Exam (elaborations) NR 661 CAPSTONE PORTFOLIO CHAMBERLAIN UNIVERSITY OF NURSING (CAPSTONE DR. LUNDE ASHLEY HALL) (NR661)
Table of Contents
Mission and
... [Show More] vision statement __________________________________________________________________3
Reflection postings __________________________________________________________________________4
Résumé and job posting______________________________________________________________________14
Curriculum Vitae____________________________________________________________________________18
Salary expectations and justification____________________________________________________________21
Malpractice insurance Copy of a Malpractice plan and cost for FNP___________________________________21
Clinical log NR661___________________________________________________________________________22
Clinical Log Summary of Program_______________________________________________________________22
APEA learning modules CE____________________________________________________________________23
Board of nursing application APRN _____________________________________________________________24
Certification (AANP) application________________________________________________________________24
Drug Enforcement Administration application ____________________________________________________25
State prescribing and dispensing application______________________________________________________26
National Provider Identification (NPI) number application___________________________________________27
National competencies for family nurse practitioners_______________________________________________28
Mission
To provide high-quality, compassionate, and individualized nursing care to all patients and their families. Committed to leading the
way to promote health, provide hope and preserve dignity for each patient.
Vision
Focus on patients as individuals and care for them as such. Provide every patient an experience customized to their medical,
emotional, social and spiritual needs. To grow professionally into successful practitioner working in dermatology or anesthetics. To
develop cohesive relationships with collaborative health care teams while educating patients about their health and well-being and
promote a positive difference in their lives. Share leadership skills by empowering all nursing staff to make decisions that affect the
care we provide, the development of our profession and promotion of a respectful and nurturing environment for the future.
Reflection Postings
Advanced Pharmacology
Reflecting over the eight weeks in this course, the achievements of the course outcomes in this course have prepared me to
meet the MSN program outcome #3, MSN Essential IX, and NP Core Competencies # 5.
The MSN Essential IX: Recognizing that nursing practice, at the master’s level, is a broadly defined as any form of nursing
intervention that influences healthcare outcomes for individuals, populations, or systems. Master’s-level nursing graduates must
have an advanced level of understanding of nursing and relevant sciences as well as the ability to integrate this knowledge into
practice. Nursing practice interventions include both direct and indirect care components. Applying the science of pharmacology and
integrating it into APN practice is what this course did. Throughout this course, treatment was based on using evidence-based
therapies and researching up to date medications. This ensures patients get the best possible care. “Nurse practitioners have a
professional responsibility to follow state and national guidelines and to be aware of best practices for safe opioid prescribing to
protect patients, the public, and themselves if they become the subject of an investigation” (Hudspeth, 2016).
Program outline #3: Use contemporary communication modalities effectively in advanced nursing roles. One of the most
challenging aspects of prescribing medications is the possibility of dangerous interactions with those patients on multi-drug
therapies. When it comes to prescriptive authority, sound critical thinking in decision making is crucial. Medications can and do alter
people’s lives and the ability to prescribe them is an awesome responsibility. Part of the fear in having this responsibility lies in the
fact that many times, as providers, we do not always know what medications a patient is already taking. Certainly, patients do their
best in relaying their medical history and providing up-to-date lists of their current medications; however, we know that information
is often forgotten or omitted from our conversations with them. This causes concern when prescribing new medications, as there
may be harmful drug interactions that we are not able to avoid without all the pertinent information from the patient. It is our role
an APN to communicate with all members of the patients care team to avoid any medication errors.
This also must consider Nurse Practitioner Core Competencies #5 Technology and Information Literacy Competencies because
as APN we must be able to integrate all the patients’ history and medications into a central file so that all members of the team are
aware of the care plan (Allanetal, 2005). Of course, the future of my APN practice will be influenced by daily pharmacologic aspects.
