Essays on Scope Of Practice

Background of the Study

The problem of HIV and AIDS has become a global one in the short time since the identification of the virus. Although there is no vaccine to protect against the virus, knowledge and education are two powerful shields against infection—and it has become clear in recent years that impoverished women in the developing world are particularly heavily impacted by HIV transmission and development of AIDS (UNAIDS, 2016). The goal of finding a way to slow or completely halt the spread of HIV and the development of AIDS has been an epidemiological conundrum for many years. Promoting health and ...

Reading the article “Scope of Practice in Nutrition and Dietetics” by the Academy of Nutrition and Dietetics helped me to become more aware of the scope and of practice in nutrition and dietetics such as a registered dialectician’s scope of practice. Additionally, it helped me learn how a dietitian can be a leader and offer safe, culturally relevant and quality food service. The article also helped me to reflect on my personal knowledge which I have received at UD over the years. By reading the article, I also became aware of my weaknesses and how I can improve ...

Recent changes to the healthcare system have called for a variety of transformations, spanning across the different aspects of health care practice. In the recent past, the nursing profession has been sidelined from major decisions regarding health care, leading to a limitation to the extent to which nurses can stimulate changes in healthcare. The Affordable Care Act is the second largest overhaul of the healthcare system in the United States since Medicare and Medicaid. The increasing need to align health needs of the American citizens with the transformations brought about by the implementation of the Act has led to ...

Abstract

Numerous attempts to reform health care in the United States on the federal level have been made since the 1930s, but differences between each state represent a significant barrier to every previous federal health care reform. In 2010, the Affordable Care Act (ACA) was signed into law, but the current implementation and effects of the law are not the same across different states. The purpose of this paper is to compare and contrast the effects of the health care reform in California and Florida, as well as the positions of the two states. It was found that the insurance ...

Introduction

When operating within the healthcare industry, it is important for health professionals to adhere to a set of legal and ethical standards that define their connection to the profession. The legal and ethical standards act as a set of rules that govern the overall performance of health professions with an aim of ensuring that they perform based on the expectations from their patients. However, one of the key challenges arising from these legal and ethical standards is that they tend to bring about a platform for conflicting expectations especially on matters associated the decision-making element. The perspective presented through ...

Advanced practice registered nurses are registered nurses with a level of nursing practice that employs skills, experience and knowledge in nursing care. They have attained a Masters or post Master’s degree and have a specific role and serve a specific patient population ("APRNS in the U.S", 2016). With the education and certification, APRNs can assess, diagnose, prescribe medications and order laboratory and diagnostic tests. APRNs can be divided into 4 different areas of specialty: Certified Nurse Practitioner (CNP), Clinical Nurse Specialist (CNS), Certified registered Nurse Anesthetist (CRNA), and Certified Nurse-Midwife (CNM). A Psychiatric-Mental Health Nurse Practitioner is a ...

The complex healthcare system has faced a range of challenges over the past. In this regard, the most affected group of healthcare providers in the industry are nurses. According to the Institute of Medicine (2010), nurses represent the biggest segment of providers in the healthcare industry, totaling to more than 3 million practicing nurses. In this regard, the complexities and barriers existing in the system hinder the effective performance of nurses in healthcare delivery to the population. In an effort to improve the quality of healthcare, the government, through the 2010 Affordable Care Act, aimed to introduce drastic changes, ...

DQ3

DQ3

The Patient Protection Affordable Care Act (PPACA) being a reform of the healthcare system in the U.S consisting of the regulations and legislations of the federal government. The main role of the act is to extend the scope of health insurance to American citizens, however the provision has several implications for the nursing practitioners as well by measures intended to streamline the scope of practice restrictions on practicing nurses mainly through financial incentives (Goodson, 2010). The PPACA entails a lot of provisions which are meant to address the shortage of physicians in the field of primary care which ...

Advanced Practice Nurses involve people who are in registration with relevant certifications and have enhanced training. It makes them able to provide healthcare services in every setting. Given the fact that care demand surpasses its provision, advanced professional nurses are valuable. They cater for every individual who is in need of health services. There exists a shortage of healthcare professionals and for this reason; there is a requirement to develop nursing education curriculum reforms to enable more production of advanced practice nurses (APNs).It would ensure the nursing institutions fill the gaps found within heath provisions are correct. Professional ...

What is Manual Therapy?

Manual therapy, otherwise known as manipulative therapy is a form of physical therapy that is normally used by physiotherapist, massage therapist, chiropractors, osteopathic physicians, and occupational therapists. This form of therapy is commonly used in the treatment process of musculoskeletal pain and disability through manipulation and kneading of human muscles, joint manipulation and mobilization. The wide use of manual therapy has benefited numerous individuals and is being widely use globally. In definition, there are three major forms of manipulative therapy, such as mobilization, manipulation, and massage. The difference between mobilization and manipulation based upon the regulatory standpoint is that ...

