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  • [Solved] WK3 DISCUSSION1 HP-216

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    COMPLETE IN DETAIL 250 WORDS – ## WK3DISCUSSION1HP-216.docx **## WK3DISCUSSION1HP-216.docx** WK3 DISCUSSION1 HP-216 Evolving Industry Trends How has your exploration of billing and coding certification exams influenced your understanding of the industry's evolving trends? Share any new insights you'…

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    COMPLETE IN DETAIL 250 WORDS

    – ## WK3DISCUSSION1HP-216.docx

    **## WK3DISCUSSION1HP-216.docx**

    WK3 DISCUSSION1 HP-216

    Evolving Industry Trends

    How has your exploration of billing and coding certification exams influenced your understanding of the industry's evolving trends? Share any new insights you've gained regarding emerging technologies, coding guidelines, or industry best practices. Engage with your peers to discuss how staying informed about these trends can impact your future career in billing and coding.

    **## WK3DISCUSSION1HP-216.docx**

    WK3 DISCUSSION1 HP-216

    Evolving Industry Trends

    How has your exploration of billing and coding certification exams influenced your understanding of the industry's evolving trends? Share any new insights you've gained regarding emerging technologies, coding guidelines, or industry best practices. Engage with your peers to discuss how staying informed about these trends can impact your future career in billing and coding.

  • [Solved] WK3 DISCUSSION2 HP-216

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    COMPLETE IN DETAIL 250 WORDS – ## WK3DISCUSSION2HP-216.docx **## WK3DISCUSSION2HP-216.docx** WK3 DISCUSSION2 HP-216 Surgical Package and Global Period General surgeons have a wide variety of responsibilities that include treating injuries, correcting deformities, and treating diseases primarily thro…

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    COMPLETE IN DETAIL 250 WORDS

    – ## WK3DISCUSSION2HP-216.docx

    **## WK3DISCUSSION2HP-216.docx**

    WK3 DISCUSSION2 HP-216

    Surgical Package and Global Period

    General surgeons have a wide variety of responsibilities that include treating injuries, correcting deformities, and treating diseases primarily through operations. General surgeons routinely perform many kinds of operations. Knowledgeable and highly trained in anatomy and a range of diseases, general surgeons perform operations on the skin to other body organs.

    Imagine that you’re working for a busy general surgeon’s office. You are responsible for the scheduling and coding for many of the surgeries done in this office. The weekly reading provides you with some very useful information on the surgical package and global period.

    Apply coding concepts related to surgical package and Global Period.

    Include the following aspects in the discussion:

    · Provide a definition of “surgical package” and include what services might be included in addition to the actual surgical procedure.

    · Review CMS categorizes surgeries as major and minor and established 3 “global periods”.

    · What are the three global periods (not already provided in 3-2-1 Code It or mentioned in another student's posting)

    · Provide a surgery CPT code and description example for each of the three

    ·
    Discuss why the Centers for Medicare and Medicaid Services (CMS) established these descriptions in 1992.

    **## WK3DISCUSSION2HP-216.docx**

    WK3 DISCUSSION2 HP-216

    Surgical Package and Global Period

    General surgeons have a wide variety of responsibilities that include treating injuries, correcting deformities, and treating diseases primarily through operations. General surgeons routinely perform many kinds of operations. Knowledgeable and highly trained in anatomy and a range of diseases, general surgeons perform operations on the skin to other body organs.

    Imagine that you’re working for a busy general surgeon’s office. You are responsible for the scheduling and coding for many of the surgeries done in this office. The weekly reading provides you with some very useful information on the surgical package and global period.

    Apply coding concepts related to surgical package and Global Period.

    Include the following aspects in the discussion:

    · Provide a definition of “surgical package” and include what services might be included in addition to the actual surgical procedure.

    · Review CMS categorizes surgeries as major and minor and established 3 “global periods”.

    · What are the three global periods (not already provided in 3-2-1 Code It or mentioned in another student's posting)

    · Provide a surgery CPT code and description example for each of the three

    ·
    Discuss why the Centers for Medicare and Medicaid Services (CMS) established these descriptions in 1992.

  • [Solved] WK3 QUESTION1 HP-216

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    COMPLETE QUESTIONS – ## WK3QUESTION1HP-216.docx **## WK3QUESTION1HP-216.docx** WK1 QUESTION1 HP-216 Instructions: Assign the most appropriate CPT procedure code(s) including any needed modifiers. Question 1) The patient presented with the complaint of severe photophobia. The patient stated that this…

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    COMPLETE QUESTIONS

    – ## WK3QUESTION1HP-216.docx

    **## WK3QUESTION1HP-216.docx**

    WK1 QUESTION1 HP-216

    Instructions: Assign the most appropriate CPT procedure code(s) including any needed modifiers.

    Question

    1) The patient presented with the complaint of severe photophobia. The patient stated that this was present in the left eye only. After the surface of the corneal defect was scraped with a spatula, it was taken for culture to determine the diagnosis. Assign CPT code(s): FILL IN BLANK

    2) The patient presents with a traumatic subperiosteal hematoma of the left eyeball. A fine needle was inserted directly into the eyeball area and aspirated blood. No incision was made, and no repair was required. (Initial encounter)

    Assign CPT codeFILL IN BLANK

    3) Patient presents for removal of ventilating tubes (myringotomy devices) due to resolution of right and left middle and inner ear problems. With the patient under general mask anesthesia, the left ear was examined and the tube was removed. No abnormalities in the ear structure were visualized. The same procedure was repeated on the right ear. Estimated blood loss was nil. No complications. Assign CPT code(s)FILL IN BLANK

    4) Epidural injection, blood patch. Which code is assigned?

    Responses

    · 62263

    · 62272

    · 62273

    ·
    62281

    5) Laser surgery correction of ingrown eyelash of the right eye. Which code is assigned?

    Responses

    · 67820-RT

    · 67825-RT

    · 67830-RT

    ·
    67840-RT

    6)Complete removal of right adrenal gland using a laparoscope. Which code is assigned?

    Responses

    · 60540-RT

    · 60545-RT

    · 60650-RT

    ·
    60659-RT

    7) Decompression internal auditory canal, middle fossa approach left ear. Which code is assigned?

    Responses

    · 61591-LT

    · 69420-LT

    · 69440-LT

    ·
    69960-LT

    8) A patient with Bell's palsy undergoes total facial nerve decompression. Which code is assigned?

    Responses

    · 64742

    · 64771

    · 64864

    ·
    69955

    9) A patient suffers from strabismus. Resection of the right lateral rectus horizontal muscle was done with absorbable sutures. Which code(s) are assigned?

    Responses

    · 67311-RT

    · 67311-RT, 67335-51-RT

    · 67311-RT, 67335-RT

    ·
    67314-RT, 67335-RT

    10) Patient underwent complete removal of right thyroid lobe on October 13. Patient had right partial thyroid lobe removed five years ago. Which code is assigned?

    Responses

    · 60220-RT

    · 60240

    · 60260-RT

    ·
    60270

    **## WK3QUESTION1HP-216.docx**

    WK1 QUESTION1 HP-216

    Instructions: Assign the most appropriate CPT procedure code(s) including any needed modifiers.

    Question

    1) The patient presented with the complaint of severe photophobia. The patient stated that this was present in the left eye only. After the surface of the corneal defect was scraped with a spatula, it was taken for culture to determine the diagnosis. Assign CPT code(s): FILL IN BLANK

    2) The patient presents with a traumatic subperiosteal hematoma of the left eyeball. A fine needle was inserted directly into the eyeball area and aspirated blood. No incision was made, and no repair was required. (Initial encounter)

    Assign CPT codeFILL IN BLANK

    3) Patient presents for removal of ventilating tubes (myringotomy devices) due to resolution of right and left middle and inner ear problems. With the patient under general mask anesthesia, the left ear was examined and the tube was removed. No abnormalities in the ear structure were visualized. The same procedure was repeated on the right ear. Estimated blood loss was nil. No complications. Assign CPT code(s)FILL IN BLANK

    4) Epidural injection, blood patch. Which code is assigned?

    Responses

    · 62263

    · 62272

    · 62273

    ·
    62281

    5) Laser surgery correction of ingrown eyelash of the right eye. Which code is assigned?

    Responses

    · 67820-RT

    · 67825-RT

    · 67830-RT

    ·
    67840-RT

    6)Complete removal of right adrenal gland using a laparoscope. Which code is assigned?

