...SB 89(BR-1094) According to Kentucky law (KRS 314.011), Advanced Practice Registered Nurses (APRNs) have been authorized to prescribe non-scheduled legend drugs and controlled substances to their patients after acquiring a written collaborative agreement with a physician licensed in Kentucky (KBN, 2018). The author of this paper resides in the state of Kentucky. The proposed Senate bill addressed in this paper amends the current practice of prescriptive authorities for APRNs in that state. The Bill proposes an expansion of the APRNs role in prescribing medication. Proposed Benefit SB 89(BR-1094) was introduced in the Senate on Wednesday, January 17, 2018. The Bill was sponsored by Senator Paul Hornback, from Senate district 20. The Bill...
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...The Competent Nurse: The Movement Towards Baccalaureate Degree Nursing There is an ongoing debate on how to properly educate registered nurses. It has been proposed that the entry degree for practice should be the Baccalaureate of Science and Nursing (BSN). In 1951, due to a nursing shortage, the Associate Degree of Nursing was established (Friberg, Creasia, 2011). It is suggested that having two separate entry levels into registered nursing creates inconsistent competencies (American Association of Colleges of Nursing, American Organization of Nurse Executives, and National Association of Associate Degree Nursing, 1995). This paper is a review of findings that support baccalaureate registered nurses having advanced competencies. Included is an example of a patient care situation connecting the outcome to the registered nurse’s education at the entry level of practice. Most medical treatment team members have educational requirements that are at, if not above, the baccalaureate degree. For registered nurses to have collegial acknowledgement their educational pathway should be at least equivalent. The National Advisory Council on Nurse Education and Practice (NACNEP) has reported that a baccalaureate registered nurse is best skilled in the ability to effectively communicate patient care within the medical treatment team (Education and Practice. First report, 2001). Additionally the report provides declaration that registered nurses holding a baccalaureate degree are...
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...Differences in Competency between ADN and BSN Nurses Angela G. Strickland Grand Canyon University NRS-430V August 15, 2012 Differences in Competency between ADN and BSN Nurses Presently if a person chooses to be a registered nurse they can follow three different pathways; diploma, associate degree, or baccalaureate degree. Diploma nurses obtain their education through a hospital based program. Associate degree programs are similar to baccalaureate degree programs except not as in-depth because of this they are more fast-paced. The Bachelor of Science degree in nursing is a four year academic degree that depending on which school and program can be very pricey. All three of these pathways will qualify the nurse to sit for the National Council Licensure Examination (NCLEX). The NCLEX only tests for the minimum competency in order to work as a safe nurse. According to the American Association of Colleges of Nursing (AACN) “The NCLEX-RN is only one indicator of competency, and it does not measure performance over time or test for all of the knowledge and skills developed through a BSN program” (Rosseter, 2012). In this paper only the competency of the ADN and BSN nurses will be discussed. A large percentage of nurses take the associate degree pathway, it is an attractive option because of the shortened amount of time it takes to graduate and begin work as a registered nurse, plus it takes half the amount of money. The associate degree programs were developed in order to...
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... Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional...
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... Nursing: Scope and Standards of Practice Second Edition [pic] American Nurses Association Silver Spring, Maryland 2010 Library of Congress Cataloging-in-Publication data The American Nurses Association (ANA) is a national professional association. This ANA publication ( Nursing: Scope and Standards of Practice) reflects the thinking of the nursing profession on various issues and should be reviewed in conjunction with state board of nursing policies and practices. State law, rules, and regulations govern the practice of nursing, while Nursing: Scope and Standards of Practice guides nurses in the application of their professional skills and responsibilities. Published by Nursesbooks.org The Publishing Program of ANA http://www.Nursesbooks.org/ American Nurses Association 8515 Georgia Avenue, Suite 400 Silver Spring, MD 20910-3492 1-800-274-4ANA http://www.NursingWorld.org Design: Typesetting: Printing: Editorial services: © 2010 American Nurses Association. All rights reserved. No part of this book may be reproduced or utilized in any form or any means, electronic or mechanical, including photocopying and recording, or by any information storage and retrieval system, without permission in writing from the publisher. Contents Contributors Overview of Content Foundational Documents of Professional Nursing Audience for This Publication Scope of Nursing Practice Definition of Nursing Professional...
