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Preventive Health Care
PREVENTIVE HEALTH CARE DANA BARTLETT, BSN, MSN, MA, CSPI Dana Bartlett is a professional nurse and author. His clinical experience includes 16 years of ICU and ER experience and over 20 years of as a poison control center information specialist. Dana has published numerous CE and journal articles, written NCLEX material, written textbook chapters, and done editing and reviewing for publishers such as Elsevire, Lippincott, and Thieme. He has written widely on the subject of toxicology and was recently named a contributing editor, toxicology section, for Critical Care Nurse journal. He is currently employed at the Connecticut Poison Control Center and is actively involved in lecturing and mentoring nurses, emergency medical residents and pharmacy students. ABSTRACT Screening is an effective method for detecting and preventing acute and chronic diseases. In the United States healthcare tends to be provided after someone has become unwell and medical attention is sought. Poor health habits play a large part in the pathogenesis and progression of many common, chronic diseases. Conversely, healthy habits are very effective at preventing many diseases. The common causes of chronic disease and prevention are discussed with a primary focus on the role of health professionals to provide preventive healthcare and to educate patients to recognize risk factors and to avoid a chronic disease. nursece4less.com nursece4less.com nursece4less.com nursece4less.com 1 Policy Statement This activity has been planned and implemented in accordance with the policies of NurseCe4Less.com and the continuing nursing education requirements of the American Nurses Credentialing Center's Commission on Accreditation for registered nurses. It is the policy of NurseCe4Less.com to ensure objectivity, transparency, and best practice in clinical education for all continuing nursing education (CNE) activities. -
Health Information Technology Basics Institute for Health & Socio-Economic Policy
Health Information Technology Basics Institute for Health & Socio-Economic Policy © Copyright IHSP 2009. All rights reserved. Table of Contents Part I Introduction 1 Part II Why Workplace Technologies Change 2 Section 1: Overview 2 Section 2: Confl icting Values 2 Section 3: Management Secrets 3 Part III Routinizing Patient Care 8 Section 1: Overview 8 Section 2: The Core Technologies 9 Section 3: Supplemental Technologies 17 Part IV Nursing Values and Resistance 19 I FOR CNA/NNOC Part I Introduction Health information technology (HIT) is widely celebrated as a universal healthcare fix. Promoters say it will contain costs, improve quality, and modernize medical care. But such promises are the public relations messages of the HIT and healthcare industries. Is HIT really the panacea to cure our healthcare crisis, or are there consequences that aren’t being discussed? RNs have good reason to be wary. Patient care processes in some hospitals have already been transformed by HIT, and many other hospitals will be adopting it in the next few years. Among other types, hospitals are adopting • electronic medical records, • clinical decision support systems, • e-prescribing, • medication dispensing, • radio frequency identification and tracking, • medical credit scoring, • telemedicine, and • robots. Clinical decision support systems (CDSS) are one widespread technology that affects patient care directly. Of the 5,139 U.S. hospitals reporting (almost all hospitals not run by the federal government), 67.6% have adopted fully automated CDSS and 8% have either begun the installation process or have contracted to do so. A revolution is well underway. It will soon reach RNs and patients in every hospital. -
Benefits of Using an Electronic Health Record
Tech Talk Benefits of using an electronic health record By Robin Hoover, MSN-HCI, RN Since the passage of the Health Information duplicate tests and improving overall efficiency.7 Technology for Economic and Clinical Health The EHR also stores radiology results, which can (HITECH) Act in 2009, advancements in technology be accessed from within the application if clini- for electronic health records (EHRs) have dramati- cians need to view the actual X-ray or the report cally increased.1 HITECH includes incentives that from the radiologist.8 All reports are accessible to provide reimbursements to hospitals and health- all clinicians involved in the patient’s healthcare care provider practices for adopting certified and can be viewed at any time. EHR technology and meeting meaningful use It is important to note that not all EHRs provide requirements.2 the same features. Some features, such as the abil- Despite these incentives, nurses, healthcare ity to view X-rays in the EHR, represent an addi- providers, and hospitals have been slow to adopt tional design and development cost for the facility. any comprehensive EHR. Potential barriers include a lack of computer skills, high cost, Involving the patient security concerns, workflow issues, and time.3 The Health Insurance Portability and However, as this article will show, adopting EHRs Accountability Act of 1996 requires that all pro- has many more benefits than drawbacks, and tected health information be secure.9 Keeping this implementation is worth the upfront time and information safe is a major challenge for all mem- cost commitment. bers of the healthcare team. -