Abstract

The above paper seeks to outline the role of Advanced Practice Registered Nurse (APRN) with a comparison of practices in two main states (Louisiana and Arkansas). The paper starts with a review of the prescriptive authority of APRN's in Louisiana, with an emphasis that the area faces a shortage of health professionals. According to the regulations of the state, it is a requirement that NP should offer prescription with an oversight of a physician. The collaborative practice agreement helps guide the two practitioners to work in close collaboration with one another in providing quality health care to the residents. ...

Over the years, the nursing profession has undergone various changes that have expanded as well as reshaped the concept of nursing. The evolution of the nurses’ roles have subsequently led to changes in the scope of practice. For instance, most of the current nursing functions were initially within the domain of medicine and other related disciplines (Barker, 2015). As such, this metamorphosis is part of the gradual maturity as well as evolution of the profession over time. In the light of this, Advanced Practice Nursing (APN) is one the key nursing specialties that has significantly evolved to become one ...

Final Project

The nurse workforce has been growing substantially for the past two decades necessitated by the demand for quality care, an ever increasing population, increased complexity of illnesses as well as a new found passion by the current generation to seek career growth in nursing and healthcare. However, the role of education and nursing curriculum in facilitating the increasing number of nurses trained in various ways and for different roles cannot be assumed. The nursing curriculum has been redefined to accommodate many roles which traverse across direct care roles and indirect care roles (Lowe et al., 2012). On the other ...

Question 1

The doctrine of respondeat respoir asserts that the employer is completely relived of any vicarious liability whatsoever in the case where the employee is found to have committed torts in a frolic engagement. This means that the employer is exempted from the liability when the employee admits to having made a major physical departure from the scope of practice as stated by the employer. The doctrine of frolic and detour provides for the employer to be declared free of any vicarious liability only when the employee is proved to have been acting beyond or out of the ...

Abstract

The methods used by nurses to learn technical or complex responsibilities affect their effectiveness and subsequently, the quality of care and services received by patients and families. This underscores the importance of conducting nursing management orientation in a manner that promises effective management. It is evident that the modern-day nursing has evolved into a complex field that is tied to a myriad of factors such as technology. On the other hand, nursing standards and principles are ever-evolving, creating the need for exposure to these changes for new nurse managers. Equally the scope of practice for nurse managers is evolving and ...

In the case study examined, the patient was vomiting intermittently in postoperative care while receiving Morphine intravenously. The patient’s nurse Pamela is not responsible or trained for prescribing medication, so she decides to seek advice from a senior nurse. The senior nurse Jane orders Pamela to cease the Morphine administration and changes the protocol to 10mgs of Metoclopramide. While Pamela stops the Morphine administration, she refuses to administer Metoclopramide without a prescription. Despite the warnings against administering regulated medication, Jane proceeds to act on her decision and administers the Metoclopramide intravenously, which causes the patient to respond with an allergic ...

Introduction

Nursing is a very significant medical field, and it is served with the responsibility of defining the type and nature of treatment that is to be provided to a patient. In the contemporary nursing practice, nurses are expected to exhibit elements of leadership, a trait defined as a practice of social influence where a specific individual influence others in accomplishing a common task (Blais, 2006). Therefore, this paper explores elements leadership in nursing practice, and determines how such a culture can be propagated to provide quality nursing care.

Organizational Systems & Quality Leadership

B. Leadership Strategies:

The two unique strategies that enable a nurse on an interdisciplinary team to exert leadership without ...

The advanced practice nurse, or APN, has an advanced scope of practice in the nursing field, having been equipped with advanced training in clinical and educational practices. “Most states allow APNs to prescribe medications, including controlled substances,” and they “work in clinics, nursing homes, and hospitals to provide primary and preventive health care services, prescribe medication, and diagnose and treat common minor illnesses and injuries” (Prater and Hall, 2008). This often involves a much higher level of education than a normal RN, and they are given greater responsibility regarding the care of a patient, often under their own practices ( ...

Introduction

The role of Nurse Practitioners has expanded extensively over the past few decades. This has been necessitated by a number of factors ranging from the need to cover the apparent nurse shortage, the reforms in the healthcare sector and the increasing number of Nursing Practitioners which has immensely led to massive power and influence by professional bodies that represent Nurse Practitioners. With the primary need to help overcome the apparent challenges in the healthcare sector especially with the increasing population of patients, as well as the increasing demands for quality of care and new models such as the holistic care ...

Define Advance Practice Nursing in the state of California.

Advance practice nursing (APN) refers to the level of nursing that utilize high comprehensive skills, knowledge and experience in offering nursing care, United States. (2007). APN refer to registered nurses who gain specialized skills in offering expert nursing care who have master’s degrees in nursing. Advanced practice nurses include; certified nurse mid-wives, nurse anesthetists, clinical nurse specialists, and nurse practitioners. Their mandate is to offer advanced or expert nursing services. These specialized or advanced nurses are registered and certified to practice by the California State Board of Registered Nursing. They provide expert services that include; consultations, direct patient ...

