CS/SB 614 authorizes an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.

ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:

·Presigning blank prescription forms.

·Prescribing a Schedule II for office use.

·Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.

·Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.

·Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.

·Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.

·Prescribing, dispensing, or administering a controlled substance to himself or herself.

·Prescribing, dispensing, or administering laetrile.

·Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.

·Promoting or advertising controlled substances.

After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/

Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations? 

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.

2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions. 

3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.

4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

Cite four peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, An abstract/purpose and conclusion are required.

Your comments will be graded on how well they meet the Discussion Requirements posted under “Before You Begin.”

The icebreaker for this Discussion is as follows:

Ice-breaker: “If I had the power to change a (negative) cultural practice, I would choose_______. I chose this because__________.”

After answering the icebreaker question above, please answer the following question in your Discussion response:     

According to Airhihenbuwa, “negative enablers” are sociocultural factors that impede the adoption of a desired health behavior.   

Please share with the class which cultural group you chose for your SLP and provide some examples of negative enablers that might influence the health behaviors of members of that cultural group. How might they lead to health disparities? Be specific — provide an example. 

PLEASE SEE INFORMATION FROM HOMEWORK ASSIGNMENT REFERRING TO OBESITY FROM MODULE 1.

          THIS ASSIGNMENT IS IN 2 PARTS (2 PROJECT PAPERS)

Please, kindly cover all aspects of the questions (No Plagiarism)

Topic: Making the Case for Evidence-Based Practice

Evidence-Based Practice Proposal – Section A: Organizational Culture and Readiness Assessment 

Details:

Before making a case for an evidence-based project, it is essential to understand the culture of the organization in order to begin assessing its readiness for EBP implementation. Select an appropriate organizational culture survey tool and use this instrument to assess the organization’s readiness.

1. Develop an analysis of 250 words from the results, addressing your organization’s readiness level, possible project barriers and facilitators, as well as how to integrate clinical inquiry.

2. Make sure to include the rationale for the survey categories scores that were significantly high and low, incorporating details and/or examples. Also explain how to integrate clinical inquiry into the organization, providing strategies that strengthen the organizations weaker areas.

3. Submit a summary of your results. The actual survey results do not need to be included.

Prepare this assignment according to the APA guidelines found in the APA Style Guide. An abstract is not required.

You are required to submit this assignment to Turnitin. 

Upon receiving feedback from the instructor, revise “Section A: Organizational Culture and Readiness Assessment” for your final paper submission. This will be a continuous process throughout the course for each section.

Evidence-Based Practice Proposal – Section B: Problem Description

Details:

Write a paper of 500-750 words (not including the title page and reference page) on your proposed problem description for your EBP project. The paper should address the following:

1. Describe the background of the problem. Tell the story of the issue and why it deserves attention.

2. Identify the stakeholders/change agents. Who, or what organizations, are concerned, may benefit from, or are affected by this proposal. List the interested parties, patients, students, agencies, Joint Commission, etc.

3. Use the feedback from the Topic 2 main forum post and refine your PICOT question. Make sure that the question fits with your graduate degree specialization.

4. State the purpose and project objectives in specific, realistic, and measurable terms. The objective should address what is to be gained. This is a restatement of the question, providing focus. Measurements need to be taken before and after the evidence-based practice is introduced to identify the expected changes.

5. 5) Provide supportive rationale that the problem or issue is an important one for nursing to resolve using relevant professional literature sources.

6. Develop an initial reference list to assure that there is adequate literature to support your evidence-based practice project. Follow the “Steps to an Efficient Search to Answer a Clinical Question” box in chapter 3 of the textbook. Use “NUR-699 Search Method Example” to assist you.

7. 7) The majority of references should be research articles. However, national sources such as Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Department of Health and Human Resources (HHS), or the Agency for Healthcare Research and Quality (AHRQ) and others may be used when you are gathering statistics to provide the rationale for the problem.

8. Once you get into the literature, you may find there is very little research to support your topic and you will have to start all over again. Remember, in order for this to be an evidence-based project, you must have enough evidence to introduce this as a practice change. If you find that you do not have enough supporting evidence to change a practice, then further research would need to be conducted.

Prepare this assignment according to the APA guidelines found in the APA Style Guide. An abstract is not required.

You are required to submit this assignment to Turnitin. 

Upon receiving feedback from the instructor, refine “Section B: Problem Description” for your final submission. This will be a continuous process throughout the course for each section.

NUR699.R.SearchMethod_student.docx ATTACHED

  

While there are several tools to critically appraise practice guidelines, the most comprehensively validated appraisal tool is the AGREE II Instrument. The AGREE II Instrument can be used by individual practitioners to critically appraise health guidelines and by decision makers to inform policy decisions. The purpose of the AGREE II Instrument is to provide a framework to:

1. Assess      the quality of guidelines.
2. Provide      a methodological strategy for the development of guidelines.
3. Inform      what information and how the information ought to be reported in      guidelines.

Overall assessment includes rating the overall quality of the guideline and whether the guideline would be recommended for use in practice.
 

Items are rated on a 7-point scale from 1 (Strongly Disagree) to 7 (Strongly Agree). A score of 1 is given when there is no information on that item or if it is poorly reported. A score of 7 is given if the quality of reporting is excellent and when full criteria have been met (Score explanations found in the AGREE II-GRS Instrument).
 

A quality score is calculated for each of the six domains, which are independently scored. Domain scores are calculated by summing up all the scores of the items in the domain and by scaling the total as a percentage of the maximum possible score for that specific domain.

For this assignment, you will choose a guideline and assess the overall quality and whether the guideline would be recommended for use in practice.

General Requirements:

Use the following information to ensure successful completion of this assignment:

• Download      the AGREE II instrument.
• Doctoral      learners are required to use APA style for their writing assignments. The      APA Style Guide is located in the      Student Success Center. An abstract is not required.
• This      assignment uses a rubric. Please Review the rubric prior to the beginning to become familiar with the      expectations for successful completion.
• You      are not required to submit this assignment to Turnitin.

Directions:

Perform the following tasks to complete this assignment:

1. Using      the AGREE II instrument as your guide, create a table that discusses a      practice guideline in which you might have questioned the recommendations.      (Note: You may be able to copy and paste the instrument into a new Word      document and complete the information.)
2. Each      domain must have its own cell (similar to the one shown in the manual) and      add domain scores and an overall guideline assessment. Be sure to include      comments and additional considerations that influenced your rating      decision and cite any sources used.

3. Apply Rubrics