Expert Answer:NURSING579 MCCN Advanced Practice Nursing Standard

  

Solved by verified expert:Scenario: You have been a nurse practitioner for two years. You are precepting an MCCN advanced practice registered nurse who is in his first specialty NP clinical course. Please address the following questions from your student. You have been a nurse practitioner for two years. Introduce yourself to the student you are precepting. Describe the area of practice you have been working (try to make this a realistic situation, please describe your “ideal” NP position/job and where you would ideally like to see yourself in three years).What areas of your career do you most want to focus and further develop? What skills, courses, or specific training will you need to further develop for that position? Define continuing education. Is there any specific continuing education requirements for APNs that the OBON specifically requires? Differentiate evidenced-based practice vs clinical guidelines and define each. (9 pts)Describe to the student, in detail, the process for obtaining initial specialty (FNP or Acute-Gero) licensure certification. Compare and contrast AANP and ANCC certifying bodies. Describe, in detail, the process and specifics for the steps required for licensure renewal. Please include and define specific forms and policies needed for both processes.(9 pts)The student asks you, “Was is hard to get a job after your graduated with your MSN?”Please respond by describing your strengths, weaknesses, challenges, and leadership ability. What plans did you have for self-marketing (what differentiating factor(s) about you and your career history separates you from other candidates)? Using Benner’s Self-Assessment Tool, complete an honest, personal assessment of strengths and weaknesses. (9 pts)Describe to the student the definition of an appropriate collaborating relationship with a physician as required by the Ohio Board of Nursing (OBON) for advanced practice nurses (4pts). Your student inquires to you, “Do you have plans to further your education and reach a terminal degree in nursing?” Please differentiate a Ph.D. verse DNP prepared nurse and provide specific examples of which type of degree would be most appropriate to obtain a Ph.D. as well as DNP. Which degree has a more clinical focus and which is more research focused? Define scholarly writing. If you do not want to obtain your terminal degree in nursing, what other things could you do to become more marketable (hint: include and explain things like submitting abstracts, journal articles, scholarly writing, etc.)? (9 pts)Your student inquires to you, “What is the difference between a physician’s assistant (PA) and a nurse practitioner? Is one more marketable than the other? Do they have salary differences?” Please compare and contrast a PA from NP. (9 pts)Your student inquires to you, “Can you prescribe to family members?”Please respond appropriately. Also, please explain the process for how to obtain prescriptive authority. Also explain to the student what a “DEA” is, when would this be pertinent to obtain, and how to obtain this. Last, explain to the student what an OARRS account is and if this is required by the state of OH for APNs to have. (9 pts)Your student then asks you several questions regarding billing, reimbursement, and coding. Please explain in detail to the student the following: (9 pts)Define ICD 10 codes and CPTExplain the process of credentialing and why it is significant.Your student inquires to you, “I have heard a lot about RVUs. What is that?” Define RVU. If your financial compensation is based upon meeting certain RVUs what does this mean? What are realistic RVU target measures for an NP working in an outpatient FNP office (only for FNP track to answer)? What are realistic RVU target measures for an NP working in level 1 ICU or rounding as a hospitalist (only for Acute-Gero track to answer)? (9 pts)What is malpractice insurance? Why is this important? What the costs? What is the process for obtaining this? Who pays for this? Is it required to have in OH, in all states, or state specific? (9 pts)
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Nursing 579 Standards of Advanced Practice Nursing Grading
Rubric
100 point assignment
The purpose of this assignment is to meet the graduate essentials with emphasis on course objectives
two and ten.
General Guidelines:
1. Follow APA guidelines. Use Times New Roman Font, double-spaced, size 12 with 1” margins all
around. Utilize correct grammar.
2. The number of references that you will utilize will be variable. References may not be older than 5
years. You need at least 3 references.
3. This paper is worth 100 points and will be graded on quality and accuracy of information, and proper
use of APA formatting, use of English grammar, and sentence structure. Please cite per APA format for
an Interview question and answer document.