    Responses

    · 60540-RT

    · 60545-RT

    · 60650-RT

    ·
    60659-RT

    7) Decompression internal auditory canal, middle fossa approach left ear. Which code is assigned?

    Responses

    · 61591-LT

    · 69420-LT

    · 69440-LT

    ·
    69960-LT

    8) A patient with Bell's palsy undergoes total facial nerve decompression. Which code is assigned?

    Responses

    · 64742

    · 64771

    · 64864

    ·
    69955

    9) A patient suffers from strabismus. Resection of the right lateral rectus horizontal muscle was done with absorbable sutures. Which code(s) are assigned?

    Responses

    · 67311-RT

    · 67311-RT, 67335-51-RT

    · 67311-RT, 67335-RT

    ·
    67314-RT, 67335-RT

    10) Patient underwent complete removal of right thyroid lobe on October 13. Patient had right partial thyroid lobe removed five years ago. Which code is assigned?

    Responses

    · 60220-RT

    · 60240

    · 60260-RT

    ·
    60270

  • [Solved] WK3 QUESTION2 HP-216

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    COMPLETE QUESTIONS – ## WK3QUESTION2HP-216.docx **## WK3QUESTION2HP-216.docx** WK3 QUESTION2 HP-216 Instructions: Assign the most appropriate CPT procedure code(s) including any needed modifiers. Question 1) GALLBLADDER ULTRASOUND REASON FOR EXAM: Right upper quadrant abdominal pain. Multiple B-mode…

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    COMPLETE QUESTIONS

    – ## WK3QUESTION2HP-216.docx

    **## WK3QUESTION2HP-216.docx**

    WK3 QUESTION2 HP-216

    Instructions: Assign the most appropriate CPT procedure code(s) including any needed modifiers.

    Question

    1) GALLBLADDER ULTRASOUND

    REASON FOR EXAM: Right upper quadrant abdominal pain.

    Multiple B-mode scans of right upper quadrant reveal good visualization of the gallbladder. There are several small, dense echoes in the dependent portion of the gallbladder with acoustic shadowing defects distally. The findings are suggestive of cholelithiasis. The rest of the abdominal cavity organs appear normal in size and appearance; this includes the liver, pancreas, spleen, and kidneys.

    Assign CPT code(s): FILL IN BLANK

    2) X-RAY OF CERVICAL SPINE, ANTEROPOSTERIOR AND ODONTOID VIEWS; X-RAY OF LUMBOSACRAL SPINE, ANTEROPOSTERIOR, ODONTOID, AND OBLIQUE VIEWS

    REASON FOR EXAM: Rule out lumbar fracture. Lumbar back pain.

    No fractures or dislocations are evident. A total of four views are obtained of the lumbar spine, which show the lumbar vertebrae to be normal. The alignment is anatomical. The disc spaces and intervertebral foramina are well maintained.

    IMPRESSION: Normal lumbar and cervical spine

    Assign CPT code(s): FILL IN BLANK, FILL IN BLANK

    3) X-RAY, RIGHT RIBS

    REASON FOR EXAM: Rib pain.

    Two views reveal no evidence of any rib fracture. The underlying lung is normal. The heart is moderately enlarged, and there is evidence of coronary artery surgery. Incidentally demonstrated is a 4-cm laminated gallstone in the right upper abdomen.

    Assign CPT code(s): FILL IN BLANK

    4) X-RAY, LEFT WRIST; X-RAY, LEFT SHOULDER

    REASON FOR EXAM: Pain, left shoulder. Check left wrist closed (lower end) fracture healing and left humerus (upper end) closed fracture healing.

    LEFT WRIST: Anteroposterior and lateral views taken through plaster show that the fracture of the distal radius remains in excellent alignment.

    LEFT SHOULDER: Multiple views of the left shoulder show that the fracture of the upper end of left humerus is in excellent alignment.

    Assign CPT code(s): FILL IN BLANK, FILL IN BLANK

    5) X-RAY, CHEST, TWO VIEWS

    REASON FOR EXAM: Shortness of breath.

    The lungs are clear. No pleural effusion. The heart is normal. Pneumothoracic scoliosis is noted. In comparison with the previous examination of 10/10/YY, there is no essential interval change.

    The patient has known pneumothoracic scoliosis and has long experienced shortness of breath. The patient's primary care provider monitors increased shortness of breath via chest X-ray to determine if it has become lung-related. For this encounter, the shortness of breath remains related to pneumothoracic scoliosis. Reason for chest x-ray is shortness of breath.

    SUMMARY: Negative.

    Assign CPT code(s): FILL IN BLANK

    6) X-RAY, LEFT MANDIBLE

    REASON FOR EXAM: Pain in jaw.

    Three views of the left mandible show no definite evidence of a fracture. However, the mandible is not optimally visualized in this study.

    Assign CPT code(s):FILL IN THE BLANK

    7) LIVER AND SPLEEN SCAN, WITH VASCULAR FLOW

    REASON FOR EXAM: Abnormal liver function studies per laboratory report.

    The liver and spleen were imaged under vascular flow. The liver is slightly enlarged, but good flow was seen. The spleen appears normal.

    Assign CPT code(s)FILL IN BLANK

    8) CT SCAN OF LUMBAR SPINE

    REASON FOR EXAM: Lumbar back pain.

    Axial images were obtained throughout L3, L4, and L5 levels using magnification technique. There is disc material protruding from the posterior aspect of L4 level on the right sde. This is causing almost complete obliteration of the nerve canal and measures roughly 6 mm in size. The remainder of this disc as well as L3 and L5 disc levels appear normal.

    CONCLUSION: Findings consistent with a herniated disc at L4 level on the right side.

    DIAGNOSIS: Herniated disc, L4, right.

    Assign CPT code(s) FILL IN BLANK

    9) X-RAY, LEFT ELBOW

    REASON FOR EXAM: Elbow pain, left.

    Anteroposterior and lateral views are normal.

    Assign CPT code(s FILL IN BLANK

    10) X-RAY, LEFT SHOULDER

    REASON FOR EXAM: Pain, left shoulder. Rule out fracture.

    Anteroposterior and lateral views reveal a comminuted, slightly angulated, closed fracture of the neck of the humerus. I do not see any other acute abnormality. There is an old healed fracture of the left clavicle.

    DIAGNOSIS: Comminuted nondisplaced closed fracture, neck of left humerus. (Initial encounter for closed fracture.)

    Assign CPT code(s): FILL IN BLANK

    **## WK3QUESTION2HP-216.docx**

    WK3 QUESTION2 HP-216

    Instructions: Assign the most appropriate CPT procedure code(s) including any needed modifiers.

    Question

    1) GALLBLADDER ULTRASOUND

    REASON FOR EXAM: Right upper quadrant abdominal pain.

    Multiple B-mode scans of right upper quadrant reveal good visualization of the gallbladder. There are several small, dense echoes in the dependent portion of the gallbladder with acoustic shadowing defects distally. The findings are suggestive of cholelithiasis. The rest of the abdominal cavity organs appear normal in size and appearance; this includes the liver, pancreas, spleen, and kidneys.

    Assign CPT code(s): FILL IN BLANK

    2) X-RAY OF CERVICAL SPINE, ANTEROPOSTERIOR AND ODONTOID VIEWS; X-RAY OF LUMBOSACRAL SPINE, ANTEROPOSTERIOR, ODONTOID, AND OBLIQUE VIEWS

    REASON FOR EXAM: Rule out lumbar fracture. Lumbar back pain.

    No fractures or dislocations are evident. A total of four views are obtained of the lumbar spine, which show the lumbar vertebrae to be normal. The alignment is anatomical. The disc spaces and intervertebral foramina are well maintained.

    IMPRESSION: Normal lumbar and cervical spine

    Assign CPT code(s): FILL IN BLANK, FILL IN BLANK

    3) X-RAY, RIGHT RIBS

    REASON FOR EXAM: Rib pain.

    Two views reveal no evidence of any rib fracture. The underlying lung is normal. The heart is moderately enlarged, and there is evidence of coronary artery surgery. Incidentally demonstrated is a 4-cm laminated gallstone in the right upper abdomen.

    Assign CPT code(s): FILL IN BLANK

    4) X-RAY, LEFT WRIST; X-RAY, LEFT SHOULDER

    REASON FOR EXAM: Pain, left shoulder. Check left wrist closed (lower end) fracture healing and left humerus (upper end) closed fracture healing.

