SHOULD NURSE PRACTITIONERS PRESCRIBE CONTROLLED Should Nurse Practitioners Prescribe Controlled Substances? Nakeya Booth Central Methodist University Business Concepts AH 330 Paul Compley, Ph.D. December 13, 2009 Should Nurse Practitioners Prescribe Controlled Substances? The role of the Nurse Practitioner, also known as the advanced practice nurse, is to provide health care services to patients, families, and communities. They are specially trained to diagnose, and are able to control the common, chronic and acute heath care conditions. The practitioner can either work with the physician or choose to work alone to provide their health care services.
When a resident is observed to have a condition change, the nurse performs an assessment and makes a decision whether or not to notify the physician and the resident’s family or guardian. The most common symptoms that resulted in the transport of residents to a hospital emergency room were respiratory distress, altered mental status, gastrointestinal symptoms, and falls (Ackermann, Kemle, Vogel & Griffin, 1998). The changes in mental status could
Student name: ___Miranda Zakrzewski_______________ Date: _________________ Activity grading score: ____________________ Total possible score = 30 points Objectives * Differentiate between the LPN and RN scopes of practice. * Contrast the LPN and RN assessment of the patient’s health status. * Distinguish between the LPN and RN roles on the interdisciplinary team. 1. Identify 4 similarities and 4 differences between the LPN and RN scopes of practice.
C) Measure the intake and output (I&0) for the client taking diuretics. D) Discuss appropriate ways to prevent urinary tract infections. The rehabilitation nurse is observing the unlicensed assistive personnel (UAP) caring for a paraplegic client on the rehab unit. 26. Which behavior by the UAP warrants immediate intervention by the nurse?
However, under these policies, the EN must notify the Registered Nurse (RN) on duty and the RN will make the final decision. Using the framework, the EN and RN will make the decision based on scopes of practice and the reason required to use bed rails, whether they be for falls risk, patient risk, staff or other risk. (Australian Nursing Midwifery Council, 2012) 2. What is a falls assessment? This rates falls risk on a number of factors including falls history, medications, medical conditions, sensory loss, foot problems, cognitive status, continence, nutritional status, and function.
After testing is complete the results revealed that she had HPV and cervical cancer. Nurse Hathaway was now faced with an ethical dilemma. Should she maintain the patient’s confidentiality or should she tell the patient’s
My practice placement is with the district nurses based in a busy surgery in a suburban area. I discovered that one of the nurses had an interest in continence management, and that part of her remit was to try to avoid unnecessary catheterisations. It was explained to me that this was achieved by the use of the bladder ultrasound scanner for diagnostic purposes- in other words to see exactly how much urine was in the patients bladder. It was also explained that the only other alternative to this technique was to actually catheterise the patient to assess the post voidal urine measurement. It now appeared to me that this clinical skill would be useful to use for this module essay as it encompasses many of the core themes- for example, communication, record keeping, clinical decision making and professional judgement.
Culture on Nursing Interventions on Breast Biopsy Fayetteville state university Professional Nursing Professor November 21, 2012 Culture on Nursing Interventions on Breast Biopsy There three basic types of nursing intervention one being independent which to have the skills and knowledge to teaching a patient how to do something without the supervision of others. Dependent is the second one might not be given instructions, written order, or supervision of another health professional the nurse must be able to administer of medications safely and know the effects of that medication and must be able to question orders that one might feel are incongruent and the last type of intervention is interdependent the nurse has to collaborate with other health professionals before carrying out action. After reading the article I found out that African American women have lower incidence rates of breast cancer then white women but
In the given case study, for instance, future provision of moderate sedation and additional backup must remain a mandatory exercise. Second, involves gathering of data and available evidence as a means of highlighting the occurrence of events, a behavior, or even condition (Clark &Taplin, 2012). According to most hospital regulations and ethics, when a patient begins to exhibit complications, it is upon the nurse and the ED physician to note the symptoms and offer appropriate treatment. Further examination of this scenario reveals a number of hazards/errors, i.e., shortage of qualified nurses, unfamiliar with appropriate medication dosages, the current procedure for conscious sedation was not followed, and the most fundamental hazard is the inability of the staff to prioritize and inform the administration (Nursing Supervisor) of the situation in the ED. The emergency department still failed to abide by medical ethics of practice.
Safe Medication Administration Common causes of Medication Error’s Nurses are routinely asked to calculate dosage information and provide data entry services for medications and intravenous infusions. Assuming the physician's order and patient information are correct, there are three general possibilities for mistakes when administering IV medications via a pump: dosage miscalculation; transcription data entry error; and titration of the wrong medication. • Miscalculation Error: A miscalculation error can occur for any number of reasons, including the use of inaccurate parameters such as dose, weight, height, drug units, or solution volume. A misplaced decimal or missing number in this complex calculation can result in a calculation error