Tag: Care Plans

  • [Solved] FNP ADLT D2

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  • [Solved] ERAS Protocol

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    I need help with an assignment on ERAS perioperative protocols – a year ago **files (3)** – ## Module3.doc – ## CapstoneReferences.docx – ## CapstonePresentation.docx **## Module3.doc** [removed] **## CapstoneReferences.docx** Wainwright, T. W., Jakobsen, D. H., & Kehlet, H. (2022). The current an…

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    Assignment Prompt & Instructions

    I need help with an assignment on ERAS perioperative protocols

    – a year ago

    **files (3)**

    – ## Module3.doc

    – ## CapstoneReferences.docx

    – ## CapstonePresentation.docx

    **## Module3.doc**

    [removed]

    **## CapstoneReferences.docx**

    Wainwright, T. W., Jakobsen, D. H., & Kehlet, H. (2022). The current and future role of nurses within enhanced recovery after surgery pathways.
    _British Journal of Nursing, 31_(12), 656-659.
    [https://doi-org.ezproxy.uta.edu/10.12968/bjon.2022.31.12.656](https://doi-org.ezproxy.uta.edu/10.12968/bjon.2022.31.12.656)

    Vermeulen, L., Duhoux, A., & Karam, M. (2024). Nurse managers’ contribution to the implementation of the enhanced recovery after surgery approach.
    _Nursing Management, 5_(6), 28-37.
    [https://doi.org/10.1097/nmg.0000000000000133](https://doi.org/10.1097/nmg.0000000000000133)

    Akbuga, G. A., & Yilmaz, K. (2025). Obstacles to Compliance and Implementation of ERAS Protocol From Nursing Perspective: A Qualitative Study.
    _Journal of PeriAnesthesia Nursing, 40_(2), 331-336.
    [https://doi-org.ezproxy.uta.edu/10.1016/j.jopan.2024.05.008](https://doi-org.ezproxy.uta.edu/10.1016/j.jopan.2024.05.008)

    Xiaoyan, C., Wenbin, H., Li, D., Lijun, L., Yan, Y., Ting, W., Xueyu, H., Fang, L., Bei, W., & Bilong, F. (2023). Construction and application of enhanced recovery after surgery-optimized management system with nurse-led multidisciplinary cooperation.
    _Nursing Open, 10_(7), 4526-4535.
    [https://doi-org.ezproxy.uta.edu/10.1002/nop2.1696](https://doi-org.ezproxy.uta.edu/10.1002/nop2.1696)

    Gillespie, B. M., Lovegrove, J., & Tobiano, G. (2024). Enhanced recovery after surgery programs: How much do perioperative nurses know?
    _Journal of Perioperative Nursing, 37_(3), e-1-e-4.
    [https://doi-org.ezproxy.uta.edu/10.26550/2209-1092.1354](https://doi-org.ezproxy.uta.edu/10.26550/2209-1092.1354)

    Yilmaz, K., & Ganiyusufoglu, A. (2021). Enhanced recovery after surgery protocols and effective time management in nurses.
    _Journal of Academic Research in Nursing (JAREN), 7_(1), 49-54.
    [https://doi-org.ezproxy.uta.edu/10.55646/jaren.2021.54254](https://doi-org.ezproxy.uta.edu/10.55646/jaren.2021.54254)

    Speth, J. (2025). Guidelines in practice: Implementation of enhanced recovery after surgery: Earn 2.3 contact hours
    _. AORN Journal, 121_(5), 361-370.
    [https://doi-org.ezproxy.uta.edy/10.1002/aorn.14332](https://doi-org.ezproxy.uta.edy/10.1002/aorn.14332)

    **## CapstonePresentation.docx**

    **_N4685 Capstone_**

    Module 5: Capstone Project – Presentation and Evaluation Instructions

    _NOTE: You will create two new electronic files for this assignment instead of typing directly into this document._

    **Overview: Capstone Project – Presentation and Evaluation**

    Your project should represent high-quality work – something you would expect to see in a professional setting. Perhaps your employer will be interested in facilitating its use in a real-life situation! A reminder to observe HIPPA guidelines for confidentiality of patient information if you are using patient data or identifiers.

    You will upload your PowerPoint for grading. You will also upload the forms or documents you would use for evaluation (two evaluation tools will be created) of your information dissemination. These might be in the form of informal observation records and/or formal tests or questionnaires. (This evaluation portion will be submitted as one Word document. See below for all that must be included). There is a separate portal for each portion of the assignment.

    **Objectives**

    Design evaluation tools to accompany your project.

    Locate peer-reviewed articles discussing evidence-based nursing practice. 

    Design evaluation tools to accompany your project. 

    **Rubric – Project Presentation**

    | | | | |
    | — | — | — | — |
    | **Criteria** | **Target** | **Acceptable** | **Unacceptable** |
    | **Accurate (70 Points)** | Accurate presentation of content with differentiation<br>between facts and opinions; well organized with in text citations for useful sources (at least 9). 10-15 content slides with comprehensive speaker notes.<br>(70 Points) | Essential information is included but speaker notes and/or slides lack depth and need additional content and/ or lacking in text citations for useful sources. Outside the required 10-15 content slides.<br>(50 Points) | Errors in content specific information or lack of references prohibit use in professional setting<br>(0 Points) |
    | **Required References**<br>**(10 Points)** | All 9 references included<br>(10 points) | | Less than 9 required references<br>(0 points) |
    | **Attractive (10 Points)** | Professional, appropriate for setting with no spelling or grammar errors; designed with appropriate use of color, graphics, and fonts. Up to 5 points will be deducted if images used are not cited. No APA errors in references. <br>(10 Points) | One or more spelling or grammar errors; design missing graphics and/ or inappropriate fonts. Up to 5 points will be deducted if images used are not cited. 1-2 APA errors in references. <br>(5 Points) | Design or grammar/spelling errors prohibit reading or understanding content and if images used are not cited. 3 or more APA errors in references. <br>(0 Points) |
    | **Appropriate (10 Points)** | Developmentally and age appropriate for audience; within the appropriate time frame (clock time 20-30 minutes)<br>(10 Points) | Not Developmentally and/ or age appropriate for entire target audience and/ or inappropriate time frame for content delivery<br>(5 Points) | Project inappropriate for profession use as not developmentally or age appropriate for audience; and / or project length is too short or too long<br>(0 Points) |

