NUR-621 Principles Of Health Care Financial Management essays
The Grand Canyon University is mainly a proprietary institution, established in 1949. It is shortened as GCU and is the Arizona’s leading, non-profit, private Christian university. Its nine colleges offer around 200-degree programs. Currently, the institution of higher education, Grand Canyon University, is the largest Christian university in the world with 70,000 student’s online and 20,000 on campus. NUR-621 Principles of Health Care Financial Management course from GCU is of high demand. This course equips students with the skill set to manage the finance of the health care organisations and make a sound decision. It provides future nurses to make a decision pertaining to the sources and application of funds in an effective manner. It also equips them with the skills of making staffing decisions based on sound principles of financial management and compliance procedure.
ORDER A PLAGIARISM-FREE PAPER HERE
Affordable and Best NUR-621 Principles of Health Care Financial Management
Assignment Help Services are just a click away!!!!!!!!
Students keep worrying and getting terrified of putting down their thoughts on paper during assignment writing as they do not have sufficient knowledge of the subject. They do have very basic details of the subject but not the detailed ones. The academic assignments and other writing work given by Grand Canyon University is quite complex and have a fixed time period to submit NUR-621 Principles of Health Care Financial Management assignment. Students face issues over command over their language to be used in assignments, and that is English as English is not their primary language. Students often do jobs while pursuing their courses so that they can take care of the expenses on their own and earn a degree simultaneously. And hence they are not able to spend time towards their studies. NUR-621 Principles Of Health Care Financial Management essays. They find it very difficult to balance their studies as well as their jobs are done for their livelihood. They get tensed that they cannot score more marks in assignments due to its quality as they have a very limited period of time. They get scared of failing in the subject due to assignments and paying course fees again as they find it difficult to afford it. Hence, they need someone to trust and assign their assignment writing to fetch them with good marks. There are many other reasons, apart from this for getting assignment writing help.
Are you one of those students who are in search for affordable assignment writing service online for NUR-621 Principles of Health Care Financial Management?
Your search for best and affordable assignment writing help for NUR-621 Principles of Health Care Financial Management ends here. We, onlinenursingpapers.com, are the best assignment writing online service provider for all your writing needs. Till now, we have provided our writing services to thousands of students with full accuracy all over the globe. We hire the best experts who with their expertise and experience, strive to provide you with best assignments and other types of academic writings as and when needed. They work within the provided deadline and never cross the same. They have in-depth knowledge of the subject. They do the research work needed in NUR-621 Principles of Health Care Financial Management from scratch and reliable sources only. They have hands-on experience and hence work aptly and diligently within the provided time frame. Our prices for the services are very low, and therefore anybody can afford it. We strive to make our customers happy and to maintain a long term relationship with them NUR-621 Principles Of Health Care Financial Management essays. Hence, we provide 24/7 query solving to all of them at a price which is out of anybody’s imagination, and that is “NOTHING”. We have a particular checklist which we follow to provide you with the best assignment writing, which comes without any errors and are not a work of copy-paste. Our NUR-621 Principles of Health Care Financial Management homework help tutors and qualified experts do fulfil all your requirements, and hence you need not worry about the quality of the work done. They know about the formatting and reference styles to be followed, and therefore you can trust them and their work blindly. Customers find our NUR-621 Principles of Health Care Financial Management assignment help services to be valued and once they take our services, and they never regret their decision of seeking help from us. We offer 100% satisfaction under our NUR-621 Principles of Health Care Financial Management homework help and assignment writing service and in case we failed to do so, we issue full refund. We under NUR-621 Principles of Health Care Financial Management assignment help ensures each student that they will get high grade solution from us and they will claim no less than A++ grade from their instructor. You have further options to get prewritten solutions, past assessments and homework solutions for quick guidance in current assignments. You feel happy to find the process how to deal with similar NUR-621 Principles of Health Care Financial Management course assignments and homework. NUR-621 Principles Of Health Care Financial Management essays.
Join our esteemed customer’s list, sign up now and submit your assignments along with the requirements to be fulfilled. We ensure full satisfaction in our NUR-621 Principles of Health Care Financial Management assignment help service and you will get excellent marks in our written work.
Related Nursing Courses and Assignment Help Services of Onlinenursingpapers!
NUR-502 Theoretical Foundations for Nursing Roles And Practice Assignment Help
NUR-504 Health Care Research Analysis and Utilization Assignment Help
NUR-508 Ethics, Policy, and Finance in the Health Care System Assignment Help
NUR-513 Introduction to Advanced Registered Nursing Assignment Help
NUR-514 Organizational Leadership and Informatics Assignment Help
NUR-550 Translational Research and Population Health Management Assignment Help
NUR-590 Evidence-Based Practice Project Assignment Help
NUR-621 Principles Of Health Care Financial Management essays
NUR-621 Principles of Health Care Financial Management Assignment Help
NUR-630 Performance Improvement and Quality in Health Care Assignment Help
NUR-631 Advanced Physiology and Pathophysiology Assignment Help
NUR-513 Introduction to Advanced Registered Nursing Assignment Help
NUR-514 Organizational Leadership and Informatics Assignment Help
NUR-550 Translational Research and Population Health Management
NUR-590 Evidence-Based Practice Project Assignment Help
NUR-641E Advanced Pathophysiology and Pharmacology for Nurse Educators
NUR-643E Advanced Health Assessment for Nurse Educators Assignment Help
NUR-646E Nursing Education Seminar I Assignment Help
NUR-648E Nursing Education Seminar II Assignment Help
NUR-665E Nursing Education Practicum Assignment Help
NUR-621 Principles Of Health Care Financial Management essays
NURS 6565 Week 1: Short and Long-Term Professional Goals
Long Term Goals for Nurse Practitioner Student example essay
Short term and long terms goals help the individual to motivate towards meetings the professional goals and gives a long term vision where one wanted to be. Nurse Practitioner education is highly competitive, and it is imperative to be motivated throughout during the school term, and after once one becomes a nurse practitioner. SMART acronym tools are often used to set the goals, and it stands for S specific, M measurable, A attainable, R realistic and T timely. SMART goal setting tools helps to set the goal within the reasonable limits and helps the individual to prepare for the challenges that help to achieve the goal (Massachusetts Institute of Technology Human Resources, n.d.) Long Term Goals for Nurse Practitioner Student.
ORDER A PLAGIARISM-FREE PAPER HERE
Short Terms Goals
As a Nurse Practitioner student, I have following three short terms and long terms goals that prepare my transition towards Nurse Practitioner Practice from the RN.
Short terms Goal:
My first short term goal is to be prepared for this semester so that my preparation will help me to towards fulfilling my long terms goals of passing the Nurse Practitioner Board certification.
The second short term goal is to learn the skill sets required to serve the particular population I am intended to work as a future Family nurse practitioner. As a family nurse practitioner student, one get training towards the range of entire ages: however mostly I work with adult population as a Nurse and so far my desire e is to serve the same population as a Nurse practitioner.
The third goal is to understand the legal implication like state laws that define the nurse practice during this period so that before applying for the job I have the fair knowledge of the scope of practice that defines nurses’ roles, articulate oversight requirements, and govern practice and prescriptive authorities Long Term Goals for Nurse Practitioner Student.
Long terms goal
As I mentioned earlier, my first long term goal is to get the certification through the American Academy of Nurse Certification Program as soon as I complete my degree. I have to keep this in my mind as accreditation can take weeks to months, so my goal is to start the application process as soon as I can.
There is no denying the fact that as soon as one started for NP school, getting a good decent job is something always the first thing in the mind. With this course I am a very close get my degree and my certification, so my 2nd goal is to get a decent job that I always intend to. I live in Quad cities and the market for Family Care Practitioner Jobs is not very promising. However, I am lucky enough to get an offered from one of the preceptor offices. Although, nothing is confirmed, but I am trying to be very proactive looking the jobs with the help of social networking and on job listing websites.
The third goal is something actually I will say both come under long and short goals is to continue to update the knowledge and technological skill based on current evidence-based practice through a focus on continuing education so that I can provide based patient outcomes every time.
References:
Goal Setting. (n.d.). Retrieved from
https://hr.mit.edu/performance/goals
Family Nurse Practitioner Career Guide. (n.d.). Retrieved from
https://nurse.org/resources/family-nurse-practitioner/
Poje, K. (2016). Smoothing your transition from RN to NP. Retrieved from https://americannursetoday.com/wp-content/uploads/2016/07/ant7-Focus-On-CAREER-621.pdf
NURS 6565 Week 1: Short and Long-Term Professional Goals example essay
Family nurse practitioner students (FNPS) need to develop realistic and professional goals because they are critical to guide our careers and make the transition from the role working as registered nurses to the advanced practice registered nurses (APRN) successful. As new APRN, we will be a novice again the same way as we were when coming out of nursing school and we need to do everything that we can to make the transition simple and uncomplicated. New APRN sometimes set unrealistic expectations making their role change more difficult and increasing their anxiety (Poje, 2016) and risk for failure in their new occupation. The purpose of writing this paper is to identify at least three short and three long term goals, describe why I selected them and how they relate to my professional career development, and create a strategic plan that describes how I might achieve each of those goals.
Three Short and Three Long-term Goals, why I Selected Them, and how They Relate to my Professional Career Development
FNPS need to come up with goals that certainly describes what they want to achieve or learn and they must be specific, measurable, achievable, appropriate and time-limited (College of Nurses of Ontario [CNO], 2014). They need to create and ensure that their goals are focused and present a clear idea of what they want to accomplish or want to master (CNO, 2014), and they include:
I have to learn to identify the different illnesses so that all patients will be protected from harm by knowing the sign and symptoms, causes, how to diagnose and manage their condition by the end of 2018 as measured by less number of misdiagnosis. I selected this goal because the majority of APRN coming out of school have so much to learn which it is essential and connected to the development of their professional career. Nurse practitioners (NP) have to be knowledgeable, so they can become excellent providers and be able to deliver safe, effective, and high quality of care for their patients (Flinter, 2012). If they do not have the knowledge to do their job, they can lose their license and not be able to work in this profession again.
I have to learn to manage time wisely so that I can do my job appropriately and will be able to go home on time by August 2018 as measured by having some free time after work to enjoy life. I selected this goal because many new APRN that I know have a problem with time management. They go to work for about 8-12 hours per day and have to stay over or go home to finish documenting on all the clients that they saw because the lack of time to do it during the office visit. If the problem continues for a long time, the APRN’s stress level goes up, and their career satisfaction goes down (Flinter, 2012) affecting their professional career development and making them want to quit their job.
I have to learn the necessary skills so that I can perform the proper procedures needed and will be able to take care of the patients correctly by the end of 2018 as measured by the number of successful procedures. I carefully chose this goal because I noticed that many APRN have to review the clinic’s policies and procedures manual or look up information on the internet frequently due to their lack of experience. Having the necessary skills can help APRN become competent providers (Flinter, 2012) which are associated with the development of a better professional career. If providers are not skilled, clients will not want to return and see them negatively impacting their career.
I have to develop the confidence to educate patients so that they can and will learn what they need to about their medications and conditions by the end 2020 as measured by not having to look up information all the time. I selected the goal because it is important that APRN know everything about the different prescription drugs and disorders affecting people and be able to teach them to prevent complications. When NP have confidence, patients will feel more comfortable having them as primary care providers (Flinter, 2012) which are associated with the advancement of their professional career.
I plan to work hard so that I can save money and will be able to have my own business by the middle of 2022 as measured by having my place of employment. I selected this goal because I would like to have my own business one day, be able to help patients, and not have to be in such a hurry to make money instead of taking care of clients like most clinics are doing nowadays. The United States has a shortage of health care providers (Flinter, 2012) due to the challenges affecting APRN’s occupation and the discontent with the duties and responsibilities impacting the advancement of the professional career. There are some things that I do not agree with, and by owning a business, some of those elements can be changed or improved.
I have to continue my education so that I will be able to obtain the doctor of nursing practice (DNP) degree by 2020 as measured by completing the program and getting a document to prove it. I picked this goal because that is what I want to do in the future and believe that it can be attainable when individuals work hard to get what they want in life. The DNP is not going to give me extra money for getting it in many places, but it will help me move forward with my professional career and open new opportunities.
NURS 6565 Week 1 – Strategic Plan Explaining how I Might Attain the Goals
One way to accomplish all of those goals is by creating an individualized plan that can assist me to achieve them. The goals number 1, 2, 3, 4, and 6, which are about learning, gaining skills and confidence, and obtaining the DNP can be within the person’s reach and be achieved. APRN have to start going to clinical case conferences or workshop, taking online or in the classroom classes, reading journal articles, completing online training courses, reviewing case studies, going through a practice simulation, being mentored, and attending webinars (Thabault, Mylott, & Patterson, 2015 and CNO, 2014). Others include working as a team with medical assistants, nurses, NP, doctors, physician assistants, and shared personnel resources such as dieticians, managers, pharmacist, behavioralists, and diabetes educator (Flinter, 2012). Managing my time better by becoming regimented with it, adopting strategies that increase productivity (Perkel, 2015), keeping and redirecting patients to the task at hand, staying focus, establishing a routine and making changes as necessary, and not wasting time getting distracted.
The goal of having my own business can be reachable by working hard, stop wasting so much money on unnecessary things and buying what I need only, not going out as much to save money, eating at home and taking my lunch, and others. Doing those few things work great and save money because I am about to complete this program and I am debt free. APRN tend to make good money, but I noticed that the more money individuals make, the more that they tend to spend and that has to change to accomplish the goal.
