The scope of practice is an RN’s job description including nursing assessment of health status, development of plan of nursing care, administration of medication, delegation of interventions to implement the plan of care, maintenance of safe and effective nursing care, being a patient advocate, evaluating responses to interventions and the effectiveness, etc. A lot of these pieces of the RN scope of practice are the steps of the nursing process. As a nurse, it must be remembered that if you do anything outside of the scope of practice and your job description, it will haunt you and there will be
This could result in malpractice or lack of care standards on the part of the case manager. The case manager needs to talk to the physicians to ensure they are clearly communicating their patients' condition and that they are on board with the plan care all way to the discharge plan. (Hogue & Prudhomme, 2012) Another point is documentation on a patient. There is a saying in the medical field if you didn’t document it didn’t happen, make sure as a case manager, everything you do is fully documented in the patient record. Develop habits that are good, you always want to document on a client when everything is fresh.
As mentioned in the Business Insider, anything from high blood pressure to cancer and even to acne, is considered a pre-existing condition. Others include diabetes, asthma and pregnancy. Opponents believe that “the vast majority of Americans with health insurance were already in plans that were required to offer them coverage regardless of pre-existing conditions”, as stated in Forbes. One cannot deny that before Obamacare, perhaps a small percentage of Americans were unable to get coverage due to pre-existing conditions. But, there are ways to see that this could have aggravated if it were not for Obamacare.
Depending on your health insurance, you will receive a card similar to a debit card allowing you to pay for medical expenses. Other plans require you to submit documentation or receipts so your insurance company can reimburse you for your expense. You can use flexible spending accounts for any dependents that you claim on your taxes or any adult children in your home under the age of 26. Flexible spending accounts also allow you to use the funds for any approved medical expenses incurred by your spouse. At the end of the plan year, you will forfeit any money left in the account, although some employers provide you with a short grace period.
According to an article published by Professional Liability Advocate, “The metadata … compiled into an audit trail … shows the date, time and user who accessed a patient’s chart. It even shows whether the user created or added to an existing record.” If an electronic medical record is altered or amended without indicating that the changes are a late entry, the plaintiff’s attorney will find out. As seen in the example above, this results in negative outcomes for both the case’s defense and the healthcare provider’s
This document only becomes effective when it reaches the hands of the health care team caring for the patient (Alfonso, 2009, p. 43). A durable power of attorney is enacted by a legal document which names a person of 18 years of age or older as a surrogate decision maker allowing them to make all health care decisions if a person become unable to do so (Goldberg & Bennington Jr., 2013). This individual may also make bank transactions, sign social security checks, apply for disability, or simply write checks to pay the utility bill while an individual is medically incapacitated (Nabili & Shiel Jr., 2015). A Do-Not-Resuscitate Order is A do-not-resuscitate order also known as a DNR order, is a written document in which it expresses the wish that if breathing and
In some of the clinics we are completely alone, no doctors. Other times NPs and doctors will be seeing patients side by side. Usually doctors are really open to consulting with the NPs, if the NP wants to make sure of something. We don’t report to them. We both prescribe meds, refer to other specialties as needed” (J. Yale, personal communication, September 9, 2016).
It is to ensure accurate identification in identifying the individual as the person for the treatment is intended of care. From this experience I understand that, it is essential to utilize two- patient identifier according to the standards and policies of the hospital. Secondly, by asking an open-ended question active communication whenever possible and ask the patient to state his or her full name and date of birth of the individual is to ensure the safety of individuals during their care, including prevention of medication, diagnostic and treatment errors. IPSG, states that by utilizing a two patient- identifier, facilitates patient participation. Thus, in an open-ended inquiry active communication possibly by requesting patient to state his or her full
Most importantly, prioritize the items that were not in compliance and begin their action plans. Think of mock survey activity as a “drill” to assure that the care and services we provide every day are meeting regulatory and accreditation requirements as well as our expectations. A mock survey is an investment in the facilities ongoing readiness. The knowledge they gain from the process and the changes make, not only bring them closer to survey success, but help achieve the ultimate patient safety goals. To reduce doubt and confusion, the educational packet for each clinician included a direction sheet outlining the purpose, the unit assignments, the time frame, the steps to follow in the process, contact persons for questions and a list of attachments for references.
The therapeutic nurse-client relationship is established for the purpose of promoting client health and well-being. RNs practice in accordance with standards for nursing practice and the Code of Ethics for Registered Nurses (CNA 2008). RNs are responsible for setting and maintaining the appropriate boundaries within the therapeutic nurse-client relationship regardless of the wishes of a client or the setting in which the relationship occurs. RNs are responsible and accountable for their own actions in the therapeutic nurseclient relationship, including actions which result in outcomes that may have been unintended, but should have been foreseen. RNs recognize the impact that the determinants of health*and individual characteristics of the client have on both the therapeutic nurse-client relationship and the health of the client.