The Electronic Health Record

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The Electronic Health Record

The paper and electronic patient record has many purposes, including but not limited to:

·         Provide a comprehensive format in which to document patient information accurately, efficiently, and securely

·         Improve accessibility of patient information, particularly between providers

·         Improve patient outcomes via data mining to pinpoint trends, barriers, and safety needs

·         Add software to decrease human errors such as computerized provider order entry (CPOE), medication administration bar coding, automated alerts such as for allergies and medication interaction, and tracking of access by workers

·         Provide for safety and confidentiality of the PHI

Personalize your role in each of the EHR benefits listed above.

Include the following aspects in the assignment:

Ø  Using what you have learned thus far reflect on your role in each of the categories above

Ø  Write 1-2 paragraphs for each of the five sections that personalizes your role in this area

Ø  In some areas you may need to consider future roles and responsibilities

Ø  Use scholarly resources as needed to fully answer the section

Ø  Cite the reference. APA is not required but as always proper grammar, sentence structure and spelling is expected. There is NO copy/pasting. Everything must be in your own word

An ongoing challenge for advanced practice registered nurses (APRNs) has been changing state legislation that allow APRNs to practice to the fullest extent to which they were academically prepared.

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An ongoing challenge for advanced practice registered nurses (APRNs) has been changing state legislation that allow APRNs to practice to the fullest extent to which they were academically prepared. For this discussion question, contact the Board of Nursing (BON) in your state or access your BON online. Examine laws that govern APRNs in your state. Consider the following: do APRNs in your state have prescriptive authority; is there legislation in place that allows them to practice autonomously; and finally, if a bill has been passed and adopted, which legislator introduced the bill and who were the strongest advocates for the bill? Then post an initial response that addresses the following:

Explain how the lack of autonomy for APRNs impact patients in rural populations? As a health care professional in an advocacy role, what resources could you utilize to guide you in changing policies that impact APRNS in your state? Include in your discussion the type of stakeholders and collaborative partners you would seek to guide or assist you on this cause.

Assignment: Clinic start-up scenario

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Assignment:

Assignment: Clinic start-up scenario

You have been tasked with starting up a local clinic and developing a business plan for its operation. You are unsure if, or how long it will take for your operation to break even. Develop your own cost estimates (and categories as needed) and complete the following in an Excel (or Open Office) spreadsheet :

  1. Identify projected fixed costs for each category
  2. Identify projected variable costs for each category
  3. Identify total costs
  4. Using estimated cost per visit and revenue per visit, project your breakeven point.
  5. Briefly describe the merits of the project. Do the numbers make sense?

In a separate two-page Word document:

  • summarize your findings
  • provide your assumptions regarding the type of care provided
  • explain your overall rationale

Assignment Expectations:

Length:

One spreadsheet;

500 – 650 words written; answers must thoroughly address the questions in a clear, concise manner

Structure:

Include a title page and reference page in APA style. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount.

References:

Include the appropriate APA style in-text citations and references for all resources utilized to answer the questions

Format:

Save Part 1 your assignment as a Microsoft Excel or Open Office Calc; save Part 2 as Word (.doc or .docx), Open Office (.odt) or rich text format (.rtf) file type

Filename:

  • name your saved files according to your last name, first initial, and the week (for example, “jonesb.week1”)

four indications and contraindications for the use of syringe drivers for pain relief?

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1. What are four indications and contraindications for the use of syringe drivers for pain relief?

2. Outline the impact loss and grief has on the individual person who is receiving palliative care, their family or carers and the staff members involved in their care.

3. How can you and your colleague’s access professional debriefing? Provide two strategies.

4. For each of the following issues listed below, explain the ethical and legal issues that may occur in relation to personal values and decisions made by or for the person requiring a palliative approach to care.

