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Prescribing

CS/SB 614 authorizes an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.

ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:

·Presigning blank prescription forms.

·Prescribing a Schedule II for office use.

·Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.

·Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.

·Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.

·Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.

·Prescribing, dispensing, or administering a controlled substance to himself or herself.

·Prescribing, dispensing, or administering laetrile.

·Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.

·Promoting or advertising controlled substances.

After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/

Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations? 

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nterprofessional Collaborative Practice

Discussion: Interprofessional Collaborative Practice and Advanced Practice Nurses

Interprofessional practice requires that health care practitioners recognize that patient outcomes are better when there is a collaborative team approach in addressing patient health issues. Also, there are barriers to interprofessional practice that must be addressed among health care practitioners. The Interprofessional Education Collaborative (IPEC) is an initiative including multiple professions designed to advance interprofessional education so that students entering health care professions are able to view collaboration as the norm and seek collaborative relationships with other providers (IPEC, 2011).

This week your Discussion will focus on interprofessional practice. This Discussion is an opportunity for you to examine your perspective and experiences with interprofessional collaborative practice and to apply your knowledge to managing patient care.

To prepare:
  • Identify a professional nursing organization and review their position on interprofessional practice
  • Review the following case study:

Case Study:

Ms. Tuckerno has been diagnosed with multiple sclerosis (MS). The patient receives care at an internal medicine clinic. Her internist is not in the office today and she is being treated by the nurse practitioner. The patient is on two medications for her MS, three different blood pressure medications, one medication for thyroid disease, one diabetic pill daily, insulin injections twice a day, she uses medical cannabis, and uses eye drops for glaucoma. Upon assessing the patient, the nurse practitioner (NP) decides her treatment plan should be adjusted. The NP discontinues some of the patient’s meds and discontinues medical cannabis. She orders the patient to follow up in two weeks.

The patient returns and is seen by her internist. The internist speaks with the patient and reviews her medical chart. The internist states to the patient, “I am dissatisfied with the care you received from the nurse practitioner.” The internist places the patient back on originally prescribed medications and medical cannabis.

By Day 3

Post an explanation of your understanding of interprofessional practice. Also, explain the position on interprofessional practice for a professional nursing organization that you are a member of or of which you plan to become a member. Then, explain what you think is the best collaborative approach to manage Ms. Tuckerno’s care.

Read a selection of your colleagues’ responses.

By Day 7

Respond to at least two of your colleagues on two different days who shared a different perspective than you did. Based on your personal and/or professional experiences, expand on your colleagues’ postings by providing additional insights or contrasting perspectives.

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Fetal Abnormality.

Write a 750-1000 word analysis of “Case Study: Fetal Abnormality.” Be sure to address the following questions:

  1. Which theory or theories are being used by Jessica, Marco, Maria,  and Dr. Wilson to determine the moral status of the fetus? Explain.
  2. How does the theory determine or influence each of their recommendation for action?
  3. What theory do you agree with? How would that theory determine or influence the recommendation for action?

Prepare this assignment according to the guidelines found in the APA  Style Guide, located in the Student Success Center. An abstract is not  required.

This assignment uses a rubric. Please review the rubric prior to  beginning the assignment to become familiar with the expectations for  successful completion.

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Purdue Global library

No plagiarism Please.  Will need references and intext citations in template.  

Please read instructions carefully to ensure maximum grade. 

Applying Current Evidence Based Practice Guidelines for the Diagnosis and Treatment of Acute Bacterial Sinusitis in Pediatric Patients Using Healthcare Informatics.

 

This assignment will demonstrate your ability to use healthcare informatics to apply current evidence-based practice guidelines to the management of a pediatric patient diagnosed with acute bacterial sinusitis.

The guidelines that you are to use are in the following article available in the online Purdue Global library.

Hauk, L. (2014). AAP releases guideline on diagnosis and management of acute bacterial sinusitis in children one to 18 years of age. American Family Physician, 89(8), 676-681.

This assignment has a template that you will use to fill in the requested information.  