Another Long Term Goals for Nurse Practitioner Student example essay
Short-term goals
The short-term goals chosen are; obtaining board certification, choosing the preferred patient population, and evaluating potential employers. The Massachusetts Institute of Technology Human Recourses states that goals should be specific, measurable, achievable, relevant to performance and professional development, and be time specific (Massachusetts Institute of Technology Human Recourses).
My first goal; to obtain board certification, state requirements varies widely (Buppert, 2018). All states require that Nurse Practitioners are licensed Registered Nurses; my current licensures are active in two states Wisconsin and Illinois (Buppert, 2018). In Illinois the RN must complete a master’s program and sit for an examination based determination from the American Academy of Nurse Practitioners Certification Program or American Nurses Credentialing Center, Wisconsin requires the same (NursingLicensure.org). Prior to be allowed to schedule an examination you have to show proof of program completion.
The second goal is choosing a preferred patient population. As a family nurse practitioner you are trained to care for the entire range of ages: however my background is mostly in Women’s health so it would be tempting to accept a position a gynecology office, but is that something that would be desirable for me?
The third goal is evaluation of potential employers: when evaluating an organization there is more than compensation that needs to be considered, things such as travel distance from home, benefits, hours available to work, expectations and support for new nurse practitioners are all important considerations. Lack of support and understanding of the scope of practice of nurse practitioner’s is a barrier to professional success (Freenstra, 2014). It may cause increased difficulty adjusting to a new role as provider if the position was accepted into an organization that is new to having nurse practitioners.
Long-term Goals
First; find an organization to work with that supports my professional growth; develop care relationships with patients, and collaborating providers. Second; consider if returning to school to achieve a doctorate degree is a feasible option five years after completion of Advanced Degree Nurse.
Strategic Planning
As soon as I complete my degree; complete the online application to sit for examination with American Academy of Nurse Practitioners Certification Program. Accreditation can often take several weeks to months to complete; the sooner an applicant starts to gather needed forms and information the better. Begin evaluation and applications with potential employers as soon as possible so that ample time to evaluate any offers before accepting is allowed. List all pros and cons of accepting any positions in a specialty area verses a general practice area before deciding to specialize with any population.
Short term goals will be achievable reasonably quick while long term goals will need evaluation after a period f time adjusting to the new role as a Nurse Practitioner.
References:
Buppert, C. (2018). Nurse practitioner’s business practice and legal guide (6th ed.). Sudbury, MA: Bartlett & Jones Learning.
Freenstra, R. (2014). SMART Goals- Quick Overview. Retrieved from
Massachusetts Institute of Technology Human Recourses (n.d.). SMART Goals. Retrieved from
http://hrweb.mit.edu/performance-development/goal-setting-planning/smart-goals
NursingLicensure.org, retrieved on August 27
th
, 2018 from: https://www.nursinglicensure.org/np-state/illinois-nurse-practitioner.html
NURS 6565 Week 1 – Summary
FNPS need to develop realistic and professional goals because they are critical to guide our careers and make the transition from the role working as registered nurses to the APRN successful. As a new APRN, we will be a novice again the same way as we were when coming out of nursing school and we need to do everything that we can to make the transition simple and uncomplicated. New APRN sometimes set unrealistic expectations making their role change more difficult and increasing their anxiety (Poje, 2016) and risk for failure in their new occupation. The three short and three long-term goals consist of learning about the different conditions, managing time wisely, developing confidence, having own business, and completing the DNP program within 1-5 years which are related to the development of my professional career. The goals can be achievable by coming up with the right strategic plan, evaluating, and making changes as needed to get them done.
NURS 6565 Week 1 Primary Care Journal
NURS 6565 Synthesis in Advanced Practice Care of Complex Patients in Primary Care Settings
Professional Goals
Short-term goals and their impact
The short-term goals that I will set include; becoming a certified board member, choosing the patient population to serve as well as evaluating potential employers carefully. Becoming a certified board member will help me become more confident as a nursing practitioner, as well as boost my marketability in the competitive industry. In an effort to ensure that I become a certified board member in record time, I will undertake to apply for the exams before I leave RN and ensure that I am able to sit for them within three or four months after application.
The selection of the patient population encompasses the finding of the perfect position from which I will be able to grow and I will thus have to decide on a specific population that I will serve such as cardiac or the old age people. This will help ensure I am able to easily network within that given specialty area. The third goal that I will set is critical evaluation of the potential employers in which I will undertake to ask about job expectations, such as work hours, patients to be served as well as growth opportunities such as training programs. This will help ensure I land an employer that offers growth opportunities as well as an enabling environment to hone my skills as a nursing practitioner (Masters, 2017).
Long-term Goals and Their Impact
These goals include; get my name out there, engaging in research as well as advancing my qualifications. In an effort to increase my marketability, I will ensure that I stay in touch with the various individuals that I completed my practice with and who are likely to help with recommendations in the event I decide to advance career-wise. I will also ensure that I engage other nursing practitioners who are in the field whether older or even younger and who might help in giving advice as well as recommending career opportunities that might help in my growth. The engagement in research will help advance my understanding of contemporary issues and nursing topics while also giving me the chance to increase my marketability (Masters, 2017). This will add more value on my portfolio and thus increases my chances of advancing in the field. Academic qualifications will play a crucial role in ensuring I continuously hone my skills as well as improve my employability standings; it will also help me improve my leadership skills thus prepare me for a role as a nursing leader.
Strategic Plan
In an effort to ensure that I am able to achieve these goals I will set in place a strategic plan that will address the short-term as well as the long-term goals. In an effort to ensure that I meet all these goals I will start by cultivating a social change in my personal life and which will help prompt me to no longer think as a RN but a NP who has career goals and ambitions to fulfill. The social change that will be set in place will encompass modeling of ethical guidelines to help guide my conduct not only with my peers but also in my private social life (Catalano, 2015). This will help ensure that I remain focused on my goals, with all distractions been slowly stemmed out. I will also become an active participant in both work forums and social forums, as a means of ensuring that I do not get distracted and engaged in vices that can easily deter me from meeting the goals through procrastination. I will lastly develop a personal mission statement and communicate the same to my parents who I will ask to evaluate the progress I am making from time to time, as a means of ensuring that I stay on course and do not deviate.
References
Catalano, J. T. (2015). Nursing now!: Today’s issues, tomorrow’s trends. Philadelphia, PA: F.A. Davis.
Masters, K. (2017). Role development in professional nursing practice. Burlington, MA: Jones & Bartlett Publishers.
NR510 Advanced Practice Nurse Personal Development Plan
Advanced Practice Nurse Professional Development Plan
It is important that a Master’s degree trained Nurse Practitioner (NP) have the opportunity to discover the different roles of the Advanced Practice Nurse (APN) and subsequently use that knowledge to develop a professional development plan (PDP). The PDP should have certain considerations including education, licensure, and governing requirements specific to geographic location. This paper will describe those considerations as they apply to the NP in the state of Florida. Moreover, the paper will include a personal assessment including weaknesses, strengths, and goals. Prospective national and local professional organizations that provide employment for NP’s and networking/marketing strategies will be discussed. Lastly, a Curriculum Vitae will be reviewed to provide an in-depth view of the NP’s abilities, skills, and accomplishments.
Advance Practice Nurse Scope of Practice
Each state varies in its guidelines for defining the licensure, accreditation, certification, and education (LACE) for nurse practitioners. This can have an effect on the experience NP’s have when working in their chosen field. In the state of Florida, it is required that to receive certification as an Advanced Registered Nurse Practitioner (ARNP), the candidate must first hold a valid nursing license in the state of Florida. The applicant must have graduated on or after October 1
st
1998 shall have completed a masters or post master’s degree (Advanced Registered Nurse Practitioner, 2016). If the applicant graduated with a certificate or closed program then documentation supporting their compliance with the board guidelines needs to be submitted through the appropriate channels.
There are three ways in which an NP can practice within the United States. Full practice which is total independent practice where the NP is responsible exclusively to a state board of nursing, reduced practice which is a collaborative practice agreement with a physician that specifies the scope of practice allowed, and restricted practice where there a physician is required to oversee all care provided by the NP (Bartol, 2014). Florida is a state there exercises restricted practice. The NP must have the above noted written agreement that states the participation of each party, the medications the NP can prescribe, procedures that the NP can perform, and the circumstances in which the NP must call the physician. Currently in the state of Florida NP’s are not allowed to write prescriptions for controlled substances under any circumstances.
Personal Assessment
Before a new NP enters the workforce, he/she will need to perform a thorough personal assessment to determine their strengths, weaknesses, goals, and objectives. This type of assessment requires deep self-evaluation. Self-evaluation helps organize the above stated areas so that potential employers can have insight into the potential employee’s accomplishments, objectives, and personal evaluation. Constructing a personal assessment allows the NP to explore their interests, passions, and explore what area or specialty would be their best fit.
Strengths
In order to care for others, one must first know who they are and what they stand for. Identifying strengths is a main component of that understanding. Having solid communication is essential in any career, especially a career as a NP. Listening and speaking are the most important aspects when caring for a patient. Valuable information must be retrieved from the patient. The information heard helps develop the patient’s diagnoses, plan of care, and treatment. The message that is transmitted to the patient is as equally important. The patients understanding of the intended message affects the way they will care for themselves. This includes how they will comply with treatments, follow up, and lifestyle changes.
Every decision made in the medical field can have extensive consequences. The NP must pay great attention to detail. This includes all aspects of care, from reviewing a patient’s chart to ordering the correct medication. In this field errors have great repercussions. Paying attention to details can mean the difference between life and death.
Weaknesses
Ralph Waldo Emerson put it best, “Our strength grows out of our weaknesses” (Ralph Waldo Emerson Quotes, 2016). While everyone has their strengths, everyone also has subsequent weaknesses. Weaknesses can be improved upon until they are no longer considered as such. The biggest weakness that the newly trained NP will have is that they will again be at the novice level of their career. According to Benner’s Stages of Clinical Competence, one who is a novice lacks confidence and practice can be prolonged (Benner’s stages of Clinical Competence, 2011). However so, this will not always be the case. The new NP will become more confident in their role and should quickly learn the ropes. As time goes by, the NP will work their way through the various levels of Benner’s Stages of Clinical Competence.
As the career of the NP grows, these traits will be continually evolving. An identified weakness in newly trained NP’s is the need to want to complete all tasks themselves. This sounds good in theory, but it is not how today’s healthcare system is designed. Certain tasks should be delegated to assistive personal such as, medical assistants, phlebotomists, and other interdisciplinary team members. Allowing others to participate in patient care allows the NP to spend more time face to face with patients and further enhances the patient experience.
Goals
Establishing and developing career goals is one of the most important tasks a NP can do to improve professional development. Goals should be evaluated and revised to ensure that they are moving their career forward. One short term personal goal for the newly certified NP is to seek employment as a full time nurse practitioner in their area of study. This will allow them to gain the experience and skills that will allow them to continue to grow. Another longer term goal would be to be an educator and /or preceptor for other NP students. Being a mentor for novice and experienced practitioners is vital because the success of all rests on the success of each (Practitioner Network, 2016). An additional long term goal would be to enhance patient care by advancing knowledge. The Master’s degree prepared NP can continue their education by pursuing a Doctorate in Nursing Practice (DNP). The DNP prepared nurse would be able to implement the science developed by nurse researchers prepared in PhD, DNSc, and other research based nursing doctorates into daily patient care (DNP Fact Sheet, 2016).
Objectives
Nurse Practitioners should have objectives to help meet their intended goals. There are objectives that should be in place when seeking employment. The NP should network as a means to seek employment. People usually hire individuals they already know therefore the NP would be a face and a personality, not just a name on a resume. An objective that should be in place when mentoring another professional is to foster a nurturing environment. A preceptor gives other professionals resources to ready themselves for situations and challenges that may occur on the job. This means they should be comfortable to ask questions and ask for help as issues arise. An accepting environment is the best way to enhance the preceptees learning experience. Lastly, when a NP is looking to further their education, they should do extensive research. Accreditation, pass rates, cost, and curriculum should all be reviewed. Education is an investment into ones future and all components should be evaluated.
Networking and Marketing Strategies
In order to become employed after certification the NP must properly network and look at appropriate places for employment. At the local level Florida has several websites that are advertising employment opportunities. The Florida Nurse Practitioner Network (FNPN) has a website that provides tools for educational and professional development, including employment opportunities. Their mission is to “encourage networking between members throughout the state” (Florida Nurse Practitioner Network, 2016). Additionally, they are a resource tool for NP’s, patients, and other health care consumers. Another local website that has resources for NP’s seeking employment is the Florida Nurses Association (FNA). The FNA is a constituent of the American Nurses Association which is the only nursing organization that represents all of the nursing field regardless of specialty or practice area (About the Florida Nurses Association, 2016).They advertise employment opportunities for various healthcare systems in different counties throughout Florida. The employment page is powered by a third party company and is not run directly by the FNA. The FNFP is a The FNA is an organization that many new student nurses are members of.