  • Requests to withhold information
  • Withdrawing or withholding treatment (for example, antibiotics).
  • Provision of nutrition and hydration
  • Request for assistance to die
  • Refuse autopsy of a deceased relative in palliative care

5. In the “Issues” column below, for each of the groups , briefly describe the needs and important factors to be considered when providing a palliative care approach. In the “Support” column, identify one service available to this group for grief and bereavement support.

  • People who identify as LGBTI
  • Refugees and asylum seekers.
  • People from culturally and linguistically diverse (CALD) backgrounds
  • People with an intellectual disability
  • People living in rural and remote areas
  • Older people and people living with dementia
  • Children and adolescents

Human trafficking, extreme poverty, preventable diseases, the opioid crisis and the lack of adequate low-income housing are a few current societal concerns worthy of social change

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Population Health Advocacy

Human trafficking, extreme poverty, preventable diseases, the opioid crisis and the lack of adequate low-income housing are a few current societal concerns worthy of social change. Nurses and healthcare leaders are in a good position to shape and influence health care policy.

Think of a cause you believe in strongly. Access the website of your elected officials either at the local, state, or federal level using the following link: https://www.usa.gov/elected-officials/ or use the website of your choice. Explore some of the issues and committees your legislators are involved in and select at least one that interest you or align with your beliefs. You may also contact your legislator’s office and speak to his or her legislative assistant by calling the U.S. Capitol switchboard operator at (202) 224-3121 for the Senate and (202) 225-3121 for the House. Legislator assistants are very knowledgeable about the legislator’s agenda and can provide a wealth of information.

This assignment will be at least 1500 words or more. This week reflect on advocacy, collaborative partnerships with other health care practitioners and stakeholders, and the policy making process and write a paper that addresses the following:

Describe the policy issue, policy problem of interest or a particular bill that your legislator has introduced
Elaborate on why the policy matters and what you can possibly do to strengthen the policy?
Briefly define the role you would play as an advocate for the healthcare consumer and healthcare professionals.
Explain how the policy impacts the public at large or a particular population.
What stakeholders would you collaborate with to promote the cause?
Assignment Expectations

Length: 1500-2000 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment. Your essay must include an introduction and a conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

Format: Save your assignment as a Microsoft Word document (.doc or .docx).

Hide

Certifications and Continuing Education in Your Professional Role Grading Criteria

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Assignment Content

Resources: Certifications and Continuing Education in Your Professional Role Grading Criteria

Select one of the following options to complete this assignment:

  • Your current role in a hospital setting
  • A professional role, such as an administrator, a nurse, respiratory therapist, health information specialist, physical therapist, or radiology technologist.

Write a 700- to 1,050-word paper that summarizes the certifications and continuing education that would be appropriate for a professional role in a hospital or other applicable health care setting. Your paper should:

  • Identify a professional organization that would provide professional development opportunities for the role you have selected.
  • Describe the professional development and other opportunities the professional organization would provide to you as a member.
  • Explain the importance of being a member in a professional organization.
  • Include the link to this organization.

Cite 2 peer-reviewed, scholarly, or similar references to support your assignment.

Explain how the lack of autonomy for APRNs impact patients in rural populations? As a health care professional in an advocacy role, what resources could you utilize to guide you in changing policies that impact APRNS in your state?

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An ongoing challenge for advanced practice registered nurses (APRNs) has been changing state legislation that allow APRNs to practice to the fullest extent to which they were academically prepared. For this discussion question, contact the Board of Nursing (BON) in your state or access your BON online. Examine laws that govern APRNs in your state. Consider the following: do APRNs in your state have prescriptive authority; is there legislation in place that allows them to practice autonomously; and finally, if a bill has been passed and adopted, which legislator introduced the bill and who were the strongest advocates for the bill? Then post an initial response that addresses the following:

Explain how the lack of autonomy for APRNs impact patients in rural populations? As a health care professional in an advocacy role, what resources could you utilize to guide you in changing policies that impact APRNS in your state? Include in your discussion the type of stakeholders and collaborative partners you would seek to guide or assist you on this cause.

