Description
-Describe the acronym APR-DRG and date of implementation for Illinois
-Explain how MS-DRG and APR-DRG differ
-Differentiate the assignment of a Pre-MDC DRG and MS-DRG
-Explain the MS-DRG split
-Describe the Post-Acute Transfer Payment Process
-Explain the MS-DRG changes effective 2015:
( version, additions, deletions etc)
-List five(5) MS-DRGs that will shift with I-10 implementation
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Assignment
must be submitted with properly filled cover sheet (Name, ID, CRN, Submission
date) in word document, Pdf is not accepted.
·
Length
of the write-up should be 200-500 words.
·
Text
size 12-Times New Roman with 1.5-line spacing.
·
Heading
should be Bold
·
The
text color should be Black
·
Do
proper paraphrasing to avoid plagiarism with proper references/sources.
·
References
must be in APA format
Leading Causes of Death Globally Cardiovascular Diseases Treatment Paper
Select a client from clinical experience with an acute health problem or complaint requiring at least two visits. Su ...
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Select a client from clinical experience with an acute health problem or complaint requiring at least two visits. Submit a complete H & P from the initial visit with this client and a focused SOAP note for the follow-up visit. Based on this client’s condition, conduct a literature search for two research articles that discuss various approaches to the treatment of this condition. Peer reviewed articles must address the standardized procedure or guidelines for this diagnosis. Incorporate the research findings into the decision-making for this client’s treatment. In the paper, compare and contrast or address how treatment or the plan may have been different based on the research findings. The discussion on relating research to practice should be 3-4 pages and the total paper should be no longer than 10 pages including references. The research articles must be an original research contributions (no review articles or meta-analysis) and must have been published within the last five years. Cover the criteria listed below.
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* Assesses the merit of evidence found on this topic i.e. soundness of research
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Determine strategies that minimize legal risks in nursing practice related to negligence and malpractice.
undefined
Tr ...
TERCAP Proposal
Determine strategies that minimize legal risks in nursing practice related to negligence and malpractice.
undefined
Transferable Skill
undefined
Communication - Displaying capability in writing, reading, and oral communication; understanding of non?verbal language.
undefined
Scenario
undefined
The Board of Nursing in your state has decided to utilize a tool developed by the National Council of State Boards of Nursing called the Taxonomy of Error, Root Cause Analysis Practice- Responsibility (TERCAP). Your nurse manager has provided you with a summary of the completed TERCAP report by your Board of Nursing’s Disciplinary Action Committee. She has asked you to review this summary and to develop a proposal of suggestions for continuing education topics on ways to minimize legal risks for your hospital’s practicing nurses. The nurse educators will develop an education series based upon your recommendations.
undefined
Instructions
undefined
Prepare a proposal based on the summary of the TERCAP with recommendations and suggestions on minimizing legal risks that:
undefined
Part One - Review summary of completed TERCAP report below.
undefined
A patient, aged 54, admitted for back surgery secondary to compressed vertebrae and intense pain. The difficulty with pain management has caused the patient some depression and insomnia over the last month. During her first post-operative day, the patient fell attempting to go from the bed to the bathroom without assistance. Her injury was serious and involved significant harm requiring two additional days of hospitalization and an addition six weeks of physical therapy.
undefined
A review of the case determined that her assigned nurse on night shift was an RN (age 24) with nine months of experience in this unit. This was her third 12 hours shift in a row, and she was 29 weeks pregnant. There were 28 beds occupied with only two RNs and one patient technician, due to one vacancy and a call-in for illness. This community facility has experienced a turnover rate of 12% in the last year (community average of 4.5%), and has a high number of new graduates working on medical surgical units, particularly on the 7 pm- 7 am shift.
undefined
A review of the chart showed that the patient had been advised by the out-going nurse, who admitted her to the unit post-operatively, that she needed to ask for assistance with toileting for at least the next 24 hours due to the extensive back surgery and post-anesthesia response and pain medication. The RN coming on shift had received bedside shift report at 7 pm and noted the patient sleeping, so the issue of patient assistance was not repeated. She checked on her again at 8 pm and administered the requested prn medication (morphine) for pain. She was busy with other patients and did not see the patient again until the patient fell at 9:51 pm.
