Presentation will be on acute care Please add speaker notes

Resources: Microsoft® PowerPoint® Presentation Tutorials, Center for Writing Excellence

Select one of the health care service providers identified in your Week Three assignment, Health Care Providers and Products.

Prepare an 8- to 10-slide Microsoft® PowerPoint® presentation with detailed speaker notes that discusses the health care service provider selected.

Include the following in your presentation:

• Identify the selected health care service provider selected.
• Identify two additional services and products he or she provides.
• Identify the roles of various stakeholders and emerging roles within the health care service provider selected.
• Explain how the services and products are financed or paid for.
• Identify current and future trends that may have an impact on this provider of health care services.

Cite at least 3 peer-reviewed or scholarly references and your textbook to support your presentation.

Format your presentation according to APA guidelines. Your presentation must include an introduction slide, conclusion slide, and a reference slide.

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I need a help with my pediatric soap note 

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The American Nurses Association determines scopes and standards of practice and implements them for all nurses. These scopes and standards are universal guidelines for all specialties (ANA, 2015).When developing standards and scopes, leaders in specialty nursing organizations begin by asking six key questions:

1. “Who?Identify numbers of nurses, professional organization/society, and educational preparation.”
2. “What?Explain the unique contributions of generalist and advanced practice registered nurses.”
3. “When?Determine when these specialty nurses are needed.”
4. “Where? Describe practice environments in sufficient detail to understand specialty practice.”
5. “Why? Determine what niche or gap is filled; the historical perspective of the development of the specialty; current issues and future trends in health care that point to the need for the specialty.”
6. “How? Identify the process to become this type of nurse specialist, including development through formal education, continuing education, and practice experiences. Address use of the nursing process and the Code of Ethics” (ANA, 2015). 

The Oregon Nurse Practice Act consists of Oregon Revised Statutes, chapter 678.010-678.445 (laws) and Oregon Administrative Rules, chapter 851 (rules). Any revisions are made by the Oregon State Legislature. There are in-person board meetings where the rule making occurs and rule divisions undergo periodic review (OSBN, n.d.).

The standards of practice influence my nursing practice by offering a guideline and special parameters for practicing safe care. I have the responsibility to follow these standards not only for safe patient care, but to embody professionalism and satisfy the expectations of the entity I work for. These standards are also ways to measure my competency as a nurse as long as I am practicing within my scope of practice. 

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Nursing standard of practice helps us to define our roles on what can we do or limitation in our professional capacity. Having regulations and standards across all nursing specialties helps to improve outcomes and patient safety. (Grand Canyon, 2018).

The American Nurses Association (ANA) develops the general nursing scope and standards that apply to all nurses. Specialty organizations align with those broad parameters by developing and revising their own specific scope and standards of practice. (Maloney, 2016)

• WHO: All RN’s or APRN’s received education, titled and licensed to provide care.
• WHAT: May perform specific function on promoting wellness, preventing injury and alleviate sufferings.
• WHERE: an organized healthcare system
• WHEN: when RN’s obtain their credentials and educational requirements to perform a specific task.
• WHY: standardized procedure authorizes the RN to exceed the usual scope of RN practice.

The Nursing Practice Act (NPA) is the body of California law that mandates the Board to set out the scope of practice and responsibilities for RNs. The NPA is located in the California Business and Professions Code starting with Section 2700. Regulations which specify the implementation of the law appear in the California Code of Regulations. (California Board of Registered Nurses, n.d.)

Different entities who are involved in developing the standard of practice and promoting positive patient outcomes are: The Joint Commission on Accreditation of Healthcare Organization ( JCAHO), performs evaluation of safety regulations in workplace to promote safety and effective care; National Council of State Board of Nursing ( NCBN), develops nursing licensure standards for credential and Nursing Practice Act or NPA that defines legal scope of nursing practice in different states.

In my unit specialty which is Critical Care, Standard of practice guides us on what life saving measures we can perform independently as a nurse during CODE BLUES. For example, it is not under our scope of practice to intubate a patient regardless if he or she is in respiratory distress. We are not allowed to ask a patient to sign an informed consent for any procedure independently without speaking to their doctors to answer all their questions and concerns. All of these standards protect not only the patient but also the nurses against malpractice or negligence.

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Accountability is an essential component of professional nursing practice. As nurses, accountability is needed in order for our patients and their families to feel safe and cared for, as well as for employers to be confident in our ability to maintain competencies and provide safe patient care. Accountability is defined as one’s willingness to accept responsibility of his or her actions (Merriam-Webster. (2019). Professional accountability means that one understands his or her scope of practice and delivers appropriate care within these set scopes. If an error is made, in order to remain professionally accountable, it is our duty to report said error no matter how big or small.

     Professional accountability also means that we, as professional nurses, will meet and maintain our competencies. We will have knowledge and practice according to our state’s nurse practice act and we abide by the eight ethical principles of nursing which include; autonomy, beneficence, fidelity, justice, nonmaleficence, privacy and confidentiality, respect, and veracity (Grand Canyon University. (2018)). These ethical principles lay out our duties and responsibilities as nurses. We must do no harm, respect a person’s choices, outweigh risk vs benefit to each individual patient’s situation, keep our promises, keep patient information confidential, be honest, and have truthful full disclosure to our patients (Grand Canyon University. (2018)).

     Through the above examples, we are able to demonstrate professional accountability to our state board of nursing, our employer, and most importantly to our patients in the community we serve. By having the characteristics of professional accountability, we are held to a high standard and this is the reason nursing is one of the most trusted professions.

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