4. It is expected that you write at the master’s level at this point in your graduate education. This
assignment reflects your ability to function as a scholarly writer and one who understand the legal, ethical,
and every day practice implications for an advanced practice nurse.
5. It is required to use Turn-It-In. You will upload your paper and the turn-it-in report to Canvas. There’s
another resource called Grammarly to help with writing and plagiarism checking.
6. The paper should be an original work, no longer than 6 pages and with a minimum of 5 pages
double-spaced (excluding title page and references)
Scenario:
You have been a nurse practitioner for two years. You are precepting an MCCN advanced practice
registered nurse who is in his first specialty NP clinical course. Please address the following questions
from your student.
1. You have been a nurse practitioner for two years. Introduce yourself to the student you are
precepting. Describe the area of practice you have been working (try to make this a realistic
situation, please describe your “ideal” NP position/job and where you would ideally like to see
yourself in three years). What areas of your career do you most want to focus and further
develop? What skills, courses, or specific training will you need to further develop for that
position? Define continuing education. Is there any specific continuing education requirements for
APNs that the OBON specifically requires? Differentiate evidenced-based practice vs clinical
guidelines and define each. (9 pts)
2. Describe to the student, in detail, the process for obtaining initial specialty (FNP or Acute-Gero)
licensure certification. Compare and contrast AANP and ANCC certifying bodies. Describe, in
3.
4.
5.
6.
7.
8.
9.
10.
detail, the process and specifics for the steps required for licensure renewal. Please include and
define specific forms and policies needed for both processes. (9 pts)
The student asks you, “Was is hard to get a job after your graduated with your MSN?” Please
respond by describing your strengths, weaknesses, challenges, and leadership ability. What
plans did you have for self-marketing (what differentiating factor(s) about you and your career
history separates you from other candidates)? Using Benner’s Self-Assessment Tool, complete
an honest, personal assessment of strengths and weaknesses. (9 pts)
Describe to the student the definition of an appropriate collaborating relationship with a physician
as required by the Ohio Board of Nursing (OBON) for advanced practice nurses (4pts).
Your student inquires to you, “Do you have plans to further your education and reach a terminal
degree in nursing?” Please differentiate a Ph.D. verse DNP prepared nurse and provide specific
examples of which type of degree would be most appropriate to obtain a Ph.D. as well as DNP.
Which degree has a more clinical focus and which is more research focused? Define scholarly
writing. If you do not want to obtain your terminal degree in nursing, what other things could you
do to become more marketable (hint: include and explain things like submitting abstracts, journal
articles, scholarly writing, etc.)? (9 pts)
Your student inquires to you, “What is the difference between a physician’s assistant (PA) and a
nurse practitioner? Is one more marketable than the other? Do they have salary differences?”
Please compare and contrast a PA from NP. (9 pts)
Your student inquires to you, “Can you prescribe to family members?” Please respond
appropriately. Also, please explain the process for how to obtain prescriptive authority. Also
explain to the student what a “DEA” is, when would this be pertinent to obtain, and how to obtain
this. Last, explain to the student what an OARRS account is and if this is required by the state of
OH for APNs to have. (9 pts)
Your student then asks you several questions regarding billing, reimbursement, and coding.
Please explain in detail to the student the following: (9 pts)
a. Define ICD 10 codes and CPT
b. Explain the process of credentialing and why it is significant.
