Explore the Health Resources and Services Administration (HRSA) website.

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2. Establishing a Culturally Competent Master’s and Doctorally Prepared Nursing Workforce
Read “Establishing a Culturally Competent Master’s and Doctorally Prepared Nursing Workforce,” located on the American Association of College of Nursing website.
Electronic Resource
3. Nursing and Health Reform
Read “Nursing and Health Reform,” located on the Wound Ostomy and Continence Nurses Society website.
Electronic Resource
4. The Affordable Care Act (ACA)
Read “The Affordable Care Act,” located at the HealthCare.gov website.
Website
19. Health Resources and Services Administration
Explore the Health Resources and Services Administration (HRSA) website.
Other
20. The Evolving Practice of Nursing
Read “The Evolving Practice of Nursing,” by Dickerson (2012). (Reprinted with permission)
Electronic Resource
21. New Health Care Delivery Models in Health System Reform: Opportunities for Nurses and Their Patients
Read “New Health Care Delivery Models in Health System Reform: Opportunities for Nurses and Their Patients,” by Haney (2010), located on the American Nurses Association website.
Gradable Items Details Points Possible
Assignment Evolving Practice of Nursing and Patient Care Delivery Models As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.
Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform. A minimum of three scholarly references are required for this assignment.

Briefly describe how you would evaluate the effectiveness of the care provided (i.e. what do you want to happen?) and reflect on how this encounter has informed your nursing practice if you were to encounter a similar situation in the future

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Ms Nancy Huang is a 29 year old university student undertaking her honours year in physics. Nancy was diagnosed as a type 1 diabetic three years ago. She normally manages her diabetes reasonably well since making a number of lifestyle changes combined with regular insulin. Nancy has been very stressed, as she has not been able to finish her thesis on time due to having to recently return to China unexpectedly to attend a family funeral. Since returning a few days ago, she has seen her GP, as she was unwell, and was diagnosed with a viral chest infection that was managed conservatively. She subsequently fell further behind in her studies. Nancy decided to pull a few ‘all-nighters’ to get her thesis finished and decided to consume excessive amounts of coffee and soft drinks in order to stay awake to finish her thesis. The next day her husband noticed Nancy was particularly irritable and becoming emotional as she could not concentrate on finishing her thesis. Nancy was insisting on being driven to the university to speak to her lecturer. On the drive in, they had to stop 4 times for Nancy to use the bathroom. She became even more irritable and her husband decided to call an ambulance once they arrived at the university, who then transported her to hospital. The time is now 1400 and Nancy has just been admitted into the emergency bay. You are the first RN to assess her. She is awaiting medical review.
Review:

See available patient information via MyLO. Little documentation available at this point as newly admitted.

Gather new information (patient assessment):
Upon undertaking a further assessment of Ms Huang you obtain the following new information:

Log book
Her husband provides you with a logbook that was provided to Nancy by her endocrinologist. It shows that Nancy has been diligently recording her BGL levels and insulin regime for some months. You note there are no entries for the last few days.

Vital signs
BP: 90/50
HR: 120 beats per minute
Sp02: 94%
RR: 20, coarse air entry, moist productive cough.
Temp: 37.9 degrees.

Other information
Patient irritable and agitated. Speaking in a confused mixture of English and Mandarin. Husband in attendance.
GCS 13 (confused)
BGL 24
Poor skin turgor.
Frequent urination
Urinalysis positive for glycosuria, specific gravity 1.030. No ketones present.
Soft abdomen, no rebound tenderness. Bowel sounds present.
Recall:
Recall and apply your existing knowledge to the above situation to ensure you have a broad understanding of what is/may be occurring before proceeding with the rest of the cycle (self-directed)
Interpret:
List the data that you consider to be normal/abnormal below (not included in word count)
Normal Abnormal

Relate& Infer:
• Relate the two most significant abnormal findings to the underlying physiology/pathophysiology to justify why it is considered abnormal in this context.
• Based on your interpretation of all the information/cues presented, form an overall opinion on what may be happening and justify your answer (400 words).