These influences are broad and will include: safety, cost, effectiveness, accessibility, and practical usage. As I progress in my clinical
experiences and enter my own practice as an APN, I expect that these concerns and decisions will eventually become more and more
familiar. However, pharmacology is an area of medicine that is constantly changing and evolving, so keeping up-to-date on new
medications and indications will be critical and this class has shown me how to search and explore to keep up with the ever-changing
medication arena.
Reference
Allanetal. (2005). The effect of nursing leadership on hospital nurses' professional practice behaviors. Journal of Nursing
Administration, 366-374.
Health Professions Educations: A Bridge to Quality. (2003, April 18). Retrieved from IOM:
Hudspeth, R.S. (2016). Safe opioid prescribing for adults by nurse practitioners: Part 2. Implementing and managing treatment.
The Journal for Nurse Practitioners, 12(4), 213-220.
NR511- Differential Diagnosis
In reviewing the clinical experience thus far, the knowledge and compassion for the whole person has been expanded. My
current preceptor sees only adults over the age of 18, allowing me to focus on the complexities of multi-system diseases and how to
manage chronic and acute illnesses. I have had the opportunity to see and treat acute illnesses of both woman and men off all stages
of health. I have had the opportunity to touch base on a few procedures in the primary care setting including, steroid injections of
the knee and removal of suspicious skin lesions.
Because I am limited with the current preceptor to only seeing and treating adult patients, I do not get the exposure or
experience in treating children or infants. I would also like to experience more procedures in the primary care setting, but I have not
yet seen the opportunity in this practice setting. Within this practice there are two physicians, three physician assistants and one
nurse practitioner. I have noticed that in the primary care setting, or maybe just this practice, many procedures are not done,
referrals for specialists are made or patients have their procedures done elsewhere. The practicum plan for the next four courses
include my current preceptor, and possibly adding an additional physician within the current practice to fulfill the requirement of
seeing children and infants. The next two practicum courses following are with a family nurse practitioner, who ensures me that the
practice sees infants and children as well as adults. I have also discussed the need for as many well-women checks as possible. The
last practicum is in an urgent care setting, which will fulfill my acute sick visits for infants, children and adults as well as multiple
procedures. I will get the practice with focused exams and urgent health care needs from the community
The overall progression within the course has grown personally and professionally. My background is in acute care setting, so
the primary care setting is indeed an adjustment and a different pace that what I have been practicing. The ability to sit down and
talk with patients about how their life is going and how their health is affecting their overall life is refreshing and a welcoming skill.
The critical thinking throughout the clinical rotation has grown as in this setting the patient is treated person rather than treating
their illnesses. In this primary care setting, they only utilize radiography and laboratory values as an enhancement but treat the
patient’s symptoms instead. My goal is to be able to use my assessment skills and treat the patient conservatively if that is their wish.
To achieve this goal by the end of the fourth practicum, I will continuously focus on taking a good history, review of symptoms and
performing physicals to diagnosis possible differentials.
Identifying and recognizing weaknesses as a student is always difficult because everything could be a new experience and a
weakness. One weakness that I can easily identify is when patients ask to be placed on different medication than what they are
already one. I have an idea of the classification of medication that the patient wants to be switched, but because I do not know all
different manufactures of medications, I find myself researching medications, side effects and mechanism of action frequently. Doing
the research has helped to expand my knowledge and broaden the range for possibilities of medication prescriptions. Another
weakness in the primary care setting is managing time wisely to see all of the patients on the schedule without falling behind. In this
first clinical rotation, we were to see at least one patient per hour, and that is an adequate pace for someone who has to look up
their recent labs, history, medications, allergies, etc. But most primary care providers get 15- 30 minutes to see a patient, possibly a
new patient to them. This time frame seems to me like it may be setting the provider up to miss an important detail, they may not
have had the time to look over otherwise. To overcome this obstacle, I will slowly engage in seeing more patients as I become more
comfortable navigating their EMR to place myself at a more realistic pace.