    **Rubric – Project Evaluation**

    | | | | |
    | — | — | — | — |
    | **Task** | **Target** | **Acceptable** | **Unacceptable** |
    | **Evaluation**(50 Points) | Appropriate evaluation tool(s) to assess both quality of presentation and achievement of outcomes.<br>(50 Points) | Appropriate evaluation tool(s) to assess either quality of presentation or achievement of outcomes.<br>(25 Points) | Evaluation tool(s) inadequate for effective assessment of both components<br>(0 Points) |
    | **Professional**(10 Points) | Professional format without spelling errors (this includes evaluation forms) Includes evaluation summary paragraph.<br>(10 Points) | Format with spelling and/ grammar errors and/ or missing evaluation forms. Missing evaluation summary paragraph.<br>(5 Points) | Errors in formatting and/ or spelling and grammar prohibit use in professional setting present <br>(0 Points) |
    | **Grid (20 points)** | Grid is present, complete, with accurate SMART objectives; and APA references specific to the topic <br>(20 points) | Contains errors, is inaccurate, or missing required information with missing grid<br>(10 points) | Grid not included in submission<br>(0 points) |
    | **APA Format (20 points)** | Title page and reference page listed in APA format with a<br>minimum of nine peer reviewed sources <br>(20 Points) | Errors in Title page and/ or Reference page including inaccurate information and APA errors <br>(1-10 Points) | Title page includes errors and references with inaccurate format; <br>(0 Points) |

    **Instructions**

    The written portions for Assignment 2 and 3 are due Saturday night (see details below). However, you will plan and present by Wednesday night in order to have your evaluation tools that you create available to distribute to the audience and address results for the Module 5 Discussion Boards. You need audience feedback to finalize the written portion of the assignment.

    **PowerPoint Portion of Assignment (Assignment 2):**

    **Presentation**

    You will submit a Power Point presentation containing a title slide, 10-15 slides each with comprehensive content demonstrating use of your peer-reviewed sources, and reference slides. Remember to include a source for each image or graphic included on the slides; this is easiest done directly on the slide under or next to the image. Your "talking points" are considered speaker notes and should contain 20-30 minutes of "talk time." Information read directly from the slide should be included in the speaker notes. We recommend you time yourself while reading your speaker notes to determine if your presentation is within the 20-30 minutes for content. Your speaker notes should be written exactly as you would be speaking to your audience. You do need to include citations in your speaker notes. Be sure to include all of your references on the reference slide(s).

    **Evaluation Portion of Project (Assignment 3):**

    **(This will be one document with all of the following included in that document)**

    **Title Page**

    Create a title page according to the standard for the UTA College of Nursing.

    **Evaluation (2 Tools are required – one for quality and one for content)**

    You may create a new Word document for most of the types of evaluation tools you would use, such as tests, questionnaires, charts for observations notes, etc. Create two evaluation tools. Include all in the same file as separate pages with clear headings and instructions designating the use of each tool.

    Other types of evaluation tools you might use are databases or spreadsheets. It is important that you design such tools so that you need only to upload and submit
    _one_ file, though, so if you use a combination of Word documents and spreadsheets, copy/paste the contents of the spreadsheets into the Word document to create a single file.

    **Evaluation form requirements: You must submit two evaluation forms.** One form will address evaluation of content (example: a post-test or survey, audit form) and one form will address quality (rate the presentation, speaker, and environment; consider using a Likert scale).
    **Remember you will create both forms for this assignment**. Do
    not copy forms from other sources. Include the time, place, and who you presented presentation. Also, discussion on the methods you used to evaluate your project. Include why the method, how you will use the results, and plans for improvement.

    **Grid**

    You will include the full completed grid from Module 3. Please be sure to make any needed changes based on feedback from your coach.

    **Evaluation Paragraph**

    You must include at least a paragraph (minimum 100 words) to discuss the methods to evaluate your Project. Include why the method you have chosen to evaluate the project is appropriate. Include in your paragraph how will you will take results from the evaluation and change or improve the presentation.

    **Reference Page**

    Create a formal reference page including all of your nine (or more) references from your project. Please be sure to use formal APA format. Refer to your APA manual for any questions.

    Boyd 21-22

    **## CapstonePresentation.docx**

    **_N4685 Capstone_**

    Module 5: Capstone Project – Presentation and Evaluation Instructions

    _NOTE: You will create two new electronic files for this assignment instead of typing directly into this document._

    **Overview: Capstone Project – Presentation and Evaluation**

    Your project should represent high-quality work – something you would expect to see in a professional setting. Perhaps your employer will be interested in facilitating its use in a real-life situation! A reminder to observe HIPPA guidelines for confidentiality of patient information if you are using patient data or identifiers.

    You will upload your PowerPoint for grading. You will also upload the forms or documents you would use for evaluation (two evaluation tools will be created) of your information dissemination. These might be in the form of informal observation records and/or formal tests or questionnaires. (This evaluation portion will be submitted as one Word document. See below for all that must be included). There is a separate portal for each portion of the assignment.

    **Objectives**

    Design evaluation tools to accompany your project.

    Locate peer-reviewed articles discussing evidence-based nursing practice. 

    Design evaluation tools to accompany your project. 

    **Rubric – Project Presentation**

    | | | | |
    | — | — | — | — |
    | **Criteria** | **Target** | **Acceptable** | **Unacceptable** |
    | **Accurate (70 Points)** | Accurate presentation of content with differentiation<br>between facts and opinions; well organized with in text citations for useful sources (at least 9). 10-15 content slides with comprehensive speaker notes.<br>(70 Points) | Essential information is included but speaker notes and/or slides lack depth and need additional content and/ or lacking in text citations for useful sources. Outside the required 10-15 content slides.<br>(50 Points) | Errors in content specific information or lack of references prohibit use in professional setting<br>(0 Points) |
    | **Required References**<br>**(10 Points)** | All 9 references included<br>(10 points) | | Less than 9 required references<br>(0 points) |
    | **Attractive (10 Points)** | Professional, appropriate for setting with no spelling or grammar errors; designed with appropriate use of color, graphics, and fonts. Up to 5 points will be deducted if images used are not cited. No APA errors in references. <br>(10 Points) | One or more spelling or grammar errors; design missing graphics and/ or inappropriate fonts. Up to 5 points will be deducted if images used are not cited. 1-2 APA errors in references. <br>(5 Points) | Design or grammar/spelling errors prohibit reading or understanding content and if images used are not cited. 3 or more APA errors in references. <br>(0 Points) |
    | **Appropriate (10 Points)** | Developmentally and age appropriate for audience; within the appropriate time frame (clock time 20-30 minutes)<br>(10 Points) | Not Developmentally and/ or age appropriate for entire target audience and/ or inappropriate time frame for content delivery<br>(5 Points) | Project inappropriate for profession use as not developmentally or age appropriate for audience; and / or project length is too short or too long<br>(0 Points) |