If a NP is looking for a career in an area to which they are not local, there are also employment tools available online. These are national organizations that provide resources to enhance NP’s search for employment. The American Association of Nurse Practitioners (AANP) is the biggest and only full service national professional membership organization for nurse practitioners of any specialty (American Association of Nurse Practitioners, 2016). In addition to information on employment, they offer education, policy updates, and career related conference information. They have a link for the job center that gives both members and non-members access to the available job opportunities. However, they give members an exclusive five day preview for new career posts. Another resource that the NP can utilize to search for employment on the national level is NP central. NP Central’s goal is to help NP’s succeed in their chosen field. They are not for profit and also have a particular focus on development, advancement, and educational support for the NP (NP Central, 2016). Both the AANP and NP Central are both on the top 75 organizations for nurse practitioners list (75 Top Professional Organizations for Nurse Practitioners, 2016).
Conclusion
The certified NP has the opportunity to practice in a variety of settings and roles. In order to make promote their skills and abilities, the NP should have a professional develop plan (PDP). The PDP should always be a work in progress because the NP is continually learning and growing. Areas that were once a weakness can grow into strengths and new weaknesses will come to light. That growth can be defined by Benner’s Stages of Clinical Competence. If the NP is seeking employment, there are a variety of reputable organizations that have resources that can assist NP’s in finding employment. With the proper tools and guidance, the new NP has a bright future that can touch the lives of many.
xxx
Contact
xxxStreet
xxx
E-mail: xxx
Phone: xxx
Certification
Licensed RN in the state of xxx
CPR/BLS certified
Will sit for ONCxxx
Education
Masters of Science in Nursing – Family Nurse Practitioner January 2015 — Present
Chamberlain College of Nursing
Current GPA 3.87
Bachelors of Science in Nursing March 2012 — April 2015
Keiser University
Associates of Science in Nursing July 2010 — December 2011
Keiser University
Graduated with perfect attendance
Work experience
Health First May 2012 — Present
Registered Nurse· Care of surgical patients pre and post operatively as well as medical patients
· Receive post-operative patients from PACU, monitor vital signs, administration of IV fluids and antibiotics, review and implementation of post-operative orders
· Monitor patients closely for changes in condition and advocate as needs arise
· Educate patients on precautions associated with surgical procedure and signs/symptoms of potential complications
· Management of various drains (Jackson Pratt, hemovac, accordion, and constavac)
· Work within best practice guidelines
· Manage pain effectively with pharmacologic and non-pharmacologic measures
Set up and maintain various equipment: PCAs, SCDs, Bux traction and trapeze· Insertion and management of nasogastric tubes· Preceptor to new graduates, students, and new hires· Part of the fall committee and the Skin Committee
Wuesthoff Health System January 2012 — May 2012
Registered Nurse
· Care of patients with severe and enduring mental illness
· Administering medications
· Coordinating and running group therapy sessions while maintaining a therapeutic millieu
· Liaising with social workers, psychiatrist, and other healthcare professionals
Interests
Volunteering.
Currently a volunteer at my daughter’s elementary school for the third consecutive school year. Served as a chaperon on field trips and office/clerical work. Prior volunteer work done for Habitat for Humanity, Ascension Catholic Church, and Stone Middle School.
Educating.
As a volunteer I had the opportunity to educate my daughter’s aftercare classmates on the importance of hand washing and proper respiratory etiquette. As a volunteer at Stone Middle School, I worked with a student who had just moved Middle East. He knew little English but spoke fluent French. I tutored him once a week using the French language as common ground. I also am always looking for ways to educate myself, whether it is speaking to a rep about the new product they are demonstrating or precepting others, there is always something to learn or to teach.
References
75 Top Professional Organizations for Nurse Practitioners. (2016). Retrieved from https://onlinenursepractitionerprograms.com/professional-organizations/
About the Florida Nurses Association. (2016). Retrieved from Florida Nurses Association website: http://www.floridanurse.org/aboutFNA/
Advanced Registered Nurse Practitioner. (2016). Retrieved from State of Florida website:
http://floridasnursing.gov/licensing/advanced-registered-nurse-practitioner/
American Association of Nurse Practitioners. (2016). Retrieved from American Association of Nurse Practitioners website: https://www.aanp.org
Bartol, T. (2014). Impact of Nurse Practitioners on Health Outcomes of Medicare and Medicaid Patients. Medscape, Retrieved from
http://www.medscape.com/viewarticle/832738
Benner’s Stages of Clinical Competence. (2011). Retrieved from Ministry of Health website:
http://www.health.nsw.gov.au/nursing/projects/Documents/novice-expert-benner.pdf
DNP Fact Sheet. (2016). Retrieved from American Association of Colleges of Nursing website:
http://www.aacn.nche.edu/media-relations/fact-sheets/dnp
NP Central. (2016). Retrieved from http://www.npcentral.net/
Practitioner Network. (2016). Retrieved from University of Maryland Medical Center website: http://umm.edu/professionals/nurse-practitioners/practitioner-network
Ralph Waldo Emerson Quotes. (2016). Retrieved from
https://www.goodreads.com/quotes/206329-believe-in-yourself-our-strength-grows-out-of-our-weakness
Nurs 6565N Week 2 Board Vitals Exam
1. A young nursing student is interviewing a nurse practitioner about her profession. Which of the following is true?
The first nurse practitioners were family practitioners
The first nurse practitioner program was started in 2001
A nurse practitioner derives the legal right to practice from federal law
NP practice is not regulated by the Department of Health and Human Services
2. A nurse practitioner enters a contract with a physician. What branch of law governs this type of transaction?
Administrative law
Civil law
Rules and regulations
Criminal law
3. What was the major impetus for the creation of the nurse practitioner role?
Need for expert nurse clinician
Shortage of primary care physicians
Trend for specialized nurses to diagnose and manage unstable acute and chronic conditions
Movement of graduate nursing education to diagnosis and treatment of major illnesses
4. Who started the first nurse practitioner program?
Hildegard Peplau
Mary Breckenridge
Agnes Mcgee
Loretta Ford
5. 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:
Contracted service system
Second party system
Third party system
Fee for service system
6. Which of the following practices constitutes a barrier to safe and effective healthcare
Input from multiple team members
Raising an objection about quality of care to a team member with a higher level of health profession education
Use of informatics to inform team discussion
Inadequate disclosure of errors to patients and families
7.
Nurs 6565N Week 2 Board Vitals Exam
Nurs 6565 Week 3 Board Vitals Exam questions with answers
A nurse practitioner is seeing patients in a clinic. Which of the following requirements must the NP meet to satisfy Medicare’s coverage requirements
The services must be provided under direct supervision
The services must be provided subject to restrictions and supervision requirements of the state
The services must be billed through a clinic that is directed by a physician or through a hospital or health agency
Services must be provided in a federally qualified health center (FQHC) or rural health clinic (RHC)
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
The state medical licensure board
The state board of nursing
The state legislature
The individual NP
The NP knows that his or her legal right to practice is derived from
The laws of the state where he or she practices
The nurse practice act of the state where he or she practices
The federal medicare laws
The board of nursing in the state where he or she practices
Your nursing license may be in jeopardy if
You appropriately delegate medication administration to a trusted RN employee who administers a fatal dose
You delegate client assessment tasks to an LPN who has been floated to your outpatient clinic for the day
You provide nursing care services consistent with established standards of practice in your jurisdiction
The medical assistant in your supervising physician’s office exceeds the scope of her authority but you take prompt action to correct the problem
The NP delegates a task to an unlicensed person. The person(s) responsible for outcomes in this case is
The NP
The unlicensed person who performs the task
Both the NP and the unlicensed person
The physician responsible for the NP
According to the institute of medicine which of the following defines healthcare performance
How things are done now
The efficiency and outcome of care by an organization including patient satisfaction
Healthcare delivery system inputs
Activities within a healthcare organization
Which of the following is true of advanced practice registered nurses
Half of the states in the US license Nurse practitioners
Designated titles by which nurse practitioners are known vary by state
Only two states currently require NPs be certified by a national certifying organization for nurses
An APRN employed by the VA must have separate licenses for each state in which she works in a VA facility
Nurs 6565 Week 3 Board Vitals Exam
NURS 6565 Week 3 Discussion: Quality and Cost Measurements
Week 3 Discussion
As nurse practitioners continue to expand their role in health care, it is important 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. Quality measures seek to measure the degree to which evidence-based treatment guidelines are followed, where indicated, and assess the results of care. The use of quality measurement helps strengthen accountability and supports performance improvement initiatives at numerous levels. The performance measures used in the article we read are quality, patient satisfaction, professional participation, and training.
AANP and the National Nurse-Led Care Consortium (NNCC) are administering an NP SAN for the Transforming Clinical Practice Initiative (TCPi). This is a new program supported by the Centers for Medicare & Medicaid Services (CMS). CMS offers several technical assistance programs to help clinicians successfully participate in one of the two payment tracks under the Quality Payment Program (QPP).
The TCPi is a four-year technical assistance program designed to help clinicians expand their quality improvement capacity, engage in greater peer-to-peer learning and utilize health data to determine gaps and target intervention needs. The NP SAN promotes NP participation in this quality improvement initiative by providing free education, technical assistance and training and access to specialized evidenced-based tools. NPs in either nurse-led or physician-led health care settings are eligible to…
NURS 6565 Week 10: Nurse Practitioner’s Business Plan Development Business Plan Development Essay
Nurse Practitioner’s Business Plan Development – Elizabeth Jones, FNP-BC, has been an NP for 8 years. She has worked in the primary care setting, as well as the urgent care setting. She is considering relocating to a state that allows for unrestricted independent practice and opening her own primary care clinic. There are multiple benefits to owning an independent practice. However, owning a practice requires extensive knowledge and support. For an NP to establish independent practice, an appropriate plan must be developed. For this Assignment, you will create a Business Plan for your potential future business. NURS 6565 Week 10: Nurse Practitioner’s Business Plan Development Business Plan Development Essay
ORDER A PLAGIARISM-FREE PAPER NOW
Write
a 2-3 page paper Business Plan that addresses the following:
Identify and explain your chosen business structure (owning a private practice)
Estimate monthly cost for establishing your own independent practice in Texas, including:
Clinical site expenses
Employee structure and expenses
Supplies
Utilities and other overhead expenses
Malpractice insurance
Continuing education expenses
Accounting fees
Services identified that you will provide (e.g., primary care services, drug screens, DOT exams)
Projected monthly income necessary to support your independent practice. NURS 6565 Week 10: Nurse Practitioner’s Business Plan Development Business Plan Development Essay Long Term Goals for Nurse Practitioner Student
References
American Association of Nurse Practitioners (2016). State Practice Environment. Retrieved from
https://www.aanp.org/legislation-regulation/state-…
Buppert, C. (2018).
Nurse practitioner’s business practice and legal guide
(6th ed.). Sudbury, MA: Bartlett & Jones Learning.
Appendix 11-A: A Checklist for Setting Up a Practice (pp. 383-394)
Appendix 11-C: Sample NP Business Plan (pp. 400-412)
Chapter 11, “Practice Ownership: Legal and Business Considerations for the Nurse Practitioner Owner” (pp. 353- 381)
Buppert, C. (2015). Appendix 11-C: Sample NP Business Plan.
In Nurse Practitioner’s Business Practice and Legal Guide
(5th ed.). (402-416). Burlington, MA: Jones & Bartlett. NURS 6565 Week 10: Nurse Practitioner’s Business Plan Development Business Plan Development Essay
Buppert, C. (2015). Practice Ownership: Legal and Business Considerations for the Nurse Practitioner Owner.
In Nurse Practitioner’s Business Practice and Legal Guide
(5th ed.). (315-383). Burlington, MA: Jones & Bartlett.
Ford, L. C.. & Gardenier, D. (2015). Fasten your seat belts – it’s going to be a bumpy ride.
The Journal for Nurse Practitioners, 11(6),
575-577.
Kao, Y. S. (2015). Nephrology advanced practice registered nurse health policy: Where are we? What is our future?
Nephology Nursing Journal, 42
(3):289-93.
Kostas-Polston, E. A., Thanavaro, J., Arvidson, C., & Taub, L. M. (2015). Advanced Practice Nursing: Shaping Health Through Policy.
Journal of the American Association of Nurse Practitioners, 27
(1), 11-20. doi:10.1002/2327-6924.12192
, C. (2018).
Nurse practitioner’s business practice and legal guide
(6th ed.). Sudbury, MA: Bartlett & Jones Learning.
Appendix 11-A: A Checklist for Setting Up a Practice (pp. 383-394)
Appendix 11-C: Sample NP Business Plan (pp. 400-412)
Chapter 11, “Practice Ownership: Legal and Business Considerations for the Nurse Practitioner Owner” (pp. 353- 381)
Buppert, C. (2015). Appendix 11-C: Sample NP Business Plan.
In Nurse Practitioner’s Business Practice and Legal Guide
(5th ed.). (402-416). Burlington, MA: Jones & Bartlett. NURS 6565 Week 10: Nurse Practitioner’s Business Plan Development Business Plan Development Essay
Buppert, C. (2015). Practice Ownership: Legal and Business Considerations for the Nurse Practitioner Owner.
In Nurse Practitioner’s Business Practice and Legal Guide
(5th ed.). (315-383). Burlington, MA: Jones & Bartlett.
Ford, L. C.. & Gardenier, D. (2015). Fasten your seat belts – it’s going to be a bumpy ride.
The Journal for Nurse Practitioners, 11(6),
575-577.
Kao, Y. S. (2015). Nephrology advanced practice registered nurse health policy: Where are we? What is our future?
Nephology Nursing Journal, 42
(3):289-93.
