to correct the problem
13) The NP delegates a task to an unlicensed person. The person(s) responsible for outcomes in this case is
a. The NP
b. The unlicensed person who performs the task
c. Both the NP and the unlicensed person
d. The physician responsible for the NP
14) According to the institute of medicine which of the following defines healthcare performance
a. How things are done now
b. The efficiency and outcome of care by an organization including patient satisfaction
c. Healthcare delivery system inputs
d. Activities within a healthcare organization
15) Which of the following is true of advanced practice registered nurses
a. Half of the states in the US license Nurse practitioners
b. Designated titles by which nurse practitioners are known vary by state
c. Only two states currently require NPs be certified by a national certifying organization for nurses
d. An APRN employed by the VA must have separate licenses for each state in which she works in a VA facility
16) Nonmaleficence is a principal ethic in nursing is best defined as
a. Compassion; a desire to good
b. Dedication, fairness, honesty, advocacy, and commitment to patients. It involves an agreement to keep promises and commitments based on the virtue of caring
c. Avoidance of harm
d. Equal and fair distribution of resources based on impartial analysis of benefits
17) Which of the following characterizes the professional role of a nurse practitioner
a. Nurse practitioners scope of practice does not reflect practice privileges allowed by certification
b. Perspective authority is issued with NP certification
c. Nurse practitioners can admit patients to hospitals in all states
d. The scope of practice of a nurse practitioner reflects a full range of practice privileges allowed by certification and license
18) The health insurance portability and accountability act
a. Addresses the rights of the individual as they relate to privacy of health information
b. Requires national standards for electronic health records
c. Regulates transfer of health information needed for continuity of care
d. All the above
19) Which of the following scenarios is generally considered unethical
a. Having notes on a therapy patient, keeping them out of the medical record and denying the patient access to them.
b. Charging patients a fee for missed appointments
c. Hiring a patient to do lawn maintenance
d. Declining a box of chocolates from a patient
20) Which of the following is true of the title “nurse practitioner?”
a. It can only be used by a nurse practitioner in active practice
b. It indicates the patient has been certified by a non-governmental entity
c. Itis illegal for any person to use the title without a valid license
d. It can be used by anyone who has met the educational requirements. nurs 6565 week (1-11) discussion And Assignment Paper.
Nurs 6565 Wk 3 Discussion
Discussion: Quality and Cost Measurements
As nurse practitioners continue to expand their role in delivering health care, it is imperative for NPs to provide the data and evidence to demonstrate the impact of NP care on patient outcomes. There are several challenges that advanced practice nurses face to provide quality care and meet productivity goals of an organization. This week it is important to explore the connection of quality care and performance measures. Some questions to consider as we discuss this topic are:
· Why are quality measures important?
· What is the difference between quality measures and performance indicators?
· What performance measures are used for NP productivity?
· Why are incentive plans used in clinical organizations?
To prepare:
· Read the article, An Incentive Plan for Advanced Practice Registered Nurses: Impact on Provider and Organizational Outcomes, by Catherine A. Rhodes, Mavis Bechtle, and Molly McNett (2015)
· Explore quality measures and identify at least one clinical performance measure, such as the Agency for Healthcare Research and Quality (AHRQ)
By Day 3
Post at least 250 words (no introduction or conclusion)
1. an explanation of the importance of quality measures using the clinical performance measure you identified as an example.
2. Then, identify the performance measures used for NP productivity in Rhodes, Bechtle, and McNett (2015) article.
3. Finally, share your opinion on incentive payment for care, including external motivators and at least one business model.
CH 6565 Week 4 Discussion :Clinical Challenges for the NP
Discussion: Clinical Challenges for the NP
Each state has laws that differ in regard to the role of the Nurse Practitioner. They also may significantly impact the NP’s practice. Legislative changes may occur annually, bi-annually, or during an emergency legislative meeting at the state or federal level. These legislative sessions and any subsequent changes may significantly impact your scope of practice as a Nurse Practitioner. Remaining current with the laws in your state is essential. For example, the recent change at the federal level changing hydrocodone-containing drugs from a Schedule III drug to a Schedule II drug has impacted NPs in some states. For states that allow for Nurse Practitioners to write Schedule III-V drugs, these NPs are now unable to write for hydrocodone- containing medications, which significantly impacts their ability to provide care for their patients. The Pearson Report, which is updated almost annually, provides a national overview of each state’s current legislature. As a future NP, you should become familiar with The Pearson Report and stay abreast of state and federal legislation.
