Registered Nurses: A Case Study

This request is for a new SSRT for a Certified Registered Nurse Anesthetist (CRNA) at the GS12-13 level. This is to employ a CRNA for a new position at Keller Army Community Hospital (KACH), West Point, New York. The current GS-12 West SSRT salary range is $82,309 to $103,270 and $94,114 to $122,346 for GS-13.

It is very important for graduate nurses to fit in to a hospital as this gives them a chance to practice safely and effectively. For a New Graduate Nurse (NGN), fitting-in is about establishing secure and meaningful social bonds with ward staff (Rush, Adamack, Gordon, and Janke, 2014, p. 222). Fitting in, or the wish to fit in with ward staff is one of central piont of NGN transition experiences; it gives the NGN a feeling that they are a part of a social group with common goals, common experiences and a shared culture (Tingleff and Gildberg, 2014, p. 537). Success for the New Graduate Nurse would depend on how fast they establish friendly relationships and a sense of belonging. Hospitals understand the importance of NGN getting used to the

Texas has a rapidly growing population with complex healthcare needs, but has limited resources in terms of healthcare provider workforce. There is an expanding need for healthcare in Texas even without taking federal reform into account. Currently, more than forty percent of states have adopted full practice authority licensure and practice laws for Advanced Practice Registered Nurses (APRN). Texas is not one of them. Currently, APRN’s are regulated by both the Texas Board of Nursing and the Texas Medical Board. Passage of Senate Bill 681 would grant full practice authority to APRN’s, and therefore be regulated exclusively by the state nursing board.

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.

It is very important for the Nurse Practitioner (NP) to know how the employer is billing for NP services. There are several different ways for the NP to get reimbursed for the services they render to their patients. The reimbursement method can get complicated, and the NP must be aware of the rules and regulations prior. For example, “Medicare will pay 85% of the physician rate for the services”(Bupper. C, 2011), when the NP renders service and bills by using their own NPI. However, if the NP is working with the physician, the NP can bill under the physician’s provider number, and acquire reimbursement at the full rate. This can get complicated because there are certain rules and regulations that would need to be followed. See below:

Advanced practice registered nurses (APRN) most importantly nurse practitioners play a vital role in fall prevention during hospitalization. APRN’s are healthcare providers who have enhanced knowledge in diagnosing, disease prevention, and health promotion. For example, APRN’s are highly educated and competent to assess, take a detailed history, perform comprehensive examinations, and identify patients who are at risk for falls and refer them to a pertinent specialist such as a physical or occupational therapist. Additionally, APRN’s possess great leadership skills, excellent communication skills and can collaborate with members of the interdisciplinary team to bring about change and promote patient safety.

Hello, I am Angeline S. Bernard, licensed practical nurse, with Aetna’s utilization management department for long-term care. I am a 20 year veteran in the health care industry, primarily in the field of nursing, interested in pursuing a management role. With 15 years spent in the acute hospital environment, as a nurse, I have also practiced in other settings. School nursing, occupational nursing, quality management, and utilization management, are all additional areas of practice.

As a new student, Mary must determine the direction of her nursing career. According to DeNisco and Barker (2013), there are four roles of an advanced nurse practitioner entail certified nurse midwife (CNM), clinical nurse specialist (CNS), certified registered nurse anesthetist (CRNA), and nurse practitioner (NP). Each role has different duties, responsibilities, and focus. The A CNM provides health care services for office visits, family planning, prenatal care, delivery, and postpartum care. CNSs are trained in a specific area of health care to include pediatrics, geriatrics,critical care, and the emergency department. CRNAs work in the operating room with the ability to care for surgical patients using pharmacological interventions. NPs diagnosis and treat, prescribe, and conduct exams. In order to decide which role is best for Mary, there is a need to examine the lists of pros and cons to delineate a method of comparison. This will help her make the right decision.

The National Council of State Board of Nursing (NCSBN) is a governmental body mandated to regulate nursing practice in various states in the United States of America. Each state has its own regulatory rules that must be adhered to by every practicing nurse in the concerned region. Depending on the location of the Advanced Practice Registered Nurse (APRN), the NCSBN subdivides nursing practice regulations into three different classes: full practice, partial practice, and restricted practice. Therefore, it is of the essence to examine the nature of practice in different states before an APRN begins training. This paper will take a detailed look at the state of nursing practice in Texas and Arizona. Apart

Advance practice registered nurses (APRNs) play a critical and prominent role in the management of patients’ health and wellness in the United States. Historically, there have been no clear definitions of APRN roles, varied legal recognition of APRNs across states, and a lack of standardization in education of APRNs. Further, even with our ever-growing presence, there remains a knowledge deficit of the APRN role amongst the public and even healthcare professionals. In order to address these concerns, improve patient safety, and support and encourage APRN practice to the maximum extent of their degrees, the NCSBN APRN Advisory Committee and the APRN Consensus Work Group was formed. In 2008, they published the consensus model

The American Academy of Nurse Practitioners (AANP) recommends “When negotiating contracts, it is important to determine both the amount of income that the nurse practitioner may bring into the practice and the associated cost to the practice. While there will be variability among practices due to the specialty, the location and the outstanding debts of the practice, the following guidelines will help you determine what compensation you might be able to contract” (AANP, 2003). Starting out, I would research starting salaries in my region….Houston, Texas. Then I would narrow my search down to family practice, or any other specialty area I may

This mean depending in what state the advance practice nurse is working in they may be under supervision of a physician or in collaboration with them. “Some states allow nurse practitioners to practice without physician oversight, or 'independently'” (). “Other states require physician oversight for nurse practitioner practice, prescribing, or both. States differ in the language they use to describe oversight” (). “The American Nurses Association defines collaboration as physicians and nurses or NPs working together as colleagues, working interdependently within the boundaries of their scope of practice"

Registered Nurse Care Managers will triage Veterans who present to their team in the outpatient clinic requesting medical evaluation, as well as rotate through the weekly assignment as the designated triage nurse of the day. During the visit, the nurse will triage any symptoms from an illness or injury, provide recommendations for care, answer questions on prescribed medications, answer questions on upcoming test or procedures, as well as provide general information regarding medical concerns. When a triage patient requires medical evaluation, the nurse must gather all pertinent information and communicate it to the provider. Presently, documentation styles vary among the nurses employed at the White City VA SORCC, and differ depending on the

I agree with you that all states should have similar standards in providing licenses for healthcare professionals. Each state has different guidelines and requirements for nursing license. Some don’t even require CE’s for renewal, and some require certain number of practice hours within specified timeframe in addition to CE’s. I feel that continuing education provides us opportunities to acquire new skills and stay current with changes in the field. Each state must have unique need for the profession, and different political climate surrounds nurses. I believe that standardizing the licensure requirement will lead to higher quality of care and benefit patients.

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.