The NONPF competency of Technology and Information Literacy integrates appropriate technologies for knowledge
management to improve healthcare (Thomas, 2013). This clinical rotation fulfilled this competency by utilizing Allscripts as their EMR
and electronic prescription writing to integrate the continuity of care across the healthcare team. This makes it convenient for the
patient to have their prescriptions and lab requests sent electronically so they do not have to carry around a prescription or worry
about losing the requests. This enhances the safety of the patient’s health record because it is able to track who is in the chart, at
what time and for how long. The second NONPF competency that was met this clinical rotation is the independent practice
competencies. In collaboration with the clinical preceptor I was ale to independently manage previously diagnosed and undiagnosed
patients. Within this clinical rotation I was able to practice health promotion, disease prevention, health protection, disease
management, anticipatory guidance, counseling and end of life/ palliative care.
References
Thomas,A. (2013). Population-Focused Nurse Practitioner Competencies. National Organization of Nurse Practitioner Faculties.
Retrieved from
PopFocusC
NR601-Matruing and Aged Adult Practicum
To reflect over this eight-week course, describing how the achievement of the course outcomes in this course have prepared
students to meet the following program requirements. The NR611 course outcomes include; Employ appropriate health promotion
guidelines and disease prevention strategies in the management of mature and aging individuals and families, Formulate appropriate
diagnoses and evidence-based management plans for mature and aging individuals and families, Incorporate cultural preferences,
values, and health beliefs in the care of mature and aging individuals and families, Integrate theory and evidence-based practice in
the care of mature and aging individuals and their families, Assess and manage risk factors for common conditions prevalent in
mature and aging individuals and families, Conduct pharmacologic assessment addressing polypharmacy, drug interactions and other
adverse events in the care of mature and aging individuals and their families and apply appropriate evidence-based screening tools in
the functional assessments of mature and aging individuals and their families.
Chamberlain College of Nursing MSN program outcome #5
Advocating for positive health outcomes through compassionate, evidence based, collaborative advance nursing practice was
utilized throughout the past eight weeks. This is demonstrated during clinical rotations while interacting with patients. Using current
guidelines such as the AHA/ACA and AUA help practitioners stay up to date on current practice and provide patients with evidencebased,
individualized plans of care. During the practicum rotation over the past eight weeks I have been able to successfully
formulate diagnosis based upon reported symptoms. While writing the case study assignment I was able to incorporate cultural
preferences, values and health beliefs into the plan of care. During clinical practicum, I am given the opportunity to collaborate
with other health care providers to deliver quality and extraordinary nursing with my patients. I have had the opportunity to consult
with the radiology departments, case management, and the diabetes educator with different patients to provide them with
personalized care.
Masters Essential VIII: Clinical Prevention and Population Health for Improving Health
nal of Nursing
Administration, 366-374.
Health Professions Educations: A Bridge to Quality. (2003, April 18). Retrieved from IOM:
Hudspeth, R.S. (2016). Safe opioid prescribing for adults by nurse practitioners: Part 2. Implementing and managing treatment.
The Journal for Nurse Practitioners, 12(4), 213-220.
NR511- Differential Diagnosis
In reviewing the clinical experience thus far, the knowledge and compassion for the whole person has been expanded. My
current preceptor sees only adults over the age of 18, allowing me to focus on the complexities of multi-system diseases and how to
manage chronic and acute illnesses. I have had the opportunity to see and treat acute illnesses of both woman and men off all stages
of health. I have had the opportunity to touch base on a few procedures in the primary care setting including, steroid injections of
the knee and removal of suspicious skin lesions.
