Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers
Week 1: Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments
With more 50 million surgical procedures performed annually (Centers for Disease Control and Prevention, 2015), advanced practice nurses must be prepared to practice in perioperative environments. Although the scope of practice may differ based on state laws and institutional regulations, all advanced practice nurses are an integral part of the multidisciplinary care team. From pre- to post-operation, they must coordinate patient care and communicate with patients, physicians, and family members. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
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This week, you examine the scope of practice for acute care advanced practice nurses in perioperative environments. You also explore the impact of scope of practice laws and regulations on clinical care.
Learning Objectives
By the end of this week, students will:
- Analyze the scope of practice for acute care advanced practice nurses
- Evaluate the impact of scope of practice on clinical care
Photo Credit: Caiaimage/Martin Barraud/OJO+/Getty Images
Learning Resources
Note: The information presented in this course is vital. As a result, numerous resources are provided in various formats to facilitate your competence in caring for patients in acute care settings. The Doherty textbook, Current Diagnosis and Treatment,will serve as your primary text. When multiple resources are available on the same topic, select the primary text first, followed by those that best meet your personal learning needs.
Required Readings
Doherty, G. M. (2015). Current diagnosis and treatment: Surgery (14th ed.). New York, NY: McGraw Hill.
- Chapter 1, “Approach to the Surgical Patient”
- Chapter 2, “Training, Communication, Professionalism, and Systems-based Approach”
- Chapter 3, “Preoperative Care”
- Chapter 4, “Postoperative Care”
- Chapter 5, “Postoperative Complications”
- Chapter 7, “Power Sources in Surgery”
- Chapter 11, “Anesthesia”
Weber, E. C., Vilensky, J. A., & Fog, A. M. (2013). Practical radiology: A symptom-based approach. Philadelphia, PA: F. A. Davis Company.
- Chapter 1, “Modalities of Medical Imaging”
Bielaszka-DuVernay, C. (2011). Improving quality and safety. Retrieved from http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=45
De Bord, J. (2014). Informed consent. University of Washington School of Medicine. Retrieved from https://depts.washington.edu/bioethx/topics/consent.html
Nurse Practitioner (NP) Student Clinical Orientation
Document: Introduction to Clinical Experiences (PPT)
Document: Practicum Manual (PDF)
Discussion Part I: Scope of Practice, Credentialing, and Negotiation
In this course, some Discussions will have two parts:
- Part I will consist of a specific topic related to the week’s content.
- Part II will consist of a pharmacology review of approximately 250 words. Please submit each posting separately but within the same Discussion thread. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
You will be assessed on your posting and responses to both parts.
As medical care evolves, so does the role and scope of practice of the advanced practice nurse in acute care settings. When providing patient care, however, you, as an advanced practice nurse, must always ensure that you are working within the scope of practice outlined by your state’s laws and institution’s regulations. For this Discussion, you examine these laws and regulations and consider how they might affect your future clinical practice, consider the credentialing process for your area, and discuss negotiation techniques you may use in a job search. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
To prepare:
- Locate a collaborative practice agreement. Based on this agreement, consider the scope of practice of an advanced practice nurse in your state.
- Locate and select at least two hospitals where you would be interested in working at once you obtain your licensure.
- Locate the hospitals’ credentialing documents and investigate the scope of practice at each hospital.
Note: All hospitals do not have the same scope of practice even if they are located within the same city and state.
- Consider how the laws and regulations of the state and hospitals might affect your practice with medical and surgical patients in acute care settings.
- Think about how you would negotiate your first Advanced Practice role. Consider issues such as salary range, Continueing Medical Education (CME), license and DEA costs, insurance, hours, on call requirements, etc.
By Day 3
Post an explanation of the scope of practice of advanced practice nurses, as outlined in the collaborative practice agreement. Then, identify the two hospitals of interest that you selected. Based on the credentialing documents, explain the scope of practice for acute care advanced practice nurses at each hospital. Explain how this might affect your practice in terms of caring for medical and surgical patients in acute care settings (i.e., medical treatments, procedures you can perform, interpreting diagnostics, etc.). Finally, describe job negotiation considerations. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
Note: To support your Discussion post, you must include references (with URL links) from the state and the hospitals you selected.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues on 2 different days who selected a different state or hospital from yours. Share additional insights or alternative perspectives.
