Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers

Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers

Week 1: Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments

With more 50 million surgical procedures performed annually (Centers for Disease Control and Prevention, 2015), advanced practice nurses must be prepared to practice in perioperative environments. Although the scope of practice may differ based on state laws and institutional regulations, all advanced practice nurses are an integral part of the multidisciplinary care team. From pre- to post-operation, they must coordinate patient care and communicate with patients, physicians, and family members. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.

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This week, you examine the scope of practice for acute care advanced practice nurses in perioperative environments. You also explore the impact of scope of practice laws and regulations on clinical care.

Learning Objectives

By the end of this week, students will:

  • Analyze the scope of practice for acute care advanced practice nurses
  • Evaluate the impact of scope of practice on clinical care

Photo Credit: Caiaimage/Martin Barraud/OJO+/Getty Images

Learning Resources

Note: The information presented in this course is vital. As a result, numerous resources are provided in various formats to facilitate your competence in caring for patients in acute care settings. The Doherty textbook, Current Diagnosis and Treatment,will serve as your primary text. When multiple resources are available on the same topic, select the primary text first, followed by those that best meet your personal learning needs.

Required Readings

Doherty, G. M. (2015). Current diagnosis and treatment: Surgery (14th ed.). New York, NY: McGraw Hill.

 

  • Chapter 1, “Approach to the Surgical Patient”
  • Chapter 2, “Training, Communication, Professionalism, and Systems-based Approach”
  • Chapter 3, “Preoperative Care”
  • Chapter 4, “Postoperative Care”
  • Chapter 5, “Postoperative Complications”
  • Chapter 7, “Power Sources in Surgery”
  • Chapter 11, “Anesthesia”

Weber, E. C., Vilensky, J. A., & Fog, A. M. (2013). Practical radiology: A symptom-based approach. Philadelphia, PA: F. A. Davis Company.

 

  • Chapter 1, “Modalities of Medical Imaging”

Bielaszka-DuVernay, C. (2011). Improving quality and safety. Retrieved from http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=45

De Bord, J. (2014). Informed consent. University of Washington School of Medicine. Retrieved from https://depts.washington.edu/bioethx/topics/consent.html

Nurse Practitioner (NP) Student Clinical Orientation

Document: Introduction to Clinical Experiences (PPT)

Document: Practicum Manual (PDF)

 

Discussion Part I: Scope of Practice, Credentialing, and Negotiation

In this course, some Discussions will have two parts:

  • Part I will consist of a specific topic related to the week’s content.
  • Part II will consist of a pharmacology review of approximately 250 words. Please submit each posting separately but within the same Discussion thread. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.

You will be assessed on your posting and responses to both parts.

As medical care evolves, so does the role and scope of practice of the advanced practice nurse in acute care settings. When providing patient care, however, you, as an advanced practice nurse, must always ensure that you are working within the scope of practice outlined by your state’s laws and institution’s regulations. For this Discussion, you examine these laws and regulations and consider how they might affect your future clinical practice, consider the credentialing process for your area, and discuss negotiation techniques you may use in a job search. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.

To prepare:

  • Locate a collaborative practice agreement. Based on this agreement, consider the scope of practice of an advanced practice nurse in your state.
  • Locate and select at least two hospitals where you would be interested in working at once you obtain your licensure.
  • Locate the hospitals’ credentialing documents and investigate the scope of practice at each hospital.

Note: All hospitals do not have the same scope of practice even if they are located within the same city and state.

  • Consider how the laws and regulations of the state and hospitals might affect your practice with medical and surgical patients in acute care settings.
  • Think about how you would negotiate your first Advanced Practice role. Consider issues such as salary range, Continueing Medical Education (CME), license and DEA costs, insurance, hours, on call requirements, etc.

By Day 3

Post an explanation of the scope of practice of advanced practice nurses, as outlined in the collaborative practice agreement. Then, identify the two hospitals of interest that you selected. Based on the credentialing documents, explain the scope of practice for acute care advanced practice nurses at each hospital. Explain how this might affect your practice in terms of caring for medical and surgical patients in acute care settings (i.e., medical treatments, procedures you can perform, interpreting diagnostics, etc.). Finally, describe job negotiation considerations. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.

Note: To support your Discussion post, you must include references (with URL links) from the state and the hospitals you selected.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on 2 different days who selected a different state or hospital from yours. Share additional insights or alternative perspectives.

Discussion Part II: Pharmacology

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

To prepare:

Read the following articles to enhance your knowledge of commonly prescribed medications:

Chalikonda, S. A. (2009). Alpha2-adrenergic agonists and their role in the prevention of perioperative adverse cardiac events. AANA Journal, 77(2), 103–108.

Note: Retrieved from the Walden Library databases.