Because I am limited with the current preceptor to only seeing and treating adult patients, I do not get the exposure or
experience in treating children or infants. I would also like to experience more procedures in the primary care setting, but I have not
yet seen the opportunity in this practice setting. Within this practice there are two physicians, three physician assistants and one
nurse practitioner. I have noticed that in the primary care setting, or maybe just this practice, many procedures are not done,
referrals for specialists are made or patients have their procedures done elsewhere. The practicum plan for the next four courses
include my current preceptor, and possibly adding an additional physician within the current practice to fulfill the requirement of
seeing children and infants. The next two practicum courses following are with a family nurse practitioner, who ensures me that the
practice sees infants and children as well as adults. I have also discussed the need for as many well-women checks as possible. The
last practicum is in an urgent care setting, which will fulfill my acute sick visits for infants, children and adults as well as multiple
procedures. I will get the practice with focused exams and urgent health care needs from the community.
6
The overall progression within the course has grown personally and professionally. My background is in acute care setting, so
the primary care setting is indeed an adjustment and a different pace that what I have been practicing. The ability to sit down and
talk with patients about how their life is going and how their health is affecting their overall life is refreshing and a welcoming skill.
The critical thinking throughout the clinical rotation has grown as in this setting the patient is treated person rather than treating
their illnesses. In this primary care setting, they only utilize radiography and laboratory values as an enhancement but treat the
patient’s symptoms instead. My goal is to be able to use my assessment skills and treat the patient conservatively if that is their wish.
To achieve this goal by the end of the fourth practicum, I will continuously focus on taking a good history, review of symptoms and
performing physicals to diagnosis possible differentials.
Identifying and recognizing weaknesses as a student is always difficult because everything could be a new experience and a
weakness. One weakness that I can easily identify is when patients ask to be placed on different medication than what they are
already one. I have an idea of the classification of medication that the patient wants to be switched, but because I do not know all
different manufactures of medications, I find myself researching medications, side effects and mechanism of action frequently. Doing
the research has helped to expand my knowledge and broaden the range for possibilities of medication prescriptions. Another
weakness in the primary care setting is managing time wisely to see all of the patients on the schedule without falling behind. In this
first clinical rotation, we were to see at least one patient per hour, and that is an adequate pace for someone who has to look up
their recent labs, history, medications, allergies, etc. But most primary care providers get 15- 30 minutes to see a patient, possibly a
new patient to them. This time frame seems to me like it may be setting the provider up to miss an important detail, they may not
have had the time to look over otherwise. To overcome this obstacle, I will slowly engage in seeing more patients as I become more
comfortable navigating their EMR to place myself at a more realistic pace.
The NONPF competency of Technology and Information Literacy integrates appropriate technologies for knowledge
management to improve healthcare (Thomas, 2013). This clinical rotation fulfilled this competency by utilizing Allscripts as their EMR
and electronic prescription writing to integrate the continuity of care across the healthcare team. This makes it convenient for the
patient to have their prescriptions and lab requests sent electronically so they do not have to carry around a prescription or worry
about losing the requests. This enhances the safety of the patient’s health record because it is able to track who is in the chart, at
what time and for how long. The second NONPF competency that was met this clinical rotation is the independent practice
competencies. In collaboration with the clinical preceptor I was ale to independently manage previously diagnosed and undiagnosed
patients. Within this clinical rotation I was able to practice health promotion, disease prevention, health protection, disease
management, anticipatory guidance, counseling and end of life/ palliative care.
7
References
Thomas,A. (2013). Population-Focused Nurse Practitioner Competencies. National Organization of Nurse Practitioner Faculties.
Retrieved from
PopFocusC
NR601-Matruing and Aged Adult Practicum
To reflect over this eight-week course, describing how the achievement of the course outcomes in this course have prepared
students to meet the following program requirements. The NR611 course outcomes include; Employ appropriate health promotion
guidelines and disease prevention strategies in the management of mature and aging individuals and families, Formulate appropriate
diagnoses and evidence-based management plans for mature and aging individuals and families, Incorporate cultural preferences,
values, and health beliefs in the care of mature and aging individuals and families, Integrate theory and evidence-based practice in
the care of mature and aging individuals and their families, Assess and manage risk factors for common conditions prevalent in
mature and aging individuals and families, Conduct pharmacologic assessment addressing polypharmacy, drug interactions and other
adverse events in the care of mature and aging individuals and their families and apply appropriate evidence-based screening tools in
the functional assessments of mature and aging individuals and their families.