Discussion Part II: Pharmacology
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
To prepare:
Read the following articles to enhance your knowledge of commonly prescribed medications:
Chalikonda, S. A. (2009). Alpha2-adrenergic agonists and their role in the prevention of perioperative adverse cardiac events. AANA Journal, 77(2), 103–108.
Note: Retrieved from the Walden Library databases.
Frankenstein, L., Katus, H. A., Grundtvig, M., Hole, T., de Blois, J., Schellberg, D., … Agewall, S. (2013). Association between spironolactone added to beta-blockers and ACE inhibition and survival in heart failure patients with reduced ejection fraction: A propensity score-matched cohort study. European Journal of Clinical Pharmacology, 69(10), 1747–1755.
Note: Retrieved from the Walden Library databases.
Hao, G., Wang, Z., Guo, R., Chen, Z., Wang, X., Zhang, L., & Li, W. (2014). Effects of ACEI/ARB in hypertensive patients with type 2 diabetes mellitus: A meta-analysis of randomized controlled studies. BMC Cardiovascular Disorders, 14, 148. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
Note: Retrieved from the Walden Library databases.
Levy, P. D., Laribi, S., & Mebazaa, A. (2014). Vasodilators in acute heart failure: Review of the latest studies. Current Emergency and Hospital Medicine Reports, 2(2), 126–132.
Vasodilators in acute heart failure: Review of the latest studies by Levy, P. D., Laribi, S., & Mebazaa, A. in Current Emergency and Hospital Medicine Reports, 2(2). Copyright 2014 by Current Science, Inc. Reprinted by permission of Current Science, Inc., via the Copyright Clearance Center.
Shi, C. (2013). Blood pressure lowering efficacy of alpha blockers for primary hypertension. International Journal of Evidence-Based Healthcare, 11(3), 204–205.
Note: Retrieved from the Walden Library databases.
Tocci, G., Battistoni, A., Passerini, J., Musumeci, M. B., Francia, P., Ferrucci, A., & Volpe, M. (2015). Calcium channel blockers and hypertension. Journal of Cardiovascular Pharmacology and Therapeutics, 20(2), 121–130.
Note: Retrieved from the Walden Library databases.
Toppen, W., Sareh, S., Satou, N., Shemin, R., Hunter, C., Buch, E., & Benharash, P. (2014). Do preoperative β-blockers improve postoperative outcomes in patients undergoing cardiac surgery? Challenging societal guidelines. American Surgeon, 80(10), 1018–1021.
Note: Retrieved from the Walden Library databases.
Wang, A. (2012). Efficacy of class III antiarrhythmics and magnesium combination therapy for atrial fibrillation. Pharmacy Practice, 10(2), 65–71.
Note: Retrieved from the Walden Library databases. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage.
- Alpha agonists
- Alpha blockers
- Beta blockers
- Antiarrhythmics
- Calcium channel
- Vasodilators
- ACE versus BBlocker with spironolactone in CHF
- ACE versus ARB
Note: When sharing your initial post, select a topic that has not yet been discussed. If all topics have been discussed, then you may select that topic again, but select a different drug within the medication group.
By Day 3
For this Discussion, address 1 of the following options:
Option 1
Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Include the scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose.
Option 2
Conduct an evidence-based drug search on the drug you selected and post an explanation of any possible issues. Are there any drug interactions? Any black box warnings? To what type of patient would you prescribe this medication?
Option 3
Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Describe a patient to whom you would prescribe this medication.
Note: To be considered as one of your required responses, your pharmacology rationale must include a supporting reference. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
Submission and Grading Information
Grading Criteria
Week 1 Discussion Rubric
Week in Review
This week you analyzed the scope of practice for APN’s in perioperative environments and the impact of laws and regulations on clinical care.
Next week you will examine strategies for assessing, diagnosing, and treating patients in pre- and post-operative care.
Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers
Discussion_Rubric
| |
Outstanding Performance |
Excellent Performance |
Competent Performance |
Proficient Performance |
Room for Improvement |
Main Posting:
Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. |
44 (44%) – 44 (44%)Thoroughly responds to the discussion question(s)
is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.
supported by at least 3 current, credible sources |
40 (40%) – 43 (43%)Responds to the discussion question(s)
is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.
75% of post has exceptional depth and breadth
supported by at least 3 credible references |
35 (35%) – 39 (39%)Responds to most of the discussion question(s)
is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.