    **Rubric – Project Evaluation**

    | | | | |
    | — | — | — | — |
    | **Task** | **Target** | **Acceptable** | **Unacceptable** |
    | **Evaluation**(50 Points) | Appropriate evaluation tool(s) to assess both quality of presentation and achievement of outcomes.<br>(50 Points) | Appropriate evaluation tool(s) to assess either quality of presentation or achievement of outcomes.<br>(25 Points) | Evaluation tool(s) inadequate for effective assessment of both components<br>(0 Points) |
    | **Professional**(10 Points) | Professional format without spelling errors (this includes evaluation forms) Includes evaluation summary paragraph.<br>(10 Points) | Format with spelling and/ grammar errors and/ or missing evaluation forms. Missing evaluation summary paragraph.<br>(5 Points) | Errors in formatting and/ or spelling and grammar prohibit use in professional setting present <br>(0 Points) |
    | **Grid (20 points)** | Grid is present, complete, with accurate SMART objectives; and APA references specific to the topic <br>(20 points) | Contains errors, is inaccurate, or missing required information with missing grid<br>(10 points) | Grid not included in submission<br>(0 points) |
    | **APA Format (20 points)** | Title page and reference page listed in APA format with a<br>minimum of nine peer reviewed sources <br>(20 Points) | Errors in Title page and/ or Reference page including inaccurate information and APA errors <br>(1-10 Points) | Title page includes errors and references with inaccurate format; <br>(0 Points) |

    **Instructions**

    The written portions for Assignment 2 and 3 are due Saturday night (see details below). However, you will plan and present by Wednesday night in order to have your evaluation tools that you create available to distribute to the audience and address results for the Module 5 Discussion Boards. You need audience feedback to finalize the written portion of the assignment.

    **PowerPoint Portion of Assignment (Assignment 2):**

    **Presentation**

    You will submit a Power Point presentation containing a title slide, 10-15 slides each with comprehensive content demonstrating use of your peer-reviewed sources, and reference slides. Remember to include a source for each image or graphic included on the slides; this is easiest done directly on the slide under or next to the image. Your "talking points" are considered speaker notes and should contain 20-30 minutes of "talk time." Information read directly from the slide should be included in the speaker notes. We recommend you time yourself while reading your speaker notes to determine if your presentation is within the 20-30 minutes for content. Your speaker notes should be written exactly as you would be speaking to your audience. You do need to include citations in your speaker notes. Be sure to include all of your references on the reference slide(s).

    **Evaluation Portion of Project (Assignment 3):**

    **(This will be one document with all of the following included in that document)**

    **Title Page**

    Create a title page according to the standard for the UTA College of Nursing.

    **Evaluation (2 Tools are required – one for quality and one for content)**

    You may create a new Word document for most of the types of evaluation tools you would use, such as tests, questionnaires, charts for observations notes, etc. Create two evaluation tools. Include all in the same file as separate pages with clear headings and instructions designating the use of each tool.

    Other types of evaluation tools you might use are databases or spreadsheets. It is important that you design such tools so that you need only to upload and submit
    _one_ file, though, so if you use a combination of Word documents and spreadsheets, copy/paste the contents of the spreadsheets into the Word document to create a single file.

    **Evaluation form requirements: You must submit two evaluation forms.** One form will address evaluation of content (example: a post-test or survey, audit form) and one form will address quality (rate the presentation, speaker, and environment; consider using a Likert scale).
    **Remember you will create both forms for this assignment**. Do
    not copy forms from other sources. Include the time, place, and who you presented presentation. Also, discussion on the methods you used to evaluate your project. Include why the method, how you will use the results, and plans for improvement.

    **Grid**

    You will include the full completed grid from Module 3. Please be sure to make any needed changes based on feedback from your coach.

    **Evaluation Paragraph**

    You must include at least a paragraph (minimum 100 words) to discuss the methods to evaluate your Project. Include why the method you have chosen to evaluate the project is appropriate. Include in your paragraph how will you will take results from the evaluation and change or improve the presentation.

    **Reference Page**

    Create a formal reference page including all of your nine (or more) references from your project. Please be sure to use formal APA format. Refer to your APA manual for any questions.

    Boyd 21-22

    **## Module3.doc**

    [removed]

    **## CapstoneReferences.docx**

    Wainwright, T. W., Jakobsen, D. H., & Kehlet, H. (2022). The current and future role of nurses within enhanced recovery after surgery pathways.
    _British Journal of Nursing, 31_(12), 656-659.
    [https://doi-org.ezproxy.uta.edu/10.12968/bjon.2022.31.12.656](https://doi-org.ezproxy.uta.edu/10.12968/bjon.2022.31.12.656)

    Vermeulen, L., Duhoux, A., & Karam, M. (2024). Nurse managers’ contribution to the implementation of the enhanced recovery after surgery approach.
    _Nursing Management, 5_(6), 28-37.
    [https://doi.org/10.1097/nmg.0000000000000133](https://doi.org/10.1097/nmg.0000000000000133)

    Akbuga, G. A., & Yilmaz, K. (2025). Obstacles to Compliance and Implementation of ERAS Protocol From Nursing Perspective: A Qualitative Study.
    _Journal of PeriAnesthesia Nursing, 40_(2), 331-336.
    [https://doi-org.ezproxy.uta.edu/10.1016/j.jopan.2024.05.008](https://doi-org.ezproxy.uta.edu/10.1016/j.jopan.2024.05.008)

    Xiaoyan, C., Wenbin, H., Li, D., Lijun, L., Yan, Y., Ting, W., Xueyu, H., Fang, L., Bei, W., & Bilong, F. (2023). Construction and application of enhanced recovery after surgery-optimized management system with nurse-led multidisciplinary cooperation.
    _Nursing Open, 10_(7), 4526-4535.
    [https://doi-org.ezproxy.uta.edu/10.1002/nop2.1696](https://doi-org.ezproxy.uta.edu/10.1002/nop2.1696)

    Gillespie, B. M., Lovegrove, J., & Tobiano, G. (2024). Enhanced recovery after surgery programs: How much do perioperative nurses know?
    _Journal of Perioperative Nursing, 37_(3), e-1-e-4.
    [https://doi-org.ezproxy.uta.edu/10.26550/2209-1092.1354](https://doi-org.ezproxy.uta.edu/10.26550/2209-1092.1354)

    Yilmaz, K., & Ganiyusufoglu, A. (2021). Enhanced recovery after surgery protocols and effective time management in nurses.
    _Journal of Academic Research in Nursing (JAREN), 7_(1), 49-54.
    [https://doi-org.ezproxy.uta.edu/10.55646/jaren.2021.54254](https://doi-org.ezproxy.uta.edu/10.55646/jaren.2021.54254)

    Speth, J. (2025). Guidelines in practice: Implementation of enhanced recovery after surgery: Earn 2.3 contact hours
    _. AORN Journal, 121_(5), 361-370.
    [https://doi-org.ezproxy.uta.edy/10.1002/aorn.14332](https://doi-org.ezproxy.uta.edy/10.1002/aorn.14332)

    **## CapstonePresentation.docx**

    **_N4685 Capstone_**

    Module 5: Capstone Project – Presentation and Evaluation Instructions

    _NOTE: You will create two new electronic files for this assignment instead of typing directly into this document._

    **Overview: Capstone Project – Presentation and Evaluation**

    Your project should represent high-quality work – something you would expect to see in a professional setting. Perhaps your employer will be interested in facilitating its use in a real-life situation! A reminder to observe HIPPA guidelines for confidentiality of patient information if you are using patient data or identifiers.