For this Discussion, you will post an explanation that defines the legal implications for standard of care, the key components of a malpractice policy in regard to a case study. Additionally you will explain the collaborative agreements and rules for your state in regard to your NP practice and the case study you select. nurs 6565 week (1-11) discussion And Assignment Paper.
To prepare:
- Review the following case studies and select one to research in depth:
- Case Study One: Dismissing the non-compliant patient.
Gwen, a 52 year old Caucasian LPN, recently joined your practice as a new patient. She currently has a BMI of 32, B/P of 142/88. Pulse is 89, Respiratory rate is 22, Pulse Ox is 96% on Room Air. She is taking Lisinopril 10mg po daily (when she can remember), Metformin 1000mg po BID and refuses lab work. Her physical exam is unremarkable and foot exam is normal. She refuses all vaccinations including Prevnar and Influenza. Gwen’s last mammogram and pap smear were “years ago.” - Case Study Two:Preventive care, why is it so important to document?
John, a 62 year old attorney, who has been a long-term patient of yours, comes to you to discuss his erectile dysfunction. You note that he has refused lab work for the past two years. He is a 30 pack/year smoker, and has not had a chest x-ray or ECG in three years. He does take his HCTZ 25 mg po daily. His BMI is 29 and all vital signs are within normal limits. He does agree to his Prevnar Vaccine today. - Case Study Three: Patient and professional relationships.
Jennifer, a 45 year old Caucasian returns to your clinic for a refill of her hydrocodone. She was diagnosed with Ovarian Cancer last year, followed by successful removal and treatment. All vital signs are stable and preventive care is up to date. She wants to discuss filing a lawsuit against the surgeon that initially turned her away and told her she had gastritis and needed to eat healthier.
- Case Study One: Dismissing the non-compliant patient.
- Review the following articles found in this week’s Learning Resources:
- Miller, K. P. (2013). The National Practitioner Data Bank: An Annual Update. The Journal for Nurse Practitioners, (9)9,576-580.
- Stelmach, E. I. (2015). Dismissal of the Noncompliant Patient: Is this What We Have Come to? The Journal for Nurse Practitioners, 11(7),723-725.
Nurs 6565Week 5 – Discussion
Discussion: Interprofessional Collaborative Practice and Advanced Practice Nurses
Interprofessional practice requires that health care practitioners recognize that patient outcomes are better when there is a collaborative team approach in addressing patient health issues. Also, there are barriers to interprofessional practice that must be addressed among health care practitioners. The Interprofessional Education Collaborative (IPEC) is an initiative including multiple professions designed to advance interprofessional education so that students entering health care professions are able to view collaboration as the norm and seek collaborative relationships with other providers (IPEC, 2011).
This week your Discussion will focus on interprofessional practice. This Discussion is an opportunity for you to examine your perspective and experiences with interprofessional collaborative practice and to apply your knowledge to managing patient care.
To prepare:
- Identify a professional nursing organization and review their position on interprofessional practice
- Review the following case study:
- Case Study:
- Ms. Tuckerno has been diagnosed with multiple sclerosis (MS). The patient receives care at an internal medicine clinic. Her internist is not in the office today and she is being treated by the nurse practitioner. The patient is on two medications for her MS, three different blood pressure medications, one medication for thyroid disease, one diabetic pill daily, insulin injections twice a day, she uses medical cannabis, and uses eye drops for glaucoma. Upon assessing the patient, the nurse practitioner (NP) decides her treatment plan should be adjusted. The NP discontinues some of the patient’s meds and discontinues medical cannabis. She orders the patient to follow up in two weeks.
- The patient returns and is seen by her internist. The internist speaks with the patient and reviews her medical chart. The internist states to the patient, “I am dissatisfied with the care you received from the nurse practitioner.” The internist places the patient back on originally prescribed medications and medical cannabis. nurs 6565 week (1-11) discussion And Assignment Paper.
Post at least 250 words (no introduction or conclusion)
- an explanation of your understanding of interprofessional practice.
2. Also, explain the position on interprofessional practice for (The American Association of College of Nursing)
3 Then, explain what you think is the best collaborative approach to manage Ms. Tuckerno’s care.
This week your Discussion will focus on interprofessional practice. This Discussion is an opportunity for you to examine your perspective and experiences with interprofessional collaborative practice and to apply your knowledge to managing patient care.
To prepare:
Identify a professional nursing organization and review their position on interprofessional practice
Review the following case study:
Case Study:
Ms. Tuckerno has been diagnosed with multiple sclerosis (MS). The patient receives care at an internal medicine clinic. Her internist is not in the office today and she is being treated by the nurse practitioner. The patient is on two medications for her MS, three different blood pressure medications, one medication for thyroid disease, one diabetic pill daily, insulin injections twice a day, she uses medical cannabis, and uses eye drops for glaucoma. Upon assessing the patient, the nurse practitioner (NP) decides her treatment plan should be adjusted. The NP discontinues some of the patient’s meds and discontinues medical cannabis. She orders the patient to follow up in two weeks. nurs 6565 week (1-11) discussion And Assignment Paper.
The patient returns and is seen by her internist. The internist speaks with the patient and reviews her medical chart. The internist states to the patient, “I am dissatisfied with the care you received from the nurse practitioner.” The internist places the patient back on originally prescribed medications and medical cannabis.
Post 2 pages on : An explanation of your understanding of interprofessional practice.
Also, explain the position on interprofessional practice for a professional nursing organization that you are a member of or of which you plan to become a member.
Then, explain what you think is the best collaborative approach to manage Ms. Tuckerno’s care.
References
Required Readings
Altman, S. H., Butler, A. S., Shern, L. (Eds.). (2015). Assessing Progress on the IOM Report The Future of Nursing. Washington, DC: The National Academies Press. Retrieved from http://www.nationalacademies.org/hmd/Reports/2015/Assessing-Progress-on-the-IOM-Report-The-Future-of-Nursing.aspx doi: 10.17226/21838
Bankston, K., & Glazer, G., (2013) Legislative: Interprofessional collaboration: What’s taking so long? OJIN: The Online Journal of Issues in Nursing, 19(1).
Buppert, C. (2015). Appendix 11-D: Sample Professional Services Agreement. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.) (417-422). Burlington, MA: Jones & Bartlett.
Buppert, C. (2015). Legal Scope of Nurse Practitioner Practice. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.) (37-78). Burlington, MA: Jones & Bartlett. nurs 6565 week (1-11) discussion And Assignment Paper.
Hain, D., & Fleck, L. (2014). Barriers to nurse practitioner practice that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing, 19(2).
Note: Retrieved from the Walden Library databases.
Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). Collaboration. In Advanced Practice Nursing: An Integrative Approach (5th ed.) (299-327). St. Louis, MO: Elsevier Saunders.
6565 WK 5 DISC
This week your Discussion will focus on interprofessional practice. This Discussion is an opportunity for you to examine your perspective and experiences with interprofessional collaborative practice and to apply your knowledge to managing patient care.
To prepare:
Identify a professional nursing organization and review their position on interprofessional practice
Review the following case study:
Case Study:
Ms. Tuckerno has been diagnosed with multiple sclerosis (MS). The patient receives care at an internal medicine clinic. Her internist is not in the office today and she is being treated by the nurse practitioner. The patient is on two medications for her MS, three different blood pressure medications, one medication for thyroid disease, one diabetic pill daily, insulin injections twice a day, she uses medical cannabis, and uses eye drops for glaucoma. Upon assessing the patient, the nurse practitioner (NP) decides her treatment plan should be adjusted. The NP discontinues some of the patient’s meds and discontinues medical cannabis. She orders the patient to follow up in two weeks.
The patient returns and is seen by her internist. The internist speaks with the patient and reviews her medical chart. The internist states to the patient, “I am dissatisfied with the care you received from the nurse practitioner.” The internist places the patient back on originally prescribed medications and medical cannabis.
Post 2 pages on : An explanation of your understanding of interprofessional practice.
Also, explain the position on interprofessional practice for a professional nursing organization that you are a member of or of which you plan to become a member.
Then, explain what you think is the best collaborative approach to manage Ms. Tuckerno’s care.
References
Required Readings
Altman, S. H., Butler, A. S., Shern, L. (Eds.). (2015). Assessing Progress on the IOM Report The Future of Nursing. Washington, DC: The National Academies Press. Retrieved from http://www.nationalacademies.org/hmd/Reports/2015/Assessing-Progress-on-the-IOM-Report-The-Future-of-Nursing.aspx doi: 10.17226/21838
Bankston, K., & Glazer, G., (2013) Legislative: Interprofessional collaboration: What’s taking so long? OJIN: The Online Journal of Issues in Nursing, 19(1).
