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Two Case Studies for someone familiar with 3MEncoder and (ICD-10-CM)
This assignment is for someone familiar with 3MEncoder and (ICD-10-CM).
Answer the questions in bold for both case studie ...
Two Case Studies for someone familiar with 3MEncoder and (ICD-10-CM)
This assignment is for someone familiar with 3MEncoder and (ICD-10-CM).
Answer the questions in bold for both case studies. There are 15
questions in all. Case 1 LOCATION: Outpatient, Hospital PATIENT: Daniel Briggstad ATTENDING PHYSICIAN: Jeff King, MD SURGEON: Jeff King, MD PREOPERATIVE DIAGNOSES 1. Recurrent otitis media. 2. Retained right PE tube and granulation tissue. 3. Left otitis media with effusion. POSTOPERATIVE DIAGNOSES 1. Recurrent otitis media. 2. Retained right PE tube and granulation tissue. 3. Left otitis media with effusion. 4. Right tympanic membrane perforation. PROCEDURES PERFORMED 1. Removal of right PE tube and granulation tissue from the tympanic membrane. 2. Left myringotomy with tympanostomy tube placement. ANESTHESIA: General inhalation. SURGICAL INDICATIONS: A 4-year-old male with a history of bilateral PE tubes. Since extrusion of the PE tubes, he has had recurrent episodes of otitis media. There is also granulation tissue around the right PE tube. PROCEDURE: After consent was obtained, the patient was taken to the operating room and placed on the operating table in supine position. After the adequate level of general inhalation anesthesia was obtained, the patient was draped in the appropriate manner for PE tube placement. Attention was first focused on the right ear. Utilizing an ear speculum and microscope, the external canal was cleared of cerumen. The retained extruded PE tube was removed from the tympanic membrane. In addition, granulation tissue was also removed. Subsequent examination shows a perforation of the posterior inferior area. There is no effusion. Due to the significant size of the perforation, no PE tube was placed. Attention was then focused on the left side. The ear canal was cleared of wet debris and cerumen. The tympanic membrane was noted to be opaque. The myringotomy incision was then placed in the anterior inferior quadrant. Serous effusion was suctioned. A bobbin tympanostomy tube was then placed without difficulty. Cortisporin otic suspension and a cotton ball were then placed. The patient tolerated the procedure well, and there was no break in technique. The patient was awakened and taken to the postanesthesia area in good condition. Abstracting & Coding Questions: 1. Was the removal of the tube from the right ear reported? 2. Was the removal of the tube from the left ear reported? 3. What procedure was performed on the left ear? 4. What three modifiers were reported with the CPT codes assigned for this case? 5. What CPT code(s) would be reported for this case? 6. What ICD-10-CM code(s) would be reported for this case? Case 2 LOCATION: Inpatient, Hospital PATIENT: Benito Castro ORDERING PHYSICIAN: Gregory Dawson, MD ATTENDING/ADMIT PHYSICIAN: Gregory Dawson, MD RADIOLOGIST: Morton Monson, MD PERSONAL PHYSICIAN: Ronald Green, MD EXAMINATION: Placement of a tunneled hemodialysis catheter. CLINICAL SYMPTOMS: End-stage renal disease. PLACEMENT OF TUNNELED #14.5 FRENCH HEMODIALYSIS CATHETER: The patient is a 62-year-old male with a history of renal failure. Placement of a tunneled hemodialysis catheter was requested by Dr. Green. Prior to the start of the study, the procedure was explained to the patient, including the risks, complications, and alternatives. The patient understood and consented to the exam. The patient was prepped and draped in the usual sterile fashion. An Ioban II (antimicrobial film) was placed on the skin. A 21-gauge micropuncture needle was advanced into the right internal jugular vein in the lower neck region using sterile technique under ultrasound guidance following administration of local anesthesia (1% lidocaine). Utilizing the Microvena kit, a 0.18 stainless steel wire was used to measure the distance from the junction of the right atrium/superior vena cava to the skin site, and the catheter was cut to size. A #5 French straight catheter was advanced into the internal jugular vein. The catheter was then placed to flush. A small skin incision was placed in the upper chest region. Following administration of local anesthesia (1% lidocaine), a tunnel was obtained between the two skin incisions. A vascular sheath was then placed through the tunnel, and the catheter was advanced through the peel-away sheath. The #5 French straight catheter was then removed under a Rosen wire, and a #10 French peel-away sheath was placed into the right internal jugular vein. The dilator and wire were then removed, and the end of the peel-away sheath was crimped to avoid blood loss with the patient holding his breath. The tip of the catheter was then advanced through the peel-away sheath with the tip of the junction of the right atrium/superior vena cava. The peel-away sheath was then removed and the catheter was adjusted to obtain a smooth transition. The cuff of the catheter was approximately 1 to 2 cm from the incision site. A single 2–0 Prolene suture was then placed at the catheter insertion site, and three sutures were placed at the lower neck incision site. There was no evidence of bleeding. Contrast was infused through the single port, which revealed adequate placement. Post placement chest x-ray did not reveal a pneumothorax. The patient tolerated the procedure well. The patient denied pain and shortness of breath at termination of the study. IMPRESSION: Placement of a tunneled #14.5 French hemodialysis catheter through the right internal jugular vein as described above. Abstracting & Coding Questions: 1. Was the catheter inserted by the radiologist? 2. Was the catheter inserted into the venous or arterial system? 3. Was the catheter inserted centrally or peripherally? 4. Was the catheter tunneled? 5. Was a subcutaneous port/pump inserted? 6. Does the age of the patient affect CPT code assignment? 7. Is ultrasound guidance separately reported? 8. What CPT code(s) would be reported for this case? 9. What ICD-10-CM code(s) would be reported for this case?
