Week 1 discussion
Discussion Part I: Medicolegal Considerations
Note: In this course, all Discussions will have two parts:
Part I will consist of a specific topic related to the
Part II will consist of a pharmacology review of
approximately 250 words. Please submit each posting separately but within the
same Discussion thread.
You will be assessed on your posting and responses to both
As an advanced practice nurse (APN), it is essential to
understand your medicolegal responsibilities as they relate to coding the
services you provide to patients. Improper coding, undercoding, or overcoding
can have serious implications for patients, providers, and the providerâ€™s care
setting. For this Discussion, you examine potential coding issues in case
studies and consider the medicolegal responsibilities of the advanced practice
Case Study 1:
Sally Jones, an acute care advanced practice nurse, is
making hospital rounds on the same patients her colleague nurse practitioner
saw yesterday. Sally had five history and physicals to complete on admissions
that came in overnight. At the beginning of her shift, she had to complete two
emergency admissions and was then called to intensive care, where she spent
most of the afternoon. She had to leave work early because of her husbandâ€™s
retirement party. Because she knew most of the patients on her rounding list,
she decided to visit each patientâ€™s room quickly for about 10 minutes. She coded
all of the visits the same way she had done the day before, with codes 99231
Case Study 2:
Lisa Smith, an acute care advanced practice nurse, is making
hospital rounds on the same patients her colleague nurse practitioner saw
yesterday. It took her 50 minutes to see 10 of her patients and 30 minutes to
see each of the remaining patients on her list. She used the same code for all
Select one of the provided case studies.
Review the patient documentation given for the case. Think
about medicolegal considerations and the responsibilities of the advanced
Consider the medical codes selected by the advanced practice
nurse. Reflect on how the selections might impact clinical practice and
billing. Think about how the impact might differ from primary to acute care
Post on or before Day 3 a brief description of the patient
documentation given for the case study you selected. Explain any medicolegal
considerations, including the role and responsibilities of the advanced
practice nurse. Then, explain how medical coding might impact clinical practice
and billing, as well as how implications might differ from primary to acute
Read a selection of your colleaguesâ€™ responses.
Respond on or before Day 6 to at least two of your
colleagues on two different days who selected a different case study than you.
Share additional insights or alternative perspectives.
Discussion Part II: Pharmacology
Read the following articles to enhance your knowledge on commonly
River-Bou, W. & Brown, D. (2014). Thrombolytic Therapy.
Retrieved from http://emedicine.medscape.com/article/811234-overview
Thrombolytics are used for AMI, DVT, acute peripheral
arterial occlusion, occlusion of indwelling catheters, pulmonary embolism, and
All of the following groups of medications are commonly
prescribed in the acute care setting. Choose one of the topics below to
discuss. If it is a medication group, select a specific drug within that group.
(This is a good way to prepare for clinical practice, because you will get to
know the drugs you will prescribe for patients.). Focus your discussion on the
hospital or ICU setting and IV usage.
Note: When sharing your initial post, select a topic that
has not yet been discussed. If all topics have been discussed, then you may
select that topic again, but select a different drug within the medication
For this Discussion, address 1 of the following options.
Post by day 3:
Option 1: Post a description of a patient you have taken
care of (inpatient as an RN, or as an NP student) who has been prescribed the
medication you selected. Include the scenario, indication, dosing,
complications, and outcome. Then explain whether or not you would have ordered
the same drug and same dose.
Option 2: Conduct an evidence-based drug search on the drug
you selected and post an explanation of any possible issues. Are there any drug
interactions? Any black box warnings? To what type of patient would you
prescribe this medication?
Option 3: Post an explanation of the properties of the drug
you selected, including usages and dosing in the hospital or ICU. Describe a
patient to whom you would prescribe this medication.
Note: To be considered as one of your required responses,
your pharmacology rationale must include a supporting reference.
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entering your message. Then click on the Submit button to post your message.