Frankenstein, L., Katus, H. A., Grundtvig, M., Hole, T., de Blois, J., Schellberg, D., … Agewall, S. (2013). Association between spironolactone added to beta-blockers and ACE inhibition and survival in heart failure patients with reduced ejection fraction: A propensity score-matched cohort study. European Journal of Clinical Pharmacology, 69(10), 1747–1755.

Note: Retrieved from the Walden Library databases.

Hao, G., Wang, Z., Guo, R., Chen, Z., Wang, X., Zhang, L., & Li, W. (2014). Effects of ACEI/ARB in hypertensive patients with type 2 diabetes mellitus: A meta-analysis of randomized controlled studies. BMC Cardiovascular Disorders, 14, 148. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.

Note: Retrieved from the Walden Library databases.

Levy, P. D., Laribi, S., & Mebazaa, A. (2014). Vasodilators in acute heart failure: Review of the latest studies. Current Emergency and Hospital Medicine Reports, 2(2), 126–132.

Vasodilators in acute heart failure: Review of the latest studies by Levy, P. D., Laribi, S., & Mebazaa, A. in Current Emergency and Hospital Medicine Reports, 2(2). Copyright 2014 by Current Science, Inc. Reprinted by permission of Current Science, Inc., via the Copyright Clearance Center.

 

Shi, C. (2013). Blood pressure lowering efficacy of alpha blockers for primary hypertension. International Journal of Evidence-Based Healthcare, 11(3), 204–205.

Note: Retrieved from the Walden Library databases.

Tocci, G., Battistoni, A., Passerini, J., Musumeci, M. B., Francia, P., Ferrucci, A., & Volpe, M. (2015). Calcium channel blockers and hypertension. Journal of Cardiovascular Pharmacology and Therapeutics, 20(2), 121–130.

Note: Retrieved from the Walden Library databases.

Toppen, W., Sareh, S., Satou, N., Shemin, R., Hunter, C., Buch, E., & Benharash, P. (2014). Do preoperative β-blockers improve postoperative outcomes in patients undergoing cardiac surgery? Challenging societal guidelines. American Surgeon, 80(10), 1018–1021.

Note: Retrieved from the Walden Library databases.

Wang, A. (2012). Efficacy of class III antiarrhythmics and magnesium combination therapy for atrial fibrillation. Pharmacy Practice, 10(2), 65–71.

Note: Retrieved from the Walden Library databases. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.

All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage.

  1. Alpha agonists
  2. Alpha blockers
  3. Beta blockers
  4. Antiarrhythmics
  5. Calcium channel
  6. Vasodilators
  7. ACE versus BBlocker with spironolactone in CHF
  8. ACE versus ARB

Note: When sharing your initial post, select a topic that has not yet been discussed. If all topics have been discussed, then you may select that topic again, but select a different drug within the medication group.

By Day 3

For this Discussion, address 1 of the following options:

Option 1

Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Include the scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose.

Option 2

Conduct an evidence-based drug search on the drug you selected and post an explanation of any possible issues. Are there any drug interactions? Any black box warnings? To what type of patient would you prescribe this medication?

Option 3

Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Describe a patient to whom you would prescribe this medication.

Note: To be considered as one of your required responses, your pharmacology rationale must include a supporting reference. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Submission and Grading Information

Grading Criteria

Week 1 Discussion Rubric

Week in Review

This week you analyzed the scope of practice for APN’s in perioperative environments and the impact of laws and regulations on clinical care.

Next week you will examine strategies for assessing, diagnosing, and treating patients in pre- and post-operative care.

Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers

Discussion_Rubric

  Outstanding Performance Excellent Performance Competent Performance Proficient Performance Room for Improvement
Main Posting:
Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.
44 (44%) – 44 (44%)

Thoroughly responds to the discussion question(s)

is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

supported by at least 3 current, credible sources

40 (40%) – 43 (43%)

Responds to the discussion question(s)

is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.

75% of post has exceptional depth and breadth

supported by at least 3 credible references

35 (35%) – 39 (39%)

Responds to most of the discussion question(s)

is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module.

