NURSING579 Advanced Practice Nursing Standards Assignment
NURSING579 Advanced Practice Nursing Standards Assignment
You have been a nurse practitioner for two years. You are precepting an MCCN advanced practice registered nurse who is in his first specialty NP clinical course. Please address the following questions from your student.
- You have been a nurse practitioner for two years. Introduce yourself to the student you are precepting. Describe the area of practice you have been working (try to make this a realistic situation, please describe your “ideal” NP position/job and where you would ideally like to see yourself in three years).What areas of your career do you most want to focus and further develop? What skills, courses, or specific training will you need to further develop for that position? Define continuing education. Is there any specific continuing education requirements for APNs that the OBON specifically requires? Differentiate evidenced-based practice vs clinical guidelines and define each. (9 pts)
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- Describe to the student, in detail, the process for obtaining initial specialty (FNP or Acute-Gero) licensure certification. Compare and contrast AANP and ANCC certifying bodies. Describe, in detail, the process and specifics for the steps required for licensure renewal. Please include and define specific forms and policies needed for both processes.(9 pts)
- The student asks you, “Was is hard to get a job after your graduated with your MSN?”Please respond by describing your strengths, weaknesses, challenges, and leadership ability. What plans did you have for self-marketing (what differentiating factor(s) about you and your career history separates you from other candidates)? Using Benner’s Self-Assessment Tool, complete an honest, personal assessment of strengths and weaknesses. (9 pts)
- Describe to the student the definition of an appropriate collaborating relationship with a physician as required by the Ohio Board of Nursing (OBON) for advanced practice nurses (4pts).
- Your student inquires to you, “Do you have plans to further your education and reach a terminal degree in nursing?” Please differentiate a Ph.D. verse DNP prepared nurse and provide specific examples of which type of degree would be most appropriate to obtain a Ph.D. as well as DNP. Which degree has a more clinical focus and which is more research focused? Define scholarly writing. If you do not want to obtain your terminal degree in nursing, what other things could you do to become more marketable (hint: include and explain things like submitting abstracts, journal articles, scholarly writing, etc.)? (9 pts)
- Your student inquires to you, “What is the difference between a physician’s assistant (PA) and a nurse practitioner? Is one more marketable than the other? Do they have salary differences?” Please compare and contrast a PA from NP. (9 pts)
- Your student inquires to you, “Can you prescribe to family members?”Please respond appropriately. Also, please explain the process for how to obtain prescriptive authority. Also explain to the student what a “DEA” is, when would this be pertinent to obtain, and how to obtain this. Last, explain to the student what an OARRS account is and if this is required by the state of OH for APNs to have. (9 pts)
- Your student then asks you several questions regarding billing, reimbursement, and coding. Please explain in detail to the student the following: (9 pts)
- Define ICD 10 codes and CPT
- Explain the process of credentialing and why it is significant.
- Your student inquires to you, “I have heard a lot about RVUs. What is that?” Define RVU. If your financial compensation is based upon meeting certain RVUs what does this mean? What are realistic RVU target measures for an NP working in an outpatient FNP office (only for FNP track to answer)? What are realistic RVU target measures for an NP working in level 1 ICU or rounding as a hospitalist (only for Acute-Gero track to answer)? (9 pts)
- What is malpractice insurance? Why is this important? What the costs? What is the process for obtaining this? Who pays for this? Is it required to have in OH, in all states, or state specific? (9 pts)
Nursing 579 Standards of Advanced Practice Nursing Grading Rubric 100 point assignment The purpose of this assignment is to meet the graduate essentials with emphasis on course objectives two and ten. General Guidelines: 1. Follow APA guidelines. Use Times New Roman Font, double-spaced, size 12 with 1” margins all around. Utilize correct grammar. 2. The number of references that you will utilize will be variable. References may not be older than 5 years. You need at least 3 references. 3. This paper is worth 100 points and will be graded on quality and accuracy of information, and proper use of APA formatting, use of English grammar, and sentence structure. Please cite per APA format for an Interview question and answer document. 4. It is expected that you write at the master’s level at this point in your graduate education. This assignment reflects your ability to function as a scholarly writer and one who understand the legal, ethical, and every day practice implications for an advanced practice nurse. 5. It is required to use Turn-It-In. You will upload your paper and the turn-it-in report to Canvas. There’s another resource called Grammarly to help with writing and plagiarism checking. 6. The paper should be an original work, no longer than 6 pages and with a minimum of 5 pages double-spaced (excluding title page and references) Scenario: You have been a nurse practitioner for two years. You are precepting an MCCN advanced practice registered nurse who is in his first specialty NP clinical course. Please address the following questions from your student.
