Medicolegal Considerations and the Role of the Advanced Practice Nurse
Discussion Part I: Medicolegal Considerations
In this course, all 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.
You will be assessed on your posting and responses to both parts.
As an advanced practice nurse (APN), it is essential to understand your medicolegal responsibilities as they relate to coding the services you provide to patients. Improper coding, undercoding, or overcoding can have serious implications for patients, providers, and the provider’s care setting. For this Discussion, you examine potential coding issues in case studies and consider the medicolegal responsibilities of the advanced practice nurse.
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Case Study 1
Sally Jones, an acute care advanced practice nurse, is making hospital rounds on the same patients her colleague nurse practitioner saw yesterday. Sally had five history and physicals to complete on admissions that came in overnight. At the beginning of her shift, she had to complete two emergency admissions and was then called to intensive care, where she spent most of the afternoon. She had to leave work early because of her husband’s retirement party. Because she knew most of the patients on her rounding list, she decided to visit each patient’s room quickly for about 10 minutes. She coded all of the visits the same way she had done the day before, with codes 99231 and 99232. Medicolegal Considerations and the Role of the Advanced Practice Nurse
Case Study 2
Lisa Smith, an acute care advanced practice nurse, is making hospital rounds on the same patients her colleague nurse practitioner saw yesterday. It took her 50 minutes to see 10 of her patients and 30 minutes to see each of the remaining patients on her list. She used the same code for all visits—99233. Medicolegal Considerations and the Role of the Advanced Practice Nurse
To prepare:
- Select one of the provided case studies.
- Review the patient documentation given for the case. Think about medicolegal considerations and the responsibilities of the advanced practice nurse.
- Consider the medical codes selected by the advanced practice nurse. Reflect on how the selections might impact clinical practice and billing. Think about how the impact might differ from primary to acute care settings. Medicolegal Considerations and the Role of the Advanced Practice Nurse
By Day 3
Post a brief description of the patient documentation given for the case study you selected. Explain any medicolegal considerations, including the role and responsibilities of the advanced practice nurse. Then, explain how medical coding might impact clinical practice and billing, as well as how implications might differ from primary to acute care settings.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues on two different days who selected a different case study than you. Share additional insights or alternative perspectives.
Discussion Part II: Pharmacology
Read the following articles to enhance your knowledge on commonly prescribed medications:
River-Bou, W. & Brown, D. (2014). Thrombolytic Therapy. Retrieved from http://emedicine.medscape.com/article/811234-overview
Thrombolytics are used for AMI, DVT, acute peripheral arterial occlusion, occlusion of indwelling catheters, pulmonary embolism, and stroke. Medicolegal Considerations and the Role of the Advanced Practice Nurse
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.
- Activase
- Retavase
- Urokinase
- Streptokinase
- TNKase
- Anistreplase.
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. Medicolegal Considerations and the Role of the Advanced Practice Nurse
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.
Medicolegal Considerations and the Role of the Advanced Practice Nurse
Although your roles and responsibilities may differ based on your practice setting (think emergency department versus inpatient hospital setting or outpatient specialty medicine clinic), they may also vary depending on the state in which you practice. Because each state has its own laws and regulations that determine the scope of practice for advanced practice nurses, it is your responsibility to understand your own state’s guidelines. This Assignment involves locating the Nurse Practice Act for your state and reviewing practice guidelines, licensing requirements, and the certification process.
To prepare:
- Locate the Nurse Practice Act for your state, as well as any other state legislation that outlines practice for Advanced Practice Registered Nurses (APRNs). Reflect on the definition and scope of practice of the APRN according to your state. Medicolegal Considerations and the Role of the Advanced Practice Nurse
- Consider which state board is responsible for licensure of APRNs. Determine whether your state requires nursing board approval, board of medicine approval, or joint board approval for APRN practice.
- Consider the DEA (Drug Enforcement Administration) Drug Schedule categories approved for APRN prescribing. Think about how this might impact your clinical practice.
- Research the national certifying board options and application processes for the Adult Geriatric Acute Care Nurse Practitioner. Think about which exams are recognized by your state board and which board options best suit your professional needs.
To Complete:
Address the following in a 1- to 2-page paper:
- Explain the definition and scope of practice for APRNs according to the Nurse Practice Act in your state.
- Identify the state board that is responsible for licensure of APRNs.
- Identify the DEA Drug Schedule categories approved for APRN prescribing in your state. Explain whether this might impact your clinical practice, and if so, explain how.
- Identify which national certifying board options are recognized by your state board. Explain which options best suit your professional needs and why. Describe the application processes for these options. Medicolegal Considerations and the Role of the Advanced Practice Nurse
By Day 7
This Assignment is due.