Introduction

Nurse practitioners (NPs) perform a number of chores in primary care settings. The United States government has developed health care goals of 2020 that should be achieved through interactive work between healthcare practitioners, the government, and the society (Healthy People 2020, 2014). The roles of nurse practitioners range from taking care of the sick in the hospital to helping the needy in villages and homes. The main role of nurse practitioner in primary care setting includes meeting health demands for a growing population, addressing patient healthcare needs and ensuring a quality physician-led team for every patient. One of the key roles ...

Legal Issues Associated with Delegation

Delegation is a complicated process that requires critical thinking and ultimate accountability for patient care (Cipriano, 2010). Registered nurses have the authority to assign certain aspects of care to other qualified assistants. They, however, have to ensure they protect the safety, health, and welfare of the patient when delegating (Weydt, 2010). Ineffective delegation can lead to adverse patient outcomes and disciplinary action against staffs involved; it can be avoided by development of an intimate understanding of the legal aspects of delegation. The legal aspects of delegation relate to the legal obligations and requirements on delegation. These issues are found ...

[Institution Title] There has been a great confusion as to the scope of duties and responsibilities that a nurse assume in the healthcare delivery system. The confusion grows because of miscommunication in the scope of practice accorded to every classifications and title of nurses. However, this has been clarified by the American Nurses Association with the Scope and Standards of Practice that the organization has published if only to set the record on the track (American Nurses Association, 2014). In the clinical practice, an APRN who receives advanced education such as a master degree can function as a (a) nurse practitioner, (b) nurse anesthetists, ( ...

Introduction

The events at the Centura St. Anthony Hospital, outside of Denver in April 1997, is enough proof that most nurses are unaware of the legal implications of a certain actions that they may consider to undertake when all other options seems to indicate poor outcomes. While it may be prudent to consider the changing instances of the patient’s condition, the process of changing the care process or the medication could cause potential legal liabilities for the nurse (Russell, 2012).

Identify what emotions are evoked as you consider the Colorado Board of Nursing case stated above?

The unfortunate event at the Centura St. Anthony Hospital and the case as handled by the Colorado Board of Nursing ...

Delegation is the process of transferring responsibility for the task to be performed to another person.

The ANA Code of Ethics (2001) claims that delegation should be based on the judgment of RN (Registered nurse) taking into consideration condition of patient, nursing team members and their competence, and the supervision degree which is required in each specific case. It coincides with Five Rights of Delegation (NCSBN, 1995) which include: - the right task; - the right circumstance; - the right person; - the right direction/communication; - the right supervision. The principle of the right task presumes that appropriate specific activities will be considered and delegated by the nurse to ...

[Institution Title]

An Overview: Family Nurse Practitioner

In every community, each individual has their respective parts to play. This part are identified as role. Role is defined as “the set of interconnected rights, beliefs, norms and behaviors as determined by the people in a given social condition” (MacMillan Online Dictionary, 2014). It is then acceptable to assume that roles are dictated by the society according to what it deemed appropriate and necessary for a specific individual based on social position or social status. In the case of the Nurse Practitioner, he or she too has a socially-determined role to play to the betterment of the community. However, ...

This paper seeks to define, compare and contrast a host of terms used in ethics and law.

Professional Association and Professional Regulatory Body Many professions nowadays are governed by professional bodies and associations. A professional association is charged with the policy making role; a good example is the American Psychological Association (APA) (Pope & Vasquez, 2010). Likewise, a professional regulatory body is charged with the policy making role, but the difference between the two is very slim. A professional association makes rules policies, but serves the interest of its members. On the contrary, a professional regulatory body is answerable to the public and the government. A professional regulatory body protects the interests of the public from professional malpractices.

Legislation and Ethical Codes

Psychologists’ ...

REGISTERED NURSE

Their Scope of Practice Registered nurses (RN) are responsible for the provision and the coordination of heath care. They are also bestowed with the role of educating patients and also the public about an array of health conditions, provide both emotional support and relevant advice to patients and their families. As an RN, one is in the line of defence between the patient and the misunderstanding that may be facing the patients since most of the patients do not like asking the doctor questions but prefers to ask the RN. Additionally, an RN specialises in a certain line of ...

This article address the problem found to relate with the management of chronic disease in primary care settings. This relates to increase in demand for better management and improved health care. The purpose of this research is to determine the effectiveness of those specialized nurses in managing the patient with chronic diseases in the area of primary care settings. This simply wants to find out if their services are at optimal settings or not. This research was done by performing some literature searches on different databases. The result of research was based on randomized controlled trials and systematic ...

