2023 The incorporation of a model when making practice changes is very important for several

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Nursing 2023 DB Response APA format with at least 2 new references to Robert

The incorporation of a model when making practice changes is very important for several 2023 Assignment

The incorporation of a model when making practice changes is very important for several reasons. Dearholt and Dang (2012, p. 33) indicate that using an appropriate model can help ensure projects better align with the organization where they are being implemented.  Selecting an appropriate model to use is an important step in the process.  Buckwalter et al. (2017, p. 181) discuss that the Iowa Model may be especially useful for healthcare providers trying to make evidence-based practice changes because it can help users to identify current research and focus on the results from a patient perspective.   Melnyk and Fineout-Overholt (2015, p. 278) explain that the use of models can help clarify and guide changes throughout the process which should ultimately lead to better patient care.

Effort and Benefit

           The use of a change model requires both time and effort.  However, the risks of not using a change model are significant and could potentially lead to a less than optimal result.  Helping to ensure the success of a project that will benefit health outcomes for patients is worth the effort.  Dearholt and Dang (2012, p. 60) explain, that questions being addressed by EBP projects are important and the use of a model can help ensure that the time and energy are not wasted.  

Conclusion

           Careful selection of a change model is an important step when undertaking EBP projects.  As nurses, we have a responsibility to work toward improving patient outcomes as well as working to further nursing research.  The use of change models can help accomplish both goals and therefore is vital to the process.

 

References

Buckwalter, K. C., Cullen, L., Hanrahan, K., Kleiber, C., McCarthy, A. M., Rakel, B., … 

           Tucker, S. (2017). Iowa Model of Evidence-Based Practice: Revisions and 

           validation. Worldviews on Evidence-Based Nursing, 14(3), 175–182. doi:

           10.1111/wvn.12223

Dearholt, S. L. & Dang, D. (2012). Johns Hopkins Nursing evidence-based practice: Models and

           guidelines (2nd ed.). Indianapolis, IN: Sigma Theta Tau International.

Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing and 

           healthcare: A guide to best practice (3rd ed.). Philadelphia, PA: Wolters Kluwer Health

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2023 ITS IMPORTANT TO MEET THE COMPETENCES That s how they evaluate the work

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Nursing 2023 Heart Failure Clinic Care Plan

ITS IMPORTANT TO MEET THE COMPETENCES That s how they evaluate the work 2023 Assignment

ITS IMPORTANT TO MEET THE COMPETENCES (That’s how they evaluate the work).

Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes.       
    • (IMPORTANT) -Describe accountability tools and procedures used to measure effectiveness.
  • Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes.       
    • (IMPORTANT) -Develop an evidence-based plan for health care delivery.
  • Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.       
    • (IMPORTANT) -Apply professional and legal standards in support of a care plan.
  • Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.       
    • (IMPORTANT) -Write content clearly and logically, with correct use of grammar, punctuation, mechanics, and current APA style.

Preparation

Refer to the Capella library and the Internet for supplemental resources to help you complete this assessment.

Instructions

Deliverable: Develop an evidence-based plan for health care delivery.

Scenario:

The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocols. Since these patients may be discharged from a variety of areas in the facility, having the heart failure clinic staff take ownership of the process will improve both consistency and compliance. There are cardiologists that interact with the staff and patients, but the day-to-day operations of the clinic are designed and supported by the nurses as they interact with appropriate members of the other health care team disciplines promoting the best care for the heart failure patients.

As a member of the nurse team, you have been asked to develop one component of the clinic.

The hospital leadership established these objectives for the clinic services:

  • Evaluate and maximize proper medication therapy.
  • Conduct regular diet, exercise, and stress management classes for the patients.
  • Monitor physiological indicators for the patients (lab work, weights, vital signs, ECGs).
  • Provide a case management system for patients in the program post-discharge.

The overall goals for the heart failure clinic are to:

  • Enroll greater than 90 percent of the patients with a primary or secondary diagnosis of HF prior to discharge.
  • Facilitate discharge planning to achieve 100 percent compliance with patient education prior to discharge (discharge planning).
  • Decrease readmission rates in this population by 5 percent over the next year.

The leadership team has asked you to provide them with an evidence-based plan for one of the components of the clinic. You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly.

Develop one: an Orientation Course Plan, a Discharge Education Plan, or a Care Coordination Plan.

An Orientation Course Plan:

  • Develop an evidence-based plan for health care delivery.
  • Include a comprehensive schedule of topics, objectives, key points, and patient resources for the orientation course.      
    • What are the components of an evidence-based education plan?
    • How will you know that patients will understand what to do?
    • What modalities will you use to deliver information?
    • How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds?
    • Identify specialized and supplementary material needs.
  • Apply professional and legal standards in support of a care plan.      
    • Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards.
    • Describe the accountability tools and procedures used to measure effectiveness.
    • How will you know if the patient education plan is successful?
    • What are the indicators of success or effectiveness?

