Case Study : Nursing Consultant Bill

You must be wondering if you should hire a legal nurse consultant. That’s why you are reading this post. Legal nurse consultants are nurses who are professional trained to consult attorneys with health related legal cases. They assist attorney to quickly review medical records for merit, organize the medical records, summarize the reports, and conduct literature research. You may want to budget and have your paralegal do those ground work. Saving money is great, but not on something that needs someone’s expertise. If you want to build a website, would you take years of courses to learn how to build a website, or you spend less money and time on hiring a website builder to do the job? This concept simply applies to our topic today. You cannot afford a chance to lose

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act.

Every medical professional has or will face some ethical and legal issues in the Medical Field, the Nurse Practitioners (NP) are no different. Fant stated that in an ethical dilemma there are no right answers or solutions; however, in these dilemmas there are no wrong answers either. Sule feels that the ethical issues for NPs are in consent and capacity, confidentiality and autonomy, and in the non-compliance on part of patient. Offredy and Townsend both feel that a breech in clinical governance and management can cause

According to the Texas Board of Nursing (2008), nurses who receive advanced nursing preparation, may practice in roles and fields, such as academics, technology, community health, education, and management that are crucial to advance the health of the community, however the fields does not focus on direct care of individuals and their nursing practice does not require regulatory recognition outside the Registered Nurse license. The CNE filed is one of the advanced nursing practices that fall into that category. NEs must work with all institutional stakeholders to create effective and long-term healthcare change, therefore, lifelong learning and education is needed to remain competent to produce positive patient outcomes. Texas Board of Nursing

CHIEF COMPLAINT: This is a post op note from a procedure performed July 21, 2015 by David Lin, MD.

The Indiana State Board of Nursing is a body of nine selected members, comprised of a mixture of RNs and LPNs. This board listens to cases regarding university nursing programs, certified RNs fighting for their license, and individuals who are trying to obtain a nursing license. It is up to their discretion whether certain actions of a nurse are permissible or not. They also make adjustments to the curriculums or higher education schools to ensure that they are producing good quality nurses.

There are disparities in healthcare between different races, ages, genders, etc., and these issues need to be addressed. The Nurse Practitioner Healthcare Foundation (NPHF) has a diversity code. They emphasize the importance of cultural competency and the value of diversity. Cultural competency is viewed as a core element for the fulfillment of the healthcare needs of people around the world. “In fact, diversity is the lens through which we must view people's healthcare needs. The Nurse Practitioner Healthcare Foundation (NPHF) celebrates, respects, and values the inherent worth of every individual, and is committed to promoting the inclusion of every single person in the healthcare system” (NPHF, 2015). Allowing APRNs to practice to the full

This patient arrived on time for her scheduled appointment with this writer. This writer introduces herself as the patient assigned counselor, at which the patient was pleased to be assigned to a counselor. This writer discussed with the patient UDS and the patient's prescribed medication. According to the patient, she provided information of her current medical concerns such as the seven blockage with her heart, her chronic back pain- the patient reports that she needs to replace 2 or 3 discs, and her foot surgery. The surgery for the patient's heart and foot are pending at this time. The patient reports she is scheduled to conduct a sleep apena on 03/03/2016 and is aware that she must provide an update to Nursing at the clinic. The patient praised about having a excellent Cardiologist, who is currently monitoring her heart. the patient was emotional discussing the many loss of her family who suffers from congestive heart failure. The patient reports, " I believe there is a GOD and he is

R.O. is a 43-year-old female Latino patient who has been living at home alone since she got divorced three months ago. She does not have any living or available family in the United States. She is the oldest of three children. Her parents died of an accident when she was little. Two of her sisters live in Mexico. She has lost contact with her family in Mexico when she got married and move to the United States. She also has stopped communicating with her ex husband since they got divorced. Although she does not have any support from her family, she states that her church member has been very supportive. Moreover, R.O. states she was a homemaker until the divorce. Currently, she has been working as a dishwasher near her house.

Mrs. Wilson is seen in her room at Glenbridge Nursing Home on 02/28/2018. She had an episode last night of chest pain. She is so ebullient and distracted that it is hard to get a straight history, it came on when she was asleep but she may been sitting up. She was seen by a nurse, a sat was taken. I am not sure if there were other orders taken, but there is none on the chart. She says that she spent most of this morning in the bed and still feels tired, but she does not think she broke out in a sweat. She was more short of breath. She is calling it is a "stroke." I had tried to begin tapering her diazepam by discontinuing the morning dose and apparently all daytime clorazepate was discontinued by error and she gets it only at night.

Mr. Brann is a 42-year-old male here today for followup from his left cerebellar stroke and left vertebral artery dissection, status post hospitalization in May of 2015

Charge Registered Nurse, Telemetry Unit April 2006-Present • Train and orient employees on ethics and care delivery • Manage codes, perform and deliver complex bedside care • Oversee and evaluate employees performance • Develop and implement policy based on evidenced based research • Collaborate with different clinical disciplines to ensure quality patient care outcome Holy Cross Laurel Regional Hospital Silver Spring, Maryland Registered Nurse, Intensive Care Unit January 2001-August 2006 • Deliver advanced life support to patients in critical condition • Carry out life-saving medical procedures with physicians • Ensure adherence to quality assurance • Communicate with patient, families,

----- Clinic presents a black male 68 years old. Currently experiencing dyspnea and lethargy. For the past week he has been having a increase of difficulty breathing. Complains of alternating periods of sweating and chills. Other symptoms he has been experiencing is a productive cough with expectoration of thick yellow sputum. Patient is a ex- smoker, he was a 40 pack year history, denies smoking, stopped over 10 years ago. Medical history includes chronic bronchitis, hypertension, MI five years ago, has had a angioplasty, and denies chest pain since having angioplasty. Current medication combined albuterol/ipratropium MDI, nebulized albuterol prn, captopril, and hydrochlorothiazide.

It is very important for the Nurse Practitioner (NP) to know how the employer is billing for NP services. There are several different ways for the NP to get reimbursed for the services they render to their patients. The reimbursement method can get complicated, and the NP must be aware of the rules and regulations prior. For example, “Medicare will pay 85% of the physician rate for the services”(Bupper. C, 2011), when the NP renders service and bills by using their own NPI. However, if the NP is working with the physician, the NP can bill under the physician’s provider number, and acquire reimbursement at the full rate. This can get complicated because there are certain rules and regulations that would need to be followed. See below: