Nurse Practitioner Modernization Action

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Reply 1

Brown 3 postsRe: Topic 4 DQ 2

Nurse advocacy is essential in improving our profession and health care. This is because nurses can take part in political actions and advocacy to improve practice. One of the issues that nurse advocacy has played a role in the New York state is full practice autonomy for nurse practitioners (NPs). Nurse practitioner autonomy has been granted in several states as the result of nurse advocacy. Despite the fact that some states have granted NPs independent practice, some states such as New York still require nurse practitioners to have collaborative agreements with licensed physicians. New York State is a reduce practice state. One of the legislations that was a result of nurse advocacy is the Nurse Practitioner Modernization Action that was enacted in 2015.

Nurse Practitioner Modernization Action

The act allows nurses with more than 3,600 practice hours regardless of their specialty (“New York State Assembly | Bill Search and Legislative Information,” n.d.). This has given the NPs in New York to practice autonomously without the need for physician supervision or collaborative agreements. Currently, we have an ongoing bill Senate Bill S8936 that aims at make the Nurse Practitioner Modernization Act (“NPMA”) permanent and eliminating certain administrative obligations that create barriers to accessing healthcare (“NY State Senate bill S8936,” 2020). Nurses need to engage in advocacy initiatives to enhance their profession and welfare. This will eliminating the practice barriers and enhancing the provision of quality and safe care (Poghosyan, Norful, & Laugesen, 2018).

New York State Assembly | Bill Search and Legislative Information. (n.d.). New York State Assembly Assembly Home. https://assembly.state.ny.us/leg/?default_fld=&bn=A04846&term=2013&Summary=Y&Text=Y

NY State Senate bill S8936. (2020, September 9). NY State Senate. https://www.nysenate.gov/legislation/bills/2019/s8936

Poghosyan, L., Norful, A. A., & Laugesen, M. J. (2018). Removing restrictions on nurse practitioners’ scope of practice in New York State: Physicians’ and nurse practitioners’ perspectives. Journal of the American Association of Nurse Practitioners, 30(6), 354-360.

Reply 2

COVID-19. Hospitals were not prepared and one of the issues was the scarcity of PPE. Insufficient PPE meant that nurses and other hospital employees were no adequately protected. According to California Legislative Information (2020), “Existing law requires an employer to furnish employment and a place of employment that is safe and healthful for the employees and to establish, implement, and maintain an effective injury prevention program, as prescribed.”

Bill number 2357 would require that there is not only sufficient PPE, but that it is utilized, and that there is a three-month supply on hand at all times. This bill is a direct result of nurses publicizing insufficient protection, and demanding protection for themselves, their patients, and their families. I am sure that we all experienced the atrocities of not being adequately protected at work over the last year.

I worked on three different COVID units at three different hospitals and all but the last did not have enough PPE, yet we were still asked to purchase special respirators out of our own pockets if we were concerned for our safety, think it will be easy for administration to forget the crisis and risk they put their personnel at once the worst of this pandemic is over.  For this reason it is vital that nurses continue to advocate, make noise, and remind administrators that we demand protection.

Bill 2357. (2020). Retrieved from https://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200AB2537

vision of the ideal health care system

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vision of the ideal health care system

Discussion Question

Topics- from Learning by Experience and Reflection:

· Develop your vision of the ideal health care system.

· List some of the characteristics that constitute such a system. What would be the goal or goals of your ideal system?

· Think about how you would go about implementing your ideal system.

· Consider some of the problems you are likely to encounter.

· Must address all of the topics.

· 150-word minimum/250-word maximum without the references.

· Minimum of two references (the course textbook can be one of the references, as well as the organizational website) in APA format. If additional articles chosen, they must have been published within last 3-5 years.

 

issue and the cultural assessment

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issue and the cultural assessment

Review your problem or issue and the cultural assessment. Consider how the findings connect to your topic and intervention for your capstone change project. Write a list of three to five objectives for your proposed intervention. Below each objective, provide a one or two sentence rationale.

After writing your objectives, provide a rationale for how your proposed project and objectives advocate for autonomy and social justice for individuals and diverse populations.

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

Nurse E-Portfolio

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In this mid-course entry into your Nurse E-Portfolio for this course, you continue to have opportunities for reflective practice. In this entry you deepen your understanding and awareness of nutrition. Using the e-portfolio format, answer the following questions. Make sure you spend some time thinking about the answers to these questions before writing.

  • In the first entry you were asked to give yourself a rating from 1 to 5, with 5 representing the healthiest eater. What number would you give yourself now?
  • Did your rating change? If so, in what direction and in what way? What adjustments to your diet, if any, did you make?
  • Are your eating patterns based on family traditions or cultural or religious reasons? If so, do these support or promote healthy eating?
  • What two important nutritional principles or concepts have you learned and will always remember? What is their impact on your delivery of quality safe nursing care?