Chamberlain College of Nursing MSN program outcome #5
Advocating for positive health outcomes through compassionate, evidence based, collaborative advance nursing practice was
utilized throughout the past eight weeks. This is demonstrated during clinical rotations while interacting with patients. Using current
guidelines such as the AHA/ACA and AUA help practitioners stay up to date on current practice and provide patients with evidencebased,
individualized plans of care. During the practicum rotation over the past eight weeks I have been able to successfully
formulate diagnosis based upon reported symptoms. While writing the case study assignment I was able to incorporate cultural
preferences, values and health beliefs into the plan of care. During clinical practicum, I am given the opportunity to collaborate
with other health care providers to deliver quality and extraordinary nursing with my patients. I have had the opportunity to consult
with the radiology departments, case management, and the diabetes educator with different patients to provide them with
personalized care.
Masters Essential VIII: Clinical Prevention and Population Health for Improving Health
8
Design patient-centered and culturally responsive strategies in the delivery of clinical prevention and health promote on
interventions and/or services to individuals, families, communities and aggregates/ clinical populations. During the case study
assignment, I had the opportunity to design a culturally responsive approach to healthcare to a Hispanic female. I successfully
identified preventative strategies for managing her health while promoting best practice for individualized health. I have had the
opportunity to take care of a variety of culturally diverse patients while in my practicum rotation. Including their beliefs/ cultural
preferences into their healthcare plan is important not only for the patient but for the compliance with recommended treatment.
Integrating clinical prevention and population health concepts in the development of culturally relevant and linguistically as it
is appropriate for health education, communication strategies and interventions. This outcome can be measured by how the patients
respond and comply with treatment. Involving the patients with their own healthcare can facilitate compliance with treatments,
medications and assess for any knowledge deficit. I had many opportunities to practice this during the clinical practicum. I have
educated many patients on hypertension management with medications and change in lifestyle. I have educated many patients on
diabetes management with medications and lifestyle changes based on their preference while being culturally sensitive. The
American College of Nursing (1996) MSN Essential VIII: Clinical Prevention and Population Health for Improving Health recognizes
that the master’s- prepared nurse applies and integrates broad, organizational, client-centered and culturally appropriate concepts in
the planning, delivery, management and evaluation of evidence-based clinical prevention and population care and services to
individuals, families and aggregates/ identified populations. This course has challenged me to integrate retained knowledge from
other courses and apply it to culturally diverse and age specific populations. Using the nursing process to discuss pathophysiology on
a cellular level contributed and broaden my knowledge of diseases, solidifying the diagnosis and treatment of such diseases.
Determining differential diagnosis for a patient with certain symptoms, utilizing countless hours of research- has allowed me to focus
on patient centered care and evidence-based treatment.
NONPF: #8 Ethics Competencies:
As a practitioner it is important to integrate ethical principals in decision making and evaluate ethical consequences of
decisions made. A certain circumstance in which I had to make an ethical decision in clinical rotation relates to whether to prescribe
antibiotics to a patient who did not have clinical necessity, but just wanted to “feel better”. As a practitioner this example may come
up often, as we live in a society where everyone wants a “magic pill” to make them feel better. After consulting with my preceptor;
she chooses to prescribe a lower dose of a broad-spectrum antibiotic because she knew the patient would come back multiple times
for the same complaint. The consequence of this decision was reviewed and although educating the patient was done; the preceptor
9
thought the benefits outweighed the risks. As this is just one example of ethical decision making during clinical practice; there have
been and will be many more.