    LEFT WRIST: Anteroposterior and lateral views taken through plaster show that the fracture of the distal radius remains in excellent alignment.

    LEFT SHOULDER: Multiple views of the left shoulder show that the fracture of the upper end of left humerus is in excellent alignment.

    Assign CPT code(s): FILL IN BLANK, FILL IN BLANK

    5) X-RAY, CHEST, TWO VIEWS

    REASON FOR EXAM: Shortness of breath.

    The lungs are clear. No pleural effusion. The heart is normal. Pneumothoracic scoliosis is noted. In comparison with the previous examination of 10/10/YY, there is no essential interval change.

    The patient has known pneumothoracic scoliosis and has long experienced shortness of breath. The patient's primary care provider monitors increased shortness of breath via chest X-ray to determine if it has become lung-related. For this encounter, the shortness of breath remains related to pneumothoracic scoliosis. Reason for chest x-ray is shortness of breath.

    SUMMARY: Negative.

    Assign CPT code(s): FILL IN BLANK

    6) X-RAY, LEFT MANDIBLE

    REASON FOR EXAM: Pain in jaw.

    Three views of the left mandible show no definite evidence of a fracture. However, the mandible is not optimally visualized in this study.

    Assign CPT code(s):FILL IN THE BLANK

    7) LIVER AND SPLEEN SCAN, WITH VASCULAR FLOW

    REASON FOR EXAM: Abnormal liver function studies per laboratory report.

    The liver and spleen were imaged under vascular flow. The liver is slightly enlarged, but good flow was seen. The spleen appears normal.

    Assign CPT code(s)FILL IN BLANK

    8) CT SCAN OF LUMBAR SPINE

    REASON FOR EXAM: Lumbar back pain.

    Axial images were obtained throughout L3, L4, and L5 levels using magnification technique. There is disc material protruding from the posterior aspect of L4 level on the right sde. This is causing almost complete obliteration of the nerve canal and measures roughly 6 mm in size. The remainder of this disc as well as L3 and L5 disc levels appear normal.

    CONCLUSION: Findings consistent with a herniated disc at L4 level on the right side.

    DIAGNOSIS: Herniated disc, L4, right.

    Assign CPT code(s) FILL IN BLANK

    9) X-RAY, LEFT ELBOW

    REASON FOR EXAM: Elbow pain, left.

    Anteroposterior and lateral views are normal.

    Assign CPT code(s FILL IN BLANK

    10) X-RAY, LEFT SHOULDER

    REASON FOR EXAM: Pain, left shoulder. Rule out fracture.

    Anteroposterior and lateral views reveal a comminuted, slightly angulated, closed fracture of the neck of the humerus. I do not see any other acute abnormality. There is an old healed fracture of the left clavicle.

    DIAGNOSIS: Comminuted nondisplaced closed fracture, neck of left humerus. (Initial encounter for closed fracture.)

    Assign CPT code(s): FILL IN BLANK

  • [Solved] WK3 QUESTION3 HP-216

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    COMPLETE QUESTIONS – ## WK3QUESTION3HP-216.docx **## WK3QUESTION3HP-216.docx** WK3 QUESTION3 HP-216 Instructions: Select the most correct response. Question 1) Acute hepatitis panel including hepatitis A antibody, hepatitis B core antibody, hepatitis B surface antigen, and hepatitis C antibody. Whic…

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    COMPLETE QUESTIONS

    – ## WK3QUESTION3HP-216.docx

    **## WK3QUESTION3HP-216.docx**

    WK3 QUESTION3 HP-216

    Instructions: Select the most correct response.

    Question

    1) Acute hepatitis panel including hepatitis A antibody, hepatitis B core antibody, hepatitis B surface antigen, and hepatitis C antibody. Which code(s) are assigned?

    Responses

    · 86709, 86705, 87340, 86603

    · 80074, 80076

    · 80074

    · 80074, 86709, 86705, 87340, 86603

    2) Testing of specimen from digital rectal exam for blood. Which code is assigned?

    Responses

    · 82270

    · 82271

    · 82272

    ·
    82274

    3) Testing of blood for lead. Which code(s) are assigned?

    Responses

    · 83015

    · 83655, 83015

    · 83655

    ·
    83735

    4) oombs test direct. Which code is assigned?

    Responses

    · 86885

    · 86886

    · 86900

    · 86880

    5) Testing of stool for H. pylori. Which code is assigned?

    Responses

    · 86677

    · 87339

    · 87338

    · 83013

    6) Total necropsy of infant, including gross and microscopic analysis. Which code is assigned?

    Responses

    · 88029

    · 88028

    · 88036

    ·
    88012

    7) Thawing of ovarian reproductive tissue. Which code is assigned?

    Responses

    · 89344

    · 89354

    · 89352

    ·
    89356

    8) Bethesda analysis of vaginal specimens, manual method under direction of pathologist. Which code is assigned?

    Responses

    · 88164

    · 88147

    · 88142

    ·
    88165

    9) Bethesda analysis of vaginal specimens, manual method under direction of pathologist. Which code is assigned?

    Responses

    · 88164

    · 88147

    · 88142

    ·
    88165

    10) Blood testing for presence of Epstein-Barr virus nuclear antigens. Which code is assigned?

    Responses

    · 86665

    · 86663

    · 86666

    ·
    86664

    **## WK3QUESTION3HP-216.docx**

    WK3 QUESTION3 HP-216

    Instructions: Select the most correct response.

    Question

    1) Acute hepatitis panel including hepatitis A antibody, hepatitis B core antibody, hepatitis B surface antigen, and hepatitis C antibody. Which code(s) are assigned?

    Responses

    · 86709, 86705, 87340, 86603

    · 80074, 80076

    · 80074

    · 80074, 86709, 86705, 87340, 86603

    2) Testing of specimen from digital rectal exam for blood. Which code is assigned?

    Responses

    · 82270

    · 82271

    · 82272

    ·
    82274

    3) Testing of blood for lead. Which code(s) are assigned?

    Responses

    · 83015

    · 83655, 83015

    · 83655

    ·
    83735

    4) oombs test direct. Which code is assigned?

    Responses

    · 86885

    · 86886

    · 86900

    · 86880

    5) Testing of stool for H. pylori. Which code is assigned?

    Responses

    · 86677

    · 87339

    · 87338

    · 83013

    6) Total necropsy of infant, including gross and microscopic analysis. Which code is assigned?

    Responses

    · 88029

    · 88028

    · 88036

    ·
    88012

    7) Thawing of ovarian reproductive tissue. Which code is assigned?

    Responses

    · 89344

    · 89354

    · 89352

    ·
    89356

    8) Bethesda analysis of vaginal specimens, manual method under direction of pathologist. Which code is assigned?

    Responses

    · 88164

    · 88147

    · 88142

    ·
    88165

    9) Bethesda analysis of vaginal specimens, manual method under direction of pathologist. Which code is assigned?

    Responses

    · 88164

    · 88147

    · 88142

    ·
    88165

    10) Blood testing for presence of Epstein-Barr virus nuclear antigens. Which code is assigned?

    Responses

    · 86665

    · 86663

    · 86666

    ·
    86664

  • [Solved] WK3 QUESTION4 HP-216

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    COMPLETE QUESTION – WK3QUESTION4HP-216.docx **WK3QUESTION4HP-216.docx** This file is too large to display. [View in new window](https://www.sweetstudy.com/files/wk3question4hp-216-docx) **WK3QUESTION4HP-216.docx** This file is too large to display. [View in new window](https://www.sweetstudy.com/fil…

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    COMPLETE QUESTION

    – WK3QUESTION4HP-216.docx

    **WK3QUESTION4HP-216.docx**

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  • [Solved] nursing outcome

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    – ## APAResources.docx – ## EBPPowerpointBasicTemplate.pptx – ## Step3EBPProjectEvaluation.docx – ## EvidenceBasedPracticePrepAssignment.docx – ## ReflectiveJournal_ClinicalII.docx – ## FinalClinicalSummativeSelf-Evaluation_ADNG2100_ClinicalII.docx – ClinicalIISIM4CaseStudies.docx – HolisticAsses…

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    – ## APAResources.docx

    – ## EBPPowerpointBasicTemplate.pptx

    – ## Step3EBPProjectEvaluation.docx

    – ## EvidenceBasedPracticePrepAssignment.docx

    – ## ReflectiveJournal_ClinicalII.docx

    – ## FinalClinicalSummativeSelf-Evaluation_ADNG2100_ClinicalII.docx

    – ClinicalIISIM4CaseStudies.docx
    – HolisticAssessment-FHP-HealthHistoryAssignmentGuide.docx
    – Step2EvidenceBasedPracticeProject.docx
    – HolisticAssessment-FHPtemplate.docx

    **## APAResources.docx**

    **APA Resources**

    Welcome to nursing! You will find that in nursing the standard for writing and referencing documents is different than options you may have used in the past. The standard for professional writing in nursing is APA (American Psychological Association). Below is a lit of potential resources that you may utilize to assure you are using APA correctly.

