Description

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Nurse practitioners provide high-quality, comprehensive care to clients in a variety of health care settings. Standardized procedures may be used to help guide care. Boards of Nursing, such as California, provide resources to ensure that NPs provide quality care while functioning within their scope of practice.  

Select the conditions or disorders below and create a standardized procedure for treatment in the primary care setting:  

  • urinary tract infections in community-dwelling older adult 

Follow the guidelines below to complete the standardized procedure template (Links to an external site.)

  1. Definition 
    1. Identify the selected disorder or condition.  
    2. Provide a basic description of the pathophysiology of the selected disorder or condition.  
    3. Provide a summary of the incidence and prevalence of the selected disorder or condition in the United States. 
  2. Assessment 
    1. Identify common subjective findings (symptoms) consistent with the selected diagnosis.  
    2. Identify pertinent physical examination components and the expected exam findings consistent with the selected disorder or condition. 
    3. Identify your intended state of practice and whether physician collaboration is required, as it is in California. If collaboration is required, describe the circumstances that would require physician consultation. 
  3. Diagnostic tests 
    1. List diagnostic tests appropriate for the selected disorder or condition. 
    2. List expected abnormal results consistent with the selected disorder or condition. 
  4. Management: Present an evidence-based management plan for the selected disorder or condition.  
    1. Describe in detail first-line prescribed medications recommended for the selected disorder or condition. 
    2. Describe in detail second-line medication that should be prescribed IF the client had an allergy to first-line?line treatment for the selected disorder or condition. 
    3. Identify medication details including 
      1. Trade and generic names for each medication 
      2. Typical dose for each medication 
      3. ?Major contraindications for use 
      4. Major drug-drug interactions 
    4. Identify other recommended treatments, if any, for the selected disorder or condition. 
    5. Discuss expected client follow-up. If the client called in with persistent or recurrent symptoms after initial treatment, describe the appropriate next action.
    6. Describe indications for referral. 
    7. Use current clinical practice guidelines or U.S.-based scholarly resources appropriate for advanced practice* that has been published within the past 5 years to support management plan 

**Textbooks, journals published outside the United States, and journals not intended for advanced practice nurse or physician providers are NOT considered scholarly references for treatment decisions. 

Rubric

NR601 Standardized Procedure Worksheet Rubric

NR601 Standardized Procedure Worksheet Rubric

CriteriaRatingsPts

This criterion is linked to a Learning OutcomeDiagnosis1. Identifies disease condition.

2. Provides a basic description of the pathophysiology of the disorder or condition.

3. Provides a summary of incidence and prevalence in the United States.

(3 critical elements)

20 pts

Excellent

Three required critical elements are present and thoroughly addressed.

18 pts

Very Good

Three required critical elements are present but addressed superficially in places.

16 pts

Satisfactory

Three required critical elements are present but addressed superficially in each element.

10 pts

Needs Improvement

One critical element is missing.

0 pts

Unsatisfactory

Less than two requirements for this section are presented.

20 pts

This criterion is linked to a Learning OutcomeAssessment1. Lists common subjective findings consistent with the disorder or condition

2. Lists pertinent physical exams to perform

3. Lists expected physical exam findings consistent with the disorder or condition

4. Identifies intended state of practice and whether physician collaboration is required. Describes the circumstances that would require physician consultation.

(4 critical elements)

20 pts

Full Marks

Four required critical elements are present and thoroughly addressed.

18 pts

Very Good

Four required critical elements are present but addressed superficially in places.

16 pts

Satisfactory

Four required critical elements are present but addressed superficially in each element.

10 pts

Needs Improvement

One critical element is missing.

0 pts

Unsatisfactory

No requirements for this section are presented or more than one critical element is missing.

20 pts

This criterion is linked to a Learning OutcomeDiagnostic Tests1. Lists appropriate diagnostic tests

2. Lists expected abnormal results consistent with the disorder or condition

(2 critical elements)

20 pts

Full Marks

Two required critical elements are present and thoroughly addressed.

18 pts

Very Good

Two required critical elements are present but addressed superficially in places.

16 pts

Satisfactory

Two required critical elements are present but addressed superficially in each element.

10 pts

Needs Improvement

One critical element is missing.

0 pts

Unsatisfactory

No requirements for this section are presented.

20 pts

This criterion is linked to a Learning OutcomeManagementPresents an evidence-based plan including:

1. Describes in detail first-line prescribed medications recommended for the disorder or condition

2. Describes in detail second-line medications that should be prescribed IF the patient had an allergy to 1st?line treatment

3. Medication details include ALL of the following:

a. Trade and generic names for each medication

b. Typical dose for each medication

?c. Major contraindications for use

d. Major drug-drug interactions

4. Discusses other recommended treatments, if any

5. Discusses expected client follow-up. If the client called in with persistent or recurrent symptoms after initial treatment, describe the appropriate next action.

6. Describes indications for referral

7. Use current clinical practice guidelines or U.S.-based scholarly resources appropriate for advanced practice published within the past 5 years to support management plan

(7 critical elements)

50 pts

Full Marks

Seven required critical elements are present and thoroughly addressed.

46 pts

Very Good

Seven required critical elements are present but addressed superficially in places.

42 pts

Satisfactory

Seven required critical elements are present but addressed superficially in each element.

25 pts

Needs Improvement

One critical element is missing.

0 pts

Unsatisfactory

No requirements for this section are presented or more than one critical element is missing.

50 pts

This criterion is linked to a Learning OutcomeWriting MechanicsGrammar, Syntax, Spelling, & Punctuation

Scholarly paper?has minimal grammar, syntax, spelling, punctuation, or APA Style errors.*

10 pts

Full Marks

0-2 errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the current edition of the APA manual.

9 pts

Very Good

3–4 errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the current edition of the APA manual.

8 pts

Satisfactory

5–6 errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the current edition of the APA manual.

5 pts

Needs Improvement

7–8 errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the current edition of the APA manual.

0 pts

Unsatisfactory

9 or more errors or exceptions to the rules of grammar, spelling, word usage, punctuation, and other aspects of formal written work as found in the current edition of the APA manual.

10 pts

This criterion is linked to a Learning OutcomeLate Penalty DeductionsStudents are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late, up to three days. Assignments will not be accepted after three days late, and a score of zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.

0 pts

No Points Deducted

Assignment submitted on time. No points deducted.

0 pts

Points Deducted

Assignment submitted late. 10% will be removed for each day late up to three days. After three days, no points will be awarded.

0 pts