I have learned and have a greater understanding of Core Competencies of the advanced practice nurse and how to apply and
use these competencies as guidelines to implement the full scope of practice. These competencies are essential to meet the
complex challenges of translating rapidly expanding knowledge into practice and function in a changing health care environment
(DeNisco & Barker, (2015). As future nurse practitioners, we must have the skill, knowledge and patience within ourselves as we learn
and new role by gaining self-confidence and applying quality care with cost effective practice.
American College of Nursing (1996). Essentials of Master’s in Nursing. Retrieved from
du/education/pdf/MasEssentials96/pdf
DeNisco, S.M., & Barker A.M (2015). Advanced practice nursing: Essential knowledge for the professional (3rd ed.) Retrieved from
NR602- Childbearing Practicum
Over the course of eight weeks of the curriculum in this class, the instructor, my classmates, and my clinical preceptor have all
taught me many things. This course has prepared me to meet the MSN program outcome #1; To provide high quality, safe, patient
centered care grounded in holistic health principles, the MSN Essential VII; Interprofessional collaboration for improving patient and
population outcomes, and the Nurse Practitioner Core Competencies # 8; ethic competencies.
Program Outcome #1: Provide high quality, safe, patient-centered care grounded in holistic health principles.
Nurses are expected to provide competent evidence-based, patient-centered care. These expectations require that nurses
have up-to-date knowledge, clinical, technical, and communication skills, and the ability to problem solve through the use of clinical
judgment. The science of nursing is a combination of performance, skills, knowledge, and attitudes. Current models of nursing focus
on the rapid expansion of scientific discoveries being made in medicine and technology (Palos, 2014). It’s important as a nurse
practitioner to provide high quality, safe, patient-centered care across the lifespan without bias, judgment, or persuasive opinion. For
example, when a woman makes an appointment with a practitioner with an unplanned pregnancy it is important for her to
understand she has options. As clinicians we are frequently encountered by these patients and it is our job to provide them with
diagnosis, counseling, and referral to other services they may need, despite our own morals and beliefs. It is a woman’s right to
decide if they want to abort the pregnancy and we as clinicians need to stand by our patient’s side and provide them with the
10
referrals they need to have a safe and effective abortion. We may not agree with our patients’ decision about their healthcare, we
are here to provide counseling, education and referrals in hopes they will make the best decision about their health and wellbeing.
MSN Essential VII: Interprofessional Collaboration for Improving Patient and Population Health Outcomes
Interprofessional collaboration (IPC) is known to improve and enhance care for people with complex healthcare and social
care needs and is ideally anchored in the care of the individual and population served (Pullon, 2016). As a family nurse practitioner
there will be times we need to refer our patient to a specialist for them the get the best care they deserve. As the primary provider I
would keep in close contact with the clinician in whom I am referring to collaborate a plan for this patient and provide a positive
outcome. For instance, if one my patients was having psychological issues and needed to be referred to a counselor for further
evaluation, I would want to collaborate with this provider to make sure they are being treated medically and psychologically. There
are times when a counselor will recommend the patient be started on an antidepressant while going through treatment; this is
where we can collaboratively treat the patient together, for an optimal outcome. I think it is important that all providers involved in a
patient’s care take the time to update one another. As we know information, diagnosis, and medication regimen can be misconstrued
by the patient from visit to visit with multiple providers. As a practitioner working with adults and/or children, I will need to
collaborate with other specialists to meet the needs of the patient and provide them with the best care possible.
