Traumatic Brain Injury Care Report

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Traumatic Brain Injury Care Report

Scenario

The charge nurse in your clinic has contacted you to assume primary care for a patient and develop a plan for follow-up care. The plan should be personalized for him based on evidence-based research provided by a community expert as well as your own research on the condition. You will also be challenged to determine which aspects of the traumatic brain injury (TBI) approach could be applied to similar situations and patients. Traumatic Brain Injury Care Report

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Your Role

You are a nurse who has been requested to provide primary patient care, including a follow-up care plan. You will revisit the interview with the community TBI expert and prepare a personalized health plan for the patient.

  • Review relevant evidence-based research from 3–5 additional scholarly or professional sources about traumatic head injuries to support your evaluation, recommendations, and plans.
  • The following requirements correspond to the grading criteria in the scoring guide, so be sure to address each point:
    • Evaluate the expected outcomes of the population health improvement initiative (PHII) that the community expert reported based on the data.
      • Describe the outcomes that were achieved, their positive effects on the community’s health, and any variance across demographic groups.
      • Describe the outcomes that were not achieved, the extent to which they fell short of expectations, and any variance across demographic groups.
      • Identify the factors (for example, institutional, community, environmental, resources, and communication) that may have contributed to any achievement shortfalls.
  • Propose a strategy for improving the outcomes of the PHII for traumatic head injuries.
    • Describe the corrective measures you would take in the PHII to address the factors that may have contributed to achievement shortfalls. Traumatic Brain Injury Care Report
    • Cite the evidence (from similar projects, research, or professional organization resources) that supports the corrective measures you are proposing.
    • Explain how the evidence illustrates the likelihood of improved outcomes if your proposed strategy is enacted.
  • Develop a personalized patient care plan for the patient from the scenario that incorporates lessons learned from the PHII outcomes.
    • Identify a personalized care approach that addresses the patient’s:
      • Individual health needs.
      • Economic and environmental realities.
      • Culture and family.
    • Explain how the lessons learned from the PHII informed the decisions you made in your personalized care plan for the patient.
    • Incorporate references to the best available evidence from the population health improvement initiative and other relevant sources.
  • Identify the level of evidence and describe the value it brings to personalizing care for your patient.
    • Identify the level of evidence for each resource you reference.
    • Explain why each piece of evidence is valuable and appropriate for the community health issue you are trying to address and for the unique situation of your patient and his family.
  • Propose an evaluation strategy to assess the outcomes of your personalized care approach.
    • Identify measurable criteria that are relevant to your desired outcomes.
    • Explain why the criteria are appropriate and useful measures of success.
    • Determine the specific aspects of your approach that are most likely to be transferable to other individual cases.

Additional Requirements

  • Organization: Use the following headings for your Traumatic Brain Injury Care Report:
    • Evaluation of Population Health Improvement Initiative (PHII) Outcomes.
    • Strategies for Improving PHII Outcomes.
    • Personalized evidence-based patient care plan.
    • Analysis of Evidence.
    • Evaluation Strategy for Personalized Care Approach Outcomes.
    • Application for Other Cases.

Traumatic Brain Injury Care Report

Telehealth And Evidence-Based Practice

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Telehealth And Evidence-Based Practice

  1. Purpose of Assignment
    According to the American Association of Colleges of Nursing (2008), “Use telecommunication technologies to assist in effective
    communication in a variety of healthcare settings. ” Telehealth And Evidence-Based Practice

    American Association of Colleges of Nursing. (2008). The Essentials of Baccalaureate Education for Professional Nursing Practice. Retrieved from: https://www.aacnnursing.org/Education-Resources/AACN-Essentials

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  2. Course Competency

    Analyze how evidence-based practice influences healthcare technology.