50% of post has exceptional depth and breadth
supported by at least 3 credible references |
31 (31%) – 34 (34%)Responds to some of the discussion question(s)
one to two criteria are not addressed or are superficially addressed
is somewhat lacking reflection and critical analysis and synthesis
somewhat represents knowledge gained from the course readings for the module.
post is cited with fewer than 2 credible references |
0 (0%) – 30 (30%)Does not respond to the discussion question(s)
lacks depth or superficially addresses criteria
lacks reflection and critical analysis and synthesis
does not represent knowledge gained from the course readings for the module.
contains only 1 or no credible references |
Main Posting:
Writing |
6 (6%) – 6 (6%)Written clearly and concisely
Contains no grammatical or spelling errors
Fully adheres to current APA manual writing rules and style |
5.5 (5.5%) – 5.5 (5.5%)Written clearly and concisely
May contain one or no grammatical or spelling error
Adheres to current APA manual writing rules and style |
5 (5%) – 5 (5%)Written concisely
May contain one to two grammatical or spelling error
Adheres to current APA manual writing rules and style |
4.5 (4.5%) – 4.5 (4.5%)Written somewhat concisely
May contain more than two spelling or grammatical errors
Contains some APA formatting errors |
0 (0%) – 4 (4%)Not written clearly or concisely
Contains more than two spelling or grammatical errors
Does not adhere to current APA manual writing rules and style |
Main Posting:
Timely and full participation |
10 (10%) – 10 (10%)Meets requirements for timely and full participation
posts main discussion by due date |
0 (0%) – 0 (0%)NA. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers |
0 (0%) – 0 (0%)NA |
0 (0%) – 0 (0%)NA |
0 (0%) – 0 (0%)Does not meet requirement for full participation |
| First Response:Post to colleague’s main post that is reflective and justified with credible sources. |
9 (9%) – 9 (9%)Response exhibits critical thinking and application to practice settings
responds to questions posed by faculty
the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives |
8.5 (8.5%) – 8.5 (8.5%)Response exhibits critical thinking and application to practice settings |
7.5 (7.5%) – 8 (8%)Response has some depth and may exhibit critical thinking or application to practice setting |
6.5 (6.5%) – 7 (7%)Response is on topic, may have some depth |
0 (0%) – 6 (6%)Response may not be on topic, lacks depth |
First Response:
Writing |
6 (6%) – 6 (6%)Communication is professional and respectful to colleagues
Response to faculty questions are fully answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English |
5.5 (5.5%) – 5.5 (5.5%)Communication is professional and respectful to colleagues
Response to faculty questions are answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English |
5 (5%) – 5 (5%)Communication is mostly professional and respectful to colleagues
Response to faculty questions are mostly answered if posed
Provides opinions and ideas that are supported by few credible sources
Response is written in Standard Edited English |
4.5 (4.5%) – 4.5 (4.5%)Responses posted in the discussion may lack effective professional communication
Response to faculty questions are somewhat answered if posed
Few or no credible sources are cited |
0 (0%) – 4 (4%)Responses posted in the discussion lack effective
Response to faculty questions are missing
No credible sources are cited |
First Response:
Timely and full participation |
5 (5%) – 5 (5%)Meets requirements for timely and full participation
posts by due date |
0 (0%) – 0 (0%)NA |
0 (0%) – 0 (0%)NA |
0 (0%) – 0 (0%)NA |
0 (0%) – 0 (0%)Does not meet requirement for full participation |
Second Response:
Post to colleague’s main post that is reflective and justified with credible sources. |
9 (9%) – 9 (9%)Response exhibits critical thinking and application to practice settings * responds to questions posed by faculty
the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives |
8.5 (8.5%) – 8.5 (8.5%)Response exhibits critical thinking and application to practice settings |
7.5 (7.5%) – 8 (8%)Response has some depth and may exhibit critical thinking or application to practice setting |
6.5 (6.5%) – 7 (7%)Response is on topic, may have some depth |
0 (0%) – 6 (6%)Response may not be on topic, lacks depth |
Second Response:
Writing |
6 (6%) – 6 (6%)Communication is professional and respectful to colleagues
Response to faculty questions are fully answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English |
5.5 (5.5%) – 5.5 (5.5%)Communication is professional and respectful to colleagues
Response to faculty questions are answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English |
5 (5%) – 5 (5%)Communication is mostly professional and respectful to colleagues
Response to faculty questions are mostly answered if posed