Nurse Anesthesia Program 642 Anesthesia Techniques, Procedures Are Not Allowed to Work at Any Time As an Anesthesia 209 Carroll Street and Simulation Lab 4 Provider
Accreditation: CORE COURSES: CR The program is fully accredited by the 561 Advanced Phys. Concepts-Health Care I 3 Council on Accreditation of Nurse Anesthesia Educational 562 Advanced Phys. Concepts-Health Care II 3 Program, and the American Association of Colleges of ADDITIONAL INFORMATION 603 Theoretical Basis 3 Nursing. 606 Information Management in Nursing 3 Information in this brochure is subject to change. 607 Policy Issues 2 Call program office for additional information at Employment: Limited student employment of one day 619 Principles of Evidence-Based Practice 3 per week as an RN is allowed in the first 12 months as long 330-972-3387 NURSING Total 17 as progress is satisfactory in the program. Employment The University of Akron OF for the last 15 months of residency is discouraged due NURSING ANESTHESIA (NA) to both academic and clinical responsibilities. Students Nurse Anesthesia Program 642 Anesthesia Techniques, Procedures are not allowed to work at any time as an anesthesia 209 Carroll Street and Simulation Lab 4 provider. Akron, OH 44325-3701 640 Scientific Components of NA 3 SCHOOL 643 Advanced Health Assess. & Prin. of NA I 4 Student Financial Aid Loans, stipends, grants and Brian P Radesic 645 Advanced Health Assess. & Prin. of NA II 4 scholarships are available on a limited basis. DNP, MSN, CRNA 641 Advanced Pharmacology for NA I 3 Program Director 644 Advanced Pharmacology for NA II 3 Non-discrimination Statement: The program does not 647 Professional Roles for Nurse Anesthetist 2 discriminate on the basis of race, color, religion, age, 637 NA Residency I 4 gender, nationality, marital status, disability, sexual 646 NA Residency II 4 Melody Betts orientation, or any factor protected by law. -
Nursing Applicant Handbook Registered Nursing
Nursing Applicant Handbook Registered Nursing LVN to RN Transition – Fall 2022 Advanced Placement/Transfer – Spring/Fall 2022 Due to the COVID-19 pandemic crisis, the LMC Registered Nursing Program will not be holding a general application period for the Fall 2021. Given no other unforeseen circumstances, our next application for the RN program will be in January 2022, the dates are TBD. This handbook can serve as a guide for future RN applicants. **Information for LVN to RN applicants can be found beginning on page 17. Los Medanos College Nursing Applicant Handbook GENERAL INFORMATION FOR APPLYING TO THE REGISTERED NURSING PROGRAM LMC will be admitting an LVN to RN cohort for the Fall 2021, application dates are January 11 – March 1, 2021. Any applications received after March 1st will not be accepted. Transcripts and Eligibility Documentation must be received in the Admissions & Records Office on or before the published deadline of March 1, 2021. Any transcripts or eligibility documentation not received in the Admissions & Records Office by March 1st will not be accepted. • Selection of qualified applicants is done by a multi-criteria selection process. • To qualify for the multi-criteria selection process, the applicant must have met all the requirements outlined in Phase 1, Section 3, areas A & B (pg. 10). • To schedule an appointment with the Nursing Programs counselor regarding your nursing career please call (925) 318-1733. • The Registered Nursing Program admits a new class of students only once per year to begin in the fall semester. • Transcripts and Eligibility Documentation (Phase 1) should be submitted directly to the Admissions and Records Office. -
Promoting Nursing Leadership in the Transition to Value-Based Care
2019 Promoting Nursing Leadership in the Transition to Value-Based Care Fifteenth Report to the Secretary of Health and Human Services and the U.S. Congress National Advisory Council on Nurse Education and Practice (NACNEP) Based on the 134th and 135th Meetings of NACNEP The views expressed in this document are solely those of the National Advisory Council on Nurse Education and Practice and do not necessarily represent the views of the U.S. Government. Table of Contents The National Advisory Council on Nurse Education and Practice ................................................. 1 Authority ..................................................................................................................................... 1 Function ....................................................................................................................................... 1 NACNEP Membership ................................................................................................................... 2 Executive Summary ........................................................................................................................ 4 Introduction ..................................................................................................................................... 6 Some Definitions of Value-Based Care ...................................................................................... 6 VBC and Nursing ....................................................................................................................... -
The Interprofessional Collaboration Between Nurses and Speech- Language Pathologists Working with Patients Diagnosed with Dysphagia in Skilled Nursing Facilities