undefined
The patient reported that she did not recall having been instructed to ask for assistance, as she was very groggy from the anesthesia. She stated that she had pushed the nurse call button for assistance and “no one came.” There was no clerical support at the nursing station and the three staff members had been very busy with patients, so this statement could not be substantiated.
undefined
The risk manager found that the RN had not followed nursing policy for patient assessment 20 minutes after receiving pain medication, and had not done the recommended hourly rounding on the patient to assess for the need for elimination, pain, and patient comfort. The note in the chart indicated only that the patient requested pain medication, but did not provide specific nursing assessment details or comment that the patient had received the same dosage of morphine two hours earlier.
undefined
Part Two - Factors and Actions
undefined
Discusses the factors that contributed to event and how these factors could be addressed to minimize legal risks.
Situational factors
Nursing factors
Human factors
Organizational factors
Explains whether the nurse was negligent or did her actions reach the level of malpractice and support your reasoning with research.
Determines what options the nursing board had regarding this nurse’s license to practice nursing.
Describes your reasoning for what action would you recommend (warning, probation, revocation of license) if you were on the disciplinary committee of your Board of Nursing.
Explains how the level of nursing behavior relates to your proposed recommendation on licensure.
undefined
Part Three - Continuing Education
undefined
Summarizes a list of topics to be provided to the education department based on the summary of the TERCAP report.
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SEU Public Health Discussion
Explain how drugs of abuse act as positive reinforces? Choose any commonly abused drug in KSA and explain about the abus ...
SEU Public Health Discussion
Explain how drugs of abuse act as positive reinforces? Choose any commonly abused drug in KSA and explain about the abuse problem from that drug?Instructions for submission:·
Assignment
must be submitted with properly filled cover sheet (Name, ID, CRN, Submission
date) in word document, Pdf is not accepted.
·
Length
of the write-up should be 200-500 words.
·
Text
size 12-Times New Roman with 1.5-line spacing.
·
Heading
should be Bold
·
The
text color should be Black
·
Do
proper paraphrasing to avoid plagiarism with proper references/sources.
·
References
must be in APA format
Leading Causes of Death Globally Cardiovascular Diseases Treatment Paper
Select a client from clinical experience with an acute health problem or complaint requiring at least two visits. Su ...
Leading Causes of Death Globally Cardiovascular Diseases Treatment Paper
Select a client from clinical experience with an acute health problem or complaint requiring at least two visits. Submit a complete H & P from the initial visit with this client and a focused SOAP note for the follow-up visit. Based on this client’s condition, conduct a literature search for two research articles that discuss various approaches to the treatment of this condition. Peer reviewed articles must address the standardized procedure or guidelines for this diagnosis. Incorporate the research findings into the decision-making for this client’s treatment. In the paper, compare and contrast or address how treatment or the plan may have been different based on the research findings. The discussion on relating research to practice should be 3-4 pages and the total paper should be no longer than 10 pages including references. The research articles must be an original research contributions (no review articles or meta-analysis) and must have been published within the last five years. Cover the criteria listed below.
* Reviews topic and explains rationale for its selection in the context of client care.
* Evaluates key concepts related to the topic.
* Describes multiple viewpoints if this is a controversial issue or one for which there are no clear guidelines.
* Assesses the merit of evidence found on this topic i.e. soundness of research
* Evaluates current EBM guidelines, if available. Or, recommends what these guidelines should be based on available research. Discuss the Standardized Procedure for this diagnosis.
* Discusses how the evidence did impact/would impact practice. What should be done differently based on the knowledge gained?
* Consider cultural, spiritual, and socioeconomic issues as applicable.
5 pages
Irb And Research In Developing Countries
Any individual that wishes to engage in health care research is often required to get approval from the Institutional Revi ...
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Any individual that wishes to engage in health care research is often required to get approval from the Institutional Review Board (IRB), especially ...
NURS 1011 Los Angeles Pierce College Nursing Care Plan Template Discussion
Below I will attach the patient scenario in order to fill out the nursing care plan template. I will attach template and i ...
NURS 1011 Los Angeles Pierce College Nursing Care Plan Template Discussion
Below I will attach the patient scenario in order to fill out the nursing care plan template. I will attach template and instructions. Make sure to be thorough and use APA citations. Thank you!
TERCAP Proposal
Determine strategies that minimize legal risks in nursing practice related to negligence and malpractice.
undefined
Tr ...
