Assignment: Clinical Practice DNP 805

Assignment: Clinical Practice DNP 805

Assignment: Clinical Practice DNP 805

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Select a particular medication or clinical problem. Describe how the CPOE and/or CDSS technologies support care decisions in this area.

ASHLEY

Efficient medication management processes in psychiatric care and treatment are critical. Many patients are admitted to inpatient units for medication stabilization. Usually antipsychotic medications are being started for either the first time or a patient is being placed on a new medication and monitored for adverse or significant side effects.

Clozapine is used for patients who have not seen positive effects from first line antipsychotic or mood stabilizers. This drug requires ANC monitoring on a weekly basis as well as database registry in order to prescribe. This medication is highly controlled due to the life threatening side effects such as sever neutropenia (RxList, 2021).

 

A CDSS for clozapine monitoring is essential for psychiatric healthcare settings in order to protect patients from sever side effects. Required documentation must be entered on a weekly basis such as patient side effects tracking, ANC and WBC results when the provider is requesting to prescribe on a weekly basis. This information is then reviewed by the pharmacist with recommended dosage, once approved the order can then be filled.

 

RxList. Clozapine. 2021. https://www.rxlist.com/clozaril-drug.htm#description

 

Response

Hello Ashley. Thanks for the insightful discussion. From the information given, I have learned that clozapine is used for patients who have not seen positive effects from first line antipsychotic or mood stabilizers. A computer decision support system (CDSS) can be defined as an interactive software application that aids in the decision-making process by assisting clinicians, patients, or other decision-makers with information technology (Berrouiguet et al., 2017). When it comes to psychiatric drug prescribing, CDSSs are designed to help clinicians select the most efficacious and safe medication for their patients while considering factors such as patient preference, comorbidity, prior response to treatment, and cost. Clozapine is an atypical antipsychotic medication that has shown efficacy in treating refractory schizophrenia; however, it is associated with a number of serious side effects including agranulocytosis (Lau et al., 2021). CDSS for clozapine monitoring have been recently developed to help clinicians optimize clozapine treatment. One study showed that a CDSS for clozapine monitoring reduced the number of missed doses and improved patient adherence to clozapine treatment (Verma et al., 2021). The CDSS also helped identify patients who were at risk for developing side effects, allowing clinicians to take appropriate action. Thus, CDSS for clozapine monitoring can improve the safety and efficacy of this treatment.

References

Berrouiguet, S., Barrigón, M. L., Brandt, S. A., Nitzburg, G. C., Ovejero, S., Alvarez-Garcia, R., … & Baca-García, E. (2017). Ecological assessment of clinicians’ antipsychotic prescription habits in psychiatric inpatients: a novel web-and mobile phone–based prototype for a dynamic clinical decision support system. Journal of medical Internet research, 19(1), e5954. https://www.jmir.org/2017/1/e25/

Lau, L., Bagri, H., Legal, M., & Dahri, K. (2021). Comparison of Clinical Importance of Drug Interactions Identified by Hospital Pharmacists and a Local Clinical Decision Support System. The Canadian journal of hospital pharmacy, 74(3), 203. 10.4212/cjhp.v74i3.3147

Details:
For this assignment, select one clinical practice issue that involves a specific medication. Using a Computerized Provider Order Entry (CPOE) system, design a Clinical Decision Support System (CDSS) that would be embedded in the EHR at your site of practice. Your CDSS must connect with CPOE to include a medication. You must link these two applications within the design.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
Use primary sources published within the last 5 years. Provide citations and references for all sources used.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.
Directions:

Write a 1,000-1,250 word paper that provides the following:

Specific details of the clinical issue involving a specific medication
The rationale behind your design development.
A description of how this CDSS will be implemented and adopted by fellow clinicians.
An assessment of challenges and proposed solutions which might apply to this scenario (e.g., information loss, communication breakdown).
Portfolio Practice Hours:

It may be possible to earn portfolio practice hours for this case report. Enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-805

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor

DNP 805 Week 4 Assignment EHR Database and Data Management

Details

As a DNP-prepared nurse, you may be called upon to assist in the design of a clinical database for your organization. This assignment requires you to integrate a clinical problem with data technologies to better understand the components as well as how those components can lead to better clinical outcomes.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.
Directions:

For this assignment, write a 1,000-1,250 word paper in which you:

Select a clinically-based patient problem in which using a database management approach provides clear benefit potential.
Identify the data needed to manage this patient problem using information from the electronic health record (EHR).
Include a brief description of the patient problem which incorporates information needed to manage the specific problem.
Identifies whether the EHR-supplied data is structured or unstructured with an explanation as to why.
Provide a complete description of the structured and unstructured data from the EHR that are needed to organize a hypothetical database.
Provide a complete description of data relationships that apply to the hypothetical database.
Portfolio Practice Hours:

It may be possible to earn portfolio practice hours for this case report. Enter the following after the references section of your paper:

Practice Hours Completion Statement DNP-805

I, (INSERT NAME), verify that I have completed (NUMBER OF) clock hours in association with the goals and objectives for this assignment. I have also tracked said practice hours in the Typhon Student Tracking System for verification purposes and will be sure that all approvals are in place from my faculty and practice mentor.
DNP 805 Topic 6 Assignment Telehealth

Details:

Telehealth encompasses a wide range of basic to complex health care delivery options, with an equally expansive array of technologies that may be employed. For this assignment, you will locate a scholarly article published within the last 3 years in a peer-reviewed journal on telehealth. This assignment consists of two parts; Part One requires you to develop and present a two-paragraph assessment comprising a précis and critical evaluation of a scholarly article focusing on a telehealth technology, and the second part requires you to construct a Mind Map to generate ideas about how the telehealth technology you identified can be used in your current practice.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.

