Research class Discussion Board  due date January 11 

The Essentials of Master’s Education in Nursing reelects the profession’s continuing call for imagination, transformative thinking, and evolutionary change. Explain the importance of following the essentials of Master’s Education in Nursing in a clinical nurse practitioner program such as the “FNU” .Please select one of the essentials and expand as to why the selected essential is crucial in succeeding in this program. (Essentials I-IX) 

https://www.aacnnursing.org/Education-Resources/AACN-Essentials

Discussion Rubric

The initial post will be regarding the topic of the week and will be a minimum of 250 words. Make sure you provide appropriate references and utilize APA style.. Each discussion will be allocated to a specific Master’s Essential.

will be posted via Turnintin maximun coping allow 20%

Assignment Details

Patient care hinges in part on adequate and timely information exchange between treating providers. Referral and reply letters are common means by which doctors and nurse practitioners exchange information pertinent to patient care. Ensuring that letters meet the needs of letter recipients saves time for clinicians and patients, reduces unnecessary repetition of diagnostic investigations, and helps to avoid patient dissatisfaction and loss of confidence in medical practitioners.

As a Nurse Practitioner (NP) you will need to know the difference between a consultation and a referral for treatment, when ordering and when carrying out consultations or referrals.

Consultations

A consultation is a request for opinion or advice, so that the requestor can manage the patient. A consultation is billed under one of the consultation codes listed in Physicians’ Current Procedural Terminology (CPT) (99241-99245 for outpatient of office consultations). If the NP is the consultant, the NP should document the request for a consultation, the reason for the consult, and the NP’s evaluation and recommendations.

When an NP requests a consultation from another provider, the N P should request “consultation” on the referral form, rather than “referring.”

Referrals:

A referral is made when the referring provider wants to turn the management of the patient over to the referred-to provider, at least for the current complaint.

When a NP refers a patient, the NP should state on the referral form that the NP is “referring the patient for evaluation and treatment.” The referred-to provider will bill an evaluation and management code, rather than a consultation code.

Writing Assignment: Consult: Write up a consult request and include all key elements.

Ms. Perez has been referred to Ms. Wilson FNP-C,APRN, MSN  for consultation regarding eczema unresponsive to treatment in the past six months.

Document the evaluation and recommendations for how Ms. Wilson FNP-C,APRN,MSN should deal with the consultation request and bill a consultation code.

Writing Assignment: Referral: Write up a referral request and include all key elements.

As an NP and Ms. Perez primary care provider, you decide to refer her to Dr. Owens a dermatologist for evaluation and treatment regarding eczema unresponsive to treatment in the past six months.

1. Document your referral to Dr. Owens

2. Document the evaluation and recommendations for how Dr. Owens should deal with the referral and bill a referral code.

Written Paper (Microsoft Word doc): minimum 2000 words using 6th edition APA formatting  

Please review the grading rubric under Course Resources in the Grading Rubric section.

Directions

Watch the tutorial on tips for completing the Community Settings and Community Health Nursing Roles assignment.

This APA paper is expected to be no more than four pages in length (not including the title page and reference list). Below are the requirements for successful completion of this paper. Please use the recommended APA Template linked below, which incorporates the following categories as the first level headings on your paper. APA formatting helps you to organize your paper in a professional manner and provides consistent methods for citing your sources and completing your reference page. See the documents in the APA category in Resources for assistance with APA formatting. The Student Success Strategies resource has great sections on writing scholarly papers and APA formatting.

1. The community health setting for this paper must be a correctional setting such as a jail or prison (state, federal, men’s, women’s, juvenile, psychiatric, military, etc.).
2. Click to view and download the NR443 Community Settings APA Template (Links to an external site.) to complete your paper. The template is formatted with the appropriate running head, title page, page numbers, paragraph formatting, and most of the headings. Please edit the headers and title page with your specific information. You are also encouraged to view the Week 4 assignment tutorial found at the end of the Academic Integrity Reminder.
3. Read the chapter of your textbook on the  assigned community health setting and take notes based on the outline below.
4. Locate and read at least one scholarly peer-reviewed journal article that is not assigned in the course related to a nurse’s role in health promotion in this setting. Go to the Chamberlain library at http:/library.chamberlain.edu (Links to an external site.). Search peer reviewed journals to find a scholarly article on this topic. The article must be less than 10 years old (less than 5 years is best).
5. Thoroughly address the following categories using the APA Template that is provided.