Predict:
What may happen to your patient if you take NO action and why? (100 words)

List in order of priority at least three key nursing problems (not included in word count)

From the above (identify problems), use the top 2 nursing problems identified and for each of these establish one goal and thenlist related actions you would undertake, including detailing any relevant nursing considerations (350 words)
Problem 1 Goal Related actions Rationale

Problem 2 Goal Related actions Rationale

Briefly describe how you would evaluate the effectiveness of the care provided (i.e. what do you want to happen?) and reflect on how this encounter has informed your nursing practice if you were to encounter a similar situation in the future (150 words).

What main term in the Alphabetic Index is referenced to identify a code for the condition?

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How will my ability to abstract the necessary information
from a medical document, apply CPT codes, HCPCS codes,
and modifiers in the correct sequence increase my career options?
This assignment helps you apply your knowledge from this week’s modules and readings.
The ICD-10-CM codes show medical necessity for procedures, supplies, or services that are provided to the patient in the medical setting. These codes are used to study healthcare costs, predict health care trends, and even plan for future health care needs. Developing accurate ICD-10 coding skills could help you become a better medical biller and coder.

50

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Building Your ICD-10-CM Coding Skills
Use your coding manual, textbooks, and other course resources to answer the following questions.

1.Apply the correct steps for ICD coding to answer the questions below for the following statement: Cataract due to type 1 diabetes
a. What is the illness, injury, or condition listed in the statement?
Cataract due to type 1 diabetes

b. What main term in the Alphabetic Index is referenced to identify a code for the condition
Diabetes

c. What subterm(s) better identifies the condition?
Type 1

d. What, if any, are the cross reference instructions in the Alphabetic Index that should be followed?
With cataract

e. What code (s) are listed for the condition in the Alphabetic Index?
E10.36

2.Apply the correct steps for ICD coding to answer the questions below for the following statement: Pernicious anemia
a. What is the illness, injury, or condition listed in the statement?
Pernicious anemia

b. What main term in the Alphabetic Index is referenced to identify a code for the condition?
anemia

c. What subterm(s) better identifies the condition?
Pernicious

d. What, if any, are the cross reference instructions in the Alphabetic Index that should be followed?
None

e. What code (s) are listed for the condition in the Alphabetic Index?
B51.0

3.Apply the correct steps for ICD coding to answer the questions below for the following statement: Benign neoplasm of the proximal third of the esophagus
a. What is the illness, injury, or condition listed in the statement?
Benign Neoplasm of the proximal third of the esophagus

b. What main term in the Alphabetic Index is referenced to identify a code for the condition?
Neoplasm

c. What subterm(s) better identifies the condition?
Type answer here

d. What, if any, are the cross reference instructions in the Alphabetic Index that should be followed?
Type answer here

e. What code (s) are listed for the condition in the Alphabetic Index?
Type answer here

4.Apply the correct steps for ICD coding to answer the questions below for the following statement: Cochlear otosclerosis, bilateral

a. What is the illness, injury, or condition listed in the statement?
Type answer here

b. What main term in the Alphabetic Index is referenced to identify a code for the condition?
Type answer here

c. What subterm(s) better identifies the condition?
Type answer here

d. What, if any, are the cross reference instructions in the Alphabetic Index that should be followed?
Type answer here

e. What code (s) are listed for the condition in the Alphabetic Index?

Detail three (3) measures that you would use in order to maintain the electronic medical record system during the emergency.

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You have just been hired as a new Vice President of quality and safety for a full-service 600-bed government healthcare organization. Within your first month on the job, the national security threat level has been raised to Imminent, which means there is a credible, specific, and impending terrorist threat against the United States, and your facility may be directly impacted. The Chief Executive Officer has requested an immediate six to eight-page report of your proposal for handling such a situation.
Note: You may create and /or make all necessary assumptions needed for the completion of this assignment.
Write a 6 page paper in which you:
1. Examine the existing procedures related to at least four (4) of the ten (10) essential public health services. Focus on the principal effects that these procedures will have on your hospital during the emergency.
2. Specify the importance of continuing to evaluate patients, as stipulated by the Emergency Medical Treatment and Active Labor Act (EMTALA), during the emergency.
3. Detail three (3) measures that you would use in order to maintain the electronic medical record system during the emergency.
4. Defend your position on the decision to accept health insurance during the emergency as a potential source of income for the facility. Provide support with at least three (3) examples that illustrate your position.
5. Analyze the extent to which this emergency might affect the quality of care provided to the patients and the unimpeded operation of the organization.