post

 Respond  by providing at least two contributions for  improving or including  in their Parent Guide and at least two things  that you like about their  guide. 

NOTE: Positive comment

(Parent Guide attached bellow)

Discussion #3 clinicals

Discuss at least 3 regulations impose in APRN in the state of Florida and would you like to change the process.

Review the following websites: https://www.ncsbn.org/Consensus_Model_for_APRN_Regulation_July_2008.pdf

American Association of Nurse Practitioners “Standards of Practice”

https://storage.aanp.org/www/documents/advocacy/position-papers/StandardsOfPractice.pdf

week 5 project nursing care plan part 1

Developing a Care Plan

There are two parts to the comprehensive nursing care plan assignment. In Week 5 you are required to submit a draft of your care plan. In Week 6 you will submit your final nursing care plan based on feedback from your instructor and your continued work.

In a Microsoft Word document of 4-5 pages formatted in APA style, begin to develop a comprehensive care plan for the aggregate based on the health risks faced by the aggregate that you identified in the risk assessment. 

In your paper, address the following:

  • Propose two (2) priority-nursing diagnoses based on the major health risks identified during the risk assessment for the aggregate
    • Include strategies to address the nursing diagnoses and identified risks of aggregate.
    • Support your strategies with at least two journal articles.
  • Develop a disaster management plan with the following components:
    • List of disasters that might affect your aggregate (take into consideration the geographical location of the aggregate, past history, etc.).
    • Strategies for handling at least two disasters from the list.
    • Recommendations for a disaster supplies kit.

On a separate references page, cite all sources using APA format. Please note that the title and reference pages should not be included in the total page count of your paper.

Assignment Content Imagine you are working as a manager in a local hospital. You received some patient satisfaction survey data and were asked to review the data and consider the impact on consumer relations.

Assignment Content

  1. Imagine you are working as a manager in a local hospital. You received some patient satisfaction survey data and were asked to review the data and consider the impact on consumer relations. 

    Review the Patient Satisfaction Survey.

    Answer the prompts provided based on the Patient Satisfaction Survey Data.

    Cite a minimum of one reference to support your assignment.

    Format your assignment according to APA guidelines. 

Discussion Question

1- Discussion question: An individual is being seen in the emergency room. She is complaining of right lower quadrant pain. Discuss various techniques used in assessing possible appendicitis.

2- 3 paragraphs of 3 sentences each.

3- 2 references not older than 2015

4- APA style

Benchmark – Electronic Health Record Implementation Paper

 

One way informatics can be especially valuable is in capturing data to inspire improvements and quality change in practice. The Agency for Healthcare Research and Quality (AHRQ) collects data related to adverse events and safety concerns. If you are working within a practice setting to implement a new electronic health record (EHR) system, this is just one of the many considerations your team would need to plan for during the rollout process.

In a paper of 1,250-1,500 words, address the following questions related to the advanced registered nurse’s role during this type of scenario:

  1. What key information would be needed in the database that would allow you to track opportunities for care improvement?
  2. What role does informatics play in the ability to capture this data?
  3. Which systems and staff members would need to be involved in the design and implementation process and team?
  4. What professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system?
  5. How would the EHR team ensure that all order sets are part of the new record?
  6. How would you communicate the changes, including any kind of transition plan?
  7. What measures and steps would you take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective?
  8. What leadership skills and theories would facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care?

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

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.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

This benchmark assignment assesses the following programmatic competencies:

2.3:        Develop leadership skills to collaborate on interprofessional teams in the provision of evidence-based, patient-centered care.

5.2:     Apply professional, ethical, and regulatory standards of practice in the provision of safe, effective health care.

Nursing research

Consider the study on Ethnography you described last week, Remind us of your study.                      1.What population will be your sample? 