Provides opinions and ideas that are supported by few credible sources
Response is written in Standard Edited English |
4.5 (4.5%) – 4.5 (4.5%)Responses posted in the discussion may lack effective professional communication
Response to faculty questions are somewhat answered if posed
Few or no credible sources are cited |
0 (0%) – 4 (4%)Responses posted in the discussion lack effective
Response to faculty questions are missing
No credible sources are cited |
Second Response:
Timely and full participation |
5 (5%) – 5 (5%)Meets requirements for timely and full participation
Posts by due date |
0 (0%) – 0 (0%)NA |
0 (0%) – 0 (0%)NA |
0 (0%) – 0 (0%)NA |
0 (0%) – 0 (0%)Does not meet requirement for full participation |
| Total Points: 100 |
Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers
Operations Management homework help
UncategorizedPrior to beginning work on this assignment, read sections 12.1–12.3 in Chapter 12 and sections 17.0–17.3 in Chapter 17 of the required textbook, Operations and Supply Chain Management. In addition, read pages 383–387 in Logistics and Supply Chain Risk and Uncertainty, Walmart: 3 Keys to Successful Supply Chain Management Any Business Can Follow (Links to an external site.), and The Effect of Top Management Involvement on Supply Chain Risk Management Through Buyer-Supplier Relationship.
For this class, the Supply Chain Management final presentation will apply toward Folio. Be sure to upload your PowerPoint presentation to Folio once you have completed it, and share a link in your submission in addition to uploading it to Waypoint to be graded. If you are not already familiar with Folio, please view the Folio Quick Start Guide (Links to an external site.).
Assume the role of a supply chain manager within an organization of your choice. Executive management has requested from you a presentation concerning supply chain risks associated with the organization and an action plan to mitigate those risks. Prepare a PowerPoint presentation to present your plan to the higher-level executives.
In your presentation,
The Supply Chain Risk Management Final Presentation
Carefully review the Grading Rubric (Links to an external site.) for the criteria that will be used to evaluate your assignment.
Human Organ Systems
Nursing HomeworksHuman Organ Systems
The human body is truly remarkable and is designed to function effectively. Organs are important structures composed of different tissues that facilitate specific functions within the body. Organs function as part of an integrated group of structures known as organ systems. These organ systems form the organizational units that are responsible for crucial processes necessary for sustaining life. Examples of organ systems include, but are not limited to, the cardiovascular system, the digestive system, the musculoskeletal system, the nervous system, the excretory system, the endocrine system, and the respiratory system. Even organ systems do not function alone. These systems work together, interacting with other organs in a functional network that keeps the body in balance. (Look up the term homeostasis in your text.) When homeostasis or the normal functioning of organ systems is disrupted, disease may develop, causing injury to the body or even death.
The following case studies detail an outcome associated with a disease or organ malfunction. Select 1 study to investigate further for your assignment.
Critically evaluate the information provided, and correlate it with the organ systems that are affected in the scenario. Use the information that you have gathered to answer the assignment questions that follow the case study. Present your work as an APA-formatted research report.
Recommended: In addition to the case studies, click on the following links to view materials to increase your understanding and enhance your analysis of the cardiovascular and respiratory systems.
How Your Body is Like a Factory
How Lungs Work
Cardiovascular System
Case Study 1:
Atherosclerosis is narrowing of the arteries caused by the accumulation of fatty deposits on the arterial walls. On June 22, 2002, the St. Louis Cardinals were preparing for their upcoming baseball game against the Chicago Cubs. Concern arose when their prized pitcher, 33-year old Darryl Kile did not show up for practice. Soon after, he was found still in his hotel room where he had suddenly died in his sleep (New York Times, 2002). It was discovered that the cause of death was related to three of his coronary arteries being 80–90% blocked as a result of atherosclerosis (New York Times, 2002), which ultimately caused him to suffer a heart attack.
Answer the following questions in regard to this case study:
Case Study 2:
Cigarette smoking remains the leading preventable cause of death in the United States, causing an estimated 438,000 deaths—or about 1 out of every 5 smokers—each year (National Cancer Institute, 2008).
