Cornelia C. Campbell NU602 Fall 2011 Reflection Paper #5
|
|
- Philip Ramsey
- 5 years ago
- Views:
Transcription
1 1 Pain Management in Advanced Practice Nursing What this means to me According to the American Academy of Pain Medicine (AAPM) pain affects more Americans than diabetes, heart disease and cancer combined (American Academy of Pain Medicine website, 2011). It is therefore critical to reflect on the topic of pain management and how I will prepare myself for serving clients with pain issues. Pain, both chronic and acute, by itself or in association with a wide range of injuries or diseases, exerts a tremendous cost on all stakeholders involved. For patients it directly affects the perception of their health status as well as their quality of life. It places an enormous emotional and financial burden on patients as well as their families. For our country and the individual states, it results in tremendous health care costs; business corporations suffer in terms of lost worker productivity and the high cost of rehabilitation. In health care itself, unrelieved pain can result in longer hospital stays, increased rates of rehospitalization, increased outpatient visits, and decreased ability to function fully, leading to lost income and loss of insurance coverage. It has been reported that: (a) most pain sufferers (63%) see their primary care provider for help, (b) up to 40% of patients with pain, have consulted a health care specialist, (d) almost as many (38%) have consulted more than one medical practitioner or specialist and, (c) up to 25% have consulted with a health care provider specializing in pain management (AAPM, 2011). Pain occurs across all ages, ethnicities, genders, and income. It may present as the chief complaint or concern during a patient visit, but also as an associated finding when patients seek care for other reasons. As a future primary care provider, I regard myself as serving on the frontlines when it comes to pain management. For most patients the primary care setting or emergency room will be the first point of service visited for a pain concern. For that reason it is of vital importance that primary care health professionals expand their knowledge regarding pain and hone their skills in pain management while at the same time, work to educate and empower their patients in order to achieve optimal pain care.
2 2 Related Course Outcomes My interpretation of how the course outcomes (Washburn University School of Nursing, 2011a) relate to pain management in advanced practice nursing, are summarized in Appendix A, table 1. Related Program Outcomes All of the desired program outcomes (Washburn University School of Nursing, 2011b) for nurse practitioners in this advance practice nursing program can be related to pain management. These relations are reflected in Appendix B, table 1. How this topic relates to my current practicum My current practicum situation in a rural primary care clinic offers a very realistic picture of the nature of pain management in primary care. For many of the patients this clinic and their trusted primary care providers are the obvious first choice of where to go in case of significant pain. Whether pain is the actual main complaint, or associated with another complaint, patients present here regularly with requests to receive care. The provider staff consisting of two family physicians, two physician assistants and one nurse practitioner, has the opportunity to assist patients with acute and chronic pain. They have the opportunity to complete initial pain assessments, to provide prompt, appropriate pain control and when needed, refer the patients to appropriate specialty care. They also assess and treat patients with chronic pain over extended periods of time and continue to provide primary health care services for patients who are being followed by pain specialists. During my clinical hours I have had the opportunity to observe a wide variety of pain management scenarios. The majority of patients presented with pain as an associated finding to another disease, injury or condition. In these cases, treatment of the primary cause of the pain as well as symptomatic treatment occurred. For example, an adolescent with severe otitis externa was treated for the infection as well as prescribed some otic analgesic to treat the pain; patients with diabetic neuropathy were managed for their diabetes as well as the pain. Patients with chronic inflammatory diseases which were fairly well controlled were managed with a mindset of preventing flare-ups thus preventing the pain associated with disease
3 3 exacerbation. A few patients were seen purely for the purpose of pain control; most of them as chronic pain patients where a fairly extensive treatment history indicating treatment failures and successes had been recorded. Some patients did not yet achieve relative treatment success but were still in the process of exploring and trying different treatment options. Patients where primary care treatment options were exhausted were promptly referred for evaluation and treatment by a pain specialist. Some patients who already receive their pain management care from pain specialty practices were seen in the clinic for other reasons but in accordance with their pain contracts, no analgesic treatments were prescribed by the primary care team. In a few isolated cases, patients who had lost treatment privileges with pain specialty providers were accepted back for pain treatment in the primary care clinic. These patients were treated in accordance with the pain contract they established with the specific primary care provider and in one case a patient was denied further treatment at the facility due to non-adherence to the stipulations of the pain contract. The providers at the clinic ensured the relevancy of their treatment recommendations through frequent collaboration with each other and other specialists, continuing education, review of evidence based practice recommendations and resources clarifying legal and ethical principles. How my future advanced practice will be influenced by this topic In my practice I hope to demonstrate the significant role advanced nurse practitioners can play in the improvement of pain management for patients from all walks of life. As part of an interdisciplinary team I hope to provide a medical home for patients with acute and chronic pain where they can receive holistic, individualized, culturally appropriate and socially acceptable pain management care. I regard the following principles and the application of each as crucial in the delivery of successful pain care: a. The patient should be the central focus. Assessment, planning, education, implementing and evaluating the plan of care should be individualized to the patient s specific needs, abilities and circumstances and should be culturally appropriate. b. Pain should be accurately and adequately assessed and quantified. The perception of pain is highly individualized and a sincere interest in how this patient perceives his/her pain is necessary to accurately assess the pain.
