Standardized Procedure

2. Working according to the agreed ways means following the organisation’s policy and procedures in relation to pressure areas. It also means following the individual care plans and respecting the instructions in place. For example making sure a resident is turned every two hours, applying Cavilon cream on areas; fill in turning charts, prompt fluid intake. Under the duty of care a care assistant must always be aware of and raise concerns regarding possible pressure areas. Always record information in care plans accurately and in confidentiality.

2. Nurse supervisors will conduct group training sessions to go over this new policy and procedure, and accompanying forms

Standardized testing in the United States started in the mid- 1800’s (Standardized Tests - ProCon.org). This kind of testing was originally created to measure students’ performance and progress in school (Standardized Tests - ProCon.org). In recent years, the public school system has relied heavily on the information this test provides, in doing so creating controversy. Other than being a student myself, and participating in multiple standardized exams such as, CSAP, ACT, and SAT, I do not have much background knowledge on this debate. The debate over standardized testing has raised this inquiry question: What are the effects of standardized testing on the United States public education system?

Consensus Model for APRN Regulation has 4 components: Licensure, Accreditation, Certification, and Education It supports goals of the ANCC APRN certification process and will align the inter-relationships among licensure, accreditation, certification, and education to create a more uniform practice across the country. Its aim is to improve consistency and clarity and take APRNs to the next level and also enhance patient care (“American Nurses Credentialing Center," 2015)

The Joint Commission gives the hospital the opportunity to make protocols, procedures and processes that are unique to their needs and address this serious issue, also leaving the implementation of such processes to the facility. In addition, the Joint Commission encourages hospitals to include the patient in the preprocedure verification process whenever possible.

The afore= mentioned issues being addressed through legal channels by the AANP are barriers to effective and efficient practice, the type of barriers that were to be eliminated by the expansion of the Affordable Care Act (ACA) (Dunphy, Winland-Brown, Porter, & Thomas, 2015). Only twenty-two states have allowed full practice authority, which is less than half of the nation. It is imperative that every advance practice nurse has a voice that is heard in their state and the nation, this is the message of the AANP (Hain & Fleck,

Use at least two patient identifiers when providing care. Double checking of ID bands and ID/Driver’s license of patient if possible. Using labels to mark all materials /items needed for the procedures. A two person check off procedure must be implemented. Items requiring labeling include: patient records, signed consents, and all assessments, diagnostic tests and x-rays. Also included should be any item that is needed for the procedure (blood products, devices, and equipment). Using a matching system, so that all items in the procedure area are matched to the patient. The matching system must be completed by a minimum of two staff members. These staff members should include a qualified staff member, nursing staff involved in the procedure, recovery room staff, and discharge staff.

The statutes lay out the rules for collaborative practice and prescriptive authority. A written collaborative practice between the APRN and a physician must be in place for an APRN to work beyond a nursing license. The collaborative physician must be within geographical proximity thirty to fifty miles. There is an exception to the mileage rule for qualifying rural facilities. The physician must review ten percent of all of the APRN’s charts every two weeks and twenty percent of charts/patients that are receiving controlled substances. The written agreement must contain a list of prescriptive medications the physician will allow the APRN to prescribe in agreement with state prescriptive laws. The physician must document a minimum of thirty days of full supervision of the APRN before allowing the APRN to practice without the physician present. And finally, CRNAS are allowed to administer anesthesia without a physician physically present as long as there is one that could be available if

The CNO outlined professional standards for nurses to comply with. The seven that are outlined are accountability, continuing competence, ethics, knowledge, knowledge application, leadership, and relationships. “A standard is an authoritative statement that sets out the legal and professional basis of nursing practice” (College of Nurses of Ontario, 2009, p. 3). Although each standard has different meaning, they all work together in order to provide the best possible patient care.

The front office staff should review paperwork making sure all required information is filled out (clearly written and legible) Most importantly the Patient Agreement is signed by the patient. It provides added assurance of payment when a claim settles and additional legal leverage should it become necessary.

Currently, the law requires NPs to obtain physician approval during care of a patient that include managing patient health, conducting assessments, ordering/prescribing medications, lab tests, and medical devices with the supervision of a physician or surgeon. The requirement makes it challenging for NPs to provide care and limits the accessibility of care

Thoughts about the ACT or SAT give most students sleepless nights. Well, it is an important test but getting overwhelmed by it is not going to help. These few fun facts about the ACT/SAT are just what you need when you are looking for a short, refreshing distraction from the intense studying. The ACT/SAT should be the main factor in college acceptance because it gives minorities an equal chance of admission, it provides a standard for all students of all high school backgrounds to achieve, and test you on the basic skills you need to know after leaving high school anyway.

This pathway gives staff structure, support and professional integrity. Additionally, The Royal College of nursing, SCIE, and primary care trusts are all involved in the development of protocols and guidelines. This does however indicate that no service users are involved in the creation process, possibly resulting in service and organisational focused guidelines. Successfully implementing protocols has its barriers. The Open University, (K101 Introduction to Health and Social Care, Resources, 2014) highlights several problematic factors including, limited resources, staff shortages and equipment and medical supply problems. However, once implemented successfully these policies may help to manage risk, control budgets and reduce litigation.

Feedback given from the first case study plan indicates the question was a well-developed question inspired from the PICO format previously discussed. Yet critiquing if yearly is not enough. Alternately, research should go into how often management should review the guidelines. The critical thinking for the references provided was well searched and utilised, the lack of relevance is questioned, as it went off topic also not linking the discussion section to the case study given. Accuracy is essential to sharpening the question instead of broadening it. The research question will remain the same as this issue remains relevance to nursing practice and holds importance with safety, liability, practice and clients. By review policies, nurses can refer and review the guideline knowing it is the best evidence-based guidelines possible and reassure themselves of following the best practice, not just recommended due to other multidisciplinary sayings so. Nurses can improve this practice by self-researching and utilizing databases such as MEDLINE or government websites to find reliable evidence-based resources available to

In the daily real life situations, various aspects of life draw the attention and curiosity of researchers. Researchers tend to tackle issues with the intention of revealing the relationship among variables or problems that they encounter in the field. Therefore, the term research needs to be defined and explained before preceding to data collection methods which are the objective of this research. The term research has been defined multiple researchers throughout various disciplines due to the spectrum of viewing research. Waltz and Bausell(1981) referred to research as phenomena interpretations and problems solving using systematic and formal procedures. Furthermore, Payton (1979) defined research as finding answers for