NSG 451 University of Phoenix Identifying Waste Presentation
NOTE: This is a Two (2) Part Assignment. You will submit: A Power Point Presentation and an Executive Summary. If you miss ...
NSG 451 University of Phoenix Identifying Waste Presentation
NOTE: This is a Two (2) Part Assignment. You will submit: A Power Point Presentation and an Executive Summary. If you miss submitting one or the other part late assignment point deduction will apply.Think about the clinical environment where you work or one in which you previously worked.Identify opportunities for waste reduction. Consider the following:Setting: administrative, operational, clinicalEfficiencyValue to patientSuggest process changes to improve the situation.A. Write a 175-word communication to frontline staff and nurse leaders explaining your findings.Format your 175-word communication work, using UOPX approved Executive Summary Format provided to you by the University. There is no other format accepted for this assignment, this week.B. Develop a 7- to 10-slide presentation for your department.Include detailed speaker notes that are cited. Note: The title slide and the reference slide(s) do not count. Title slide and references are formatted per APA format requirements to include double spacing, hang indent
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West Coast University Chapter 1 Priority Setting & ATI Video Case Study Paper
https://www.dropbox.com/s/4t7vd5dwkbuy2b1/Priority...Watch the ATI video case study Priority Setting and respond to the fo ...
West Coast University Chapter 1 Priority Setting & ATI Video Case Study Paper
https://www.dropbox.com/s/4t7vd5dwkbuy2b1/Priority...Watch the ATI video case study Priority Setting and respond to the following: If you were the nurse in this situation, which client should you see first? Identify the priority framework you are using and the rationale for your selection.Your paper should be 2 pagesYou are required to use and cite one academic source.Use current APA Style.Include a title page and a reference page listing the source(s) you used.Notes:1. Please use academic reliable sources (not .com, .net, wikipedia) less than 5 years old articles2. please cite at least on reference from ATI book attached (Chapter 1, priority setting) in addition to other academic sources.
NR 439 CCON Week 3 Nursing Practice Problem Is Patient Education Worksheet
Week 3 Assignment: Problem/PICOT/Evidence Search (PPE) Worksheet (graded)Submit Assignment Points 175 Submitting a file up ...