    You will upload your PowerPoint for grading. You will also upload the forms or documents you would use for evaluation (two evaluation tools will be created) of your information dissemination. These might be in the form of informal observation records and/or formal tests or questionnaires. (This evaluation portion will be submitted as one Word document. See below for all that must be included). There is a separate portal for each portion of the assignment.

    **Objectives**

    Design evaluation tools to accompany your project.

    Locate peer-reviewed articles discussing evidence-based nursing practice. 

    Design evaluation tools to accompany your project. 

    **Rubric – Project Presentation**

    | | | | |
    | — | — | — | — |
    | **Criteria** | **Target** | **Acceptable** | **Unacceptable** |
    | **Accurate (70 Points)** | Accurate presentation of content with differentiation<br>between facts and opinions; well organized with in text citations for useful sources (at least 9). 10-15 content slides with comprehensive speaker notes.<br>(70 Points) | Essential information is included but speaker notes and/or slides lack depth and need additional content and/ or lacking in text citations for useful sources. Outside the required 10-15 content slides.<br>(50 Points) | Errors in content specific information or lack of references prohibit use in professional setting<br>(0 Points) |
    | **Required References**<br>**(10 Points)** | All 9 references included<br>(10 points) | | Less than 9 required references<br>(0 points) |
    | **Attractive (10 Points)** | Professional, appropriate for setting with no spelling or grammar errors; designed with appropriate use of color, graphics, and fonts. Up to 5 points will be deducted if images used are not cited. No APA errors in references. <br>(10 Points) | One or more spelling or grammar errors; design missing graphics and/ or inappropriate fonts. Up to 5 points will be deducted if images used are not cited. 1-2 APA errors in references. <br>(5 Points) | Design or grammar/spelling errors prohibit reading or understanding content and if images used are not cited. 3 or more APA errors in references. <br>(0 Points) |
    | **Appropriate (10 Points)** | Developmentally and age appropriate for audience; within the appropriate time frame (clock time 20-30 minutes)<br>(10 Points) | Not Developmentally and/ or age appropriate for entire target audience and/ or inappropriate time frame for content delivery<br>(5 Points) | Project inappropriate for profession use as not developmentally or age appropriate for audience; and / or project length is too short or too long<br>(0 Points) |

    **Rubric – Project Evaluation**

    | | | | |
    | — | — | — | — |
    | **Task** | **Target** | **Acceptable** | **Unacceptable** |
    | **Evaluation**(50 Points) | Appropriate evaluation tool(s) to assess both quality of presentation and achievement of outcomes.<br>(50 Points) | Appropriate evaluation tool(s) to assess either quality of presentation or achievement of outcomes.<br>(25 Points) | Evaluation tool(s) inadequate for effective assessment of both components<br>(0 Points) |
    | **Professional**(10 Points) | Professional format without spelling errors (this includes evaluation forms) Includes evaluation summary paragraph.<br>(10 Points) | Format with spelling and/ grammar errors and/ or missing evaluation forms. Missing evaluation summary paragraph.<br>(5 Points) | Errors in formatting and/ or spelling and grammar prohibit use in professional setting present <br>(0 Points) |
    | **Grid (20 points)** | Grid is present, complete, with accurate SMART objectives; and APA references specific to the topic <br>(20 points) | Contains errors, is inaccurate, or missing required information with missing grid<br>(10 points) | Grid not included in submission<br>(0 points) |
    | **APA Format (20 points)** | Title page and reference page listed in APA format with a<br>minimum of nine peer reviewed sources <br>(20 Points) | Errors in Title page and/ or Reference page including inaccurate information and APA errors <br>(1-10 Points) | Title page includes errors and references with inaccurate format; <br>(0 Points) |

    **Instructions**

    The written portions for Assignment 2 and 3 are due Saturday night (see details below). However, you will plan and present by Wednesday night in order to have your evaluation tools that you create available to distribute to the audience and address results for the Module 5 Discussion Boards. You need audience feedback to finalize the written portion of the assignment.

    **PowerPoint Portion of Assignment (Assignment 2):**

    **Presentation**

    You will submit a Power Point presentation containing a title slide, 10-15 slides each with comprehensive content demonstrating use of your peer-reviewed sources, and reference slides. Remember to include a source for each image or graphic included on the slides; this is easiest done directly on the slide under or next to the image. Your "talking points" are considered speaker notes and should contain 20-30 minutes of "talk time." Information read directly from the slide should be included in the speaker notes. We recommend you time yourself while reading your speaker notes to determine if your presentation is within the 20-30 minutes for content. Your speaker notes should be written exactly as you would be speaking to your audience. You do need to include citations in your speaker notes. Be sure to include all of your references on the reference slide(s).

    **Evaluation Portion of Project (Assignment 3):**

    **(This will be one document with all of the following included in that document)**

    **Title Page**

    Create a title page according to the standard for the UTA College of Nursing.

    **Evaluation (2 Tools are required – one for quality and one for content)**

    You may create a new Word document for most of the types of evaluation tools you would use, such as tests, questionnaires, charts for observations notes, etc. Create two evaluation tools. Include all in the same file as separate pages with clear headings and instructions designating the use of each tool.

    Other types of evaluation tools you might use are databases or spreadsheets. It is important that you design such tools so that you need only to upload and submit
    _one_ file, though, so if you use a combination of Word documents and spreadsheets, copy/paste the contents of the spreadsheets into the Word document to create a single file.

    **Evaluation form requirements: You must submit two evaluation forms.** One form will address evaluation of content (example: a post-test or survey, audit form) and one form will address quality (rate the presentation, speaker, and environment; consider using a Likert scale).
    **Remember you will create both forms for this assignment**. Do
    not copy forms from other sources. Include the time, place, and who you presented presentation. Also, discussion on the methods you used to evaluate your project. Include why the method, how you will use the results, and plans for improvement.

    **Grid**

    You will include the full completed grid from Module 3. Please be sure to make any needed changes based on feedback from your coach.

    **Evaluation Paragraph**

    You must include at least a paragraph (minimum 100 words) to discuss the methods to evaluate your Project. Include why the method you have chosen to evaluate the project is appropriate. Include in your paragraph how will you will take results from the evaluation and change or improve the presentation.

    **Reference Page**

    Create a formal reference page including all of your nine (or more) references from your project. Please be sure to use formal APA format. Refer to your APA manual for any questions.