A Discharge Education Plan:

  • Develop an evidence-based plan for health care delivery.      
    • Develop a discharge plan with objectives and resources, and tools for patients to monitor their progress.
    • How will you know that patients understand what to do?
    • What modalities will you use to deliver information?
    • How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds?
  • Apply professional and legal standards in support of a care plan.      
    • Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards.
    • Describe accountability tools and procedures used to measure effectiveness.
    • How will you know if the discharge plan is successful?
    • What are the indicators of success or effectiveness?

Care Coordination Plan:

  • Develop an evidence-based plan for health care delivery.      
    • Develop a procedure for coordinating services.        
      • Consider the needs of “outliers.” For example, someone with lung disease may need extra resources.
      • Who should be on the team?
      • When would the team be activated?
      • How would it be activated?
      • What is the time frame required to coordinate services?
      • How would the intervention plan be monitored for effectiveness?
  • Apply professional standards in support of a care plan.      
    • Explain the alignment to the most recent heart failure guidelines and specific professional standards.
    • Describe accountability tools and procedures used to measure effectiveness.        
      • How will you know if the care coordination plan is successful?
      • What are the indicators of success or effectiveness?
      • How will information be collected or communicated?

Additional Requirements

  • Written communication: Written communication should be free of errors that detract from the overall message.
  • APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
  • Length: The report should be 3-4 pages in content length, double-spaced.
  • Font and font size: Times New Roman, 12 point.
  • Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.

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2023 Access the following information You may read the PDF online or download it American Nurses Association 2014 Fast facts The

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Nursing 2023 Data Collection and Measurement

Access the following information You may read the PDF online or download it American Nurses Association 2014 Fast facts The 2023 Assignment

Access the following information. You may read the PDF online or download it.

American Nurses Association. (2014). Fast facts: The nursing workforce 2014: Growth, salaries, education, demographics & trends. ANA. https://www.nursingworld.org/globalassets/practiceandpolicy/workforce/fastfacts_nsgjobgrowth-salaries_updated8-25-15.pdf (Links to an external site.)Links to an external site.

  1. Review the secondary data presented in the ANA Fast Facts and describe what the results say about this sample of the nursing workforce.
  2. Describe the purpose and the intent of the ANA sharing these results?
  3. The next process for our study is to collect data. The research design will indicate the best data to be collected. The tools that we use to collect data need to be reliable and valid. Define these terms with respect to research, and explain why they are important.
  4. Consider data collection and measurement methods for your nursing clinical issue. Explain how you would collect data and what measurement methods you would use.

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2023 Answer the following questions A WRITTEN STATEMENT IF YOU CHOOSE TO SUBMIT THE ASNWERS IN A WRITTEN FORMAT SHOULD

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Nursing 2023 Advance Primary Care III

Answer the following questions A WRITTEN STATEMENT IF YOU CHOOSE TO SUBMIT THE ASNWERS IN A WRITTEN FORMAT SHOULD 2023 Assignment

  

Answer the following questions 

A WRITTEN STATEMENT :

IF YOU CHOOSE TO SUBMIT THE ASNWERS IN A WRITTEN FORMAT SHOULD BE ON AN APA TWO SPACE FORMAT, WITH

COVER PAGE AND REFERENCE PAGE PERTINENT TO THE TWO QUESTIONS ADDED FOR THOSE OF YOU SUBMITTING

THE WRITTEN VERSION.

QUESTIONS FOR THOSE SUBMITTING THE WRITTEN ASSIGNMENT VERSION ARE A AND B:

A. What is proper etiquette for a job interview?

B.  What’s “good behavior” in a behavioral job interview?

  

1.   Tell me   about yourself; please include years of experience as a nurse and   your   previous work history.

 

2.   Where do   you see yourself in 5 years? Please describe plans for education and     career advancement in the near future

3.   What are   your career aspirations?

 

4.   How do   you handle stress in the healthcare setting? 

 

5.   What   clinical skills do you possess that will be most beneficial to this     clinical practice?

 

6.   What are   your strengths and weaknesses?   

 

7.   Describe   how you handled a difficult situation that has involved a patient, physician   or family member? 

 

8.   How do   you get along with your staff at your current position? 

 

9.   Why   should we hire you? 

 

10.   What   salary are you seeking? 

Thank you.