Molloy College DigitalCommons@Molloy Faculty Works: Communication Sciences Disorders Commucation Sciences and Disorders 2016 The interprofessional collaboration between nurses and speech- language pathologists working with patients diagnosed with dysphagia in skilled nursing facilities Kaitlin Brooks PhD, CCC-SLP Renee Fabus Akhtar E. Ghassemi Follow this and additional works at: https://digitalcommons.molloy.edu/csd_fac Part of the Nursing Commons, and the Speech Pathology and Audiology Commons DigitalCommons@Molloy Feedback http://jnep.sciedupress.com Journal of Nursing Education and Practice 2016, Vol. 6, No. 4 CLINICAL PRACTICE The interprofessional collaboration between nurses and speech-language pathologists working with patients diagnosed with dysphagia in skilled nursing facilities Kaitlin Dondorf1, Renee Fabus ∗1, Akhtar Ebrahimi Ghassemi2 1Department of Communication Sciences & Disorders, Adelphi University, Garden City, United States 2Mental Health, Family & Community Systems Department, College of Nursing & Public Health, Adelphi University, Garden City, United States Received: July 20, 2015 Accepted: November 15, 2015 Online Published: December 7, 2015 DOI: 10.5430/jnep.v6n4p17 URL: http://dx.doi.org/10.5430/jnep.v6n4p17 ABSTRACT The speech-language pathologist (SLP) is the primary person responsible for the assessment and intervention of individuals with swallowing disorders. In skilled nursing facilities, both nurses and SLPs work closely with patients diagnosed with strokes. Aspiration pneumonia is the most common cause of death in patients diagnosed with dysphagia resulting from a stroke. Due to the large number of patients with dysphagia in healthcare facilities, it is pertinent that SLP and nurses collaborate during clinical practice to improve patient outcomes. This is a discussion paper emphasizing the importance of interprofessional collaboration. -
Compounding Medications Advisory Opinion
NCQAC Advisory Opinion 11.0 Compounding Medications by LPNs, RNs, and ARNPs Department of Health Nursing Care Quality Assurance Commission Advisory Opinion The Nursing Care Quality Assurance Commission (NCQAC) issues this advisory opinion in accordance with WAC 246-840-800. An advisory opinion adopted by the NCQAC is an official opinion about safe nursing practice. The opinion is not legally binding and does not have the force and effect of a duly promulgated regulation or a declaratory ruling by the NCQAC. Institutional policies may restrict practice further in their setting and/or require additional expectations to assure the safety of their patient and//or decrease risk. Title: Compounding Medications by Licensed Practical Nurses, Number: NCAO 11.0 Registered Nurses, and Advanced Registered Nurse Practitioners References: RCW 18.79 Nursing Care WAC 246-840 Practical and Registered Nursing Nursing Scope of Practice Decision Tree WAC 246-878 Good Compounding Practices WAC 246-330-200 Ambulatory Surgical Centers-Pharmaceutical Services Contact: Deborah Carlson, MSN, RN Phone: 360-236-4725 Email: [email protected] Effective Date: 11-17-2017 Supersedes: Not applicable Approved By: Nursing Care Quality Assurance Commission Conclusion Statement The Nursing Care Quality Assurance Commission concludes that a licensed registered nurse (RN) or a licensed practical nurse (LPN) as directed by a licensed physician and surgeon, dentist, osteopathic physician and surgeon, naturopathic physician, optometrist, podiatric physician and surgeon, physician assistant, osteopathic physician assistant, advanced registered nurse practitioner, or midwife for a patient under the health care practitioner’s care may compound medications for a specific patient. An advanced registered nurse practitioner (ARNP) with prescriptive authority may prescribe or prepare compound medications for a specific patient under the ARNP’s care. -
Nursing, Technology, and Information Systems
SPECIAL REPOR T: Nursing, Technology, and Information Systems This special report is sponsored by Cerner Corporation and the Healthcare Information and Management Systems Society (HIMSS). All articles contained in this special report have undergone peer review according to American Nurse Today standards. s m e t Enabling the ordinary: More time to care s y S Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN, and Susan Hamer, DEd, MA, BA, RGN n o i t a Versions of this article appear in Nursing is what nurses do, m American Nurse Today and what nurses do is coordi - r (United The value of o States) and Nursing Times (Unit - nate and deliver care. So al - f n ed Kingdom) to acquaint readers though the context, technology, I technology in with common goals, challenges, and health needs of our popula - d tions have changed, nurses re - n and advances in using health in - automating and a main the foremost providers and , formation technology to enable y nurses to provide safer and more coordinators of care. g improving Why state something so obvi - o efficient care. l ous? Showcasing the caring o n patient care aspects of nursing in a techno - h logically dominated world is c e — challenging. Technology enables T , round the globe, in care and enhances safety by au - g every setting, nurses seek ening issues come to the fore - tomating functions both simple n i Ato provide care to pa - front. On the other hand, in the and complex. It doesn’t replace s r tients and families to keep them United Kingdom (UK), the de - nurses. -
Medicare Payment for Registered Nurse Services and Care