    Websites:

    Grammarly – APA and Plagiarism Checker –
    [https://www.grammarly.com/](https://www.grammarly.com/)

    Purdue Owl – APA Help –
    [https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html](https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html)

    Book:

    Publication Manual 7th Edition of the American Psychological Association

    · If you plan to continue in nursing for your BSN, it is recommended that you buy this book.

    · You can buy this book online or through the BSU bookstore.

    **## EBPPowerpointBasicTemplate.pptx**

    Title Page

    Section I – Introduction

    Section II – History of Nursing Practice

    Section III – Review of Literature – 1st article

    Section III – Review of Literature – 2nd article

    Section IV – Take a Stand

    Section V – Barriers & Recommendations

    Barriers

    Recommedation

    Section VI – Conclusion

    References

    **## Step3EBPProjectEvaluation.docx**

    **Step 3: EBP Project – Evaluation**

    (Outcome Assignment – must achieve minimum of 80%)

    **Evaluation of the Presentation:** _(Spirit of Inquiry & Professional Identity)_

    Upon completion of the presentation, the learner will collect, and review completed evaluation forms (these evaluation forms do NOT need to be submitted).

    **DON’T FORGET THIS PART! – YOU’RE NOT DONE YET! –** following the presentation
    **:**

    **Self-evaluation:** (Answer the following questions USING THIS TEMPLATE and submit it in the appropriate D2L assignment folder.)

    1. Discuss what you would change if you had the opportunity to do this assignment again.

    2. Review data from the peer evaluations submitted by those in attendance and submit a summary of your presentation strengths and weaknesses based on the evaluations.

    · Strengths:

    · Weaknesses:

    3. Conduct a self-evaluation of your skills as a presenter by reflecting on each evaluation criteria (refer to peer evaluation forms when reflecting on what the evaluation criteria are) and discussing strengths and opportunities for improvement.

    · Strengths:

    · Opportunities for improvement:

    **Instructor Evaluation:**

    Your clinical instructor will submit an evaluation of your presentation according to the presentation evaluation guidelines.  You will be evaluated on your skill as a presenter, your ability to meet the expectations of the presentation guidelines above, and the thoroughness and accuracy of your own self-evaluation.

    **## EvidenceBasedPracticePrepAssignment.docx**

    Step 1: Evidence Based Practice
    **Prep** Assignment

    · This will be due shortly after your first clinical week/weekend. See due date document for specifics.

    · You will need to answer and discuss each question below
    **ON THIS TEMPLATE** and submit it to the appropriate assignment folder in D2L. Your clinical faculty will then indicate paper topic approval or disapproval. This is a REQUIRED pass/fail assignment.

    · Purpose: To gain skills in research. To determine EBP paper topic and receive instructor feedback as to whether or not topic is reasonable and acceptable for formal EBP paper.

    Assignment Overview:

    1. Choose a nursing intervention commonly used in nursing practice.  Use your clinical time to identify an intervention that you have seen that may not be supported by current evidence or that is not consistently followed. A suggestion might be to explore interventions listed in Nurse’s Pocket Guide in Nursing Central. There is also a resource in D2L of some possible EBP topics.

    · Example: The issue of testing pH of gastric contents for confirmation of NG placement is well researched and the problems of auscultation for insufflation of air are well documented, yet the practice continues, why?  Is the practice based on research, if not, why does it continue?

    · You will be doing research to determine what literature says SHOULD be done and if it’s not being done, analyze why it is not being done.

    ·
    **List your topic here:___________________________________________________________**

    2. Find and analyze one scholarly, research-based article that supports or challenges the use of this intervention and find and analyze one scholarly, research-based article that identifies a new evidence-based intervention to address the issue. (Minimum of 2 articles total)

    Article #1:

    Article #2:

    3. What key words did you use in the search bar?

    4. How many results came up during your initial search?

    5. How did you change/refine your initial search to get the information you needed?

    6. Is your topic too narrow or too broad? How will you expand or limit your scope in order to complete the requirements of the paper?

    7. Obtain approval of topic by instructor via D2L
    _PRIOR_ to beginning project.

    8. If the topic is not approved, work with instructor to refine and approve topic to begin paper.

    **## ReflectiveJournal_ClinicalII.docx**

    **Reflective Journal**

    Objectives:

    1. Reflect on thoughts, ideas, experiences, and insights related to the course.

    2. Examine personal skills, frames of reference, and assumptions about the provision of care.

    3. Gain insight on how students views themselves in relationship to others when engaged in therapeutic and professional communication.

    4. Identify areas for students to further develop their abilities and understanding related to bedside practice.

    Directions: (Professional Identity and Spirit of Inquiry)

    Respond to
    all 5 of the questions below using the same number points. You will be submitting this assignment as a word document. Grading is based on word count & thoroughness of reflection, consider utilizing about 300 words for each prompt to reach 1500 word goal.

    Emotional Competence Reflective Prompts:

    ## 1. Journal prompt 1 (self-awareness domain)

    What are your feelings as you begin this clinical experience? Make sure you identify feelings, not thoughts. Complete the following statement: "l feel…" What past experiences, perceptions, and thoughts might be contributing to the above feelings? What personal qualities, strengths, and talents do you bring to this clinical experience? Identify one goal for the semester related to your personal self-awareness and growth.

    ## 2. Journal prompt 2 (self-awareness domain)

    Describe a situation you experienced in clinical this week: Describe your thoughts in this situation. Describe your feelings in this situation. Describe the way your body felt physically in this situation. What was more difficult to identify—your thoughts or feelings? Explain why you think this may be. How do your feelings relate to your thoughts in this situation? Were you aware of this at the time? Reread and reflect on your entry. Identify one specific strategy you will use to focus your attention on your internal states during your next clinical day.

    ## 3. Journal prompt 3 (self-awareness and social awareness domains)

    Judgment is making opinions as to the value of someone or something, considered to be lacking in tolerance and objectivity.

    a) Describe in detail a situation in which you felt you were being judged. Describe how you felt about this.

    b) Describe in detail a situation in which you had judged someone else. Describe how you feel about this.

    c) How did judging another impact your sense of self in a positive way? In a negative way? How might judging another have impacted that person's sense of self in a positive way? In a negative way? Describe how being judged affected your subsequent behavior?

    4.
    Journal prompt 4 (self-awareness, self and relationship management domains)

    a) Situation: Think about a situation in which you experienced frustration or anger.

    b) Identify the behaviors of others in this situation that you reacted to with frustration or anger.

    c) Response: How did you respond? How would you have liked to respond?

    d) Analysis: Explore and discuss reasons for the differences and similarities in your actual and desired responses in this situation.

    e) Future Implications: Discuss one strategy for coping with the emotion you experienced in a future situation.

    5.
    Journal prompt 5 (self-awareness and self-management domains)

    a) Locate on NTC library site and read: Henson, J.S. (2017). When Compassion is Lost.
    _MedSurg Nursing_, 26(2).

    b) Describe one new insight you have into the relationship between your self-care and your effectiveness as a nurse. Identify one specific, measurable, and realistic strategy related to your self-care that you could implement during the clinical day.

