question

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the  ROLE OF THE RN/APRN IN POLICY-MAKING

Word cloud generators have become popular tools for meetings and team-building events. Groups or teams are asked to use these applications to input words they feel best describe their team or their role. A “word cloud” is generated by the application that makes prominent the most-used terms, offering an image of the common thinking among participants of that role.

What types of words would you use to build a nursing word cloud? Empathetic, organized, hard-working, or advocate would all certainly apply. Would you add policy-maker to your list? Do you think it would be a very prominent component of the word cloud?

Nursing has become one of the largest professions in the world, and as such, nurses have the potential to influence policy and politics on a global scale. When nurses influence the politics that improve the delivery of healthcare, they are ultimately advocating for their patients. Hence, policy-making has become an increasingly popular term among nurses as they recognize a moral and professional obligation to be engaged in healthcare legislation.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 

WEEKLY RESOURCES

To Prepare:

  • Revisit the Congress.gov website provided in the Resources and consider the role of RNs and APRNs in policy-making.
  • Reflect on potential opportunities that may exist for RNs and APRNs to participate in the policy-making process.

BY DAY 3 OF WEEK 8

Post an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.

BY DAY 6 OF WEEK 8

Respond to at least two of your colleagues’* posts by suggesting additional opportunities or recommendations for overcoming the challenges described by your colleagues.

Nursing Grand Round Presentation

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Assignment Directions: 

  1. Review your participant’s holistic assessment form from week 3 as well as feedback from your instructor. Make sure your participant and medical condition are approved before creating the presentation.
  2. Using the Grand Rounds Slide Outline provided, create a 10-slide presentation. You should have one slide for each content area. Do not include more content slides. You may include an additional reference slide if needed. Slide design should be professional and engaging for the target audience.  Review the grading rubric for details and expectations. 

Nursing I have an assignment thats due now, but if someone can have it done by 3AM, or 5AM, I would really appreciate it ! I thought I would have time to get to it,

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Assignment that is medical related, or nursing. Have to do a SOAP note, so you would have to know what a SOAP note is in regards to the medical field and there are questions you have to answer about CPT codes, billing codes for patient visits, Dx. codes, etc. But Ican add the diagosis codes.

Thanks Julie 

2 Discussions 2 reply

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Please see the attachmet for instructions 

informatics

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The table below gives some operational statistics for two hospitals located in the same community. Use the table to answer the following questions.

  1. Calculate the following measures for each hospital (wherever appropriate, calculate the measure for each pay type). Discuss the meaning and significance of each measure and point out the differences between the two hospitals.
    1. Hospital capacity
    2. ALOS
    3. Occupancy rate
  2. Operationally, which hospital is performing better? Why?
  3. Do you think the nonprofit hospital is meeting its community benefit obligations in exchange for its tax-exempt status? Explain.
  4. Do you think the hospitals have a problem with excess capacity? If so, what would you recommend? In your answer to this question, please consider how hospital governance may impact the ability of an administrator to make changes.

ASL Reflection

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Student expresses empathy and awareness of personal role in the solution and makes a connection to the bigger picture.

health care statistics.

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Primary Task Response: write words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

You are a health care administrator (HCA) for a community hospital named Choice Hospital. As the HCA, you are working with new staff who will assist you with data collection and analysis for tracking and benchmarking performance in several key areas of the facility. As you work with the new staff, you will help them understand the meaning of health statistics and  the external resources available for locating health care statistics by completing the following:

  • Define health care statistics. 
  • Explain the purpose of collecting and reviewing healthcare statistics
  • Identify 2 organizations that use health care statistics at the local, state, and national levels (e.g., CMS hospital system)   
  • Identify 2 sources that are available to obtain healthcare statistics

Discusssion

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 Read

APRNs are primary care providers, pivotal in providing primary health care and preventive services in communities. Advanced practice nursing is defined by the Nurse Practice Act but governed by the Board of Nursing in different states or territories. Where the Nurse Practice Act falls short in interpretation, the Board of Registered Nursing guides the form of an opinion (American Nurses Association, n.d.). Advanced practice nurses should understand how these laws and regulations shape practice.