Kostas-Polston, E. A., Thanavaro, J., Arvidson, C., & Taub, L. M. (2015). Advanced Practice Nursing: Shaping Health Through Policy.
Journal of the American Association of Nurse Practitioners, 27
(1), 11-20. doi:10.1002/2327-6924.12192
NURS 6565 Practicum Journal Wk 10
Each week you will complete a Practicum Journal entry and Time Log that prompts you to reflect on and document your Practicum Experiences. NURS 6565 Week 10: Nurse Practitioner’s Business Plan Development Business Plan Development Essay Long Term Goals for Nurse Practitioner Student
Practicum Journal
Continue documenting your Practicum Experiences in your Practicum Journal. Reflect on your practicum experiences and relate them to your Professional Goals and Self-Assessment of Clinical Skills that you identified in Week 1.
Follow journal entry format and choose any illness or patient…..
E.g
Reflect on a patient who presented with a disease. Describe key signs and symptoms that were consistent with this disease. If you diagnosed the patient with the disease, describe your experience in telling the patient that she had the disease, as well as the patient’s reaction to the diagnosis. Explain how the diagnosis might impact the patient’s life short-term and long-term. Include an explanation of the patient’s medical history, drug therapy and treatments, and follow-up care. If you did not have an opportunity to evaluate a patient with this background during the last four weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences. NURS 6565 Week 10: Nurse Practitioner’s Business Plan Development Business Plan Development Essay
NURS 6565: Synthesis in Advanced Practice Care of Complex Patients in Primary Care Settings
Cover Letter, Resume, and Portfolio Assignment Guide
Your professional cover letter, resume, and portfolio are due by Day 7 of Week 10. It is highly recommended that you begin planning and working on this Assignment as soon as it is viable. The following checklists outline all of the items you should include in your cover letter, resume, and portfolio. Additionally, the resources below have been provided to assist you in developing your professional cover letter, resume, and portfolio. NURS 6565 Week 10: Nurse Practitioner’s Business Plan Development Business Plan Development Essay
Also, refer to the Walden University Career Center website for resources and develop your cover letter and resume with the assistance of the Walden University Career Center website for resources and make your cover letter, resume, and portfolio accessible online to your faculty and potential employers.
Checklist for Cover Letter (S/U grade)
Your Cover Letter should be:
• Presented and formatted in professional business manner • Addressed properly • Clear and concise and include:
o Content Introduction o Content Body o Content Conclusion
• Written in a professional style and include: o Correct spelling, punctuation, and grammar o Clear and accurate sentence structure. NURS 6565 Week 10: Nurse Practitioner’s Business Plan Development Business Plan Development Essay
Checklist for Resume (S/U)
• Your Resume should be clear, concise and well-organized and it should also include your: • Name, address, business phone number, and email address (top center of resume) • Profile: 2-3 sentences describing goal and positive attributes/characteristics • Certifications & Licensure • Education • Professional Experience • Honors/Awards • References Long Term Goals for Nurse Practitioner Student
• Your Portfolio should be clear, concise and well-organized and it should also include your: • Personal Philosophy Statement • Self-Assessment • Personal goals (short term and long term) • Achievements • Cover Letter • Resume • Diplomas for formal education • Letters of Recommendation References (list names, affiliation and contact
information) • Certifications • Certificates of attendance for continuing education • Transcripts (Note: You do NOT need to submit an official transcript. Including an
unofficial transcript will meet this requirement.) • Publications • Oral Presentations and/or Poster Presentations
Learning Resources. NURS 6565 Week 10: Nurse Practitioner’s Business Plan Development Business Plan Development Essay
Resume, Portfolio, and Cover Letter Resources:
• Cover Letter Advice (n.d.). Nurse practitioner cover letter sample 1. Retrieved from http://www.coverletter.us/nurse-practitioner-cover-letter/
• Dahring, R. (2013). Cover letter caveats. Retrieved from http://nurse-practitioners-and- physician-assistants.advanceweb.com/Columns/Career-Coach/Cover-Letter-Caveats.aspx
• NP Career Coach (n.d.). NP career coach resume tip sheet. Retrieved from http://www.nursepractitionerjobsearch.com/nurse-practitioner-resume-tips.pdf
• Porche, D. J. & Danna, D. (2015). Cover letter & resume preparation: Every detail is important when applying for a job. Advance healthcare network for NPs & PAs. Retrieved from http://nurse-practitioners-and-physician- assistants.advanceweb.com/Features/Articles/Cover-Letter-Resume-Preparation.aspx
• Walden University Career Services (n.d.). Resumes & CVs: Home Retrieved from
• Dennison, R. D. (2007). What goes into your professional portfolio and what you’ll get out of it: Advance your nursing career with a professional portfolio. American Nurse Today 2(1). Retrieved from http://www.americannursetoday.com/assets/0/434/436/440/4352/4354/4368/4376/1b04d64f- 8cb0-4af6-adb6-7e3474d2603d.pdf
• Ferrara, S. (2013, October 31). Professional portfolio – A must have for NP students. [Blog message]. Retrieved from http://onlinenursepractitionerprograms.com/2013/professional- portfolio-a-must-have-for-np-students/
• Hayes, E., Chandler, G., Merriam, D., & King, M. C. (2002). The master’s portfolio: Validating a career in advanced practice nursing. Journal of the American Academy of Nurse Practitioners, 14(3), 119. NURS 6565 Week 10: Nurse Practitioner’s Business Plan Development Business Plan Development Essay
• Walden University Career Services (2015). Quick start: Getting started with Optimal 2015. Retrieved from https://youtu.be/Ir-B4MCuAvU
• Walden University Career Services (2015). Quick start: Getting started with Optimal
Resume: Presentation slides. Retrieved from http://academicguides.waldenu.edu/ld.php?content_id=10634421
• Walden University Career Services (2015). Getting started with Optimal Resume: Tutorial.
Retrieved from http://academicguides.waldenu.edu/ld.php?content_id=10634430 • Walden University Career Services (2015). Getting started with Optimal Resume: Transcript.
Retrieved from http://academicguides.waldenu.edu/ld.php?content_id=10634440
• Weber, S. (2006). Developing nurse practitioner student portfolios. Journal of the American Academy of Nurse Practitioners, 18(7), 301-302. doi:10.1111/j.1745-7599.2006.00134.x. NURS 6565 Week 10: Nurse Practitioner’s Business Plan Development Business Plan Development Essay
NURS 6565: Synthesis in Advanced Practice Care of Complex Patients in Primary Care Settings
Cover Letter, Resume, and Portfolio Assignment Guide
Your professional cover letter, resume, and portfolio are due by Day 7 of Week 10. It is highly recommended that you begin planning and working on this Assignment as soon as it is viable. The following checklists outline all of the items you should include in your cover letter, resume, and portfolio. Additionally, the resources below have been provided to assist you in developing your professional cover letter, resume, and portfolio.
Also, refer to the Walden University Career Center website for resources and develop your cover letter and resume with the assistance of the Walden University Career Center website for resources and make your cover letter, resume, and portfolio accessible online to your faculty and potential employers. Long Term Goals for Nurse Practitioner Student
Checklist for Cover Letter (S/U grade)
Your Cover Letter should be:
• Presented and formatted in professional business manner • Addressed properly • Clear and concise and include:
o Content Introduction o Content Body o Content Conclusion
• Written in a professional style and include: o Correct spelling, punctuation, and grammar o Clear and accurate sentence structure
Checklist for Resume (S/U)
• Your Resume should be clear, concise and well-organized and it should also include your: • Name, address, business phone number, and email address (top center of resume) • Profile: 2-3 sentences describing goal and positive attributes/characteristics • Certifications & Licensure • Education • Professional Experience • Honors/Awards • References
• Your Portfolio should be clear, concise and well-organized and it should also include your: • Personal Philosophy Statement • Self-Assessment • Personal goals (short term and long term) • Achievements • Cover Letter • Resume • Diplomas for formal education • Letters of Recommendation References (list names, affiliation and contact
information) • Certifications • Certificates of attendance for continuing education • Transcripts (Note: You do NOT need to submit an official transcript. Including an
unofficial transcript will meet this requirement.) • Publications • Oral Presentations and/or Poster Presentations
Learning Resources
Resume, Portfolio, and Cover Letter Resources:
• Cover Letter Advice (n.d.). Nurse practitioner cover letter sample 1. Retrieved from http://www.coverletter.us/nurse-practitioner-cover-letter/
• Dahring, R. (2013). Cover letter caveats. Retrieved from http://nurse-practitioners-and- physician-assistants.advanceweb.com/Columns/Career-Coach/Cover-Letter-Caveats.aspx
• NP Career Coach (n.d.). NP career coach resume tip sheet. Retrieved from http://www.nursepractitionerjobsearch.com/nurse-practitioner-resume-tips.pdf
• Porche, D. J. & Danna, D. (2015). Cover letter & resume preparation: Every detail is important when applying for a job. Advance healthcare network for NPs & PAs. Retrieved from http://nurse-practitioners-and-physician- assistants.advanceweb.com/Features/Articles/Cover-Letter-Resume-Preparation.aspx
• Walden University Career Services (n.d.). Resumes & CVs: Home Retrieved from Long Term Goals for Nurse Practitioner Student
• Dennison, R. D. (2007). What goes into your professional portfolio and what you’ll get out of it: Advance your nursing career with a professional portfolio. American Nurse Today 2(1). Retrieved from http://www.americannursetoday.com/assets/0/434/436/440/4352/4354/4368/4376/1b04d64f- 8cb0-4af6-adb6-7e3474d2603d.pdf
• Ferrara, S. (2013, October 31). Professional portfolio – A must have for NP students. [Blog message]. Retrieved from http://onlinenursepractitionerprograms.com/2013/professional- portfolio-a-must-have-for-np-students/
• Hayes, E., Chandler, G., Merriam, D., & King, M. C. (2002). The master’s portfolio: Validating a career in advanced practice nursing. Journal of the American Academy of Nurse Practitioners, 14(3), 119.
• Walden University Career Services (2015). Quick start: Getting started with Optimal 2015. Retrieved from https://youtu.be/Ir-B4MCuAvU
• Walden University Career Services (2015). Quick start: Getting started with Optimal
Resume: Presentation slides. Retrieved from http://academicguides.waldenu.edu/ld.php?content_id=10634421
• Walden University Career Services (2015). Getting started with Optimal Resume: Tutorial.
Retrieved from http://academicguides.waldenu.edu/ld.php?content_id=10634430 • Walden University Career Services (2015). Getting started with Optimal Resume: Transcript.
Retrieved from http://academicguides.waldenu.edu/ld.php?content_id=10634440
• Weber, S. (2006). Developing nurse practitioner student portfolios. Journal of the American Academy of Nurse Practitioners, 18(7), 301-302. doi:10.1111/j.1745-7599.2006.00134.x
http://www.americannursetoday.com/assets/0/434/436/440/4352/4354/4368/4376/1b04d64f-8cb0-4af6-adb6-7e3474d2603d.pdf Long Term Goals for Nurse Practitioner Student
NR510 Advanced Practice Nurse Personal Development Plan
Advanced Practice Nurse Professional Development Plan
It is important that a Master’s degree trained Nurse Practitioner (NP) have the opportunity to discover the different roles of the Advanced Practice Nurse (APN) and subsequently use that knowledge to develop a professional development plan (PDP). The PDP should have certain considerations including education, licensure, and governing requirements specific to geographic location. This paper will describe those considerations as they apply to the NP in the state of Florida. Moreover, the paper will include a personal assessment including weaknesses, strengths, and goals. Prospective national and local professional organizations that provide employment for NP’s and networking/marketing strategies will be discussed. Lastly, a Curriculum Vitae will be reviewed to provide an in-depth view of the NP’s abilities, skills, and accomplishments.
Advance Practice Nurse Scope of Practice
Each state varies in its guidelines for defining the licensure, accreditation, certification, and education (LACE) for nurse practitioners. This can have an effect on the experience NP’s have when working in their chosen field. In the state of Florida, it is required that to receive certification as an Advanced Registered Nurse Practitioner (ARNP), the candidate must first hold a valid nursing license in the state of Florida. The applicant must have graduated on or after October 1
st
1998 shall have completed a masters or post master’s degree (Advanced Registered Nurse Practitioner, 2016). If the applicant graduated with a certificate or closed program then documentation supporting their compliance with the board guidelines needs to be submitted through the appropriate channels.
There are three ways in which an NP can practice within the United States. Full practice which is total independent practice where the NP is responsible exclusively to a state board of nursing, reduced practice which is a collaborative practice agreement with a physician that specifies the scope of practice allowed, and restricted practice where there a physician is required to oversee all care provided by the NP (Bartol, 2014). Florida is a state there exercises restricted practice. The NP must have the above noted written agreement that states the participation of each party, the medications the NP can prescribe, procedures that the NP can perform, and the circumstances in which the NP must call the physician. Currently in the state of Florida NP’s are not allowed to write prescriptions for controlled substances under any circumstances.
Personal Assessment
Before a new NP enters the workforce, he/she will need to perform a thorough personal assessment to determine their strengths, weaknesses, goals, and objectives. This type of assessment requires deep self-evaluation. Self-evaluation helps organize the above stated areas so that potential employers can have insight into the potential employee’s accomplishments, objectives, and personal evaluation. Constructing a personal assessment allows the NP to explore their interests, passions, and explore what area or specialty would be their best fit.