DQ1 UMBO – 2DQ1 PLG – 5DQ1 CLO – 5, 7

  How would a great healthcare leader engage with these populations to improve mental health care and treatment?

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The page length should be two to three pages and include three to five citations. The pages should be double spaced and APA style. Please include data Review current data related to the effects of

The page length should be two to three pages and include three to five citations. The pages should be double spaced and APA style. Please include data

Review current data related to the effects of Covid-19 on mental health for healthcare staff and the greater community.  How would a great healthcare leader engage with these populations to improve mental health care and treatment?

An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has a history of malabsorption syndrome and difficulty eating due to lack of dentures.

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An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has a history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition.

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation, usually a paragraph with citation(s) should suffice to cover each point. Citations would reflect classroom textbook, primary, current peer-reviewed journal articles (published in last 5 yr.) usually, 3 will support your points.

The role genetics plays in the disease.
Why the patient is presenting with the specific symptoms described.
The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
The cells that are involved in this process.
How another characteristic (e.g., gender, genetics) would change your response.
The rubric will be your guide. As you can see, at least 3 primary references are needed. These would be from Textbook in the classroom, journal articles.

Your media links to YouTube, Medscape, UpToDate, Emedicine, Mayo, and Cleveland Clinic, newspapers are resources, not rigorous enough to support your points nor influence patient management. These cannot be used as references

Jimmy Chang, a 20- year- old college student, is admitted for additional chemotherapy. Jimmy was diagnosed with leukemia 5 years earlier and has had several courses of chemotherapy. He is currently in an acute active phase of the disease, though he had enjoyed a 14- month remission phase prior to this admission.

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Read the case study presented at the end of Chapter 8 (Guido, p.133) which begins, “The patient was hospitalized for extreme low back pain…”

  • Was there informed consent for the initial medications given to the patient?
  • How would you determine that informed consent had been given for the MRI and the medications needed for sedation for the test?
  • Was the informed consent deficient to the degree that there was a lack of informed consent for the patient for the second dose of medications?
  • How would you decide this case?

Read the case study presented at the end of Chapter 9 (Guido, p. 150) which begins, “Jimmy, a Floridian, has undergone two liver transplants.”:

  • What questions would you anticipate the judge to ask Jimmy to ascertain his level of maturity, understanding of the full consequences of his lack of action, and possible alternative reasons for requesting that he be allowed to make his own medical decisions?
  • How should the judge evaluate the mother’s response to her son’s request?
  • Does the state of residency factor into the judge’s decision?
  • Are there additional issues that should be addressed prior to deciding the outcome of this case?
  • How would you decide the case?

Jimmy Chang, a 20- year- old college student, is admitted for additional chemotherapy. Jimmy was diagnosed with leukemia 5 years earlier and has had several courses of chemotherapy. He is currently in an acute active phase of the disease, though he had enjoyed a 14- month remission phase prior to this admission. His parents, who accompany him to the hospital, are divided as to the benefits of additional chemotherapy. His mother is adamant that she will sign the informed consent form for this course of therapy, and his father is equally adamant that he will refuse to sign the informed consent form because “Jimmy has suffered enough.”

You are his primary nurse and must assist in somehow resolving this impasse.

  • What do you do about the informed consent form?
  • Who signs and why?
  • Using the MORAL model, decide the best course of action for Jimmy from an ethical perspective rather than a legal perspective.
  • Now decide the best course of action based on a purely legal perspective.
  • Did you come to the same conclusion using both an ethical and a legal approach?

Please combine all of these responses into a single Microsoft Word document for submission. Submit only completed assignments (not partial or “draft” assignments). Be thorough in your responses to adequately address all aspects of each question.

Submit only the assignments corresponding to the module in this section.

Assignment Expectations

Length: 1500 words; answers must thoroughly address the questions in a clear, concise manner.

Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Format: Save your assignment as a Microsoft Word document (.doc or .docx).

File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment