DISCUSSION RESPONSES

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Respond to the 4 colleagues  by suggesting a different way of framing their critical question. Cite sources to support your posts and recommend to colleagues. provide at least 2 references each.

I need 6 Discussions. Make sure you provide 2 references and utilize APA style.. . Discussion Rubric

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Watch the videos listed below and answer the questions that follow:

Adolescents & Addiction: 

https://youtu.be/MDh2tclDfSI

Adolescent Drug Addiction

https://youtu.be/-mUcMrzXq_U

The Science of Relapse

https://youtu.be/WXxxcElL7Cs

Brain imaging on drugs

https://youtu.be/f2e98k0sTag

Please answer the following questions and indicate what videos helped you answer the question. 

  1. Discuss three things new to you or that stood out to you from watching the videos. 
  2. Identify at least two biases you may have regarding persons with a substance use disorder and how this may affect your work/treatment. (Note if your preferences changed after reviewing this week’s material). 
  3. How vital is substance/addiction education for your PMHNP/future career? 
  4. What is one specific thing that you can do to increase your knowledge of substance use disorders? 
  5. Find one online video that discusses the effects of drugs on the brain. Choose one type of drug (i.e. stimulants) and briefly describe how it affects the brain.

fundamentals M 3

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Delegation Guidelines

 

Discussion Topic

Top of Form

Activity Time:

2 hours; Additional Time for Study, Research, and Reflection: 1 hour

Directions:

After viewing the video, “Delegation” and reading in your textbook, post your answers to the following questions.

1. Briefly explain the Rights of Delegation and the potential error(s) that can occur with each when delegating a task.

2. Discuss how these delegation errors be prevented?

Please make your initial post by midweek, and respond to at least two other student's post by the end of the week.

Bottom of Form

NUR 435 Week 1 Discussion: Exploring Your Management Style

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Step 1 Read and respond to the scenario.

You are interviewing for an assistant nurse manager position with the nurse manager of your unit. She asks you to answer the following questions:

  • Explain a time you had to take charge, formally or informally, on your clinical unit (be specific).
  • Describe the management style you used and the type of power you had.
  • Discuss whether your management style was effective and what you would have done differently.
  • Would you use a different management style in the future in the same situation? If so, which one and why?
  • Which management style would you choose to use going forward, and why

Nutritional Principles in Nursing

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Module 04 Content

1.

Top of Form

Create an outline of your project (1 page). The outline should only contain topic headings and a brief description of what it will cover. See the link below for an APA formatted outline. Remember that your outline will be a guide as you write your paper to keep you on topic and organized.

Required paragraph topics include but are not limited to: the role nutrition plays in the prevention of the disease, etiology, progression, treatment, recommended diets, nursing assessment, nursing interventions, client education, and adherence. Please use library resources to find out more about Nursing Assessment, Interventions, and Client Education.


Nursing I have an assignment thats due now, but if someone can have it done by 3AM, or 5AM, I would really appreciate it ! I thought I would have time to get to it,

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Assignment that is medical related, or nursing. Have to do a SOAP note, so you would have to know what a SOAP note is in regards to the medical field and there are questions you have to answer about CPT codes, billing codes for patient visits, Dx. codes, etc. But Ican add the diagosis codes.

Thanks Julie 

NATIONAL ORGANIZATION OF NURSE PRACTITIONER FACULTIES (NONPF) COMPETENCIES

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The National Organization of Nurse Practitioner Faculties (NONPF) has determined nine broad areas of core competence that apply to all nurse practitioners, regardless of specialty or patient population focus. NONPF created the first set of Nurse Practitioner Competencies in 1990; the most recent updates were incorporated in 2017. This course was designed to prepare you to synthesize knowledge gained throughout the program and to apply each of the nine core competencies within your selected areas of practice and your representative communities.

The nine areas of competency are:

· Scientific Foundations

· Leadership

· Quality

· Practice Inquiry

· Technology and Information Literacy

· Policy

· Health Delivery System

· Ethics

· Independent Practice

TO PREPARE

· Review this week’s Learning Resources, focusing on the NONPF Core Competencies Content

THE ASSIGNMENT

For each of the nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet the competency (for a total of at least nine paragraphs). Then, propose how you plan to engage in social change in your community as a nurse practitioner. Finally, describe 1–2 legislative and/or advocacy activities in which your state nurse practitioner organization(s) are involved. Be specific and provide examples.