    Harrison, P.A. & Fopma-Loy, J.L (2010). Reflective Journal Prompts: A Vehicle for Stimulating Emotional Competence in Nursing.
    _Journal of Nursing Education_, 49(11). doi:10.3928/01484834-20100730-07

    Reflective Journal Grading Rubric (15 points)

    | | | | | | |
    | — | — | — | — | — | — |
    | | Level 5 | Level 4 | Level 3 | Level 2 | Level 1 |
    | Complete (7.5 points) | · Thoroughly addresses all 5 questions.<br>· Entry is at least 1500 total words and not more than 2000. | · Addresses all 3 questions with fair amount of depth.<br>· Entry is at least 1250 total words. | · Somewhat addresses at least 2 of the 3 questions.<br>· Entry is at least 1000 total words. | · Somewhat addresses 1 question.<br>· Answers are not complete. <br>· Entry is at least 750 total words. | · Entry does not clearly address any of the questions provided.<br>· Entry is a recitation of significant experiences in clinical, OR<br>· Entry is less than 750 total words. |
    | Reflection<br>(7.5 points) | · Reflection demonstrates insight and the ability to connect personal experience with theory on all questions. <br>· Discussion on all questions draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth. | · Reflection usually (2 of 3) demonstrates insight and ability to connect personal experience with theory. <br>· Discussion usually (2 of 3) draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth. | · Reflection at times (1 question) demonstrates ability to connect personal experience with theory but 2 of 3 questions are superficially answered.<br>· Discussion at least once draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth. | · Entry does not reflect application of theory or genuine insight on behavior. <br>· Objectively shares experience, but reflection is vague, lacks depth or insight. <br>· Does not draw upon self- knowledge, self-awareness, or experience to enhance professional growth. | · There is minimal evidence of reflection<br>· No evidence of ability to draw upon self-knowledge, self-awareness and past experience to gain insight.<br>· Entry merely recites what was done/ learned during clinical. |

    **## FinalClinicalSummativeSelf-Evaluation_ADNG2100_ClinicalII.docx**

    **Level 2:**
    **Clinical Performance Evaluation- ADNG 2100 Clinical II**

    · Student will complete a self-evaluation of each student learning outcome below using the criteria on the left found under each outcome. Briefly summarize, either in bullet point or paragraph form, your own evaluation of performance in each. Be specific, give examples. In areas you identify as needing growth, provide specific strategies for improvement in your next clinical course.

    · Submit to the Clinical Performance Evaluation assignment folder in your clinical course by the assigned due date.

    | | |
    | — | — |
    | **HUMAN FLOURISHING**<br>**Apply knowledge and skills learned in the program to uphold patients’ right of self-determination and promote holistic well-being of client and family.**<br>QSEN#1- Provide patient-centered care |
    | **Expected Satisfactory Behaviors** | **Student Self-Evaluation** |
    | · Apply therapeutic communication skills in interactions with client and family <br>· Identify behaviors that threaten or protect client autonomy, dignity, and rights<br>●Respect client autonomy and recognize opportunities for client advocacy<br>· Illustrate how individual differences and values affect client outcomes | |
    | **Objective Data:** Holistic Assessment & Application of Nursing Process, Reflective Journal | |
    | **NURSING JUDGMENT**<br>**Make judgments in practice, supported by evidence, that integrate nursing science in the provision of safe, quality care.**<br>QSEN#2- Safety, Patient and Healthcare Provider<br>QSEN#3-Informatics |
    | **Expected Satisfactory Behaviors** | **Student Self-Evaluation** |
    | ●Utilize the nursing process to develop an individualized plan of care<br>●Provide valid rationales for nursing interventions<br>●Communicate assessment findings to instructor and healthcare team members<br>●Submit daily care plan to instructor for review in post-clinical<br>●Utilize effective judgment and available<br>resources to provide interventions (mediation administration, dressing changes, catheterization, etc.) in a safe, efficient manner to assigned client<br>· Provide accurate client education when need arises<br>●Utilize the EMR to accurately document care provided | |
    | **Objective Data:** EBP Project & Presentation, Holistic Assessment & Application of Nursing Process, Reflective Journal | |
    | **PROFESSIONAL IDENTITY**<br>**Implement one’s role as a nurse in a manner that reflects the ideals of the profession while developing an identity committed to evidence-based practice, in the provision of compassionate, culturally sensitive, holistic care to a diverse population.**<br>QSEN#4- Teamwork and Multi-disciplinary Collaboration |
    | **Expected Satisfactory Behaviors** | **Student Self-Evaluation** |
    | · Actively participate in post-clinical discussion and learning activities<br>· Exhibit professional appearance and behavior (punctuality, uniform standards, equipment, etc.)<br>· Demonstrate behaviors that reflect the values and ethics of the nursing profession<br>· Exhibit professionalism in interactions with multidisciplinary team-members, peers, clients, and faculty<br>· Manages conflict effectively as it arises with mentoring from faculty and/or staff | |
    | **Objective Data:** EBP Project & Presentation, Reflective Journal | |
    | **SPIRIT OF INQUIRY**<br>**Examine the evidence that underlies clinical nursing practice to challenge the status quo, question underlying assumptions, and offer new insights to improve the quality of care for patients, families, and communities (NLN, 2010).**<br>QSEN #5- Quality Improvement<br>QSEN #6- Evidence based practice |
    | **Expected Satisfactory Behaviors** | **Student Self-Evaluation** |
    | · Identify opportunities to improve quality client care<br>· Accept responsibility for the learning process, utilizing feedback to improve practice<br>· Remain effective when confronted with change<br>· Utilize understanding of pathophysiology of disease to predict priority evidence-based interventions<br>· Apply knowledge of and appropriate use of asepsis to create a safe care environment that results in high quality patient outcomes (medication administration, handwashing, invasive procedures, etc.) | |
    | **Objective Data:** EBP Project & Presentation, Holistic Assessment & Application of Nursing Process, Reflective Journal | |

    **ClinicalIISIM4CaseStudies.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/clinicaliisim4casestudies-docx)

    **HolisticAssessment-FHP-HealthHistoryAssignmentGuide.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/holisticassessment-fhp-healthhistoryassignmentguide-docx)

    **Step2EvidenceBasedPracticeProject.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/step2evidencebasedpracticeproject-docx-10383621)

    **HolisticAssessment-FHPtemplate.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/holisticassessment-fhptemplate-docx)

    **HolisticAssessment-FHPtemplate.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/holisticassessment-fhptemplate-docx)

    **## APAResources.docx**

    **APA Resources**

    Welcome to nursing! You will find that in nursing the standard for writing and referencing documents is different than options you may have used in the past. The standard for professional writing in nursing is APA (American Psychological Association). Below is a lit of potential resources that you may utilize to assure you are using APA correctly.

    Websites:

    Grammarly – APA and Plagiarism Checker –
    [https://www.grammarly.com/](https://www.grammarly.com/)

    Purdue Owl – APA Help –
    [https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html](https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html)

    Book:

    Publication Manual 7th Edition of the American Psychological Association

    · If you plan to continue in nursing for your BSN, it is recommended that you buy this book.

    · You can buy this book online or through the BSU bookstore.

    **## EBPPowerpointBasicTemplate.pptx**

    Title Page

    Section I – Introduction

    Section II – History of Nursing Practice

    Section III – Review of Literature – 1st article

    Section III – Review of Literature – 2nd article

    Section IV – Take a Stand

    Section V – Barriers & Recommendations

    Barriers

    Recommedation

    Section VI – Conclusion

    References

    **## Step3EBPProjectEvaluation.docx**

    **Step 3: EBP Project – Evaluation**

    (Outcome Assignment – must achieve minimum of 80%)

    **Evaluation of the Presentation:** _(Spirit of Inquiry & Professional Identity)_

    Upon completion of the presentation, the learner will collect, and review completed evaluation forms (these evaluation forms do NOT need to be submitted).

    **DON’T FORGET THIS PART! – YOU’RE NOT DONE YET! –** following the presentation
    **:**

    **Self-evaluation:** (Answer the following questions USING THIS TEMPLATE and submit it in the appropriate D2L assignment folder.)

    1. Discuss what you would change if you had the opportunity to do this assignment again.

    2. Review data from the peer evaluations submitted by those in attendance and submit a summary of your presentation strengths and weaknesses based on the evaluations.

    · Strengths:

    · Weaknesses:

    3. Conduct a self-evaluation of your skills as a presenter by reflecting on each evaluation criteria (refer to peer evaluation forms when reflecting on what the evaluation criteria are) and discussing strengths and opportunities for improvement.

    · Strengths:

    · Opportunities for improvement:

    **Instructor Evaluation:**

    Your clinical instructor will submit an evaluation of your presentation according to the presentation evaluation guidelines.  You will be evaluated on your skill as a presenter, your ability to meet the expectations of the presentation guidelines above, and the thoroughness and accuracy of your own self-evaluation.

