Case Scenario to be completed

–APA Format.-Introduction or abstract page-Summary or Conclusion page-Four pages minimum, no including Introduction or abstract,  summary or conclusion, and Bibliography pages-It is completely unacceptable to Copy and Paste from the Internet, or other resources 

The following position is advertised on a career Web site: RN I Surgical Job Travel Involved: None. Job Type: Full-Time. Job Level: Minimum Education Required: Associate Degree Skills: Category: Nursing FTE: 0.9. Position Summary: Description/Purpose of Position: Responsible for providing patient care based upon the nursing process; being effectively involved with maintaining the standard of care for assigned patients through assessment, planning, implementation, and evaluation. Oversees and guides employees who are under your supervision. Requirements Description/Purpose of Position: Responsible for providing patient care based upon the nursing process; being effectively involved with maintaining the standard of care for assigned patients through assessment, planning, implementation, and evaluation. Oversees and guides employees that are under your supervision. Minimum Qualifications: Education: Graduate of an accredited school of Nursing. License/Certification: Current RN license in the state of XXX. Current BCLS Certification. Other: Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department. Note: An RN graduate is a nurse who has completed a course of study at a school of nursing and is eligible for the NCLEX. The RN graduate performs directly under the supervision of the charge nurse or RN designee.

1. List three substantive questions you might expect to be asked in an interview for the job, and summarize your answers.

2. Describe three to five ways in which you could prepare for the interview to make the most positive impression.

3. Be sure to describe what you would wear and what material you would bring with you.

Your best friend, Lindsey, and you are working together in the surgical ICU. Often you cover for her when she goes to lunch or on breaks. You notice that often her clients complain of being in pain, even though she has told you that she medicated them right before she left the unit. You also notice that she appears to be very jumpy and short-tempered and a bit disheveled when she comes to work. You are suspicious that she is using the medications that she says she is giving to her clients.

1. What should you do first?

2. What might be the consequences if you decide to do nothing?

 4 SLIDES POWER WITH SPEAKER NOTES (Excluding the reference page)

Two Advantages and  two Disadvantages of EHR in Healthcare

The two advantages and two disadvantages are presented for:
• Patient’s perspective (e.g., patient outcomes, safety, patient/family satisfaction)
• Nurse’s perspective (improves/hinders job efficiency/safety)
• Healthcare organization’s perspective (regulatory compliance, financial, etc.)

Discuss the process of Advanced Practice Nurse (APN) business planning from a system approach.

APN Planning 

The Institute of Medicine (IOM) (2010), advocates for Advanced Practice Nurse (APN) have an eye towards independence and innovation in building a healthcare system that meets the demands of safety, affordability, accessibility, quality, and patient-centred care. With the ageing of the baby boomer population, there is a substantially increased demand for primary care providers amid a growing shortage of primary care physicians. This also increases the probability of independent clinical practice. The systematic approach of translating the business plan into an actual running business requires a process (Johnson & Garvin, 2017). This discussion analyzes the process that APNs who wish to set up entrepreneurial endeavours follow.
The business process that an APN wishing to join independent venture must follow should incorporate research, deriving the purpose of the plan and objectives, development of a business profile, mission, and vision, execution of the project, and evaluation of the plan (Hahn & Cook, 2018). Other than understanding the process, the APN must have a clear understanding of other private practice requirements such as regulation, operational requirements, and financial aspect of the business (Johnson & Garvin, 2017). The APN can utilize the nursing education to come up with the business plan, ensuring that the intervention put in place is viable and well implemented and evaluated.
The first step of the process is research and developing a plan and objectives. Factors to consider while developing the business plan include; the purpose, the target group, type of services to be provided to the identified group, location of practice, operational hours of practice, and a clearly stated gap in the market.
The second, step the APN will consider the business plan is the business profile. In this stage, the APN should derive a vision statement, mission statement, clearly state services offered, and identify the registrations needed for the business. The third stage of the process will require that the APN propose how the services will be delivered. This should be clarified in terms of staff, equipment, and facility. Additionally, the marketing plan and the management plan will fall under this category.
Putting together all the above consideration in the planning process calls for the implementation of the plan and the later the evaluation. Private venture helps the APN, practice to the full extent of their skills and license (Hahn & Cook, 2018).
In the US, regulation and full authority practice differ from state to state. Currently, there 45 states where the APN can prescribe medication, of those 22 of them and the district of Columbia offer authority for full practice with only governance from the state nursing board (Conover & Richards, 2015). An APN aspiring for private practice must put into consideration the US state they plan to practice in and the specific regulation in place. States with full practice authority allow for their APN to fully take responsibility and liability of evaluation and management of the patient (Conover & Richards, 2015).
A business plan is essential in laying down the important strategies of the business. With a business plan in place, the APN establishes a focus, purpose, and a future plan. It also enables him or her secure the required funding in setting up the private practice.

References
Conover, C., & Richards, R. (2015). Economic benefits of less restrictive regulation of advanced practice nurses in North Carolina. Nursing Outlook, 63(5), 585-592.
Hahn, J. A., & Cook, W. (2018). Lessons Learned from Nurse Practitioner Independent Practice: A Conversation with a Nurse Practitioner Entrepreneur. Nursing Economics, 36(1), 18-22.
Johnson, J. E., & Garvin, W. S. (2017). Advanced practice nurses: Developing a business plan for an independent ambulatory clinical practice: nursing Economics, 35(3), 126.

 

Phase 6: Sustainability of the Planned Change Practicum Project

Table of Contents

Improving Outcomes, Sustaining Change

When designing and implementing planned change initiatives, sustainability of the process and impact is an essential consideration. In order to keep sustainability at the forefront, proactive, systems-focused thinking is required. These leadership abilities provide a critical foundation as MSN-prepared nurse leaders lead planned change initiatives to improve health outcomes and assure quality.

Continuing a Focus on Quality and Efficiency

During the planning and implementation phases, efforts to optimize quality are carried out through evidence-based interventions, compliance with best practices, and optimizing outcomes to validate effectiveness. When considering the sustainability of a planned change initiative, a focus on quality and efficiency continues as a key theme in the process.

Assuring Essential Resources and Support

In some cases, a planned change initiative may begin as a smaller-scale, ‘pilot’ project. In order to continue and expand the effort, it is important to assure the necessary human, financial, and material resources will be available. Additionally, administrative support may be needed to continue the effort. For example, unit or organizational policies may be necessary to sustain the planned change. Leveraging support from leaders and policymakers will be essential for continuation of your efforts. Thoughtful analysis of the resources and support that will be needed is a critical step in sustaining the project.

Think About It

As you consider strategies to advance the outcomes and sustain the impact of the planned change project, consider the following:

• How will continuation of the project improve health outcomes and healthcare delivery?
• What human, financial, and material resources will be needed to sustain the project?
• What support would be needed to expand the scope of the project?
• How might you leverage support and shore up resources to sustain this initiative?

Practicum Application and Activities

Review the Sustainability of the Planned Change Project Worksheet located in the MSN Toolbox area of the course. Proceed with the following activities. Document your practicum-related activities on the Practicum Log:

• Prepare a plan with specific talking points to meet with your faculty (and practicum mentor if available) regarding sustainability of the planned change project.
• Meet with your faculty (and practicum mentor if available) to discuss the sustainability of the planned change project.
• Complete the Sustainability of the Planned Change Project Worksheet.
• Validate your work on Phase 6 with your faculty (and practicum mentor if available) as needed.
• Submit the Sustainability of the Planned Change Project Worksheet with your time log, once Phase 6 completed.