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...Discuss the differences in competiencies between nurses prepared at the AD level versus the BSN level in nursing Identify a patient care situation in which you describe how nursing care of approaches to decisioin making may differ based upon the educational preparation of the nurse (BSN versus a ADN) Competent bedside nurses, regardless of degree, are in high demand. To become a licensed registered nurse, all nurses must pass the NCLEX licensing exam, and graduate from an accredited school of nursing. The debate continues as to whether an ADN degree is adequate, or whether nurses need more advanced training with the BSN degree. This paper will discuss the differences between these two degrees. http://www.aacn.nche.edu/media-relations/fact-sheets/adn-facts AACN recognizes the Bachelor of Science in Nursing (BSN) as the minimum educational requirement for what the organization holds to be professional-level nursing practice. AACN's support for the BSN does not mean that we seek to bar ADN graduates from practicing nursing to the full extent of their skills and abilities. AACN maintains this position while recognizing the role ADN-prepared nurses play in the delivery of health care. AACN has a long history of supporting RN-to-Baccalaureate education. From 1986-1988, AACN conducted a study funded by the Division of Nursing, HRSA. The purpose of the study was to provide national data about RN-to-Baccalaureate education both from the institutional and student perspectives...
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...definition of nursing practice is based by each states rules and regulations to govern the practice of nursing within that state. All nurses practice acts include two essential purposes. First each act includes statements that refer to protecting the health and safety of the citizens in the jurisdiction. The second purpose is to protect the title of the RN. The legal title RN is reserved for those meeting the requirements to practice nursing. (Contemporary Nursing, 2014) The scope of practice for RN’s is to provide individuals and groups nursing care, requiring specialized knowledge, judgment and skill derived from the principles of biological, physical, behavioral, social and nursing science. Such nursing care includes: 1. Indentifying patterns of human response to actual or potential health problems amendable to a nursing regimen. 2. Executing a nursing regimen through the selection, performance, management and evaluation of nursing actions.’ 3. Assessing health status for the purpose of providing nursing care. 4. Providing health counseling and health teaching. 5. Teaching administering, supervising, delegating and evaluating nursing practice. (Law regulating the practice of nursing, dialysis care and community health workers., 2013) (Ohio Board of Nursing) An advanced practice RN is a registered nurse who has completed and advanced graduate-level education program and has passed a national certification examination in order to practice in one of four APRN...
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...High-Risk Family Assessment and Health Promotion Paper Shova Rajbhandari NUR/542 April 23rd, 2012 Tracy Kramer MSN, RNC, FNP High-Risk Family Assessment and Health Promotion Paper For High risk family assessment: Intravenous Drug users (IDUs) family is chosen Common health issues /profile among members or families from this high-risk group: Drug abuse involves the regular taking of a deleterious or noxious quantity of any drug, prescribed or illicit over a period of time (Freidman, 2003). Those people who become severely drug dependent most often need specialized treatment in order to recover. A wide range of treatment is available through private sector and public sector. Recovery treatment centers usually incorporate the family into treatment plan, which makes it more effective in their treatment of the substance abuser. > HIV positive IDU and family members > IDU has a wide range of coinfections, coinfections, comorbidities and injecting related health issues. The common health problems in this IDU family are: • Infection with blood borne viruses, including hepatitis B, C and D (delta) leading to liver diseases • Bacterial infections: tuberculosis, bacterial pneumonia, • Alcohol dependence and alcohol-related liver disease • Poly substance dependence • Psychiatric comorbidity, including depression. • Deep venous thrombosis (DVT) • Local soft tissue and vascular injuries, including skin abscesses and...
