ANP-650-Adult-Gerontology Acute Care I

ANP-650-Adult-Gerontology Acute Care I

ANP-650-Adult-Gerontology Acute Care I
Topic 1: Scope Of Practice And The Role Of The AGACNP

Max Points:77

Objectives:

Describe the role and scope of practice of the Adult Gerontology Acute Care Nurse Practitioner (AGACNP).
Describe the role of the AGACNP in assessing patients and designing evidence-based treatments.
Distinguish national, state, and local regulations as they affect AGACNP scope and practices.
Document indications and contraindications for invasive treatment procedures occurring in an acute care setting.

Assessments
Summary of Current Course Content Knowledge

Assessment Description

Academic engagement through active participation in instructional activities related to the course objectives is paramount to your success in this course and future courses.  Through interaction with your instructor and classmates, you will explore the course material and be provided with the best opportunity for objective and competency mastery.  To begin this class, review the course objectives for each Topic, and then answer the following questions as this will help guide your instructor for course instruction.
 

Which weekly objectives do you have prior knowledge of and to what extent?
Which weekly objectives do you have no prior knowledge of?
What course-related topics would you like to discuss with your instructor and classmates?  What questions or concerns do you have about this course?

Class Introductions

Assessment Description

Take a moment to explore your new classroom and introduce yourself to your fellow classmates. What are you excited about learning? What do you think will be most challenging?

ANP-650-Adult-Gerontology Acute Care I Topic 1 DQ 1

Assessment Description

Review the course objectives and consider how you can develop the specified skills and competencies while applying clinical practice guidelines as an AGACNP providing patient care and creating appropriate patient-centered care plans. List three to five clinical objectives and write a 250-word summary of your plan to incorporate the course objectives and clinical practice guidelines for your clinical experience. Include discussion of what you hope to achieve. You will refer back to this information during Topic 16 when you are asked to reflect on your clinical objectives. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
ANP-650 Objectives
1. Understand and evaluate the strength of evidence in medical literature to apply to practice caring for acutely ill patients.
2.     Develop physical assessment and history-taking skills and apply critical thinking and decision-making to avoid unnecessary tests and procedures to develop differential diagnoses.
3.     Achieve competency in the technical skills of intubation, central line insertion, arterial lines, chest tubes, suturing, and lumbar puncture.
4.     Thoroughly and accurately document a patient’s history and physical, SOAP note, and progress note in the medical record.
In ANP-650, my objectives are focused on building a strong foundation to carry through this program and on into my career as an Adult-gerontology Acute Care Nurse Practitioner (AGACNP). With each patient encounter, the amount of research through medical literature is going to be extensive. To ensure high-quality evidence-based care, understanding the strength of evidence, and applying it to the patient is necessary. When having to make clinical decisions understanding information coming from a systematic review including a meta-analysis of randomized controlled trials (RCTs) is considered the stronger evidence compared to a case-control study, case report, or an expert opinion making it more reliable information to justify clinical decisions (McKean et al., 2017). During the introduction into clinical practice, I find it important to know the different levels of evidence and apply the proper weight to the information as it is being used to guide your plan of care.  
ORDER A PLAGIARISM-FREE ESSAY 
As AGACNPs, it is important to accurately diagnose a medical condition or disease to provide the proper treatment in a timely manner. Laboratory tests and diagnostic imaging are an important part of excluding or confirming to reach a diagnosis. In my professional observations, some providers looking for answers may cast a wide net of testing letting the result of the tests give them the diagnosis without thoroughly assessing or interviewing the patient. This method can be effective in achieving an answer, it can also cause unnecessary discomfort and potential harm to the patient and waste resources. Unnecessary testing can be defined as tests that are ordered or repeated that do not add extra value to the medical management of the patient. These additional tests create additional financial burdens, waste resources, and can cause additional stress and discomfort to the patient (Bai et al., 2020). It is my goal to be able to incorporate critical thinking in my patient interviews and assessment to help minimize the need for unnecessary testing.
Being able to perform the procedural skills listed in object three is necessary for monitoring and administering life-saving resuscitative measures. While in practice, striving for basic competency has to be achieved before a practitioner can advance to proficiency and eventually achieve an expert skill level.
Patient documentation in the medical record serves many purposes. It facilitates communication with the patient and their healthcare team, can protect providers from legal claims, and justifies proper reimbursement for the provider’s services. In a study on medical students documenting simulated patients, ninety out of the ninety-one charts were downcoded due to incomplete documentation in the medical record which resulted in reduced reimbursement rates. The most frequent areas of missed documentation were in the review of systems, history or present illness, and past medical history (Hoonpongsimanont et al., 2018). Thorough documentation is a skill that needs to be developed through practice and repetition.  The goal is to practice documentation until all components of the medical documentation are second nature.
References:
Bai, L., Gao, S., Burstein, F., Kerr, D., Buntine, P., & Law, N. (2020). A systematic literature review on unnecessary diagnostic testing: The role of ICT use. International Journal of Medical Informatics, 143. https://doi-org.lopes.idm.oclc.org/10.1016/j.ijmedinf.2020.104269
Hoonpongsimanont, W., Velarde, I., Gilani, C., Louthan, M., & Lotfipour, S. (2018). Assessing medical student documentation using simulated charts in emergency medicine. BMC Medical Education, 18(1), 203. https://doi-org.lopes.idm.oclc.org/10.1186/s12909-018-1314-z
McKean, S. C., Ross, J. J., Dressler, D. D., & Scheurer, D. B. (Eds.). (2017). Principles and practice of hospital medicine (2nd ed.). McGraw-Hill. ISBN-13: 9780071843133