Nurse Practitioner Core Competencies# 8: Ethics Competencies
1. Integrates ethical principles in decision making.
2. Evaluates the ethical consequences of decisions.
3. Applies ethically sound solutions to complex issues related to individuals, populations and systems of care.
Ethical awareness entails more than identifying situations in which ethical challenges arise. It is an awareness that all
interactions with patients are ethical interactions and are the first step in moral action (Robins, 2018). The ANA Code of Ethics states:
“Nursing encompasses the protection, promotion, and restoration of health and well-being; the prevention of illness and injury; and
the alleviation of suffering, in the care of individuals, families, groups, communities, and populations” (ANA, 2015). As a family
practitioner we promote comprehensive care in a holistic manner. Many practitioners will experience an array of topics during their
clinical encounters and the diverse ways the patients perceive their health and their ability to cope. An example of these topics
includes economic issues, family systems, cultural and social determinants of wellness (community of origin, immigrant status,
occupation, education), and spirituality. As providers it is our role to open the door to conversation and invite our patients to discuss
11
their needs, while refraining from preaching or prescribing spiritual practices, as this is beyond the proper bounds of the providerpatients
relationship. Another example includes patient with the Jehovah’s Witness tradition who tend to refuse blood as a part of
their faith and beliefs. At times a blood transfusion could be the only way for a patient to survive, as a practitioner you must respect
one’s faith and values, offering only the understanding of the consequences of their decision. There are times when providers have
few medical solutions for problems that cause suffering, chronic pain, grief, domestic violence, and broken relationships. In these
situations, lending an ear, offering community referrals (hospice, palliative care, social services), and providing comfort to our
patients is all we can do.
American Nurses Association. (ANA). (2015). “Code of ethics for nurses with interpretive statements”. The Journal of Nursing
Administration, 44(12), 640-646. doi:10.1097/NNA.
Palos, G. R. (2014). Care, Compassion, and Communication in Professional Nursing: Art, Science, or Both. Clinical Journal Of
Oncology Nursing, 18(2), 247-248. doi:10.1188/14.CJON.247- 248
Pullon, S., Morgan, S., Macdonald, L., McKinlay, E., & Gray, B. (2016). Observation of interprofessional collaboration in primary
care practice: A multiple case study. Journal Of Interprofessional Care, 30(6), 787-794.
Robbins, K. C. (2018). NNJ Journal Club. Nurses Address Ethical Issues in Health Care. Nephrology Nursing Journal, 45(2), 215-219.
NR603- Advanced Clinical Diagnosis
To reflect over the eight weeks in this course, NR603 has prepared this writer to meet the following course outcomes; the
MSN program outcome #4 (MSN Essentials) which integrates professional values through scholarship and service in healthcare. The
MSN Essential IV is “translating and integrating scholarship into practice, recognize that the master’s- prepared nurse applies
research outcomes without the practice setting, resolves practice problems, works as a change agent and disseminates results”
(AMA, 2011). The Nurse Practitioner Core Competencies #7 include the following (NONPF, 2017);
1. Applies knowledge of organizational practices and complex systems to improve health care delivery.
2. Effects health care change using broad based skills including negotiating, consensus-building, and partnering.
3. Minimizes risk to patients and providers at the individual and systems level.
12
4. Facilitates the development of health care systems that address the needs of culturally diverse populations, providers, and
other stakeholders.
5. Evaluates the impact of health care delivery on patients, providers, other stakeholders, and the environment.
6. Analyzes organizational structure, functions and resources to improve the delivery of care.
7. Collaborates in planning for transitions across the continuum of care.
Program Outcome #4
Healthcare is always changing in practice and research and it is essential that the nurse practitioners provide the highest level
of care with evidence-based practice. The past seven weeks have provided the opportunity to improve and build knowledge and
understanding in the importance of designing a treatment plan, implementing the treatment and measuring the outcomes of future
patients. Continuing to utilize the SOAP note format provides a consistent way to delivery clear and concise documentation of the
encounter. While reviewing and researching the different case studies throughout the weeks, Dr. Martin provided helpful feedback
and encouraged students to expand their level of understanding of the disease process or treatment plan. She encouraged the
support of evidenced based practice with the utilization of national guidelines.
