...Each student will learn about applying for prescriptive authority in their home state as well as applying for a National Provider Identification (NPI). You are expected to access the nurse practice act relating to Advanced Practice Nurses (APNs) for the state in which you plan to practice. You will also access the HHS site that provides information on the NPI and application process. Answer each of the following questions. This does not have to be a formal paper but should include all of the requested information. You should site your sources in the references. I encourage you to summarize the information rather than just doing a cut and paste from any web site. 1. What state do you plan to practice in? Indiana 2. What information and documents are required in order to apply / obtain prescriptive authority in your state as an APN? (Be specific) ALL APPLICANTS must mail a completed application along with the items listed below to the Indiana Professional Licensing Agency. You must hold an active, valid registered nurse license in Indiana or another state to be eligible for prescriptive authority. The application requires you to indicate the category of Advanced Practice Nursing under which are applying for Prescriptive Authority: You must choose one of the following: Clinical Nurse Specialist; Nurse Practitioner; or Certified Nurse Midwife. Please note that if you are applying for prescriptive authority as a Certified Nurse Midwife, you still need a current...
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...Agile vs. Prescriptive Processes CS5704 - Assignment 1 Jitrat Jaidee jaideej@hotmail.com AGILE SOFTWARE DEVELOPMENT Agile Development is one of the methodologies use in software engineering to help develops software. Today, there are a lot of different approach to Agile method. However, they all share the same value and principals. This method is value interactions over team and customer, workable software, and adaptable to change. Over the processes, documentation, contract, and plan. Agile developer also following 12 principle. 1, Their first priority is to delivery fast and quality software that will satisfy customer. 2, be adaptable to any change in requirement at any point in time, Agile development always welcome change. 3, frequency deliver working software between a few week to a few month. 4, daily interaction between developer and customer. 5, The project built around individuals motivation. give them what they need and trusted that they will get the job done. 6, The best way to relay an information is live(face to face) conversation. 7, Using the working software as the main measurement of progress. 8, The process in agile environment is going in stable pace. 9, through out the processes, always attention to technique and design, in order to improve agility. 10, Keep the progress simplicity. 11, The self Organize team will naturally produce good architectures, requirements, and designs. 12, Often during progress Agile team hold a regular...
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...Bottom of Form Understanding Prescriptive vs. Descriptive Grammar When people hear about linguistics, they often believe that linguists are very much like the character Henry Higgins in the play My Fair Lady, who expresses sentiments like in the following song, where he bemoans the state of English and the lack of proper pronunciation: However, as you will learn in this first week of class, there are two different ways that language has been talked about in disciplines that focus on the use of language. We can talk about these different approaches to language as descriptive grammar vs. prescriptive grammar. Prescriptive grammar describes when people focus on talking about how a language should or ought to be used. One way to remember this association is to think of going to a doctor’s office. When a doctor gives you a prescription for medication, it often includes directions about how you should take your medication as well as what you should not do when taking your medication. In a similar way, a prescriptive grammar tells you how you should speak, and what type of language to avoid. This is commonly found in English classes as well as other language classes, where the aim is to teach people how to use language in a very particular (typically described as ‘proper’ or ‘correct’) way. Descriptive grammar, on the other hand, focuses on describing the language as it is used, not saying how it should be used. For example, think about a prescriptive rule like Don’t split infinitives...
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...“All Ethical Language is prescriptive” Discuss (35) The Philosopher R.M. Hare came up with the idea of prescriptivism and what he meant by this basically was that other people should agree with a statement and follow it due to ethical statements having an intrinsic sense. The role of ethical statements is to say what ‘ought’ to be done and such prescriptions are moral because they are universal. Hare then goes on to talk about the word ‘good’ and that we should always link it in relation to a set of standards, and this therefore means it has a descriptive meaning, however if we use the word ‘good’ in a moral sense it also has a prescriptive meaning. Hare is saying that there is a difference between a descriptive and prescriptive meaning, but when we use words with an ethical meaning, we use them prescriptively. However there are criticisms to Hare’s theory like you should put yourself in another person’s shoes before making a judgement as one person’s preferences may be different from another person. On the other hand philosopher G.E. Moore came up with the idea of intuitionism and he said that the word ‘good’ was indefinable and one prime example he used was that we know what ‘yellow’ is and can recognise it, but we can’t actually define what it is and he also says this about the word ‘good’. Moore also said that we can still say whether a moral statement is true or false through our intuition and that we can recognise good when we see it. There are also criticisms to this...