  3. Content
    Scenario
    You are a nursing case manager working in a 100-bed community hospital in a rural setting. Many clients are elderly with chronic health conditions and have several factors that impair their timeliness of follow-up appointments for chronic care management. Since they are remote, the hospital struggles to meet the needs of this community health population. Therefore, the hospital experiences a delay in client care and chronic care management due to a lack of provider access. Many clients also report having to align transportation needs for their nurse appointments, which further limits their availability. Recently, client complaints have increased with regards to a lack of reliable, prompt service for chronic care consultations and lingering concerns for their overall health.

    Instructions
    A Clinical Standards and Innovations Committee has been created to look at leveraging technology to expand care for remote, community health populations. The Chief Nursing Officer has assigned you to this committee to examine strategies for best practices related to the use of telehealth to support rural settings and expand care to all community populations. As the lead RN on the committee, you have been tasked with leading the telehealth initiative and have one month to research, analyze, and propose the best evidence-based strategy to implement telehealth services through telecommunications-ready tools. You will present your findings to the Chief Nursing Office and CEO of the facility in a succinct one-page summary, leveraging your committee’s recommendation. They have asked for the summary to include the following components:

    • Discuss the defining characteristics of telehealth
    • Include your own definition of telehealth
    • How does telehealth impact the nursing role?
    • Examine how telehealth is currently integrated in healthcare
    • Describe the evidence-based practice that supports the use of telehealth in rural and community healthcare settings.
    • Provide a detailed description of your recommended evidence-based strategy to implement telehealth
    • Provide rationale supporting your strategy
    • Summary to include current evidence from the literature.
    • Format
    • Standard American English (correct grammar, punctuation, etc.)
    • Logical, original and insightful
    • Professional organization, style, and mechanics in APA format
    • Submit document to Grammarly to correct errors before submission
  4. Resources

Telehealth And Evidence-Based Practice

Benchmark – Capstone Project Change Proposal

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Benchmark – Capstone Project Change Proposal

In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice. Benchmark – Capstone Project Change Proposal

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Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

  1. Background
  2. Clinical problem statement.
  3. Purpose of the change proposal in relation to providing patient care in the changing health care system.
  4. PICOT question.
  5. Literature search strategy employed.
  6. Evaluation of the literature.
  7. Applicable change or nursing theory utilized.
  8. Proposed implementation plan with outcome measures.
  9. Discussion of how evidence-based practice was used in creating the intervention plan.
  10. Plan for evaluating the proposed nursing intervention.
  11. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
  12. Appendix section, if tables, graphs, surveys, educational materials, etc. are created.

Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1:     Exemplify professionalism in diverse health care settings.

2.2:     Comprehend nursing concepts and health theories.

3.2:     Implement patient care decisions based on evidence-based practice.

Benchmark – Capstone Project Change Proposal

Benchmark – Human Experience Across The Health-Illness Continuum

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Benchmark: Human Experience Across The Health-Illness Continuum

Benchmark: 5.1. Understand the human experience across the health-illness continuum.

Research the health-illness continuum and its relevance to patient care. In a 750-word paper, discuss the relevance of the continuum to patient care and present a perspective on your current state of health in relation to the wellness spectrum. Include the following: Benchmark: Human Experience Across The Health-Illness Continuum

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  1. Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
  2. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
  3. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark: Human Experience Across The Health-Illness Continuum

The Pathophysiology Of Disorders

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The Pathophysiology Of Disorders

During the last 5 weeks, you have explored various body systems: neurological, cardiovascular, respiratory, and hematological. These four systems work together, along with other body systems, to complete a myriad of functions. For this reason, when disorders occur within one body system, they can have potentially devastating effects throughout the entire body. For instance, Parkinson’s disease is a disorder of the central nervous system, yet its alterations actually affect multiple body systems, from the cardiovascular system to the gastrointestinal system. In this assignment, you examine alterations associated with disorders as well as the impact of the alterations on multiple body systems. The Pathophysiology Of Disorders

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To Prepare

  • From the list below, select a disorder of interest to you:
    • Alzheimer’s disease
    • Asthma in children
    • Chronic obstructive pulmonary disease (COPD)
    • Congestive heart failure
    • Hepatic disease (liver disease)
    • Hypertension
    • Hyperthyroidism and hypothyroidism
    • Seizures
    • Sepsis
  • Identify alterations associated with your selected disorder. Consider the pathophysiology of the alterations. Think about how these alterations produce pathophysiological changes in at least two body systems.
  • Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as the diagnosis and treatment of your selected disorder.
  • Review the “Mind Maps—Dementia, Endocarditis, and Gastro-Oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology and clinical presentation of your selected disorder.

