I have been called to testify in front of a regulatory committee that is reviewing the credentialing and clinical privilege rules for Advance Nurse Practitioners. APN credentialing refers to a process whereby an advanced practice nurse is granted the authority to offer patient care especially in hospital settings after establishing that he/she has met all the established standards in relation to education, licensure, skills as well as training and is qualified to execute the task (Hamric et al., 2013). Notably, the Advance Nurse Practitioners can order, administer or dispense drugs under the delegated authority of the physician and as dictated by the agreement or protocol. However, in the state of Georgia, they have no authority to issue written…
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.…
Explore a current financial or legal dilemma that directly affect the advanced practice nurse. Describe the issue from a pro and con standpoint, identify the various stake holders and mechanisms for resolution that may occur. APRNs have been dealing with the different scope of practice in state and federal policies, old insurance reimbursement models, and institutional practices. The laws, policies and regulation around billing is especially concerning as they directly affect an APRN’s independence and finances. Unfortunately, the current billing system is complicated and scattered throughout federal and state law, plus vary from payer to payer (Journal of Wound, 2012).…
As a future adult/gerontology nurse practitioner (AGNP), my role will be focusing on helping patients to manage chronic illnesses, illness prevention, and health promotion. In addition, The AGNP collaborate with other health care providers such as physicians and specialist to better manage and treat patient illness. The problem I am really interested in researching is catheter-associated urinary tract infections (CAUTIs) in hospitalized patients. Working as a registered nurse in a medical/surgical unit I have been exposed to different patients with indwelling Foley catheters and other requiring placement of the Foley catheter for various reasons. However, research has found that many patients tend to be at risk of unnecessary catheterization and are also at a greater risk of both infectious and non-infectious complications from the procedure (Carter, Reitmeier, & Goodloe, 2014).…
Can a Nurse Be Worked to Death? A December 2014 article in the American Journal of Nursing, written by Roxanne Nelson raises the question of liability in a court case. Elizabeth Jasper, a Registered Nurse was killed in a car crash while driving home from working a twelve hour shift. Her family believes that her death was the result of her being overworked.…
Hello, Tera~~ Good post this week. End-of-life care interventions must report arrangement and strategy alterations, as well as developments in specific nurse's communication expertise regarding end-of-life conversations. The hospice training and development and diffusion of efforts for the general public and experts in palliative care will affect the growth and acceptance of end-of-life conversations. Also continue to participate in the skills and experience to enhance the level of comfort and the opportunity to foster dialogue and end of life, as well as individual experts, it is important for them to work within the organization. These efforts will not only nurses but also the most important for the doctor (Giovanni, 2012).…
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.…
Hospice workers are such special people! I was blown away by the kindness the nurses showed me and all of the other individuals they interacted with. It was evident that they loved their jobs and caring for others! I found myself admiring the compassion and courage they displayed over and over. I can’t imagine the emotional strain of continually losing patients, and watching as patients decline.…
He had his wishes respected, he and his family had support and room to process death, and he went with well-managed symptoms that gave the appearance that he was sleeping when he passed. Unfortunately, I have seen both with my friends and family, as well as patients and families, being deprived of the hospice palliative care services that my grandfather was provided. Although I understand that as a professional I must be mindful of how my opinion might affect a patient’s care, I feel that patients with either life-threatening or life-limiting should be given the opportunity to choose a hospice-palliative care approach. In addition, I hope that I will be able to explore further my knowledge and understanding of hospice palliative care to become a better advocate for patients and continue to improve my nursing practice. Lastly, I believe that my grandfather’s passing marked the start of my life’s journey with death and is one that I will continue to learn and grown on until it is my day to meet him for…
In this current case a range of different elements are present that contribute to the treatment that Marion may or may not receive. The team that is treating Marion need to be very carful to ensure that they follow correct procedure and seek information on Marion’s alleged Advance Care Directive. This directive has enabled Marion to, ‘make clear legal arrangements for your future health care, end of life, preferred living arrangements and other personal matters’ (Appointing Substitute Decision-Makers. 2016). Marion’s parents have stated that she has this directive in place, however the treatment team will have to confirm this by obtaining a copy and not going off her word. If this set in place by Marion it will supply the treatment team with…
The interviews will be conducted with palliative enrolled nurses and enrolled nurses in the casual pool who are not supervised by the author. The interviews will consist of a series of questionnaires prepared by the researcher and run for approximately 15-30 minutes. The interview questions will focus on enrolled nurse’s background, work experiences, concerns and any supports they wish to receive and to identify factors that influence enrolled nurses’ confidence to manage people with terminal restlessness. Interviewees will remain anonymous and interview questionnaires will be met and ensure all ethical, privacy and confidential requirements. Participants are entirely voluntary and they may choose to decline the interview if they wish before…
Benefits of Becoming a Hospice Nurse There are many reasons to become a hospice nurse. Many involve the job itself, money made and the increase of demand. Many people cannot understand why others would enjoy the job of this particular registered nursing career, but for others it is ideal. If you enjoy working in the nursing field and you are caring and loving this job is a great choice.…
Throughout my day with hospice we visited several patients in which the nurses continually showed compassionate care and an individualized approach. She clearly understood each of her patients and their family’s needs and communicated effectively about the dying process and symptom management to promote comfort. It was very evident to me that she had demonstrated many of the competencies necessary to provide high quality care in her interaction during the…
Emotional Challenges of Hospice Nurses Michelle L. Jollie NUR/1020 11/13/2016 Meredith Roberts Emotional Challenges of Hospice Nurses Being a nurse involves the ability to work with many different cultures, environments, and values. Being a hospice nurse has added emotional challenges from caring for dying patients. The act of witnessing the dying process each day has both positive and negative consequences. On the positive side, many nurses say they experience growth and development on a personal and professional level. The negative, they are exposed to intense emotional pressure for which they feel there is a lack of support (Ingebretsen, 2016).…
I questioned how being a hospice nurse could feel rewarding. I heard several stories from the attending nurses. I didn’t realize how much of an impact these nurses had on not only the patient but also on the family. It has been said that “It is more than just a job, it is a true passion and some would even say that it is a calling.”…