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NURS 502 Exam Review Questions Solved 100% Correct | Verified Solutions 2024/25 Update
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NURS 502 Exam Review Questions Solved 100% Correct| Verified Solutions 2024/25 Update
9 NP Core Competencies - ✔✔1. Scientific Foundation
2. Leadership
3. Quality
4. Practice Inquiry
5. Technology & Information Literacy
6. Policy
7. Health Delivery System
8. Ethics
9. Independent Practice
Standardized Procedures - ✔✔Section 2725 of CA BRN: Nurse Practice Act
intent to recognize existence of overlapping functions between MDs & RNs
permit additional sharing & provide legal authority to do so, ie. Standardized procedures (SPs)
Levels of RN Function: legal definition - ✔✔- Independent functions (traditional nursing
activities)
- Dependent functions (functions commonly delegated by a physician)
-Interdependent functions (standardized procedures)
Independent Functions of an RN in CA - ✔✔Direct & indirect patient care
performance of disease prevention & restorative measures
immunizations, withdrawal of blood (venous & arterial)
observations of S & S of illness, treatment reactions, & implement reporting, referral,
emergency procedures
,Dependent Functions of an RN in CA - ✔✔Administration of medications & therapeutic
agents necessary to implement a treatment, disease prevention, or rehab regimen
ordered by MD, dentist, podiatrist, or psychologist
Interdependent Functions of an RN in CA - ✔✔interdependent activities overlap into practice
of medicine...and require standardized procedures (SPs) to provide legal authority
without SPs, an RN is practicing medicine without a license
DON'T confuse SPs with routine P&Ps found in hospitals & elsewhere
Why do we have Standardized Procedures? - ✔✔-Legal authority to carry out
interdependent functions (medical practice, ie. Dx & Tx of disease)
-Safeguards: developed in collaboration with the RN (NP), MD, & ADMIN of agency: all must
agree
-Caveat: RN (NP) must be competent to carry out!! (education & training)
-Example: if you haven't had peds in your training program then you can't work with children
-authorize expansion of scope of practice
Standardized Procedures: Overview - ✔✔Found in title 16, CCR, section 1474, 1379
11 REQUIRED ELEMENTS that must be present no matter what type of SP is used
two types of SPs :
1. Disease specific:
2. Process oriented
Disease specific SP's - ✔✔detailed outline of S & O findings expected for a given condition &
what you may do
Process oriented - ✔✔process protocols identify APN function in terms of GENERAL PROCESS
the NP follows for evaluating and treating health problems
Process protocols can be used for primary and acute care settings
, Functions that are within realm of nursing, ie. H&P do not need to be defined (because
independent function)
Who- What-Where-How-When-Why of Standardized Procedures - ✔✔WHAT: Legal
mechanism to overlap the practice of medicine
WHO: Registered Nurses
WHERE: Org Health Care system
HOW: In accordance with a SP
WHEN: After RN meets requirements (education & training in an NP program)
WHY: SP authorize expansion of scope of practice
11 Elements of SPs - ✔✔1. Be in writing, dated & signed by the org health care system
personnel authorized to approve
2. Specify which SP functions RNs may perform under what circumstances
3. State specific requirements which are to be followed by RNs in performing particular SP
functions
4. Specify experience, training, &/or education requirements for performance of SP functions
5. Establish a method for initial & continuing evaluation of the competence of those RNs
authorized to perform SP functions
6. Maintain a written record of those persons authorized to perform SP functions
7. Specify scope of supervision required for performance of SP functions, ie. Collaboration/
supervision by MD
8. Identify any specialized circumstances under which RN is to immediately communicate with a
patient's MD concerning pt condition
9. State the limitations on settings, if any, in which SP functions may be performed
10. Specify patient record keeping requirements
11. Provide for a method of periodic review of SPs
Furnishing - ✔✔Ordering Medications by NPs
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