PRN Effectiveness Case Study

The study revealed several issues in this department. Voluntary emergency patients have to wait extended periods of time before being transferred to the appropriate department. The majority of those who have to wait are those seeking mental health assistance. Keeping people in the emergency department longer than necessary cause operational costs skyrocket, and worse, keeps the needs of patients from properly being met.

I would like to become a DNP Family Nurse Practitioner. The requirements I will need for this degree will be RN licensure, followed by a BSN program, then a Nurse Practitioner doctorate program in family medicine. The road that will take me to this goal will be graduating Columbia Basin College with an ADN, take and pass the NCLEX, followed by one year of clinical experience. I will then apply to an online BSN program, preferably CBC, but I could apply to WGU, or WSU. An online BSN program may take one year to eighteen months to complete. The next step would be to apply to Washington State University’s Post-Baccalaureate DNP – Family Nurse Practitioner Program. WSU Tri-Cities offers online live video conferencing, that are archived, and

I work at the veterans’ affair hospitals in Houston and in November 2011, Veteran Health Administration (VHA) committed to developing an outpatient mental health staffing model which comprised an interdisciplinary care team to ensure adequate general outpatient mental health care .

The practice problem that this writer chose was psychiatric patients that are boarding in the emergency room that do not have a therapeutic environment. The website that this writer chose to use to research about the non-therapeutic environments for the psychiatric patients that are boarding in the emergency room is CINAHL complete. From this search of boarding psychiatric patient in the emergency room, eleven articles resulted. Boarding of psychiatric is all too common of an occurrence in the emergency room because of the decrease in inpatient psychiatric hospital beds. There has been a decreased in beds over the years in 1990 there was “3.7 beds per 1000 person” and in 2006, it decreased to “2.6 beds” (Nolan, Fee, Cooper, Rankin, & Blegen, 2015, p. 57). All of the article that were resulted from

Law enforcement interactions with the mentally ill community are increasing, due to a number of factors such as cuts on long-term psychiatric beds, improvements in treatments and the philosophy of integration (Adelman, 2003). Which leads to mentally ill people living in the community, which leads to increase crisis and police interaction because of insufficient funding. Existing community-based crisis response services are not well unified and are limited, especially in rural areas. General hospital-based emergency services can also be difficult to access because of bed reductions, and only offer treatment to those only that are seriously ill (e.g. be actively delusional or suicidal). As Eric Macnaughton states in his study BC Early

The recent increase in emergency 9-1-1 calls involving mentally ill persons has heightened the awareness of the Criminal Justice System. Across the nation, law enforcement encounters with mentally ill persons have become more frequent, and the use of deadly force against mentally ill persons has increased. Since the deinstitutionalization of the mental health system, law enforcement officials have been tasked with controlling deviant and sometimes criminal behavior of persons who suffer from mental illness. As a result, law enforcement agencies have implemented crisis intervention training (CIT) and diversion tactics due to the numerous challenges faced when serving the mentally ill. Major deficiencies in the mental health system and State legislations have hindered progressive efforts towards assisting mentally ill persons. With the dramatic consequences associated with untreated mental illness, it is certain that law enforcement officers will experience an encounter requiring knowledge, specialized training, and the ability to build collaborative partnerships.

“Every project has a beginning and an end” (Zaccagnini & White, 2014, pp. 455). Previous chapters have discussed the closure of the project and the need for a formal evaluation of the project’s impact on the organization in which it was implemented. The most significant reasoning behind the formal evaluation process of the DNP project is the need for translation of learned knowledge to practice (Zaccagnini & White, 2014). Translation science is an essential part of the overall reasoning behind the project, but the stakeholders involved must be provided the information and subsequent recommendations for further improvement within their organization (Zaccagnini & White, 2014). This chapter discusses the various data and how they are interpreted. Project recommendations are evaluated, acknowledging the interpretation of the data, to determine how the project interventions made an

APRN’s have been practicing formally, providing primary care, since the 1960s. The importance of APRN’s role has increased over the years with the shortage of primary care physicians plus the increase demands of accessible and affordable care. It’s important to differentiate and understand APRN’s roles, and the purpose of this interview. Further, to develop my opinion and formulate a recommendation.