4 4 c. Pain should be treated adequately. It is unethical to deny a patient adequate treatment of pain or the attempt to adequately treat pain. A treatment plan which takes all the consequences of treatment (or withholding treatment) into consideration should be negotiated with the patient as an active participant. d. The patient s ability to function normally should be maximized. Considering the tremendous cost associated with unrelieved pain, treatment should attempt to preserve, restore and maximize optimal level of functioning. e. Pain management should account for gender and culture differences. The influence of perceptual biases should be recognized and avoided in the design of pain management. f. Warning signs should be identified early. Any findings which may suggest potentially serious underlying cause of the patient s pain or factors which may adversely affect the desired outcome, should be recognized early and in such cases, prompt referral to clinical specialists should be made. g. Understand and differentiate tolerance, dependence and addiction. A better understanding of the differences between tolerance, dependence and addiction should be cultivated among health care professionals, patients, family members and policy makers. Patient education and advocacy is crucial to improved understanding and better acceptance of different treatment options. h. Minimize side effects. The benefits of treatment should be weighed against the adverse effects and a viable compromise should be negotiated. If pharmacological treatment cannot be fully utilized due to the adverse effects, alternative and complementary treatments should be considered. i. Increase familiarity and utilization of complementary therapies. These treatments offer a major contribution in expanding the spectrum of possible treatments and may render more holistic care. j. Adhere to high ethical and legal standards of practice. Strict adherence and frequent knowledge updates on the most current ethical and legal standards safeguards against allegations of inappropriate practice. Accurate documentation is of the essence.
5 5 k. Require patients to adhere to a clear and carefully negotiated contract for pain treatment. This is especially important in cases where fraudulent use of analgesics and prescription medications is a concern. In conclusion, I know that as I proceed towards advanced nursing practice, I will frequently and diligently reflect on this topic. Consistent knowledge updates in the most current treatment recommendations will become a regular activity (as it is already) as will regular review of ethical and legal standards regarding pain management. References American Academy of Pain Medicine website. (2011). Buttaro, T.M. Trybulski, J., Bailey, P.P. and Sandberg-Cook, J. (2008). Primary care: A collaborative practice (3 rd ed.). St. Louis, MO: Mosby Washburn University School of Nursing (WUSON). (2011, Fall). Course syllabus: NU602 Adult Health Practicum I. Retrieved September 12, 2011 from Washburn University Angel website: Washburn University School of Nursing (WUSON). (2011). MSN Student Handbook Retrieved September 12, 2011 from Washburn University Angel website:
6 6 Appendix A Table 1 Relation of course outcomes to pain management in advanced practice nursing Course Outcomes 1. Integrate knowledge from previous courses to care for diverse adults in primary care settings. 2. Apply critical thinking skills in the development of differential diagnoses related to select health problems encountered by adult populations. 3. Exhibit advanced communication skills in interdisciplinary settings. 4. Develop culturally appropriate, individualized patient education programs. 5. Design therapeutic interventions to maximize health and wellness in diverse adult populations. 6. Evaluate diagnostic test results in collaboration with interdisciplinary teams. How I relate this to Pain Management 1. Integrating knowledge facilitates better understanding of the pathophysiology of pain, how to appropriately assess pain and which treatments may be appropriate. Knowledge of nursing theories shape approaches toward pain management and knowledge of ethical principles guides professional conduct. 2. Application of critical thinking skills assist in considering the many different causes of pain and which treatment modalities would be most useful under certain circumstances. It is also of the utmost importance when evaluating the efficacy of treatment and managing cases of treatment failure. 3. Effective communication is vital in the accurate assessment of pain and in constructive collaboration with other professionals. Advanced written communication skills is especially important when documenting pain assessments, treatments, evaluation of treatments, setting up pain contracts with patients and in cases where non-traditional approaches are being implemented. 4. Patients experiences of pain are highly individual and may be intricately affected by their cultural backgrounds and practices. Both the pain management strategy/approach/plan and educating the patient regarding pain and pain management must be both culturally appropriate and individualized in order to be viable. 5. Therapeutic interventions to reduce pain contribute to the quality of life of patients and directly impact their health and wellness. The challenge with pain management is not to stop after the first treatment - especially when addressing refractory pain but to continue designing and redesigning therapeutic interventions until optimal wellness (pain control) is achieved. 6. It is vital to evaluate diagnostic tests (to identify possible etiologies) or a patient s response to treatment in collaboration with other team members. Several different treatments/attempts and the involvement of several different professions may be needed for successful pain management.
7 7 7. Apply ethical and legal principles to care of adults in primary care settings 8. Utilize research in providing culturally competent care. 7. Adhering to ethical codes of conduct and legal principles is of absolute importance in the management of pain. Failure to do so may have serious consequences such as disciplinary action, loss of licensure, legal liability and loss of patient confidence/trust. Adherence to these principles/standards/codes of conduct should also be reflected in all documentation regarding pain management. 8. Current evidence base practice standards, standards of care, protocols and recommendations should be utilized in the design of pain management for each patient. Capitalize on the knowledge gained through research to offer the best possible solutions to patients pain concerns.
