Lpn Case Study

Inspect and manage medical records to insure that the correct information is being used for the right patient.

My new role as an adult/gerontology nurse practitioner (AGNP), will be part of team that provides care for Long-term acute care LTAC, Skilled Nursing Facilities (SNF), or Rehabilitation hospital. After gaining considerable experience, my focus in future will be working in home healthcare and primary care clinics. My scenario will involve an organization that provides innovative, collaborative, health care team for one hundred bed LTAC Hospital. Working as an LTAC registered nurse, I noted that, despite the variety of diagnosis, majority of patients’ presents to LTAC hospital have wounds that require complex wound care management. The wounds can range from pressure ulcers to non-healing illness/injury wounds such as diabetic foot ulcer, venous leg ulcers, and post-surgical wounds among others. For this assignment, my scenario will focus on the role of Nurse Practitioner (NP) on skin care and wound managements.

There are many professional practice issues that impact the role of the Family Nurse Practitioner (FNP). This occupation is continually changing and developing. There has been a recent increase in the demand for healthcare services. The growing shortage of primary healthcare providers has led to the need to utilize advanced practice nurses to fill in the gap in areas previously occupied by physicians. This has led to many issues impacting the profession including education, stress and burnout, and changing roles/scope of practice for the profession.

Checked vital signs, administered medication as schedule, and reported accurate recording of patient weight while gathering collected routing specimens for the immediate supervisor.

The organization I have chosen is an Acute Long Term Skilled Care Facility. There are a total of 120 residents presently residing in this facility. Each resident requires different levels of care. Some are admitted for short term rehabilitation, wound management, post-surgical care, diabetic teaching, and medication compliance while others require long term care for behavior and other specialized care. Providing care for residents living in this facility has become more complex and requires more medical attention. However, there are not enough

Monitoring everything, payroll, billing, human resource, scheduling, follow-up with nurses and employees, doctor requests, communicate with the doctor about patients and pre-authorization documents needed for the plan of care, HMO, training, physical therapy for patients.

Provides follow-up with patient/family when patient transitions from one setting to another. Completes timely post-hospital follow-up: Medication reconciliation, PCP or specialist follow-up appointment, assess symptoms, teach warning signs, review discharge instructions, coordination of care, and problem solve barriers.

With the elimination of paper charts, patients information becomes available with a touch of a button. This information includes insurance verification, current medications, lab reports, and past visit summaries.

Worked on accounts to make sure the correct contractual adjustments and payments had been received and posted. Also sent corrected claims and issued refunds to both patients and providers for overpayments.

The specialty area selected by this author among the Advanced Practice Registered Nurse (APRN) roles was that of the Family Nurse Practitioner (FNP). High among the list of reasons for choosing the FNP specialty track was the ability to care for patients who lack healthcare insurance, are of limited financial resources, or are stigmatized. The type of organization that would allow me to provide high-quality, patient-centered care in a manner consistent with my professional aspirations would be a Primary Care Organization (PCO). Being part of a PCO would allow me to implement clinical skills that are distinctive of the care provided by the FNP, such as to educate patients regarding management of chronic conditions as well as counseling on disease prevention and health promotion strategies. These skills would be provided in addition to the well-established responsibilities shared with other healthcare providers; such as performing examinations, making diagnoses, prescribing medications

Delegated tasks, and monitoring all direct-patient staff, including LPNs and Dialysis Assistants, assessed care needs and developed

-Interview patients for medical histories and chief complaints, measure vital signs, and review medication lists

1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

Greeted patients upon arrival. Created a friendly environment for waiting ill-patients. Treated patients with respect. Retrieved patient information. Insured patient's insurance was active and collected correct copay amount. Promptly recorded patient's reasons for visit in computer system. Evaluated incoming patient's degree of illness for immediate medical care, triaged patients accordingly. Used effective communication skills to handle difficult patients during busy business hours. Maintained patient confidentiality and professional demeanor. Monitored waiting room for cleanliness and security.