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Preparing for Professional Transitions

Discussion: Preparing for Professional Transitions

Consider the following scenario:Marcus recalls the beginning of his career, when he started as a nurse at Grand View Hospital. He had heard the organization was soliciting proposals from various companies so they could weigh the pros and cons associated with adopting a new health information technology system. He has been curious about the request for proposal (RFP) process ever since. Now, as he looks forward to new professional opportunities, he would like to ensure that he develops the skills and expertise needed to formulate an RFP.What are your professional aims? How can you apply what you have learned in your coursework to your practicum setting? How will you leverage your experiences in the practicum to facilitate your development as a nurse leader-manager or informaticist?In this Discussion, you reflect on your aspirations and consider the transitions that may be required to achieve them. You identify professional development objectives and evaluate opportunities for achieving them through your experiences in the practicum.Think about the professional role changes you have been undergoing or that you may undertake following completion of this MSN program.Review the information related to professional development and role change in the Learning Resources, and conduct additional research as necessary to address any questions or concerns you may have.Consider the following questions:What types of professional positions interest you? Are they significantly different from the types of positions you have held in the past? If so, how?What challenges are you likely to encounter as you transition into a new role?What resources could help you to manage this change? Consider your inner resources (e.g., drawing on previous experiences, stress management), resources available to you through your relationships with others, and institutional supports.Consider how you could use this Practicum Experience to apply what you have learned and enhance or acquire specialization skills and knowledge, regardless of whether you intend to change roles or stay in your current position for the time being.Review the NURS 6600 Course Outcomes listed in the Syllabus. Determine how your experiences in the practicum could help you to achieve one or more of these outcomes.Review the information in the Introduction to the Practicum (in this week’s Practicum area) and the School of Nursing Practicum Manual as necessary to ensure you have a clear understanding of the practicum requirements.Review the suggestions for developing effective learning objectives provided in the Learning Resources.Think of two or three objectives that could help guide your professional development during your practicum. These objectives, referred to as your practicum professional development objectives, must be:SpecificMeasurableAttainableResults-focusedTime-focusedReflective of the higher-order domains of Bloom’s Taxonomy (i.e., Application level and above)Select one or more practicum professional development objectives to focus on for this Discussion. (You may continue to hone these objectives as you work on this week’s Application Assignment.)Reflect on how you could achieve each objective through your Practicum Experience.

By Day 3 Post an explanation of your professional aspirations and how you intend to use the Practicum Experience to promote career change and/or enhance your performance. Describe at least one objective to facilitate your professional growth, and explain the steps you could take to achieve the objective(s) during your Practicum Experience. Support your response with examples from the literature.

Cipriano, P. F., & Murphy, J. (2011). The future of nursing and health IT: The quality elixir. Nursing Economic$, 29(5), 286–289.
Note: Retrieved from the Walden Library databases. “Technology tools will continue to revolutionize how we plan, deliver, document, review, evaluate, and derive the evidence about care” (p. 289). This article examines how nurses can use information technology to transform nursing and redesign the health care system. It focuses on the use of technology to promote quality and notes that technology can also be used to address challenges in education, research, leadership, and policy.McKimm, J., & Swanwick, T. (2009). Setting learning objectives. British Journal of Hospital Medicine, 70(7), 406–409.
Note: Retrieved from the Walden Library databases. This article clarifies the terminology associated with learning objectives and explains how learning objectives relate to professional development and the transformation from novice to expert. It also introduces common pitfalls when setting learning objectives and provides suggestions for avoiding them.Murphy, J. (2011). The nursing informatics workforce: Who are they and what do they do? Nursing Economic$, 29(3), 150–153.
Note: Retrieved from the Walden Library databases. The author examines the nursing informatics workforce, explaining that professionals in this well-established specialty area can play an integral role in transforming health care.