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2023 Case Study Mrs Adams a 68 year old widow who was referred to case

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Nursing 2023 Nursing Theory

Case Study Mrs Adams a 68 year old widow who was referred to case 2023 Assignment

 

Case Study:

Mrs. Adams, a 68-year-old widow who was referred to case management upon discharge from the hospital based on her physician’s recommendation that she is not able to care for herself independently. Her diagnosis is diabetes, hypertension, and breast cancer. She is 5 days’ post-op from a right sided mastectomy. Mrs. Adams apartment is located in a low income area of the city where crime is prevalent. Upon assessment by the Community Health Nurse, Mrs. Adams apartment was in disorder with minimal airflow or light. Her cloths appeared unchanged and she had no food in the apartment. The small apartment also housed 3 cats and a small dog who Mrs. Adams considers family since the death of her husband 1 year ago. Mrs. Adams complains of pain and draining from her surgical site and a broken air conditioner.

  • Using Nightingales Environmental Theory, what actions would the nurse take upon the first assessment? What are the five essential components?
  • What would be an appropriate plan of care be for Mrs. Adams? How would you prioritize the care plan?
  • Apply Nightingale’s Environmental Theory to an area of your nursing practice? What patient population would benefit from this approach? Support this practice change with at least one evidenced-based article.

The assignment should be completed in APA format, as an essay of between 1000 and 1500 words. The paper should include at least 3 outside references and the textbook. The paper should be in APA format with a title page, level headings, and reference page.

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2023 It is necessary for an RN BSN prepared nurse to demonstrate an enhanced understanding of

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Nursing 2023 Case Study: Mr. M.

It is necessary for an RN BSN prepared nurse to demonstrate an enhanced understanding of 2023 Assignment

 

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

  1. Temperature: 37.1 degrees C
  2. BP 123/78 HR 93 RR 22 Pox 99%
  3. Denies pain
  4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

  1. WBC: 19.2 (1,000/uL)
  2. Lymphocytes 6700 (cells/uL)
  3. CT Head shows no changes since previous scan
  4. Urinalysis positive for moderate amount of leukocytes and cloudy
  5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

  1. Describe the clinical manifestations present in Mr. M.
  2. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
  3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
  4. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
  5. Discuss what interventions can be put into place to support Mr. M. and his family.
  6. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

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2023 The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission

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Nursing 2023 interview

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission 2023 Assignment

  

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest in your region. Perform a physical assessment of the community.

1. Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”

2. Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines

Interviews can take place in-person, by phone, or by Skype.

Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Complete the “Provider Interview Acknowledgement Form” prior to conducting the interview. Submit this document separately in its respective drop box.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation.

PowerPoint Presentation

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.

Include the following in your presentation:

1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.

2. Summary of community assessment: (a) funding sources and (b) partnerships.

3. Summary of interview with community health/public health provider.

4. Identification of an issue that is lacking or an opportunity for health promotion.

5. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA format ting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we have successfully helped more than 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

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2023 As you learn more about the research that documents the effects of ACEs adverse childhood

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Nursing 2023 Nursing

As you learn more about the research that documents the effects of ACEs adverse childhood 2023 Assignment

As you learn more about the research that documents the effects of ACEs (adverse childhood experiences) on long-term health, what are your initial thoughts? What are some ideas you have for your community? Do you have an example from practice where having an ACEs lens would have been beneficial? What are the most compelling learnings for you?

The SDOH (social determinants of health) are clearly connected to “root causes” and the readings and Unnatural Causes videos have provided data, narratives, and interventions for local action. World Health Organization (WHO) has also focused on SDOH globally.

Questions

· Cultural competence, cultural safety, cultural humility all provides models for health care practice. From your readings and your experience, how does culture inform and affect health? Please give an example

· How do social determinants of health affect your practices/institutions?

· Please reflect with your definitions and descriptions on how these would be more applicable to yourself.  

800-1000 words 

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2023 For the following two questions please write at least 3 paragraphs each APA

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Nursing 2023 NURSING SCOPE WEEK 7 DAY

For the following two questions please write at least 3 paragraphs each APA 2023 Assignment

For the following two questions please write at least 3 paragraphs each APA ARIAL 12 FONT.  Be sure to explore and read more than one reference and it include it in your paper.  Please only utilize word documents so that I can open the document.

Questions:

1.  Do you view nursing as a career or a job?  What are your professional goals related to nursing?

2.  Describe the steps you would take to prepare yourself to interview for your ideal future Nursing role?

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2023 I need a reply for this 2 peers A minimum of 2 paragraphs is required

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Nursing 2023 response

I need a reply for this 2 peers A minimum of 2 paragraphs is required 2023 Assignment

I need a reply for this 2 peers. 