To Complete

Develop a 5- to 10-slide PowerPoint presentation that addresses the following:

  • Describe your selected disorder as well as associated alterations. Explain the pathophysiology of the alterations, including changes that occur in at least two body systems.
  • Explain how genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as the diagnosis and treatment of your selected disorder.
  • Construct a mind map for the disorder you selected. Include the epidemiology, pathophysiology of alterations, risk factors, and clinical presentation, as well as the diagnosis and treatment of the disorder.

The Pathophysiology Of Disorders

Effective Approaches In Leadership And Management

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Effective Approaches In Leadership And Management

In this assignment, you will be writing a 1,000-word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following:

  1. Select an issue from the following list: bullying, unit closers and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation. Effective Approaches In Leadership And Management

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  2. Describe the selected issue. Discuss how it impacts the quality of care and patient safety in the setting in which it occurs.
  3. Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
  4. Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader and manager described in your readings.
  5. Discuss what additional aspects managers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
  6. Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.

Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Effective Approaches In Leadership And Management

APNs As Healthcare Policy Leaders

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APNs As Healthcare Policy Leaders

explanation of how healthcare policy can impact the advanced practice nurse profession

2. An explanation of why advocacy is considered an essential component of the advanced practice nurse’s role

3. Discuss the four pillars of Transformational leadership and the effect it may have on influencing policy change  APNs As Healthcare Policy Leaders

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Description

explanation of how healthcare policy can impact the advanced practice nurse profession

Research healthcare policy for APNs on a state and national level and the impact on the APN profession

explanation of why advocacy is considered an essential component of the advanced practice nurse’s role

Describe advocacy in healthcare terminology.

Discuss how advocacy is an essential role of the APN and its impact on patient care.

Discuss the four pillars of Transformational leadership and the effect it may have on influencing policy change

Define transformational leadership.

Discuss how Transformational Leadership may have an effect on influencing policy change

Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic, and political factors.

Demonstrate professional and personal growth concerning the advocacy role of advanced practice nursing in fostering policy within diverse healthcare settings.

Advocate for institutional, local, national, and international policies that foster person-centered healthcare and nursing practice.

All writing submitted should reflect graduate student quality and APA writing rules. All writing informed by outside sources should include APA-formatted citations and associated scholarly, current references. 1500 words

APNs As Healthcare Policy Leaders

Quality Improvement Initiative

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Quality Improvement Initiative

Overview

Deliver a 5–7-page analysis of an existing quality improvement initiative at your workplace. The QI initiative you choose to analyze should be related to a specific disease, condition, or public health issue of personal or professional interest to you.

Too often, discussions about quality health care, care costs, and outcome measures take place in isolation—each group talking among themselves about results and enhancements. Because nurses are critical to the delivery of high-quality, efficient health care, it is essential that they develop the proficiency to review and evaluate performance reports and be able to effectively communicate outcome measures related to quality initiatives. The nursing staff’s perspective and the need to collaborate on quality care initiatives are fundamental to patient safety and positive institutional health care outcomes. Quality Improvement Initiative

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By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 2: Plan quality improvement initiatives in response to routine data surveillance.
    • Recommend additional indicators and protocols to improve and expand the quality outcomes of a quality initiative.
  • Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.
    • Analyze a current quality improvement initiative in a health care setting.
    • Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures.
  • Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality
    • Incorporate interprofessional perspectives related to initiative functionality and outcomes.
  • Competency 5: Apply effective communication strategies to promote quality improvement in interprofessional care.
    • Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
    • Integrate relevant sources to support arguments, correctly formatting citations and references using the current APA style.