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Research Paper

Research Paper

Students this project will allow you to formulate and hypothetically develop your own research project. The purpose of this project is for the student to complete all the different steps necessary to implement a nursing research project. This project will be subdivided into 4 different papers that will be submitted throughout the entire semester. The final paper will be the combination of the four areas. Please see separate file items for each phase specific instructions

Phase 1-Planning (Due by WEEK 4)

Phase 2-Design (Due by WEEK 6)

Phase 3-Implementation (Due by WEEK 9)

Phase 4-Results (Due by WEEK 11)

Phase 5-Final submission (Due by WEEK 13)

Item

Planning Phase 1

Due by saturday january 26

Students this project will allow you to formulate and hypothetically develop your own research project. The purpose of this project is for the student to complete all the different steps necessary to implement a nursing research project. This project will be subdivided into 4 different papers that will be submitted throughout the entire semester. The final paper will be the combination of the four areas. Please see separate file items for each phase specific instructions. Again follow APA style mandates.Paper will be submit it via turn it in.

Phase 1 is the planning stage of a research project, students are to prepare a 5-6 page paper identifying a specific topic that you would like to investigates and relates to transitional nursing. You will provide a brief introduction of the situation utilizing published nursing research articles to support your statement. This paper will also include

1-Introduction to the Problem

2-Clearly Identify the Problem

3-Significance of the problem to Nursing

4-Purpose of the research

5-Research questions

6-Master’s Essentials that aligned with your topic

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Political Systems

Week 2 Discussion 1: Political Systems

Required Resources

Read/review the following resources for this activity:

Textbook: Chapter 3, 4; review Chapter 2 (Section: Ideologies and Politics in the United States)

Lesson

Additional scholarly sources you identify through your own research

Initial Post Instructions

Explain how conservatism and socialism are incorporated in the US political system. Use evidence (cite sources) to support your response from assigned readings or online lessons, and at least one outside scholarly source.

Follow-Up Post Instructions

Respond to at least two peers or one peer and the instructor. Further the dialogue by providing more information and clarification. Minimum of 1 scholarly source, which can include your textbook or assigned readings or may be from your additional scholarly research.

Writing Requirements

Minimum of 3 posts (1 initial & 2 follow-up)

APA format for in-text citations and list of references

Grading

This activity will be graded using the Discussion Grading Rubric. Please review the following link:

BOOK REQUIRED:  Magstadt, T. M. (2017). Understanding politics: Ideas, institutions, and issues. Australia: Cengage Learning.

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transcultural nursing

Chapter 1 of Andrews and Boyle (2016) discusses Leininger’s Sunrise Model of transcultural nursing. However, other models are described and are important to acknowledge, as well.

  • Research the wonderful scholarly resources available to you in the Chamberlain Library. Select a Transcultural Nursing Model/Theory.
  • Briefly explain the model/theory in your own words so your classmates will understand the general premises of the model/theory.
  • Then, explain how you would be able to apply the model in your practice setting.

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The nursing workforce

Access the following information. You may read the PDF online or download it.

American Nurses Association. (2014). Fast facts: The nursing workforce 2014: Growth, salaries, education, demographics & trends. ANA. Retrieved from https://www.nursingworld.org/globalassets/practiceandpolicy/workforce/fastfacts_nsgjobgrowth-salaries_updated8-25-15.pdf

(Links to an external site.)

Review the data presented in the ANA Fast Facts and describe some of the key attributes/characteristics of this sample of the nursing workforce.

Discuss some of the data that you found interesting; include what you believe the purpose (intent) of ANA sharing these results.

The instruments and tools that we use to collect data need to be reliable and valid. Define these terms and explain the importance of each. Share one way that can be used to collect data that you were not aware of or familiar with.

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DRAWING INFERENCES ABOUT POPULATION MEANS AND PROPORTIONS

Module 4 – SLP

DRAWING INFERENCES ABOUT POPULATION MEANS AND PROPORTIONS

Having developed the null and alternative hypotheses in the previous module, write a (2-3 pages) paper in which you:

  1. Identify a test statistic to help you assess the evidence against the null hypothesis you developed in the previous module.
  2. Explain why you have chosen the specific test statistic. Include in your discussion description of the test statistic.
  3. Summarize your findings by creating a summary graph in which you display your data.
  4. Discuss the total number of measurements (sample size), the possibility for measurement error, and whether it is large enough to paint an accurate picture.

SLP Assignment Expectations

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric that is linked within the course. Review it before you begin working on the assignment.

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