NR 439 CCON Week 3 Nursing Practice Problem Is Patient Education Worksheet
Week 3 Assignment: Problem/PICOT/Evidence Search (PPE) Worksheet (graded)Submit Assignment Points 175 Submitting a file uploadPurposeCollaborative identification and interpretation of practice problems is a requirement of professional practice (AACN, 2008). Locating and summarizing findings using credible online databases is necessary for evidence-based nursing (AACN, 2008; QSEN, 2018). This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources.Course OutcomesThis assignment enables the student to meet the following Course Outcomes.CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)Due DateSubmit the completed PPE Worksheet by Sunday, 11:59 p.m. MT at the end of Week 3.PointsThis assignment is worth 175 points.DirectionsRead over each of the following directions.You must read the Assignment Practice Scenario below before completing the PPE Worksheet.Download and use the required PPE Worksheet (Links to an external site.).Review the information provided in our library of how to search for journal articles here (Links to an external site.).Review the information provided in our library of how to locate and copy a journal permalink (Links to an external site.).You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the ".docx" format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.). Click on the envelope at the top of the page.Complete each section of the Problem/PICOT/Evidence (PPE) Worksheet. For the Clinical PICOT Question, use the NR439_Guide for writing PICOT Questions and Examples.N439_Guide for writing PICOT Questions and Examples (Links to an external site.) Use one of the templates/guides to write your Clinical PICOT Question using all of the PICOT elements. Be sure to include the PICOT letters in your question.Be sure to use the rubric to make certain you are meeting all grading criteria of the PPE Worksheet.Submit the completed PPE Worksheet on the Week 3 Assignment page.Students, A short tutorial with tips for completing the Week 3 Problem/PICOT/Evidence Search (PPE) worksheet assignment may be viewed here. Transcript (Links to an external site.)Assignment Practice ScenarioYour Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses' awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses "collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources" (AACN, 2008, pp. 16-17).The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose only one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018):QualitySafetyPatient satisfactionPatient educationFallsNon-pharmacological pain managementErrors. Examples include:MedicationPatient identificationCommunicationReadmissionsLength of stayCostsHealthcare Associated Infections (HAIs). Examples include:Central Line Associated Blood Stream Infections (CLABSI)Catheter Associated Urinary Tract Infections (CAUTI)Ventilator Associated Pneumonia (VAP)Surgical Site Infections (SSI)Sepsis (Screening or Prevention)Discharge Teaching/CoachingTransitions of Care/Level of CarePressure UlcersSkin IntegrityYour CNE has requested that you select ONLY one topic area and complete the PPE Worksheet using only one topic area. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee.Best PracticesFor questions about this assignment, please contact your instructor.Spell check for spelling and grammar errors prior to final submission. Please see the grading criteria and rubrics on this page.Please use your browser's File setting to save or print this page.Scholarly Sources and Citations Use APA format in citations and references.**Academic Integrity**Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. ReferencesAmerican Association of Colleges of Nurses. (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice. http://www.aacnnursing.org/Education-Resources/AAC...Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones and Bartlett.Sherwood, G., & Barnsteiner, J. (2017). Quality and safety in nursing: A competency approach to improving outcomes (2nd ed.). Wiley-Blackwell.Quality and Safety Education for Nurses. (2018). QSEN knowledge, skills, and attitude competencies. http://qsen.org/competencies/pre-licensure-ksas/RubricNR439 PPE Worksheet RubricNR439 PPE Worksheet RubricCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeClinical Nursing Practice ProblemSelect and identify only one quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize why you believe the nursing practice problem/issue is the most important. Summarize your rationale (why) for choosing the problem.50.0 ptsSelects and identifies one quality or safety clinical priority practice problem from the assignment guidelines practice scenario. Thoroughly summarizes why you believe the nursing practice problem/issueis the most important. Thoroughly summarizes the rationale (why) the problem was chosen. Provides details.46.0 ptsCriteria from the first column are mostly summarized or one criteria lacks details or is missing.40.0 ptsCriteria from the first column are minimally summarized or two criteria lack details or are not present.19.0 ptsCriteria from the first column are poorly summarized.0.0 ptsCriteria are not discussed.50.0 ptsThis criterion is linked to a Learning OutcomeClinical Nursing PICOT QuestionClinical Nursing PICOT QuestionUsing the NR439 Guide for writing PICOT Questions and Examples located in the assignment guidelines, write out your PICOT question. Include each letter of the PICOT in your question.15.0 ptsPICOT question has 5 elements correct. Question is nursing related.13.0 ptsPICOT question has 4 elements correct or question is not nursing related.12.0 ptsPICOT question has 