50% of post has exceptional depth and breadth

supported by at least 3 credible references

31 (31%) – 34 (34%)

Responds to some of the discussion question(s)

one to two criteria are not addressed or are superficially addressed

is somewhat lacking reflection and critical analysis and synthesis

somewhat represents knowledge gained from the course readings for the module.

post is cited with fewer than 2 credible references

0 (0%) – 30 (30%)

Does not respond to the discussion question(s)

lacks depth or superficially addresses criteria

lacks reflection and critical analysis and synthesis

does not represent knowledge gained from the course readings for the module.

contains only 1 or no credible references

Main Posting:
Writing
6 (6%) – 6 (6%)

Written clearly and concisely

Contains no grammatical or spelling errors

Fully adheres to current APA manual writing rules and style

5.5 (5.5%) – 5.5 (5.5%)

Written clearly and concisely

May contain one or no grammatical or spelling error

Adheres to current APA manual writing rules and style

5 (5%) – 5 (5%)

Written concisely

May contain one to two grammatical or spelling error

Adheres to current APA manual writing rules and style

4.5 (4.5%) – 4.5 (4.5%)

Written somewhat concisely

May contain more than two spelling or grammatical errors

Contains some APA formatting errors

0 (0%) – 4 (4%)

Not written clearly or concisely

Contains more than two spelling or grammatical errors

Does not adhere to current APA manual writing rules and style

Main Posting:
Timely and full participation
10 (10%) – 10 (10%)

Meets requirements for timely and full participation

posts main discussion by due date

0 (0%) – 0 (0%)

NA. Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers

0 (0%) – 0 (0%)

NA

0 (0%) – 0 (0%)

NA

0 (0%) – 0 (0%)

Does not meet requirement for full participation

First Response:

Post to colleague’s main post that is reflective and justified with credible sources.

9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings

responds to questions posed by faculty

the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives

8.5 (8.5%) – 8.5 (8.5%)

Response exhibits critical thinking and application to practice settings

7.5 (7.5%) – 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting

6.5 (6.5%) – 7 (7%)

Response is on topic, may have some depth

0 (0%) – 6 (6%)

Response may not be on topic, lacks depth

First Response: 
Writing
6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues

Response to faculty questions are fully answered if posed

Provides clear, concise opinions and ideas that are supported by two or more credible sources

Response is effectively written in Standard Edited English

5.5 (5.5%) – 5.5 (5.5%)

Communication is professional and respectful to colleagues

Response to faculty questions are answered if posed

Provides clear, concise opinions and ideas that are supported by two or more credible sources

Response is effectively written in Standard Edited English

5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues

Response to faculty questions are mostly answered if posed

Provides opinions and ideas that are supported by few credible sources

Response is written in Standard Edited English

4.5 (4.5%) – 4.5 (4.5%)

Responses posted in the discussion may lack effective professional communication

Response to faculty questions are somewhat answered if posed

Few or no credible sources are cited

0 (0%) – 4 (4%)

Responses posted in the discussion lack effective

Response to faculty questions are missing

No credible sources are cited

First Response:
Timely and full participation
5 (5%) – 5 (5%)

Meets requirements for timely and full participation

posts by due date

0 (0%) – 0 (0%)

NA

0 (0%) – 0 (0%)

NA

0 (0%) – 0 (0%)

NA

0 (0%) – 0 (0%)

Does not meet requirement for full participation

Second Response:
Post to colleague’s main post that is reflective and justified with credible sources.
9 (9%) – 9 (9%)

Response exhibits critical thinking and application to practice settings * responds to questions posed by faculty

the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives

8.5 (8.5%) – 8.5 (8.5%)

Response exhibits critical thinking and application to practice settings

7.5 (7.5%) – 8 (8%)

Response has some depth and may exhibit critical thinking or application to practice setting

6.5 (6.5%) – 7 (7%)

Response is on topic, may have some depth

0 (0%) – 6 (6%)

Response may not be on topic, lacks depth

Second Response:
Writing
6 (6%) – 6 (6%)

Communication is professional and respectful to colleagues

Response to faculty questions are fully answered if posed

Provides clear, concise opinions and ideas that are supported by two or more credible sources

Response is effectively written in Standard Edited English

5.5 (5.5%) – 5.5 (5.5%)

Communication is professional and respectful to colleagues

Response to faculty questions are answered if posed

Provides clear, concise opinions and ideas that are supported by two or more credible sources

Response is effectively written in Standard Edited English

5 (5%) – 5 (5%)

Communication is mostly professional and respectful to colleagues

Response to faculty questions are mostly answered if posed

Provides opinions and ideas that are supported by few credible sources

Response is written in Standard Edited English

4.5 (4.5%) – 4.5 (4.5%)

Responses posted in the discussion may lack effective professional communication

Response to faculty questions are somewhat answered if posed

Few or no credible sources are cited

0 (0%) – 4 (4%)

Responses posted in the discussion lack effective

Response to faculty questions are missing

No credible sources are cited

Second Response:
Timely and full participation
5 (5%) – 5 (5%)

Meets requirements for timely and full participation

Posts by due date

0 (0%) – 0 (0%)

NA

0 (0%) – 0 (0%)

NA

0 (0%) – 0 (0%)

NA

0 (0%) – 0 (0%)

Does not meet requirement for full participation

Total Points: 100

Scope of Practice of the Acute Care Advanced Practice Nurse in Perioperative Environments Essay Assignment Papers

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