Mr. Amos is 57 years old and has been smoking for the past 30 years of his life. A recent doctor’s visit revealed that Mr. Amos has stage 3 lung cancer, characterized by his symptoms of nagging chest pain, fatigue, coughing up blood, substantial weight loss, and increased carbon dioxide levels in his blood. The doctor informed Mr. Amos that had he quit his smoking habit several years ago, he would have reduced his risk for developing lung cancer later in life. Mr. Amos immediately began treatment for the lung cancer that had metastasized to his lymph nodes.
Answer the following questions regarding this case study:
Follow these guidelines for your paper:
COH 300 – Interview Questions – Commission for Health Education Credentialing (NCHEC)
Nursing HomeworksCOH 300 – Interview Questions – Commission for Health Education Credentialing (NCHEC)
Program Learning Outcomes (PLO): Design a plan for lifelong learning incorporating high professional and ethical standards, leadership, and cultural competencies and their evolving role in society.
Course Learning Outcome: Describe the field of public health, including its origins and contemporary status.
Purpose of an informational interview: This is an opportunity for students to gain knowledge about the National Commission for Health Education Credentialing (NCHEC) Seven Areas of Responsibilities. Students can gather insight by asking questions to a professional in the field of public health during 30 minutes to an hour interview.
ORDER A CUSTOM-WRITTEN PAPER NOW
Instructions: Students enrolled in COH 300 are required to interview a professional in the field of public health. The interview may be in person, over the phone, or via e-mail. After completion of informational interview, students will write a 2 page summary of the information gathered. Paper must be double spaced, 12 point Times New Roman font, 1 inch margins, and use APA formatting. COH 300 – Interview Questions – Commission for Health Education Credentialing (NCHEC)
Interview Questions
Students enrolled in COH 300 are required to interview a professional in the field of public health. The interview may be in person, over the phone, or via e-mail. After completion of informational interview, students will write a 2 page summary of the information gathered. Paper must be double spaced, 12 point Times New Roman font, 1 inch margins, and use APA formatting. Write in paragraphs, not quoting verbatim or writing in responses to the questions. Submit it online by due date. COH 300 – Interview Questions – Commission for Health Education Credentialing (NCHEC)
Prior to the interview, review the following questions and familiarize yourself with them.
Begin the interview by introducing yourself and explaining why you are calling. Briefly describe the health problem and target population you are studying. Ask if they have time to answer questions about their work and how it relates to your topic and if you may use their interview in your paper.
Thank them for their time and conclude the interview.
Include the information you learned in your needs assessment of your paper. Be sure to properly cite the person and information in your paper.
COH 300 – Interview Questions – Commission for Health Education Credentialing (NCHEC)
Management homework help
UncategorizedThe product life cycle explains the sales and profits of a product or service over its lifetime. In the NewShoes Simulation, you have the option of keeping the basic version of the athletics shoes (version 0) or engaging in the development of a new product addressing product breakthroughs (up to version 6). How will you determine when it will be best to proceed with product development while considering the implications on the product life cycle of your athletic shoe brand? Please be sure to validate your opinions and ideas with citations and references in APA format.
The post and responses are valued at 40 points. Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.
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Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers
Nursing HomeworksScope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers
Week 1: Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments
With more 50 million surgical procedures performed annually (Centers for Disease Control and Prevention, 2015), advanced practice nurses must be prepared to practice in perioperative environments. Although the scope of practice may differ based on state laws and institutional regulations, all advanced practice nurses are an integral part of the multidisciplinary care team. From pre- to post-operation, they must coordinate patient care and communicate with patients, physicians, and family members. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
ORDER A PLAGIARISM-FREE PAPER NOW
This week, you examine the scope of practice for acute care advanced practice nurses in perioperative environments. You also explore the impact of scope of practice laws and regulations on clinical care.
Learning Objectives
By the end of this week, students will:
Photo Credit: Caiaimage/Martin Barraud/OJO+/Getty Images
Learning Resources
Note: The information presented in this course is vital. As a result, numerous resources are provided in various formats to facilitate your competence in caring for patients in acute care settings. The Doherty textbook, Current Diagnosis and Treatment,will serve as your primary text. When multiple resources are available on the same topic, select the primary text first, followed by those that best meet your personal learning needs.
