Legal tips you need to know for safe nursing practice
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Legal tips you need to know for safe nursing practice
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Nursing process BY LT.col Sheela Paul
The document discusses the nursing process and its steps which include assessment, nursing diagnosis, planning, implementation, and evaluation. It explains that the nursing process is a systematic, rational method for providing individualized care by identifying a client's health status and needs, establishing a plan to meet those needs, and delivering specific nursing interventions. The document also outlines each step of the nursing process in more detail and provides examples of how to apply it in nursing practice.
Nursing process review
The document defines nursing as involving diagnosis and treatment of actual or potential health problems through a problem-solving process. It outlines the nursing process as assessment, diagnosis, planning, implementation, and evaluation. The nursing process is used for critical thinking, communication, and developing an individualized care plan. Physical assessment involves gathering data through interviews, observations, examinations, and medical record review. The data is analyzed to identify problems and clinical judgments, which are then expressed as nursing diagnoses. Goals are set to direct interventions and evaluate their effectiveness in addressing the abnormal signs and symptoms identified in the nursing diagnoses.
Making a Nursing Diagnosis
This document provides guidance on making a nursing diagnosis using a case study example. It outlines steps to take which include reviewing the case study details, making inferences, mapping concepts, identifying affected functional health patterns, and selecting appropriate nursing diagnoses. An example is provided where a 19-year-old mother named Alice is struggling with sleep deprivation, ineffective coping, ineffective breastfeeding, and caregiver role strain after giving birth to her first child two weeks ago.
Nursing process
The document discusses the nursing process and its introduction, definition, steps, and importance. It provides a brief history of the development of the nursing process from the 1950s to the present. The key steps discussed in detail include assessment, nursing diagnosis, planning, implementation, and evaluation. The nursing process is presented as a systematic, problem-solving approach that directs nursing activities and provides quality nursing care.
The nursing process
The document discusses the nursing process and critical thinking in nursing. It defines critical thinking as an active cognitive process used to carefully examine one's own thinking and the thinking of others. The nursing process involves assessment, nursing diagnosis, planning, implementation, and evaluation and is a systematic method of providing individualized care using problem solving and decision making. Developing critical thinking skills is essential for safe nursing practice given the rapid growth of knowledge and need to make complex decisions.
Critical thinking presentation
This document discusses critical thinking in the nursing profession. It defines critical thinking as disciplined, clear, rational, and evidence-based thinking. A critical thinker is open-minded, considers multiple viewpoints, seeks to be well-informed by evaluating credible sources, and can formulate plausible hypotheses. The document provides examples of when nurses use critical thinking, such as during assessments, making diagnoses, planning interventions, and solving problems that lack straightforward answers. It describes using critical thinking to individualize patient care by considering unique factors beyond just textbook information. Scenarios demonstrate applying critical thinking when prioritizing patients, maintaining independence, and managing risks.
Nursing Process
The Nursing Process is a framework that helps organize and deliver nursing care through five main steps: assessment, nursing diagnosis, planning, implementation, and evaluation. It provides an orderly and systematic method for planning and providing care, enhances nursing efficiency, and increases care quality. During the assessment step, nurses gather both subjective and objective data on the client's health history, current status, and potential problems through various sources like interviews, examinations, and record reviews. This comprehensive data collection helps identify client needs and priorities to guide the development of the subsequent nursing diagnosis and care plan.
Delegation
Delegation is a fundamental aspect of a manager's job that involves transferring responsibility for a task or activity to another individual while retaining accountability for the outcome. Effective delegation involves determining the task, assessing competencies, deciding on needed supervision and authority levels. There are six principles and four basic steps to delegation including selecting a capable person, explaining the task, giving authority and maintaining contact. Key considerations for delegation include the potential for harm, required problem solving, and predictability of outcomes. The nurse retains responsibility for supervision and accountability in the delegation process.
Recommended
Nursing process BY LT.col Sheela Paul
The document discusses the nursing process and its steps which include assessment, nursing diagnosis, planning, implementation, and evaluation. It explains that the nursing process is a systematic, rational method for providing individualized care by identifying a client's health status and needs, establishing a plan to meet those needs, and delivering specific nursing interventions. The document also outlines each step of the nursing process in more detail and provides examples of how to apply it in nursing practice.