Medicare Payment for Registered Nurse Services and Care Coordination This paper summarizes how Medicare pays for the services of nurses under its various payment systems, reviews Medicare payment for patient care coordination and how these care coordination programs might compensate nursing services, and addresses various proposals to provide better access to or more favorable payment for nursing services that could be adopted either legislatively or though regulation. I. How Does Medicare Decide What Services to Pay For? Medicare is a defined benefit category program. Medicare can pay for any service that is described by a benefit category in Title XVIII of the Social Security Act. Advanced Practice Registered Nurses (APRN) with distinct Medicare benefit categories include nurse practitioners (NPs), clinical nurse specialists (CNSs), certified registered nurse anesthetists (CRNAs), and certified nurse-midwives (CNMs). Under current law Medicare cannot make direct payments to registered nurses under Part B. Other nursing services will usually be encompassed by a more broadly described benefit category that allows Medicare to compensate the nurse’s employer. For instance, Medicare will pay physicians, hospitals, skilled nursing facilities, home health agencies, and others for the services of nurses that are either directly employed or under contract through benefit categories that allow each of these institutional or practitioner types to be paid by Medicare. Medicare pays for therapeutic services provided by registered nurses in physician offices and hospital outpatient departments under the “incident to” a physician’s service benefit category. Medicare’s payment will be made to the nurse’s employer—a hospital or a physician. “Incident to” a physician service means that the patient has or will be seeing the physician or APRN and the related service being provided by the nurse or other staff is “incident to” the physician service. -
Historical Perspective of Nursing in the Operating Room
Historical Perspective of Nursing in the Operating Room Anne Marie Herlehy, RN, MS, CNOR AORN, Board of Directors Objectives for this presentation • Review historical accounts • Define practice • Discuss ways practice has been promoted • Current mission and vision of AORN • Strategies/initiatives for promoting profession • No commercial support “You’ve come a long way baby…” The Perioperative Registered Nurse must have an understanding and appreciation of the history of surgery and the development of Operating Room Nursing. It is the foundation on which current practice is built upon, and the guide by which future practice will be defined. • 7000~6500 BC – Middle Eastern evidence of teeth drilling – People believed disease was caused by evil spirits and could only be cured by appeasing the gods through ritual and sacrifice – In France, 120 prehistoric skulls with trepanation holes (burr holes) were discovered • 3300 BC – In ancient India, the Hindus removed tumors and infected tonsils, credited with developing plastic surgery techniques in response to the common practice of removing a person’s nose or ears • 2650 BC – Egyptian carvings describe surgical circumcision, surgically removed bladder stones, treated bone fractures and performed amputations First Surgical Renaissance: 800 BC – 1500 AD • 800 BC: Nursing first mentioned in India • Treatment a mixture of religious, astrologic, scientific elements • Wine used as anesthetic, cautery with hot irons. • Surgeon =“Cheir”(hand) “ergon”(work) • Surgery deemed manual work…not dignified, barbaric. Hippocrates published descriptions of various surgical procedures, providing directions for the proper placement of a surgeon’s hands. • 390 AD: Nursing- a divine calling. Care provided by deaconesses, virgins, widows. -
Documentation in Inpatient Medical Record During COVID-19 Surge
PENN PRESBYTERIAN MEDICAL CENTER Department of Nursing and Patient Care Services CLINICAL PRACTICE GUIDELINE MANUAL SUBJECT: DOCUMENTATION IN THE INPATIENT MEDICAL RECORD: COVID-19 SURGE GUIDELINE: 20-003 EFFECTIVE: Per CNO Designation SUPERSEDES POLICY: 87-025 DOCUMENTATION IN THE INPATIENT MEDICAL RECORD PAGE 1 OF 3 GUIDELINE STATEMENT: This document guides nursing documentation for inpatients in anticipation of the emergent needs associated with the COVID-19 pandemic. The Chief Nursing Officer (CNO) will designate when this policy is implemented for specific units, including ICU vs. medical surgical, and when it terminates. Policy 87-025 ‘Documentation in the Inpatient Medical Record’ remains in effect until the CNO designates this policy (20-003) effective. The policy will be implemented until the CNO renders it inactive. BACKGROUND: Penn Presbyterian Medical Center remains committed to maintaining sufficient numbers, types, and qualifications of staff to respond to the immediate needs and care of its patients. There may be, however, times of unusually high demand on nursing resources which require flexible medical record documentation to enable staff to prioritize direct patient care. PERSONNEL: RN and nursing assistant documentation for hospitalized inpatients. PROCEDURE: A. The required documentation column within Penn Chart does not reflect the documentation required while this policy is in effect. Appendix A outlines suggested documentation practices to be followed when the CNO has declared that a specific unit or area is operating on the Covid-19 Emergency Documentation Plan. 1. Nursing staff completes the documentation of focused patient assessments, abnormal findings, vital signs, administered medications and treatments, clinically relevant intake and output, and key patient information such as height, weight, allergies, and advanced directives.