Strengths
In order to care for others, one must first know who they are and what they stand for. Identifying strengths is a main component of that understanding. Having solid communication is essential in any career, especially a career as a NP. Listening and speaking are the most important aspects when caring for a patient. Valuable information must be retrieved from the patient. The information heard helps develop the patient’s diagnoses, plan of care, and treatment. The message that is transmitted to the patient is as equally important. The patients understanding of the intended message affects the way they will care for themselves. This includes how they will comply with treatments, follow up, and lifestyle changes.
Every decision made in the medical field can have extensive consequences. The NP must pay great attention to detail. This includes all aspects of care, from reviewing a patient’s chart to ordering the correct medication. In this field errors have great repercussions. Paying attention to details can mean the difference between life and death.
Weaknesses
Ralph Waldo Emerson put it best, “Our strength grows out of our weaknesses” (Ralph Waldo Emerson Quotes, 2016). While everyone has their strengths, everyone also has subsequent weaknesses. Weaknesses can be improved upon until they are no longer considered as such. The biggest weakness that the newly trained NP will have is that they will again be at the novice level of their career. According to Benner’s Stages of Clinical Competence, one who is a novice lacks confidence and practice can be prolonged (Benner’s stages of Clinical Competence, 2011). However so, this will not always be the case. The new NP will become more confident in their role and should quickly learn the ropes. As time goes by, the NP will work their way through the various levels of Benner’s Stages of Clinical Competence.
As the career of the NP grows, these traits will be continually evolving. An identified weakness in newly trained NP’s is the need to want to complete all tasks themselves. This sounds good in theory, but it is not how today’s healthcare system is designed. Certain tasks should be delegated to assistive personal such as, medical assistants, phlebotomists, and other interdisciplinary team members. Allowing others to participate in patient care allows the NP to spend more time face to face with patients and further enhances the patient experience. Long Term Goals for Nurse Practitioner Student
Goals
Establishing and developing career goals is one of the most important tasks a NP can do to improve professional development. Goals should be evaluated and revised to ensure that they are moving their career forward. One short term personal goal for the newly certified NP is to seek employment as a full time nurse practitioner in their area of study. This will allow them to gain the experience and skills that will allow them to continue to grow. Another longer term goal would be to be an educator and /or preceptor for other NP students. Being a mentor for novice and experienced practitioners is vital because the success of all rests on the success of each (Practitioner Network, 2016). An additional long term goal would be to enhance patient care by advancing knowledge. The Master’s degree prepared NP can continue their education by pursuing a Doctorate in Nursing Practice (DNP). The DNP prepared nurse would be able to implement the science developed by nurse researchers prepared in PhD, DNSc, and other research based nursing doctorates into daily patient care (DNP Fact Sheet, 2016).
Objectives
Nurse Practitioners should have objectives to help meet their intended goals. There are objectives that should be in place when seeking employment. The NP should network as a means to seek employment. People usually hire individuals they already know therefore the NP would be a face and a personality, not just a name on a resume. An objective that should be in place when mentoring another professional is to foster a nurturing environment. A preceptor gives other professionals resources to ready themselves for situations and challenges that may occur on the job. This means they should be comfortable to ask questions and ask for help as issues arise. An accepting environment is the best way to enhance the preceptees learning experience. Lastly, when a NP is looking to further their education, they should do extensive research. Accreditation, pass rates, cost, and curriculum should all be reviewed. Education is an investment into ones future and all components should be evaluated. Long Term Goals for Nurse Practitioner Student
Networking and Marketing Strategies
In order to become employed after certification the NP must properly network and look at appropriate places for employment. At the local level Florida has several websites that are advertising employment opportunities. The Florida Nurse Practitioner Network (FNPN) has a website that provides tools for educational and professional development, including employment opportunities. Their mission is to “encourage networking between members throughout the state” (Florida Nurse Practitioner Network, 2016). Additionally, they are a resource tool for NP’s, patients, and other health care consumers. Another local website that has resources for NP’s seeking employment is the Florida Nurses Association (FNA). The FNA is a constituent of the American Nurses Association which is the only nursing organization that represents all of the nursing field regardless of specialty or practice area (About the Florida Nurses Association, 2016).They advertise employment opportunities for various healthcare systems in different counties throughout Florida. The employment page is powered by a third party company and is not run directly by the FNA. The FNFP is a The FNA is an organization that many new student nurses are members of.
If a NP is looking for a career in an area to which they are not local, there are also employment tools available online. These are national organizations that provide resources to enhance NP’s search for employment. The American Association of Nurse Practitioners (AANP) is the biggest and only full service national professional membership organization for nurse practitioners of any specialty (American Association of Nurse Practitioners, 2016). In addition to information on employment, they offer education, policy updates, and career related conference information. They have a link for the job center that gives both members and non-members access to the available job opportunities. However, they give members an exclusive five day preview for new career posts. Another resource that the NP can utilize to search for employment on the national level is NP central. NP Central’s goal is to help NP’s succeed in their chosen field. They are not for profit and also have a particular focus on development, advancement, and educational support for the NP (NP Central, 2016). Both the AANP and NP Central are both on the top 75 organizations for nurse practitioners list (75 Top Professional Organizations for Nurse Practitioners, 2016).
Conclusion
The certified NP has the opportunity to practice in a variety of settings and roles. In order to make promote their skills and abilities, the NP should have a professional develop plan (PDP). The PDP should always be a work in progress because the NP is continually learning and growing. Areas that were once a weakness can grow into strengths and new weaknesses will come to light. That growth can be defined by Benner’s Stages of Clinical Competence. If the NP is seeking employment, there are a variety of reputable organizations that have resources that can assist NP’s in finding employment. With the proper tools and guidance, the new NP has a bright future that can touch the lives of many. Long Term Goals for Nurse Practitioner Student
xxx
Contact
xxxStreet
xxx
E-mail: xxx
Phone: xxx
Certification
Licensed RN in the state of xxx
CPR/BLS certified
Will sit for ONCxxx
Education
Masters of Science in Nursing – Family Nurse Practitioner January 2015 — Present
Chamberlain College of Nursing
Current GPA 3.87
Bachelors of Science in Nursing March 2012 — April 2015
Keiser University
Associates of Science in Nursing July 2010 — December 2011
Keiser University
Graduated with perfect attendance
Long Term Goals for Nurse Practitioner Student
Work experience
Health First May 2012 — Present
Registered Nurse· Care of surgical patients pre and post operatively as well as medical patients
· Receive post-operative patients from PACU, monitor vital signs, administration of IV fluids and antibiotics, review and implementation of post-operative orders
· Monitor patients closely for changes in condition and advocate as needs arise
· Educate patients on precautions associated with surgical procedure and signs/symptoms of potential complications
· Management of various drains (Jackson Pratt, hemovac, accordion, and constavac)
· Work within best practice guidelines
· Manage pain effectively with pharmacologic and non-pharmacologic measures
Set up and maintain various equipment: PCAs, SCDs, Bux traction and trapeze· Insertion and management of nasogastric tubes· Preceptor to new graduates, students, and new hires· Part of the fall committee and the Skin Committee
Wuesthoff Health System January 2012 — May 2012
Registered Nurse
· Care of patients with severe and enduring mental illness
· Administering medications
· Coordinating and running group therapy sessions while maintaining a therapeutic millieu
· Liaising with social workers, psychiatrist, and other healthcare professionals Long Term Goals for Nurse Practitioner Student
Interests
Volunteering.
Currently a volunteer at my daughter’s elementary school for the third consecutive school year. Served as a chaperon on field trips and office/clerical work. Prior volunteer work done for Habitat for Humanity, Ascension Catholic Church, and Stone Middle School.
Educating.
As a volunteer I had the opportunity to educate my daughter’s aftercare classmates on the importance of hand washing and proper respiratory etiquette. As a volunteer at Stone Middle School, I worked with a student who had just moved Middle East. He knew little English but spoke fluent French. I tutored him once a week using the French language as common ground. I also am always looking for ways to educate myself, whether it is speaking to a rep about the new product they are demonstrating or precepting others, there is always something to learn or to teach.
References
75 Top Professional Organizations for Nurse Practitioners. (2016). Retrieved from https://onlinenursepractitionerprograms.com/professional-organizations/
About the Florida Nurses Association. (2016). Retrieved from Florida Nurses Association website: http://www.floridanurse.org/aboutFNA/
Advanced Registered Nurse Practitioner. (2016). Retrieved from State of Florida website:
http://floridasnursing.gov/licensing/advanced-registered-nurse-practitioner/
American Association of Nurse Practitioners. (2016). Retrieved from American Association of Nurse Practitioners website: https://www.aanp.org
Bartol, T. (2014). Impact of Nurse Practitioners on Health Outcomes of Medicare and Medicaid Patients. Medscape, Retrieved from
http://www.medscape.com/viewarticle/832738
Benner’s Stages of Clinical Competence. (2011). Retrieved from Ministry of Health website:
http://www.health.nsw.gov.au/nursing/projects/Documents/novice-expert-benner.pdf
DNP Fact Sheet. (2016). Retrieved from American Association of Colleges of Nursing website:
http://www.aacn.nche.edu/media-relations/fact-sheets/dnp
NP Central. (2016). Retrieved from http://www.npcentral.net/
Practitioner Network. (2016). Retrieved from University of Maryland Medical Center website: http://umm.edu/professionals/nurse-practitioners/practitioner-network
Ralph Waldo Emerson Quotes. (2016). Retrieved from
https://www.goodreads.com/quotes/206329-believe-in-yourself-our-strength-grows-out-of-our-weakness
Benchmark – Part A: Population Health Research and PICOT Statement
Grand Canyon University
NUR 550
Description of the Population and Health Concerns
According to Adegboye et al. (2018), hospitalized patients are likely to get HAIs and the fact that they have a weak immune system worsens this risk. To add on, most hospitalized patients are deficient in the knowledge that their clinical status can deteriorate since each patient is diagnosed with a different condition caused by a different organism that can be transmitted from one patient to another. Instead, most patients are hopeful of improving and reuniting with family and loved ones or resuming their activities of daily life after receiving the appropriate medical care. Benchmark – Part A: Population Health Research and PICOT Statement
ORDER A PLAGIARISM-FREE PAPER HERE
The hands and skin of healthcare providers are colonized by pathogens such as multi-drug resistant gram-negative bacteria, clostridium difficile and MRSA. Moreover, there are many epithelial cells shed by the skin that have viable microorganisms, which can contaminate medical equipment in a patient’s immediate environment. Within the hospital setting, the surgical unit, critical care unit, intensive care unit and the emergency department are documented to have such high rates of hand contamination. Hands are contaminated when: a patient’s intact skin is touched, touching non-living objects surrounding a patient or when doing basic procedures such as taking a patient’s vital signs.
Adegboye et al. (2018) describe HAIs as infections that develop within 48 hours or more after admission in a healthcare setting or 30 days after receiving care. Hospital-Acquired infections are of public health significance since they contribute to mortalities, morbidities, increased costs of care, prolonged admissions and pose a threat to the safety of patients. Poor practices of hand hygiene among medical staff are the major contributor to high incidences of HAIs (King et al. 2016). Also referred to as nosocomial infections, HAIs have captured the attention of key players in the health sector, healthcare providers, policymakers, the federal and state governments, not because it causes significant morbidity, mortality and increased healthcare costs, but because it is a preventable health issue.
Impact on Population Health Management
Based on the statistics provided by the CDC, every year, more than 2 million patients are hospitalized and get hospital-acquired infections when receiving treatment for other conditions (Adegboye et al., 2018). Out of the 2million, an estimated ten thousand die from nosocomial infections. Therefore, to provide high-quality care that guarantees the safety of patients in resource-rich and resource-limited settings, it is important to prevent these infections. More specifically, in the US, one out of 136 patients gets seriously ill because of HAIs. This equates to 1.7 million cases annually causing additional costs of between US$ 4.0–5.0 billion and an estimated 90 000 deaths (Haverstick et al., 2017). Benchmark – Part A: Population Health Research and PICOT Statement
Currently, existing research enlists several reasons to explain why HAIs are increasing at an alarming rate in this century. First are surgical and medical procedures that extend beyond the body’s natural protective barrier, second is a gradual increase in the number of sick patients admitted in hospitals and healthcare providers who move from one patient to another when giving care creating a channel for transmitting pathogens (Haverstick et al., 2017). Besides, although most hospitals have hygiene protocols that explain how to sterilize medical equipment, their implementation is poorly done and this makes them ineffective. This explains the need for the leadership of healthcare institutions to ensure that hygiene protocols are adhered to through proper implementation to prevent HAIs. Healthcare organizations with limited resources such as water increase the risk of HAIs. Therefore, health facilities should have an adequate supply of clean water to reduce this risk. Benchmark – Part A: Population Health Research and PICOT Statement
Solution Overview
There is immense progress in healthcare in pursuit of understanding the pathology of communicable diseases and how multi-drug resistant infectious diseases are spread from one person to another in hospitals. There is also evidence to support that the hands of healthcare providers are the main source of HAIs among critically ill patients (Fox et al., 2015). This finding promotes the need to conduct further research on how to prevent HAIs in hospitals by observing basic hygiene principles.
In most hospitals, handwashing is the most important and effective infection control procedure that prevents transmission of pathogens from person to person. According to the findings by the WHO, handwashing with soap and water has a scientific basis and the most appropriate intervention that reduces the transmission costs of pathogens and the rates of HAIs (Haverstick et al., 2017). When combined with other infection control strategies, handwashing produces better results.