Assessment Instructions

Preparation

You have been asked to prepare and deliver an analysis of an existing quality improvement initiative at your workplace. The QI initiative you choose to analyze should be related to a specific disease, condition, or public health issue of personal or professional interest to you. The purpose of the report is to assess whether specific quality indicators point to improved patient safety, quality of care, cost and efficiency goals, and other desired metrics.

Your target audience consists of nurses and other health professionals with specializations or interests in your selected condition, disease, or issue. In your report, you will define the disease, analyze how the condition is managed, identify the core performance measurements used to treat or manage the condition, and evaluate the impact of the quality indicators on the health care facility.

Note: Remember, you can submit all, or a portion of, your draft to Smarthinking for feedback before you submit the final version of your analysis for this assessment. However, be mindful of the turnaround time for receiving feedback if you plan on using this free service.

The numbered points below correspond to the grading criteria in the scoring guide. The bullets below each grading criterion further delineate tasks to fulfill the assessment requirements. Be sure that your Quality Improvement Initiative Evaluation addresses all of the content below. You may also want to read the scoring guide to better understand the performance levels that relate to each grading criterion.

  1. Analyze a current quality improvement initiative in a health care setting.
    • Evaluate a QI initiative and explain what prompted the implementation. Detail the problems that were not addressed and any issues that arose from the initiative.
  2. Evaluate the success of a current quality improvement initiative through recognized benchmarks and outcome measures.
    • Analyze the benchmarks that were used to evaluate success. Detail what was the most successful, as well as what outcome measures are missing or could be added.
  3. Incorporate interprofessional perspectives related to initiative functionality and outcomes.
    • Integrate the perspectives of interprofessional team members involved in the initiative. Detail who you talked to, their professions, and the impact of their perspectives on your analysis.
  4. Recommend additional indicators and protocols to improve and expand the quality outcomes of a quality initiative. Quality Improvement Initiative
    • Recommend specific process or protocol changes as well as added technologies that would improve quality outcomes.
  5. Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
  6. Integrate relevant sources to support arguments, correctly formatting citations and references using the current APA style.

Submission Requirements

  • Length of submission: a minimum of five but no more than seven double-spaced, typed pages.
  • Number of references: Cite a minimum of four sources (no older than seven years, unless seminal work) of scholarly peer-reviewed or professional evidence that support your interpretation and analysis.
  • APA formatting: Resources and citations are formatted according to current APA style and formatting.

Note: Faculty may use the Writing Feedback Tool when grading this assessment. The Writing Feedback Tool is designed to provide you with guidance and resources to develop your writing based on five core skills. You will find writing feedback in the Scoring Guide for the assessment once your work has been evaluated.

Quality Improvement Initiative

The Affordable Care Act

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The Affordable Care Act

Create a PowerPoint presentation of 14–16 slides with speaking notes on the new regulations impacting the practice as a result of the Affordable Care Act. The Affordable Care Act

Introduction

The Patient Protection and Affordable Care Act (PPACA or ACA) was signed into law by President Barack Obama in 2010. The ACA attempts to increase access to care, reduce cost, and improve quality. Nearly 50 different reform initiatives were implemented between 2010 and 2017. Although primary care is a major focus of the act, these additional initiatives are focused on 10 different areas, including public health, prevention of disease, community health, and increasing revenue provisions to pay for the reform (Niles, 2021). The law has been controversial due to the mandate that all Americans must purchase health insurance.

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The U.S. government plays a significant role in the operation of the country’s health care system. Quality, access, funding, education, and preventative services are all influenced by the U.S. government (Niles, 2021), and the Affordable Care Act (ACA) has further increased the role and involvement of the government in health care. All health care administrators must be knowledgeable about the role of the government.