1. You have been a nurse practitioner for two years. Introduce yourself to the student you are precepting. Describe the area of practice you have been working (try to make this a realistic situation, please describe your “ideal” NP position/job and where you would ideally like to see yourself in three years). What areas of your career do you most want to focus and further develop? What skills, courses, or specific training will you need to further develop for that position? Define continuing education. Is there any specific continuing education requirements for APNs that the OBON specifically requires? Differentiate evidenced-based practice vs clinical guidelines and define each. (9 pts) 2.
Describe to the student, in detail, the process for obtaining initial specialty (FNP or Acute-Gero) licensure certification. Compare and contrast AANP and ANCC certifying bodies. Describe, in 3. 4. 5. 6. 7. 8. 9. 10. detail, the process and specifics for the steps required for licensure renewal. Please include and define specific forms and policies needed for both processes. (9 pts) The student asks you, “Was is hard to get a job after your graduated with your MSN?” Please respond by describing your strengths, weaknesses, challenges, and leadership ability. What plans did you have for self-marketing (what differentiating factor(s) about you and your career history separates you from other candidates)? Using Benner’s Self-Assessment Tool, complete an honest, personal assessment of strengths and weaknesses. (9 pts) Describe to the student the definition of an appropriate collaborating relationship with a physician as required by the Ohio Board of Nursing (OBON) for advanced practice nurses (4pts).
Your student inquires to you, “Do you have plans to further your education and reach a terminal degree in nursing?” Please differentiate a Ph.D. verse DNP prepared nurse and provide specific examples of which type of degree would be most appropriate to obtain a Ph.D. as well as DNP. Which degree has a more clinical focus and which is more research focused? Define scholarly writing. If you do not want to obtain your terminal degree in nursing, what other things could you do to become more marketable (hint: include and explain things like submitting abstracts, journal articles, scholarly writing, etc.)? (9 pts) Your student inquires to you, “What is the difference between a physician’s assistant (PA) and a nurse practitioner? Is one more marketable than the other? Do they have salary differences?”
Please compare and contrast a PA from NP. (9 pts) Your student inquires to you, “Can you prescribe to family members?” Please respond appropriately. Also, please explain the process for how to obtain prescriptive authority. Also explain to the student what a “DEA” is, when would this be pertinent to obtain, and how to obtain this. Last, explain to the student what an OARRS account is and if this is required by the state of OH for APNs to have. (9 pts) Your student then asks you several questions regarding billing, reimbursement, and coding. Please explain in detail to the student the following: (9 pts) a. Define ICD 10 codes and CPT b. Explain the process of credentialing and why it is significant. Your student inquires to you, “I have heard a lot about RVUs.