Mass Incarceration as a Public Health Issue

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Mass Incarceration as a Public Health Issue

Would Approaching Mass Incarceration as a Public Health Issue Improve Health Outcomes for The Mentally Ill?

From a Future Nurse’s Prospective

May 5th, 2021

Name

Institution

Origin of Injustice: Mass Incarceration

In this section you are going to give a brief history of your injustice. Not more than a paragraph. The writing style is formal and must have fluidity. You need a strong introductory sentence that describes what the section will be about but without vague/weak language and is not painted with too broad a brush. You also need transition sentences and summary sentences. Use credible sources in this part because you cannot make up information. The citations will go after the last sentence with information from that source. Each paragraph must have at least ONE in text citation otherwise this is plagiarism.

You should have several paragraphs to ensure organization of content and to help your reader follow your logic. You also need to write formally, meaning NO PERSONAL PRONOUNS (we, our, my or you). This is no place for personal opinions either so the word should or need, should not be used. Look at my full list of words and phrases in my Writing Style handout that make your writing juvenile (get/ing, a lot, huge, big, “when it comes to” to name a few). If you use them I will know you did not look at the videos and are not participating in class. NO QUOTATIONS either. Information needs to be paraphrased and cited correctly in your own words. This is also a form of plagiarism. The last sentence should transition into the causes.

War on Drugs

In this section you will discuss one specific causes to your injustice not a medical condition. This paper is not about your medical condition, it is about the injustice. Use evidence to back up your claim. There should be studies used here to back up your claim. All same writing rules apply.

 

 

 

Longer Sentencing for Minor Crimes

If you have another specific cause to your injustice discuss it here and back it up with evidence. There should be studies used here to back up your claim. Last sentence needs to transition into the next section. All same writing rules apply. The next three sections can be in the order you choose to allow for smooth transition and fluidity in your paper.

Money Bail

If you have a third cause to your injustice include it here.

Money Power and Control: For-profit prisons

In this section you will find a specific organization or institution that benefits from your injustice and works to keep it in place. You will need to find different ways that they maintain power. Each of those tactics should have their own paragraphs. Use the site open secrets to find out how much this industry lobbies congress to protect their interests if you are dealing with American politics. You will need to find several sources to prove the point that this group of people do not want to allow change prevent progress. All the same writing rules apply for this section. Make sure to have a transition to the next section. The next section does not have to be legislation. The three middle sections can be put in the order you want.

Legislation: Violent Crime Control and Law Enforcement Act

In this section you will find a law or a bill that directly impacts your population regarding your injustice. Once you find one look it up on congress.gov. It has a summary of the actual bill and its history. You probably will not find studies about this section but it is possible depending on the discussion you want to have, want to include the specific information about the bill as well as its history and the people that proposed it. You need to have a smooth transition to the next section. Again, the three middle sections can be in the order you need them to be for fluidity.

Risk Management

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HSA 4502-Risk Management

HW Assignment# 1

Chapter 2

1. Explain Peer Review Privilege Statutes

2. Describe Quality Monitoring Initiatives

3. What is the Theory of Corporate Negligence?

4. What is Early Warnings for Litigation?

5. Describe a Post-Event Management & Media Relations

 

Chapter 4

1. Describe the Risk Management Department from Figure 4-2. List some of the Analysis of

Strengths, Weaknesses, Opportunities, and Threats

2. Define and briefly explain Risk Assessment, Risk Finance, and Risk Control abilities

3. From Exhibit 4-2 list the major changes evident in the External Environmental Assessment

4. Describe briefly the five Goals that support the critical success factors for healthcare

organizations

5. Describe briefly the five Strategic Initiatives and tactics

 

Chapter 6

1. Name the four-tiered the IOM report’s recommended

2. Name the five duties in the Patient Safety and Quality Improvement Act of 2005?

3. Define the ultimate goal of this act. Why do you think this act it is important?

4. What does the National Quality Forum pursuit?

5. Name the professional societies that are setting standards in order to improve patient safety

(third tier)

6. Name the purpose of the report created by AHRQ in order to evaluate Hospitals

Renal Disorders

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Renal Disorders Overview Activity

Function of the Kidneys and Urinary System (starting on p 1551)

1. What are the main functions of the kidneys?

2. During urine formation, which two substances should be reabsorbed and not excreted in the urine?

3. What two major electrolytes do the kidneys help regulate?

4. What is the role of the kidneys in maintaining serum pH through bicarbonate?

5. Explain the renin-angiotensin system in regulating blood pressure, including the aldosterone in this system.

6. How do the kidneys contribute to RBC production?

7. How do the kidneys contribute to Vitamin D synthesis?

 

Gerontologic Considerations for Renal Function (p 1554)

The GFR decreases, starting between ____ and ___ years of age with a decline of about

_________ every _______ thereafter.

Decreasing GFR + polypharmacy (metabolites cleared by kidneys) results in:

a.

b.