The Value of a Master's-Prepared Nurse

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Consider the current healthcare delivery models and practice settings. Reflect on how nursing practice is transforming in response to the current demands of the healthcare system and answer one of the following questions:

  1. What differentiates the practice of a master’s-prepared nurse compared to that of a baccalaureate-prepared nurse?
  2. What is the value of a master’s degree in nursing?
  3. What do you consider to be the most essential professional competency for a master’s-prepared nurse practicing in the 21st century?

Refer to AACN Essentials, Chamberlain University Nursing Conceptual Framework and other scholarly sources. Use at least one outside scholarly article to support your position. Provide an example to illustrate an application to professional practice.

Advocacy letter

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Preparation for writing the Advocacy Letter

1. Choose a topic that interests you.

2. If you are unsure what to advocate for or against, look at professional organizations for inspiration:

a.
APHA

b.
ANA

c.
Maryland Public Health Association

3. Look for advocacy groups that are working on the issue. We don't have to recreate the wheel.  See what strategies the advocacy groups are supporting. For example: Brady and Gifford non-profits focus on gun policy. 

4. Decide if you want to make change within an agency, at the local, state or federal level. Find the decision maker appropriate to that level. Click here to
find your elected official.

5. If you are writing to a legislator, look at that person’s website to see their position on the issue. Please do not ‘preach to the choir’—that is, if they already support the issue, it does no good to throw more facts at them.

6. If you are addressing a national issue, and your legislator aligns with your proposed action, consider looking at the committee that would hear a bill about your issue.

a. If there is a proposed bill that has not been active, you can ask the chair of the committee to bring it back up in committee.

b. Click here to
check for federal bills.

7. If you are addressing a state issue, the Maryland General Assembly meets January- April of each year.

a. You can see if state bill on your issue was unsuccessful in 2018, and ask your legislator to re-introduce it in 2019.

b. Click here to
check for state bills.

8. For evidence to support your proposed action, use the One Search through HS/HSL for the broadest results. If you are still having trouble finding articles, the premier journal for public health research is called The Nation's Health.

9. Reminders from the rubric:

a. Include your ‘Ask’ clearly and concisely in the first paragraph. In busy offices, staff may not read the entire letter.

b. In the same vein, keep the letter one page. References can be on a second page.

c. Include your credentials. All of you are BSN Candidates (and add whatever other credentials you have). This adds a professional weight to your voice.

10. As always, please let me know of any questions.
KGR

aswpos3

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Respond to what he wrote, be argumentative with the answers, and polite. References, and at least 2 paragraphs.

· Suggest a way to advocate for the profession.

· Share resources with those who are in your state.

Licensure and Certification in Georgia

            In Georgia, Advanced Practice Nurse Practitioners (APRNs) are governed and receive their practice authorization from the Georgia Board of Nursing. The Georgia Board of Nursing recognizes the use of the term “APRN” to cover a range of titles, which include Certified Nurse Midwives (CNM), Certified Nurse Practitioners (NP), Certified Registered Nurse Anesthetists (CRNA), Clinical Nurse Specialists/Psych-Mental Health (CNS-PMH) or Clinical Nurse Specialist (CNS). Also, in Georgia, an applicant must possess a valid registered nurse license before applying for an APRN license. According to Georgia Board of Nursing (2021), the applicant must meet the initial requirements for an APRN application, which include a completed Board application with required fee official transcript which verifies graduation with a master's or higher degree in nursing for the respective nurse practitioner specialty or a graduate level post-masters certificate in an advanced practice registered nurse practitioner specialty and evidence of advanced pharmacology within the curriculum or as a separate course, advanced physical assessment, and pathophysiology and certification of current national certification from the respective Board-recognized certifying organization. In addition, the applicant must show documentation that shows four years immediately preceding the date of current application that shows five hundred hours of practice as an APRN or graduation from a nursing education program or graduate level post-master certificate in an advanced practice registered nurse practitioner specialty or completion of Georgia Board-approved advanced practice registered nurse reentry/refresher program (Georgia Board of Nursing, 2021).