3 elements correct.6.0 ptsPICOT has 1-2 elements correct.0.0 ptsPICOT question with no elements correct or no PICOT question present.15.0 ptsThis criterion is linked to a Learning OutcomeDefine PICOT ElementsDefine each of the elements from your above clinical PICOT question.15.0 pts5 PICOT elements are correctly defined.13.0 pts4 PICOT elements are correctly defined.12.0 pts3 PICOT elements are correctly defined.6.0 pts1-2 PICOT elements are correctly defined.0.0 ptsPICOT elements are not correctly defined or elements are not present.15.0 ptsThis criterion is linked to a Learning OutcomeEvidence Retrieval Process and SummaryUsing only the Chamberlain College of Nursing library:(1) Locate evidence that is relevant to your chosen nursing practice problem. Explain how you believe the evidence is relevant to your chosen clinical nursing problem/issue. (2) Explain why you chose the evidence.(3) Provide a complete APA reference to the evidence (must include authors, year, title of the evidence, title of the resource).(4) Evidence must be published within the last 10 years.(5) Provide the permalink.20.0 ptsAll of the 5 criteria are present. (1) Locates evidence relevant to chosen nursing practice problem. Explains how the evidence is relevant to your chosen clinical nursing problem/issue. (2) Explains why the evidence was chosen. (3) Provides a complete APA reference to the evidence (includes authors, year, title of the evidence, title of the resource). (4) Evidence must be published within the last 10 years. (5) Provides the permalink.18.0 ptsMissing 1 criteria or 1 criteria lacks details.16.0 ptsMissing 2 criteria or 2 of the criteria lacks details.8.0 ptsMissing 3-4 of the criteria.0.0 ptsMissing all five criteria from the A column or none of the criteria are present.20.0 ptsThis criterion is linked to a Learning OutcomeImplications of the EvidenceSummarize what you learned from the evidence.Summarize why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem.40.0 ptsThoroughly summarizes what was learned from the evidence. Thoroughly summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem. Excellent details provided.35.0 ptsMostly summarizes the criteria in the first column or one criteria lacks details.32.0 ptsFairly summarizes the criteria in the first column or one criteria is missing. Fair details are provided.15.0 ptsPoorly summarizes the criteria in the first column. Poor details are provided.0.0 ptsCriteria are not summarized or is missing.40.0 ptsThis criterion is linked to a Learning OutcomeEvidence Search TermsIdentifies 4 (or more) relevant searchable terms you used for your search for evidence.10.0 ptsIdentifies 4 (or more) relevant searchable terms used for the search for evidence.9.0 ptsIdentifies 3 relevant searchable terms used for the search for evidence.8.0 ptsIdentifies 2 relevant searchable terms used for the search for evidence.5.0 ptsIdentifies 1 relevant searchable term used for the search for literature.0.0 ptsNo terms identified or terms are not present.10.0 ptsThis criterion is linked to a Learning OutcomeEvidence Search StrategiesIdentifies 4 (or more) relevant search strategies you used to narrow/limit your search for evidence.10.0 ptsIdentifies 4 (or more) relevant strategies used to narrow/limit the search for evidence.9.0 ptsIdentifies 3 relevant strategies used to narrow/limit the search for evidence.8.0 ptsIdentifies 2 relevant strategies used to narrow/limit the search for evidence.4.0 ptsIdentifies 1 relevant searchable term used for the search for evidence.0.0 ptsNo strategies identified or strategies are not present.10.0 ptsThis criterion is linked to a Learning OutcomeScholarly Writing, Mechanics, Organization, Spelling, Sentence Structure, Grammar8.0 ptsExcellent writing, mechanics, organization, spelling, sentence structure, grammar. 1-2 errors noted.6.0 ptsGood writing, mechanics, organization, spelling, sentence structure, grammar. A few errors noted.3.0 ptsFair writing, mechanics, organization, spelling, sentence structure, grammar. Some errors noted.2.0 ptsPoor writing, mechanics, organization, spelling, sentence structure, grammar. Many errors noted.0.0 ptsVery poor writing, mechanics, organization, spelling, sentence structure, grammar. Errors throughout are noted. Writing is difficult to understand or follow.8.0 ptsThis criterion is linked to a Learning OutcomeAPA In-Text Formatting for Cited Sentences7.0 ptsExcellent APA formatting. Uses APA in-text citation formatting with no errors.6.0 ptsGood APA formatting. Uses APA in-text citation formatting with 1-2 errors noted.4.0 ptsFair APA formatting. Uses APA in-text citation formatting with some errors noted or does not use in-text citation formatting.3.0 ptsPoor APA formatting with many errors noted.0.0 ptsVery poor APA with errors noted throughout.7.0 ptsThis criterion is linked to a Learning OutcomeAssigned PPE Worksheet Used0.0 pts0 points deductedAssigned PPE Worksheet used for this assignment.0.0 pts17.5 points deducted (10%)Assigned PPE Worksheet NOT used for this assignment results in deduction.0.0 ptsThis criterion is linked to a Learning OutcomeLate deduction0.0 pts0 points deductedSubmitted on time0.0 ptsNot submitted on time - Points deducted1 day late=8.75 deduction; 2 day late =17.5 deduction; 3 day late=26.25 deduction; 4 day=35 deduction; 5 day=43.75 deduction; 6 day =52.5 deduction; 7 day =61.25 deduction; Score of 0 if more than 7 days late0.0 ptsTotal Points: 175.0PreviousNext
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Two Case Studies for someone familiar with 3MEncoder and (ICD-10-CM)
This assignment is for someone familiar with 3MEncoder and (ICD-10-CM).