Note: You must include references to support your paper. The School of Nursing also requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements. All papers submitted must use this formatting. Medicolegal Considerations and the Role of the Advanced Practice Nurse
To submit your completed Assignment for review and grading, do the following:
- Please save your Assignment using the following naming convention: “WK1Assgn+lastname+first initial”.
- Click the Week 1 Assignment link.
- Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn+last name+first initial.(extension)” and click Open. If you are submitting multiple files, repeat until all files are attached.
- Click on the Submit button to complete your submission.
Medicolegal Considerations and the Role of the Advanced Practice Nurse
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Medicolegal Considerations and the Role of the Advanced Practice Nurse
Developing a Transition Plan
Nursing HomeworksDeveloping a Transition Plan
Resources
A transition plan is a document that gives those involved with your client what they need to take the appropriate next steps. Transition plans are often used to share information among a group of individuals who will be assisting a client. A good transition plan is clear and concise, and presents a snapshot of where the client has been and is going. An effective transition plan presents to those who will be working with the client a clear direction on what needs to happen to help the client address changes smoothly.
Develop a transition plan, compiling and synthesizing the information that you have gathered regarding your case, to share with the transition team. Ensure that your transition plan includes:
Information Systems homework help
UncategorizedThis week’s journal article focus on the how positive team culture can correct the impact of lagging leadership creativity. Additionally, we discussed how digital transformation leaders in regard to artificial intelligence (AI). After reviewing the reading, please answer the following questions:
What is your definition of AI? Please explain.
What is your opinion of AI, is the technology currently available? Why or why not?
Please note at least four AI technologies, explain if they are truly AI or something else. Thoroughly explain your answer.
How is AI perceived as different in various industries and locations? Please explain.
Be sure to use the UC Library for scholarly research. Google Scholar is also a great source for research. Please be sure that journal articles are peer-reviewed and are published within the last five years.
The paper should meet the following requirements:
3-5 pages in length (not including title page or references)
APA guidelines must be followed. The paper must include a cover page, an introduction, a body with fully developed content, and a conclusion.
A minimum of five peer-reviewed journal articles.
The writing should be clear and concise. Headings should be used to transition thoughts. Don’t forget that the grade also includes the quality of writing.
English homework help
UncategorizedRequired length 1250-1750 words
Minimum of 6-7 credible sources
MLA format
Background and Major Arguments
One or two paragraphs in the beginning of your paper need to demonstrate your familiarity with the history of the argument. This section of your paper will tell how the topic became a controversy and trace that controversy’s overarching concepts through current times.
Additionally, you need to demonstrate a knowledge of all arguments on your issue. You will need to provide your audience with an appropriate knowledge of all the arguments so that your own argument gains credibility and logic.
Your Argument
Your argument will be a crucial component in the paper. You will not just present the various sides of the existing argument and state that you agree with one side of the argument. Instead, you have to use your source material and your own voice to make a case for the argument you support.
Thesis Statement
Your thesis statement is a strong component of the research paper. Your thesis statement will prepare your audience for your argument. When crafted appropriately, your reader will have a good idea of your argument as they read through the paper and will keep this argument in mind throughout the reading, as well prepare them for what you’ll be talking about. This makes convincing your audience much easier.
Counterargument
You must include a counterargument in your paper. Address the opposing side of your argument and tell why it is incorrect or not likely. Inserting a counterargument not only strengthens your own argument but adds length to your paper, too!
Works Cited
Your Works Cited page will contain a list of all sources used in writing your paper. You must be very careful as you construct your Works Cited page. You do not want to omit a source that is included in your paper and you do not want to include a source that is not in your paper. Remember that your Works Cited page must be in alphabetical order.
Objectives
Assessment
Psychology homework help
UncategorizedArticle Assessment Instructions
The article that you choose must meet a variety of requirements in order to be suitable for this assignment.
(1) The article must be scholarly. I suggest using JSTOR to help with your search, making sure to select “peer reviewed” or “scholarly”. If you have questions about what constitutes a scholarly article, scroll down to the bottom of this page from the Jerry Falwell Library. You will see a very helpful video about scholarly sources. It is labeled “graduate” but the information is correct for all levels of study. https://www.liberty.edu/library/begin-research/?utm_source=Academics&utm_medium=onsite&utm_campaign=blackboard&utm_content=jfl_tab_begin_research .
(2) The article must be substantive. It should be at least 8 pages, not counting pictures/graphs/references/etc. If you find the perfect article that is 7 pages long, feel free to email your instructor (in a timely manner) providing the properly formatted citation and link, to see if it will be approved.
(3) The article must be timely. It should be published within the last 25 years. If you find the perfect article that is 30 years old, feel free to email your instructor (in a timely manner) providing the properly formatted citation and link, to see if it will be approved.
