Prescriptive Authority

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Week 6 Discussion 1: Prescriptive Authority: State Regulations

Initial Post

To get started, review the Nurse Practitioner Interactive Map.

In your initial post, please identify the prescriptive authority regulations in the state where you are going to practice. Are there any restrictions, supervision, or collaboration required from a physician? If so, please explain. If you will be practicing in multiple states, do the regulations in those states differ? If you are in a clinical placement, please ask your preceptors about the prescriptive regulations and if an agreement is needed. If so, ask to see a copy of the agreement so that you can review what will be required when you begin to practice. Share with one another on the discussion board what you have found. If you are precepting at more than one facility, discuss whether these agreements differ at all, what your thoughts are about any differences, and which agreements you like best.

Reply Posts

Reply to at least one of your classmates. In your reply post, compare and contrast the state regulatory requirements of the state in your initial post with a different state. Discuss with your colleague rationales behind these differences and how the difference affects healthcare access, quality and cost.

Journal

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Journal #2

What are the consequences of short staffing in a hospital. How can management help reduce the number of patient to nurse ratio, also explain how over working can negatively effect the nurse in their daily life

Nurs

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Nurs

Module 05 Content

  1. You will perform a history of a nose, mouth, throat, or neck problem that your instructor has provided you. You will perform an assessment including nose, mouth, throat, and neck. You will document your subjective and objective findings, identify actual or potential risks, and submit this in a Word document to the drop box provided.Patient is a 17 year old male that came to the clinic with his father after feeling ill for 2 days. The patient has throat pain and drainage from his nose. Both he and his father are answering questions. You will document your subjective and objective findings (what did they tell you, what do you see…. Be DETAILED!) Identify actual or potential risks, and submit this in a Word document to the drop box provided.

Title:

Documentation of problem based assessment of the nose, throat, neck, and regional lymphatics.

 

Purpose of Assignment:

Learning the required components of documenting a problem based subjective and objective assessment of nose, throat, neck, and regional lymphatics. Identify abnormal findings.

 

Course Competency:

Demonstrate physical examination skills of the head, ears, and eyes, nose, mouth, neck, and regional lymphatics.

 

Instructions:

 

Content: Use of three sections:

· Subjective

· Objective

· Actual or potential risk factors for the client based on the assessment findings with description or reason for selection of them.

 

Format:

· Standard American English (correct grammar, punctuation, etc.)

 

Resources:

Chapter 5: SOAP Notes: The subjective and objective portion only

Sullivan, D. D. (2012). Guide to clinical documentation. [E-Book]. Retrieved from http://ezproxy.rasmussen.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=495456&site=eds-live&ebv=EB&ppid=pp_91

 

Smith, L. S. (2001, September). Documentation do’s and don’ts. Nursing, 31(9), 30. Retrieved from http://ezproxy.rasmussen.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=107055742&site=eds-live

 

Documentation Grading Rubric- 10 possible points

Levels of Achievement
Criteria Emerging Competence Proficiency Mastery
Subjective

(4 Pts)

 Missing components such as biographic data, medications, or allergies. Symptoms analysis is incomplete. May contain objective data.

 

 Basic biographic data provided. Medications and allergies included. Symptoms analysis incomplete. Lacking detail. No objective data. Basic biographic data provided. Included list of medications and allergies. Symptoms analysis: PQRSTU completed. Lacking detail. No objective data. Information is solely what “client” provided. Basic biographic data provided. Included list of medications and allergies. Symptoms analysis: PQRSTU completed. Detailed. No objective data. Information is solely what “client” provided.
Points: 1 Points: 2 Points: 3 Points: 4
Objective

(4 Pts)

 Missing components of assessment for particular system. May contain subjective data. May have signs of bias or explanation of findings. May have included words such as “normal”, “appropriate”, “okay”, and “good”.

 

 Includes all components of assessment for particular system. Lacks detail. Uses words such as “normal”, “appropriate”, or “good”. Contains all objective information. May have signs of bias or explanation of findings. Includes all components of assessment for particular system. Avoided use of words such as “normal”, “appropriate”, or “good”. No bias or explanation for findings evident Contains all objective information Includes all components of assessment for particular system. Detailed information provided. Avoided use of words such as “normal”, “appropriate”, or “good”. No bias or explanation for findings evident. All objective information
Points: 1 Points: 2 Points: 3 Points: 4
Actual or Potential Risk Factors

(2 pts)

 

 Lists one to two actual or potential risk factors for the client based on the assessment findings with no description or reason for selection of them. Failure to provide any potential or actual risk factors will result in zero points for this criterion. Brief description of one or two actual or potential risk factors for the client based on assessment findings with description or reason for selection of them. Limited description of two actual or potential risk factors for the client based on the assessment findings with description or reason for selection of them. Comprehensive, detailed description of two actual or potential risk factors for the client based on the assessment findings with description or reason for selection of them.
Points: 0.5 Points: 1 Points: 1.5 Points: 2

 

 

 

Interactive Case Study

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Interactive Case Study

After you view the case study, reflect upon what you have learned and how it is related to the learning materials. Compare the case study to your nursing practice and give a similar example from your experience in which you might have run into staffing issues.