What is that?” Define RVU. If your financial compensation is based upon meeting certain RVUs what does this mean? What are realistic RVU target measures for an NP working in an outpatient FNP office (only for FNP track to answer)? What are realistic RVU target measures for an NP working in level 1 ICU or rounding as a hospitalist (only for Acute-Gero track to answer)? (9 pts) What is malpractice insurance? Why is this important? What the costs? What is the process for obtaining this? Who pays for this? Is it required to have in OH, in all states, or state specific? (9 pts) Guidelines for Advanced Practice Nursing Role Self-Assessment Using Benner’s Novice to Expert Model Novice • No experience of situations in which you’re expected to preform…can take in little of the situation which is too new and too strange • Governed by context-free rules (in order to enter situations to gain experience) …little understanding of contextual meaning of textbook concepts
• Extremely limited and inflexible • Requires support in clinical practice from someone who is at least at the ‘competent’ level Advanced • Limited experience of situations in which expected to perform Beginner • Recognizes overall global characteristics of situations that can ONLY be identified through prior experience • Requires support in clinical practice from someone who is at least at the ‘competent’ level Competent • On the job with same or similar situations 2-3 years • A plan for work/care establishes only a perspective…not rigid rules to follow…but is most organized & efficient with conscious, deliberate planning • Recognizes contextual aspects of situations • Has a feeling of mastery & ability to manage • Still lacks speed & flexibility characteristic of next level NOTE: A significant difference in expertise occurs between these levels…skills are transformed at the proficient and expert levels…adhering to formal rules/models may actually deteriorate practice Proficient • 3-5 years’ experience in same/similar situation • Perceives situations as a contextual whole and recognizes most significant aspects of a situation • Knows from experience typical events to expect in given situations…has a “web of perspectives” from which to operate
• Considers fewer options & hones in on accurate regions of problems • Performs with flexibility Expert • 5-10 years in same/similar situations…enormous background of experience • Operates from a deep understanding of total situation as a contextual whole without relying on rules, guidelines • Intuitive grasp of situations; rapidly zeroes in on accurate regions of problems without wasting time/energy considering large range of options • Performs with great flexibility Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. Menlo Park, CA: Addison Wesley. Excerpts from pp 20-39 Criteria Accuracy of Questions 1-10 Applicability and Correct Utilization of Personal Assessment Possible Points 85 APA Format and Grammar 10 Punctuality 5 Rationale • Provides detailed information regarding education and license requirements. • Provides detailed information regarding COA, prescriptive authority, rules and regulations of prescribing • Provides detailed information regarding the scope of practice for an APN • Provides detailed information regarding scholarly writing, continuing education, and further education for an APN • Detailed assessment is done using Benner’s Model. Thorough reflection of strengths, goals, weaknesses, and objectives is noted Title page, text, and references are in correct format. Paper is free of grammar and word-usage errors. Is also free of slang. Assignment is due on time.
All questions are answered. The assignment is submitted with all parts completed. Total 100 Nursing 579 Standards of Advanced Practice Nursing Grading Rubric Criteria Maximum points earned: Less than maximum points: 5 0 Punctuality Paper is submitted on time. Assignment is late Student responds to all And/or questions. Upon submission Upon submission, assignment of assignment, the assignment is not completed in entirety is completed in entirety. 8-10 Less than 8 APA format and Grammar APA format correct with no APA format with more than 2 more than 2 errors. Spelling, errors. Spelling, syntax, and syntax, and punctuation are punctuation with more than 3 accurate with no more than 3 errors errors within total paper More than 2 typographical
No more than 2 typographical mistakes within total paper mistakes within total paper 81-85 Less than 80 Accuracy of Questions 1-10 Provides detailed information Inaccurate and Inadequate regarding education and information provided. Applicability and Correct license requirements. Missing more than 1 key Utilization of Personal Provides detailed information element in any 2 questions Assessment regarding COA, prescriptive out of 10 questions answered authority, rules and and/or Missing 1 key element regulations of prescribing in more than any 3 questions Provides detailed information out of 10 questions answered regarding the scope of practice for an APN Provides detailed information regarding scholarly writing, continuing education, and further education for an APN Detailed assessment is done using Benner’s Model. Thorough reflection of strengths, goals, weaknesses, and objectives is noted Adequate information provided. Missing 1 key element in any 2 questions out of 10 questions answered Total Points: 100 NURSING579 Advanced Practice Nursing Standards Assignment