    **## EvidenceBasedPracticePrepAssignment.docx**

    Step 1: Evidence Based Practice
    **Prep** Assignment

    · This will be due shortly after your first clinical week/weekend. See due date document for specifics.

    · You will need to answer and discuss each question below
    **ON THIS TEMPLATE** and submit it to the appropriate assignment folder in D2L. Your clinical faculty will then indicate paper topic approval or disapproval. This is a REQUIRED pass/fail assignment.

    · Purpose: To gain skills in research. To determine EBP paper topic and receive instructor feedback as to whether or not topic is reasonable and acceptable for formal EBP paper.

    Assignment Overview:

    1. Choose a nursing intervention commonly used in nursing practice.  Use your clinical time to identify an intervention that you have seen that may not be supported by current evidence or that is not consistently followed. A suggestion might be to explore interventions listed in Nurse’s Pocket Guide in Nursing Central. There is also a resource in D2L of some possible EBP topics.

    · Example: The issue of testing pH of gastric contents for confirmation of NG placement is well researched and the problems of auscultation for insufflation of air are well documented, yet the practice continues, why?  Is the practice based on research, if not, why does it continue?

    · You will be doing research to determine what literature says SHOULD be done and if it’s not being done, analyze why it is not being done.

    ·
    **List your topic here:___________________________________________________________**

    2. Find and analyze one scholarly, research-based article that supports or challenges the use of this intervention and find and analyze one scholarly, research-based article that identifies a new evidence-based intervention to address the issue. (Minimum of 2 articles total)

    Article #1:

    Article #2:

    3. What key words did you use in the search bar?

    4. How many results came up during your initial search?

    5. How did you change/refine your initial search to get the information you needed?

    6. Is your topic too narrow or too broad? How will you expand or limit your scope in order to complete the requirements of the paper?

    7. Obtain approval of topic by instructor via D2L
    _PRIOR_ to beginning project.

    8. If the topic is not approved, work with instructor to refine and approve topic to begin paper.

    **## ReflectiveJournal_ClinicalII.docx**

    **Reflective Journal**

    Objectives:

    1. Reflect on thoughts, ideas, experiences, and insights related to the course.

    2. Examine personal skills, frames of reference, and assumptions about the provision of care.

    3. Gain insight on how students views themselves in relationship to others when engaged in therapeutic and professional communication.

    4. Identify areas for students to further develop their abilities and understanding related to bedside practice.

    Directions: (Professional Identity and Spirit of Inquiry)

    Respond to
    all 5 of the questions below using the same number points. You will be submitting this assignment as a word document. Grading is based on word count & thoroughness of reflection, consider utilizing about 300 words for each prompt to reach 1500 word goal.

    Emotional Competence Reflective Prompts:

    ## 1. Journal prompt 1 (self-awareness domain)

    What are your feelings as you begin this clinical experience? Make sure you identify feelings, not thoughts. Complete the following statement: "l feel…" What past experiences, perceptions, and thoughts might be contributing to the above feelings? What personal qualities, strengths, and talents do you bring to this clinical experience? Identify one goal for the semester related to your personal self-awareness and growth.

    ## 2. Journal prompt 2 (self-awareness domain)

    Describe a situation you experienced in clinical this week: Describe your thoughts in this situation. Describe your feelings in this situation. Describe the way your body felt physically in this situation. What was more difficult to identify—your thoughts or feelings? Explain why you think this may be. How do your feelings relate to your thoughts in this situation? Were you aware of this at the time? Reread and reflect on your entry. Identify one specific strategy you will use to focus your attention on your internal states during your next clinical day.

    ## 3. Journal prompt 3 (self-awareness and social awareness domains)

    Judgment is making opinions as to the value of someone or something, considered to be lacking in tolerance and objectivity.

    a) Describe in detail a situation in which you felt you were being judged. Describe how you felt about this.

    b) Describe in detail a situation in which you had judged someone else. Describe how you feel about this.

    c) How did judging another impact your sense of self in a positive way? In a negative way? How might judging another have impacted that person's sense of self in a positive way? In a negative way? Describe how being judged affected your subsequent behavior?

    4.
    Journal prompt 4 (self-awareness, self and relationship management domains)

    a) Situation: Think about a situation in which you experienced frustration or anger.

    b) Identify the behaviors of others in this situation that you reacted to with frustration or anger.

    c) Response: How did you respond? How would you have liked to respond?

    d) Analysis: Explore and discuss reasons for the differences and similarities in your actual and desired responses in this situation.

    e) Future Implications: Discuss one strategy for coping with the emotion you experienced in a future situation.

    5.
    Journal prompt 5 (self-awareness and self-management domains)

    a) Locate on NTC library site and read: Henson, J.S. (2017). When Compassion is Lost.
    _MedSurg Nursing_, 26(2).

    b) Describe one new insight you have into the relationship between your self-care and your effectiveness as a nurse. Identify one specific, measurable, and realistic strategy related to your self-care that you could implement during the clinical day.

    Harrison, P.A. & Fopma-Loy, J.L (2010). Reflective Journal Prompts: A Vehicle for Stimulating Emotional Competence in Nursing.
    _Journal of Nursing Education_, 49(11). doi:10.3928/01484834-20100730-07

    Reflective Journal Grading Rubric (15 points)

    | | | | | | |
    | — | — | — | — | — | — |
    | | Level 5 | Level 4 | Level 3 | Level 2 | Level 1 |
    | Complete (7.5 points) | · Thoroughly addresses all 5 questions.<br>· Entry is at least 1500 total words and not more than 2000. | · Addresses all 3 questions with fair amount of depth.<br>· Entry is at least 1250 total words. | · Somewhat addresses at least 2 of the 3 questions.<br>· Entry is at least 1000 total words. | · Somewhat addresses 1 question.<br>· Answers are not complete. <br>· Entry is at least 750 total words. | · Entry does not clearly address any of the questions provided.<br>· Entry is a recitation of significant experiences in clinical, OR<br>· Entry is less than 750 total words. |
    | Reflection<br>(7.5 points) | · Reflection demonstrates insight and the ability to connect personal experience with theory on all questions. <br>· Discussion on all questions draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth. | · Reflection usually (2 of 3) demonstrates insight and ability to connect personal experience with theory. <br>· Discussion usually (2 of 3) draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth. | · Reflection at times (1 question) demonstrates ability to connect personal experience with theory but 2 of 3 questions are superficially answered.<br>· Discussion at least once draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth. | · Entry does not reflect application of theory or genuine insight on behavior. <br>· Objectively shares experience, but reflection is vague, lacks depth or insight. <br>· Does not draw upon self- knowledge, self-awareness, or experience to enhance professional growth. | · There is minimal evidence of reflection<br>· No evidence of ability to draw upon self-knowledge, self-awareness and past experience to gain insight.<br>· Entry merely recites what was done/ learned during clinical. |

    **## FinalClinicalSummativeSelf-Evaluation_ADNG2100_ClinicalII.docx**

    **Level 2:**
    **Clinical Performance Evaluation- ADNG 2100 Clinical II**

    · Student will complete a self-evaluation of each student learning outcome below using the criteria on the left found under each outcome. Briefly summarize, either in bullet point or paragraph form, your own evaluation of performance in each. Be specific, give examples. In areas you identify as needing growth, provide specific strategies for improvement in your next clinical course.