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...Baccalaureate prepared Nurses Liza Mosley Grand Canyon University: NRS-430V January 10, 2016 The Nursing Profession is diverse and offers individuals the opportunity to become Registered Nurses through Diploma, Associate, Bachelors, Masters, and Doctorate programs. Diploma and Associate programs are two year programs that can be taken through hospital programs or community colleges. Bachelor program are four year program taught at senior colleges and universities and often is required to obtain a graduate degree in Nursing such as Masters and Doctorate degrees. Both programs generally have an admission process, there are some prerequisite general education and health sciences course required to be completed prior to being admitted to the program, along with background checks and admission to the college or university is required before submitting an application to the program. The Associate and Bachelor degrees prepare nurses to take the National Council Licensure Examination more commonly called the NCLEX-RN. These two degrees have many similarities, however there are also differences and that is what will be explored in this paper. An Associate’s degree in Nursing is a fast way to enter the nursing profession, it's a two year program which consist of general education and nursing core curriculum such as Adult health, Pediatrics, Obstetrics/Gynecology, Psychiatry, Community Health and Geriatrics. This degree trains nurses to be more bedside nurses working in hospital...
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...clinically sound medical care while functioning as a business, nurses are at the forefront of providing patient safety in a business environment. America depends on both two and four year institutions of higher education to prepare nurses, who will be working side by side in the healthcare environment. As a result of nursing job growth and projected retirement rates, it is estimated that America will need one million additional Registered Nurses by 2018 (Fulcher, Mullin, 2011). With strong evidence that a Baccalaureate degree in nursing improves patient outcomes, the IOM recommends 80% of nurses have a BSN by the year 2020. Evidence clearly suggests a relationship between a baccalaureate education and improved patient outcomes (Sarver, Cichra & Cline, 2015). One difference that may contribute to competency differences between ADN and BSN programs is number of credit hours obtained while in school. BSN programs require 120 credit hours whereas ADN programs require 71.5 (Fulcher, Mullin, 2011). Thus, the amount of hours spent learning is greatly reduced in an ADN program. One can infer that more school hours contributes to deeper understanding and knowledge. Hospitals that employ higher rates of nurses with BSN’s have a correlation with a decrease in mortality and morbidity (Sarver, Cichra & Cline, 2015). This finding is leading hospitals and legislation towards requiring or encouraging further education in the field of Registered Nursing (Sarver, Cichra & Cline, 2015). ADN programs...
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...Nursing Roles and Values Task One Western Governors University State Regulations and Nursing Standards The State of Tennessee Board of Nursing’s Rules and Regulations of Registered Nurses, Rule # 1000-01-.13-1r states that unprofessional conduct is defined in part by "failing to take appropriate action in safeguarding the patient from incompetent health care practices" (State of Tennessee, 2011). There are a number of arguments in this case study that incompetent health care practices are being performed, from the decision to place a patient on a ventilator for an oxygen saturation of 88%, circumventing the patient’s written and verbal advanced directives, utilizing an unauthorized family member to get consent for a medical procedure, and discussing confidential medical information in a public location and with and unauthorized family member. The nurse clearly violated this rule because the nurse did not take any action at any point to stop the physician from taking these incompetent actions. Implications Rule # 1000-01-.13-1r applies because, as mentioned above, the nurse failed to take any action to prevent the physician from performing a number of incompetent acts related to the healthcare of the patient. First and foremost, the patient likely does not even need to be placed on the ventilator. The physician’s decision to place the patient on the ventilator is based on an oxygen saturation of 88%. Although the patient’s oxygen saturation does need...
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...patients. Research by L. Aiken, et al. and A. Tourangeau, support the need for higher education of registered nurses. Their research proves that patient outcomes are improved when registered nurses carry a bachelor’s degree in nursing. Research conducted by J. Needleman, et al., concluded that reducing the nurse-patient ratio resulted in the patient being at less risk for developing hospital-acquired illnesses as well as a reduced risk of inpatient mortality. The reader will also be informed about the Joint Commission’s protocol for reducing the occurrence of wrong-patient, wrong-site, and wrong-procedure during surgical procedures. Politics, Legislation, and Implications to Patient Care As the American population ages, healthcare and its resources are in greater demand. As the demand for healthcare increases, the topic of patient safety has become increasingly important. Laws and legislation regarding patient care are changing almost constantly to maintain patient safety while still providing comprehensive patient care. This report will focus on informing the reader of recent and upcoming legislation regarding patient care, what has brought those changes about, and the effects it can have on the healthcare industry and patient care. It is important to stay informed of these changes because it may affect the registered nurses education requirements and scope of practice in the future. The Joint Commission has maintained reports of sentinel events since January 1995...