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...Prescriptive Privileges for Advanced Practice Nurses In order to meet the growing demand for primary care, nurse practitioners need prescriptive authority to provide quality, safe, and cost-effective healthcare to patients. The development of nurse practitioners, plus physician shortages in primary care, leads to an increasing need for nurse practitioners and access to health care. However, nurse practitioners currently face prescription regulations for controlled substances, which limits their scope of practice. The regulation of nurse practitioners prescribing controlled substances diminishes comprehensive health care services by increasing the wait time for patients and liability claims for physicians. The number of nurse practitioners continues to expand and their roles often overlap with those of the physician to meet the shortages of primary care. History of APRN and efforts to gain Prescriptive Authority In rural areas there was a rising demand for primary care services, which lead to the development of the nurse practitioner profession. Since physicians were unable to meet this demand, nurses stepped in and expanded their roles to meet the needs of individuals and families. Physicians began collaborating and mentoring with nurses who had clinical experience in the late 1950s and early 1960s (Medscape). The increased specialization of medicine led to a wide number of physicians out of primary care, which caused a primary physician shortage and left rural areas...
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...Prescriptive Authority DB Required Coalition for Nurses in Advanced Practice. (n,d,). Crafting effective letters to legislators. (See attached document) Coalition for Nurses in Advanced Practice. (n.d.). Advocacy: How to read a bill. Retrieved from http://www.cnaptexas.org/?228 Stewart, J.G. & Denisco, S. M. (2015). Role development for the nurse practitioner, (Chapters 6, 9, 10 & 11), Burlington, MA: Jones & Bartlett Learning, LLC. Texas Legislative Council. (2013). Section 1: The Texas legislative Process. In Guide to Texas Legislative Information, pp 1 - 10. Retrieved from http://www.tlc.state.tx.us/lege_ref.htm. Texas Secretary of State. (n.d.).State rules and open meetings. Retrieved from http://www.sos.state.tx.us/texreg/index.shtml Texas Secretary of State. (n.d.). Welcome to the Texas Administrative Code. Retrieved from http://www.sos.state.tx.us/tac/index.shtml As a new APRN understanding delegated prescriptive authority will keep you out of professional and legal trouble. Refer back to Lynda Woolbert’s lecture and differentiate between facility-based and non-facility-based NP practices in Texas law. What does Texas law requires for delegation of prescriptive authority? What is a prescriptive authority agreement (PAA) and what elements should be included? What scheduled drugs can an APRN prescribe and what are the legal requirements associated with prescribing controlled substances? Refer back to the KPRC news clinic (The Harwin Case). Analyze...
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...Relationships have hundreds of details that define how they work such as their power dynamics and interactions as well as expected behaviors and a set of ethical rules between the individuals or groups involved in the relationship. Models are used to describe relationships by giving an example of another commonly known relationship. The vast majority of relationships are too complex to accurately and completely define each and every detail individually. Instead, models are used as a starting point from which discussions of other relationships can take place. The doctor-patient relationship for example, can be described much more completely and quickly by comparing it to another relationship; such as that between a parent and child, painter...
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...ISSUES PRESENTED I. Does Happy Valley Hiking Club have a claim for a public easement by implied dedication that would require the ranchers to restore public access to Happy Valley? II. Does Mr. Plaint have an individual claim for a private prescriptive easement to Happy against the ranchers? III. Are the ranchers liable for any injuries to the public obtained during recreational use of Happy Valley trail? SHORT ANSWERS I. Happy Valley Hiking Club has a claim to a public easement by implied dedication and may enjoin the ranchers from prohibiting access to Happy Valley trail. II. Mr. Plaint does not have an individual claim for private prescriptive easement rights and would not be able to enjoin the ranchers from prohibiting access to Happy...