MSN Essential IV
The MSN Essential IV defines the expectations of a master’s Degree level nurse practitioner. Over the last several weeks and
throughout the course of this program, I have been enhancing my scholarly knowledge of nursing practice. Research is an essential
part of the healthcare system and as a master’s prepared nurse it a 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 that
demonstrates the value of research, implementing research and learning to work out challenges in the work place. During clinical
hours, I have observed different medical professionals work in collaboration, and some who may not even have contact with each
other. Those who worked in collaboration showed strong work ethic and resolved difficult and some ethical dilemmas with respect
and dedication for the patient’s outcome.
Nurse Practitioner Core Competencies #7
13
The Nurse Practitioner core competency #7 requires that one must have organizational practice, be able to have interprofessional
collaboration, implement knowledge in informatics/information systems and needs the assessment of population served
(NONPF, 2017). Currently and in the coming weeks; my knowledge will continue to grow as I continue in practicum as a nurse
practitioner. Over the length of the course, I have used my clinical practicum setting to build relationships with knowledgeable and
professional colleagues. I have observed well organized health care services, and what can happen when things are not well
organized. I have learned how organizational structure, theory, and principles of management including outcomes affect the way an
organization views their practice. The curriculum over the last seven weeks created a learning process of patient care and the
challenges practitioners face daily. The opportunity in clinical practicum has enhanced by knowledge in research, application of
research, facilitating change, and consistently working to improve the delivery of care by collaborating in the planning and
implementing of care with other disciplines. I have had the opportunity to learn different electronic charting/ordering/referral
methods for practitioners so correct billing can be established and patient care is coordinated. I have enhanced my knowledge of
assessing the needs of the populations served by using different screening tools based on the age/ development of the patient.
Theses screening tools are not only helpful in establishing a baseline but to assess the need for change and intervention when
needed.
AMA. (2011). The essentials of master’s education in nursing. Retrieved from American Association of Colleges of Nursing:
NONPF. (2017). Nurse Practitioner core competencies content 2017. Retrieved from the National Organization of Nursing
Practitioners Faculties:
14
Dedicated and outgoing Family Nurse Practitioner with over 13 years’ experience in nursing. Background in emergency medicine, ambulatory
care, urgent care, telemetry and medical-surgical acute care units. Experience in long term care. Flexible, quick learner who easily adapts to new
situations and enjoys a challenge. Self- motivated professional ready to provide quality healthcare. Strong organizational, communication and
leadership skills.
Certifications
Forensic Nurse Examiner Pediatric/Adult
Family Nurse Practitioner
Basic Life support
Advance Life Support
Pediatric Advance Life Support
Experience
DECEMBER 2017 –PRESENT
Registered Nurse / VA Medical Center, Martinsburg WV
Provide comprehensive care to patients in emergency room setting
MARCH 2017 – DECEMBER 2017
Registered Nurse / MEDXPRESS, Martinsburg WV
Provide care in ambulatory setting, DOT physicals, occupational health
APRIL 2015-MARCH 2017
Registered Nurse/ Shady Grove Adventist, Rockville MD
Emergency Room travel nurse experience
SEPTEMBER 2005 – MARCH 2017
Registered Nurse/ Meritus Hospital, Hagerstown MD
Emergency Room, telemetry and med-surg
Education
Ashley Hall MSN, FNP
40 Kanawha Court Falling Waters, WV 25419
301-331-6267
15
OCTOBER 2018
Master’s Degree Science of Nursing/Chamberlain College, IL
APRIL 2015
Bachelor’s Degree Science of Nursing/ Notre Dame, MD
AUGUST 2009
Associates Degree of Nursing/ Hagerstown Community College
Affiliations- American Associations of Nurse Practitioners
Emergency Nurse Association
Job Postinghttps://
Nurse Practitioner
MedExpress Urgent Care
420 reviews
Hagerstown, MD 21740
General Position Description:
Provides outstanding patient care and promotes high quality primary and urgent care services while always ensuring the
MedExpress vision and values.
MedExpress Core Responsibilities
Has a contagious a [Show Less]