Answer the questions in bold for both case studie ...
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questions in all. Case 1 LOCATION: Outpatient, Hospital PATIENT: Daniel Briggstad ATTENDING PHYSICIAN: Jeff King, MD SURGEON: Jeff King, MD PREOPERATIVE DIAGNOSES 1. Recurrent otitis media. 2. Retained right PE tube and granulation tissue. 3. Left otitis media with effusion. POSTOPERATIVE DIAGNOSES 1. Recurrent otitis media. 2. Retained right PE tube and granulation tissue. 3. Left otitis media with effusion. 4. Right tympanic membrane perforation. PROCEDURES PERFORMED 1. Removal of right PE tube and granulation tissue from the tympanic membrane. 2. Left myringotomy with tympanostomy tube placement. ANESTHESIA: General inhalation. SURGICAL INDICATIONS: A 4-year-old male with a history of bilateral PE tubes. Since extrusion of the PE tubes, he has had recurrent episodes of otitis media. There is also granulation tissue around the right PE tube. PROCEDURE: After consent was obtained, the patient was taken to the operating room and placed on the operating table in supine position. After the adequate level of general inhalation anesthesia was obtained, the patient was draped in the appropriate manner for PE tube placement. Attention was first focused on the right ear. Utilizing an ear speculum and microscope, the external canal was cleared of cerumen. The retained extruded PE tube was removed from the tympanic membrane. In addition, granulation tissue was also removed. Subsequent examination shows a perforation of the posterior inferior area. There is no effusion. Due to the significant size of the perforation, no PE tube was placed. Attention was then focused on the left side. The ear canal was cleared of wet debris and cerumen. The tympanic membrane was noted to be opaque. The myringotomy incision was then placed in the anterior inferior quadrant. Serous effusion was suctioned. A bobbin tympanostomy tube was then placed without difficulty. Cortisporin otic suspension and a cotton ball were then placed. The patient tolerated the procedure well, and there was no break in technique. The patient was awakened and taken to the postanesthesia area in good condition. Abstracting & Coding Questions: 1. Was the removal of the tube from the right ear reported? 2. Was the removal of the tube from the left ear reported? 3. What procedure was performed on the left ear? 4. What three modifiers were reported with the CPT codes assigned for this case? 5. What CPT code(s) would be reported for this case? 6. What ICD-10-CM code(s) would be reported for this case? Case 2 LOCATION: Inpatient, Hospital PATIENT: Benito Castro ORDERING PHYSICIAN: Gregory Dawson, MD ATTENDING/ADMIT PHYSICIAN: Gregory Dawson, MD RADIOLOGIST: Morton Monson, MD PERSONAL PHYSICIAN: Ronald Green, MD EXAMINATION: Placement of a tunneled hemodialysis catheter. CLINICAL SYMPTOMS: End-stage renal disease. PLACEMENT OF TUNNELED #14.5 FRENCH HEMODIALYSIS CATHETER: The patient is a 62-year-old male with a history of renal failure. Placement of a tunneled hemodialysis catheter was requested by Dr. Green. Prior to the start of the study, the procedure was explained to the patient, including the risks, complications, and alternatives. The patient understood and consented to the exam. The patient was prepped and draped in the usual sterile fashion. An Ioban II (antimicrobial film) was placed on the skin. A 21-gauge micropuncture needle was advanced into the right internal jugular vein in the lower neck region using sterile technique under ultrasound guidance following administration of local anesthesia (1% lidocaine). Utilizing the Microvena kit, a 0.18 stainless steel wire was used to measure the distance from the junction of the right atrium/superior vena cava to the skin site, and the catheter was cut to size. A #5 French straight catheter was advanced into the internal jugular vein. The catheter was then placed to flush. A small skin incision was placed in the upper chest region. Following administration of local anesthesia (1% lidocaine), a tunnel was obtained between the two skin incisions. A vascular sheath was then placed through the tunnel, and the catheter was advanced through the peel-away sheath. The #5 French straight catheter was then removed under a Rosen wire, and a #10 French peel-away sheath was placed into the right internal jugular vein. The dilator and wire were then removed, and the end of the peel-away sheath was crimped to avoid blood loss with the patient holding his breath. The tip of the catheter was then advanced through the peel-away sheath with the tip of the junction of the right atrium/superior vena cava. The peel-away sheath was then removed and the catheter was adjusted to obtain a smooth transition. The cuff of the catheter was approximately 1 to 2 cm from the incision site. A single 2–0 Prolene suture was then placed at the catheter insertion site, and three sutures were placed at the lower neck incision site. There was no evidence of bleeding. Contrast was infused through the single port, which revealed adequate placement. Post placement chest x-ray did not reveal a pneumothorax. The patient tolerated the procedure well. The patient denied pain and shortness of breath at termination of the study. IMPRESSION: Placement of a tunneled #14.5 French hemodialysis catheter through the right internal jugular vein as described above. Abstracting & Coding Questions: 1. Was the catheter inserted by the radiologist? 