2. What specific qualitative data will you collect?

3. How will you know when to stop collecting data?

discussion

 A 37-year-old woman G2P2 presents with a lump in her left breast. Her husband noticed it recently and she is concerned, especially as she had an aunt that had breast cancer and thinks that a great-grandmother or some other ancestor may have died of breast cancer as well. Both of her children (9 and 7) were delivered without complication and she breastfed “for well over a year” with each. She has no other significant PMH or allergies. She is 5’ 6” tall, weighs 144 pounds and has a BMI of 22 and works as an office manager. She is a non-smoker, considers herself to be an “almost” vegetarian and has a glass of wine many evenings with dinner. She has regular physicals and is up to date on pap smears which have always been normal. Meds include a daily multi-vitamin and occasional acetaminophen for tension headache or ibuprofen during her period. Upon examination, the lump is discovered. It is firm and near the surface and no other masses are discovered. The lump is aspirated, and an opaque liquid is removed. Following this procedure, the lump has vanished. What is the differential diagnosis? What would be any further screening or treatment options? What is her risk of developing breast cancer? 

Alterations in pulmonary functions

 

Write a 1500-2000 word APA formatted essay of the following topics:

  • Discuss the pathophysiologic connection between asthma and allergies
  • Discuss pathophysiology of lung cancer, clinical manifestations, and diagnostic tests
  • What are the pathophysiologic changes in COPD and how does it differ from asthma?
  • Discuss the use of oxygen therapy in patients with a diagnosis of COPD. What are the benefits and the potential pitfalls?
  • Complete Case Study #13 (bacterial pneumonia) in the Bruyere textbook

Reauthorization Act of 2015 (MACRA) and Meaningful Use

  To Prepare

  • Review the resources related to Medicare Access and      CHIP Reauthorization Act of 2015 (MACRA) and meaningful use objectives.
  • Review the Criteria for Attestation.
  • Consider your current workplace or a former workplace      and reflect on how EHR implementation slows your work, including staffing      issues, medication barcoding, or any other issues that you might      encounter.
  • Identify policy mandates and requirements and reflect      on how informatics and EHR implementation affect your ability to meet      those policy mandates and requirements. 
  • Identify other mandates (e.g., quality, safety,      requirement of reporting) and reflect on how they may affect issues you      identified.

By Day 3 of Week 10

Post a response that analyzes how policy mandates and requirements you experience might affect the issues you encounter as a practicing nurse informaticist. Be specific and provide examples. Next, analyze how evolving policies that may be implemented might affect issues you encounter in nursing practice, and explain why.

McBride, S., & Tietze, M. (2019). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism (2nd ed.). New York, NY: Springer Publishing.
Chapter 1, “Introduction to Health Information Technology in a Policy and Regulatory Environment” (pp. 2–17)
Chapter 12, “National Standards for Health Information Technology” (pp. 272–295)

Centers for Disease Control. (2017, January 18). Meaningful use. Retrieved from https://www.cdc.gov/ehrmeaningfuluse/introduction.html 

Lye, C. T., Forman, H. P., Daniel, J. G., & Krumholz, H. M. (2018). The 21st Century Cures Act and electronic health records one year later: Will patients see the benefits? Journal of the American Medical Informatics Association, 25(9), 1218–1220. 

Office of the National Coordinator for Health Information Technology. (2017, May 15). Standard nursing terminologies: A landscape analysis. Washington, DC: Author. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf

Office of the National Coordinator for Health Information Technology. (2019, February 20). Meaningful use and MACRA. Retrieved from https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra

Federal Register: The Daily Journal of the United States Government. (2016, May 5). Medicaid and Children’s Health Insurance Program (CHIP) programs; Medicaid managed care, CHIP delivered in managed care, and revisions related to third party liability. Retrieved from https://www.federalregister.gov/documents/2016/05/06/2016-09581/medicaid-and-childrens-health-insurance-program-chip-programs-medicaid-managed-care-chip-delivered

eCQI Resource Center. (2019a, May 10). eCQMs. Retrieved from https://ecqi.healthit.gov/ecqms

eCQI Resource Center. (2019b, May 10). Eligible hospital/critical access hospital eCQMs. Retrieved from  https://ecqi.healthit.gov/eligible-hospital/critical-access-hospital-ecqms

Leapfrog Hospital Safety Grade. (2019, April 25). Leapfrog hospital safety grade: Scoring methodology. Retrieved from https://www.hospitalsafetygrade.org/media/file/HospitalSafetyGrade_ScoringMethodology_Spring2019_FINAL.pdf