Your student inquires to you, “I have heard a lot about RVUs. What is that?” Define RVU. If your
financial compensation is based upon meeting certain RVUs what does this mean? What are
realistic RVU target measures for an NP working in an outpatient FNP office (only for FNP track
to answer)? What are realistic RVU target measures for an NP working in level 1 ICU or rounding
as a hospitalist (only for Acute-Gero track to answer)? (9 pts)
What is malpractice insurance? Why is this important? What the costs? What is the process for
obtaining this? Who pays for this? Is it required to have in OH, in all states, or state specific? (9
pts)
Guidelines for Advanced Practice Nursing
Role Self-Assessment Using Benner’s Novice to Expert Model
Novice
• No experience of situations in which you’re expected to
preform…can take in little of the situation which is too new
and too strange
• Governed by context-free rules (in order to enter situations to
gain experience) …little understanding of contextual meaning
of textbook concepts
• Extremely limited and inflexible
• Requires support in clinical practice from someone who is at
least at the ‘competent’ level
Advanced
• Limited experience of situations in which expected to perform
Beginner
• Recognizes overall global characteristics of situations that can
ONLY be identified through prior experience
• Requires support in clinical practice from someone who is at
least at the ‘competent’ level
Competent
• On the job with same or similar situations 2-3 years
• A plan for work/care establishes only a perspective…not rigid
rules to follow…but is most organized & efficient with
conscious, deliberate planning
• Recognizes contextual aspects of situations
• Has a feeling of mastery & ability to manage
• Still lacks speed & flexibility characteristic of next level
NOTE: A significant difference in expertise occurs between these levels…skills are
transformed at the proficient and expert levels…adhering to formal rules/models may
actually deteriorate practice
Proficient
• 3-5 years’ experience in same/similar situation
• Perceives situations as a contextual whole and recognizes
most significant aspects of a situation
• Knows from experience typical events to expect in given
situations…has a “web of perspectives” from which to
operate
• Considers fewer options & hones in on accurate regions of
problems
• Performs with flexibility
Expert
• 5-10 years in same/similar situations…enormous
background of experience
• Operates from a deep understanding of total situation as a
contextual whole without relying on rules, guidelines
• Intuitive grasp of situations; rapidly zeroes in on accurate
regions of problems without wasting time/energy considering
large range of options
• Performs with great flexibility
Benner, P. (1984). From novice to expert: Excellence and power in clinical nursing practice. Menlo Park,
CA: Addison Wesley. Excerpts from pp 20-39
Criteria
Accuracy of Questions
1-10
Applicability and
Correct Utilization of
Personal Assessment
Possible
Points
85
APA Format and
Grammar
10
Punctuality
5
Rationale

Provides detailed information regarding
education and license requirements.
• Provides detailed information regarding COA,
prescriptive authority, rules and regulations of
prescribing
• Provides detailed information regarding the
scope of practice for an APN
• Provides detailed information regarding
scholarly writing, continuing education, and
further education for an APN
• Detailed assessment is done using Benner’s
Model. Thorough reflection of strengths, goals,
weaknesses, and objectives is noted
Title page, text, and references are in correct format.
Paper is free of grammar and word-usage errors. Is also
free of slang.
Assignment is due on time. All questions are answered.
The assignment is submitted with all parts completed.
Total
100
Nursing 579 Standards of Advanced Practice Nursing Grading Rubric
Criteria
Maximum points earned:
Less than maximum points:
5
0
Punctuality
Paper is submitted on time.
Assignment is late
Student responds to all
And/or
questions. Upon submission
Upon submission, assignment
of assignment, the assignment is not completed in entirety
is completed in entirety.
8-10
Less than 8
APA format and Grammar
APA format correct with no
APA format with more than 2
more than 2 errors. Spelling,
errors. Spelling, syntax, and
syntax, and punctuation are
punctuation with more than 3
accurate with no more than 3 errors
errors within total paper
More than 2 typographical
No more than 2 typographical mistakes within total paper
mistakes within total paper
81-85
Less than 80
Accuracy of Questions 1-10
Provides detailed information Inaccurate and Inadequate
regarding education and
information provided.
Applicability and Correct
license requirements.
Missing more than 1 key
Utilization of Personal
Provides detailed information element in any 2 questions
Assessment
regarding COA, prescriptive
out of 10 questions answered
authority, rules and
and/or Missing 1 key element
regulations of prescribing
in more than any 3 questions
Provides detailed information out of 10 questions answered
regarding the scope of
practice for an APN
Provides detailed information
regarding scholarly writing,
continuing education, and
further education for an APN
Detailed assessment is done
using Benner’s Model.
Thorough reflection of
strengths, goals, weaknesses,
and objectives is noted
Adequate information
provided. Missing 1 key
element in any 2 questions
out of 10 questions answered
Total Points:
100

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