Nursing process review
The document defines nursing as involving diagnosis and treatment of actual or potential health problems through a problem-solving process. It outlines the nursing process as assessment, diagnosis, planning, implementation, and evaluation. The nursing process is used for critical thinking, communication, and developing an individualized care plan. Physical assessment involves gathering data through interviews, observations, examinations, and medical record review. The data is analyzed to identify problems and clinical judgments, which are then expressed as nursing diagnoses. Goals are set to direct interventions and evaluate their effectiveness in addressing the abnormal signs and symptoms identified in the nursing diagnoses.
Making a Nursing Diagnosis
This document provides guidance on making a nursing diagnosis using a case study example. It outlines steps to take which include reviewing the case study details, making inferences, mapping concepts, identifying affected functional health patterns, and selecting appropriate nursing diagnoses. An example is provided where a 19-year-old mother named Alice is struggling with sleep deprivation, ineffective coping, ineffective breastfeeding, and caregiver role strain after giving birth to her first child two weeks ago.
Nursing process
The document discusses the nursing process and its introduction, definition, steps, and importance. It provides a brief history of the development of the nursing process from the 1950s to the present. The key steps discussed in detail include assessment, nursing diagnosis, planning, implementation, and evaluation. The nursing process is presented as a systematic, problem-solving approach that directs nursing activities and provides quality nursing care.
The nursing process
The document discusses the nursing process and critical thinking in nursing. It defines critical thinking as an active cognitive process used to carefully examine one's own thinking and the thinking of others. The nursing process involves assessment, nursing diagnosis, planning, implementation, and evaluation and is a systematic method of providing individualized care using problem solving and decision making. Developing critical thinking skills is essential for safe nursing practice given the rapid growth of knowledge and need to make complex decisions.
Critical thinking presentation
This document discusses critical thinking in the nursing profession. It defines critical thinking as disciplined, clear, rational, and evidence-based thinking. A critical thinker is open-minded, considers multiple viewpoints, seeks to be well-informed by evaluating credible sources, and can formulate plausible hypotheses. The document provides examples of when nurses use critical thinking, such as during assessments, making diagnoses, planning interventions, and solving problems that lack straightforward answers. It describes using critical thinking to individualize patient care by considering unique factors beyond just textbook information. Scenarios demonstrate applying critical thinking when prioritizing patients, maintaining independence, and managing risks.
Nursing Process
The Nursing Process is a framework that helps organize and deliver nursing care through five main steps: assessment, nursing diagnosis, planning, implementation, and evaluation. It provides an orderly and systematic method for planning and providing care, enhances nursing efficiency, and increases care quality. During the assessment step, nurses gather both subjective and objective data on the client's health history, current status, and potential problems through various sources like interviews, examinations, and record reviews. This comprehensive data collection helps identify client needs and priorities to guide the development of the subsequent nursing diagnosis and care plan.
Delegation
Delegation is a fundamental aspect of a manager's job that involves transferring responsibility for a task or activity to another individual while retaining accountability for the outcome. Effective delegation involves determining the task, assessing competencies, deciding on needed supervision and authority levels. There are six principles and four basic steps to delegation including selecting a capable person, explaining the task, giving authority and maintaining contact. Key considerations for delegation include the potential for harm, required problem solving, and predictability of outcomes. The nurse retains responsibility for supervision and accountability in the delegation process.
test
Multi-patient simulation was developed to better prepare senior nursing students for transition to practice by focusing on prioritization, communication, and delegation. The simulation involved assigning patients of varying acuity levels and pre-planned events to student groups. Evaluations found the simulation highly effective at challenging and improving students' critical thinking and decision making skills according to student self-assessments. This simulation approach could help ease the transition to practice for new nurses by providing experience with skills important for the job.
411weil
The document discusses strategies for making nursing classes more collaborative, flipped, mobile, and flexible. It proposes having students work in collaborative groups to review exam questions together, complete case studies and concept maps in groups, and present their work to the class. It also describes having students rotate through different topic areas in small groups to teach each other. The document provides examples of using videos and embedded questions to engage students during lectures. Finally, it discusses allowing mobile learning through cell phones and online discussion boards, as well as using games and simulated disaster drills to make clinical learning more flexible.