    · Submit to the Clinical Performance Evaluation assignment folder in your clinical course by the assigned due date.

    | | |
    | — | — |
    | **HUMAN FLOURISHING**<br>**Apply knowledge and skills learned in the program to uphold patients’ right of self-determination and promote holistic well-being of client and family.**<br>QSEN#1- Provide patient-centered care |
    | **Expected Satisfactory Behaviors** | **Student Self-Evaluation** |
    | · Apply therapeutic communication skills in interactions with client and family <br>· Identify behaviors that threaten or protect client autonomy, dignity, and rights<br>●Respect client autonomy and recognize opportunities for client advocacy<br>· Illustrate how individual differences and values affect client outcomes | |
    | **Objective Data:** Holistic Assessment & Application of Nursing Process, Reflective Journal | |
    | **NURSING JUDGMENT**<br>**Make judgments in practice, supported by evidence, that integrate nursing science in the provision of safe, quality care.**<br>QSEN#2- Safety, Patient and Healthcare Provider<br>QSEN#3-Informatics |
    | **Expected Satisfactory Behaviors** | **Student Self-Evaluation** |
    | ●Utilize the nursing process to develop an individualized plan of care<br>●Provide valid rationales for nursing interventions<br>●Communicate assessment findings to instructor and healthcare team members<br>●Submit daily care plan to instructor for review in post-clinical<br>●Utilize effective judgment and available<br>resources to provide interventions (mediation administration, dressing changes, catheterization, etc.) in a safe, efficient manner to assigned client<br>· Provide accurate client education when need arises<br>●Utilize the EMR to accurately document care provided | |
    | **Objective Data:** EBP Project & Presentation, Holistic Assessment & Application of Nursing Process, Reflective Journal | |
    | **PROFESSIONAL IDENTITY**<br>**Implement one’s role as a nurse in a manner that reflects the ideals of the profession while developing an identity committed to evidence-based practice, in the provision of compassionate, culturally sensitive, holistic care to a diverse population.**<br>QSEN#4- Teamwork and Multi-disciplinary Collaboration |
    | **Expected Satisfactory Behaviors** | **Student Self-Evaluation** |
    | · Actively participate in post-clinical discussion and learning activities<br>· Exhibit professional appearance and behavior (punctuality, uniform standards, equipment, etc.)<br>· Demonstrate behaviors that reflect the values and ethics of the nursing profession<br>· Exhibit professionalism in interactions with multidisciplinary team-members, peers, clients, and faculty<br>· Manages conflict effectively as it arises with mentoring from faculty and/or staff | |
    | **Objective Data:** EBP Project & Presentation, Reflective Journal | |
    | **SPIRIT OF INQUIRY**<br>**Examine the evidence that underlies clinical nursing practice to challenge the status quo, question underlying assumptions, and offer new insights to improve the quality of care for patients, families, and communities (NLN, 2010).**<br>QSEN #5- Quality Improvement<br>QSEN #6- Evidence based practice |
    | **Expected Satisfactory Behaviors** | **Student Self-Evaluation** |
    | · Identify opportunities to improve quality client care<br>· Accept responsibility for the learning process, utilizing feedback to improve practice<br>· Remain effective when confronted with change<br>· Utilize understanding of pathophysiology of disease to predict priority evidence-based interventions<br>· Apply knowledge of and appropriate use of asepsis to create a safe care environment that results in high quality patient outcomes (medication administration, handwashing, invasive procedures, etc.) | |
    | **Objective Data:** EBP Project & Presentation, Holistic Assessment & Application of Nursing Process, Reflective Journal | |

    **ClinicalIISIM4CaseStudies.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/clinicaliisim4casestudies-docx)

    **HolisticAssessment-FHP-HealthHistoryAssignmentGuide.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/holisticassessment-fhp-healthhistoryassignmentguide-docx)

    **Step2EvidenceBasedPracticeProject.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/step2evidencebasedpracticeproject-docx-10383621)

    **HolisticAssessment-FHPtemplate.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/holisticassessment-fhptemplate-docx)

    **## APAResources.docx**

    **APA Resources**

    Welcome to nursing! You will find that in nursing the standard for writing and referencing documents is different than options you may have used in the past. The standard for professional writing in nursing is APA (American Psychological Association). Below is a lit of potential resources that you may utilize to assure you are using APA correctly.

    Websites:

    Grammarly – APA and Plagiarism Checker –
    [https://www.grammarly.com/](https://www.grammarly.com/)

    Purdue Owl – APA Help –
    [https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html](https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html)

    Book:

    Publication Manual 7th Edition of the American Psychological Association

    · If you plan to continue in nursing for your BSN, it is recommended that you buy this book.

    · You can buy this book online or through the BSU bookstore.

    **## EBPPowerpointBasicTemplate.pptx**

    Title Page

    Section I – Introduction

    Section II – History of Nursing Practice

    Section III – Review of Literature – 1st article

    Section III – Review of Literature – 2nd article

    Section IV – Take a Stand

    Section V – Barriers & Recommendations

    Barriers

    Recommedation

    Section VI – Conclusion

    References

    **## Step3EBPProjectEvaluation.docx**

    **Step 3: EBP Project – Evaluation**

    (Outcome Assignment – must achieve minimum of 80%)

    **Evaluation of the Presentation:** _(Spirit of Inquiry & Professional Identity)_

    Upon completion of the presentation, the learner will collect, and review completed evaluation forms (these evaluation forms do NOT need to be submitted).

    **DON’T FORGET THIS PART! – YOU’RE NOT DONE YET! –** following the presentation
    **:**

    **Self-evaluation:** (Answer the following questions USING THIS TEMPLATE and submit it in the appropriate D2L assignment folder.)

    1. Discuss what you would change if you had the opportunity to do this assignment again.

    2. Review data from the peer evaluations submitted by those in attendance and submit a summary of your presentation strengths and weaknesses based on the evaluations.

    · Strengths:

    · Weaknesses:

    3. Conduct a self-evaluation of your skills as a presenter by reflecting on each evaluation criteria (refer to peer evaluation forms when reflecting on what the evaluation criteria are) and discussing strengths and opportunities for improvement.

    · Strengths:

    · Opportunities for improvement:

    **Instructor Evaluation:**

    Your clinical instructor will submit an evaluation of your presentation according to the presentation evaluation guidelines.  You will be evaluated on your skill as a presenter, your ability to meet the expectations of the presentation guidelines above, and the thoroughness and accuracy of your own self-evaluation.

    **## EvidenceBasedPracticePrepAssignment.docx**

    Step 1: Evidence Based Practice
    **Prep** Assignment

    · This will be due shortly after your first clinical week/weekend. See due date document for specifics.

    · You will need to answer and discuss each question below
    **ON THIS TEMPLATE** and submit it to the appropriate assignment folder in D2L. Your clinical faculty will then indicate paper topic approval or disapproval. This is a REQUIRED pass/fail assignment.

    · Purpose: To gain skills in research. To determine EBP paper topic and receive instructor feedback as to whether or not topic is reasonable and acceptable for formal EBP paper.

    Assignment Overview:

    1. Choose a nursing intervention commonly used in nursing practice.  Use your clinical time to identify an intervention that you have seen that may not be supported by current evidence or that is not consistently followed. A suggestion might be to explore interventions listed in Nurse’s Pocket Guide in Nursing Central. There is also a resource in D2L of some possible EBP topics.

    · Example: The issue of testing pH of gastric contents for confirmation of NG placement is well researched and the problems of auscultation for insufflation of air are well documented, yet the practice continues, why?  Is the practice based on research, if not, why does it continue?

    · You will be doing research to determine what literature says SHOULD be done and if it’s not being done, analyze why it is not being done.

    ·
    **List your topic here:___________________________________________________________**

    2. Find and analyze one scholarly, research-based article that supports or challenges the use of this intervention and find and analyze one scholarly, research-based article that identifies a new evidence-based intervention to address the issue. (Minimum of 2 articles total)

    Article #1:

    Article #2:

    3. What key words did you use in the search bar?

    4. How many results came up during your initial search?

    5. How did you change/refine your initial search to get the information you needed?

    6. Is your topic too narrow or too broad? How will you expand or limit your scope in order to complete the requirements of the paper?

    7. Obtain approval of topic by instructor via D2L
    _PRIOR_ to beginning project.

    8. If the topic is not approved, work with instructor to refine and approve topic to begin paper.

    **## ReflectiveJournal_ClinicalII.docx**

    **Reflective Journal**

    Objectives:

    1. Reflect on thoughts, ideas, experiences, and insights related to the course.

    2. Examine personal skills, frames of reference, and assumptions about the provision of care.

    3. Gain insight on how students views themselves in relationship to others when engaged in therapeutic and professional communication.

    4. Identify areas for students to further develop their abilities and understanding related to bedside practice.

    Directions: (Professional Identity and Spirit of Inquiry)

    Respond to
    all 5 of the questions below using the same number points. You will be submitting this assignment as a word document. Grading is based on word count & thoroughness of reflection, consider utilizing about 300 words for each prompt to reach 1500 word goal.

    Emotional Competence Reflective Prompts:

    ## 1. Journal prompt 1 (self-awareness domain)

    What are your feelings as you begin this clinical experience? Make sure you identify feelings, not thoughts. Complete the following statement: "l feel…" What past experiences, perceptions, and thoughts might be contributing to the above feelings? What personal qualities, strengths, and talents do you bring to this clinical experience? Identify one goal for the semester related to your personal self-awareness and growth.

