7. Collaborates in planning for transitions across the continuum of care. Program outcome #4 Healthcare is an ever-changing practice and it is essential that nurse practitioners provide the highest level of care. The last seven weeks have provided me the opportunity to improve and build knowledge and understanding in the importance of designing a treatment plan, implementing the treatment and measuring the outcome of future patients. The SOAP note

provides a consistent format in which delivers a clear and concise documentation of the visit. During the case studies Dr. Samuels provided a great deal of helpful feedback and made sure our documentation was supported by evidenced based practice and that we addressed not just the patient but the protected the practice by utilizing national guidelines. MSN Essential IV The MSN Essential IV defines the expectations of a Master level nurse practitioner. Over the last several weeks and throughout the course of this program I have been in preparation of developing a scholarly knowledge of nursing. Research is an essential part of the healthcare system and as a master’s prepared nurse it is my duty and responsibility to strive for improvement in healthcare cost, deliverance and outcomes. Change is often difficult and will meet resistance of those who have become idle, thereby making it more challenging to educate, and implement research. The case studies and clinical settings created a learning environment