Delegation
This document discusses delegation as a management function in nursing. It defines delegation as assigning authority and responsibility to another to carry out tasks while retaining accountability. The document outlines the delegation process, including defining the task, selecting the delegate, communicating goals, monitoring performance, and evaluating. It also discusses strategies for effective delegation, potential barriers, and concludes that delegation is a vital tool for nurses when used appropriately to ensure safe, competent patient care.
Chapter 9_mcgee
The document discusses nursing skill levels, quality and safety standards, and nurse accountability. It describes the stages of nursing skill levels from novice to expert. It outlines various organizations and their roles in establishing safety and quality standards. Finally, it discusses how nurses maintain professional accountability through adhering to standards of practice, continuing education, and managing errors, complaints, and quality of care measures.
Competencies Required For Clinical Preceptor
A clinical preceptor requires competencies in organization, instructional skills, enthusiasm, knowledge, clinical supervision, and professional modeling. They must clearly present organized materials, encourage active participation, answer questions carefully, and demonstrate respect for students. A preceptor should also be enthusiastic, stimulate interest in subjects, discuss current developments, and direct students to useful literature. Additionally, they need to demonstrate procedures, observe student performance, provide feedback without belittling, and objectively manage patient problems while maintaining professionalism.
Best preceptor
The document outlines the strategic plan and objectives of N.V RAMA RAO, CIPS, GUNTUR pharmacy school. The mission is to provide excellent pharmacy education with an emphasis on recruiting, retaining, and graduating talented students. The vision is to educate the best pharmacists in the world and produce global leaders. Objectives include expanding experiential programs, increasing preceptors and sites, establishing emergency preparedness training, and enhancing alumni engagement. The plan aims to develop student skills in areas like patient care, medication management, health promotion, and population-based care. It also outlines approaches to teaching problem solving, education, advocacy, collaboration, cultural sensitivity, and communication.
Selected nursing legal responsibilities
This document defines and differentiates between various legal terms related to criminal acts and civil wrongdoings. It discusses crimes, which are violations of public law and punishable by fines or imprisonment. Crimes can be intentional or unintentional. Felonies are serious crimes punishable by prison time, while misdemeanors are less serious crimes punishable by fines or short jail sentences. Civil wrongdoings involve faults or negligence against another person or their property. Torts include assault, battery, false imprisonment, and invasion of privacy. The document also discusses definitions of negligence, malpractice, and their elements in a legal context.
Legal of nursing
This document discusses various legal and ethical principles related to nursing practice. It defines key ethical principles like autonomy, beneficence, and justice. It also outlines several laws and acts that govern nursing, such as HIPAA, the Patient Self-Determination Act, and the Americans with Disabilities Act. The document provides examples of ethical dilemmas nurses may face and how ethical principles, tort law, and advocacy apply in different situations.
Representative Clients
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Teaching clinical skills 2015
This document discusses techniques for teaching clinical skills to learners. It begins by outlining objectives of reflecting on current teaching practices, establishing skills of the "few minute preceptor" technique, and learning new teaching ideas for clinics and wards. It then discusses views of learning as information acquisition vs knowledge construction. Key principles for adult learning are outlined from Knowles and Kolb. Challenges of clinical teaching are acknowledged. Techniques like the few minute preceptor involving commitment, evidence, reinforcement, guidance, principles and follow up are covered. Models for teaching in clinics and improving teaching on wards are provided. The document concludes by assigning the homework of creating a clinical skill teaching template.
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Legal Issues in Nursing
This document summarizes information about adverse events, malpractice lawsuits, and the litigation process against nurses in Canada. It discusses that an adverse event is an unintended injury caused by healthcare rather than the underlying condition. A 2004 study found various types of adverse events including falls and medication errors. About 1000-1400 malpractice cases are litigated against nurses in Canada each year. The definition of malpractice and negligence are provided. The litigation process involves the plaintiff suing for damages, examination of records, expert opinions, and potential settlement or trial. Nurses are responsible for meeting professional standards of care to avoid litigation for issues like inadequate assessments or documentation. Thorough documentation is important to demonstrate competent nursing care was provided.