Decreased thirst sensation + not drinking water due to incontinence and/or limitations in mobility results in:

a.

b.

Nursing interventions:

a.

b.

 

Renal Function Tests (Table 53-5, p 1562)

Test Normal Range Purpose
Specific gravity  

 

 

  
24-hour creatinine clearance  

 

 

  
Serum creatinine  

 

 

  
Blood/Urea/Nitrogen (BUN)  

 

 

Childhood psychosis

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PLEASE FOLLOW THE INSTRUCTIONS BELOW

4 REFERENCES

ZERO PLAGIARISM

Childhood psychosis is extremely rare; however, children that present with psychosis must be carefully assessed and evaluated with appropriate interviewing of parent, child, and use of assessment tools.

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with early onset schizophrenia.

Learning Objectives

Students will:

The Assignment:

Examine Case 3: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

  • Decision #1: Differential Diagnosis
    • Which Decision did you select?
    • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?
  • Decision #2: Treatment Plan for Psychotherapy
    • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?
  • Decision #3: Treatment Plan for Psychopharmacology
    • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
    • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
  • Also include how ethical considerations might impact your treatment plan and communication with clients and their families.

Frequent Detox readmissions

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Recommend a quality or safety initiative that addresses a shortfall in quality and/or safety. (Frequent Detox readmissions) in your current precepted experience environment (or simulation). Include the principles of quality improvement, health care policy, ethical and legal considerations, cost-effectiveness and means to monitor the initiative over time.

The paper needs to be between 5-8 pages in length in APA format in text citation  with a SWOT analysis and implementation timelines and plan as appendices. please provide turnitin report.

Grading Rubric:

1-Identify the quality or safety concern within the clinical practice and implication of the concern.

2- Recommend an evidence-based quality or safety initiative.

3- Discussion of implementation of the safety initiative: include principles of quality improvement, healthcare policy, and cost-effectiveness.

4- Discussion the SWOT analysis and timeline.

5- How the weaknesses and threats to the initiative will be mitigated  in your current precepted experience environment (or simulation). Include the principles of quality improvement, health care policy, ethical and legal considerations, cost-effectiveness and means to monitor the initiative over time.

The paper needs to be between 5-8 pages in length in APA format in text citation  with a SWOT analysis and implementation timelines and plan as appendices.

Grading Rubric:

1-Identify the quality or safety concern within the clinical practice and implication of the concern.

2- Recommend an evidence-based quality or safety initiative.

3- Discussion of implementation of the safety initiative: include principles of quality improvement, healthcare policy, and cost-effectiveness.

4- Discussion the SWOT analysis and timeline.

5- How the weaknesses and threats to the initiative will be mitigated

Choosing Health Insurance

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HA4070D – Regulatory Environment in Health Care

Discussion 06: Selecting a Plan

Base this discussion on the Problem on page 261 of your text labeled “Choosing Health Insurance”. Defend your plan selection with material from the text.

From what you have learned so far. Which of the following insurance plans listed below do you personally prefer, assuming each one costs the same? Defend your choice (both your selection and rejections) with reasons drawn from these readings:

.Plan A: Covers the full range of medical care, subject to standard medical necessity or experimental exclusions, without any deductibles or copayments. But you must receive all care at an HMO clinic where doctors are paid a bonus for saving money.

.Plan B: Excludes mental health and preventative care. And the rest is subject to a $200 deductible and 20 percent copayment up to a maximum of $1,500 per year. Your choice of doctor, but all expensive treatments must be submitted for prior approval by the insurer to determine medical appropriateness.

.Plan C: Covers the full range of medical care, with no major exclusions and your choice of doctor. And no prior authorization requirement, but subject to a $3,000 deductible.

.Plan D: Coverage is defined in an approach similar to the Oregon plan, only using 5,000 specific categories of inclusion and exclusion taken from the latest practice guidelines based on medical research, as selected by a national panel of politically appointed experts. No other restrictions or financial limitations.

Base your discussion on material from the text and your own experience. Cite sources when necessary. Remember to write 150 words in complete sentences.

The Law of Health Care  Finance & Regulation-Vitalsource Bookself-username-crtshhill49@yahoo.com-Password-#magicMAN61