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...of the fall of planning strategy, it also accounted for the rise of the emergent strategy. Entrepreneurial organizations increasingly rely on emergent strategy development rather than formal planning processes (Fletcher & Harris, 2002). This literature review will attempt to discuss the debate over the prescriptive and emergent approaches for developing strategy followed by the main strengths and weaknesses of the article. The article uses experiences of a craftsman and a potter to develop an argument that the crafting image better captures the process by which effective strategies come to be than the formal planning (Mintzberg, 1987). Mintzberg stresses a strategy is actualized through the processes of learning, negotiation, and proposes that the distinction between planning and implementation is untenable (Mintzberg, 1990). “Openness of emergent strategy enables management to act before everything is fully understood-to respond to an evolving reality rather than having to focus on a stable fantasy.” (Mintzberg, Waters 1985). Emergent strategy is therefore described as a trial and error approach which allows amendments, rather than one fix objective, as in prescriptive strategy (Downs et al 2003). Mintzberg thus believes that the errors made when crafting strategies could become opportunities (Mintzberg 1987). As seen in the example of Honda, emergent strategy works well in uncertain times and more difficult market conditions. Also, It can be perceived that emergent strategy...
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...make between formulation and implementation, the common assumption that thought must be independent of (and precede) action.” (Mintzberg, 1987) The above quotation, taken from Henry Mintzberg’s “Crafting Strategy”, concisely outlines one of the most prominent debates in the field of strategy over the last fifty years. Although the field is heavily fragmented - a feature highlighted by Mintzberg’ et al.’s “Ten Schools of Thought” model (1998) – it can be reduced into the two key approaches implicit above: the prescriptive, or Planning School, and the descriptive, or Learning School. The prescriptive approach describes strategy formation as a deliberate, conscious process of thought that comes prior to implementation. Most authors from this school define strategy as the establishment of a company’s future position [see, for example, Andrews, 1965; Ansoff, 1965, Byers, 1985; Chandler, 1962], illustrating how planning is a cornerstone of the prescriptive approach to strategic management. Serving as a juxtaposition, the descriptive approach suggests that strategies will emerge through the process of trial-and-error and that intention need not precede action. Mintzberg and Waters (1985) argue that the “open, flexible and responsive” nature of emergent strategies is especially important during crises when the environment is too unstable to follow [also, see Grant, 1998], whereas Lynch (2000) contributes that emergent strategies are undertaken by firms that repeatedly...
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...Cold chain in healthcare is defined as the temperat ure-controlled supply chai n involving a system of transporting and storing vaccines and pharmaceutical drugs. It consists of three major components − transport and storage equipment, trained personnel, and effi cient management procedures. The majority of the vaccines in the cold chain are typically maintained at a temperature of 35-46 degrees Fahrenheit [2-8 degrees Centigrade]. Maintaining cold chain integrity is extremel y important for healthcare product manufacturers. Especially for the vaccines, improper storage and ha ndling practices that compromise vaccine viability prove a costly, time-consuming affair. Vaccines must be stored properly from manufacture until they are available for use. Any extreme temperatures of heat or cold will reduce vaccine potency; such vaccines, if administered, might not yield effective re sults or could cause adverse effects. Effectively maintaining the temperatures of storage units throughout the he althcare supply chain in real time − i.e. , beginning from the gathering of the resources, manufacturing, distribu tion, and dispensing of the products − is the most effective solution desired in the cold chain. Also, the location-tagged real-time environmental data about the storage units helps in monitoring the cold chain for spoiled products. The chain of custody can be easily id entified to assign product liability. A study...
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...find examples of the use of a word in natural language Kinds of Dictionary Descriptive Dictionaries The truth of the matter is that today virtually all English language dictionaries are descriptive. The editors will usually say that they are simply recording the language and how its words are used and spelled. True, there may be some guidance. For example, most Merriam-Webster dictionaries will note if certain words are deemed nonstandard or offensive by most users; however, the words are still included. Of modern dictionaries, only the Funk and Wagnall's contain a certain amount of prescriptive advice. All the major dictionary publishers - Merriam-Webster, Times-Mirror, World Book, and Funk and Wagnall's - will tell you that they are primarily descriptive. Historically, Dictionaries were Prescriptive This was not the case with the first dictionaries in England and America. They were prescriptive. Samuel Johnson's Dictionary of the English Language (1755) had social commentary and jokes. He was writing to entertain as well as inform. Johnson also came to the conclusion that the English language could not be proscribed - it could not be limited to only a certain number of words. This, though, had...