    ## 2. Journal prompt 2 (self-awareness domain)

    Describe a situation you experienced in clinical this week: Describe your thoughts in this situation. Describe your feelings in this situation. Describe the way your body felt physically in this situation. What was more difficult to identify—your thoughts or feelings? Explain why you think this may be. How do your feelings relate to your thoughts in this situation? Were you aware of this at the time? Reread and reflect on your entry. Identify one specific strategy you will use to focus your attention on your internal states during your next clinical day.

    ## 3. Journal prompt 3 (self-awareness and social awareness domains)

    Judgment is making opinions as to the value of someone or something, considered to be lacking in tolerance and objectivity.

    a) Describe in detail a situation in which you felt you were being judged. Describe how you felt about this.

    b) Describe in detail a situation in which you had judged someone else. Describe how you feel about this.

    c) How did judging another impact your sense of self in a positive way? In a negative way? How might judging another have impacted that person's sense of self in a positive way? In a negative way? Describe how being judged affected your subsequent behavior?

    4.
    Journal prompt 4 (self-awareness, self and relationship management domains)

    a) Situation: Think about a situation in which you experienced frustration or anger.

    b) Identify the behaviors of others in this situation that you reacted to with frustration or anger.

    c) Response: How did you respond? How would you have liked to respond?

    d) Analysis: Explore and discuss reasons for the differences and similarities in your actual and desired responses in this situation.

    e) Future Implications: Discuss one strategy for coping with the emotion you experienced in a future situation.

    5.
    Journal prompt 5 (self-awareness and self-management domains)

    a) Locate on NTC library site and read: Henson, J.S. (2017). When Compassion is Lost.
    _MedSurg Nursing_, 26(2).

    b) Describe one new insight you have into the relationship between your self-care and your effectiveness as a nurse. Identify one specific, measurable, and realistic strategy related to your self-care that you could implement during the clinical day.

    Harrison, P.A. & Fopma-Loy, J.L (2010). Reflective Journal Prompts: A Vehicle for Stimulating Emotional Competence in Nursing.
    _Journal of Nursing Education_, 49(11). doi:10.3928/01484834-20100730-07

    Reflective Journal Grading Rubric (15 points)

    | | | | | | |
    | — | — | — | — | — | — |
    | | Level 5 | Level 4 | Level 3 | Level 2 | Level 1 |
    | Complete (7.5 points) | · Thoroughly addresses all 5 questions.<br>· Entry is at least 1500 total words and not more than 2000. | · Addresses all 3 questions with fair amount of depth.<br>· Entry is at least 1250 total words. | · Somewhat addresses at least 2 of the 3 questions.<br>· Entry is at least 1000 total words. | · Somewhat addresses 1 question.<br>· Answers are not complete. <br>· Entry is at least 750 total words. | · Entry does not clearly address any of the questions provided.<br>· Entry is a recitation of significant experiences in clinical, OR<br>· Entry is less than 750 total words. |
    | Reflection<br>(7.5 points) | · Reflection demonstrates insight and the ability to connect personal experience with theory on all questions. <br>· Discussion on all questions draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth. | · Reflection usually (2 of 3) demonstrates insight and ability to connect personal experience with theory. <br>· Discussion usually (2 of 3) draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth. | · Reflection at times (1 question) demonstrates ability to connect personal experience with theory but 2 of 3 questions are superficially answered.<br>· Discussion at least once draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth. | · Entry does not reflect application of theory or genuine insight on behavior. <br>· Objectively shares experience, but reflection is vague, lacks depth or insight. <br>· Does not draw upon self- knowledge, self-awareness, or experience to enhance professional growth. | · There is minimal evidence of reflection<br>· No evidence of ability to draw upon self-knowledge, self-awareness and past experience to gain insight.<br>· Entry merely recites what was done/ learned during clinical. |

    **## FinalClinicalSummativeSelf-Evaluation_ADNG2100_ClinicalII.docx**

    **Level 2:**
    **Clinical Performance Evaluation- ADNG 2100 Clinical II**

    · Student will complete a self-evaluation of each student learning outcome below using the criteria on the left found under each outcome. Briefly summarize, either in bullet point or paragraph form, your own evaluation of performance in each. Be specific, give examples. In areas you identify as needing growth, provide specific strategies for improvement in your next clinical course.

    · Submit to the Clinical Performance Evaluation assignment folder in your clinical course by the assigned due date.

    | | |
    | — | — |
    | **HUMAN FLOURISHING**<br>**Apply knowledge and skills learned in the program to uphold patients’ right of self-determination and promote holistic well-being of client and family.**<br>QSEN#1- Provide patient-centered care |
    | **Expected Satisfactory Behaviors** | **Student Self-Evaluation** |
    | · Apply therapeutic communication skills in interactions with client and family <br>· Identify behaviors that threaten or protect client autonomy, dignity, and rights<br>●Respect client autonomy and recognize opportunities for client advocacy<br>· Illustrate how individual differences and values affect client outcomes | |
    | **Objective Data:** Holistic Assessment & Application of Nursing Process, Reflective Journal | |
    | **NURSING JUDGMENT**<br>**Make judgments in practice, supported by evidence, that integrate nursing science in the provision of safe, quality care.**<br>QSEN#2- Safety, Patient and Healthcare Provider<br>QSEN#3-Informatics |
    | **Expected Satisfactory Behaviors** | **Student Self-Evaluation** |
    | ●Utilize the nursing process to develop an individualized plan of care<br>●Provide valid rationales for nursing interventions<br>●Communicate assessment findings to instructor and healthcare team members<br>●Submit daily care plan to instructor for review in post-clinical<br>●Utilize effective judgment and available<br>resources to provide interventions (mediation administration, dressing changes, catheterization, etc.) in a safe, efficient manner to assigned client<br>· Provide accurate client education when need arises<br>●Utilize the EMR to accurately document care provided | |
    | **Objective Data:** EBP Project & Presentation, Holistic Assessment & Application of Nursing Process, Reflective Journal | |
    | **PROFESSIONAL IDENTITY**<br>**Implement one’s role as a nurse in a manner that reflects the ideals of the profession while developing an identity committed to evidence-based practice, in the provision of compassionate, culturally sensitive, holistic care to a diverse population.**<br>QSEN#4- Teamwork and Multi-disciplinary Collaboration |
    | **Expected Satisfactory Behaviors** | **Student Self-Evaluation** |
    | · Actively participate in post-clinical discussion and learning activities<br>· Exhibit professional appearance and behavior (punctuality, uniform standards, equipment, etc.)<br>· Demonstrate behaviors that reflect the values and ethics of the nursing profession<br>· Exhibit professionalism in interactions with multidisciplinary team-members, peers, clients, and faculty<br>· Manages conflict effectively as it arises with mentoring from faculty and/or staff | |
    | **Objective Data:** EBP Project & Presentation, Reflective Journal | |
    | **SPIRIT OF INQUIRY**<br>**Examine the evidence that underlies clinical nursing practice to challenge the status quo, question underlying assumptions, and offer new insights to improve the quality of care for patients, families, and communities (NLN, 2010).**<br>QSEN #5- Quality Improvement<br>QSEN #6- Evidence based practice |
    | **Expected Satisfactory Behaviors** | **Student Self-Evaluation** |
    | · Identify opportunities to improve quality client care<br>· Accept responsibility for the learning process, utilizing feedback to improve practice<br>· Remain effective when confronted with change<br>· Utilize understanding of pathophysiology of disease to predict priority evidence-based interventions<br>· Apply knowledge of and appropriate use of asepsis to create a safe care environment that results in high quality patient outcomes (medication administration, handwashing, invasive procedures, etc.) | |
    | **Objective Data:** EBP Project & Presentation, Holistic Assessment & Application of Nursing Process, Reflective Journal | |

    **ClinicalIISIM4CaseStudies.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/clinicaliisim4casestudies-docx)

    **HolisticAssessment-FHP-HealthHistoryAssignmentGuide.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/holisticassessment-fhp-healthhistoryassignmentguide-docx)

    **Step2EvidenceBasedPracticeProject.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/step2evidencebasedpracticeproject-docx-10383621)

    **HolisticAssessment-FHPtemplate.docx**

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