Introduction

Body-Literature Review - The importance use of oxytocin use in obstetrics - The importance of Oxytocin use in postpartum haemorrhage - Oxytocin use by paramedics - Summary

Conclusions

Recommendations Abstract This document embraces a literature review research into the feasibility of oxytocin for the management of postpartum haemorrhage in the pre-hospital setting. Scientists have discovered that oxytocin has shown to have reduced the risk of postpartum haemorrhage yet only some ambulance services are equipped with the drug. This discussion explores reasons for paramedic professionals electing not to have oxytocin in their execution units and ultimately ...

Shuzworld is considering the possibility of opening a new store. They have the option of building a new stand-alone store, opening a store in a strip mall, or not building one at all. Shuzworld needs to decide if they should purchase market research.

Decision tree for Shuzworld’s is constructed regarding the possibility of opening a new store. In the case study, the stand-alone store would see good profits of $700,000 as long as there’s a favorable market and the opposite end in losses would show $400,000 in case the market was unfavorable. The strip mall store could show profits near $ ...

(Place Author Note Here if Required)

Introduction

It is well accepted that nurse practitioners provide excellent health care, meeting quality standards and also a cost effective alternative to the traditional medical model. As a profession, we are capable of independent practice. The issue being that In New York State, as well as 34 other states, Nurse Practitioners is required to maintain a collaborative agreement with a physician. A collaborative agreement is a very loosely defined set of mandates, left opened to many different interpretations. Also, according the Patient Protection Affordable care Act (PPACA), Nurse Practitioners are recognized as providers but there patients must be assigned ...

Introduction

Advanced Practice Nurses are licensed and registered nurses with graduate level education who have various roles such as directing care for patients and communities, administration of health care institutes, policy formulation and implementation. APNs are specialized in various fields such as Clinical Nurse Specialist (CNS), Nurse Practitioners (NP), Family Nurse Practitioners (FNP), certified registered nurse anesthetist (CRNA), and certified nurse midwife (CNM). The roles of ANPs differ by the field of specialization but can largely be divided in to traditional nursing roles and enacted roles (White et al., 2008). In this essay, the roles of FNP, CRNA, and CNM ...

Introduction

Chiropractic and osteopathy are examples of complementary alternative medicine (CAM). Chiropractic medicine emphasizes on the innate recuperative power of the body without the use of drugs or surgery. It also emphasizes on the association between structure (the spine) and function (nervous system) and how this relationship affects health (Huijbregts, 2007). Osteopathy, on the other hand, is a distinct form of medicine which provides all the components of modern medicine such as prescription drugs, surgery, and use of technology in the diagnosis and evaluation of diseases and injuries. It also provides hands-on diagnosis and treatment via a therapeutic system called osteopathic manipulative ...

Introduction

The American Nurses Association describes nursing as, “the diagnosis and treatment of human responses to health and illness” (American Nurses Association, ANA, 2010). Nursing invokes a “care” approach. The ANA scope of practice is basically an outline stipulating the nurses’ approach in caring for patients. My scope of practice as a registered nurse will focus on helping individuals, families and communities to attain, recover and maintain optimal health and therefore better quality of life. My primary role as an RN will involve provision of care by attending to patients through coordinating and providing care by for instance administering prescribed medications. My ...

Role of the major public health personnel, including the public health nurse, involved in the disaster.

The key roles of the public health personnel including the community nurse include the assessment of the disaster, policy development, and provision of health care needs for the affected victims of Franklin County. The community nurse provides direct care to the patients, families, or a group of people that were affected by the disaster through the door to door visits. The community nurse is collaborating with experts from other disciplines such as the epidemiologist (Sharon Kong), Fire department (Jim Anderson), EMS department(Cory Sanborn), Police department(Jeff Stackhouse), public health officers 9(Lane Harris), Environmentalists (Seth Stattmiller), and many other ...

Scope of practice

Scope of practice is a term that defines the procedures, processes, and actions a licensed individual can carry out in relation to his/her qualification. Qualification includes training, education, and experience. The practice act contains the scope of practice for all health occupations that require a license in order for the healthcare personnel to operate in a particular field in the health industry. The emergency department is a very critical unit in a health care center that handles patients who check in with life critical illnesses and injuries. These cases are usually unplanned for, and they require immediate attention. The emergency department is dedicated to such ...

Introduction

Caring for a whole man can never be achieved by a single health care professional field. Achieving that required major diversity in healthcare. This will allow achieving set goals through integration. Comparing and contrasting between the different roles of licensed practical nurses (LPNs) and the registered professional nurses (RNs) is a touchy issue that needs to be considered critically considering all the functional perspectives of both scope. This paper will focus on those major similarities and differences between the two major scopes of nursing under the following subheadings; education, roles, earnings, and advancement.

Education

It is very important to know that both scopes ...