A minimum of 2 paragraphs is required for all posts  

Support all posts with at least 2 cited peer review references within 5 years of publication (references cannot be older than 5 years). 

All posts are to be written in APA 6th edition format  

Peer 1 

The Role of Advanced Practice Nursing in Safe Prescribing 

The s. 893.03 Florida Statutes mandate the APRNs to prescribe controlled substances in line with the supervisory standards. The professionals have to engage in three-hour training sessions on safe prescribing and the effective implementation of the related strategies (Florida Board of Nursing, 2016). The APRNs have to evaluate and define the patients’ health issues to offer the right prescriptions. They should also equip patients with relevant information about warnings as well as how one should take the prescribed drugs (Pigman et al., 2016). Additionally, the practitioners monitor the patients regularly to make sure they receive the intended benefits of the prescriptions at hand. According to the state requirements, the APRN practitioners have to meet the same prescription standards as physicians. 

Prescribing Barriers for APRNs 

Various barriers limit the APRN practitioners from undertaking their prescription roles effectively. First, state licensure restricts the APRNs from engaging in full practice in line with their educational qualifications. The practitioners can only engage in one of the NP roles based on collaborative agreements. Secondly, APRN training programs may fail to equip learners with advanced skills for delivering high-quality health care services. Negative perceptions of the existing working conditions and inadequate knowledge also limit the practitioners from performing their prescription roles effectively (Jun, Kovner, & Stimpfel, 2016). Additionally, certain payer policies deter the APRN from engaging in health care delivery activities to the full extent of their training as well as licensure. For instance, some scope-of-practice policies restrict practitioners to specific roles. Job satisfaction issues also hinder practitioners from undertaking their prescription roles in a way that impacts significantly on patient outcomes. Some practitioners experience unfavorable working conditions, which reduce their productivity. 

Peer 2 

ARNPs have in their hands a high level of responsibility when prescribing medications. The degree of responsibility depends on whether they can or not prescribe medicines that rely on the state’s laws related to the prescriptive authority given to APRNs. There are twenty-one states that are fully independent prescribing by nurse practitioners (Teri, & Marylou, 2015). The responsibility for the final decision on which drug to use and how to use it depends on the APRN prescriber. To be a safer prescriber, it is important that APRN assume the higher level of legal responsibility that is required. Also, the knowledge of medicine, pharmacology, determine the diagnose for which the drug will be ordered, prescribe the appropriate drug, monitor the outcome, and educate the patient about the medication and possible adverse effects. 

Despite many positive expansions to the APRN role that include caring for ethnically diverse, underserved populations within an aging society and across many healthcare settings, there are a lot of barriers requiring attention. Prescribing medications is one of the main components of the APRN role and essential to his/her practice. One of the barriers is the restrictions on prescriptive authority that limit the ability of NPs to provide comprehensive health care services. AANP recommends that NP prescribing authority be solely regulated by state boards of nursing and in accordance with the NP role, education and certification. This process of license and regulation exclusively by the nursing board promotes public safety and competent practice (Hain, D., & Fleck, L., 2014). 

The Florida Board of Nursing states that ARNP may only prescribe or dispense a controlled substance as defined in s. 893.03 Florida Statutes if the ARNP graduated from a program with a master’s or doctoral degree in a clinical nursing specialty area with training in specialized practitioner skills. However, all ARNPs and PAs are required to complete at least three hours of continuing education on the safe and effective prescribing of controlled substances. Also, Under the new law, an ARNP’s prescribing privileges for controlled substances listed in Schedule II are limited to a seven-day supply and do not include the prescribing of psychotropic medications for children under 18 years of age, unless prescribed by an ARNP who is a Psychiatric Nurse. The bill also clarifies that only allopathic physicians licensed under chapter 458, Florida Statutes, or osteopathic physicians licensed under chapter 459 Florida Statutes may dispense medications or prescribe controlled substances in a registered pain management clinic (Florida Board of Nursing, 2016).In addition, every person who prescribe controlled substances must register and obtain a registration number with the US Drug Enforcement Administration. Also, they have to maintain and keep on file for a minimum of 2 years accurate records of controlled drugs they purchase, distribute, administer, and dispense.  (Teri, & Marylou, 2015). 

This is the original assignment if you needed: 

Discuss the role of advanced practice nursing in safe prescribing and 3  prescribing barriers for APRNs. 

https://www.flsenate.gov/Committees/BillSummaries/2016/html/1424 

http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-19-2014/No2-May-2014/Barriers-to-NP-Practice.html 

https://floridasnursing.gov/new-legislation-impacting-your-profession/ 

https://www.aanp.org/advocacy/advocacy-resource/position-statements/nurse-practitioner-prescriptive-privilege 

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