Clinical Question/PICOT Statement
Among hospitalized patients aged 18 years or older (P), how does washing hands using soap and water (I) compared to using hand sanitizers(C), help to reduce incidences of HAIs (O) within 3 months (T)?
Health Equity
As highlighted by King et al. (2016), the CDC published revised guidelines and policies in 2002 on handwashing practices in healthcare settings that all healthcare organizations are required to adhere to. The guidelines strongly recommend that healthcare providers use hand rubs and alcohol sanitizers to decontaminate hands between each non-soiled patient and wash hands using clean running water and soap for visibly contaminated or soiled hands. Benchmark – Part A: Population Health Research and PICOT Statement.
References
Adegboye, M. B., Zakari, S., Ahmed, B. A., & Olufemi, G. H. (2018). Knowledge, awareness, and practice of infection control by health care workers in the intensive care units of a tertiary hospital in Nigeria.
African health sciences
,
18
(1), 72-78.
Fox, C., Wavra, T., Drake, D. A., Mulligan, D., Bennett, Y. P., Nelson, C., … & Bader, M. K. (2015). Use of a patient hand hygiene protocol to reduce hospital-acquired infections and improve nurses’ hand washing.
American Journal of Critical Care
,
24
(3), 216-224.
Haverstick, S., Goodrich, C., Freeman, R., James, S., Kullar, R., & Ahrens, M. (2017). Patients’ handwashing and reducing hospital-acquired infection.
Critical care nurse
,
37
(3), e1-e8.
King, D., Vlaev, I., Everett-Thomas, R., Fitzpatrick, M., Darzi, A., & Birnbach, D. J. (2016). “Priming” hand hygiene compliance in clinical environments.
Health Psychology
,
35
(1), 96. Benchmark – Part A: Population Health Research and PICOT Statement
Practicing Application of Descriptive Statistics in Excel and SPSS
(1).Practicing Application of Descriptive Statistics in Excel and SPSS The purpose of this assignment is to compare basic functions in Excel and SPSS to calculate descriptive statistics and use this information to describe the sample.
For this assignment, students will utilize Excel with the Data Analysis ToolPak and SPSS Statistics and the ”Example Dataset” to complete the assignment. Refer to the Topic Materials for assistance with enabling the Data Analysis ToolPak on a Mac or PC.
Part 1:
Complete the following steps in both Excel and IBM SPSS Statistics.
Calculate mean, median, and mode for the variables ”Annual Income” and ”Age.” Show the appropriate summary tables for these measures from both Excel and SPSS. Include the other descriptive statistics that are a part of the summary output in Excel and SPSS. Practicing Application of Descriptive Statistics in Excel and SPSS
Create histograms to show the distribution for ”Annual Income” and ”Age.” Copy and paste the histograms from Excel and export the histogram from SPSS into the Word document for this assignment.
Create frequency tables that include counts and percentages for smoking status, employment status, exercise level, and education level. Show the tables in the Word document for this assignment.
Part 2:
Based upon the Part 1 activities, write a 250-500 word interpretation that addresses the following.
Discuss the sampling strategy used in this study and if it resulted in a representative sample.
Discuss what you are able to ascertain about the sample from the descriptive statistics.
Explain what other variables the research team could have included to gain a better understanding of the population.
General Requirements
Submit one Word document for the Part 1 assignment content and a second Word document for Part 2 of the assignment. Practicing Application of Descriptive Statistics in Excel and SPSS
APA style is not required, but solid academic writing is expected.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
(2).Calculating Confidence Intervals
ORDER A PLAGIARISM-FREE PAPER HERE
The purpose of this assignment is to practice calculating confidence intervals.
For this assignment, students will utilize Excel and SPSS Statistics and the ”Example Dataset.”
Using the ”Example Dataset,” complete the following:
Based on a normal distribution curve, calculate the probability of an individual being 60 years or older in this population. Show the Excel and SPSS formulas or your hand calculations. Include screenshots as needed to illustrate this.
Using the sample standard deviation of age as an estimate of the population standard deviation, calculate by hand the standard error of the mean. Show your calculations and the answer.
Calculate by hand a 95% confidence interval for ”Age” based on the sample mean. Use SPSS to verify your answer. Include your calculations and screenshots of the SPSS output.
Interpret the confidence interval for age and explain the three pieces of information needed to calculate a confidence interval.
Submit one Word document that includes all of the assignment deliverables.
APA style is not required, but solid academic writing is expected.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Practicing Application of Descriptive Statistics in Excel and SPSS
You are not required to submit this assignment to LopesWrite.
Practicing application of descriptive statistics
Part 1.
Calculating mean, median and mode for Annual Income and Age variables
Table 1. Excel output of descriptive statistics for age and annual income
Age
Annual_Income
Mean
39.93
34766.67
Standard Error
2.17
4176.48
Median
41.00
28000.00
Mode
42.00
28000.00
Standard Deviation
11.90
22875.50
Kurtosis
-0.79
-0.61
Skewness
-0.09
0.64
Range
43.00
80000.00
Minimum
18.00
5000.00
Maximum
61.00
85000.00
Sum
1198.00
1043000.00
Count
30.00
30.00
Confidence level (95.0%)
4.44
8541.85
Table 2. SPSS output of descriptive statistics for age and annual income Practicing Application of Descriptive Statistics in Excel and SPSS
Statistic
Std. Error
Age
Mean
39.93
2.173
95% Confidence Interval for Mean
Lower Bound
35.49
Upper Bound
44.38
5% Trimmed Mean
39.98
Median
41.00
Variance
141.651
Std. Deviation
11.902
Minimum
18
Maximum
61
Range
43
Interquartile Range
19
Skewness
-.091
.427
Kurtosis
-.791
.833
Annual_Income*
Mean
34766.67
4176.476
95% Confidence Interval for Mean
Lower Bound
26224.81
Upper Bound
43308.52
5% Trimmed Mean
33759.26
Median
28000.00
Variance
5.233E8
Std. Deviation
22875.500
Minimum
5000
Maximum
85000
Range
80000
Interquartile Range
37000
Skewness
.645
.427
Kurtosis
-.610
.833
Histogram for age and annual income
Figure 1. Excel output of histogram for age
Figure 2. Excel output of histogram for annual income
Figure 3. SPSS output of histogram for age
Figure 4. SPSS output of histogram for annual income
Frequency tables of counts and percentage for smoking status, employment status, exercise level, and education level
Table 3. Excel output of frequency tables for smoking status
Frequency
Percentage
No
18
60
Yes
12
40
Table 4. Excel output of frequency tables for education level
Frequency
Percentage
Less than high school
10
33.3
Graduated high school
10
33.3
Graduated college
10
33.3
ORDER A PLAGIARISM-FREE PAPER HERE
Table 5. Excel output of frequency tables for exercise level
Frequency
Percentage
0
1
3.3
20
1
3.3
25
1
3.3
40
2
6.7
45
1
3.3
50
5
16.7
60
2
6.7
65
3
10.0
70
1
3.3
75
2
6.7
80
4
13.3
90
1
3.3
100
1
3.3
110
2
6.7
120
1
3.3
150
1
3.3
200
1
3.3
Table 6. Excel output of frequency tables for employment status
Frequency
Percentage
No
13
43.3
Yes
17
56.7
Table 7. SPSS output of frequency tables for smoking status
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
No
18
60.0
60.0
60.0
Yes
12
40.0
40.0
100.0
Total
30
100.0
100.0
Table 8. SPSS output of frequency tables for education level
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
Less than high school
10
33.3
33.3
33.3
Graduated high school
10
33.3
33.3
66.7
Graduated college
10
33.3
33.3
100.0
Total
30
100.0
100.0
Table 9. SPSS output of frequency tables for exercise level
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
0
1
3.3
3.3
3.3
20
1
3.3
3.3
6.7
25
1
3.3
3.3
10.0
40
2
6.7
6.7
16.7
45
1
3.3
3.3
20.0
50
5
16.7
16.7
36.7
60
2
6.7
6.7
43.3
65
3
10.0
10.0
53.3
70
1
3.3
3.3
56.7
75
2
6.7
6.7
63.3
80
4
13.3
13.3
76.7
90
1
3.3
3.3
80.0
100
1
3.3
3.3
83.3
110
2
6.7
6.7
90.0
120
1
3.3
3.3
93.3
150
1
3.3
3.3
96.7
200
1
3.3
3.3
100.0
Total
30
100.0
100.0
Table 10. Excel output of frequency tables for employment status
Frequency
Percent
Valid Percent
Cumulative Percent
Valid
No
13
43.3
43.3
43.3
Yes
17
56.7
56.7
100.0
Total
30
100.0
100.0
Part 2.
The analysis reveals that the participants had a mean age of 39.93 years and mean annual income of $34,766.67. A review of the collected data for age and annual income reveals that there is a 95% probability of the mean age of the population being between 35.49 years and 44.38 years. In addition, there is a 95% probability of the mean annual income of the population being between $26,224.82 and $43,308.52 (see Tables 1 & 2).
Although the sampling strategy has not been described, it resulted in a representative sample as indicated by the participants’ spread across the different demographic groups. All the age groups are well represented as shown in the bell-shaped chart for the histogram (see Figures 1 & 3). Still, the study would have recruited a better distribution of annual income as most of the participants earned less than the mean annual income (see Table 2 and Figures 2 & 4). Further review of the smoking status reveals that 40% of the population are smokers while 60% are non-smokers (see Tables 3 & 7). A review of the education level reveals equal spread across the three education levels with 33.3% of the population having less than high school education, 33.3% having graduated from high school, and 33.3% graduated from college (see Tables 4 & 8). A review of the employment status reveals that 56.7% of the population is employed while 43.3% is unemployed (see Tables 6 & 10). In this respect, the demographic characteristics of the sample show that it is representative of the population with the different population characteristics well represented.
Other than the presented variables, the research team could have gained a better understanding of the population by collecting data on ethnicity and marital status as they have implications for health behavior. Ethnicity has implications for health behavior through genetics and cultural influences. Li et al. (2016) expounds on the influences of ethnicity by explaining that there is a need to develop culturally appropriate and evidence-based interventions to enhance healthy behavior among members of any population. Pandey et al. (2019) explains that marital status is both a cause and consequence of health behaviors through influencing economic well-being, and physical and mental health. In this respect, including ethnicity and marital status could help in gaining a better understanding of the general health behaviors of the population as well as relationships between health determinants. Practicing Application of Descriptive Statistics in Excel and SPSS.
Based on a normal distribution curve, calculate the probability of an individual being 60 years or older in this population.
The distribution of ages of the participants range from 18 years to 61 years. These ages are approximately normally distributed with a mean age of 39.93 years and a standard deviation of 11.9. The probability of a member of the population being 60 years of age or older is calculated as:
= NORM.DIST(60, 39.93, 11.9, TRUE) =
0.9542
Therefore, the probability of a member of the population being 60 years of age or older is:
= 1 – 0.9542 =
0.0458
or approximately
4.58%
.
Using the sample standard deviation of age as an estimate of the population standard deviation, calculate by hand the standard error of the mean. Show your calculations and the answer.
Standard error = standard deviation / (√sample size) = 11.9 / √30 =
2.1726
Standard error =
2.17
The hand calculated figure for standard error of age matches the figures presented in the Excel output of the descriptive statistics for age (see Table 2).
Calculate by hand a 95% confidence interval for ”Age” based on the sample mean. Use SPSS to verify your answer. Include your calculations and screenshots of the SPSS output.
The sample has a mean age of 39.93 and standard error of 2.17. 95% confidence interval encompasses 95% of the area of the normal distribution, which is 1.96 standard deviations of the mean (
z
value). The confidence interval values are calculated as: Practicing Application of Descriptive Statistics in Excel and SPSS
Margin of error =
z
value * standard error = 1.96 * 2.17 =
4.25
Lower limit = 39.93 – 4.25 = 39.93 – 4.25 =
35.68
Upper limit = 39.93 + 4.25 = 39.93 + 4.25 =
44.18
95% CI (35.68, 44.18)
Interpret the confidence interval for age and explain the three pieces of information needed to calculate a confidence interval.
The hand calculated value is 95% CI (35.68, 44.18) while the value from the SPSS output is 95% CI (35.49, 44.38). The two values have slight differences at approximately 0.2. The difference is likely caused by approximations when making the hand calculations.
Three pierce of information were used to hand calculate the confidence interval. They included the
z
value, standard error and mean. Practicing Application of Descriptive Statistics in Excel and SPSS
References
Li, J., Thompson, T., Richards, T. & Steele, B. (2016). Racial and ethnic differences in health behaviors and preventive health services among prostate cancer survivors in the United States.
Preventing Chronic Disease: Public Health Research, Practice, and Policy
, 13, 160148. DOI: 10.5888/pcd13.160148
Pandey, K., Yang, F., Cagney, K., Smieliauskas, F., Meltzer, D. & Ruhnke, G. (2019). The impact of marital status on health care utilization among Medicare beneficiaries.
Medicine
, 98(12), e14871. DOI: 10.1097/MD.0000000000014871 Practicing Application of Descriptive Statistics in Excel and SPSS
Pharmacotherapy for
Gastrointestinal
and Hepatobiliary Disorders
RUBRIC:
-Explain your diagnosis for the patient, including your rationale for the diagnosis.
-Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
-Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples
-Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate a continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.
-The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list. Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders.
