Greetings to All

For our discussion board this week, I would like each one of you to introduce yourself to me and to your classmates. Please tell us about your nursing journey, your place of employment, your job, your short- and long-term goals, and what specifically you plan to do with your FNP degree. I’m looking forward to knowing you better. Thank you.

Please help me to develop a good introduction to my teacher and classmates. 

I was born in Colombia where I got a title as Physician 2004 then I went to Spin where I worked as Family Physician until 2012.

I got my degree on BSN in 2018, then I pass NCLEX April 2019 and started MSN April of 2019 

Currently I work in a Med Spa located in West palm Beach, FL doing Aesthetics procedures.

with FNP degree I want to increase the scope of practice and start working in an office with MD and others NP.

Goals short time is reach good grading on this of course and learn about farmacology and Role of the Nurse Practitioner and the use of most frequently precribed medications

Goals long time is continue with my education improving skills  and  get a stable job and get FNU degree

The purpose of this assignment is to analyze a health care risk management program.

Conduct research on approaches to risk management processes, policies, and concerns in your current or anticipated professional arena to find an example of a risk management plan. Look for a plan with sufficient content to be able to complete this assignment successfully. In a 9501000-word paper, provide an analysis of the risk management plan that includes the following:

1. Summary of the type of risk management plan you selected (new employee, specific audience, communityfocused, etc.) and your rationale for selecting that example. Describe the health care organization to which the plan applies and the role risk management plays in that setting.
2. Description of the standard administrative steps and processes in a typical health care organization’s risk management program compared to the administrative steps and processes you identify in your selected example plan. (Note: For standard risk management policies and procedures, look up the MIPPA-approved accrediting body that regulates the risk management standards in your chosen health care sector, and consider federal, state, and local statutes as well.)
3. Analysis of the key agencies and organizations that regulate the administration of safe health care in your area of concentration and an evaluation of the roles each one plays in the risk management oversight process.
4. Evaluation of your selected risk management plan’s compliance with the standards of its corresponding MIPPA-approved accrediting body relevant to privacy, health care worker safety, and patient safety.
5. Proposed recommendations or changes you would implement in your risk management program example to enhance, improve, or secure the aforementioned compliance standards.

In addition to your textbook, you are required to support your analysis with a minimum of three peerreviewed references.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Here is a list of five peer-reviewed nursing research journal articles on nursing research that are available through the Regis Library. Choose one of them that is of interest to you to read.

• Cody, S. E., Sullivan-Bolyai, S., & Reid-Ponte, P. (2018).. Critical Care Nurse, 38(3), 1626.
• Cyphers, N. A., Clements, A. D., & Lindseth, G. (2017). . Western Journal of Nursing Research, 39(11), 14291446.
• Joseph, L. (2013). . International Journal of Nursing Education, 5(1), 103106.
• Scheidenhelm, S., & Reitz, O. E. (2017).. Journal of Nursing Administration, 47(3), 147153.
• Woodall, M., & DeLetter, M. (2018). . Clinical Journal of Oncology Nursing, 22(1), 6975.

Initial Post

Based on the research article you read, respond to the following prompts:

• What, if any, was the theoretical framework that was used by article author(s)?
• Describe the framework; was it from nursing or a borrowed theory?
• Describe how the framework was used to inform the research study.
• How much did the researchers write about it in the journal article? For example, was it weaved throughout the paper or mentioned only in the beginning?
• In your opinion, what other nursing theory might have worked with this research study? Why?

Clinical Judgment is the process of integrating evidence-based practice, critical-thought, the Nursing Process, knowledge, skills, and attitudes, as well as application of theory to practice in order to promote safe, quality care to clients in all settings.

Keeping that in mind, answer the following scenario:

You are the Charge Nurse in a large Urban Emergency Department (ED). You nursing staff include:

1. RN with 12 years of Trauma ED experience
2. New RN with 6 months ED experience
3. RN from the Medical Surgical floor with 8 years of experience

The following patients are in the ED, which patient will you give to each of the nurses and why?

1. A 76-year-old client who was involved in a motor vehicle accident and has hematuria.
2. A 38-year-old client with kidney stones complaining of severe pain.
3. A 24-year-old diabetic client with an acute urinary tract infection who will require discharge teaching.
4. An 80-year-old client that has not had a bowel movement for 4 days.

Quality, cost, and access are three pillars of the U.S. health system. Select three other attributes of our system and relate them to these three pillars. You may use the attributes provided by Shi and Singh for your selection options.

• For this discussion, you must refer to at least one article from a reputable newspaper (can be online) or other media source that is current (from the last month) and post the resource in APA format.
• You must have at least two references in your initial post and the media source can be one of the two.
• Summarize your post in 500 to 750 words.

