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The scope of practicedescribes the procedures, actions, and processes that a health care practitioner is permitted to undertake in keeping with the terms of their professional license.

(Scope of practice – Wikipedia https://en.wikipedia.org/wiki/Scope of_practice)

Recommended readings:

1. Scope of practice of nurse practitioners: professional role. https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners

2. State practice environment (AANP). https://www.aanp.org/advocacy/state/state-practice-environment

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3. I want to take an opportunity to discuss our new granted privilege to prescribe controlled substance. There are five classes of substance considered under the Comprehensive Drug Abuse Prevention and Control Act of 1970 (Comprehensive Drug Abuse Prevention and Control Act of 1970, 2019).This privilege was legally approved in Florida, the last state to grant such a privilege for midlevel practitioners, in 2017( Kellangs & Maye, 2017).  Once licensed as Florida Nurse Practitioner (NP) license, you will need 2 hours of controlled substance prescription CEUs and to apply for the DEA license.  The application cost $ 731 and it’s valid for three years. NPs are required to have a controlled substance agreement with the supervising physician.

 DEA website https://apps.deadiversion.usdoj.gov/webforms/jsp/regapps/common/newAppLogin.jsp

References

Comprehensive Drug Abuse Prevention and Control Act of 1970. Retrieved on March 10, 2019 fromhttps://en.wikipedia.org/wiki/

Comprehensive_Drug_Abuse_ Prevention_and_Control_Act_of_1970

Kellams, J. R., & Maye, J. P. (2017). The last state to grant nurse practitioners DEA licensure: An education improvement initiative on the Florida prescription drug monitoring program. Journal of addictions nursing, 28(3), 135-142. doi: 10.1097/JAN.0000000000000177

U.S Department of Justice and Drug Enforcement Administration. Diversion control division. Application for Registration Under Controlled Substances Act of 1970 (NewApplicants Only). Retrieved from https://apps.deadiversion.usdoj.gov/webforms/jsp/regapps/common/newAppLogin.jsp

 
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Discussion 19305823

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Discussion 19376203

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Discuss the concept of life review. What are the goals and benefits of a life review? How is life review similar and different than ordinary remembering?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

 
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Discussion 19370875

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https://ed.ted.com/on/hj5pWxkQ

Watch the TED-Ed video on Mission & Vision statements. Then find the mission and vision statement of the organization you are presently working in. If you are not currently employed please choose an organization you worked at or an organization you would like to work for. 

Answer the following:

  1. State the Mission and Vision of the organization.
  2. Comment on if what is stated in the mission and vision is truly practiced in the organization. Cite specific examples if they do or do not practice this. 
  3. Look at the organizational structure (TO-Table of Organization or organizational chart) and roles within the organization. Comment on the Advantages and the Disadvantages of the structure in your organization. Pay close attention to where nursing is in the organizational table and discuss if it is on a level that is equal to other departments.
  4. Does Nursing have its own Mission and vision statement? If so, how is it similar or different from the overall organizational statement?

Please make sure that you use APA style when citing and/or referencing this post. 

 
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Discussion 19366983

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Assignment:

Three-part APA Paper….

Part 1: Reflect on how those experiences from the Discussion Post impact your nursing practice now?

Part 2: Discuss what ageing biases you have witnessed &/or perpetrated.

Part 3: Create a community education plan to address ageing bias.

The assignment should be written in an APA-formatted essay. The essay should be at least 1500 words in length and include at least two scholarly sources other than provided materials.

 
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  1. How does a person’s difference in age, culture, race, gender and living situation impact your comfort as a nurse in communicating with them?
  2. While growing up, how were OAs (Older Adults) treated in your family, culture, community and in society (identify the year range).

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

 
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Discussion 19359475

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Discussion 

Being a DNP includes using evidence-based communication skills, change processes, and interventions.  For this week, please use and reference readings from your current and previous courses (or use readings outside of the courses that you believe are relevant) and address from your current field experience:

By tomorrow Wednesday 09/25/19 at 14:00 , write a minimum of 550 words essay in APA format with at least three scholarly references that include the level one headers as numbered below:

1.  What evidence-based communication skills, change processes, and interventions are you using to guide your work in the field experience? Please be complete and provide at least 2 examples of how you are using these practices. 

2.  How does the use of these evidence-based strategies assist you in meeting 

a) DNP essentials (be specific as to which essentials); and 

b) your objectives (also please be specific) (see attached file for my objectives).

3.  If this is not your first field experience, please compare and contrast what you are seeing this term versus last terms.

 
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Discussion 19346563

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A 39-year-old homeless man presents to the emergency department for cough and fever. He says that his illness has been worsening over the past 2 weeks. He originally had dyspnea on exertion and now is short of breath at rest. On questioning, he tells you that he lives in a homeless shelter when he can, but he frequently sleeps on the streets. He has used IV drugs (primarily heroin) “on and off” for many years. He denies medical history but the only time he gets medical attention is when he comes to the emergency department for an illness or injury. On review of systems, he complains of fatigue, weight loss, and diarrhea. On examination, he is a thin, disheveled man appearing much older than his stated age. His temperature is 100.5°F (38.0°C), his blood pressure is 100/50 mm Hg, his pulse is 105 beats/min, and his respiratory rate is 24 breaths/min. His initial oxygen saturation is 89% on room air, which comes up to 94% on 4 L of oxygen by nasal cannula. Significant findings on examination include dry mucous membranes, a tachycardic but regular cardiac rhythm, a benign abdomen, and generally wastedappearing extremities. His pulmonary examination is significant for tachypnea and fine crackles bilaterally, but no visible signs of cyanosis. His chest x-ray is read by the radiologist as having diffuse, bilateral,

interstitial infiltrates that look like “ground glass.”

Answer the following questions

What is the most likely cause of this patient’s current pulmonary

complaints?

➤ What underlying illness does this patient most likely have?

➤ What testing and treatment should be started now?

 
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  1. Discuss at least two potential ethical issues that could be of concern with nursing use of social media.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
 
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Discussion 19337519

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Based on your readings from the text, posted materials and the video https://ed.ted.com/on/ovp7iksE(5 mins ), identify and discuss the leadership style of your immediate supervisor by using specific examples that demonstrate that style.  Does your supervisor have an effective leadership style or not? Why? Make your recommendations on how the leadership style could be improved.  Provide references on which you base your answers. If you are not presently employed, you may use a previous supervisor.

 
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