An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.
Answer the following questions:
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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.
CMD
Please see the attachment for instructions
https://cdn-media.waldenu.edu/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_10/index.html
For your Assignment, your Instructor will assign you one of the decision tree interactive media pieces provided in the Resources. As you examine the patient case studies in this module’s Resources, consider how you might assess and treat patients presenting symptoms of neurological and musculoskeletal disorders.
To Prepare:
Write a 1- to 2-page summary paper that addresses the following:
A 60-year-old male patient is admitted with chest pain to the telemetry unit where you work. While having a bowel movement on the bedside commode, the patient becomes short of breath and diaphoretic. The ECG waveform shows bradycardia.
What other assessment findings should you anticipate?
Why does this patient probably have bradycardia?
Does this dysrhythmia need treatment?
Why or why not?
What intervention would you implement first?
What is the drug treatment and dosage of choice for symptomatic bradycardia?
How does this drug increase heart rate?
This assignment is to be completed using APA format. Please use complete sentences to answer the questions. Ensure that you are using correct grammar. In additions, support your answers by using your textbooks, scholarly journals, and credible Internet sources. All citations must be in APA format. The body of your submission must be at least 350 words.
Advanced practice nursing requires specific education, training, and credentials.
Hopefully you have seen how advances in science and technology have shaped and generated careers in the healthcare field. For this assignment please think about the career you are planning to pursue (this may change by the end of the course but that’s ok – just base your answer on what you are thinking of pursuing as of now). Write at least a paragraph (4-6 sentences makes up a paragraph; no more then 2 paragraphs total) describing at least two historical advancements or individuals from history (not family members) that you believe have been most influential in shaping your potential career. For example, if you are going to be a microbiologist in a hospital laboratory you may choose Dr. Koch’s postulates and the microscope as two of the major breakthroughs that influenced your field/career. Depending upon the degree of your familiarity with your intended career, these choices may take a bit of outside research. The advancements or individuals may be ones mentioned in the lecture or something or someone entirely different. In any case, you should be certain they are clearly relevant to your intended profession.
Be sure to include information on who/what the discovery/advance was and when it occurred/when the person lived or made their mark on the field. It should be clear from reading your post why this person or advance is important to your future career.
Assignment: Regulation for Nursing Practice Staff Development Meeting
Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.
Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.
To Prepare:
· Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
· Review the NCSBN and ANA websites to prepare for your presentation.
The Assignment: (9- to 10-slide PowerPoint presentation)
Develop a 9- to 10-slide PowerPoint Presentation that addresses the following:
· Describe the differences between a board of nursing and a professional nurse association.
· Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area.
o Who is on the board?
o How does one become a member of the board?
· Describe at least one federal regulation for healthcare.
o How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?
o Has there been any change to the regulation within the past 5 years? Explain.
· Describe at least one state regulation related to general nurse scope of practice.
o How does this regulation influence the nurse’s role?
o How does this regulation influence delivery, cost, and access to healthcare?
· Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
o How does this regulation influence the nurse’s role?
o How does this regulation influence delivery, cost, and access to healthcare?
A 41-year-old male presents to the doctor’s office you work at complaining of a sore throat and headache. Upon examination, he is diagnosed with a virus that is currently prevalent in the area he works. He is told to rest and drink liquids until the virus has run its course. He becomes irate and tells you he wants an antibiotic.
Instructions: It is a discussion post so 1 page to 1 1/2 pg is good enough. Apa format. Must have 3 references.
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