ORDER A PLAGIARISM-FREE PAPER HERE
ASSIGNMENT:
Write a 1-page paper that addresses the following:
-Explain your diagnosis for the patient, including your rationale for the diagnosis.
-Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
-Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.
-In this Assignment, examine a case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan.
-Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.
-Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.
-Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
Diagnosis and Rationale
The possible diagnosis for the patient includes Crohn disease, hepatitis C, irritable bowel disease or intestinal obstruction. These conditions are known to cause weight loss, fatigue, diarrhea, nausea, and anorexia in patients. However, the information on the patient history is limited hence; several tests need to be done to get a more accurate diagnosis. These tests should include the h.pylori test, stool test, liver function test, baseline test, and abdominal x-ray. It is also important to know whether the drug abuse by the patient involves alcohol and smoking.
Based on the medication the patient is using, the most likely diagnosis is acute gastroenteritis. Symptoms of gastroenteritis include fever, nausea, vomiting, abdominal cramps, and watery diarrhea. The disease transmission is through ingesting contaminated water and foods (Lawrence & Lidbury, 2015) Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders.
Drug Therapy Plan
The first line of intervention is improved self-hygiene. This is done alongside dosing on anti-diarrheal and anti-nausea medication. An appropriate drug would be 8mg ondansetron, administered three times a day. The dose will need to be adjusted based on the results of the liver function test Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders. This is because ondansetron is metabolized by the liver (Drugs, 2015). Additionally, the patient will need to take plenty of fluids to replace the lost amount. If diarrhea persists, the patient can be prescribed with loperamide. The patient will have to be discontinued on prednisone without tapering (EASL, 2018).
Justification of Drug Therapy Plan
There is a possibility of upsetting the GI following the discontinuation of prednisone. Prednisone is similar to the adrenal gland produced by cortisol hormone. When the dosage is reduced, the adrenal gland will have a significantly larger chance of resuming its normal function Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders. Lastly, with the possible hepatitis C diagnosis, the liver is at risk of damage by Synthroid. Thus, the patient should be monitored closely for any adverse effects. To avoid further damage to the liver, the dose should be appropriately adjusted.
References
Drugs.com. (2015). Ondansetron – FDA prescribing information, side effects and uses. Retrieved from http://www.drugs.com/pro/ondansetron.html
European Association for The Study of The Liver. (2018). EASL recommendations on treatment of hepatitis C 2018.
Journal of hepatology
,
69
(2), 461-511.
Lawrence, Y., & Lidbury, J. (2015). Symptomatic management of primary acute gastroenteritis.
Today’s Vet Pract
,
2015
, 46-52. Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders
This week’s content focused on a variety of formats for presenting data. Key points for creating and appropriately using tables, graphs, and histograms were discussed. Based on the information you reviewed answer the following discussion prompts.
1. Discuss the most common errors that occur when using tables, graphs, and histograms to present data.
2. Identify two measures one can take to prevent such errors from occurring.
3. Suggest two different formats the DNP clinicians in the case study may use to present the outcomes of the project. Clearly discuss the suggested format and corresponding data point(s).
4. Identify one format you would use to present each outcome of your EBP project. (You only need one if you have one outcome, two if you have two outcomes, etc.) (Hint: you will use this information in your related MSN courses).
ORDER A PLAGIARISM-FREE PAPER HERE
Week 9 DB
Discuss the most common errors that occur when using tables, graphs, and histograms to present data.
There are three common errors that occur when using visualization to present data. The first error is when the numbers do not add up, such as a pie-chart presenting 150% instead of 100%. This is typically caused by using a survey that presents more than one response with a pie chart being the wrong tool for presenting the results. The second mistake is not following convention, such as having an upside-down y-axis with zero at the top and maximum values at the bottom. The third mistake is using truncated and cropped axes that make it difficult to compare values (Sharma, 2015) Tables, graphs, and histograms in nursing essay.
Identify two measures one can take to prevent such errors from occurring.
The first error (numbers not adding up) can be addressed through using the right chart and double checking the numbers to ensure that the correct values have been entered. The second error (not following convention) can be addressed through following convention as a rule. This does not mean that not following convention is prohibited. Not following convention should be the exception rather than the rule. The third error is truncated and cropped axes that should be prevented through using the axes with the true values. Alternatively, the axes can be presented with the braid view first then changed to a detailed view with truncated axes in the next graph to highlight the information (Sharma, 2015).
Suggest two different formats the DNP clinicians in the case study may use to present the outcomes of the project. Clearly discuss the suggested format and corresponding data point(s).
The two strategies for presenting outcomes of the case study project are an article and a poster. Firstly, an article follows a scientific format with structured sections that take readers through a logical thought process from a position of unknown to known. It begins with an introduction, moves to a literature review, methodology, data presentation, discussion, conclusion, references and appendices. This approach helps in presenting enough information to facilitate duplication efforts, and offering information in a format that is easy to retrieve (Joel, 2018). Secondly, a posted would be used to present the information. Unlike an article, a poster is intended to offer brief and visually appealing information Tables, graphs, and histograms in nursing essay. Using a poster would help in summarizing the project outcomes attractively and concisely to generate publicity and discussion among the medical community (Joel, 2018).
Identify one format you would use to present each outcome of your EBP project.
An article would be preferable for presenting the project results. That is because it contains comprehensive information that lends itself to peer review to verify the information. This lends credibility to the EBP project (Joel, 2018). Tables, graphs, and histograms in nursing essay.
References
Joel, L. (2018).
Advanced practice nursing: essentials for role development
(4
th
ed.). Philadelphia, PA: F. A. Davis Company.
Sharma, N. (2015).
7 most common data visualization mistakes
. Retrieved from https://thenextweb.com/dd/2015/05/15/7-most-common-data-visualization-mistakes/ Tables, graphs, and histograms in nursing essay
NRP/508: Health Policy And Role Of The Advanced Practice Nurse
Wk 3 Assignment – Professional Organization Evaluation
Use your selected health policy issue as the basis for completing this assignment. Issue chosen:
Improve Medicare Patient Access to Home Health Services.
APRN’s are not able to document the face to face assessments/visits, sign home health plan of cares for their patients, sign additional orders to modify their patients plan of cares for home health services, or sign re-certification for home health services and plan of care for their patients. NRP/508 Professional Organization Evaluation
Research a professional organization with influence over the health policy issue.
Locate at least one academic article focusing on the professional organization’s efforts to effect change on the health policy issue. The article must be current (
within 6 years
) and must be a scholarly work (
peer-reviewed
).
Contact the organization and ask at least two specific questions regarding the health policy issue that neither their website nor the article answered.
Prepare a marketable visual presentation (i.e., flyer, brochure, infographic, pamphlet, poster, etc.) on the organization. Include the following in your presentation:
The role and mission of the organization (15 pts)
The benefits of the organization to its members and the APRN community as a whole. (10 pts)
How will networking with this organization and with others in the industry help drive change in the area of your selected health policy issue? (10 pts)
Based on the article you selected and your research on the organization, how can the organization be used as a guiding coalition to address your health policy issue. (15 pts)
Write a 350- to 525-word summary analyzing three of the core competencies of advanced practice nursing and how they relate to professional organizations and professional development.
Consider the following questions in your summary: (20 pts)
Why are the selected competencies important?
How will mastery of the competencies improve your practice?
How can you continue to develop the competencies after graduation?
Use APA guidelines. Utilize correct grammar and punctuation and use of article as outlined above. 3 minimum scholarly (peer-reviewed) references less than 6 years old. (10 pts)
Required reading and/or texts for assignment: NRP/508 Professional Organization Evaluation
Hamric, A. B., Hanson, C. M., Tracy, M.F., & O’Grady, E.T (2019). Hamric and Hanson’s advanced practice nursing: an integrative approach (6th ed.). St. Louis, MO: Elsevier.
ORDER A PLAGIARISM-FREE PAPER HERE
Chapters 8, 10, 16
Mason, D. J., Gardner, D. B., Outlaw, F. H., & O’Grady, E. T. (2016). Policy & politics in nursing and health care, 7th ed. St. Louis, MO: Elsevier.
Chapters 3, 59, 64, 75
Health Policy and Role of the Advanced Practice Nurse
The selected three core competencies of advanced practice nursing include quality, policy, and independent practice. Quality competency is important in ensuring that an advanced nurse practitioner provides high-quality care and adheres to the required professional knowledge and standards to ensure the provision of high-quality care. A nurse practitioner should use the latest research evidence to apply in the clinical practice to improve the quality of care (Hamric et al; 2014). Mastering the quality competency significantly improves practice by ensuring that the best and latest research findings are applied to clinical practice. In addition, research is used to assess the organizational operations and inform policies and thus facilitating the implementation of the relevant improvements and implementation of health policies (Sastre-Fullana et al; 2017) NRP/508 Professional Organization Evaluation. I will continue to develop quality competency by always engaging in research to ensure my practice is informed by the best and latest research findings.
The second selected competency is policy. A nurse practitioner can influence the implementation of policies that support better care delivery. For example, a nurse practitioner should support the implementation of policies that support improved access to care, affordable healthcare and better quality of care. ANPs should use the best and latest evidence available to influence decisions that lead to a better quality of care, better access to care, and improved work environment for nurses (Arabi et al; 2014) NRP/508 Professional Organization Evaluation. In the future, I plan to always use the best evidence available to advocate for the implementation of policies that support increased access to healthcare for vulnerable groups such as the poor and people with mental disorders. I will also support professional organizations that advocate for the implementation of policies supporting health improvement for all and a better working environment for the nursing workforce.
The independent practice competency ascertains that nurse practitioners can work as licensed independent practitioners. Nurse practitioners can deliver care without being supervised. This includes the ability to assess, diagnose, and treat patients independently (Sastre-Fullana et al; 2017). Being able to practice independently as an ANP improves access to care and addresses the issue of workforce shortage because ANPs can provide similar services provided by physicians. I will develop this competency by ensuring that I continually improve my clinical skills when it comes to the assessment, diagnosis, as well as treatment of patients. This will make me competent to practice independently as an NP and according to the state laws.
References
American Nurses Association (ANA). (2020).
Health Policy
. https://www.nursingworld.org/practice-policy/health-policy/
Arabi, A., Rafii, F., Cheraghi, M. A., & Ghiyasvandian, S. (2014). Nurses’ policy influence: A concept analysis.
Iranian journal of nursing and midwifery research
,
19
(3), 315–322.
Hamric, A. B., Hanson, C. M., Tracy, M.F., & O’Grady, E.T (2019). Hamric and Hanson’s advanced practice nursing: an integrative approach (6th ed.). St. Louis, MO: Elsevier. NRP/508 Professional Organization Evaluation
Landers, S., Madigan, E., Leff, B., Rosati, R. J., McCann, B. A., Hornbake, R., MacMillan, R., Jones, K., Bowles, K., Dowding, D., Lee, T., Moorhead, T., Rodriguez, S., & Breese, E. (2016). The Future of Home Health Care: A Strategic Framework for Optimizing Value.
Home health care management & practice
,
28
(4), 262–278.
https://doi.org/10.1177/1084822316666368
.
Sastre-Fullana, P., Morales-Asencio, J. M., Sesé-Abad, A., Bennasar-Veny, M., Fernández-Domínguez, J. C., & De Pedro-Gómez, J. (2017). Advanced Practice Nursing Competency Assessment Instrument (APNCAI): clinimetric validation.
BMJ open
,
7
(2), e013659. https://doi.org/10.1136/bmjopen-2016-013659. NRP/508 Professional Organization Evaluation
USW1 NURS 6050 Global Health
Comparison Grid
Template
Global Health Comparison Grid Template
Use this document to complete the Module 6 Assessment
Global Healthcare Comparison Matrix
and Narrative Statement.
Global Healthcare Issue
HIV/AIDS
Description
HIV/AIDS is a global epidemic that has continued to ravage the lives of approximately a million people annually. Different countries apply different ways to cope with the disease. This comparison template seeks to analyze the approaches that the US and which will be
Country
United States
Haiti
USW1 NURS 6050 Global Health Comparison Grid Template
Describe the policy in each country related to the identified healthcare issue
The Office of National AIDS policy works to reduce the number of HIV infections in the US through prevention, care and treatment methods in the country (Meier, Back, Berman, Block, Corrigan & Morrison, 2017)
The Pacific Sports Haiti SA policy that seeks to provide practices that can be undertaken for HIV prevention and anti-discriminatory ways to handle people living with the disease (Gupta, Small & Kershaw, 2016).
What are the strengths of this policy?
It directs the national government in carrying out assessments on the progress in the programs that manage HIV/AIDS in the country.
The policy helps in the anti-stigmatization of HIV/AIDS infected individuals in the workplace.
What are the weaknesses of this policy?
The policy does not provide a satisfactory estimation of the population in the country, which causes failure in the offering of services to some of the affected citizens.
It is only centered on the workplace influence of HIV/AIDS measures in the workplace.
Explain how the social determinants of health may impact the specified global health issue. (Be specific and provide examples)
The status in society, economic situation, employment status, and level of education play a huge part in the determinants of the spread of HIV/AIDS.
The societal level, employment status, the youth, sexual orientation are some determinants in the HIV/AIDS issue that is faced in Haiti.
Also, the norm in young women sexually associating with older men plays a large part in the spread of AIDS in the country.
How has each country’s government addressed cost, quality, and access to the selected global health issue?
The United States government has created health care centers that exclusively deal with issues concerning HIV/AIDS.
