Discuss how the point of care (POC)technology impacts the workflow for nursing either positive negative or both and how the technology impacts the overall quality of care the patient receives

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Comment:
The I-STAT system Provide an in-depth description of the point of care (POC)technology including its use vendor manufacture description cost Discuss and describe the type and amount of training that the bedside nurse received prior to using the product and any ongoing education about the product and its use Discuss how the technology feeds its information into patient record Discus how the technology impacts the workflow for nursing either positive negative or both and how the technology impacts the overall quality of care the patient receives Briefly discuss any recommendations you have for improving the product and its use at the POC Discuss what you learned about the technology that you didnt know prior to doing this assignment Use current APA 6th edition formatting. # of pages should not include reference or cover pages

ompare your home state’s laws in regards to Advanced Practice Nursing Practice to an alternate state with a less or more restrictive practice environment.

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Assignment 1:
Certification Plan
Begin to develop a plan to pass the Certification Exam. Compare your home state’s laws in regards to Advanced Practice Nursing Practice to an alternate state with a less or more restrictive practice environment.
To prepare:
· Consider the differences in certification exams options for your specialty
· Reflect on how to approach relocating licensure from one state to another
Write a 3-4 page paper which summarizes the following:
· Identify the certification exam you selected and explain why
· Outline your plan for passing the appropriate National Certification Exam
· Describe the NP Practice environment for your home state highlighting restrictions or limitations for practice
· Describe 3 strengths identified from the FHEA Exit Exam
· Describe 3 areas of weakness identified by the FHEA Exit Exam and develop a study plan for addressing these areas of weakness

Can any policy take precedence over the professional judgment of trained ICU nurses?

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In each case, answer the questions at the end of the case and give researched references to support your assertions; also, explain what would be the ethical course of action and the legal requirements for action in the case.
Case One
Mrs. Lewis was head nurse on a medical surgical floor in a community hospital with 250 beds. Over the course of 6 months, she noticed that all patients admitted from the Shady Rest Nursing Home had signs of severe injuries other than those connected with the admitting diagnosis. There appeared to be patient abuse in the nursing home. Mrs. Lewis investigated discreetly and found no explanation possible except abuse. In accord with the obligations of the law in her state, she reported the matter to the Department of Welfare Bureau of Inspection.
The Welfare Department investigated immediately, found proof of abuse, and threatened to close down Shady Rest if there were any more recurrences. Mrs. Lewis was overjoyed until her hospital administrator, bypassing the director of nursing, called her in and warned her that she would be fired if she reported any other instances of abuse. Shady Rest sent the hospital a lot of business, and good relations had to be maintained.
Mrs. Lewis was even more shocked when she discovered that the administrator was a golf partner of the owner of Shady Rest and was doing an old buddy a favor. Despite fears of retaliation, Mrs. Lewis consulted a lawyer, who threatened the hospital with exposure and with penalties that would follow if one of its employees failed to follow the reporting provisions of the law on abuse in nursing homes.
Did Mrs. Lewis act correctly? What should she have done if she could not have afforded to consult with a lawyer? In what ways can whistle-blowers protect themselves? Must the art of intimidation be part of the toolbox of healthcare professionals in order to protect their patients? Is power an appropriate consideration in healthcare ethics?
Case Two
On a July weekend, Mrs. Allesfertig, nursing supervisor of the whole hospital, discovered that the intensive care unit was seriously understaffed. She pulled two nurses with previous ICU experience off other floors to bring the unit up to strength in view of the extreme level of acute care needed. On the following Monday, Dr. Bestknabe, who has overall responsibility for the ICU unit, closed the unit for further admissions until the staffing had been worked out on a permanent basis.
Should the new staffing policy give the nurses authority to refuse to admit patients when the staff is not sufficient to handle them? (In some hospitals, nurses have this authority.) Can any policy take precedence over the professional judgment of trained ICU nurses?

Reflect on the differences between certifying bodies that offer credentialing exams for registered nurses.

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Discussion: Understanding Scope of Practice in relation to Certification and Licensure
The National Council of State Boards of Nursing (NCSBN) is a non-profit organization comprised of members from each state board of nursing in the U.S., the District of Columbia, and the four U.S. territories. Their role is to provide a platform for all state boards of nursing to convene, discuss, and ensure all state boards work together to provide the appropriate regulation to ensure that public health, safety, and welfare is the primary focus. A key element of NP licensure is understanding the components of Scope of Practice and subsequent practice within the parameters of the educational program completed and appropriate national certification.
To prepare:
Consider whether primary care NP graduates are qualified to seek employment in acute care settings such as ER, OR, or hospitalist/intensivist
Review and select one of the following case studies to research in depth:
Case Study One: Selecting the Certification Exam for your specialty.
Mary is in the last two months of her program of study. She is trying to decide whether to take the American Association of Nurse Practitioner Credentialing Exam or the American Nurses Credentialing Exam.
Case Study Two: Obtaining initial licensure post matriculation.
Amy, FNP-BC has recently graduated from an accredited Family Nurse Practitioner Program. She decides to relocate from her home state of Tennessee to Missouri and practice in a rural area. She is very excited about her new role and new position.
By Day 3
Post an explanation of the professional and/or clinical practice issues the new Nurse Practitioner will need to consider and address with the certification, licensure, credentialing, or relocation process. Compare Scope of Practice between the Acute Care, Family Practice, and Adult Gerontology Primary Care Nurse Practitioner and how practice may differ from state to state. Then, identify and explain at least two types of settings that are appropriate for FNP and AGPCNP graduates to practice.
Read a selection of your colleagues’ responses.
By Day 7
Respond to at least two of your colleagues on three different days in one or more of the ways listed below. Respond to colleagues who selected a different Case Study than you did.
Reflect on the differences between certifying bodies that offer credentialing exams for registered nurses.
Provide key components a Nurse Practitioner should consider when relocating from one state to another.