AGACNP Exam Review
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Terms in this set (909)
Scope of Practice Based on legal allowances in each state,
individual state nurse practice acts providing
guidelines for nursing practice
Key elements of the NP role include integration of care across the acute illness
continuum with collaboration and coordination of
care; research based clinical practices, clinical
leadership, family assessment, and discharge
planning
Standards of Advanced Practice are American Nurses Association which measure
delineated by... quality of practice, service, or education
State Practice Acts Authorize Boards of Nursing in each state to
establish statutory authority for licensure of RNs
State Practice Acts - authority use of title, authorization for scope of practice
includes: including prescriptive authority, and disciplinary
grounds
States vary in practice certification
requirements, such as
Prescriptive authority Ability and extent of NPs ability to prescribe
meds
DEA has ruled that nurses in registration numbers, state practice acts dictate
advanced practice may obtain.. level of prescriptive authority allowed
,Credentials encompass... required education, licensure and certification to
practice as an NP
Credentials establish... minimal levels of acceptable performance
Credentialing is necessary to: ensure that safe healthcare is provided by
qualified individuals; comply with federal and
state laws r/t APN
Credentials also... acknowledges the scope of practice of NP,
mandates accountability, enforces professional
standards for practice
Licensure establishes that a person is qualified to perform
in a particular professional role
Licensure is granted as defined by a governmental regulatory body (ie. state board
rules and regulations set forth by of nursing)
Certification Person has met certain standards that signify
mastery of specialized knowledge
Certification is granted by ANCC, AANP
nongovernmental agencies such as
Admitting privileges to hospitals 1983 by JC
(non physican) were granted
Credentialing and privileging process which an NP is granted permission to
practice in an inpt setting
Credentialing with hospital Hospital Credentialing Committee
privileges is granted by a
,Pt Medical Abandoment When caregiver-pt relationship is terminated w/o
making reasonable arrangements w an
appropriate person so that care can be
continued
Determination of pt abandonment Whether NP accepted pt assignment, whether NP
depends on factors such as: provided reasonable notice before termination,
whether reasonable arrangements could have
been made
Following do not constitute pt NP refuses to accept responsibility for pt
abandonment assignment when NP has given reasonable notice
to proper authority that NP lacks competence to
carry out assignment; NP refuses assignment of a
double shift or addtl hrs beyond posted work
schedule when proper notification has been
given..latter phrase can be controversial
Risk Mgmt Systematic effort to reduce risk begins w formal
written risk mgmt plan that includes:
organizations goals, delineation of program's
scope, components, methods; delegating
responsibility for implementation and
enforcement; demonstrating commitment by the
board; confidentiality and immunity from
retaliation for those who report sensitive info
Most common method of incident reports
documentation for risk mgmt
Policies regarding incident reports ppl authorized to complete report; ppl
should address: responsible for review of a report, immediate
actions needed to minimize the effects of the
event; ppl responsible for follow up; plan for
monitoring aftermath; security/storage of
completed report
, Risk mgmt - Satisfaction surveys Important for identifying problems before they
develop into incidents or claims; for pts and
employees
Risk mgmt - Complaints: Risk mgmt ppl notified after receiving complaint; ppl
plan should delineate tracking, responsible for responding; ppl responsible for
analyzing, and managing monitoring follow up
complaints by clearly identifying:
Action taking initiatives: Prevention, correction (corrective steps must be
monitored and audited), documentation,
education, departmental coordination
Medical Futility Interventions that are unlikely to produce
significant benefit for pt - "Does the intervention
have any reasonable prospect of helping this pt?"