2. Was the catheter inserted into the venous or arterial system? 3. Was the catheter inserted centrally or peripherally? 4. Was the catheter tunneled? 5. Was a subcutaneous port/pump inserted? 6. Does the age of the patient affect CPT code assignment? 7. Is ultrasound guidance separately reported? 8. What CPT code(s) would be reported for this case? 9. What ICD-10-CM code(s) would be reported for this case?
NSG 451 University of Phoenix Identifying Waste Presentation
NOTE: This is a Two (2) Part Assignment. You will submit: A Power Point Presentation and an Executive Summary. If you miss ...
NSG 451 University of Phoenix Identifying Waste Presentation
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NR 439 CCON Week 3 Nursing Practice Problem Is Patient Education Worksheet
Week 3 Assignment: Problem/PICOT/Evidence Search (PPE) Worksheet (graded)Submit Assignment Points 175 Submitting a file up ...
NR 439 CCON Week 3 Nursing Practice Problem Is Patient Education Worksheet
Week 3 Assignment: Problem/PICOT/Evidence Search (PPE) Worksheet (graded)Submit Assignment Points 175 Submitting a file uploadPurposeCollaborative identification and interpretation of practice problems is a requirement of professional practice (AACN, 2008). Locating and summarizing findings using credible online databases is necessary for evidence-based nursing (AACN, 2008; QSEN, 2018). This assignment provides a learning activity for students to experience a practice-based scenario and apply a process worksheet designed to assist in the identification of an independent nursing problem or concern, develop a PICOT clinical question, and search for evidence using credible online databases/sources.Course OutcomesThis assignment enables the student to meet the following Course Outcomes.CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO 7)CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 & 8)CO4: Evaluate published nursing research for credibility and significance related to evidence-based practice. (POs 4 & 8)CO5: Recognize the role of research findings in evidence-based practice. (POs 7 & 8)Due DateSubmit the completed PPE Worksheet by Sunday, 11:59 p.m. MT at the end of Week 3.PointsThis assignment is worth 175 points.DirectionsRead over each of the following directions.You must read the Assignment Practice Scenario below before completing the PPE Worksheet.Download and use the required PPE Worksheet (Links to an external site.).Review the information provided in our library of how to search for journal articles here (Links to an external site.).Review the information provided in our library of how to locate and copy a journal permalink (Links to an external site.).You are required to complete the worksheet using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the ".docx" format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.). Click on the envelope at the top of the page.Complete each section of the Problem/PICOT/Evidence (PPE) Worksheet. For the Clinical PICOT Question, use the NR439_Guide for writing PICOT Questions and Examples.N439_Guide for writing PICOT Questions and Examples (Links to an external site.) Use one of the templates/guides to write your Clinical PICOT Question using all of the PICOT elements. Be sure to include the PICOT letters in your question.Be sure to use the rubric to make certain you are meeting all grading criteria of the PPE Worksheet.Submit the completed PPE Worksheet on the Week 3 Assignment page.Students, A short tutorial with tips for completing the Week 3 Problem/PICOT/Evidence Search (PPE) worksheet assignment may be viewed here. Transcript (Links to an external site.)Assignment Practice ScenarioYour Chief Nurse Executive (CNE) recognizes you are pursuing your BSN and has asked you to be a member of the nursing evidence-based practice (NEBP) committee. She has advised the members that the purpose is to conduct nursing research studies involving clinical practice problems. Increasing nurses' awareness of quality and safety concerns will help develop an attitude of inquiry