Orientation 1
This document provides an orientation for student nurses on their clinical rotations at various health systems and academic institutions in Humboldt and Del Norte counties in California. It outlines the responsibilities of student nurses, including reading all orientation material and passing online quizzes before beginning clinical rotations. It also describes the roles and scope of practice of registered nurses, licensed vocational nurses, and nursing assistants to help students understand what they are allowed to do under supervision.
Re evaluating unit based-orientation
This document outlines a plan to re-evaluate and redesign a unit-based orientation program. A needs assessment was conducted to identify gaps, such as high blood culture contamination and hemolyzation rates. Goals and objectives for the new program were set, such as increased nurse satisfaction and improved quality metrics. A gap analysis identified needs for additional resources like online modules, simulation training, and preceptor training. The redesign proposes dividing orientation into online learning, classroom sessions, skills labs and simulation, and unit preceptorship. Assessment methods like surveys and quality metric tracking are discussed to evaluate the new program's return on investment.
The ethico – legal aspects of iv therapy
This document discusses the ethico-legal aspects of IV therapy for nurses. It outlines the duties and responsibilities of IV nurses, which include administering IV medications and fluids as prescribed, maintaining sterile technique, and documenting treatments. The document reviews the legal basis for IV nursing in the Philippines, including laws governing special training requirements and standards of practice. It also discusses ethics codes for nurses and legal liabilities and preventative measures for avoiding negligence or malpractice claims related to IV therapy.
Chamberlain College of Nursing
The job posting is seeking a Nurse Faculty for a teaching position. Applicants should have a BSN, MSN, or DNP degree in nursing. Interested candidates should email their resume to jceresa@devry.com to apply for the open faculty role.
Importance of orientation and mobility training
Orientation and mobility (O&M) training teaches people with low vision to use their remaining senses to move around independently and safely. It involves teaching skills like using a cane, protective techniques, trailing, and guide dogs. O&M is important as it allows visually impaired individuals to perform daily activities, develop social skills, and maintain independence, mobility, and employment opportunities.
Simulation in nursing education
This document discusses the role of simulation in nursing education from a regulatory perspective. It begins by outlining the goals of comparing simulation types, identifying advantages over clinical experiences, and using simulation for evaluation. It then defines simulation and discusses trends in nursing education that support its use. The document reviews different simulation types and their strengths/limitations. It addresses using simulation as a teaching strategy and evaluation tool. Several studies on the use of simulation in nursing education are summarized, focusing on its role compared to clinical experiences and regulatory views. The conclusion is that simulation is an important teaching approach and competency assessment tool that can be integrated with clinical learning along a continuum of nursing education.
Delegation
This document discusses effective delegation and supervision in healthcare. It covers key topics like staffing patterns, principles of delegation, safe delegation practices, and the differences between delegation and assignment. Delegation is described as transferring responsibility and authority for tasks while maintaining accountability. For delegation to be done safely, the RN must consider factors like the patient's condition, delegatee's competencies, task complexity, policies and standards of care. Proper supervision is also emphasized as crucial for delegation.
money in escheatment
The information presented is for general information only and is not meant to substitute for legal advice. Always seek the advice of an attorney on legal matters.
The presenter makes no recommendations as to an individual physician’s participation or non-participation with any specific health plans, insurance company or payer. Each physician is urged to give due and proper consideration to their individual practice needs and act independently regardless of the actions or non-action of other physicians.
Tips to transform coordination of benefits
This document provides guidance on coordination of benefits and responding to claim denials related to other insurance being primary. It discusses determining primary vs secondary coverage between different types of insurance plans. It emphasizes the importance of accurately verifying a patient's insurance coverage at the time of registration to avoid denials and issues with coordination of benefits later. It also provides sample language to respond to payers demanding refunds due to other insurance not being billed first.
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Multi-patient simulation was developed to better prepare senior nursing students for transition to practice by focusing on prioritization, communication, and delegation. The simulation involved assigning patients of varying acuity levels and pre-planned events to student groups. Evaluations found the simulation highly effective at challenging and improving students' critical thinking and decision making skills according to student self-assessments. This simulation approach could help ease the transition to practice for new nurses by providing experience with skills important for the job.