    Boyd 21-22

    **## Module3.doc**

    [removed]

    **## CapstoneReferences.docx**

    Wainwright, T. W., Jakobsen, D. H., & Kehlet, H. (2022). The current and future role of nurses within enhanced recovery after surgery pathways.
    _British Journal of Nursing, 31_(12), 656-659.
    [https://doi-org.ezproxy.uta.edu/10.12968/bjon.2022.31.12.656](https://doi-org.ezproxy.uta.edu/10.12968/bjon.2022.31.12.656)

    Vermeulen, L., Duhoux, A., & Karam, M. (2024). Nurse managers’ contribution to the implementation of the enhanced recovery after surgery approach.
    _Nursing Management, 5_(6), 28-37.
    [https://doi.org/10.1097/nmg.0000000000000133](https://doi.org/10.1097/nmg.0000000000000133)

    Akbuga, G. A., & Yilmaz, K. (2025). Obstacles to Compliance and Implementation of ERAS Protocol From Nursing Perspective: A Qualitative Study.
    _Journal of PeriAnesthesia Nursing, 40_(2), 331-336.
    [https://doi-org.ezproxy.uta.edu/10.1016/j.jopan.2024.05.008](https://doi-org.ezproxy.uta.edu/10.1016/j.jopan.2024.05.008)

    Xiaoyan, C., Wenbin, H., Li, D., Lijun, L., Yan, Y., Ting, W., Xueyu, H., Fang, L., Bei, W., & Bilong, F. (2023). Construction and application of enhanced recovery after surgery-optimized management system with nurse-led multidisciplinary cooperation.
    _Nursing Open, 10_(7), 4526-4535.
    [https://doi-org.ezproxy.uta.edu/10.1002/nop2.1696](https://doi-org.ezproxy.uta.edu/10.1002/nop2.1696)

    Gillespie, B. M., Lovegrove, J., & Tobiano, G. (2024). Enhanced recovery after surgery programs: How much do perioperative nurses know?
    _Journal of Perioperative Nursing, 37_(3), e-1-e-4.
    [https://doi-org.ezproxy.uta.edu/10.26550/2209-1092.1354](https://doi-org.ezproxy.uta.edu/10.26550/2209-1092.1354)

    Yilmaz, K., & Ganiyusufoglu, A. (2021). Enhanced recovery after surgery protocols and effective time management in nurses.
    _Journal of Academic Research in Nursing (JAREN), 7_(1), 49-54.
    [https://doi-org.ezproxy.uta.edu/10.55646/jaren.2021.54254](https://doi-org.ezproxy.uta.edu/10.55646/jaren.2021.54254)

    Speth, J. (2025). Guidelines in practice: Implementation of enhanced recovery after surgery: Earn 2.3 contact hours
    _. AORN Journal, 121_(5), 361-370.
    [https://doi-org.ezproxy.uta.edy/10.1002/aorn.14332](https://doi-org.ezproxy.uta.edy/10.1002/aorn.14332)

    **## CapstonePresentation.docx**

    **_N4685 Capstone_**

    Module 5: Capstone Project – Presentation and Evaluation Instructions

    _NOTE: You will create two new electronic files for this assignment instead of typing directly into this document._

    **Overview: Capstone Project – Presentation and Evaluation**

    Your project should represent high-quality work – something you would expect to see in a professional setting. Perhaps your employer will be interested in facilitating its use in a real-life situation! A reminder to observe HIPPA guidelines for confidentiality of patient information if you are using patient data or identifiers.

    You will upload your PowerPoint for grading. You will also upload the forms or documents you would use for evaluation (two evaluation tools will be created) of your information dissemination. These might be in the form of informal observation records and/or formal tests or questionnaires. (This evaluation portion will be submitted as one Word document. See below for all that must be included). There is a separate portal for each portion of the assignment.

    **Objectives**

    Design evaluation tools to accompany your project.

    Locate peer-reviewed articles discussing evidence-based nursing practice. 

    Design evaluation tools to accompany your project. 

    **Rubric – Project Presentation**

    | | | | |
    | — | — | — | — |
    | **Criteria** | **Target** | **Acceptable** | **Unacceptable** |
    | **Accurate (70 Points)** | Accurate presentation of content with differentiation<br>between facts and opinions; well organized with in text citations for useful sources (at least 9). 10-15 content slides with comprehensive speaker notes.<br>(70 Points) | Essential information is included but speaker notes and/or slides lack depth and need additional content and/ or lacking in text citations for useful sources. Outside the required 10-15 content slides.<br>(50 Points) | Errors in content specific information or lack of references prohibit use in professional setting<br>(0 Points) |
    | **Required References**<br>**(10 Points)** | All 9 references included<br>(10 points) | | Less than 9 required references<br>(0 points) |
    | **Attractive (10 Points)** | Professional, appropriate for setting with no spelling or grammar errors; designed with appropriate use of color, graphics, and fonts. Up to 5 points will be deducted if images used are not cited. No APA errors in references. <br>(10 Points) | One or more spelling or grammar errors; design missing graphics and/ or inappropriate fonts. Up to 5 points will be deducted if images used are not cited. 1-2 APA errors in references. <br>(5 Points) | Design or grammar/spelling errors prohibit reading or understanding content and if images used are not cited. 3 or more APA errors in references. <br>(0 Points) |
    | **Appropriate (10 Points)** | Developmentally and age appropriate for audience; within the appropriate time frame (clock time 20-30 minutes)<br>(10 Points) | Not Developmentally and/ or age appropriate for entire target audience and/ or inappropriate time frame for content delivery<br>(5 Points) | Project inappropriate for profession use as not developmentally or age appropriate for audience; and / or project length is too short or too long<br>(0 Points) |

    **Rubric – Project Evaluation**

    | | | | |
    | — | — | — | — |
    | **Task** | **Target** | **Acceptable** | **Unacceptable** |
    | **Evaluation**(50 Points) | Appropriate evaluation tool(s) to assess both quality of presentation and achievement of outcomes.<br>(50 Points) | Appropriate evaluation tool(s) to assess either quality of presentation or achievement of outcomes.<br>(25 Points) | Evaluation tool(s) inadequate for effective assessment of both components<br>(0 Points) |
    | **Professional**(10 Points) | Professional format without spelling errors (this includes evaluation forms) Includes evaluation summary paragraph.<br>(10 Points) | Format with spelling and/ grammar errors and/ or missing evaluation forms. Missing evaluation summary paragraph.<br>(5 Points) | Errors in formatting and/ or spelling and grammar prohibit use in professional setting present <br>(0 Points) |
    | **Grid (20 points)** | Grid is present, complete, with accurate SMART objectives; and APA references specific to the topic <br>(20 points) | Contains errors, is inaccurate, or missing required information with missing grid<br>(10 points) | Grid not included in submission<br>(0 points) |
    | **APA Format (20 points)** | Title page and reference page listed in APA format with a<br>minimum of nine peer reviewed sources <br>(20 Points) | Errors in Title page and/ or Reference page including inaccurate information and APA errors <br>(1-10 Points) | Title page includes errors and references with inaccurate format; <br>(0 Points) |

    **Instructions**

    The written portions for Assignment 2 and 3 are due Saturday night (see details below). However, you will plan and present by Wednesday night in order to have your evaluation tools that you create available to distribute to the audience and address results for the Module 5 Discussion Boards. You need audience feedback to finalize the written portion of the assignment.