8 8 Table 1 Appendix B Relation between MSN program outcomes and pain management in advanced practice nursing Program outcomes 1. Provide organizational leadership demonstrating knowledge of health policy and health care systems 2. Integrate knowledge and theory into evidencebased practice and research. 3. Collaborate with interdisciplinary groups within the role and scope of advanced practice nursing. 4. Demonstrate sound critical thinking and clinical decision-making. 5. Provide holistic care that is culturally proficient with diverse groups and communities. 6. Incorporate ethical and legal principles in health care policies. 7. Integrate effective communication in advanced nursing roles. Relation to Pain Management 1. Knowing and understanding the policies, laws, recommendations and codes of conduct applicable to pain management allows for organizational leadership in this field and prevents unlawful use of analgesics. 2. Successful integration of knowledge and theory benefits pain management practices as it introduces new evidence on how to best identify, assess and treat pain, as well as how to best evaluate the results of pain management. 3. Effective interdisciplinary collaboration increases the quality of pain management. The complexity of pain, it s etiology and treatment often negate referral to pain management specialists and close collaboration with these specialty providers when these patients are seen in the primary care setting. 4. Critical thinking and sound judgment is of utmost importance especially in the realm of complex pain management. Achieving this outcome enables advanced practice nurses to critically analyze all findings and relevant information and to design a plan of treatment; or to recognize the need for consultation with and/or referral to other professionals. 5. Effective pain management requires skillfully tailoring different evidence based treatment options/recommendations to the individual, culturally acceptable, needs of the patient. All factors which may influence the practicality of a pain management plan should be considered in order for it to address all the needs of the patient. 6. Involvement in pain management should never be attempted without thorough knowledge and application of ethical and legal principles. Pain management practice should always occur within the ethical and legal boundaries of our profession as well as that of the community and state in which practice occurs. 7. Effective communication is key to accurately assessing pain, collaborating with other health care providers, planning a pain management regime and communicating it to all stakeholders involved. Additionally, effective written communication skills are critical in documenting care and justifying need for special approaches to pain management.
9 9
Interdisciplinary Approaches in Advanced Practice Nursing
1 Interdisciplinary Approaches in Advanced Practice Nursing What this means to me While reflecting on the meaning of an interdisciplinary approach, I think of collaboration and multidisciplinary interactions
More informationEthical and Legal Aspects of Health Care and the Role of the Advanced Practice Nurse
1 Ethical and Legal Aspects of Health Care and the Role of the Advanced Practice Nurse Introduction Impending health care reform in the United States is setting the stage for rapid and significant changes
More informationAPPENDIX B. Physician Assistant Competencies: A Self-Evaluation Tool
APPENDIX B Physician Assistant Competencies: A Self-Evaluation Tool Rate your strength in each of the competencies using the following scale: 1 = Needs Improvement 2 = Adequate 3 = Strong 4 = Very Strong
More informationNursing (NURS) Courses. Nursing (NURS) 1
Nursing (NURS) 1 Nursing (NURS) Courses NURS 2012. Nursing Informatics. 2 This course focuses on how information technology is used in the health care system. The course describes how nursing informatics
More informationAdult-Gerontology Acute Care Nurse Practitioner Preceptor Manual
COLLEGE OF HEALTH PROFESSIONS SCHOOL OF NURSING Graduate Programs Adult-Gerontology Acute Care Nurse Practitioner Preceptor Manual The Master of Science in Nursing at Wichita State University School of
More informationHong Kong College of Medical Nursing
Hong Kong College of Medical Nursing Advanced Practice Nursing (Diabetes) Certification Program Clinical Log Book Name: (Email: ) Mentor s name Clinical Practice Site Period Mentor s name Clinical Practice
More informationStandards of Care Standards of Professional Performance
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Standards of Care Standard 1 Assessment Standard 2 Diagnosis Standard 3 Outcomes Identification Standard 4 Planning Standard 5 Implementation
More informationITT Technical Institute. NU2740 Mental Health Nursing SYLLABUS
ITT Technical Institute NU2740 Mental Health Nursing SYLLABUS Credit hours: 5 Contact/Instructional hours: 90 (30 Theory Hours, 60 Clinical Hours) Prerequisite(s) and/or Corequisite(s): Prerequisite or
More informationITT Technical Institute. NU260 Maternal Child Nursing SYLLABUS
ITT Technical Institute NU260 Maternal Child Nursing SYLLABUS Credit hours: 8 Contact/Instructional hours: 160 (40 Theory Hours, 120 Clinical Hours) Prerequisite(s) and/or Corequisite(s): Prerequisites:
More informationNurse Practitioner Program Site Visitor Handbook Austin Bluffs Parkway Colorado Springs, CO ( ) Fax:
Nurse Practitioner Program Site Visitor Handbook 1420 Austin Bluffs Parkway Colorado Springs, CO 80918 (719-255-4434) Fax: 719-255-4496 1 Table of Contents IMPORTANT CONTACT INFORMATION... 3 MISSION STATEMENT...