Required Readings
Doherty, G. M. (2015). Current diagnosis and treatment: Surgery (14th ed.). New York, NY: McGraw Hill.
Weber, E. C., Vilensky, J. A., & Fog, A. M. (2013). Practical radiology: A symptom-based approach. Philadelphia, PA: F. A. Davis Company.
Bielaszka-DuVernay, C. (2011). Improving quality and safety. Retrieved from http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=45
De Bord, J. (2014). Informed consent. University of Washington School of Medicine. Retrieved from https://depts.washington.edu/bioethx/topics/consent.html
Nurse Practitioner (NP) Student Clinical Orientation
Document: Introduction to Clinical Experiences (PPT)
Document: Practicum Manual (PDF)
Discussion Part I: Scope of Practice, Credentialing, and Negotiation
In this course, some Discussions will have two parts:
You will be assessed on your posting and responses to both parts.
As medical care evolves, so does the role and scope of practice of the advanced practice nurse in acute care settings. When providing patient care, however, you, as an advanced practice nurse, must always ensure that you are working within the scope of practice outlined by your state’s laws and institution’s regulations. For this Discussion, you examine these laws and regulations and consider how they might affect your future clinical practice, consider the credentialing process for your area, and discuss negotiation techniques you may use in a job search. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
To prepare:
Note: All hospitals do not have the same scope of practice even if they are located within the same city and state.
By Day 3
Post an explanation of the scope of practice of advanced practice nurses, as outlined in the collaborative practice agreement. Then, identify the two hospitals of interest that you selected. Based on the credentialing documents, explain the scope of practice for acute care advanced practice nurses at each hospital. Explain how this might affect your practice in terms of caring for medical and surgical patients in acute care settings (i.e., medical treatments, procedures you can perform, interpreting diagnostics, etc.). Finally, describe job negotiation considerations. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
Note: To support your Discussion post, you must include references (with URL links) from the state and the hospitals you selected.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues on 2 different days who selected a different state or hospital from yours. Share additional insights or alternative perspectives.
Discussion Part II: Pharmacology
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
To prepare:
Read the following articles to enhance your knowledge of commonly prescribed medications:
Chalikonda, S. A. (2009). Alpha2-adrenergic agonists and their role in the prevention of perioperative adverse cardiac events. AANA Journal, 77(2), 103–108.
Note: Retrieved from the Walden Library databases.
Frankenstein, L., Katus, H. A., Grundtvig, M., Hole, T., de Blois, J., Schellberg, D., … Agewall, S. (2013). Association between spironolactone added to beta-blockers and ACE inhibition and survival in heart failure patients with reduced ejection fraction: A propensity score-matched cohort study. European Journal of Clinical Pharmacology, 69(10), 1747–1755.
Note: Retrieved from the Walden Library databases.
Hao, G., Wang, Z., Guo, R., Chen, Z., Wang, X., Zhang, L., & Li, W. (2014). Effects of ACEI/ARB in hypertensive patients with type 2 diabetes mellitus: A meta-analysis of randomized controlled studies. BMC Cardiovascular Disorders, 14, 148. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
Note: Retrieved from the Walden Library databases.
Levy, P. D., Laribi, S., & Mebazaa, A. (2014). Vasodilators in acute heart failure: Review of the latest studies. Current Emergency and Hospital Medicine Reports, 2(2), 126–132.
Vasodilators in acute heart failure: Review of the latest studies by Levy, P. D., Laribi, S., & Mebazaa, A. in Current Emergency and Hospital Medicine Reports, 2(2). Copyright 2014 by Current Science, Inc. Reprinted by permission of Current Science, Inc., via the Copyright Clearance Center.
Shi, C. (2013). Blood pressure lowering efficacy of alpha blockers for primary hypertension. International Journal of Evidence-Based Healthcare, 11(3), 204–205.
Note: Retrieved from the Walden Library databases.
Tocci, G., Battistoni, A., Passerini, J., Musumeci, M. B., Francia, P., Ferrucci, A., & Volpe, M. (2015). Calcium channel blockers and hypertension. Journal of Cardiovascular Pharmacology and Therapeutics, 20(2), 121–130.
Note: Retrieved from the Walden Library databases.
Toppen, W., Sareh, S., Satou, N., Shemin, R., Hunter, C., Buch, E., & Benharash, P. (2014). Do preoperative β-blockers improve postoperative outcomes in patients undergoing cardiac surgery? Challenging societal guidelines. American Surgeon, 80(10), 1018–1021.