Two kind of medical futility: Quantitative futility: likelihood that intervention
will benefit pt is extremely poor
Qualitative futility: quality of benefit an
intervention will produce is extremely poor
Informed consent - competence state that pt is able to make personal decisions
(decisional capability) about their care
competence implies that ability to: understand, reason, differentiate good and bad,
and communicate
informed consent pt has received adequate instruction or info
regarding aspects of care to make prudent,
personal choice regarding such tx
Informed consent includes: discussing benefits and risk
consent is assumed if... pt's condition is life threatening
Save
Terms in this set (909)
Scope of Practice Based on legal allowances in each state,
individual state nurse practice acts providing
guidelines for nursing practice
Key elements of the NP role include integration of care across the acute illness
continuum with collaboration and coordination of
care; research based clinical practices, clinical
leadership, family assessment, and discharge
planning
Standards of Advanced Practice are American Nurses Association which measure
delineated by... quality of practice, service, or education
State Practice Acts Authorize Boards of Nursing in each state to
establish statutory authority for licensure of RNs
State Practice Acts - authority use of title, authorization for scope of practice
includes: including prescriptive authority, and disciplinary
grounds
States vary in practice certification
requirements, such as
Prescriptive authority Ability and extent of NPs ability to prescribe
meds
DEA has ruled that nurses in registration numbers, state practice acts dictate
advanced practice may obtain.. level of prescriptive authority allowed
,Credentials encompass... required education, licensure and certification to
practice as an NP
Credentials establish... minimal levels of acceptable performance
Credentialing is necessary to: ensure that safe healthcare is provided by
qualified individuals; comply with federal and
state laws r/t APN
Credentials also... acknowledges the scope of practice of NP,
mandates accountability, enforces professional
standards for practice
Licensure establishes that a person is qualified to perform
in a particular professional role
Licensure is granted as defined by a governmental regulatory body (ie. state board
rules and regulations set forth by of nursing)
Certification Person has met certain standards that signify
mastery of specialized knowledge
Certification is granted by ANCC, AANP
nongovernmental agencies such as
Admitting privileges to hospitals 1983 by JC
(non physican) were granted
Credentialing and privileging process which an NP is granted permission to
practice in an inpt setting
Credentialing with hospital Hospital Credentialing Committee
privileges is granted by a
,Pt Medical Abandoment When caregiver-pt relationship is terminated w/o
making reasonable arrangements w an
appropriate person so that care can be
continued
Determination of pt abandonment Whether NP accepted pt assignment, whether NP
depends on factors such as: provided reasonable notice before termination,
whether reasonable arrangements could have
been made
Following do not constitute pt NP refuses to accept responsibility for pt
abandonment assignment when NP has given reasonable notice
to proper authority that NP lacks competence to
carry out assignment; NP refuses assignment of a
double shift or addtl hrs beyond posted work
schedule when proper notification has been
given..latter phrase can be controversial
Risk Mgmt Systematic effort to reduce risk begins w formal
written risk mgmt plan that includes:
organizations goals, delineation of program's
scope, components, methods; delegating
responsibility for implementation and
enforcement; demonstrating commitment by the
board; confidentiality and immunity from
retaliation for those who report sensitive info
Most common method of incident reports
documentation for risk mgmt
Policies regarding incident reports ppl authorized to complete report; ppl
should address: responsible for review of a report, immediate
actions needed to minimize the effects of the
event; ppl responsible for follow up; plan for
monitoring aftermath; security/storage of
completed report
, Risk mgmt - Satisfaction surveys Important for identifying problems before they
develop into incidents or claims; for pts and
employees
Risk mgmt - Complaints: Risk mgmt ppl notified after receiving complaint; ppl
plan should delineate tracking, responsible for responding; ppl responsible for
analyzing, and managing monitoring follow up
complaints by clearly identifying:
Action taking initiatives: Prevention, correction (corrective steps must be
monitored and audited), documentation,
education, departmental coordination
Medical Futility Interventions that are unlikely to produce
significant benefit for pt - "Does the intervention
have any reasonable prospect of helping this pt?"
Two kind of medical futility: Quantitative futility: likelihood that intervention
will benefit pt is extremely poor
Qualitative futility: quality of benefit an
intervention will produce is extremely poor
Informed consent - competence state that pt is able to make personal decisions
(decisional capability) about their care
competence implies that ability to: understand, reason, differentiate good and bad,
and communicate
informed consent pt has received adequate instruction or info
regarding aspects of care to make prudent,
personal choice regarding such tx
Informed consent includes: discussing benefits and risk
consent is assumed if... pt's condition is life threatening