More informationGoal #1: Mastery of Clinical Knowledge with Integration of Basic Sciences
Goal #1: Mastery of Clinical Knowledge with Integration of Basic Sciences Objective #1: To demonstrate comprehension of core basic science knowledge 1.1a) demonstrate knowledge of the basic principles
More informationSTUDY PLAN Master Degree In Clinical Nursing/Critical Care (Thesis )
STUDY PLAN Master Degree In Clinical Nursing/Critical Care (Thesis ) I. GENERAL RULES AND CONDITIONS:- 1. This plan conforms to the valid regulations of the programs of graduate studies. 2. Areas of specialty
More informationSurgical Critical Care Sub I
Course Goals Goals 1. Develop the attitude, skills, and knowledge to be able to recognize the impact of the global and local health care system and its impact on patient outcomes. 2. Develop the attitude,
More informationClinical Nurse Leader (CNL ) Certification Exam. Subdomain Weights for the CNL Certification Examination Blueprint (effective February 2012)
Clinical Nurse Leader (CNL ) Certification Exam Subdomain Weights for the CNL Certification Examination Blueprint (effective February 2012) Subdomain Weight (%) Nursing Leadership Horizontal Leadership
More informationDOCUMENT E FOR COMMENT
DOCUMENT E FOR COMMENT TABLE 4. Alignment of Competencies, s and Curricular Recommendations Definitions Patient Represents patient, family, health care surrogate, community, and population. Direct Care
More informationNurse Practitioner Student Learning Outcomes
ADULT-GERONTOLOGY PRIMARY CARE NURSE PRACTITIONER Nurse Practitioner Student Learning Outcomes Students in the Nurse Practitioner Program at Wilkes University will: 1. Synthesize theoretical, scientific,
More informationAccreditation Manual. The Hong Kong Academy of Nursing
The Hong Kong Academy of Nursing Accreditation Manual The Hong Kong Academy of Nursing Limited LG1, School of Nursing, Princess Margaret Hospital, 232 Lai King Hill Road, Lai Chi Kok, Kowloon, Hong Kong
More informationCore competencies* for undergraduate students in clinical associate, dentistry and medical teaching and learning programmes in South Africa
Core competencies* for undergraduate students in clinical associate, dentistry and medical teaching and learning programmes in South Africa Developed by the Undergraduate Education and Training Subcommittee
More informationUNIVERSITY OF SOUTH ALABAMA ADULT HEALTH NURSING
UNIVERSITY OF SOUTH ALABAMA ADULT HEALTH NURSING 1 Adult Health Nursing AHN 347 Adult Health Nursing I 3 cr Provides the opportunity to analyze theories, concepts, research, issues and trends in caring
More informationITT Technical Institute. NU1421 Clinical Nursing Concepts and Techniques II SYLLABUS
ITT Technical Institute NU1421 Clinical Nursing Concepts and Techniques II SYLLABUS Credit hours: 6 Contact/Instructional hours: 100 (30 Theory Hours, 40 Lab Hours, 30 Clinical Hours) Prerequisite(s) and/or
More informationNURS 600. Course Objectives: The student will be able to
NURS 600 Course Objectives: The student will be able to 1. Distinguish between normal and abnormal findings, subjectively and objectively; 2. Gather a focused and complete history; 3. Perform a focused
More informationFamily Practice Clinic
Family Practice Clinic FNP Job Description (Hospital Privileges) General: The Family Nurse Practitioner (FNP) assesses, plans and provides comprehensive patient care independently or in autonomous collaboration
More informationMaster of Science in Nursing Program. Nurse Educator / Clinical Leader Orientation Handbook for Preceptors. Angelo State University
Master of Science in Nursing Program Nurse Educator / Clinical Leader Orientation Handbook for Preceptors Angelo State University Revised: Fall 2014; Summer 2017 1 TABLE OF CONTENTS Master of Science in
More informationPOSITION STATEMENT. - desires to protect the public from students who are chemically impaired.
Page 1 of 18 POSITION STATEMENT The School of Pharmacy and Health Professions: - desires to protect the public from students who are chemically impaired. - recognizes that chemical impairment (including
More informationSASKATCHEWAN ASSOCIATIO. RN Specialty Practices: RN Guidelines
SASKATCHEWAN ASSOCIATIO N RN Specialty Practices: RN Guidelines July 2016 2016, Saskatchewan Registered Nurses Association 2066 Retallack Street Regina, SK S4T 7X5 Phone: (306) 359-4200 (Regina) Toll Free:
More informationExpanded Catalog 8/17/2017
NRS 201301401 Individualized Educational Review Course Total Credits 2 1-2 This course is designed for students whose LOA was triggered by academic probation who return from LOA to assure student readiness
More informationNURSING (MN) Nursing (MN) 1
Nursing (MN) 1 NURSING (MN) MN501: Advanced Nursing Roles This course explores skills and strategies essential to successful advanced nursing role implementation. Analysis of existing and emerging roles
More informationTest Content Outline Effective Date: December 23, 2015
Board Certification Examination There are 200 questions on this examination. Of these, 175 are scored questions and 25 are pretest questions that are not scored. Pretest questions are used to determine
More informationDRAFT CORE CNS COMPETENCIES November 1, Patient - Represents patient, family, health care surrogate, community, and population.
