A

Make a comment using your own words in each discussion but please provide at least one reference for each comment.

Do a half page for discussion #1 and another half page for discussion #2 for a total of one page.

Provide the comment for each discussion separate.

Chapter 22: School Health

The school nurse has a unique role in the provision of school health services for children with special health needs, including children with chronic illnesses and disabilities with various degrees of severity. This case describes the role of the school nurse caring for a child with type 1 diabetes.

Susan has two students with type 1 diabetes in her school, one requires blood glucose monitoring and daily insulin injections, while the other has a continuous insulin infusion pump. The incidence of type 1 diabetes presents a complex challenge to school healthcare providers. Type 1 diabetes ranks as the second most common chronic illness in childhood, second only to asthma. The American Diabetes Association (ADA, 2015) reports that about 193,000 Americans under age 20 live with diabetes and 17,900 are diagnosed with type 1 diabetes annually, and another 5,300 with type 2 diabetes. Children with diabetes are considered disabled and as such are protected under federal laws that prohibit discrimination against children with disabilities. Studies show that the majority of school personnel have an inadequate understanding of effective diabetes management. It is best for the student to monitor blood glucose and respond to the results as quickly as possible to avoid possible complications.

1. When the school nurse is unavailable, who is legally responsible for providing care to a child with diabetes? Explain your answer.

Prepare for your ethical and cultural inquiry. Consider how culture can impact healthcare decisions and outcomes. Read the following article from the Western Journal of Medicine: 

Galanti G. A. (2000). An introduction to cultural differences. The Western Journal of Medicine, 172(5), 335–336. doi:10.1136/ewjm.172.5.335

Discuss the following:

1. Do you agree with the writer’s premise that treating patients with respect is not enough, and it is necessary to learn about the specific customs of other cultures in order to provide quality health care? Explain your reasoning and provide examples.

2. Do you think there is a danger in stereotyping when discussing cultural norms? Explain and provide examples.

3. Which cultures and customs are you most familiar with?

4. Does culture play a significant role in the healthcare issue that you are researching? Explain.

The following there weeks will review the APRN scope of practice. We must know and get familiar with the procedures, actions, and processes permitted by our professional license.

Review the following article: https://journals.sagepub.com/doi/full/10.1177/0193945918820338

Mark, B. A., & Patel, E. (2019). Nurse Practitioner Scope of Practice: What Do We Know and Where Do We Go?. doi:https://doi.org/10.1177/0193945918820338

 assignment:

 From above identify three challenges the Advanced Nurse Practitioner encounter in their Scope of practice (SOP), include them on this week first peer response due.

Scholarly article as reference must be included on your post and peer responses when due.

————————————————————————————————————————————————————————————————

we will be covering the APNP scope on practice: relationship with supervised physician via protocol covered on your portfolio assignment, new introduced controlled substance prescribed abilities, our role on research and evidence based practice, etcetera. It is very important to understand your scope of practice which basically determined yours legal scope of practice.

The scope of practice describes the procedures, actions, and processes that a health care practitioner is permitted to undertake in keeping with the terms of their professional license.

(Scope of practice – Wikipediahttps://en.wikipedia.org/wiki/Scope of practice)

Recommended readings:

1. Scope of practice of nurse practitioners: professional role.https://www.aanp.org/advocacy/advocacy-resource/position-statements/scope-of-practice-for-nurse-practitioners

2. State practice environment (AANP).https://www.aanp.org/advocacy/state/state-practice-environment

3. I want to take an opportunity to discuss our new granted privilege to prescribe controlled substance. There are five classes of substance considered under the Comprehensive Drug Abuse Prevention and Control Act of 1970 (Comprehensive Drug Abuse Prevention and Control Act of 1970, 2019).This privilege was legally approved in Florida, the last state to grant such a privilege for midlevel practitioners, in 2017( Kellangs & Maye, 2017). Once licensed as Florida Nurse Practitioner (NP) license, you will need 2 hours of controlled substance prescription CEUs and to apply for the DEA license. The application cost $ 731 and it’s valid for three years. NPs are required to have a controlled substance agreement with the supervising physician.

DEA website https://apps.deadiversion.usdoj.gov/webforms/jsp/regapps/common/newAppLogin.jsp

References

Comprehensive Drug Abuse Prevention and Control Act of 1970. Retrieved on March 10, 2019 fromhttps://en.wikipedia.org/wiki/

Comprehensive Drug_Abuse_ Prevention_and_Control_Act_of_1970

Kellams, J. R., & Maye, J. P. (2017). The last state to grant nurse practitioners DEA licensure: An education improvement initiative on the Florida prescription drug monitoring program. Journal of addictions nursing, 28(3), 135-142. doi: 10.1097/JAN.0000000000000177

U.S Department of Justice and Drug Enforcement Administration. Diversion control division. Application for Registration Under Controlled Substances Act of 1970 (NewApplicants Only). Retrieved from https://apps.deadiversion.usdoj.gov/webforms/jsp/regapps/common/newAppLogin.js