Note: Retrieved from the Walden Library databases.
Wang, A. (2012). Efficacy of class III antiarrhythmics and magnesium combination therapy for atrial fibrillation. Pharmacy Practice, 10(2), 65–71.
Note: Retrieved from the Walden Library databases. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage.
Note: When sharing your initial post, select a topic that has not yet been discussed. If all topics have been discussed, then you may select that topic again, but select a different drug within the medication group.
By Day 3
For this Discussion, address 1 of the following options:
Option 1
Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Include the scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose.
Option 2
Conduct an evidence-based drug search on the drug you selected and post an explanation of any possible issues. Are there any drug interactions? Any black box warnings? To what type of patient would you prescribe this medication?
Option 3
Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Describe a patient to whom you would prescribe this medication.
Note: To be considered as one of your required responses, your pharmacology rationale must include a supporting reference. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
Submission and Grading Information
Grading Criteria
Week 1 Discussion Rubric
Week in Review
This week you analyzed the scope of practice for APN’s in perioperative environments and the impact of laws and regulations on clinical care.
Next week you will examine strategies for assessing, diagnosing, and treating patients in pre- and post-operative care.
Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers
Discussion_Rubric
Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.
is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.
supported by at least 3 current, credible sources
is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.
75% of post has exceptional depth and breadth
supported by at least 3 credible references
is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.
50% of post has exceptional depth and breadth
supported by at least 3 credible references
one to two criteria are not addressed or are superficially addressed
is somewhat lacking reflection and critical analysis and synthesis
somewhat represents knowledge gained from the course readings for the module.
post is cited with fewer than 2 credible references
lacks depth or superficially addresses criteria
lacks reflection and critical analysis and synthesis
does not represent knowledge gained from the course readings for the module.
contains only 1 or no credible references
Writing
Contains no grammatical or spelling errors
Fully adheres to current APA manual writing rules and style
May contain one or no grammatical or spelling error
Adheres to current APA manual writing rules and style
May contain one to two grammatical or spelling error
Adheres to current APA manual writing rules and style
May contain more than two spelling or grammatical errors
Contains some APA formatting errors
Contains more than two spelling or grammatical errors
Does not adhere to current APA manual writing rules and style
Timely and full participation
posts main discussion by due date
responds to questions posed by faculty
the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives
Writing
Response to faculty questions are fully answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English
Response to faculty questions are answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English
Response to faculty questions are mostly answered if posed
Provides opinions and ideas that are supported by few credible sources
Response is written in Standard Edited English
Response to faculty questions are somewhat answered if posed
Few or no credible sources are cited
Response to faculty questions are missing
No credible sources are cited
Timely and full participation
posts by due date
Post to colleague’s main post that is reflective and justified with credible sources.
the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives
Writing
Response to faculty questions are fully answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English
Response to faculty questions are answered if posed
Provides clear, concise opinions and ideas that are supported by two or more credible sources
Response is effectively written in Standard Edited English
Response to faculty questions are mostly answered if posed
Provides opinions and ideas that are supported by few credible sources
Response is written in Standard Edited English
Response to faculty questions are somewhat answered if posed
Few or no credible sources are cited
Response to faculty questions are missing
No credible sources are cited
Timely and full participation
Posts by due date
Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers
Mental Disorders Essay Assignment Paper
Nursing HomeworksMental Disorders Essay Assignment Paper
According to the text, mental disorders may be caused organically or via chemical or genetic causes. In either case, if left untreated the cost is usually dire. In this case study, you will explore a mental disorder that was not properly controlled via the case of Adam Lanza.
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Read the article titled “Adam Lanza”, located at http://www.biography.com/#!/people/adam-lanza-21068899#synopsis. Next, view the article that discusses Lanza’s psychiatric treatments titled “Lanza\’s Psychiatric Treatment Revealed In Documents”, located at http://articles.courant.com/2013-12-28/news/hc-lanza-sandy-hook-report1228-20131227_1_peter-lanza-adam-lanza-nancy-lanza. Mental Disorders Essay Assignment Paper.
Write a three to five (3-5) page paper in which you:
Compare and contrast three (3) key similarities and three (3) differences between mental illnesses and mental disorders. Provide one (1) example of each similarity and difference to support your response.
