MODULE 4, Policy Assignment
Please answer the following questions:
1. Based on your research, will this patient be authorized for Medicare covered skilled nursing care services? Why or why not?
b) Medicare Part A (Hospital Insurance) covers skilled nursing care provided in a skilled nursing facility (SNF) under certain conditions for a limited time. For example if, your doctor has decided that you need daily skilled care given by, or under the direct supervision of, skilled nursing or therapy staff. ("Skilled nursing facility (SNF) care | Medicare.gov," n.d.)
2. What determines observation versus inpatient admission?
You’re an outpatient/observation if you’re receiving emergency care, or any other care your physician has not ordered.
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They shared the disposition that the patient should be discharged pending his agreeing to follow up with outpatient services. Patient has agreed to follow up with outpatient services as recommended. The patient 's family member has been contacted and made aware of the plans concerning the patient. Patient contracted for safety, was given outpatient referral information, and completed a crisis plan;.
Ivy Tech Community College School of Nursing NRSG 128 Practice Issues for the Practical Nurse Discussion Rubric Name: ___Jasmine Liubakka___________ Date: _________10-27-15_______________ Topic of Discussion: Should the impaired nurse be allowed to return to work? Position on Topic: (1) Points ________________ Yes, I feel that as long as the nurse participates in a program that includes requirements of regular attendance at support group meetings, personal and active involvement with a 12-step sponsor, and close contact with a case manager or monitor of an alternative program, she should be allowed to return to work.
First, it is important to define what it means to be an “Advanced Practice Nurse” in the state of Indiana before we can look at the stipulations set. It is defined as a registered nurse who is currently holding: knowledge acquired from a formal, and organized institution of learning, and additionally, clinical experience, or a stated board approved equivalent.
My interviewee is a fifty-three-year-old, white female named Kat Smith. Kat is the mother of two daughters and has been married to her husband for twenty-five years. She is a stay at home mom and lives a comfortable middle class lifestyle. Kat was diagnosed with at age forty-nine with uterine fibroids that resulted in a total hysterectomy. Previously Kat had lived in extreme pain for over fifteen years, she expected that something was wrong, however, the doctors that were treating Kat did not order an ultrasound and attributed her pain to her menstrual cycle.
Based on your readings from this section and the videos respond to the following questions and to 2 of your classmates. Describe a challenging, diversity-related situation that you have faced, and likely will continue to face in your nursing career. A challenging, diversity-related situation that I have faced, and likely will continue to face in my nursing career is caring post-operative patients with various pain and treatment beliefs. As a Med-Surg nurse, I often care for patients with countless diagnoses/surgeries and of various cultural beliefs and practices regarding pain and treatment beliefs.
According to the California Board of Registered Nursing (2011), “An Explanation of the Scope of RN Practice including Standardized Procedure” documentation defines the scope of practice for RNs licensing in California also explains the process of determining if a standardized procedure is required. It is RNs’ responsibilities and accountabilities to enforce the Nurse Practice Act (NPA) pertaining to the specific state for nursing practice within the scope of educational level and entitled licensure allowed. In addition, “Code of Ethics for Nurses” (American Nurses Association [ANA], 2015) provides guide indicating how to care patients with ethical obligations. An organized health care system such as health care facility, clinic, home health
Practice Policy Appropriate health care continues to be one of the major challenges throughout the nation. Financial and educational hindrances can produce negative health effects on individuals and communities. Advanced practice nurses can implement their evidence based knowledge and skills within any environment to increase the knowledge and health of the surrounding populations. However, nurse practitioners must comply with the protocols and laws mandated by the board of nursing. This paper will discuss the setting in which nurse practitioners practice in, along with the laws and limitations that they must adhere to at all times.
I actually, do have some experience with this topic. I currently work at the St. Cloud Hospital. As a nurse, I have to go through a bunch of different questions when I admit someone to our department. One of the questions is, do you have an advanced care directive or would like information on one. Sometimes people ask questions such as, “What is an advanced care directive”?
There are many people that are always helping others at the hospital, it could be a doctor, receptionist or someone is there talking to people trying to help them get through whatever it is they may be going through. Registered Nurses, also known as RN's are also there to help people! They give people medicine, help them get back into a better state of being, but whatever it may be they are always there to help, RN's are great people inside and out. First of all being a Registered Nurse takes a lot of work, there is four years of college.
In healthcare industry, delegation of tasks can be defined as the transfer of a particular nursing responsibility to team members such as Licensed Practical Nurse (LPN), Licensed Vocational Nurse (LVN) or Unlicensed Assistive personnel (UAP). While the nursing leader /Registered Nurse (RN) transfers the responsibility to other staff members, he/she retains the professional responsibility of the final outcome (Mueller & Vogelsmeier, 2013). Delegation is guided by specific principles to ensure that the delegated duty is performed as per the instructions of the RN. Since authority is transferred to other staff members who may not be well acquainted with the task, supervision is very important.
The four spheres of political action in nursing are government, workplace, professional organizations, and community. They are all interrelated and interconnected. The government enacts policies that govern and affect all spheres. Healthcare policies are often made to ensure access, quality, and affordability of care. It determines the scope of nursing practice at a state level.
Many of them include the payments that would involve payments to SNFs. Bundle payment programs of which there 48( in 2017) create an episode of care. In this episode the post acute care services would be included in the payment. This program offers several potential strategic opportunities for providers, such as reducing costs, improving quality, providing a platform for more meaningful physician engagement and allowing hospitals to gain a better understanding of the total cost of care. Modern health 99 article Under this scenario a hospital or ACO would contract for post acute services.
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.