1 DRAFT CORE CNS COMPETENCIES November 1, 2017 Patient - Represents patient, family, health care surrogate, community, and population. Direct Care - Direct interaction with patients, families, and groups
More informationGraduate Nursing Student Handbook Policies and Procedures
Graduate Nursing Student Handbook Policies and Procedures 2017-2018 I. The Nursing Program TABLE OF CONTENTS Welcome to Nursing 3 Mission of Alverno College 4 Mission of the JoAnn McGrath School of Nursing
More informationGraduate Nursing Student Handbook Policies and Procedures
Graduate Nursing Student Handbook Policies and Procedures 2016-2017 I. The Nursing Program TABLE OF CONTENTS Welcome to Nursing 3 Mission of Alverno College 4 Mission of the JoAnn McGrath School of Nursing
More informationEleanor Mann School of Nursing. Graduate Preceptor Handbook
Eleanor Mann School of Nursing Graduate Preceptor Handbook 2017 WELCOME Dear Graduate Preceptor: Thank you for sharing your knowledge and clinical/academic expertise with our graduate students. The Eleanor
More informationU.H. Maui College Allied Health Career Ladder Nursing Program
U.H. Maui College Allied Health Career Ladder Nursing Program Progress toward level benchmarks is expected in each course of the curriculum. In their clinical practice students are expected to: 1. Provide
More informationReasoning Clearly demonstrates critical thinking skills and consistently reflects these skills in practice
Domain: Clinical Thinking and Judgment Ability of nurses to use their clinical knowledge to affect patient outcome. It incorporates clinical reasoning, which includes clinical decision-making, critical
More informationASSOCIATION OF CHILD LIFE PROFESSIONALS MESSAGE HANDBOOK
TRG Ceative Brief 9 9 16 - CC edits from ASSOCIATION OF CHILD LIFE PROFESSIONALS MESSAGE HANDBOOK Prepared September 2016 TABLE OF CONTENTS INTRODUCTION 3 KEY CONSIDERATIONS 4 INTERNAL MESSAGE PLATFORM
More informationI. LIVE INTERACTIVE TELEDERMATOLOGY
Position Statement on Teledermatology (Approved by the Board of Directors: February 22, 2002; Amended by the Board of Directors: May 22, 2004; November 9, 2013; August 9, 2014; May 16, 2015; March 7, 2016)
More informationPalliative Care Competencies for Occupational Therapists
Principles of Palliative Care Demonstrates an understanding of the philosophy of palliative care Demonstrates an understanding that a palliative approach to care starts early in the trajectory of a progressive
More informationANA Position Statement (Draft for Public Comment) The Ethical Responsibility to Manage Pain and Suffering
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 ANA Position Statement (Draft for Public Comment) Purpose: The national debate on the appropriate use of opioids creates
More informationMacomb County Community Mental Health Level of Care Training Manual
1 Macomb County Community Mental Health Level of Care Training Manual Introduction Services to Medicaid recipients are based on medical necessity for the service and not specific diagnoses. Services may
More informationOverview of the Family Nurse Practitioner Track
Overview of the Family Nurse Practitioner Track The ACCN Essentials of Master s Education for Advanced Nursing Practice (2011), HRSA- Nurse Practitioner Primary Care Competencies in Specialty Areas (Family)
More informationRULES OF THE TENNESSEE BOARD OF NURSING CHAPTER ADVANCED PRACTICE NURSES & CERTIFICATES OF FITNESS TO PRESCRIBE TABLE OF CONTENTS
RULES OF THE TENNESSEE BOARD OF NURSING CHAPTER 1000-04 ADVANCED PRACTICE NURSES & CERTIFICATES TABLE OF CONTENTS 1000-04-.01 Purpose and Scope 1000-04-.07 Processing of Applications 1000-04-.02 Definitions
More informationStandards of Practice for Professional Ambulatory Care Nursing... 17
Table of Contents Scope and Standards Revision Team..................................................... 2 Introduction......................................................................... 5 Overview
More informationPurpose. Admission Requirements. The Curriculum. Post Graduate/APRN Certification
POST GRADUATE/APRN CERTIFICATE Post Graduate/APRN Certification Purpose This distance education program is designed for the experienced registered nurse who has earned a master s or doctoral degree in
More informationsecond year level nursing courses (NURS 210, NURS 250, NURS 251, NURS 252 and NURS 360) and admission to program.
Nursing (NURS) 1 Nursing (NURS) NURS 189. Skills for Academic Success. 1 Credit. This course is designed to ease the transition for new students at NDSU. Students will be introduced to campus and learn
More informationComplementary and Alternative Health Care and Natural Health Products Standards
Standards Complementary and Alternative Health Care and Natural Health Products Standards Month Year NATURAL HEALTH PRODUCTS i Approved by the College and Association of Registered Nurses of Alberta ()
More informationAbout the PEI College of Pharmacists
CODE OF ETHICS About the PEI College of Pharmacists The PEI College of Pharmacists is the registering and regulatory body for the profession of pharmacy in Prince Edward Island. The mandate of the PEI
More informationCollege of DuPage. Associate Degree Nursing Program
Student Name: Clinical Instructor: Clinical Site &Term: College of DuPage Associate Degree Nursing Program Clinical Evaluation Tool: Nursing 2340 Clinical Decision Making Practicum Student Learning Outcome
More informationNURS 147A NURSING PRACTICUM PSYCHIATRIC/MENTAL HEALTH NURSING CLINICAL EVALUATION CRITERIA. SAN JOSE STATE UNIVERSITY School of Nursing
SAN JOSE STATE UNIVERSITY School of Nursing NURS 147A - Nursing Practicum IVA - 2 Units Psychiatric/Mental Health Nursing Based on Scope and Standards of Psychiatric-Mental Health Nursing Practice (AP,
More informationScope of Practice for Registered Nurses
Scope of Practice for Registered Nurses May 2011 SCOPE OF PRACTICE FOR REGISTERED NURSES MAY 2011 i Approved by the College and Association of Registered Nurses of Alberta () Provincial Council, May 2011.