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...What is Linguistics? Descriptive vs. Prescriptive rules/grammars Linguistic competence vs. performance Readings: 1.2-1.3 LING 200 -- McGarrity 1 What is Linguistics? The scientific study and analysis of human language. LING 200 -- McGarrity 2 Core Subfields Phonetics: the study of the physical properties of speech sounds (acoustic phonetics) and how they are made (articulatory phonetics) e.g., Park the car in Harvard yard. [pܒϪѢk ᾩђ kܒϪѢ گn hϪѢvѢd jϪѢd] [pܒa⍧k dђ kܒa⍧ n ha⍧v᭣d⍾ ja⍧d⍾] LING 200 -- McGarrity 3 Core Subfields Phonology: the study of how speech sounds pattern and how they are organized (i.e., the sound system) e.g., brick is a real Eng word blick isn’t an Eng word, but could be bnick isn’t an Eng word and couldn’t be LING 200 -- McGarrity 4 Core Subfields Morphology: the study of the formation of words. e.g., unlockable LING 200 -- McGarrity un-lock-able 5 Core Subfields Syntax: the study of the structure of sentences. e.g., She hit the man with a hammer. LING 200 -- McGarrity 6 Core Subfields Semantics: the study of meaning in language. “Inconceivable!” -- Vizzini, The Princess Bride Pragmatics: the study of how linguistic meaning depends on context. LING 200 -- McGarrity 7 Linguistics is NOT… … the study of writing …the study of how to speak properly LING 200 -- McGarrity 8 Grammar Prescriptive grammar Prescribes rules governing what...
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...to examine many different factors affecting the treatment outcome, both regardless of treatment method and compared to the treatment method. They categorized the variables as prescriptive and prognostic ones, each yields different type of prediction in the treatment process. They used two efficacious treatment methods comparatively though, cognitive therapy and antidepressant medications. Results and problems will be told below. Efficacy of both treatments is somewhow affected by patient’s characteristics and condition as we know for sure. A pretreatment variable can come into the picture in two different ways: either it affects the outcome regardless of the treatment method, acts as a prognostic variable; or it responds differently to different treatment models, as a prescriptive variable. The effects of all potential predictors are examined in this study under five major domains which have different seperate variables inside. In their data analytic strategy, the researchers looked at the interaction between predictor and treatment. In results, they found that chronicity, age and intelligence are prognostic variables whereas marital status, unemployment status and number of life events experienced are prescriptive variables. The difference between treatment methods came out in prescriptive ones: cognitive therapy was more efficacious than medication for those who experience many events, are nonmarried and unemployed. Each of these variables’ effects were shown significant...
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...Laroche being prescriptive and descriptive Laroche follows a prescriptive method in arguing for decision making theory. He argues it is a social representation which will improve decision making. In his abstract he writes “The paper argues that […] the concept of organizational action should not be opposed to decision and decision-making. Decision and decisionmaking are best understood as social representations […]. As organization members think and act in terms of decision-making, a theory of organizational action cannot simply do without a theory of decision-making. “ showing clearly that he is prescribing a certain way of looking upon decision-making. This is further strengthened in the conclusion where he for example writes “This paper argued that decision-making is best understood as a process of reality creation through organization members’ representations of their own role and activity.” The extent to which Laroche is prescriptive is debatable however. He acknowledges descriptive factors such as when he claims in conclusion that “no theory of action can develop without integrating the fact that, to a significant extent, organizational members think and act in terms of decision-making... a relevant phenomenon for a theory of action, not a marginal one”. He lists examples from empirical studies in describing the decision-making process: “bureaucratic processes (e.g., Cyert and March 1963, Carter 1971), political processes (e.g.. Bower 1970), psychological...
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