Buppert, C. (2015). Appendix 11-D: Sample Professional Services Agreement. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.) (417-422). Burlington, MA: Jones & Bartlett.
Buppert, C. (2015). Legal Scope of Nurse Practitioner Practice. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.) (37-78). Burlington, MA: Jones & Bartlett.
Hain, D., & Fleck, L. (2014). Barriers to nurse practitioner practice that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing, 19(2).
Note: Retrieved from the Walden Library databases.
Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). Collaboration. In Advanced Practice Nursing: An Integrative Approach (5th ed.) (299-327). St. Louis, MO: Elsevier Saunders.
Nurs 6565 Wk 6 Discussion
Discussion: Understanding Scope of Practice in relation to Certification and Licensure
The National Council of State Boards of Nursing (NCSBN) is a non-profit organization comprised of members from each state board of nursing in the U.S., the District of Columbia, and the four U.S. territories. Their role is to provide a platform for all state boards of nursing to convene, discuss, and ensure all state boards work together to provide the appropriate regulation to ensure that public health, safety, and welfare is the primary focus. A key element of NP licensure is understanding the components of Scope of Practice and subsequent practice within the parameters of the educational program completed and appropriate national certification. nurs 6565 week (1-11) discussion And Assignment Paper.
To prepare:
· Consider whether primary care NP graduates are qualified to seek employment in acute care settings such as ER, OR, or hospitalist/intensivist
· Review and select one of the following case studies to research in depth:
o Case Study One: Selecting the Certification Exam for your specialty.
Mary is in the last two months of her program of study. She is trying to decide whether to take the American Association of Nurse Practitioner Credentialing Exam or the American Nurses Credentialing Exam.
o Case Study Two: Obtaining initial licensure post matriculation.
Amy, FNP-BC has recently graduated from an accredited Family Nurse Practitioner Program. She decides to relocate from her home state of Tennessee to Missouri and practice in a rural area. She is very excited about her new role and new position. nurs 6565 week (1-11) discussion And Assignment Paper.
By Day 3
Post at least 250 words (no conclusion or introduction)
1. an explanation of the professional and/or clinical practice issues the new Nurse Practitioner will need to consider and address with the certification, licensure, credentialing, or relocation process.
2. Compare Scope of Practice between the Acute Care, Family Practice, and Adult Gerontology Primary Care Nurse Practitioner
3. also explain how practice may differ from state to state (Give examples too)
4. Then, identify and explain at least two types of settings that are appropriate for FNP and AGPCNP graduates to practice (outpatient primary care clinic and Homecare)
resources
Required Readings
Buppert, C. (2015). Appendix 1-A, state by state definitions of the nurse practitioner. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.) (16-32). Burlington, MA: Jones & Bartlett.
NURS 6565 Week 7: Prescriptive Authority and Drug Enforcement Administration Registration
NURS 6565: Synthesis in Advanced Practice Care of Complex Patients in Primary Care Settings | Week 7
Prescriptive authority is granted under state law by the appropriate board. The board granting prescriptive authority may be the Medical Board, State Board of Pharmacy, or Nursing Board for the appropriate state licensure is being pursued. The authority to write for a controlled substance is granted at a federal level and is verified through the Drug Enforcement Administration (DEA) by the appropriate state board. Drug Enforcement Agency registration is granted at the federal level and has additional requirements/fees for the registration process.
NURS 6565 Week 7: Prescriptive Authority and Drug Enforcement Administration Registration
Each state has different laws regarding the role of the Nurse Practitioner that may significantly impact the NPs’ practice. Legislative changes may occur annually, bi-annually, or during an emergency legislative meeting at the state or federal level. These legislative sessions and any subsequent changes will significantly impact your scope of practice as a Nurse Practitioner.
Remaining current regarding state law is essential. In the Week 4 Discussion, as you may recall, we introduced the recent change regarding the classification of hydrocodone-containing drugs at the federal level from a Schedule III drug to a Schedule II drug. For states that allow for Nurse Practitioners to write Schedule III-V drugs, these NPs are now unable to write for hydrocodone-containing medications, which significantly impacts their ability to provide care for their patients. However, there are states that do not grant NPs prescriptive authority and/or do not allow NPs to write for controlled substances. Over the last 55 years, Nurse Practitioners have made great strides in obtaining prescriptive authority to prescribe both non-controlled and controlled drugs.