More informationThe American Occupational Therapy Association Advisory Opinion for the Ethics Commission Ethical Issues Concerning Payment for Services
The American Occupational Therapy Association Advisory Opinion for the Ethics Commission Ethical Issues Concerning Payment for Services The current health care environment has created the potential for
More informationPediatric Residents. A Guide to Evaluating Your Clinical Competence. THE AMERICAN BOARD of PEDIATRICS
2017 Pediatric Residents A Guide to Evaluating Your Clinical Competence THE AMERICAN BOARD of PEDIATRICS Published and distributed by The American Board of Pediatrics 111 Silver Cedar Court Chapel Hill,
More informationIntroduction...2. Purpose...2. Development of the Code of Ethics...2. Core Values...2. Professional Conduct and the Code of Ethics...
CODE OF ETHICS Table of Contents Introduction...2 Purpose...2 Development of the Code of Ethics...2 Core Values...2 Professional Conduct and the Code of Ethics...3 Regulation and the Code of Ethic...3
More informationCapital Area School of Practical Nursing Fundamentals of Nursing with Medical Terminology Course Syllabus
Course Information: Time: 12:30 4:00 p.m. Theory Contact Hours: 143.5 Instructor Information: Karen Durr RN BSN Office: 217-585-1215 ext. 207 Email: sdurr@caspn.edu Capital Area School of Practical Nursing
More informationMASTER OF SCIENCE IN NURSING (MSN)
MASTER OF SCIENCE IN NURSING MASTER OF SCIENCE IN NURSING (MSN) Purpose The purpose of the distance education Master of Science in Nursing at Wilkes University is to prepare the Nurse Practitioner, Nurse
More informationCode of Ethics Guidance Document for the Respiratory Care Practitioner
Code of Ethics Guidance Document for the Respiratory Care Practitioner Preamble The Code of Ethics for the Respiratory Care Practitioner (Code of Ethics) delineates the ethical obligations of all Respiratory
More informationSCOPE OF PRACTICE PGY 1-4 and above
The MUSC Scope of Practice (SOP) for residents working in psychiatry clarifies those activities and types of care that residents may perform within the MUSC Health System (MUHA). It reflects both milestone
More informationCOUNSELING PRACTICUM AND INTERNSHIP FORMS
COUNSELING PRACTICUM AND INTERNSHIP FORMS 1. Student Acknowledgement Form: Reading the Student Handbook 2. CACREP Practicum & Internship Guidelines 3. Practicum and Internship Application Form 4. Student
More informationGlobal Healthcare Accreditation Standards Brief 4.0
Global Healthcare Accreditation Standards Brief 4.0 for Medical Travel Services Effective June 1, 2017 Copyright 2017, Global Healthcare Accreditation Program All rights Version reserved. 4.0 No Reproduction
More informationPurpose. DNP Program Outcomes. DNP Student Learning Outcomes. Admission Requirements. Doctor of Nursing Practice (DNP)
DOCTOR OF NURSING PRACTICE (DNP) Doctor of Nursing Practice (DNP) Purpose The distance education program leading to the Doctor of Nursing Practice degree at Wilkes University is linked to the mission statements
More informationBrooks College of Health Nursing Course Descriptions
CATALOG 2010-2011 Undergraduate Information Brooks College of Health Nursing Course Descriptions NSP3486: AIDS: A Health Perspective 3 This course provides a comprehensive view of the spectrum of HIV infection
More informationCOLORADO COMMUNITY HEALTH NETWORK SCOPE OF PRACTICE MATRIX FIELD OF PRACTICE: NURSING (BOARD OF NURSING)
COLORADO COMMUNITY HEALTH NETWORK MATRIX FIELD OF : NURSING (BOARD OF NURSING) ADVANCED NURSES: NURSE PRACTITIONER (NP) According to the Colorado Nurse Practice Act: 12-38-111.5. Requirements for advanced
More informationCOMPETENCY AREAS. Program Accreditation
COMPETENCY AREAS The NADD evaluates the philosophy and practice of the accredited program in relation to eighteen competency areas. The competency areas are: Medication Reconciliation Holistic Bio-Psycho-Social
More informationPN Program Curriculum
PN Program Curriculum Title Description Semester 1 Perquisites 13 BIOH 104 Basic Human 3 Biology BIOH 105 Basic Human 1 Biology Lab Psych Introduction to 3 100S Psychology M 120 Mathematics with 3 Health
More informationCourse Descriptions. Undergraduate Course Descriptions
Course Descriptions Undergraduate Course Descriptions NRS 305/405 Reading and Conference 1-2 credits Prerequisites: None NRS 307/407 Seminar 1-2 credits Prerequisites: None NRS 309/409 Practicum 2 credits
More informationRunning head: CLINICAL/PRACTICUM LEARNING ANALYSIS PAPER
Clinical/Practicum Learning Analysis 1 Running head: CLINICAL/PRACTICUM LEARNING ANALYSIS PAPER Clinical/Practicum Learning Analysis Paper Carol A. Lamoureux-Lewallen Briar Cliff University Clinical/Practicum
More informationGuidelines for Psychiatric Practice in Public Sector Psychiatric Inpatient Facilities RESOURCE DOCUMENT
Guidelines for Psychiatric Practice in Public Sector Psychiatric Inpatient Facilities RESOURCE DOCUMENT Approved by the Board of Trustees, December 1993 The findings, opinions, and conclusions of this
More informationCode of Ethics and Professional Conduct for NAMA Professional Members
Code of Ethics and Professional Conduct for NAMA Professional Members 1. Introduction All patients are entitled to receive high standards of practice and conduct from their Ayurvedic professionals. Essential
More informationSCOPE OF PRACTICE PGY-4 & PGY-5
Introduction: The MUSC Scope of Practice (SOP) for Child and Adolescent Psychiatry Residents clarifies those activities and types of care that residents may perform within the MUSC Health System (MUHA).
