10 Jan Note: To be considered

Week 9 discussion

Discussion Part I: Nurse Practitioner Roles in Multidisciplinary Teams

Patient care requires collaboration and communication among members of the multidisciplinary care team. As an advanced practice nurse, you are an important member of this team of medical professionals. By facilitating collaboration among members of the care team, you can ensure that patients’ needs and concerns are met, care plans are individualized, and appropriate treatment and support are available. For this Discussion, you will consider the role you filled in multidisciplinary care in your clinical setting and how this experience might impact your future practice in acute care.

To prepare:

Reflect on your clinical experiences from this week that included multidisciplinary care.

Consider your role as the advanced practice nurse in these experiences. Think about how you contributed to and supported the multidisciplinary teams. Include why your role is important to the holistic care of patients.

Reflect on how these experiences will inform your future clinical practice in acute care settings.

Post on or before Day 3 a description of this week’s clinical experiences that included multidisciplinary care. Explain your role as the advanced practice nurse in these experiences. Include why your role is important to the holistic care of patients. Then, explain how these experiences will inform your future clinical practice in acute care settings.

Read a selection of your colleagues’ responses.

Respond on or before Day 6 to two colleagues by sharing additional insights or alternative perspectives.

Discussion Part II: Pharmacology

To prepare:

Read the following articles to enhance your knowledge of commonly prescribed medications:

Scheinfeld, N. & Chanddrasekar, P. (2015). Intravenous-to-Oral Switch Therapy. Retrieved from: http://emedicine.medscape.com/article/237521-overview

All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way for you to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage.

epinephrine

hydroxyzine

dopamine

Cephalosporin generation 1

Cephalosporin generation 2

Cephalosporin generation 3

Sulfonamides (Bs)

Tetracyclines

Nitrofurans

Penicillin combinations

Mupirocin

Note: When sharing your initial post, select a topic that has not yet been discussed. If all topics have been discussed, then you may select that topic again, but select a different drug within the medication group.

For this Discussion, address 1 of the following options. Post by day 3:

Option 1: Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Include the scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose.

Option 2: Conduct an evidence-based drug search on the drug you selected and post an explanation of any possible issues. Are there any drug interactions? Any black box warnings? To what type of patient would you prescribe this medication?

Option 3: Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Discuss a patient to whom you would prescribe this medication.

Note: To be considered as one of your required responses, your pharmacology rationale must include a supporting reference.

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