M-44 arrived at scene of a large property. M-44 was meet by family and stated that there was no medical problem at the residence. Family had then gone inside the residence to cheek on family member and was un able to locate pt. A search of the proerty pt was located outside in a horse paster. Crew had to walk in to pt location.…
Case Study Cailtin Leggro is a 27 year-old female who presented to the outpatient oncology clinic at Mount Carmen Hospital for treatment. She is being treated for anal cancer with IV chemotherapy. Her diagnosis of anal cancer is new, and this is her first scheduled treatment. She is currently enrolled in nursing school to become a nurse and works as a patient care assistant at a local hospital. One of the outpatient oncology nurses, Zack Snider, was assigned to be Caitlin’s nurse for the day.…
Advance Practice Registered Nurse (APRN) and a registered nurse (RN) are mandated to follow the regulations in their states of practice. In terms of regulations, an APRN has focused scope of practice which has limitation to practice, unlike the RNs with broad scope of practice (Hudspeth,2009). In the state of Texas, an APRN practices in areas beyond the scope of the RN, such as diagnosing and prescribing. For instance, once an APRN is educationally prepared as an acute care NP, the practice can only be acute and not primary care setting except further education is provided to practice in primary care setting, this believed, that the APAN does not have the didactic and clinical content to practice in a different area (Texas board of nurses…
Shepperd, J. R., & Hale, S. E. (2016). Nurse Practitioners in the World of Pain Management: A Cautionary Tale. The Journal for Nurse Practitioners, 12(2), 102-108. doi:10.1016/j.nurpra.2015.10.006 This work has the purpose of informing Nurse Practitioners of the potential dangers and pitfalls within prescribing pain medication to patients. It uses a methodology of first giving an example of a case where a nurse practitioner was charged with running a pill mill due to her numerous prescriptions for opioid pain medication.…
For my nursing interview I had the pleasure of interviewing Nidra Wilson,R.N.,BSN,ACLS,PCM( professional crisis management). Nidra graduated with her A.D.N in May of 2014 from Southern Union Community College and received her BSN from Auburn University at Montgomery in May of 2015. Nidra has been employed with East Alabama Medical Center since 2012 where she started out as a nursing tech. East Alabama Medical Center awarded Nidra with a full scholarship to complete her ADN. Nidra is also employed with Lee County Youth Development Center a youth impatient mental facility.…
SC placed call to Dynamic Home Health Care on 2/5/2016 to inquire about the last time a nurse went out and saw the Pa to review care and/or medication. Angela answered the phone and the SC identified self and stated reasons for calling the call was transferred to Lynda. SC again stated reason for calling and Lynda placed SC hold for several minutes while she finds the information the SC has request. When Lynda returned to the call she stated that the last visit was approximately 5 months ago but there were not notes detailing what occurred at the visit and she is out on leave. The SC asked Lynda how often does the nurse go and she stated around every few months.…
In the scenario mentioned, it appears management and supervision are lacking in this outpatient primary care office. As the new Family Nurse Practitioner in the office, my first logical response to the chaos would be to request a meeting with the person who is supposed to be in charge or their superior. I would discuss the numerous issues witnessed since my employment within the last three months such as the hostility between staff members getting into heated arguments in patient areas, employees don't show up for work as scheduled, a decreased in office productivity level and providers concerns for their patient safety. For an office to run smoothly there needs to be someone in charged.…
Situation. I was Mr Richards registered nurse when he was first admitted to the ward, I was responsible for doing the general survey and pain assessment. Jack Richards, 87 years old, the presenting symptoms are a very painful right knee, he describes the pain as shooting on both the front and back. He is having trouble putting any weight on the knee and says it is effecting his sleep and daily activities. Mr Richards has previously been advised that it was arthritic pain that would worsen over time.…
The American Academy of Nurse Practitioners was founder in 198f5, while the American College of Nurse Practitioner was founded in 1995. These organizations joined together in January 1, 2013 to form American Association of Nurse Practitioner (AANP). It is the largest full service organization for all NP’s of all specialties. The vision on AANP is to provide high quality health care to patients.…
The State of Texas currently has many restrictions on Advance Practice Registered Nurses (APRN). We are one of thirty-two states in the United States that require Nurse Practitioners to work in a collaborative/supervisory relationship with a physician. Connecticut recently became the 18th state to allow Nurse Practitioners to practice independently (Lowes, 2014). Bill SB 751 for the 84th legislature was introduced by Senator Jose Rodriguez. This bill is aimed at granting Nurse Practitioners in our state autonomy from physician supervision and full prescriptive authority.…
One community of interest that will be included is the State Board of Nursing. On thing for sure, before starting a new nursing program, it is imperative to verify with the State Board of Nursing that the school is accepted and that the future nursing students are qualified to take the NCLEX-RN exam to become licensed in his/her state. It would be frustrating to discover that one can’t acquire nursing license after graduating from nursing school. Another key point to remember is to investigate if the school is accredited by the regional accreditation bodies or by the national accreditation bodies such as the Commission on Collegiate Nursing Education (CCNE) AND Accreditation Commission for Education in Nursing…
Bianca was referred for counseling by her son’s insistence due to her visible tremor, slow thinking, slurred speech, and sleep problems. She came to the office with her twenty-eight-year-old son, Angel. The client is currently taking various types prescribed medications which might be life threatening. This assessment was requested to identify possible sources of Bianca’s problems and make recommendations for treatment. Section Two Background Information M.Q is a forty-seven-years-old, middle class, heterosexual, Mexican American female who works as a legal assistant.…
Clinical Nurse Leader Introduction and Background The CNL is a master’s prepared registered nurse trained as a generalist who will provide clinical leadership in the emergency department (ED) at the point of care (Reid & Dennison, 2011). In conjunction with the unit manager and educator, the CNL will contribute leadership and knowledge at the microsystem (unit) level (Perry, 2011). The CNL will improve patient quality and safety outcomes via addressing organizational needs and assisting in the redesign of care delivery in the ED. In addition, the CNL, as a conduit between leadership, clinical staff, and providers, will improve staff and provider relationships.…
Kathy Block is a 53 year-old Family Nurse Practitioner, certified in Wound and Ostomy Care, and employed by a private practice of an independent living community. She is a typical nurse in the sense that “most NPs choose a specialty area such as adult, family, or pediatric health care” (Black, 2014, p. 18). Also, her certification was through ANCC, the largest certification body among nurses (p. 145). Karen Paker is a 41 year-old Cardiovascular Critical Care Nurse in San Diego. According to Munro and Savel (2015), “specializing in one of the most sought after nursing specialties” (p. 372) makes Karen more than your average nurse.…
The level of supervision that is required in any given situation is dependent upon the complexity of the patient’s condition. Because of the changing nature of these complex situations, an RN should be immediately available to assess the patient and to co-ordinate direct and inspect the practice provided by the…