            In the state of Georgia, APRNs practice under a restricted regulatory structure. American Association of Nurse Practitioners (2022) noted that Georgia restricts patient access to nurse practitioner care and requires physician delegation/supervision for practice. Also, unlike other states, Georgia has two types of nurse protocol agreements. If the APRN is practicing under O.C.G.A. § 43-34-23, the APRN would evaluate the patient, formulate a diagnosis, determine the course of treatment, and they would call in the prescription to the pharmacy under their collaborating physician's name, just like a nurse or medical assistant would. This type of nurse protocol does not require approval from the medical board (American Association of Nurse Practitioners, 2022).  However, if the APRN practices under O.C.G.A. § 43-34-25, the APRN signs her prescriptions. This type of agreement must be submitted to the Board of Medical Examiners within 30 days of being signed (along with a fee of $150). APRNs must note that if they are to prescribe controlled substances, they must possess their own DEA number, and they are unable to prescribe Schedule II drugs in the state of Georgia. APRNs in Georgia are only allowed to prescribe Schedule III-V drugs. Regardless of which nurse protocol the APRN is practicing under, both protocols must include the following information: shall be in writing and signed by the advanced practice nurse and the delegating physician; shall be dated, available upon request, and specify parameters under which medical acts delegated by the physician may be performed; shall include provisions for periodic review of patient records by the delegating physician; shall be reviewed, revised or updated annually; shall include a provision for immediate consultation with the delegating physician or a physician designated in the absence of the delegating physician; hall contain written provisions regarding the procedure for dispensing dangerous drugs which comply with O.C.G.A. §§ 43-34-23(a)(3), (3.1), (4), and (5), if the dispensing of dangerous drugs is included as a delegated medical act in the nurse protocol agreement; and Shall contain written provisions regarding the procedure for ordering controlled substances which comply with paragraph (b)(1) of O.C.G.A. § 43-34-23, if the ordering of controlled substances is included as a delegated medical act in the nurse protocol agreement (Georgia Board of Nursing, 2021).

            Any medical provider that prescribes controlled substances must be registered with the federal Drug Enforcement Administration (DEA). This process can be done via the Drug Enforcement Administration's website. The online application consists of the following six components, personal information, email address validation, activity, state license (supervisory agreements, with specific authority for controlled substances), background information, application fee ($888) and confirmation (Drug Enforcement Administration, n.d.). This must be renewed every three years.

            The state of Georgia has a prescription drug monitoring program that is known as the Georgia Prescription Drug Monitoring Program (PDMP) is an online database that monitors and tracks the prescribing and dispensing of controlled substances in the state of Georgia (Georgia Department of Public Health, 2023). This information can be used to monitor a patient's-controlled substance history. All prescribers with an active Georgia professional license and active DEA number are required to register in the GA PDMP (Georgia Department of Public Health, 2023).

            According to Georgia Board of Nursing (2021), Georgia defines the scope of practice for a nurse practitioner as

“A nurse practitioner provides advanced practice nursing care and medical services specific to the nurse practitioner respective specialty to individuals, families and groups, emphasizing health promotion and disease prevention as well as the diagnosis and management of acute and chronic diseases. The nurse practitioner collaborates as necessary with a variety of individuals to diagnose and manage clients' health care problems (Georgia Board of Nursing, 2021).”

According to Hudspeth and Klein (2019), for safe practice and to optimize access to care, APRN's should have a clear and concise understanding of their board of nursing's standards of practice (SOP).

            When reviewing the licensure and certification for APRN for the state of Georgia I was surprised to learn about that Georgia has two different types of nurse-provider agreements. I also was surprised that the APRN must pay a fee to the medical board for the review of their supervision agreement. It seems that the medical board want to restrict the authority of APRNs in the state. Its very disheartening to be so restricted in Georgia, but I can move to a state like New York or New Mexico and have full authority. Overall, I feel that no matter the state, all APRNs should have the same authority. However, this is unlikely because medical boards and providers make money from the APRNs.  

 

                                                                 References

American Association of Nurse Practitioners. (2022, October). 
Georgia state policy fact sheet. Www.aanp.org. 

https://www.aanp.org/advocacy/state/state-practice-environment/state-policy-fact-sheets/georgia-state-policy-fact-sheetLinks to an external site.

Drug Enforcement Administration . (n.d.). 
Application for Registration Under Controlled Substances Act of 1970. Drug Enforcement Administration . 

https://apps.deadiversion.usdoj.gov/webforms2/spring/main?execution=e1s1Links to an external site.

Georgia Board of Nursing. (2021). 
Chapter 410-11:Regulation of Advanced Practice  Registered Nurses . Rules and Regulations of the State of Georgia. 

https://rules.sos.ga.gov/GAC/410-11Links to an external site.

Georgia Department of Public Health. (2023). 
Prescription drug monitoring program. Georgia Department of Public Health. 

https://dph.georgia.gov/pdmp#:~:text=The%20Georgia%20Prescription%20Drug%20Monitoring%20Program%20(PDMP)%20is%20an%20electronicLinks to an external site.

Hudspeth, R. S., & Klein, T. A. (2019). Understanding Nurse Practitioner Scope of Practice. 
Journal of the American Association of Nurse Practitioners, 
31(8), 468–473. 

https://doi.org/10.1097/jxx.0000000000000268Links to an external site.


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