Access to healthcare services has been made less complicated through a reduction in costs, and quality of treatment has been improved.
The cost of accessing HIV/AIDS care has been reduced significantly, with some of the public care being provided for free.
The quality and facilities have, however, been run down due to a lack of resources in the government.
How has the identified health policy impacted the health of the global population? (Be specific and provide examples)
The plan has aided in the worldwide improvement of sensitizing the public on the issues that concern HIV/AIDS.
The policy has also helped the government engage in a stigma-free society health watch that has helped in the continuous monitoring of the disease. USW1 NURS 6050 Global Health Comparison Grid Template
The Pacific Sports S>A policy has helped reduce the stigma that was often associated with AIDS through public education incentives on the illness.
The policy also provides for the protection of workers infected with HIV/AIDS in the workplace.
Describe the potential impact of the identified health policy on the role of a nurse in each country.
The policy has influenced the role of the nurse in the US as it provides for patients to receive personalized services. This dictates that nurses receive additional training to be in a better position to handle the patient.
The nurse in Haiti is overwhelmed with the increased workload due to the high number of infections that are experienced in the country.
Additional training should also be carried out to help nurses learn ways through which they should deal with HIV infected patients.
Explain how global health issues impact local healthcare organizations and policies in both countries. (Be specific and provide examples)
The global health issues help ensure that all departments in the United States government are integrated to work together in the prevention, care, and treatment systems that concern the HIV/AIDS pandemic.
They ensure that the government is always actively working towards making the required changes in laws to meet the demands that arise in the pandemic efficiently.
The Pacific Sports SA policy has played a considerable part in ensuring that the rights of an HIV/AIDS infected individual in the workplace are not interfered with.
It also undertakes in society education on the ways through which the diseases can be fought.
General Notes/Comments
The United States government has made conscious efforts in the fight against HIV/AIDS.
It is continually making advancements in handling AIDS, and with more investments being injected into the sector, a cure for the illness will likely be arrived at in the foreseeable future.
Just like in the United States, the fight against HIV/AIDS is ongoing in Haiti. More efforts should, however, be made by the government to inject more resources into the policy to achieve more positive results. USW1 NURS 6050 Global Health Comparison Grid Template
ORDER A PLAGIARISM-FREE PAPER HERE
A Plan for Social Change
The many trends that are being experienced in the current world play a huge role in my nursing career. There are a couple of ways through which I can assimilate the global perspective into my position to ensure that all patients receive quality medical care. First, I would take the initiative to learn more about the different aspects and ways of life that exist in the lives of my patients. I would approach patients with empathy to understand their diversity. I would then do my best to explain the ways of the changing world and the benefits that can be gained from using advanced medical care in treatment. My nursing role should be unnoticeably and quickly assimilated into the use of the policy to ensure that all my patients receive the quality care that is stipulated.
A comprehensive aspect of the stated policies requires me to incorporate the international perspectives in my career. This is possible through advanced learning classes that I will purposely attend to gain more knowledge and skills that will be useful in the treatment and care of patients infected with HIV/AIDS. Through these classes, my leadership skills will improve in a way that will help me have a better ability to interact with the various people I will meet during my career as a nurse. Additionally, I will acquire skills that will help me teach the public a better understanding of the issues involved with HIV/AIDS. Lastly, the incorporation of the global health angle will also enable me to merge advancements made in HIV/AIDS prevention, care, and treatment in the United States with those in Haiti to ensure that the number of cases of infection reduces. This will help in the fight and eradication of the pandemic. USW1 NURS 6050 Global Health Comparison Grid Template.
Works Cited
Gupta, J., Small, M. J., & Kershaw, T. (2016). Gender and HIV/AIDS in Haiti: women’s lack of power as an overarching vulnerability. In
Gender and HIV/AIDS
(pp. 85-100). Routledge.
Meier, D. E., Back, A. L., Berman, A., Block, S. D., Corrigan, J. M., & Morrison, R. S. (2017). A national strategy for palliative care.
Health affairs
,
36
(7), 1265-1273. USW1 NURS 6050 Global Health Comparison Grid Template
HPI: 59 y/o patient came into the office today c/o:
24-year-old male presents with itchy rash to both arms, neck and face. He first noticed the rash two days ago after returning from a camping trip with friends. The rash is spreading and did not improve with over-the-counter itch cream or Benadryl. l23.7 allergic reaction soap note.
ORDER A PLAGIARISM-FREE PAPER HERE
Review of systems:
General:
No fever, chills, or weight changes or sweating or general weakness.
Eyes:
No blurred or double vision or pain or redness.
Ears:
No pain or decrease in hearing.
Nose:
No runny nose or blockage or bleeding.
Throat:
No sore throat.
Head:
No headache.
Chest:
No chest pain or cough or shortness of breath or wheezing.
Prostate:
No urinary frequency or dysuria or uretheral discharge or pain on sitting.
Heart:
No irregular heart beat or palpitations or chest pain.
Gastrointestinal:
No abdominal pain or nausea or vomiting or diarrhea or constipation or difficulty swallowing or rectal bleeding or bloating or distension or hemorrhoids. l23.7 allergic reaction soap note.
Genitourinary:
No dysuria or uretheral discharge or pain on sitting.
Musculoskeletal:
No joint or back pain or muscle problems or weakness.
Skin:
Diffuse rashes spread across the trunk, arms, neck, head, and face..No bruises or skin masses or other skin complaints.
Neurologic:
No weakness or headache or seizures or numbness or tingling.
Psychiatric:
No anxiety or depression or suicidal/homicidal thoughts.
Endocrine:
No excessive thirst or excessive urination or excessive heat or cold.
Immunologic:
No tuberculosis or hepatitis or HIV or recurrent infections.
Hematologic:
No anemia or easy bruising or bleeding.
Neck:
Supple, no masses, no thyromegaly, no bruits.
Chest:
Lungs clear, no rales, no rhonchi, no wheezes.
Heart:
RR, no murmurs, no rubs, no gallops.
Abdomen:
Soft, no tenderness, no masses, BS normal.
Back:
Normal curvature, no tenderness.
Extremities:
FROM, no deformities, no edema, no erythema.
Neuro:
Physiological, no localizing findings.
Skin:
No lesions noted. Diffuse rashes spread across the trunk, arms, neck, head, and face.
l23.7 allergic reaction soap note
ORDER A PLAGIARISM-FREE PAPER HERE
Assessment:
Differential Dx:
Rash and other nonspecific skin eruption. R21
Pruritus, unspecified. L29.9
Actual Dx:
Poison ivy, oak, sumac or other plant dermatitis L23.7 (allergic) (contact)
ICD-10-CM Codes. (2019). Retrieved from https://www.icd10data.com/ICD10CM/Codes/
Plan:
Education I would discuss with and provide to the pt.
Rubbing alcohol
Rubbing alcohol can remove the urushiol oil from the skin, helping to minimize discomfort.
People should do this as soon as possible after contact with poison ivy, particularly within the first 10 minutes of exposure. If going camping or hiking, it is a good idea to carry alcohol wipes at all times.
The
U. S. Food and Drug Administration (FDA)
advise that urushiol can remain on the surface of most items that come into contact with poison ivy, sometimes for years, unless treated with rubbing alcohol or water.
Shower or bathe
Thoroughly wash the skin, and under the fingernails, with plain soap and lukewarm water to remove plant oils. Water can be used instead of rubbing alcohol, although it is best to use alcohol first and then shower or bathe.
It’s believed that showering within 60 minutes of exposure may help limit the spread and severity of the rash.
Wash anything that comes into contact with the plant. People should wear rubber gloves when doing this.
Cold compress
Cool, wet compresses can help to reduce itching and
inflammation
.
To make a compress, run a clean washcloth under cold water. Wring off excess water. Apply to the skin for 15 to 30 minutes. Repeat this several times a day as needed.
Some people find relief by soaking the compress in an astringent liquid to further reduce swelling and itching. Examples of astringent liquids include aluminum acetate, apple cider vinegar, and chilled black tea.
Resist scratching the skin
Scratching the skin can lead to an infection. It may also cause blisters to burst, which may then become infected.
Blisters that do open should be left alone, as the skin covering the wound can provide protection and reduce the risk of infection. l23.7 allergic reaction soap note
Unscrubbed fingernails may also contain traces of urushiol, which can be transmitted to the skin through scratching. This can lead to further itching and a more severe poison ivy rash.
5. Topical lotions and creams
Several lotions that can help relieve the symptoms of a mild poison ivy rash are available without a prescription.
Hydrocortisone creams and calamine lotion are two products commonly used to reduce itching and swelling.
The
FDA advise
that products containing zinc acetate, zinc carbonate, and zinc oxide treat the oozing and weeping caused by poison ivy. Users should always apply these products as per the instructions on the label.
Aloe vera gel, taken from the aloe vera plant, is another soothing topical poison ivy remedy.
Oatmeal bath
According to
research
, oatmeal has
antioxidant
and anti-inflammatory properties that benefit a variety of inflammatory skin conditions.
Adding oatmeal or an oatmeal-based product to a lukewarm bath is a simple poison ivy remedy. Soaking in the tub for up to 30 minutes may provide symptom relief.
Bentonite clay
Bentonite clay is a popular natural clay used in a variety of beauty and personal care products.
Some people report relief from poison ivy rash after applying a paste of bentonite clay and water to the affected area.
Research
suggests that using a modified version of bentonite clay (quaternium-18 bentonite) effectively prevents or reduces the allergic contact dermatitis caused by poison ivy and poison oak.
Baking soda
Also known as sodium bicarbonate, baking soda is a salt that is mainly used in baking. However, it is also used as a natural cleaning agent and as a home remedy for various ailments.
Adding a cup of baking soda to the tub is recommended by the
American Academy of Dermatology
for relief from poison ivy rash.
Leonard, J. (2019). Poison ivy: Home remedies and how to recognize it. Retrieved from https://www.medicalnewstoday.com/articles/318059.php
Prescription:
OTC Pramoxine-Calamine medicated lotion. Apply to affected areas every 6 to 8 hours as needed.
Medication instructions and educatio9n for the pt.
Calamine is for external use only. Do not swallow it and do not use it on the eyes or mucous membranes such as the inside of the mouth, nose, genital (sex organs), or anal areas.
To use calamine lotion:
Shake the lotion well before using.
Moisten a pledget of cotton with the lotion.
Use the moistened pledget to apply the lotion to the affected skin area(s).
NURS 6053 Wk3 Discussion: Organizational Policies and Practices to Support Healthcare Issues Essay
Discussion: Organizational Policies and Practices to Support Healthcare Issues
Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.
For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care? NURS 6053 Wk3 Discussion: Organizational Policies and Practices to Support Healthcare Issues Essay
In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.
To Prepare:
Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.
Post
an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples. NURS 6053 Wk3 Discussion: Organizational Policies and Practices to Support Healthcare Issues Essay
Discussion: Organizational Policies and Practices to Support Healthcare Issues
Competing needs such as the needs of resources workforce and patients may impact the development of the policy by requiring the nurse leader to strike a balance between these competing needs. Workforce consumes the greater part of the financial resources of the organization; thus it is the responsibility of the nurse to make sure that the organization remains financially healthy while ensuring that nurses provide quality and safe patient care. As Hunt (2018) indicates, it is always vital to have sufficient nurses with the appropriate expertise to offer quality care cost-effectively. NURS 6053 Wk3 Discussion: Organizational Policies and Practices to Support Healthcare Issues Essay. For example, when developing a policy, the nurse leader must try to find the appropriate balance between staff satisfaction, quality and safety of patient care and fiscal sustainability of a staffing policy is to be effective.
The competing needs that may impact nursing shortage include the requirement for nurses to attend to the increasing patient health needs which makes nurses face burnout and negative outcomes on the health of the nurses. This influences the quality of care that nurses give to patients. When nurses work under stressful work environments often typified by heavy workloads and subsequent burnout, they are dissatisfied with their jobs, making them leave the organization or change to another career (Heidari et al; 2017) NURS 6053 Wk3 Discussion: Organizational Policies and Practices to Support Healthcare Issues Essay.
A policy can address the needs of nurses to work in less stressful and supportive environments and the need for patients to receive quality nursing care. An organization can increase the retention of nurses by creating a supportive work environment to lessen the vulnerability of workplace fatigue, and eventually reduce turnover intentions. A minimum nurse to patient ratio policy can empower nurses to create staffing plans that will be specific to every unit. This strategy will allow healthcare organizations to determine flexible staffing levels. According to Griffiths et al (2020), the capability to establish the appropriate number of nurses to deploy on a given shift can improve the work conditions for nurses as well as the efficiency and quality of care.
References
Griffiths, P., Saville, C., Bal, J et al. (2010). Nursing workload, nursing staff methodologies and tools: A systematic scoping review and discussion.
International Journal of Nursing Studies. 103
:103487.
doi.org/10.1016/j.ijnurstu.2019.103487
Heidari, M., Seifi, B., & Gharebagh, Z. (2017). Nursing staff retention: Effective factors.
Annals of Tropical Medicine and Public Health, 10
(6), 1467-1473. DOI:
10.4103/ATMPH.ATMPH_353_17
Hunt P. (2018). Developing a staffing plan to meet inpatient unit needs.
Nursing Management 49
(5) 24-31. doi: 10.1097/01.NUMA.0000532326.62369.9b. NURS 6053 Wk3 Discussion: Organizational Policies and Practices to Support Healthcare Issues Essay