    **PowerPoint Portion of Assignment (Assignment 2):**

    **Presentation**

    You will submit a Power Point presentation containing a title slide, 10-15 slides each with comprehensive content demonstrating use of your peer-reviewed sources, and reference slides. Remember to include a source for each image or graphic included on the slides; this is easiest done directly on the slide under or next to the image. Your "talking points" are considered speaker notes and should contain 20-30 minutes of "talk time." Information read directly from the slide should be included in the speaker notes. We recommend you time yourself while reading your speaker notes to determine if your presentation is within the 20-30 minutes for content. Your speaker notes should be written exactly as you would be speaking to your audience. You do need to include citations in your speaker notes. Be sure to include all of your references on the reference slide(s).

    **Evaluation Portion of Project (Assignment 3):**

    **(This will be one document with all of the following included in that document)**

    **Title Page**

    Create a title page according to the standard for the UTA College of Nursing.

    **Evaluation (2 Tools are required – one for quality and one for content)**

    You may create a new Word document for most of the types of evaluation tools you would use, such as tests, questionnaires, charts for observations notes, etc. Create two evaluation tools. Include all in the same file as separate pages with clear headings and instructions designating the use of each tool.

    Other types of evaluation tools you might use are databases or spreadsheets. It is important that you design such tools so that you need only to upload and submit
    _one_ file, though, so if you use a combination of Word documents and spreadsheets, copy/paste the contents of the spreadsheets into the Word document to create a single file.

    **Evaluation form requirements: You must submit two evaluation forms.** One form will address evaluation of content (example: a post-test or survey, audit form) and one form will address quality (rate the presentation, speaker, and environment; consider using a Likert scale).
    **Remember you will create both forms for this assignment**. Do
    not copy forms from other sources. Include the time, place, and who you presented presentation. Also, discussion on the methods you used to evaluate your project. Include why the method, how you will use the results, and plans for improvement.

    **Grid**

    You will include the full completed grid from Module 3. Please be sure to make any needed changes based on feedback from your coach.

    **Evaluation Paragraph**

    You must include at least a paragraph (minimum 100 words) to discuss the methods to evaluate your Project. Include why the method you have chosen to evaluate the project is appropriate. Include in your paragraph how will you will take results from the evaluation and change or improve the presentation.

    **Reference Page**

    Create a formal reference page including all of your nine (or more) references from your project. Please be sure to use formal APA format. Refer to your APA manual for any questions.

    Boyd 21-22

  • [Solved] discussion/reply

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – a year ago **files (1)** – ## discussion.docx **## discussion.docx** Certification and Licensure ![A few women in scrubs smiling AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/discussionreply) Now that you are in your final course in your program, it is time to turn i…

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    Assignment Prompt & Instructions

    – a year ago

    **files (1)**

    – ## discussion.docx

    **## discussion.docx**

    Certification and Licensure

    ![A few women in scrubs smiling AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/discussionreply)

    Now that you are in your final course in your program, it is time to turn in earnest to preparing for certification and licensure. You will need to take and pass a national FNP certification exam.  Once certified, you will then be eligible to apply for licensure as an advanced practice registered nurse (APRN) in the state desired. It will be up to you to ensure you are knowledgeable about the practice agreements, scope of practice, and prescriptive authority in your state.

    Although there is a movement called the APRN Consensus Model to standardize NP regulations nationally, it is still the case that requirements vary state to state. In some states, NPs may establish independent practice without the supervision of an MD. Additionally, states are currently categorized as either allowing full practice, reduced practice, or restricted practice. Full practice states allow NPs to evaluate, order diagnostics, diagnose, and treat patients. They are licensed under the exclusive authority of the state board of nursing for the appropriate state. Many states may require prescriptive authority protocols in addition to collaborative agreement.

    Another important area to consider and plan for is prescriptive authority. Prescriptive authority is granted under state law by the appropriate board. The board granting prescriptive authority may be the medical board, state board of pharmacy, or nursing board for the appropriate state licensure being pursued. The authority to write for a
    controlled substance is granted at a federal level and is verified through the Drug Enforcement Administration (DEA) by the appropriate state board. Drug Enforcement Agency registration is granted at the federal level and has additional requirements/fees for the registration process.

    Finally, the legal landscape for NPs is constantly changing as the status of NPs as providers improves on a national level. Legislative changes may occur annually, bi-annually, or during an emergency legislative meeting at the state or federal level. These legislative sessions and any subsequent changes will significantly impact your scope of practice as a nurse practitioner.

    For this Discussion, you examine professional issues for your state, including certification and licensure, scope of practice, independent practice, prescriptive authority, and legislative activities.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/169753/modules/items/6958630)

    [https://www.aanp.org/advocacy/state/state-practice-environment](https://www.aanp.org/advocacy/state/state-practice-environment)

    **To prepare:**

    · Review practice agreements in your state.

    · Identify whether your state requires physician collaboration or supervision for nurse practitioners and, if so, what those requirements are.

    · Research the following:

    · How do you get certified and licensed in your state?

    · What is the application process for certification in your state?

    · What is the primary nurse licensure office resource website in your state?

    · How does your state define the scope of practice of a nurse practitioner?

    · What is included in your state’s practice agreement?

    · How do you get a Drug Enforcement Agency (DEA) license?

    · How does your state describe a nurse practitioner’s controlled-substance prescriptive authority and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?

    · In what legislative and advocacy activities are your state nurse practitioner organization(s) involved?

    By Day 3

    **Post** a summary of your findings on your state based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Be specific. Also, describe what surprised you from your research.

    **Read** a selection of your colleagues’ responses.

    By Day 6

    **Respond** to at least
    **two** of your colleagues on
    **2 different days** in one or more of the ways listed below.

    · Share an insight from having viewed your colleagues’ posts.

    · Suggest additional actions or perspectives.

    · Share insights after comparing state processes, roles, and limitations.

    · Suggest a way to advocate for the profession.

    · Share resources with those who are in your state.

    ## image1.jpeg

    **## discussion.docx**

    Certification and Licensure

    ![A few women in scrubs smiling AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/discussionreply)

    Now that you are in your final course in your program, it is time to turn in earnest to preparing for certification and licensure. You will need to take and pass a national FNP certification exam.  Once certified, you will then be eligible to apply for licensure as an advanced practice registered nurse (APRN) in the state desired. It will be up to you to ensure you are knowledgeable about the practice agreements, scope of practice, and prescriptive authority in your state.

