MN569 Unit 6-10 Discussion And Assignments
Unit 6 Discussion: Interprofessional Team
A multiprofessional team practice is necessary as you cannot be expected to know everything there is to know and have all the skills to address the complete range of episodic and chronic health problems commonly seen in the primary care setting. Discuss what you believe is the ideal provider mix for an interprofessional team in primary care. Design an interprofessional team to meet the primary care needs in your community and share with your peers in the discussion forum.
Support your discussion with evidence based practice and recommendation
Unit 6 Assignment
Patient care hinges in part on adequate and timely information exchange between treating providers. Referral and reply letters are common means by which doctors and nurse practitioners exchange information pertinent to patient care. Ensuring that letters meet the needs of letter recipients saves time for clinicians and patients, reduces unnecessary repetition of diagnostic investigations, and helps to avoid patient dissatisfaction and loss of confidence in medical practitioners.
As a Nurse Practitioner (NP) you will need to know the difference between a consultation and a referral for treatment, when ordering and when carrying out consultations or referrals.
A consultation is a request for opinion or advice, so that the requestor can manage the patient. A consultation is billed under one of the consultation codes listed in Physicians’ Current Procedural Terminology (CPT) (99241-99245 for outpatient or office consultations). If the NP is the consultant, the NP should document the request for a consultation, the reason for the consultation, and the NP’s evaluation and recommendations.
When an NP requests a consultation from another provider, the N P should request “consultation” on the referral form, rather than “referring.”
Referrals: A referral is made when the referring provider wants to turn the management of the patient over to the referred-to provider, at least for the current complaint.
When a NP refers to a patient, the NP should state on the referral form that the NP is “referring the patient for evaluation and treatment.” The referred-to provider will bill an evaluation and management code, rather than a consultation code.
Writing Assignment: Consult: Write up a consult request and include all key elements.
Ms. Perez has been referred to Ms. Wilson FNP-C,APRN, MSN for consultation regarding eczema unresponsive to treatment in the past six months.
Document the evaluation and recommendations for how Ms. Wilson FNP-C,APRN,MSN should deal with the consultation request and bill a consultation code.
Writing Assignment: Referral: Write up a referral request and include all key elements. As an NP and Ms. Perez primary care provider, you decide to refer her to Dr. Owens, a dermatologist for evaluation and treatment regarding eczema unresponsive to treatment in the past six months.
- Document your referral to Dr. Owens
- Document the evaluation and recommendations for how Dr. Owens should deal with the referral and bill a referral code.
Written Paper (Microsoft Word doc): minimum 2000 words using 6th edition APA formatting
Please review the grading rubric under Course Resources in the Grading Rubric section.
Unit 7 Discussion
Topic: Medical record documentation is required to record pertinent facts, findings, and observations about an individual’s health history, including past and present illnesses, tests, treatments, and outcomes.
The medical record chronologically documents the care of the patient and is an important element contributing to high-quality safe care. Discuss your State Board of Nursing nurse practitioner documentation guidelines and how this can impact your level of reimbursement in the clinical setting.
Unit 8 Discussion
Topic: Preventative vs Diagnostic
Discuss the difference between preventative and diagnostic laboratory tests and why this is important to distinguish between in the primary care site. Include in the discussion the ten most commonly ordered laboratory and diagnostic tests ordered in your practicum site and the criteria for ordering.
Discussion Topic: Depression
Depression is one of the leading causes of disability in adults. It affects men and women of all ages, races, and social and economic groups. Depression has a major impact on a person’s quality of life and can increase the risk of suicide. It can make it more difficult for people to care for other health conditions they may have. Depression also can affect family members, especially children.
- Discuss what The U.S. Preventive Services Task Force (Task Force) has recommended concerning screening for depression in the primary care setting. What are the recommended screening tools age specific?
- Share what you have used in your practicum site to screen for depression and how it was addressed.
Unit 10 Discussion
Topic: Performance and Evaluation in Primary Care
Share your clinical experience and discuss your areas of strengths and areas in which you would like to improve. How did you meet the course outcomes? Give examples.
Unit 10 Final Assignment – Final Clinical Evaluation — 300 Points
This unit will contain the mandatory preceptor final evaluation in Rxpreceptor. Your preceptors will receive an automatic email from the Rxpreceptor system during week 8 and then weekly until week 9 to complete evaluations. Once it is complete, you will review it and upload to the Unit 10 Dropbox for grading. Grading will follow the scale below and will be a collaboration between your faculty and preceptor.
Any area of assessment with a score of 2.4 or below will receive an entire evaluation score of 0 points as failure in any area of assessment constitutes a failing evaluation.Any element of the evaluation that states the student is not safe or is unsafe will result in a “0” for the final evaluation and failure of the course.
Final evaluation will be worth 300 points and will follow the grading rubric below:
- Score of 4 to 5 = all 300 points awarded
- Score of 3 to 3.9 = 240/300 points awarded
- Score of 2.5 to 2.9 = 210/300 points awarded
- Score of 2.4 and below = 0
Students must also complete both the evaluation of their preceptor and site for credit. The evaluations provide faculty an overview of your clinical performance and experiences with your preceptor and clinical location. The final clinical evaluation is required to pass the course.
Failure to complete all clinical hours or all associated Rxpreceptor documentation (clinical time log, patient encounter log, preceptor evaluation of student, and student evaluation of preceptor) will result in failure of the course.