More informationNATIONAL ACADEMY OF CERTIFIED CARE MANAGERS
NATIONAL ACADEMY OF CERTIFIED CARE MANAGERS Content Domains and Care Manager Tasks The Care Manager Certification examination questions contain content from the following domains. The approximate percentage
More informationCollaborative. Decision-making Framework: Quality Nursing Practice
Collaborative Decision-making Framework: Quality Nursing Practice December 7, 2016 Please note: For consistency, when more than one regulatory body is being discussed in this document, the regulatory bodies
More informationSTANDARDS OF PRACTICE 2018
STANDARDS OF PRACTICE nurse pr ac titioner 2018 RESPONSIBILITY AND ACCOUNTABILITY ASSESSMENT AND DIAGNOSIS COLLABORATION, CONSULTATION AND REFERRAL LEADERSHIP AND ADVOCACY CLIENT CARE MANAGEMENT CRNNS
More informationThe Milestones provide a framework for the assessment
The Transitional Year Milestone Project The Milestones provide a framework for the assessment of the development of the resident physician in key dimensions of the elements of physician competency in a
More informationNUR 540 Course Syllabus. Course Prerequisites: Admission to the Nursing graduate program
NUR 540 Course Syllabus Name of College Department College of Health and Human Services School of Nursing Course Prefix, Number NUR 540 Title: Pharmacology for Advanced Practice Nurses Semester Course
More informationCollege of Registered Psychiatric Nurses of British Columbia. REGISTERED PSYCHIATRIC NURSES OF CANADA (RPNC) Standards of Practice
REGISTERED PSYCHIATRIC NURSES OF CANADA (RPNC) Standards of Practice amalgamated with COLLEGE OF REGISTERED PSYCHIATRIC NURSES OF BC (CRPNBC) Standards of Practice as interpretive criteria The RPNC Standards
More informationNYS Ophthalmological Society American Congress of Obstetricians and Gynecologists Medical Society of the State of NY NYS Radiological Society NYS
NYS Ophthalmological Society American Congress of Obstetricians and Gynecologists Medical Society of the State of NY NYS Radiological Society NYS Society of Orthopaedic Surgeons NYS Society of Otolaryngology-Head
More informationClient Rights and Responsibilities
Client Rights and Responsibilities About This Publication This publication was jointly prepared by the National Board for Certified Counselors and Chi Sigma Iota to help clients understand and exercise
More informationDelegated Functions. Guidelines for Registered Nurses. College of Registered Nurses of Nova Scotia
Delegated Functions Guidelines for Registered Nurses College of Registered Nurses of Nova Scotia Delegation Functions: Guidelines for Registered Nurses 31 October 2017, 2012, College of Registered Nurses
More informationCollaborative. Decision-making Framework: Quality Nursing Practice
Collaborative Decision-making Framework: Quality Nursing Practice SALPN, SRNA and RPNAS Councils Approval Effective Sept. 9, 2017 Please note: For consistency, when more than one regulatory body is being
More informationRole and Purpose of the Code of Ethics...1. Who does the Code of Ethics Apply to?...2. Compliance with the Code of Ethics...2
CONTENTS TS Role and Purpose of the Code of Ethics....1 Who does the Code of Ethics Apply to?...2 Compliance with the Code of Ethics....2 Understanding the Professional Role and Commitment of Healthcare
More informationHealth Science Career Cluster (HL) Therapeutic Services - Patient Care Career Pathway (HL-THR) 13 CCRS CTE
Health Science Career Cluster (HL) 1. Determine academic subject matter, in addition to high school graduation requirements, necessary for pursuing a health science career. 2. Explain the healthcare worker
More informationPatient Advocate Certification Board. Competencies and Best Practices required for a Board Certified Patient Advocate (BCPA)
Patient Advocate Certification Board Competencies and Best Practices required for a Board Certified Patient Advocate (BCPA) Attribution The Patient Advocate Certification Board (PACB) recognizes the importance
More informationUses a standard template but may have errors of omission
Evaluation Form Printed on Apr 19, 2014 MILESTONE- BASED FELLOW EVALUATION Evaluator: Evaluation of: Date: This is a new milestone-based evaluation. To achieve a level, the fellow must satisfy ALL the
More informationAFMRD Guidelines for Individual Areas of Concentration
AFMRD Guidelines for Individual Areas of Concentration Background Many family medicine residents have specific areas of interest within the breadth of family medicine. At present there is no uniform framework
More informationMajors with semester credit hours (SCH)
Majors with semester credit hours (SCH) Nurse Clinician Specialist (concentration in education) (36 SCH) Graduate Core (9 SCH) NURS 5310 Nursing Theories and Processes NURS 5370 Research Methods NURS 5338