(4) The article must be relevant to the week’s theme. For example, in Week 2, you must choose an article specifically and clearly relating to one of the central African countries listed in Blackboard. If you choose an article that is not relevant, you will be required to resubmit the assignment and be subject to the appropriate late penalty. If you find the perfect article but you are not certain if it relates to the week’s theme, feel free to email your instructor (in a timely manner) providing the properly formatted citation and link, to see if it will be approved.
(5) The article must be appropriate for this course. It must relate to the historical study of the region. This likely means that it will be published in a historical journal. If you find an article in, the Journal of Microbiology (for example), you are likely on the wrong track. If you find the perfect article, but it is in a non-historical journal or otherwise does not seem to be specifically related to the history of the region, feel free to email your instructor (in a timely manner) providing the properly formatted citation and link, to see if it will be approved.
(6) The article must be accessible for you. (a) The article should not be in a language you cannot read very well. (It probably must be in English—see point 7 below.) (b) JSTOR includes many book chapters. Feel free to choose a book chapter that otherwise meets the requirements for this assignment, but keep in mind that it may be more difficult to address the author’s intentions and thesis in using a source that is only part of the author’s work. (c) Do not choose a book for this assignment. There will not be time for you to assess a book properly.
(7) The article must be accessible for your instructor. (a) You are required to provide a permanent link to the article as demonstrated in both of the citations above. If you do not provide that link, or if the link does not work, your instructor may require you to resubmit the assignment with the proper information, and be subject to any applicable late penalties. Alternatively, your instructor may deduct a 10% penalty from your Article Assessment grade for failing to submit the assignment properly. (b) The article must be in English. If you find the perfect article, in a language that you understand very well, feel free to email your instructor (in a timely manner) providing the properly formatted citation and link, to see if it will be approved.
Submit this assignment is by Sunday at 11:59 p.m. (ET) of the Module/Weeks in which it is due.
Nursing homework help
UncategorizedCourse Outcome covered in this Assignment:
Analyze financial models of reimbursement and their effects on patients and health care providers.
Directions
For this Assignment, you will distinguish between Medicare and Medicaid. Your paper must include the following topics:
Provide a brief history of both Medicare and Medicaid.
Define the populations that they are intended to serve.
Determine whether your state has expanded Medicaid.
Articulate the reasons that states choose not to participate in Medicaid expansion.
Analyze your role in your specialized area of nursing practice when interfacing with Medicare and/or Medicaid recipients.
The word count for your paper, excluding the title page and references page, will be 800–1200 words. You must include a minimum of (5) different scholarly references.
Assignment Requirements
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA formatting and citation style.
Directions
For this Assignment, you will distinguish between Medicare and Medicaid. Your paper must include the following topics:
Provide a brief history of both Medicare and Medicaid.
Define the populations that they are intended to serve.
Determine whether your state has expanded Medicaid.
Articulate the reasons that states choose not to participate in Medicaid expansion.
Analyze your role in your specialized area of nursing practice when interfacing with Medicare and/or Medicaid recipients.
The word count for your paper, excluding the title page and references page, will be 800–1200 words. You must include a minimum of (5) different scholarly references.
Assignment Requirements
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA formatting and citation style.
The Role Of Scientist-Practitioners
Nursing HomeworksCreate a 10-12-slide presentation about the role of scientist-practitioners. Include the following in your presentation:
Medicolegal Considerations and the Role of the Advanced Practice Nurse
Nursing HomeworksMedicolegal Considerations and the Role of the Advanced Practice Nurse
Discussion Part I: Medicolegal Considerations
In this course, all Discussions will have two parts:
You will be assessed on your posting and responses to both parts.
As an advanced practice nurse (APN), it is essential to understand your medicolegal responsibilities as they relate to coding the services you provide to patients. Improper coding, undercoding, or overcoding can have serious implications for patients, providers, and the provider’s care setting. For this Discussion, you examine potential coding issues in case studies and consider the medicolegal responsibilities of the advanced practice nurse.
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Case Study 1
Sally Jones, an acute care advanced practice nurse, is making hospital rounds on the same patients her colleague nurse practitioner saw yesterday. Sally had five history and physicals to complete on admissions that came in overnight. At the beginning of her shift, she had to complete two emergency admissions and was then called to intensive care, where she spent most of the afternoon. She had to leave work early because of her husband’s retirement party. Because she knew most of the patients on her rounding list, she decided to visit each patient’s room quickly for about 10 minutes. She coded all of the visits the same way she had done the day before, with codes 99231 and 99232. Medicolegal Considerations and the Role of the Advanced Practice Nurse
Case Study 2
Lisa Smith, an acute care advanced practice nurse, is making hospital rounds on the same patients her colleague nurse practitioner saw yesterday. It took her 50 minutes to see 10 of her patients and 30 minutes to see each of the remaining patients on her list. She used the same code for all visits—99233. Medicolegal Considerations and the Role of the Advanced Practice Nurse
To prepare:
By Day 3
Post a brief description of the patient documentation given for the case study you selected. Explain any medicolegal considerations, including the role and responsibilities of the advanced practice nurse. Then, explain how medical coding might impact clinical practice and billing, as well as how implications might differ from primary to acute care settings.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues on two different days who selected a different case study than you. Share additional insights or alternative perspectives.