This week students will explore the prescriptive authority application process for their state. Additionally, the DEA Registration Application process will be reviewed.
Learning Objectives
By the end of this week, students will:
- Analyze appropriate prescriptive authority and DEA registration processes
- Analyze safe prescribing practices
- Evaluate professional strengths and weaknesses
- Evaluate mastery of NP clinical skills
Discussion: Safe Prescribing
In 1915, the Drug Enforcement Administration was formed, known then as the Bureau of Internal Revenue. Recognizing the variance in state laws and the process for completing applications for prescriptive authority and DEA registration is essential to the role of the NP as a prescriber. Within the last decade, safe prescribing of opioids has also become a national concern. For this Discussion, you will focus on the process for obtaining prescriptive authority after successfully completing your program of study and passing a National Certification Exam. You also will explore safe prescribing. nurs 6565 week (1-11) discussion And Assignment Paper.
To prepare:
- Review your state’s process for obtaining prescriptive authority and associated fees
- Review the DEA website and review the process for obtaining a DEA number and associated fees.
- Review and select one of the following case studies and analyze the provider information:
- Case Study One: Lori, FNP-BC, is a new graduate and has recently passed her certification exam. She has just been hired to work for a Primary Care Clinic in a small town. She will be working with one physician at one site.
- Case study Two: James, FNP-BC, works with a physician who specializes in pain control. He works in several clinics in the large urban city where he practices.
By Day 3
Post a brief summary of your case study and an explanation of the appropriate prescriptive authority and DEA registration process needed for the case study you selected. Then, explain the safe prescribing practices that these providers should use for these settings.
Read a selection of your colleagues’ responses.
By Day 7
Respond to at least two of your colleagues on three different days in one or more of the ways listed below. Respond to colleagues who selected a different Case Study than you did.
- Suggest additional actions to take to ensure delivery of safe care.
- Provide key components of a Malpractice Policy.
- Validate an idea with your own clinical experiences with the support of an additional literature search.
Week 8 Discussion
Discussion: Reimbursement Issues for Nurse Practitioners
Understanding the complex process of accurate coding and billing is essential to a sustainable practice. As NPs, we are ultimately responsible for ensuring all coding and billing is accurate for each patient seen. For this Discussion, you will search the health care literature and summarize a peer-reviewed journal article published within the last five years.
To prepare:
- Select one of the following topics:
- Applying for Medicare and Medicaid Provider Numbers
- Application process for National Provider Identifier Number
- Incident to billing
- Coding-Evaluation & Management
- Fraudulent billing
- Billing Self-Pay patients
- Managed Care Organizations
- Conduct a search and select a peer-reviewed journal article published within the last five years related to the topic you selected.
Note: For this Discussion, all students are to avoid all written work, which reviews or outlines coding and billing at previous or current worksites as well as previous or current practicum sites.
By Day 3
Post a brief summary of the article you selected. Include the key reimbursement issue addressed and how they would impact the NP in a collaborative practice versus and independent practice. Discuss an ethical or legal implication(s) associated with your article.
Week 9 Group Discussion
Implementation Strategies for Community Programs for Health Promotion
(Erika) Fu, Ryn, Burgess, Nelson, Cloither, Thomas, Nyman, and Joseph (2014) has stated that there is a elevated occurrence of smoking and high burden of tobacco-related conditions in the midst of low-income populations. Therefore, the focus for our group community project focuses on health disparities in Webb City, Missouri. Some of the most common health disparities include obesity, heart disease, diabetes, and smoking. nurs 6565 week (1-11) discussion And Assignment Paper.
It was recognized that the most prevalent and preventable is smoking. It is estimated that approximately 20.6% of adults in Missouri smoke cigarettes (United Health Foundation, 2015). Smoking cessation interventions have become an important focus for health promotion due to its negative impacts on health.
The United States Preventative Services Task Force (USPTF) recommends that providers inquire about smoking at every office visit and provide behavioral interventions as well as FDA approved pharmacotherapy for cessation to adults who smoke (USPTF, 2015). Due to the high relapse rates in individuals who quit smokinurs 6565 week (1-11) discussion And Assignment Paper.ng, our group decided to use a multidisciplinary approach with multiple strategies.
-
- Ensuring that the patient possesses a desire to quit smoking or else the treatment will likely result in failure.