Directions:

PART I: Précis and Critical Evaluation.

Donald Davidson, in his book, American Composition and Rhetoric, discusses the précis as follows:

“A précis is not an outline, but a summary or digest. It is useful as an exercise in grasping the essential ideas of an already completed composition and in stating these ideas in concentrated form. The précis shears away all elaborations of the thought and gives only what is left, in such a way as to make the summary a complete composition. It does not, therefore, skeletonize the original composition so much as it reduces its scale. Many of the articles in The Reader’s Digest are only précis, so skillfully done that the average reader does not know that he is reading a summary. Since the précis says a great deal within a brief space, it is of great service in taking notes on library assignments and general reading.”

The précis should be an organization of ideas, include logical sequencing of points, contain clear and meaningful expression, and use language suitable to the situation. When finished, the précis should clearly state:

A statement of what was studied (i.e., argued, discussed, deliberated).

A statement of focus of the scholarly article you selected, (i.e., how it was organized and completed).

A statement of what information was identified or learned from the scholarly article.

A statement of why the information in the article is important to your field of study.

PART II: Mind Map.

Brainstorm to generate ideas about how the telehealth technology you identified can be used in your current practice using a mind map. Submit the final map along with the précis to the Topic drop box.

How to do it:

Take a sheet(s) of paper and write an identifiable main idea in the center of the page, using a one-three words. (You may also achieve this via an electronic sheet of “paper”).

Draw a branch off your main idea; on the branch write or draw a main topic related to your main idea.

Continue to branch off from your main idea with main topics as needed.

Assignment:Clinical Practice DNP 805

From your main topics, branch off with subtopics.

From your subtopics, branch off with supporting details (write and/or draw). Continue to add more details. You are free to add more topics, subtopics, or any other items.

When you stand back and survey your work, you should see a map: hence the name for this activity. At this point you can start to form conclusions about how to approach a potential area of practice change. At the end of the day, what you do with the particular “map” or “cluster set” or “web” that you produce depends on what you need.

Submit both the précis and the final mind map in fulfillment of this assignment.

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

3. Satisfactory

6.16 points

Thesis is apparent and appropriate to purpose.

2. Less Than Satisfactory

5.6 points

Thesis is insufficiently developed or vague. Purpose is not clear.

1. Unsatisfactory

0 points

Paper lacks any discernible overall purpose or organizing claim.

Argument Logic and Construction

8 points

Criteria Description

Argument Logic and Construction

5. Excellent

8 points

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

4. Good

7.36 points

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

3. Satisfactory

7.04 points

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

2. Less Than Satisfactory

6.4 points

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

1. Unsatisfactory

0 points

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5 points

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5. Excellent

5 points

Writer is clearly in command of standard, written, academic English.

4. Good

4.6 points

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

3. Satisfactory

4.4 points

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

2. Less Than Satisfactory

4 points

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

1. Unsatisfactory

0 points

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Paper Format (Use of appropriate style for the major and assignment)

5 points

Criteria Description

Paper Format (Use of appropriate style for the major and assignment)

5. Excellent

5 points

All format elements are correct.

4. Good

4.6 points

Template is fully used; There are virtually no errors in formatting style.

3. Satisfactory

4.4 points

Template is used, and formatting is correct, although some minor errors may be present.

2. Less Than Satisfactory

4 points

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

1. Unsatisfactory

0 points

Template is not used appropriately or documentation format is rarely followed correctly.

Documentation of Sources

5 points

Criteria Description

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5. Excellent

5 points

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

4. Good

4.6 points

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

3. Satisfactory

4.4 points

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

2. Less Than Satisfactory

4 points

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

1. Unsatisfactory

0 points

Sources are not documented.

Grading Rubric Accomplished Emerging Unsatisfactory Content Points Range:62.25 (41.50%) – 75 (50.00%) Responds clearly, thoroughly, and effectively to all aspects of the assignment. All content is accurate and/or supported. Points Range:57 (38.00%) – 61.5 (41.00%) Responds adequately to the assignment but may not be thorough. Points Range:0 (0.00%) – 56.25 (37.50%) Does not respond to the assignment. Focus and Detail Points Range:31.125 (20.75%) – 37.5 (25.00%) There is a clear, well-focused topic. Main ideas are clear and are well supported by detailed and accurate information gathered from scholarly sources. Points Range:28.5 (19.00%) – 30.75 (20.50%) There is a clear, well-focused topic. Main ideas are clear but are not well supported by scholarly sources and detailed information. Points Range:0 (0.00%) – 28.125 (18.75%) The topic and main ideas are not clear. Organization Points Range:18.675 (12.45%) – 22.5 (15.00%) The introduction is inviting, states the main topic, and provides an overview of the paper. Information is relevant and presented in a logical order. The conclusion is strong. Points Range:17.1 (11.40%) – 18.45 (12.30%) The introduction states the main topic and provides an overview of the paper. A conclusion is included. Points Range:0 (0.00%) – 16.875 (11.25%) There is no clear introduction, structure, or conclusion. Mechanics and APA Points Range:12.45 (8.30%) – 15 (10.00%) The assignment consistently follows current APA format and is free of errors in formatting, citation, and references. There are no grammatical, spelling, or punctuation errors. All sources are correctly cited and referenced. Points Range:11.4 (7.60%) – 12.3 (8.20%) The assignment consistently follows current APA format with only isolated and inconsistent mistakes and/or has a few grammatical, spelling, or punctuation errors. Most sources are correctly cited and referenced. Points Range:0 (0.00%) – 11.25 (7.50%) The assignment does not follow current APA format and/or has many grammatical, spelling, or punctuation errors. Many sources are incorrectly cited and referenced or citations and references are missing.