and asking questions (Sherwood & Barnsteiner, 2017). Baccalaureate nurses "collaborate in problem identification, participate in the process of search, retrieval, and documentation of evidence, and integrate evidence using credible databases and internet resources" (AACN, 2008, pp. 16-17).The CNE has advised all members of the following areas of quality and safety clinical practice that each committee member needs to consider and choose only one as a priority area for conducting a research study. Sources of research problems come from nursing clinical practice (Houser, 2018):QualitySafetyPatient satisfactionPatient educationFallsNon-pharmacological pain managementErrors. Examples include:MedicationPatient identificationCommunicationReadmissionsLength of stayCostsHealthcare Associated Infections (HAIs). Examples include:Central Line Associated Blood Stream Infections (CLABSI)Catheter Associated Urinary Tract Infections (CAUTI)Ventilator Associated Pneumonia (VAP)Surgical Site Infections (SSI)Sepsis (Screening or Prevention)Discharge Teaching/CoachingTransitions of Care/Level of CarePressure UlcersSkin IntegrityYour CNE has requested that you select ONLY one topic area and complete the PPE Worksheet using only one topic area. The committee will collaborate and decide as a team which nursing clinical problem area will be the priority focus of their next research study. Thank you for your valuable contributions to this important NEBP committee.Best PracticesFor questions about this assignment, please contact your instructor.Spell check for spelling and grammar errors prior to final submission. Please see the grading criteria and rubrics on this page.Please use your browser's File setting to save or print this page.Scholarly Sources and Citations Use APA format in citations and references.**Academic Integrity**Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. ReferencesAmerican Association of Colleges of Nurses. (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice. http://www.aacnnursing.org/Education-Resources/AAC...Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones and Bartlett.Sherwood, G., & Barnsteiner, J. (2017). Quality and safety in nursing: A competency approach to improving outcomes (2nd ed.). Wiley-Blackwell.Quality and Safety Education for Nurses. (2018). QSEN knowledge, skills, and attitude competencies. http://qsen.org/competencies/pre-licensure-ksas/RubricNR439 PPE Worksheet RubricNR439 PPE Worksheet RubricCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeClinical Nursing Practice ProblemSelect and identify only one quality or safety clinical priority area from the assignment guidelines practice scenario. Summarize why you believe the nursing practice problem/issue is the most important. Summarize your rationale (why) for choosing the problem.50.0 ptsSelects and identifies one quality or safety clinical priority practice problem from the assignment guidelines practice scenario. Thoroughly summarizes why you believe the nursing practice problem/issueis the most important. Thoroughly summarizes the rationale (why) the problem was chosen. Provides details.46.0 ptsCriteria from the first column are mostly summarized or one criteria lacks details or is missing.40.0 ptsCriteria from the first column are minimally summarized or two criteria lack details or are not present.19.0 ptsCriteria from the first column are poorly summarized.0.0 ptsCriteria are not discussed.50.0 ptsThis criterion is linked to a Learning OutcomeClinical Nursing PICOT QuestionClinical Nursing PICOT QuestionUsing the NR439 Guide for writing PICOT Questions and Examples located in the assignment guidelines, write out your PICOT question. Include each letter of the PICOT in your question.15.0 ptsPICOT question has 5 elements correct. Question is nursing related.13.0 ptsPICOT question has 4 elements correct or question is not nursing related.12.0 ptsPICOT question has 3 elements correct.6.0 ptsPICOT has 1-2 elements correct.0.0 ptsPICOT question with no elements correct or no PICOT question present.15.0 ptsThis criterion is linked to a Learning OutcomeDefine PICOT ElementsDefine each of the elements from your above clinical PICOT question.15.0 pts5 PICOT elements are correctly defined.13.0 pts4 PICOT elements are correctly defined.12.0 pts3 PICOT elements are correctly defined.6.0 pts1-2 PICOT elements are correctly defined.0.0 ptsPICOT elements are not correctly defined or elements are not present.15.0 ptsThis criterion is linked to a Learning OutcomeEvidence Retrieval Process and SummaryUsing only the Chamberlain College of Nursing library:(1) Locate evidence that is relevant to your chosen nursing practice problem. Explain how you believe the evidence is relevant to your chosen clinical nursing problem/issue. (2) Explain why you chose the evidence.