    Although there is a movement called the APRN Consensus Model to standardize NP regulations nationally, it is still the case that requirements vary state to state. In some states, NPs may establish independent practice without the supervision of an MD. Additionally, states are currently categorized as either allowing full practice, reduced practice, or restricted practice. Full practice states allow NPs to evaluate, order diagnostics, diagnose, and treat patients. They are licensed under the exclusive authority of the state board of nursing for the appropriate state. Many states may require prescriptive authority protocols in addition to collaborative agreement.

    Another important area to consider and plan for is prescriptive authority. Prescriptive authority is granted under state law by the appropriate board. The board granting prescriptive authority may be the medical board, state board of pharmacy, or nursing board for the appropriate state licensure being pursued. The authority to write for a
    controlled substance is granted at a federal level and is verified through the Drug Enforcement Administration (DEA) by the appropriate state board. Drug Enforcement Agency registration is granted at the federal level and has additional requirements/fees for the registration process.

    Finally, the legal landscape for NPs is constantly changing as the status of NPs as providers improves on a national level. Legislative changes may occur annually, bi-annually, or during an emergency legislative meeting at the state or federal level. These legislative sessions and any subsequent changes will significantly impact your scope of practice as a nurse practitioner.

    For this Discussion, you examine professional issues for your state, including certification and licensure, scope of practice, independent practice, prescriptive authority, and legislative activities.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/169753/modules/items/6958630)

    [https://www.aanp.org/advocacy/state/state-practice-environment](https://www.aanp.org/advocacy/state/state-practice-environment)

    **To prepare:**

    · Review practice agreements in your state.

    · Identify whether your state requires physician collaboration or supervision for nurse practitioners and, if so, what those requirements are.

    · Research the following:

    · How do you get certified and licensed in your state?

    · What is the application process for certification in your state?

    · What is the primary nurse licensure office resource website in your state?

    · How does your state define the scope of practice of a nurse practitioner?

    · What is included in your state’s practice agreement?

    · How do you get a Drug Enforcement Agency (DEA) license?

    · How does your state describe a nurse practitioner’s controlled-substance prescriptive authority and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?

    · In what legislative and advocacy activities are your state nurse practitioner organization(s) involved?

    By Day 3

    **Post** a summary of your findings on your state based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Be specific. Also, describe what surprised you from your research.

    **Read** a selection of your colleagues’ responses.

    By Day 6

    **Respond** to at least
    **two** of your colleagues on
    **2 different days** in one or more of the ways listed below.

    · Share an insight from having viewed your colleagues’ posts.

    · Suggest additional actions or perspectives.

    · Share insights after comparing state processes, roles, and limitations.

    · Suggest a way to advocate for the profession.

    · Share resources with those who are in your state.

    ## image1.jpeg

  • [Solved] create a poster or brochure

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    The Impact of Screen Time on Child Development and what to do to remedy this – a year ago **files (1)** – ## NURS4015-ArticlePresentationGradingCriteria.pdf **## NURS4015-ArticlePresentationGradingCriteria.pdf** Child and Family Health Nursing (Pediatrics) Article Presentation The post-conference pr…

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    Assignment Prompt & Instructions

    The Impact of Screen Time on Child Development and what to do to remedy this

    – a year ago

    **files (1)**

    – ## NURS4015-ArticlePresentationGradingCriteria.pdf

    **## NURS4015-ArticlePresentationGradingCriteria.pdf**

    Child and Family Health Nursing (Pediatrics)

    Article Presentation

    The post-conference presentation will occur during post-conference. The student

    will choose a topic relating to the pediatric field. Information presented may be a

    teaching tool to anyone who has access to the pediatric population either as a

    hospital personnel or layperson. This information should come from a scholarly

    source other than your book and may include a scholarly medical website. The

    presentation should be approximately 5 to 10 minutes followed by a 5 to 10 minute

    discussion relating to the question asked by the presenter. The goal is to have a

    quality discussion based on the information presented so please choose a topic that

    will allow others to express their opinions.

    Below is the grading criterion for your presentation.

    Criteria Total Points Points Earned

    Presentation pertains to pediatric

    situations/concepts
    10

    Presentation was at least 5 minutes 5

    Provides for opportunities to learn how to

    be a better nurse, parent, aunt/uncle etc.
    15

    Presenter was able to elicit

    feedback/discussion
    10

    Discussion question appropriate to

    presentation
    10

    Total Points 50

    Comments:

    **## NURS4015-ArticlePresentationGradingCriteria.pdf**

    Child and Family Health Nursing (Pediatrics)

    Article Presentation

    The post-conference presentation will occur during post-conference. The student

    will choose a topic relating to the pediatric field. Information presented may be a

    teaching tool to anyone who has access to the pediatric population either as a

    hospital personnel or layperson. This information should come from a scholarly

    source other than your book and may include a scholarly medical website. The

    presentation should be approximately 5 to 10 minutes followed by a 5 to 10 minute

    discussion relating to the question asked by the presenter. The goal is to have a

    quality discussion based on the information presented so please choose a topic that

    will allow others to express their opinions.

    Below is the grading criterion for your presentation.

    Criteria Total Points Points Earned

    Presentation pertains to pediatric

    situations/concepts
    10

    Presentation was at least 5 minutes 5

    Provides for opportunities to learn how to

    be a better nurse, parent, aunt/uncle etc.
    15

    Presenter was able to elicit

    feedback/discussion
    10

    Discussion question appropriate to

    presentation
    10

    Total Points 50

    Comments:

  • [Solved] Bb week 4 soap

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Bb week 4 soap – a year ago **files (1)** – ## SOAPNoteTemplate-Final281292.docx **## SOAPNoteTemplate-Final281292.docx** | | | | — | — | | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon En…