411weil
The document discusses strategies for making nursing classes more collaborative, flipped, mobile, and flexible. It proposes having students work in collaborative groups to review exam questions together, complete case studies and concept maps in groups, and present their work to the class. It also describes having students rotate through different topic areas in small groups to teach each other. The document provides examples of using videos and embedded questions to engage students during lectures. Finally, it discusses allowing mobile learning through cell phones and online discussion boards, as well as using games and simulated disaster drills to make clinical learning more flexible.
Delegation
This document discusses delegation as a management function in nursing. It defines delegation as assigning authority and responsibility to another to carry out tasks while retaining accountability. The document outlines the delegation process, including defining the task, selecting the delegate, communicating goals, monitoring performance, and evaluating. It also discusses strategies for effective delegation, potential barriers, and concludes that delegation is a vital tool for nurses when used appropriately to ensure safe, competent patient care.
Chapter 9_mcgee
The document discusses nursing skill levels, quality and safety standards, and nurse accountability. It describes the stages of nursing skill levels from novice to expert. It outlines various organizations and their roles in establishing safety and quality standards. Finally, it discusses how nurses maintain professional accountability through adhering to standards of practice, continuing education, and managing errors, complaints, and quality of care measures.
Competencies Required For Clinical Preceptor
A clinical preceptor requires competencies in organization, instructional skills, enthusiasm, knowledge, clinical supervision, and professional modeling. They must clearly present organized materials, encourage active participation, answer questions carefully, and demonstrate respect for students. A preceptor should also be enthusiastic, stimulate interest in subjects, discuss current developments, and direct students to useful literature. Additionally, they need to demonstrate procedures, observe student performance, provide feedback without belittling, and objectively manage patient problems while maintaining professionalism.
Best preceptor
The document outlines the strategic plan and objectives of N.V RAMA RAO, CIPS, GUNTUR pharmacy school. The mission is to provide excellent pharmacy education with an emphasis on recruiting, retaining, and graduating talented students. The vision is to educate the best pharmacists in the world and produce global leaders. Objectives include expanding experiential programs, increasing preceptors and sites, establishing emergency preparedness training, and enhancing alumni engagement. The plan aims to develop student skills in areas like patient care, medication management, health promotion, and population-based care. It also outlines approaches to teaching problem solving, education, advocacy, collaboration, cultural sensitivity, and communication.
Selected nursing legal responsibilities
This document defines and differentiates between various legal terms related to criminal acts and civil wrongdoings. It discusses crimes, which are violations of public law and punishable by fines or imprisonment. Crimes can be intentional or unintentional. Felonies are serious crimes punishable by prison time, while misdemeanors are less serious crimes punishable by fines or short jail sentences. Civil wrongdoings involve faults or negligence against another person or their property. Torts include assault, battery, false imprisonment, and invasion of privacy. The document also discusses definitions of negligence, malpractice, and their elements in a legal context.
Legal of nursing
This document discusses various legal and ethical principles related to nursing practice. It defines key ethical principles like autonomy, beneficence, and justice. It also outlines several laws and acts that govern nursing, such as HIPAA, the Patient Self-Determination Act, and the Americans with Disabilities Act. The document provides examples of ethical dilemmas nurses may face and how ethical principles, tort law, and advocacy apply in different situations.
Representative Clients
This is a resprentation of clients that have used the services of Jan Boswell of Access Nurse Consultants.
Teaching clinical skills 2015
This document discusses techniques for teaching clinical skills to learners. It begins by outlining objectives of reflecting on current teaching practices, establishing skills of the "few minute preceptor" technique, and learning new teaching ideas for clinics and wards. It then discusses views of learning as information acquisition vs knowledge construction. Key principles for adult learning are outlined from Knowles and Kolb. Challenges of clinical teaching are acknowledged. Techniques like the few minute preceptor involving commitment, evidence, reinforcement, guidance, principles and follow up are covered. Models for teaching in clinics and improving teaching on wards are provided. The document concludes by assigning the homework of creating a clinical skill teaching template.
Growth Hacking Masterclass: How to acquire users when you have zero marketing...