            I am from California, and I chose Iowa for comparison. In both states, APRN nursing regulations allow advanced practice nurses to function as primary care providers with permission to certify disability pursuant to the unemployment insurance code section2708 (California Legislative Information, n.d.). Similarly, in both states, APRNs also sign POLST forms.

            APRNs in California can prescribe controlled substances after fulfilling specific requirements, including six months of physician supervision, a pharmacology course, and another specific course about schedule II-controlled drugs. Iowa Board of Registered Nursing also allows nurse practitioners to prescribe Schedule II drugs after registering with the pharmaceutical board. Both states require the prescriber to be registered with the Drug Enforcement Agency.

           Advanced Registered Nurse Practitioners in Iowa have autonomy in practice; alternately, they can collaborate with a physician or surgeon, but this is not a requirement of the Iowa Board of Nursing. APRNs in Iowa practice autonomously. California has a standardized procedure arrangement for advanced practice nurses to diagnose, treat, and prescribe. APRNs in California have career-long supervision, delegation, or team management by a physician. Largely, California regulations allow advanced nurse practitioners to approve, sign, or modify treatment plans after consultation with a physician.

          California Board of Registered Nursing allows for using marijuana by nurses as long as it is not used within the workstation. The legislation makes it unlawful for an employer to eliminate hiring someone based on that person using Cannabis away from their workstation. The legislation further guides that a nurse who uses cannabis for medical purposes should also be exempted from this policy. On the contrary, recreational use of marijuana is illegal under Iowa law. A nurse may be affected even if the positive drug screen was done in another state that allows the use of marijuana. Potential employers usually forward positive marijuana screens where a nurse has a license.

           Advanced Practice Registered Nurses with full legal authority to practice at full scope will have issues practicing autonomously in California because of the restricted practice legislation. One of the objectives of the ANA is to fight barriers to nursing practice so that nurses practice to the full extent of their education and training despite being in different territories. All nurses are licensed by their state of practice or by a multistate license. The Nurse Licensure Compact provides APRNs with a multistate license that allows nurses to practice in the home state and other compact states (NCSBN. (n.d.). Not all states are compact states.

            Nurses adhere to the rules through continuous education to keep up with the latest practices and technology. Many approved colleges provide the necessary certification; some are state-specific, and others can be found online. Joining Professional organizations is also useful for sources of the latest information in the medical world.

explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples. 

cultural diversity discussion 1

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Select one of the discussion prompts below and respond to it with an initial post by Day #4 of the unit week. Your initial post needs to thoroughly address all parts of the selected prompt and be supported by at least one scholarly source. Then, respond to at least two threads on two additional days to drive the weekly discussions. All posts must demonstrate critical thinking and effective written communication including proper spelling, grammar, professional language, and APA formatting of references and in-text citations. All posts must also be submitted no later than the last day of the unit week.

Discussion Prompts

Prompt #1

How do you define “cultural diversity”? Do you think the way you define cultural diversity is the same or different than how others might define it? What elements contribute to a person’s “cultural identity”? What if everyone in the world had the same cultural identity? Do you think this would be a place you’d want to live? Why are discussions about cultural identity important?

(USLOs 1.1, 1.2, 1.3)

Prompt #2

Share with us some of your personal and cultural identities. Please share 6 aspects of yourself with the group. Here are some identity categories, for example:

  • Cultural Heritage(s)
  • Nationality(-ies)
  • Family
  • Race/Ethnicity
  • Religion/Religious influences
  • Sexual Identity
  • Disability Status
  • Language Community(-ies)
  • Character trait(s)

Do any of these identities relate to one another, if so, how? What would a person who read about your identity be able to reveal about you? What would a person who read about your identity not be able to tell about you? Do any of your cultural identity groups practice allyship? If they do not practice allyship, how might they engage in activities to be more inclusive and equitable?