Professional Role ANCC crash course

3 steps of lewis change model - answer-unfreeze, change, refreeze 3 things that are needed when doing a note about a pt with ICD-10 or CPT codes - answer-history, physical exam, and a plan a patient is subpoena'ing you for an appt from 6 months ago but you left that job what kind of insurance would cover this claim - answer-occurence based autonomy - answer-independence. pt has ability to make their own decisions beneficence - answer-doing good, an action is done for the benefit of others components of stages of change model - answer-pre contemplation contemplation preparation action maintenance credentialing can be though of as a massive __ - answer-verification process Credentialing is a process that you go through in order to be allowed to bill - answer-medicare, medicaid, etc cultural awareness: hispanics - answer-imbalance between the individual and the environment with the Chinese. there is a disruption between yin and yang, big into cupping and coining, want women to avoid cold things for a month after birth cultural awareness: Native American - answer-use shamans as healers, illness is a punishment, use herbal remedies, avoids eye contact and loud volumes, health comes from living in harmony cultural awareness: vietnamese - answer-blood loss is worse than the illness and they really fear those labs being drawn, stop rx's when they start to feel better difference between randomized controlled trial and quasi experimental design - answer-in randomized controlled trials there is randomization and in quasi experimental design there is not does medicaid coverage vary from state to state - answer-yes does medicare vary from state to state - answer-no bc handled at federal level erikson's stages 8 - answer-Stage 1: Trust vs. Mistrust. Stage 2: Autonomy vs. Shame and Doubt. Stage 3: Initiative vs. Guilt. Stage 4: Industry vs. Inferiority. Stage 5: Identity vs. Confusion. Stage 6: Intimacy vs. Isolation. Stage 7: Generativity vs. Stagnation. Stage 8: Integrity vs. Despair. example of clinical decision support - answer-abnormal lab values or vital signs in red family systems theory - answer-a theory that views the family as a system of interacting parts whose interactions exhibit consistent patterns and unstated rules. each member has a specific role fidelity - answer-faithfulness; loyalty highest to lowest levels of evidence - answer-1. meta analysis/systematic reviews - gold standard 2. all the Cs: randomized control trials, quasi experimental design, cohort studies, case control studies, cross sectional studies. longitudinal and retrospective 3. editorials/opinions: no real research. HITECH act mandated that we all move ___ in order to get paid - answer-mandated that we all moved electronic medical records in order to get paid how to remember incident to billing? - answer-the physician must be in the building with me infant mortality refers to - answer-infant deaths per 1000 live births Justice - answer-fairness, everybody is treated the same leading cause of death in infants first year - answer-congenital malformations levels of prevention - answer-primary, secondary, tertiary lewis change model: change - answer-where the change actually occurs lewis change model: refreeze - answer-what you're going to do to ensure that this change is permanent and becomes a new habit lewis change model: unfreeze - answer-before the change occurs and were figuring out how to become motivated to change and are figuring out the details license and certification are separate form each other - answer-fyi Medicare Part A (aka Hospital Insurance or HI) - answer-Provides inpatient hospital insurance automatically @ age 65 (if FICA qualified) @ no fee but may have deductible & co-pay. Medicare Part B - answer-all the outpatient needs and it includes diagnostic tests, second opinions, medical equipment Medicare Part C (Medicare Advantage) - answer-all your advantage plans supplemental insurances like dental and vision medicare part D - answer-prescription drug coverage D for drug mnemonic for remembering erikson's stages - answer-trust the auto in industry and identify with intimate geniuses with integrity new NP asking another NP in the office for advice about a tx. collaborative or consultative? - answer-consultative Non-maleficence - answer-do no harm occurrence based insurance is not affected by - answer-job changes or retirement paternalism - answer-A policy of treating subject people as if they were children, providing for their needs but not giving them rights. you decide what is best for them bc you don't agree with what they chose primary prevention - answer-Efforts to prevent an injury or illness from ever occurring. reliability - answer-results are repeatable secondary prevention - answer-Efforts to limit the effects of an injury or illness that you cannot completely prevent through *screenings* tertiary prevention - answer-actions taken to contain damage once a disease or disability has progressed beyond its early stages the consensus model for APRNs allows for NPs to - answer-practice at the fullest extent of their training and certification the genetic information non-discrimination act prohibits the use of - answer-genetic info and employment in healthcare insurance decisions the health belief model helps to not only __ but also __ health behaviors - answer-explain and predict the HITECH act also defined __ __ for providers - answer-meaningful use the stages of change model is a model we use to assess a patient's readiness to - answer-make a change the Swiss cheese model is all about - answer-risk analysis and management the Swiss cheese model is focused not on blame, but on - answer-root cause analysis to prevent it from happening in the future the Swiss cheese model is put to use when - answer-an error happens and we go back after the fact, notice where the error occurred, and how it reached the pt two types of liability insurance - answer-claims based and occurrence based validity - answer-accuracy of the results veracity - answer-truthfulness