PNP-PC Part 5 Flashcards
Who started the first NP program at the University of Colorado Health Sciences Center?
Dr. Loretta Ford and Dr. Henry Silver
Provides direct patient care, collecting and analyzing data to appropriately manage care
Clinician
Engaged in shared planning and interventions with other health care professionals to attain desired patient goals
Consultant/Collaborator
Teaches patients, families, peers, and communities about a variety of health care issues
Educator
Uses knowledge about research process to appraise evidence and provide evidence-based patient care
Research/EBP mentor
Roles of APRN
Clinician
Consultant/Collaborator
Educator
Research/EBP mentor
Establishes measurable goals to improve health and quality of life
Healthy People 2020
Outlines strategies to collect, analyze, interpret, disseminate, and use data about the nation’s health and to plan and implement prevention programs
Healthy People 2020
Goals:
Attain high-quality, longer lives free of preventable disease, disability, injury, and premature death
Achieve health equity, eliminate disparities, and improve the health of all groups
Create social and physical environments that promote good health for all
Promote quality of life, healthy development, and healthy behaviors across all life stages
Healthy People 2020
Purpose is to give clinical guidelines and health education
Screening test, targeted physical exams, immunizations, and health counseling that are recommended as part of routine health evaluation
U.S. Preventive Services Task Force
Define the practice of nursing throughout all of the states and territories
State Nursing Practice Acts
Make the rules and regulations that govern RN and APRN practice
State Board of Nursing
Authority to license
Establish a scope of practice for RNs
Determine disciplinary actions
State Boards of Nursing
Defined by Nurse Practice Act
Authorized by state legislature
Statues
Rules
Made by state agencies under the executive branch of state government
Regulations
Describes professional guidelines and parameters within which nurses in various APRN specialties may practice
Varies from state to state
NPs have authority to diagnose, treat, and prescribe medications without the requirement of physician collaboration or oversight in many states and DC
Scope of Practice
Designation made by State Board of Nursing
Individual has met certain qualifications
Licensure
All APRNs are ________ by RNs
licensed
APRNs are _________ by state to practice
authorized
Process by which a non-governmental agency that validates that an individual has met certain predetermined standards
Provides quality assurance for the public
Certification
Validation of required: education, licensure, certification
Can be carried by a government agency (board of nursing) and private agency (hospital)
Credentialing
Mandate accountability and responsibility for safe practice
Assure provision of care by qualified professionals
Acknowledge advanced scope of practice
Validate compliance with state and federal laws regarding nurse practice
Credentialing
Employer gives permission to perform specific tasks (H&Ps, suture, prescribe, write orders, circumcision, LPs)
May require certain education, proctoring, documentation, and approval of supervision
Could be more restrictive than state requirements
Privileging
Dictates level of prescriptive authority allowed
Specifies continuing education requirements
Varies state by state
State statues (SBON)
Federally issued and site-specific
Some states have APRN compact which allows multistate privileges for legend drugs only
Drug Enforcement Administration (DEA) Number
HIPPA mandated standardized provider numbers
Assigned by National Plan and Provider Enumeration System (NPPES)
National Provider Identifier (NPI) number
Level of visit code for nurse visit
Level 1
Level of visit code for problem focused
Level 2
Level of visit code for expanded problem focused
Level 3
Level of visit code for detailed visit
Level 4
Level of visit code for comprehensive visit
Level 5
Chief complaint Brief HPI (1-3 elements)
Level 2-problem focused
Chief complaint Brief HPI (1-3 elements) ROS (problem pertinent 1 system)
Level 3-expanded problem
Chief complaint Extended HPI (>4 elements) Extended ROS (2-9 systems) Pertinent FH (1 area)
Level 4-detailed
Chief complaint Extended (>4 elements) Complete ROS (>10 systems) Complete FH (2 areas)
Level 5-comprehensive
Involves legal wrongs committed by one person against another person
Includes negligence and malpractice
Tort law
Failure of an individual to do what a reasonable person would do and results in injury to the other person
Negligence
Responsibility of NP for failing to meet standard of care that result in harm (invasion of privacy and reporting statutes)
Ie. HIPPA violation
Ie. failure to report a mandatory report
Liability
Failure of a professional to render services with degree of care, diligence, and precaution that another member of the same profession under similar circumstances would render
May involve: Professional misconduct Unreasonable lack of skill Illegal/immoral conduct Other allegations resulting in harm to a patient
Malpractice
Covers events that occur during policy period without regard to when injury was discovered and claim was filled
Occurrence coverage
Cover only claims that are filed during the policy period regardless of when they occurred
Claims-made coverage
Bought at the end of the claims-made policy to extend coverage
Tail insurance
Promotion of a person’s independence and self-determination
Autonomy
Duty to help others
Beneficence
Duty to avoid inflicting harm
Nonmaleficence
Impartiality and fairness
Justice
Faithfulness, commitment
Fidelity
Producing the greatest good for the greatest number
Utilitarianism
Truthfulness
Veracity
Measurement of range and sensitivity of person’s hearing
Audiometry
Sound waves travel to the inner ear through ear canal, eardrum, and bones of middle ear
Air conduction
Sound waves pass through bones and behind ear
Bone conduction
