Policy, surveillance, practice issues Flashcards
Proportion of those with the abnormality who are correctly identified through screening
Sensitivity
Proportion of those without the abnormality who are quickly identified as negative through the screening
Specificity
Reporting statues must notify
Gonorrhea, chlamydia, syphilis, TB, HIV
Animal bites
Abuse (child/elder)
Crimean acts/injury from dangerous weapon —police
Enhance quality of care and improve pt outcomes
Collaborative practice
Medicare A
Covers inpatient /hospital , skilled nursing facilities , home health, hospice
Qualify at 65 years
Medicare serves what population
Medicare CARE- for elders
Medicaid serves what population
Children ; low income
Medicare B
MD services, outpatient /labs/diagnostics/medical equipment some home health
85% reimbursement received by NPs in collab with MD
Medicare C
A+B = C
Medicare Atvantage/choice
HMOS, PPOs receive both services
Medicare D
Limited prescription drug coverage
Monthly premium
Co pay each prescription
Incident to billing
MD must be in office where service provided
Reflects active participation
NOT ALLOWED In hospital setting
Comprehensive and systematic approach to provide quality care , mobilize, monitor and control resources patient uses during course of illness
Case mangement
Management process of monitoring, evaluation and continuous review and improving quality in providing health care
quality improvement
Process for evaluating the care of patients using established standard of care to ensure quality
Quality assurance
Based on legal allowances in each states delineated by individual state nurse practice acts
Scope of practice
authorization of boards of nursing in each state establish authority ( prescription authroity , disciplinary grounds ) for licensure
State practice acts
Credentials
Encompassing required education, licensure and certification to practice as NP
Establishes that a person is QUALIFIED to perform a professional/particular role , granted by rules and regulations by a governmental regulatory body (state Board)
Licensure
All aprns are licensed as RNs and authorized by STATE to practice
Established that a person has met standards for a profession which signifying mastery of specialized knowledge and skills granted by non governmental agencies
E.g. ANCC, ANCP,PNCB
Certification
Non-governmental —-validates met certain standards (quality assurance to public)
Credentialing
By private hospital or BON (governmental agency) validates competence
Validation of credentials, licensure, certification
Privileging
Granted by committee to allow NP to practice in inpatient setting; granted in partial or full To perform specific task (suture, LO, orders, prescribe)
Can be more restrictive than state requirement
Patient has received adequate instruction and info. Regarding aspects of care to make a personal choice regarding treatment
Informed consent
Duty to do no harm
Non maleficense
Duty to be fair
Justice
Duty to be faithful
Fidelity
Duty to be truthful
Veracity
Duty to respects an individuals thoughts and actions
Autonomy
Duty to prevent harm and promote good
Beneficence
Right act that one produces the greatest good for greatest number
Utilitarianism
First Np pro gram
PEDIatrics by Henry silver /Loretta ford 1964
Experimental manipulation of variables using randomization and a control group to tests effects of an experiment
Experimental research
Quasi experimental research
Manipulating variables but no randomization or comparison group to test effects on intervention/experiment
P< 0.05
Means what your seeing is 95% not due to chance
Level of significance
Indicates average amount of deviation from mean
Standard deviation
Confidence interval
Interval precise / range of values
2.8-3.3 terminal ill patients have between 2.8-3.3 episodes of emesis every 24 hours
LACE
LICENSURE / ACCREDITATION/ CERTIFICATION/ EDUCATION
LACE: APRN Consensus Model
Call board of nursing to be the regulatory body that issues and provides oversight of APRNS
Must be licensed, certified and educated in 1/4 roles of APRN population Foci
Healthy people 2030
High quality
Longer life free of preventable disease/disability/injury
Health equity
Eliminate disparities
Legal wrongs committed by one person to another
Tort law
Failure of individual to do what is reasonably person would do and results in injury
Negligence
Failing to meet standard of care that results in harm
Liability
CPA
Required by law in some states
Document mutually agreed professional language and practice guidelines b/w APRN and MD
2 board categories of research ex post facto/ correlational and descriptive
NON EXPERIMENTAL