The document discusses various tactics for acquiring users with zero marketing budget, including becoming active on social media, optimizing website speed, blogging as a thought leader, using infographics, sharing on forums, A/B testing headlines and calls to action, building an engaged community, leveraging curiosity and contests, retargeting existing visitors, and using affiliates. It also outlines Neil Patel's three levels of the customer funnel - getting visitors, activating members, and retaining users - and provides examples of how to progress customers through each level.
Legal Issues in Nursing
This document summarizes information about adverse events, malpractice lawsuits, and the litigation process against nurses in Canada. It discusses that an adverse event is an unintended injury caused by healthcare rather than the underlying condition. A 2004 study found various types of adverse events including falls and medication errors. About 1000-1400 malpractice cases are litigated against nurses in Canada each year. The definition of malpractice and negligence are provided. The litigation process involves the plaintiff suing for damages, examination of records, expert opinions, and potential settlement or trial. Nurses are responsible for meeting professional standards of care to avoid litigation for issues like inadequate assessments or documentation. Thorough documentation is important to demonstrate competent nursing care was provided.
Orientation 1
This document provides an orientation for student nurses on their clinical rotations at various health systems and academic institutions in Humboldt and Del Norte counties in California. It outlines the responsibilities of student nurses, including reading all orientation material and passing online quizzes before beginning clinical rotations. It also describes the roles and scope of practice of registered nurses, licensed vocational nurses, and nursing assistants to help students understand what they are allowed to do under supervision.
Re evaluating unit based-orientation
This document outlines a plan to re-evaluate and redesign a unit-based orientation program. A needs assessment was conducted to identify gaps, such as high blood culture contamination and hemolyzation rates. Goals and objectives for the new program were set, such as increased nurse satisfaction and improved quality metrics. A gap analysis identified needs for additional resources like online modules, simulation training, and preceptor training. The redesign proposes dividing orientation into online learning, classroom sessions, skills labs and simulation, and unit preceptorship. Assessment methods like surveys and quality metric tracking are discussed to evaluate the new program's return on investment.
The ethico – legal aspects of iv therapy
This document discusses the ethico-legal aspects of IV therapy for nurses. It outlines the duties and responsibilities of IV nurses, which include administering IV medications and fluids as prescribed, maintaining sterile technique, and documenting treatments. The document reviews the legal basis for IV nursing in the Philippines, including laws governing special training requirements and standards of practice. It also discusses ethics codes for nurses and legal liabilities and preventative measures for avoiding negligence or malpractice claims related to IV therapy.
Chamberlain College of Nursing
The job posting is seeking a Nurse Faculty for a teaching position. Applicants should have a BSN, MSN, or DNP degree in nursing. Interested candidates should email their resume to jceresa@devry.com to apply for the open faculty role.
Importance of orientation and mobility training
Orientation and mobility (O&M) training teaches people with low vision to use their remaining senses to move around independently and safely. It involves teaching skills like using a cane, protective techniques, trailing, and guide dogs. O&M is important as it allows visually impaired individuals to perform daily activities, develop social skills, and maintain independence, mobility, and employment opportunities.
Simulation in nursing education
This document discusses the role of simulation in nursing education from a regulatory perspective. It begins by outlining the goals of comparing simulation types, identifying advantages over clinical experiences, and using simulation for evaluation. It then defines simulation and discusses trends in nursing education that support its use. The document reviews different simulation types and their strengths/limitations. It addresses using simulation as a teaching strategy and evaluation tool. Several studies on the use of simulation in nursing education are summarized, focusing on its role compared to clinical experiences and regulatory views. The conclusion is that simulation is an important teaching approach and competency assessment tool that can be integrated with clinical learning along a continuum of nursing education.
Delegation
This document discusses effective delegation and supervision in healthcare. It covers key topics like staffing patterns, principles of delegation, safe delegation practices, and the differences between delegation and assignment. Delegation is described as transferring responsibility and authority for tasks while maintaining accountability. For delegation to be done safely, the RN must consider factors like the patient's condition, delegatee's competencies, task complexity, policies and standards of care. Proper supervision is also emphasized as crucial for delegation.
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The presenter makes no recommendations as to an individual physician’s participation or non-participation with any specific health plans, insurance company or payer. Each physician is urged to give due and proper consideration to their individual practice needs and act independently regardless of the actions or non-action of other physicians.