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...DIFFERENCE BETWEEN NURSES PREPARED AT THE ASSOCIATE DEGREE LEVEL VERSUS BACCALAUREATE DIFFERENCE BETWEEN NURSES PREPARED AT THE ASSOCIATE DEGREE LEVEL VERSUS BACCALAUREATE Different levels at which a nurse is prepared have a strong impact on the nurse`s ability to practice in a health care setting. In the nursing profession, nurses are prepared at different levels. A baccalaureate nurse is a nurse who has completed a four years formal training in a university or senior college and has completed a 120 hours college and has acquired broader understanding in physical and social sciences, nursing research, public and community health, political, economic and social issues. While an associate degree nurse is a nurse who has completed a two years program in a community college and has completed a 60 hours college credit and only acquired understanding of fundamentals of nursing and sometimes lacks some basic knowledge to handle critical issues as they arise in patient care. Although both Educational levels took the same licensure exam after completing their program and have registered nurse license to practice as a registered nurse, there are still some enormous difference between the quality of their work in terms of positive patient outcome, lower mortality rates, quality patient care, clinical competency, administrative/leadership role, critical thinking and decision making. These roles are also incorporated in the GCU college of nursing philosophy where it states” the...
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...outcomes have long been a source of examination. Many studies exist relating patient outcomes and patient safety to registered nurse staffing, but there are few studies that directly compare those outcomes to the level of nursing education. In 2003 the education levels or nurses became more specified during a study in the Journal of American Medicine; prior to that all registered nurses, regardless of associates degree or bachelor’s degree were often placed into the “RN” category and LPN/LVN was the other category specifying nurses with a certificate. (Ridley, 2008) The result of this study was found that hospitals in the Unites States that employed at least ten percent more bachelor degree nurses decreased patient mortality rates by five percent.(Aiken, Clarke, Cheung, & Sliber, 2003). This study began a long controversy which exists today between associates degree nurses (ADN) and bachelors degree nurses (BSN) educated nurses with many ADN nursing programs arguing that their graduates pass the NCLEX at or above the rate of many BSN programs. In 2012 the Nevada State Board of Nursing reported that the associate’s degree school with the largest graduating class had a pass rate of 93.24% of their 74 students, whereas the largest graduating bachelor’s school graduated 96.97% of their 33 students. ("NSBN," 2012) It should be noted that the NCLEX represents the minimum competency necessary to function as a registered nurse, but a minimum competency is not enough for favorable...
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...of today’s population. The baby boomer generation is aging, and the cost of health care is at the forefront in the news. Case managers facilitate the process of navigating through the health care system to attain the proper treatment necessary for the patient, thus integrating a complex multidisciplinary health care system. Preparing new nurse case managers in this specialized field requires an advanced professional background based on education and experience. Keywords: case management, case manager, health care system The Growing Need for Case Managers The 65 years and older cohort in the United States will reach 20% of the population, reaching an estimated number of 80 million by the year 2050; while by the year 2020, a severe professional nursing shortage of two hundred and eight hundred thousand nurses is projected to occur. The discrepancy between the supply of nurses and the demand of health care services for an aging population is driving much emphasis on issues related to health care coverage, health promotion and prevention, and treatment of escalating chronic diseases that afflict this country, such as diabetes and dementia. The underlying message of this emphasis is the containment of health care cost, a burden patients will have to face when undertaking medical services, and revisions in health care places case management as an essential element for cost-efficiency and effectiveness of identifying health services for the client (Catalano...
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