When did the "patient protection and af-
march 2010 and went into effect in 2014
fordable care act" start
- Reduces the # of Americans who do
not have health insurance by expanding
Medicaid to cover more people, allowing
children to stay on plan until 26, requir-
ing employers of more than 50 employ-
ees to offer health insurance, forbidding
insurance plans to exclude people with
preexisting conditions
- States are required to make it easier
for people/small businesses to find cov-
Patient Protection and Affordable Care
erage
Act
- Caps % of income someone has to
pay for insurance premiums and pro-
vides subsidies for people with low in-
come that can't afford coverage
- HCP's select what services will be avail-
able and then negotiate to determine a
price
- Employers/employees negotiate on
what services they want and what the
reimbursement for the services will be
What entity of government finances
federal government
Medicare
- Focuses on the health needs of pts
in hospitals, residents in long-term care
LPN scope of practice facilities, and members of the community
- Required that LPNs work under the su-
pervision of a RN or physician
Where does most people receive health
through work
insurance
- Physician in the primary healthcare set-
ting, usually in a office setting where pt's
primary provider
seek treatment, advice, or follow-up vis-
its
, PN Leadership Exam 2 study guide
What is the skill that the LPN requires to
prioritize
successfully manage care
Pt's who are healthy enough not to
require close medical involvement, but What type of patient would attend an as-
they need assistance in taking medica- sisted living facility
tions or performing ADL's
- the design of work tasks to best suit the
capabilities of workers
- for patient handling, it involves the use
ergonomic principle of mechanical equipment/safety proce-
dures to lift and move patients so that
workers can avoid using manual exer-
tions and reduce risk of injury.
- emphasizes health promotion and the
primary health care prevention of illness and disability (dx
visit)
- involves detection/early treatment to
secondary health care prevent illness and disability (hospital
stay)
- provides restorative and rehab ser-
tertiary health care vices for people w/chronic conditions
(long-term care facilities)
what age receives Medicare without spe-
65
cial circumstances
- It's the foundation of your knowledge
"know that" base for practicing nursing
- Information you learn in school
- The information that nurses learn while
practicing
"know how"
- You develop this knowledge when car-
ing for pts over time and learn
Which Maslow's Hierarchy of needs is
safety
most threatened
mentor
, PN Leadership Exam 2 study guide
- A nurse w/more experience and k
knowledge who is willing to assist a
novice to learn the skills of the profession
- Can increase your knowledge, help you
socialize into your new work environ-
ment, assist you w/ improving your work
good mentor
performance, and support the success of
your nursing career done through coun-
seling, role modeling, and teaching
- They don't assist you w/ your career
and don't provide information to help you
toxic mentor
in making the transition form student to
nurse
- Nonresponsive people who are unavail-
able or inaccessible
avoiders - If you have a question or need some-
thing from them, they either don't get
back to you or can't find them
- Throw people into a new role/position
and let them fail
dumpers - They function on the "sink or swim"
premise, which produces a great deal of
transition trauma
- Refuse to help, withhold information
needed to succeed, or stifle the devel-
blockers
opment of the individual by hovering too
close
- Tear down the individual by undermin-
ing in subtle/overt ways to destroy the
novice nurse's confidence
destroyers
- They criticize without regard for the
quality or the work
- "you're new, so you're wrong"
Self-mentoring strategies