• Introduction (one paragraph):
  • The introduction should be interesting and capture the reader’s attention.
  • Introduce the assigned community setting 
  • Briefly identify CHN role(s) in this setting
  • Identify vulnerable population(s) served in this setting
  • Include a purpose statement
• Community Setting (two to three paragraphs)
  • Describe the assigned community setting, including vulnerable population(s) served.
  • Discuss three health services provided by the a CHN in the assigned setting.
  • Use your textbook or an outside scholarly source to address these sub-points.
• Health Promotion Nursing Intervention (two to three paragraphs) 
  • Describe in detail health promotion intervention(s) that a CHN could implement in the assigned community setting.
  • Identify people/organizations/community members this CHN role may collaborate with in health promotion interventions.
  • Utilize at least one peer-reviewed scholarly article related to a health promotion intervention.
• Professional Nursing Organization (two paragraphs)
  • Provide a detailed description of a professional nursing organization related to the assigned community setting. Search the text, your article, or the Internet for one professional organization that supports nurses in this role. If you can’t find an organization specific to this group, search the American Nurses Association (ANA) website for information on this role. Cite the organization in the body of the text with (organization name, year), and include a complete reference on the reference page.
  • Discuss one professional issue that this organization is addressing related to the assigned community setting.
• Summary (one paragraph)

The summary reiterates key points about:

• The community setting and the CHN role(s)
• Health promotion intervention
• Professional organization
• Includes a concluding statement.
• Reference Page: The reference page should start on a new page (insert a page break). All references should be cited within the body of the paper as (author or organization, year), and the full reference should be included in APA format on the reference page. A URL link alone is not an adequate reference. See the Chamberlain Guidelines for Professional Writing in the APA Folder in Resources for examples of properly formatted 

                             Respond to this post with a positive response :

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

Use  references

                                                     Initial Post

                                                 Improving Quality

The IOM recommends that policy makers, health care leaders, clinicians, regulators, purchasers, and others are urged to adopt a shared vision for health care that focuses on closing the quality gap between what we know to be good health care and the health care that people actually receive. The report recommends a redesign of the American health care system by providing six “Aims for Improvement”:   Of the six aims, Drug diversion is best categorized by the “aims” is safety and is defined by avoiding injuries to patients from the care that is intended to help them. Drug diversion is defined by the use of prescription medications that are acquired or ingested illegally.  In recent years, the problem of opioid addiction has reached epidemic proportions and has been one of the largest contributors to the rise in diversion incidents.  Diversion involving healthcare providers can result in a various types of patient harm. Diversion poses substantial risk not only to the individual who is diverting the drugs but also to patients, co-workers, and employers. The president of Pharmaceutical Diversion Education estimates that there are approximately 37,000 incidents of drug diversion throughout the heath care system and can result in several types of patient harm including; substandard care due to having an impaired provider, tampering with medication administration – especially, those for pain, and increased risk of infection. The CDC, state, and local health departments have combined efforts to investigate the incidents of infection stemming from drug diversion activities that involved healthcare providers who tampered with injectable drugs.  The findings showed Nearly 30,000 patients were potentially exposed to bloodborne pathogens and were referred for testing. However, no data is available that precisely defines the extent of every type of drug diversion in the health care workplace. Patient safety and professional safety all demand effective, reliable safeguards to maintain the integrity of prescription drugs and controlled substances. Improvements are needed in drug monitoring systems. Greater awareness and specialized training in the area of addiction can help to ameliorate drug diversion. There are many actions health care providers can take to ensure the safety of drug administration. One strategy being developed by the pharmaceutical industry is to reformulate frequently abused drugs into abuse-deterrent preparations. Additionally, The National Pharmaceutical Drug Misuse Framework for Action established a plan aimed at improving the quality use of medicines and reduce the potential for misuse. A goal of the Foundation, is to provide a medication monitoring system for prescribers and pharmacists with real-time access to information on prescriptions for controlled substances.  As nurses, educators, managers and co-workers, we can be more vigilant in our efforts to prevent, detect, and report any suspected diversion. Several key areas such as improved systems for medication management, greater support for prescribers and pharmacists, education and improvement of health literacy, harm reduction and improved regulation are all a part of the solution.

Reference 

Australian Government National Drug Strategy. National Pharmaceutical Drug Misuse Framework for Action (2012-2015). Canberra: NDS; 2013. www.nationaldrugstrategy.gov.au/internet/drugstrategy/Publishing.nsf/content/drug-mu-frm-action [cited 2015 Sep 7]

CDC (2013). Risks of Healthcare-associated Infections from Drug Diversion. Retrieved from https://www.cdc.gov/injectionsafety/drugdiversion/index.html

Committee on Quality of Health Care in America, Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National

Inciardi JA, Surratt HL, Kurtz SP, Burke JJ. The diversion of prescription drugs by health care workers in Cincinnati, Ohio. Subst Use Misuse 2006;41:255-64. [PubMed]

Knickman, J. R., & Kovner, A. R. (Eds.). (2015). Health care delivery in the united states (11th ed.). New York, NY: Springer Publishing.

 McGregor C, Gately N, Fleming J. Prescription drug use among detainees: Prevalence, sources and links to crime. Trends and issues in crime and criminal justice. No. 423. Canberra: Australian Institute of Criminology; 2011 Aug.

Pilgrim JL, Yafistham SP, Gaya S, Saar E, Drummer OH. An update on oxycodone: lessons for death investigators in Australia. Forensic Sci Med Pathol 2015;11:3-12. [PubMed]