Speculate whether or not Adam Lanza’s engagement with violent video games was a stressor that caused him to act out his obsession with mass murders. Next, hypothesize whether or not Adam Lanza would have been a good candidate for treatment of his mental illness if he had not committed suicide. Justify your response.
Since Lanza was diagnosed at a young age with a mental illness, suggest one (1) action psychologists should have suggested that could have prevented the assault that occurred at Sandy Hook elementary. Support your response.
Differentiate between the key characteristics associated with functional mental disorders, minor mental disorders (i.e., neuroses), and manic-depressive behavior. Next, support or criticize the notion that one disorder is more severe than the other. Justify your response. Mental Disorders Essay Assignment Paper.
Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and similar type Websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are: Mental Disorders Essay Assignment Paper.
Recommend improvements to societal stigmas associated with physical disabilities.
Evaluate the importance of reconciling and distinguishing both physical and mental disabilities and how they are perceived by society.
Use technology and information resources to research issues related to the criminal mind.
Write clearly and concisely about the criminal mind topics using proper writing mechanics and technical style conventions. Mental Disorders Essay Assignment Paper
Submit a paper commenting on the Terri Schiavo case.
Uncategorizeda. Discuss why you think the decision reached was ethically and morally sound or why you disagree with the decision.b. What Code of Ethics principles should a nurse in a similar situation evaluate for guidance?c. Would the case you picked be decided differently today, why or why not?d. Have you witnessed any similar scenarios at work?e. Who speaks for the incapacitated patient in the absence of an advance directive in Florida? (Hint: the answer is in the Advance Directives statute, Part IV)
http://www.nejm.org/doi/full/10.1056/NEJMp058062 – Terri Schiavo Case
I also attached the American Nurse Association Code of Ethics
Answer to all questions, no plagiarism, APA format and citation.
Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies
UncategorizedLearning Resources
Required Readings
McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
American Nurses Association. (2018). Inclusion of recognized terminologies supporting nursing practice within electronic health records and other health information technology solutions. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/
Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf
Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/
Office of the National Coordinator for Health Information Technology. (2017). Standard nursing terminologies: A landscape analysis. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf
Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05.
Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs
Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019.
Required Media
Laureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html
Public Health Informatics Institute. (2017). Public Health Informatics: “shipping” information for better health [Video file]. Retrieved from https://www.youtube.com/watch?v=q1gNQ9dm0zg.
Public Health Informatics Institute. (2017). Public Health Informatics: knowledge “architecture” [Video file]. Retrieved from https://www.youtube.com/watch?v=sofmUeQkMLU.
Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies
In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?
Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.
To Prepare:
· Review the concepts of technology application as presented in the Resources.
· Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.
The Assignment: (4-5 pages)
In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:
· Describe the project you propose.
· Identify the stakeholders impacted by this project.
· Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
· Identify the technologies required to implement this project and explain why.
· Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
Transtheoretical Model
Nursing HomeworksIn five (minimum) to six pages (maximum), using the Transtheoretical Model, describe in detail how you would go about implementing some type of behavior change. Real examples work the best; however, if you do not have one, you can create a scenario. Please note, if you do not either use an example or create a scenario, then the assignment is less applicable to a real-world situation and this could affect your grade.
Explain why the change is needed/why you want or need to change this behavior, the steps (in detail) for ultimately changing this behavior, the intended result, and how the intended result would be an improvement over the original behavior.
You must answer all parts of the question with no errors to receive full credit. Use APA format, double-space, include a title page, page numbers on the top right corner, and please use correct spelling and grammar.
Answer the following in the paper:
Description of implementation of behavior change
Why change is needed?/Why you want or need to change this behavior?
Transtheoretical model steps in detail for ultimately changing the behavior
What is the intended result? How the intended result would be an improvement over the original behavior?
Economics homework help
UncategorizedDevelop a written description (750 words) discussing current evaluation methods, how the organization uses the appraisal assessments to identify employee roles, the current appraisal systems, performance ratings, and Telespazio’s practices for performing appraisal interviews.
Decide what changes or strategies could be implemented to Telespazio’s current performance appraisal practices.
Include an appraisal tool that would benefit the company and an effective method for performing an appraisal interview.
Describe the benefits of using both the appraisal tool and appraisal interview in the performance appraisal practice.