ANP-650-Adult-Gerontology Acute Care I Topic 1 DQ 2

Assessment Description

For California-based learners, review the advanced practice rules for nurse practitioners in California using the resource, “Board of Nursing Links by State,” located on the college page of the Student Success Center under the AGACNP tab.
In your response, acknowledge that you have read the Nurse Practice Act for California. Identify the professional codes and business practices regulated by the California Board of Nursing for nurse practitioners. Explain how standardized procedure guidelines are governed within California, detail at least two standards for nurse practitioners outlined by the California Board of Nursing, and discuss the regulations of furnishing and ordering medications, drugs, and devices within the state. How do national, state, and local regulations affect the AGACNP scope and practices? Support your answer with a minimum of two APRN peer-reviewed resources.
For learners based in states other than California, review the advanced practice rules for nurse practitioners in your respective state using the resource, “Board of Nursing Links by State,” located on the college page of the Student Success Center under the AGACNP tab.
In your response, identify the state in which you practice and acknowledge that you have read your state’s Nurse Practice Act. Identify the professional codes and business practices regulated by the state for nurse practitioners and explain how invasive procedure privileges are granted within your state. Detail at least two standards for nurse practitioners within your state and discuss the regulations for ordering medications and devices within your state. How do national, state, and local regulations affect the AGACNP scope and practices? Support your answer with a minimum of two APRN peer-reviewed resources.

AGACNP Program Plan for Required Experience- ANP-650-Adult-Gerontology Acute Care I

Assessment Description

Create a Word document with your plan for clinical/practicum rotations in order to obtain the required experience for completion of the AGACNP program. Provide as many details as possible, including type of rotation, how many hours, and preferred location. This can be a dream schedule, mixed dream and known, or all mapped out. Share your thoughts on your plans after completing the program.
APA format is not required, but solid academic writing is expected.
You are not required to submit this assignment to LopesWrite.

Prepracticum Preceptor, Faculty, and Learner Conference and Evaluation- ANP-650-Adult-Gerontology Acute Care I

Assessment Description

A preconference will occur prior to the start of the clinical/practicum experience. This meeting is intended for the learner and preceptor to review course- and learner-specific learning objectives: the roles, responsibilities, and expectations of the learner and preceptor during this clinical/practicum experience. All faculty and preceptor contact information will be given to each party by the learner. Any course or program information requested by the preceptor will be provided by the learner. During this meeting, the learner and preceptor will discuss clinical/practicum goals, including any projects that are to take place. Faculty will review submitted documents and approve proposed projects at this time. Faculty will also send an introductory email to the preceptor.
Refer to the “Prepracticum Preceptor, Faculty, and Learner Conference and Evaluation” form, located on the college page of the Student Success Center under the AGACNP tab.
Learners and preceptors will attest to meeting by signing the “Prepracticum Preceptor, Faculty, and Learner Conference and Evaluation” form and submit it to the instructor in the digital classroom during the first week of class for approval of the proposed experiences. In order to receive a passing grade in the course, all course evaluations must be completed by preceptors and submitted by learners.