Based on the feedback offered by the provider, (in the attached interview form) prepare a 1-2 page pamphlet presentation based on the Teaching Work Plan (attached) and present the information to your local home health center. General Requirements

Solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Quality, cost, and access are three pillars of the U.S. health system. Select three other attributes of our system and relate them to these three pillars. You may use the attributes provided by Shi and Singh for your selection options.

– For this discussion, you must refer to at least one article from a reputable newspaper (can be online) or other media source that is current (from the last month) and post the resource in APA format.

– You must have at least two references in your initial post and the media source can be one of the two.

– Summarize your post in 500 to 750 words.

TURNITIN ASSIGNMENT (FREE OF PLAGIARISM) 

Healthcare reform is a term that is ever present in our practice settings and will not disappear any time soon.

Review the article below and answer the following questions.

Buerhaus, P. I., Skinner, L. E., Auerbach, D. I., & Staiger, D. O. (2017). Four challenges facing the nursing workforce in the United States. Journal of Nursing Regulation, 8(2), 40-46. . doi:10.1016/S2155-8256(17)30097

1. Select one of the four challenges and expand on how your workforce has responded to the change.
2. How have these challenges affected the access to care for your patients?
3. What can you do to decrease the effect on your patients? Provide a specific example.

2 references with in text citation.

 Respond to at least two of your colleagues* by either supporting or respectfully challenging their explanation on whether there is an evidence base to support the proposed health policy they described.

Introduction

The demand for healthcare and the shortage of providers to offer this care, especially in geographically and economically challenged populations, has put a strain on healthcare availability. The Creating Opportunities Now for Necessary and Effective Care Technologies for Health (CONNECT) Act of 2019 looks to promote access through increased use of telehealth. 

What It Means

Currently, telehealth is limited by geography, billing and reimbursement, and provider restrictions. The CONNECT bill HR 4932, proposes removal of some or all of these stipulations to expand access to care. Specifically, the bill targets Medicare restrictions and lack of coverage to improve access to the elderly and disabled (Wicklund, 2019). 

The Evidence

The evidence to support telehealth expansion has been proven. As discussed by Totten et al., (2016) numerous studies have shown an increase in positive outcomes regarding patient/provider communication, education, and the management of chronic health conditions. Passing of this bill could provide a multitude of benefits to involved parties. 

First and foremost, it would improve access to care for those limited by age, disability, geography, or finances. Improved access to care promotes health prevention and decreases more costly care due to complications associated with delay of treatment. The expansion of telehealth could also reduce the strain placed on providers by the shortage. The bill looks to permit telehealth use by more providers and remove some of the travel and point of origin restrictions. Greater use of telehealth would also encourage better insurance coverage and reimbursement (H.R. 4932, 2019).

Conclusion

With all the changes in healthcare and the concerns over cost and accessibility, the need for legislation to address these issues cannot be ignored. The promotion of telehealth and removal of current restrictions could solve many of these dilemmas. As healthcare providers, we can continue to conduct the research and provide the evidence needed to advocate for legislative change to improve healthcare. 

Respond to at least two of your colleagues* by either supporting or respectfully challenging their explanation on whether there is an evidence base to support the proposed health policy they described.

So much have been heard about Alzheimers disease and the burden it has on those living with the disease, as well as their families. Alzheimers disease is a chronic, progressive and neurodegenerative type of dementia that has serious effects on daily life. (Alzheimers Association, n.d.). Although aging is a risk factor, however, it is not a normal aspect of aging.  The effects of Alzheimers disease can be challenging for primary caregivers. Being the primary caregiver for my 85 year old father who before his death, suffered Alzheimers disease was overwhelming.

On March 12, 2019, Democratic Senator Amy Klobuchar from Minnesota introduced S.740, Alzheimers Caregiver Support Act. The bill if passed, will provide grants to train and support caregivers of those living with Alzheimers disease and dementias. The bill was read twice, and has been referred to the committee on health, education, labor and pensions (congress.gov, 2019). 

I strongly believe there is enough evidence in support of this bill. According to Brodaty and Donkin (2009), primary caregivers of people living with Alzheimers disease are referred to as the “invisible second patients”. The negative impacts of being a caregiver include psychological morbidity, social isolation, physical ill-health, and financial hardship.  Many families of patients suffering from Alzheimers disease are ignorant of the diseases prognosis. The slow but steady impending changes in memory and function it causes require extensive amounts of care, time and energy from the caregiver. This therefore, is a reason why this bill is important. The grant from the bill will be used to train, support and perhaps augment for the financial burden the family may experience. 

For those whose loved one is living with Alzheimers, disease, Streater (2016) advised that it is of great importance that you take specific actions early. This action includes becoming as educated and informed as possible about the disease so you always will know what to expect.