TERCAP Proposal
Determine strategies that minimize legal risks in nursing practice related to negligence and malpractice.
undefined
Transferable Skill
undefined
Communication - Displaying capability in writing, reading, and oral communication; understanding of non?verbal language.
undefined
Scenario
undefined
The Board of Nursing in your state has decided to utilize a tool developed by the National Council of State Boards of Nursing called the Taxonomy of Error, Root Cause Analysis Practice- Responsibility (TERCAP). Your nurse manager has provided you with a summary of the completed TERCAP report by your Board of Nursing’s Disciplinary Action Committee. She has asked you to review this summary and to develop a proposal of suggestions for continuing education topics on ways to minimize legal risks for your hospital’s practicing nurses. The nurse educators will develop an education series based upon your recommendations.
undefined
Instructions
undefined
Prepare a proposal based on the summary of the TERCAP with recommendations and suggestions on minimizing legal risks that:
undefined
Part One - Review summary of completed TERCAP report below.
undefined
A patient, aged 54, admitted for back surgery secondary to compressed vertebrae and intense pain. The difficulty with pain management has caused the patient some depression and insomnia over the last month. During her first post-operative day, the patient fell attempting to go from the bed to the bathroom without assistance. Her injury was serious and involved significant harm requiring two additional days of hospitalization and an addition six weeks of physical therapy.
undefined
A review of the case determined that her assigned nurse on night shift was an RN (age 24) with nine months of experience in this unit. This was her third 12 hours shift in a row, and she was 29 weeks pregnant. There were 28 beds occupied with only two RNs and one patient technician, due to one vacancy and a call-in for illness. This community facility has experienced a turnover rate of 12% in the last year (community average of 4.5%), and has a high number of new graduates working on medical surgical units, particularly on the 7 pm- 7 am shift.
undefined
A review of the chart showed that the patient had been advised by the out-going nurse, who admitted her to the unit post-operatively, that she needed to ask for assistance with toileting for at least the next 24 hours due to the extensive back surgery and post-anesthesia response and pain medication. The RN coming on shift had received bedside shift report at 7 pm and noted the patient sleeping, so the issue of patient assistance was not repeated. She checked on her again at 8 pm and administered the requested prn medication (morphine) for pain. She was busy with other patients and did not see the patient again until the patient fell at 9:51 pm.
undefined
The patient reported that she did not recall having been instructed to ask for assistance, as she was very groggy from the anesthesia. She stated that she had pushed the nurse call button for assistance and “no one came.” There was no clerical support at the nursing station and the three staff members had been very busy with patients, so this statement could not be substantiated.
undefined
The risk manager found that the RN had not followed nursing policy for patient assessment 20 minutes after receiving pain medication, and had not done the recommended hourly rounding on the patient to assess for the need for elimination, pain, and patient comfort. The note in the chart indicated only that the patient requested pain medication, but did not provide specific nursing assessment details or comment that the patient had received the same dosage of morphine two hours earlier.
undefined
Part Two - Factors and Actions
undefined
Discusses the factors that contributed to event and how these factors could be addressed to minimize legal risks.
Situational factors
Nursing factors
Human factors
Organizational factors
Explains whether the nurse was negligent or did her actions reach the level of malpractice and support your reasoning with research.
Determines what options the nursing board had regarding this nurse’s license to practice nursing.
Describes your reasoning for what action would you recommend (warning, probation, revocation of license) if you were on the disciplinary committee of your Board of Nursing.
Explains how the level of nursing behavior relates to your proposed recommendation on licensure.
undefined
Part Three - Continuing Education
undefined
Summarizes a list of topics to be provided to the education department based on the summary of the TERCAP report.
Grand Canyon University Complete the BSN Nursing Program Discussion
Discuss why you have decided to complete your BSN at this time, and the concerns you have about completing your baccalaure ...
Grand Canyon University Complete the BSN Nursing Program Discussion
Discuss why you have decided to complete your BSN at this time, and the concerns you have about completing your baccalaureate degree. Based on the readings in the course materials, what strategies can you implement to be a successful student?This paper is due tomorrow before midnight EST and It needs to be at least 250 words and references must be provided in the bottom of the paper. The following page could be used to extract the strategies (please use it as a reference): https://www.allnursingschools.com/articles/balancing-act/
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