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    Bb week 4 soap

    – a year ago

    **files (1)**

    – ## SOAPNoteTemplate-Final281292.docx

    **## SOAPNoteTemplate-Final281292.docx**

    | | |
    | — | — |
    | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _____________________<br>**Comprehensive:____Focused:____** |

    | | | |
    | — | — | — |
    | S: SUBJECTIVE DATA |
    | CC: | What are they being seen for? This is the reason that the patient sought care, stated in their own words/words of their caregiver, or paraphrased. |
    | HPI: | Use the “OLDCART” approach for collecting data and documenting findings. [O=onset, L=location, D=duration, C=characteristics, A=associated/aggravating factors, R=relieving factors, T=treatment, S=summary] |
    | PMH: | This should include past illness/diagnosis, conditions, traumas, hospitalizations, and surgical history. Include dates if possible. |
    | ALLERGIES | State the offending medication/food and the reactions. |
    | MEDICATIONS | Names, dosages, and routes of administration along with indication of use. |
    | SH | Related to the problem, educational level/literacy, smoking, alcohol, drugs, HIV risk, sexually active, caffeine, work and other stressors. Cultural and spiritual beliefs that impact health and illness. Financial resources. |
    | FH | Use terms like maternal, paternal, and the diseases along with the ages they were deceased or diagnosed if known. |
    | HEALTH PROMOTION & MAINTENANCE | **Required for all SOAP notes:** Immunizations, exercise, diet, etc. Remember to use the <br>[United States Clinical Preventative Services Task Force (USPSTF)](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations) for age-appropriate indicators. This should reflect what the patient is presently doing regarding the guidelines. Other wellness visits including but not limited to dental and eye exams. |
    | ROS <br>(put N/A in sections not completed day of exam) | Constitutional | |
    | | Head | |
    | | Eyes | |
    | | Ears, Nose, Mouth, Throat | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric (screening tools: Ex: PHQ-9, MMSE, GAD-7) | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | | | |
    | — | — | — | — | — |
    | O: OBJECTIVE DATA |
    | VITALS: | HR: | RR: | BP: | Temp: |
    | | SpO2%: | Ht: | Wt: | BMI: |
    | | Age: | LMP: | PAIN: | |
    | PHYSICAL EXAM <br> <br>(Pertinent data related to presenting problem or visit type. Put N/A in sections not completed day of exam) | General Appearance | |
    | | Head | |
    | | Eyes | |
    | | ENT, Mouth | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary Male |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Genitourinary Female |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | |
    | — | — | — |
    | A: ASSESSMENT AND DIAGNOSIS |
    | | DIAGNOSIS | ICD-10 CODES |
    | PRIORITIZE DIAGNOSIS | 1. | |
    | | 2. | |
    | | 3. | |

    | | | | |
    | — | — | — | — |
    | VISIT CODES | | CPT BILLING CODES | |
    | DIAGNOSTICS | | POC TESTING | |
    | | | TESTS REVIEWED | |

    | | | |
    | — | — | — |
    | P: PLAN |
    | ACTIONS | 1. | Diagnosis: <br>Diagnostics Order: labs, diagnostics testing (tests that you planned for/ordered during the encounter that you plan to review/evaluate relative to your work up for the patient’s chief complaint.)<br>Therapeutic: changes in meds, skin care, counseling, include full prescribing information for any pharmacologic interventions including quantity and number of refills for any new or refilled medications. (Ex: Amoxicillin 500mg, PO, q12h, x 7 days, #14, no refills)<br>Education: information clients need in order to address their health problems. Include follow-up care. Anticipatory guidance and counseling.<br>Consultation/Collaboration: referrals or consult while in clinic with another provider. If no referral made was there a possible referral you could make and why? Advance care planning. |
    | | 2. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | | 3. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | PREVENTITIVE <br> <br>(Used for comprehensive exams) | | Enter Guidance, Health Promotion, and/or Disease Prevention for patient, family, and/or caregiver. |
    | FOLLOW UP | | |

    **## SOAPNoteTemplate-Final281292.docx**

    | | |
    | — | — |
    | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _____________________<br>**Comprehensive:____Focused:____** |

    | | | |
    | — | — | — |
    | S: SUBJECTIVE DATA |
    | CC: | What are they being seen for? This is the reason that the patient sought care, stated in their own words/words of their caregiver, or paraphrased. |
    | HPI: | Use the “OLDCART” approach for collecting data and documenting findings. [O=onset, L=location, D=duration, C=characteristics, A=associated/aggravating factors, R=relieving factors, T=treatment, S=summary] |
    | PMH: | This should include past illness/diagnosis, conditions, traumas, hospitalizations, and surgical history. Include dates if possible. |
    | ALLERGIES | State the offending medication/food and the reactions. |
    | MEDICATIONS | Names, dosages, and routes of administration along with indication of use. |
    | SH | Related to the problem, educational level/literacy, smoking, alcohol, drugs, HIV risk, sexually active, caffeine, work and other stressors. Cultural and spiritual beliefs that impact health and illness. Financial resources. |
    | FH | Use terms like maternal, paternal, and the diseases along with the ages they were deceased or diagnosed if known. |
    | HEALTH PROMOTION & MAINTENANCE | **Required for all SOAP notes:** Immunizations, exercise, diet, etc. Remember to use the <br>[United States Clinical Preventative Services Task Force (USPSTF)](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations) for age-appropriate indicators. This should reflect what the patient is presently doing regarding the guidelines. Other wellness visits including but not limited to dental and eye exams. |
    | ROS <br>(put N/A in sections not completed day of exam) | Constitutional | |
    | | Head | |
    | | Eyes | |
    | | Ears, Nose, Mouth, Throat | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric (screening tools: Ex: PHQ-9, MMSE, GAD-7) | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | | | |
    | — | — | — | — | — |
    | O: OBJECTIVE DATA |
    | VITALS: | HR: | RR: | BP: | Temp: |
    | | SpO2%: | Ht: | Wt: | BMI: |
    | | Age: | LMP: | PAIN: | |
    | PHYSICAL EXAM <br> <br>(Pertinent data related to presenting problem or visit type. Put N/A in sections not completed day of exam) | General Appearance | |
    | | Head | |
    | | Eyes | |
    | | ENT, Mouth | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary Male |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Genitourinary Female |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | |
    | — | — | — |
    | A: ASSESSMENT AND DIAGNOSIS |
    | | DIAGNOSIS | ICD-10 CODES |
    | PRIORITIZE DIAGNOSIS | 1. | |
    | | 2. | |
    | | 3. | |

    | | | | |
    | — | — | — | — |
    | VISIT CODES | | CPT BILLING CODES | |
    | DIAGNOSTICS | | POC TESTING | |
    | | | TESTS REVIEWED | |

    | | | |
    | — | — | — |
    | P: PLAN |
    | ACTIONS | 1. | Diagnosis: <br>Diagnostics Order: labs, diagnostics testing (tests that you planned for/ordered during the encounter that you plan to review/evaluate relative to your work up for the patient’s chief complaint.)<br>Therapeutic: changes in meds, skin care, counseling, include full prescribing information for any pharmacologic interventions including quantity and number of refills for any new or refilled medications. (Ex: Amoxicillin 500mg, PO, q12h, x 7 days, #14, no refills)<br>Education: information clients need in order to address their health problems. Include follow-up care. Anticipatory guidance and counseling.<br>Consultation/Collaboration: referrals or consult while in clinic with another provider. If no referral made was there a possible referral you could make and why? Advance care planning. |
    | | 2. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | | 3. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | PREVENTITIVE <br> <br>(Used for comprehensive exams) | | Enter Guidance, Health Promotion, and/or Disease Prevention for patient, family, and/or caregiver. |
    | FOLLOW UP | | |

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