More informationPART IIIA DEGREE GRANTING PROGRAMS CURRICULA
PART IIIA DEGREE GRANTING PROGRAMS CURRICULA Associate of Applied Science Degree Nursing (Associate of Applied Science Degree) Objective The program objective is to prepare the student to enter the profession
More informationStudent, Faculty and Preceptor Handbook Adult Gerontology Nurse Practitioner Track Family Nurse Practitioner Track
The William Paterson University of NJ Department of Nursing Graduate Program Student, Faculty and Preceptor Handbook Adult Gerontology Nurse Practitioner Track Family Nurse Practitioner Track Partnerships
More informationNational Multiple Sclerosis Society
National Multiple Sclerosis Society National 1 Kim, National diagnosed MS in Society 2000 > HEALTH CARE REFORM PRINCIPLES America s health care crisis prevents many people with multiple sclerosis from
More informationDepartment of Veterans Affairs VA HANDBOOK 5005/106 [STAFFING
Department of Veterans Affairs VA HANDBOOK 5005/106 Washington, DC 20420 Transmittal Sheet April 3, 2018 [STAFFING 1. REASON FOR ISSUE: To revise the Department of Veterans Affairs (VA) qualification standard
More informationTasks and Knowledge Statements and Recommended Bibliography
CNS PERIOPERATIVE SPECIALTY CERTIFICATION EXAM Tasks and and Recommended Bibliography Domain 1: Clinical Expert in Delivery of Advanced Perioperative Care Behavioral responses to physiological and psychological
More informationGuidelines for Graduate APRN Clinical Experiences
Guidelines for Graduate APRN Clinical Experiences The following guidelines have been developed to clarify the faculty, preceptor, and student s role during their clinical experience. Definition of terms:
More informationAlberta Breathes: Proposed Standards for Respiratory Health of Albertans
Alberta Breathes: Proposed Standards for Respiratory Health of Albertans The concept of Alberta Breathes and these standards was developed in consultation with over 150 health professionals and stakeholders
More informationThis is the consultation responses analysis put together by the Hearing Aid Council and considered at their Council meeting on 12 November 2008
Analysis of responses - Hearing Aid Council and Health Professions Council consultation on standards of proficiency and the threshold level of qualification for entry to the Hearing Aid Audiologists/Dispensers
More informationWhat are the potential ethical issues to be considered for the research participants and
What are the potential ethical issues to be considered for the research participants and researchers in the following types of studies? 1. Postal questionnaires 2. Focus groups 3. One to one qualitative
More informationThis document applies to those who begin training on or after July 1, 2013.
Objectives of Training in the Subspecialty of Occupational Medicine This document applies to those who begin training on or after July 1, 2013. DEFINITION 2013 VERSION 1.0 Occupational Medicine is that
More informationNEW STANDARD OF PRACTICE PRESCRIBING
NEW STANDARD OF PRACTICE PRESCRIBING Notice to College Members June 21, 2018 Following consultation with College Members, on June 16, 2018 Council of the College approved a new Standard of Practice on
More informationHealth Care Foundation Standards: 1 Academic Foundation 2 Communications 3 Systems 4 Employability Skills 5 Legal Responsibilities 6 Ethics
Health Care Foundation Standards: Eleven standards comprise the Health Care Foundation Standards category of the National Health Care Skill Standards. Prior to entering the health care workforce or entering
More informationWPS Integrated Care Management Improving health, one member at a time
WPS Integrated Care Management Improving health, one member at a time Integrated Care Management supports and promotes member health Looking for more from your group health insurance for your employees?
More informationCommunity Health Network of San Francisco Committee on Interdisciplinary Practice
Community Health Network of San Francisco Committee on Interdisciplinary Practice Title: Pain Consultation Service - Clinical Pharmacist I. Policy Statement A. It is the policy of the Community Health
More informationALABAMA BOARD OF MEDICAL EXAMINERS ADMINISTRATIVE CODE CHAPTER 540-X-19 PAIN MANAGEMENT SEVICES TABLE OF CONTENTS
Medical Examiners Chapter 540-X-19 ALABAMA BOARD OF MEDICAL EXAMINERS ADMINISTRATIVE CODE CHAPTER 540-X-19 PAIN MANAGEMENT SEVICES TABLE OF CONTENTS 540-X-19-.01 540-X-19-.02 540-X-19-.03 540-X-19-.04
More informationPrepared Jointly by the American Society of Health-System Pharmacists and the Academy of Managed Care Pharmacy
Required and Elective Educational Outcomes, Educational Goals, Educational Objectives, and Instructional Objectives for Postgraduate Year One (PGY1) Managed Care Pharmacy Residency Programs Prepared Jointly
More information