Tips to transform coordination of benefits
This document provides guidance on coordination of benefits and responding to claim denials related to other insurance being primary. It discusses determining primary vs secondary coverage between different types of insurance plans. It emphasizes the importance of accurately verifying a patient's insurance coverage at the time of registration to avoid denials and issues with coordination of benefits later. It also provides sample language to respond to payers demanding refunds due to other insurance not being billed first.
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The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
PGx Analysis in VarSeq: A User’s Perspective
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
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Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
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Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
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Gastrointestinal Infections
GASTROINTESTINAL INFECTIONS result from the ingestion of pathogens that cause infections at the level of this tract, generally being transmitted by food, water and hands contaminated by microorganisms such as E. coli, Salmonella, Shigella, Vibrio cholerae, Campylobacter, Staphylococcus, Rotavirus among others that are generally contained in feces, thus configuring a FECAL-ORAL type of transmission.
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These are generally consequences (signs and symptoms) resulting from gastrointestinal infections: diarrhea, vomiting, fever and malaise, among others.
The treatment consists of replacing lost liquids and electrolytes (drinking drinking water and other recommended liquids, including consumption of juicy fruits such as papayas, apples, pears, among others that contain water in their composition).
To prevent this, it is necessary to promote health education, improve the hygienic-sanitary conditions of markets and communities in general as a way of promoting, preserving and prolonging PUBLIC HEALTH.
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- 1. Legal tips you need to know for safe nursing practice © CureMD Healthcare
- 2. Nursing • Nursing includes a variety of specialties and definitions that usually differs from one country to another • Broadly defined, a nurse is a person who is formally trained to take care of the sick and the disabled • Nursing standards today are in accordance to the latest scientific information from the literature, state and federal laws, court decisions, nurse practice acts • The Joint commission, the ANA organizations and other organizations offering special certifications, procedures and policies as well as job descriptions
- 3. Tips to safe nursing practice • Properly administrating medications – This includes knowing a drug’s purpose and action, knowing the appropriate dosage, understanding administration routes and being ready for a possible contraindications and adverse reactions – Traditionally, the five thumbs-up rules include right patients, right med, right dose, right time and right route – A nurse is usually the last access before a patient takes on drugs. Hence it is crucial for them to catch possible errors by a pharmacist or physician – Such errors could occur due to the use of illegible penmanship, banned abbreviations, clarification failures or transcription errors
- 4. Tips to safe nursing practice • Check for and identify deterioration – Per safe nursing standards, it is crucial to access your patient continually – Lots of legal actions taken against nurses are owing to the allegations of failure to check or find new changes in a patient’s health conditions – This act of failure is popularly known as ‘failure to rescue’. So, any small change in the patient’s health is to be reported immediately to the physician
- 5. Tips to safe nursing practice • Effective communication – When transferring the patient’s condition to another individual, (possibly a patient’s relative or friend or the patient itself) effective and educative communication is very important – Your listening skills ought to be sharp as well – Patients with limited proficiency of your preferred language must be offered interpreters – This is very much part of the standard care in the nursing law books
- 6. Tips to safe nursing practice • Assign responsibilities – Nurses must assign responsibilities appropriately and also supervise people carrying out assignments – So that calls for leadership skills like knowing who has the best competencies and skills to meet patient requirements – It would be smart to delegate tasks that are frequently recurring, with standard procedures, minimum changes, predictable results and minimum risks
- 7. Tips to safe nursing practice • Preparing documents that are time-based and accurate – These are equally crucial as they can be utilized as possible evidence for legal proceedings or determine whether or not a medical care delivered meets the legal care standards • Knowing and following facility procedures and policies – The pre-defined policies and procedures for any medical case must be updated on a regular basis – These policies and procedures of your facilities are the base or standards for which you can be legally held in a court
- 8. Tips to safe nursing practice • Using all equipments appropriately – Ensure you are properly trained on the equipment to be used. Else, it could lead to disaster – Today, with technology growing steady and fast day by day, technology in hospitals are increasing big time – This scenario is only going to increase in the future. Hence a sound knowledge on some of these or all these equipments is an increasing must
- 9. Read more on blog.curemd.com • To read more on this topic, visit: • http://blog.curemd.com/legal-tips-you-need-to- know-for-safe-nursing-practice/