Your reflection content should be a minimum of 500 words, equal to five to six paragraphs.

Pamphlet

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Pamphlet #1

Create a pamphlet using any type of publisher software you choose to educate clients on a current patient safety issue.

For example:

· How aging adults can care for themselves at home

· Medication–polypharmacy and how a patient cannot make a self-medication error,

· Or other appropriate safety issues.

If you have a question about a specific topic, check with your instructor. It is recommended that you save your pamphlet as a PDF for submission.

Your pamphlet must include the following items:

1. At least five tips for preventive care for the patient.

2. Information that should be shared with family or caregivers.

3. Local resources in the community that might be available for this type of safety concern.

At least three APA-formatted references published within the last five years.

Criminal Law, Criminal Culpability, And Criminal Liability

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Criminal Law, Criminal Culpability, And Criminal Liability

According to the text, criminal law is aimed at the misbehavior that falls below society’s norms and values. The burden of enforcing criminal law and maintaining public order and public safety falls to local, state, and even the federal government; all help to shape and prescribe conduct in the United States. Each state is specifically responsible for the maintenance of public order and public safety within their borders. The federal government is responsible for regulating criminal conduct delegated to it by the U.S. Constitution. Each branch of government, at the state and federal level, must proscribe the required elements of each crime charged and prove guilt beyond a reasonable doubt per the Due Process Clause and other constitutional requirements. In this assignment, you will explore criminal law, criminal culpability and its limitations, and what is required for criminal liability and punishment.

Instructions

Write a 2–3-page paper in which you:

  • Explain the goals of criminal law and why these goals are still important today.
  • Explain the connection between state police power and the limitations of this power imposed by the Constitution.
  • Identify the differences between state and federal jurisdiction, when it comes to criminal law, and what is meant by due process of law.
  • Describe the manner in which the four goals of criminal law are met by requiring and proving both a mental element and physical act beyond a reasonable doubt.
  • Use at least three high-quality academic references. Choose sources that are credible, relevant, and appropriate. Cite each source listed on your source page at least one time within your assignment. For help with research, writing, and citation, access the library or review library guides.

Virginia laws  on cohabitation

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Virginia laws  on cohabitation

Locate and read Virginia laws (statutes and case law) on cohabitation and answer the following:

  • Is cohabitation legal in Virginia?  If so, since when?  And, according to what law?  If not, according to what law?
  • Does Virginia follow the Uniform Premarital Agreement Act, a modified version, or its own state version?
  • Will Virginia courts enforce a cohabitation agreement?
  • Why do you think so many couples are choosing cohabitation instead of traditional marriage?  What age group tends to have the highest percentage of folks who cohabit?
  • What are the advantages and disadvantages of cohabitation?
  • Why do you think the states have an interest in allowing or disallowing this behavior under the laws?

Cite at least two (2) outside sources, including at least one (1) primary source of law.

Virginia’s law on ethical walls

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Virginia’s law on ethical walls

Answer the following prompt using complete sentences, good grammar, spelling, and punctuation, utilize a word processing program, and proofread your work before submitting.

Be sure to explain your answers and back yourself up with either references to the textbook reading or outside sources, preferably primary sources of law, such as the Virginia State Bar Rules of Professional Conduct or the ABA Model Rules of Professional Conduct, or other source  AS APPROPRIATE (properly cited, of course).  Mention rules of law upon which you are relying within the body of your answers, and also include a complete citation to all of your sources in a references section at the bottom of your assignment.

  1. Research Virginia’s law on ethical walls (formerly called “Chinese walls” if that helps inform your research).  Perhaps start with rule 1.10 on imputing conflicts to other people in a firm and/or 1.11 for those with a government agency.  Check for state bar opinions, as well as case law on this issue.  You can use the internet or an electronic legal research database such as WestlawNext or LexisNexis, etc.  The Virginia State Bar website has plenty of information as well, and your textbook has search engine suggestions on page 124.  Report on what you find, what you think about such, and provide citations.
  2. Locate Virginia’s Rules of Professional Conduct related to lawyer advertising.  Would it violate these rules if your law firm adopted a vanity phone number such as 1-800-GR8-LWYR?  Can your law firm create a website address like:  www.greatlawyer.com?
  3. Does Virginia prohibit the use of actors portraying lawyers in television advertising?  What do you personally think about this?  Is the public confused or fooled by this practice?  Do Virginia’s rules prohibit your law firm from using a clever jingle in a radio or television ad?

juvenile justice system

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juvenile justice system

Write a 700- to 1,050-word paper summarizing the key parameters of the juvenile justice system in the United States. Address the following:
  • The historical development of the juvenile justice system. Use case law or legislation to strengthen your discussion.
  • Predominant philosophy of the juvenile system
  • Key differences between the juvenile and adult systems
  • Distinguish between dependency and delinquency
  • The reasoning behind and the importance of confidentiality in juvenile court

Format your paper consistent with APA guidelines.