The CMS administers the Medicare program and works with states to administer the Medicaid program. They also set quality standards for laboratories and long-term care facilities. CMS regulates reimbursement of the healthcare services and medical products for Medicare and Medicaid. Other responsibilities of the CMS include the administrative simplification standards from the Health Insurance Portability and Accountability Act (HIPAA) ( Centers for Medicare & Medicaid Services, 2018). HIPAA is designed to protect health information of consumers and mandate that protect health information (PHI) remain private and confidential. D1. Influence on Professional Practice
TASK 1 9 The FDA influences my daily practice when I dispense medications. The FDA has researched the medication and determined it is safe to use. I have information on safe dosage, side effects, adverse effects, mechanism of action, how the drug is metabolized, and any food or drug contraindications because of the FDA research (FDA, n.d.). With this information, I can administer medications with the confidence that it will not harm my patient. The CMS sets administrative simplification standards for HIPAA. HIPAA influences my everyday practice as a nurse. We get many calls to our unit asking for information about patients. I have to be sure each time someone calls; they are the legal guardian or the patient has signed a consent to release information to that specific individual. Also, when disposing of any material with patient information, I use a secure receptacle which then is shredded (CMS, 2018). D1a. Nurse’s Role as a Patient Advocate When a patient requests an alternative therapy, I start by emphasizing the patients’ rights. They have the right to choose what they want regarding care. Then, I would explain what I know about the specific alternative therapy, giving them all the information I have, offering to get more information if needed and advise them to consult with the doctor as well. I would also prepare them for what the doctor may or may not say and help them manage expectations. Most alternative therapies are not approved by the FDA or covered by Medicare (CMS, 2018). It is important the patient is aware that unapproved therapies may not be reimbursable and they may have to pay out of pocket. Being realistic and honest is the best method for acting as a patient advocate. Also, offering to be present when discussing the matter to family, friends or their doctor as support further enhances the advocacy role of the nurse.
TASK 1 10 E. Purposes of the Nurse Practice Act The Nursing Practice Act (NPA) is the body of California law that mandates the Board to set out the scope of practice and responsibilities for Registered Nurses (RNs). According to Cherry and Jacob, many nurse practice acts are modeled after the practice acts of the ANA or the National Council of State Boards of Nursing (NCSBN) (2017). The NPA explains how the board members are selected, and what authority they hold. It sets standards for educational programs who prepare nurses for licensure. It sets the standards for the scope of nursing practice, the requirements for licensure, and the boards definition on unprofessional behavior. The NPA sets
- Fall '15
- Nursing, Ana, Cherry, National Council of State Boards of Nursing, California Board of Registered Nursing