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Flashcards in Scope and Standards Deck (29)
1

Consensus Model

defines APRNs and standardized requirements for each of the four APRN regulatory components including LACE
Licensure, Accreditation, Certification, and Education

2

Four roles in the Consensus Model

Nurse anesthetists, Nurse practitioners, nurse midwifes, nurse specialists

3

APRNs must be educated and practice in at least

One of six population areas
family/individual across life-span, neonatal, pediatrics, adult-gerontology, women/gender related, physiological/mental health,

4

ARPNs must be what before being able to practice in a role and a population

Educated, certified, and licensed

5

Specialty training is

Optional, if pursued, the person should seek professional organization certification

6

Scope of Practice competencies

APRN core competencies (3 P's physical assessment, pharmacology, pathophysiology)
Role core competencies
Population core competencies

7

Licensure occurs at what level of competency

Role and Population focus

8

Standards of Clinical Practice

Applies to the care ACNP provides to all patients within their education preparation and defines how quality of care might be evaluated

Describes a competent level of advanced nursing practice

6 standards (ADOPIE)
Assessment
Differential Diagnosis
Outcome Identification
Plan of Care
Implement Treatments
Evaluation

9

Scope of Practice, Education and Training qualifies the NP to

Assess
Order and interpret diagnostics
Use differential diagnosis to reach a medical diagnosis
Order, provide, and evaluate continuum of services

10

Two components of Certification

Becoming eligible by completing course of study with clinical hours and appropriate course content

Knowledge by passing a written exam

11

Scope of Practice

"What you can and can't do"

Defines boundaries of the license (procedures, action, and process) for which the NP has received education, training, and licensure

Founded in state law, intended to protect the public

12

Standards

authoritative statements that describe the level of care/performance by which quality of nursing practice can be judged

Written to establish roles and responsibilities

Includes performance expectations

13

Standards of Professional Performance

"Playing nicely with others"

speak to the roles and behaviors expected of the advanced nursing profession

10 Standards (SLEEPCCCRQ)
Systems Thinking
Leadership
Education
Ethics
Professional practice

Collaboration
Collegiality (healthy work environment)
Clinical Inquiry (research priorities)
Resource Utilization
Quality of Practice

14

Synergy Model definition

The needs and characteristics of patients and families influence and drive the characteristics and competencies of nurses

Links clinical practice and patient outcomes

8 Characteristics for both patient and nurse
Range 1-5
1= Bad
5=Great

15

Patient Characteristics of Synergy Model

Resiliency (return to restorative functioning)
Vulnerability (susceptibility to stressors that can affect outcomes)
Stability (ability to maintain equilibrium)
Complexity (entanglement of 2 or more systems; body, family, therapies)
Resource Availability (financial, personal, social)
Participation in Care
Participation in Decision Making
Predictability (expect certain outcomes)

16

Nurse Characteristics of Synergy Model

SCARF CCC

Systems Thinking (body of knowledge/tools)
Clinical Judgement (critical thinking)
Advocacy and Moral Agency (presenting others/ethics)
Response to Diversity (cultural sensitivity/awareness)
Facilitation of Learning

Caring Practices (compassion/supportive)
Collaboration (working with others)
Clinical Inquiry (Questioning and evaluating practices)

17

Can death be an acceptable outcome?

Yes, in which the goal is a peaceful death

18

APRN Core Competencies

Advanced Pharmacology
Advanced Physical Assessment
Advanced Pathophysiology

19

AGACNP Competencies

6 Competencies

1.Health promotion, protection, disease prevention, and treatment (ADPIE) Evaluate not actually included
2. NP-Patient Relationship
3. Teaching-Coaching function
4. Professional Role (evidence, policy, self reflection)
5. Managing & negotiating healthcare delivery systems (improve health outcomes)
6. Monitoring & Ensuring the Quality of Healthcare Practice

20

AGACNP Competencies created to

Created by the NONPF

Build on the NP Core Competencies

The domains of NP practice provide a framework for AGACNP competencies

21

Standards for Establishing and Sustaining Healthy Work Environments

6 Standards (think of the job posting requirements)

1. Skilled Communication
2. True Collaboration
3. Effective Decision-Making
4. Appropriate Staffing
5. Meaningful Recognition
6. Authentic Leadership

22

The Critical Care Workforce Partnership

To inform policy makers of the shortages of all healthcare workers trained to care for the critically-ill; educate professionals in critical care; promote effective and safe systems of patient care; ensure adequate and trained workforce

23

Quality of Care combines

Goals of professional standards of care with defined expectations of patients and families

24

National Organization of Nursing Practitioner Faculties (NONPF)

Core competencies for NPs that clarify entry into practice competencies expected upon graduation

25

Physician must see

A new patient to get 100% billing, otherwise NP bills at 85%

26

Authority to sign death certificate is dictated by

State laws
Typically physicians, coroners, medical examiners, NP
But this isn't true for all states

27

Medicare does not reimburse hospital-acquired infections due to:

the Deficit Reduction Act

28

Topics of Anticipatory Guidance

before significant physical, emotional and psychological milestones, patients will anticipate impending changes, maximize their developmental potential and identify their special needs.

Injury prevention
Feeding/Nutrition
Daily Care/Activities
Developmental/Behavioral Issues
Medical

29

Scope and standards have no

legal rights