Discussion Part II: Pharmacology
Read the following articles to enhance your knowledge on commonly prescribed medications:
Thrombolytics are used for AMI, DVT, acute peripheral arterial occlusion, occlusion of indwelling catheters, pulmonary embolism, and stroke. Medicolegal Considerations and the Role of the Advanced Practice Nurse
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.
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. Medicolegal Considerations and the Role of the Advanced Practice Nurse
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.
Medicolegal Considerations and the Role of the Advanced Practice Nurse
Although your roles and responsibilities may differ based on your practice setting (think emergency department versus inpatient hospital setting or outpatient specialty medicine clinic), they may also vary depending on the state in which you practice. Because each state has its own laws and regulations that determine the scope of practice for advanced practice nurses, it is your responsibility to understand your own state’s guidelines. This Assignment involves locating the Nurse Practice Act for your state and reviewing practice guidelines, licensing requirements, and the certification process.
To prepare:
To Complete:
Address the following in a 1- to 2-page paper:
By Day 7
This Assignment is due.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Medicolegal Considerations and the Role of the Advanced Practice Nurse
Rubric
The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking.
The purpose of the paper is clear.
The extend to which the work reflects the student’s ability to:Understand and interpret the assignment’s key concepts.
The extend to which the work reflects the student’s ability to:Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources.
The extend to which the work reflects the student’s ability to:Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections.
Medicolegal Considerations and the Role of the Advanced Practice Nurse
>Computer Science homework help
Uncategorizedrequirnments:
The paper should meet the following requirements:
· 5-7 pages in length (not including title page or references)
· APA guidelines must be followed. The paper must include a cover page, an introduction, a body with fully developed content, and a conclusion.
· A minimum of five peer-reviewed journal articles.
The writing should be clear and concise. Headings should be used to transition thoughts. Don’t forget that the grade also includes the quality of writing.
Diagnosis and Management of Genitourinary Disorders Discussion Essay Assignment
Nursing HomeworksDiagnosis and Management of Genitourinary Disorders Discussion Essay Assignment
Many genitourinary (GU) disorders such as kidney disease begin developing during childhood and adolescence (Johns Hopkins Children’s Center, 2010). This early onset of disease makes it essential for you, as the advanced practice nurse caring for pediatric patients, to identify potential signs and symptoms. Although some pediatric GU disorders require long-term treatment and management, other disorders such as bedwetting or urinary tract infections are more common and frequently require only minor interventions. In your role with pediatric patients, you must evaluate symptoms and determine whether to treat patients or refer them for specialized care. For this Discussion, consider potential diagnoses, treatment, and/or referral options for the patients in the following three case studies. Diagnosis and Management of Genitourinary Disorders Discussion Essay Assignment.
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Case Study 1
You see a 3-year-old with a 2-day history of complaints of dysuria with frequent episodes of enuresis despite potty training about 7 months ago. She is afebrile and denies vomiting. Physical examination is normal. Dipstick voided urine analysis reveals: specific gravity 1.015, Protein 1+ non-hemolyzed blood, 1+ nitrites, 1+ leukocytes, and glucose-negative. Diagnosis and Management of Genitourinary Disorders Discussion Essay Assignment .
Case Study 2
Mark is a 15-year-old with complaint of acute left scrotal pain with nausea. The pain began approximately 6 hours ago as a dull ache and has gradually worsened to where he can no longer stand without doubling over. He is afebrile and in marked pain. Physical exam is negative except for elevation of the left testicle, diffuse scrotal edema, and the presence of a blue dot sign. Diagnosis and Management of Genitourinary Disorders Discussion Essay Assignment .
Case Study 3
Maya is a 5-year-old who presents for a well-child visit. She is a healthy child with no complaints. Physical examination is normal. Routine urinalysis indicates 2+ proteinuria; specific gravity 1.020; negative for glucose, blood, leukocytes, and nitrites. Her blood pressure is normal, and she is at the 60th percentile for height and weight.
To prepare:
By Day 3
Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the genitourinary disorder. Diagnosis and Management of Genitourinary Disorders Discussion Essay Assignment.
What three new areas of knowledge and skills have you learned about regarding the nursing care of childbearing women and children?
UncategorizedNurse E-Portfolio, you will focus on providing nursing care to childbearing women and children. Using the E-Portfolio format, answer the following questions. Make sure you spend some time thinking about the answers to these questions before writing.