(3) Provide a complete APA reference to the evidence (must include authors, year, title of the evidence, title of the resource).(4) Evidence must be published within the last 10 years.(5) Provide the permalink.20.0 ptsAll of the 5 criteria are present. (1) Locates evidence relevant to chosen nursing practice problem. Explains how the evidence is relevant to your chosen clinical nursing problem/issue. (2) Explains why the evidence was chosen. (3) Provides a complete APA reference to the evidence (includes authors, year, title of the evidence, title of the resource). (4) Evidence must be published within the last 10 years. (5) Provides the permalink.18.0 ptsMissing 1 criteria or 1 criteria lacks details.16.0 ptsMissing 2 criteria or 2 of the criteria lacks details.8.0 ptsMissing 3-4 of the criteria.0.0 ptsMissing all five criteria from the A column or none of the criteria are present.20.0 ptsThis criterion is linked to a Learning OutcomeImplications of the EvidenceSummarize what you learned from the evidence.Summarize why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem.40.0 ptsThoroughly summarizes what was learned from the evidence. Thoroughly summarizes why you believe the nursing evidence-based practice committee should focus their next research study on this practice problem. Excellent details provided.35.0 ptsMostly summarizes the criteria in the first column or one criteria lacks details.32.0 ptsFairly summarizes the criteria in the first column or one criteria is missing. Fair details are provided.15.0 ptsPoorly summarizes the criteria in the first column. Poor details are provided.0.0 ptsCriteria are not summarized or is missing.40.0 ptsThis criterion is linked to a Learning OutcomeEvidence Search TermsIdentifies 4 (or more) relevant searchable terms you used for your search for evidence.10.0 ptsIdentifies 4 (or more) relevant searchable terms used for the search for evidence.9.0 ptsIdentifies 3 relevant searchable terms used for the search for evidence.8.0 ptsIdentifies 2 relevant searchable terms used for the search for evidence.5.0 ptsIdentifies 1 relevant searchable term used for the search for literature.0.0 ptsNo terms identified or terms are not present.10.0 ptsThis criterion is linked to a Learning OutcomeEvidence Search StrategiesIdentifies 4 (or more) relevant search strategies you used to narrow/limit your search for evidence.10.0 ptsIdentifies 4 (or more) relevant strategies used to narrow/limit the search for evidence.9.0 ptsIdentifies 3 relevant strategies used to narrow/limit the search for evidence.8.0 ptsIdentifies 2 relevant strategies used to narrow/limit the search for evidence.4.0 ptsIdentifies 1 relevant searchable term used for the search for evidence.0.0 ptsNo strategies identified or strategies are not present.10.0 ptsThis criterion is linked to a Learning OutcomeScholarly Writing, Mechanics, Organization, Spelling, Sentence Structure, Grammar8.0 ptsExcellent writing, mechanics, organization, spelling, sentence structure, grammar. 1-2 errors noted.6.0 ptsGood writing, mechanics, organization, spelling, sentence structure, grammar. A few errors noted.3.0 ptsFair writing, mechanics, organization, spelling, sentence structure, grammar. Some errors noted.2.0 ptsPoor writing, mechanics, organization, spelling, sentence structure, grammar. Many errors noted.0.0 ptsVery poor writing, mechanics, organization, spelling, sentence structure, grammar. Errors throughout are noted. Writing is difficult to understand or follow.8.0 ptsThis criterion is linked to a Learning OutcomeAPA In-Text Formatting for Cited Sentences7.0 ptsExcellent APA formatting. Uses APA in-text citation formatting with no errors.6.0 ptsGood APA formatting. Uses APA in-text citation formatting with 1-2 errors noted.4.0 ptsFair APA formatting. Uses APA in-text citation formatting with some errors noted or does not use in-text citation formatting.3.0 ptsPoor APA formatting with many errors noted.0.0 ptsVery poor APA with errors noted throughout.7.0 ptsThis criterion is linked to a Learning OutcomeAssigned PPE Worksheet Used0.0 pts0 points deductedAssigned PPE Worksheet used for this assignment.0.0 pts17.5 points deducted (10%)Assigned PPE Worksheet NOT used for this assignment results in deduction.0.0 ptsThis criterion is linked to a Learning OutcomeLate deduction0.0 pts0 points deductedSubmitted on time0.0 ptsNot submitted on time - Points deducted1 day late=8.75 deduction; 2 day late =17.5 deduction; 3 day late=26.25 deduction; 4 day=35 deduction; 5 day=43.75 deduction; 6 day =52.5 deduction; 7 day =61.25 deduction; Score of 0 if more than 7 days late0.0 ptsTotal Points: 175.0PreviousNext
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