Numerous governmental organizations exist, such as the U.S. Department of Health and Human Services (HHS), the Centers for Disease Control (CDC), the National Institutes of Health (NIH), the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), the Centers for Medicare and Medicaid Services (CMS), the Occupational Safety and Health Administration (OSHA), and the Office of the Surgeon General, to name a few. Each organization exists for a specific purpose and has a specific mission. Your role as an administrator will be to understand the scope of these agencies and to help your organization meet or exceed the governmental mandates imposed by each.

Reference

Niles, N. J. (2021). Basics of the U.S. health care system (4th ed.). Jones & Bartlett Learning.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Analyze current health reform, policy, and regulation in U.S. health care.
    • Explain the Affordable Care Act and its impact on the U.S. health care system and on the practice of health care in the United States.
    • Analyze current trends in policy and predict future reforms.
    • Explain how health care reform and policy have impacted health care quality and cost.
    • Explain how regulatory agencies have evolved to address health reform and policy.
  • Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others.
    • Produce a presentation that conveys understanding of the topic, its context, and its relevance.
    • Use academic writing conventions such as APA formatting and citation style, or others as required. The Affordable Care Act
    • Produce writing that includes minimal grammar, usage, and mechanical errors, including spelling.

Instructions

Imagine you are an office manager for a ten-physician primary care practice. You have been asked by the physician group to do research and give a presentation on the new regulations impacting the practice as a result of the Affordable Care Act. Using the resources provided, plus at least two other peer-reviewed articles based on your own research, develop a PowerPoint presentation of 14–16 slides, complete with speaking notes. Address the following:

  • Explain the Affordable Care Act and its impact on the U.S. health care system and on the practice of health care in the United States.
  • Analyze current trends in policy and predict future reforms as a result of the current state.
  • Explain how regulatory agencies have evolved to address health reform and policy.
  • Explain how health care reform and policy have impacted health care quality and cost.

You might want to (but do not have to) organize your presentation using the following outline:

  • Slide 1: Title of the Presentation.
  • Slide 2: A brief explanation of the purpose of the presentation.
  • Slide 3: The Affordable Care Act.
  • Slide 4: Impact on the U.S. Health Care System.
  • Slide 5: Impact on the Practice of Health Care in the United States.
  • Slides 6–7: Current Trends in Policy.
  • Slide 8: Future Reforms.
  • Slides 10–12: The Role of Regulatory Agencies (one slide per agency you address).
  • Slide 13: Impact on Quality.
  • Slide 14: Impact on Cost.
  • Slide 15: Concluding Summary. The Affordable Care Act
Presentation Requirements

Your presentation should consist of:

  • 14–16 bulleted slides.
  • Speaker notes that fully explain each slide.
  • A minimum of two peer-reviewed references, in addition to the resources offered in this course or that you find yourself, including government websites.
  • Appropriate APA citations and peer-reviewed references on each slide, as necessary.
General Guidelines for PowerPoint
  • Keep the design simple. Font: Arial or Verdana, size 24-point, minimum.
  • Keep the slides concise: 5–7 bullet points per slide and 5–7 words per bullet. Use speaker notes to explicate the bullets.
  • For best color contrast, use light text on a dark background (for example, yellow on black, white on dark blue).
  • Use the proper slide layout. For example, if a slide has a title and text, it is created using the correct title and text layout.

The Affordable Care Act

 

Ethical Drug Administration

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Ethical Drug Administration

You see another nurse practitioner writing a prescription for her husband, who is not a patient of the nurse practitioner. The prescription is for a narcotic. You can’t decide whether or not to report the incident.

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Write a 2- to 3-page document that addresses the following:

  • Explain the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
  • Describe strategies to address disclosure and nondisclosure as identified in the scenario. Be sure to reference laws specific to Florida.
  • Explain two strategies that an advanced practice nurse would use to guide your decision-making in this scenario, including whether you would disclose this incident. Be sure to justify your explanation.
  • Explain the process of writing prescriptions, including strategies to minimize medication errors

Ethical Drug Administration