On January 20, 2016, Penny Blake, a registered nurse and member of the Emergency Nurses Association assisted in the debate for improving the federal response to challenges in mental health care in America. The purpose of this debate was to address her personal experiences on why it is critical to modernize and provide additional resources for mental health care, bring awareness to the length of stay and care that is required for patients in the emergency departments and to address how mental health patients are both resource and personnel-intensive for hospital emergency departments. The Emergency Nurses Association provided studies from the Emergency Department that show an increase from four boarding hours to eighteen hours of care.

The proposed call RCS-1 would change the system to emphasize patient clinic characteristics and not services received. The new system does not receive payment on a number of services provided, but how much services the patient would receive based on the identification of patient characteristics. This approach could dramatically affect a number of therapy services provided to the client. Additionally, CMS would remove the existing 14, 30, 60, and 90-day PPS assessments and only require the initial and discharge assessments, with significant change assessments if applicable. Further, this could be a noteworthy change in the number of assessments used to determine payment and may not capture changes in patient status. Couple concerns relate to the proposed RCS-1 affect the provision of and access to occupation therapist and AOTA mention in part of those limitations when the patients receive therapy and whether they receive the appropriate amount of therapy. Improving the PPS system could have beneficial effects on patients and on practitioners but AOTA does not believe this proposed system has enough safeguards in place for

The United States has never had an official federal-centered approach for mental health care facilities, entrusting its responsibility to the states throughout the history. The earliest initiatives in this field took place in the 18th century, when Virginia built its first asylum and Pennsylvania Hospital reserved its basement to house individuals with mental disorders (Sundararaman, 2009). During the 19th century, other services were built, but their overall lack of quality was alarming. Even then, researchers and professionals in the mental health field attempted to implement the principles of the so-called public health, focusing on prevention and early intervention, but the funds were in the hands of the local governments, which prevented significant advances in this direction.

Throughout my 5 years working as a psychiatric nurse I have faced many challenges with ensuring adequate and successful outcomes of the many patients I have encountered. Mental illness isn’t a disease that you can cure, treat with a Band-Aid, or suture; it’s a lifelong problem patients can struggle with that many times comes with a negative stigma. I truly believe that the University of Alabama will give me guidance and the education necessary to help the underserved population and to provide better patient outcomes. Psychiatric nursing

The South Carolina State Board of Nursing is responsible for licensure of APRNs (American Association of Nurse Practitioners, 2014). South Carolina (SC) is a restricted practice state, requiring Nurse Practitioners (NP) to be 1) supervised by, 2) perform delegated tasks from or 3) work as part of a team managed by, a medical doctor or dentist (American Association of Nurse Practitioners, 2014). To obtain an APRN license in SC requires a RN license, in good standing, a graduate degree and certification from an approved national credentialing source (American Association of Nurse Practitioners, 2014).

1.6. Target Goal: A total of 220 clients per year will be served for a total of 660 clients over three year. Under SAMHSA funding, 14 clients per year are expected to receive expedited psychiatric services. Each of the 14 clients is expected to have an initial consultation and up to 6 medication checks over the course of their participation in the program. A total of 42 clients a year will receive access to culturally appropriate Native American Treatment. A total of 15 clients per year will be placed on SCRAM at some point as a recovery support. A total of 150 clients per year are expected to receive case management services over the course of their participation in the program. Finally, a total of 14 clients per year will receive access to Medically Assisted Treatment. A total of 50 per year CVC clients will be served with Veteran Mentor Services. As a part of BJA funding, a total of 40 clients per year will receive access to seeking safety curriculum. In addition, 50 clients per year in the Veterans Treatment Court will have a screening assessment tool incorporated into the program and an incorporated drug testing system.

When it comes to the amount of care psychiatric clinics provide, most of us will readily agree that, the amount of research into admitting a person is extensive. Where this argument usually ends, however, is on the question of what procedures the psychiatrists take to administer who is deemed mentally ill. David Rosenhan had the same idea in mind when personally volunteering him and eight friends into a mental institution. The goal; to see what patients in mental facilities endure daily and if the professionals in the facility can properly diagnose the participants. His findings confirmed, the patients were enduring daily abuse and diagnosing a patient wasn’t adequate enough to confirm someone is mentally incapacitated. I feel the amount of