- Prescribe pharmacological therapy that is the most appropriate for the patient (example: Chantix or Nicotine patches). (Erika) Studies have also shown that increased rates of “smoking cessation” were linked with “Nicotine Replacement Therapy (NRT) and Bupropion” whereas Chantix and a combination nicotine replacement treatment”, such as the “patch and an inhaler” were most successful for accomplishing smoking cessation (Cahill, Stevens, & Lancaster, 2014).
- Continually assess for the presence of symptoms throughout therapy. Some of the symptoms may include depressed mood, insomnia, irritability, difficulty concentrating, and severe cravings (Caponnetto, Keller, Bruno, &Polosa, 2013). This will allow the provider to recognize a need to titrate medication therapy.
Typically therapy fails because the symptoms have not entirely subsided before therapy is stopped (Caponnetto, Keller, Bruno, &Polosa, 2013). Continuing treatment through the withdraw phase will likely restore normal brain function, alleviate adverse symptoms of cessation, and promote abstinence (Caponnetto, Keller, Bruno, &Polosa, 2013).
Many challenges may arise when trying to implement smoking cessation strategies into a population group but more so in a rural community. One challenge that might present within our community setting is lack of funds to purchase the pharmacotherapy treatment. According to Fu et al. (2014) low-income smokers are less apt to take advantage of NRT, particularly the most inclusive type that includes a mixture of “pharmacotherapy and intensive behavioral counseling.”
Ways to Mitigate Challenges of Smoking Cessation
- Centers that specialize in smoking cessation
- Utilize the train the trainer approach
- Provide Support groups for patient
- Provide Telephone hotline for patient
Healthcare providers who receive training about tobacco cessation are more likely to intervene with patients who smoke than those who do not. A meta-analysis of eight studies confirmed that educational programs for healthcare professionals had a positive impact on quitting (Sarna, Bialous, Kraliková, Kmetova, Felbrová, Kulovaná, & Brook, 2014, p. 315). According to Carson et al., (as cited by Sarna et al., 2014), a review of 17 randomized trials evaluating training of health professionals in smoking cessation on patient smoking outcomes at least 6 months after intervention found that those who received education were significantly more likely to intervene with smokers (p. 315)
URS 6565 Week 10 Discussion
February 9, 2019 in Uncategorized
This week you will have an opportunity to evaluate state practice agreements in your state and examine issues related to NP practice.
To prepare:
- Review practice agreements in your state
- Identify at least two physician collaboration issues in your state.
To Complete:
Post 1-2 pages on:
A brief description of the practice agreements for NPs in your state and the two physician collaboration issues that you identified.
Explain what you think are the barriers to NPs practicing independently in your state.
Finally, outline a plan for how you might address NP practice issues in your state.
References
Buppert, C. (2015). The Employed Nurse Practitioner. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.). (323-336). Burlington, MA: Jones & Bartlett.
Hamric, A. B., Hanson, C. M., Tracy, M. F., & O’Grady, E. T. (2014). Leadership. In Advanced Practice Nursing: An Integrative Approach (5th ed.) (266-294). St. Louis, MO: Elsevier Saunders.
Thomas, A.C., Crabtree, M.K., Delaney, K.R., Dumas, M.A., Kleinpell, R., Logsdon, C.,…Nativio, D.G. (2012). Nurse Practitioner Core Competencies. Retrieved from
NURS 6565 Week 11 Discussion
During NP clinical practicum experiences, we identify, as nurses, many health care issues that need to be addressed at the local, state, or national level. Addressing the need for change in health care policy is now an intricate part of your role as a social change agent.
For this Discussion, you will identify a change needed in your community (state of Mississippi) and what your nursing legacy for positive social change will be. nurs 6565 week (1-11) discussion And Assignment Paper.
To prepare:
- Consider the health care issues and deficits you have recognized in your professional practice.
- Identify a change needed in your community (state of Mississippi) in health care policy and discuss how you could impart change during your career as an NP.
- Consider your future as a NP and what your nursing legacy will be. How will you impart Social Change?
To complete:
Post 1-2 pages on:
A change needed in your community (state of Mississippi) and an explanation for how you will begin to implement that change. nurs 6565 week (1-11) discussion And Assignment Paper.
Then, share with your colleagues a brief explanation of what your nursing legacy will be and how will you impart Social Change.
nurs 6565 week (1-11) discussion And Assignment Paper.
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