Introduction:

This module focus is on the process of approaching care of the acutely ill adult. This includes the process of doing a history and physical, the process of daily management, the process of transition of care, the process of documentation, and the process of obtaining hospital privileges. This module also includes formal education on the process of giving bad news to patients/families in the acute care setting. Prior to the on campus class you will be studying the materials listed. During on campus class you will be practicing doing a physical exam on an acutely ill adult in a bed. There are some specific ways this can be facilitated and so we will cover them then.

PREPARATION:

Approach to Acutely Ill adult

FAST HUG BID Link http://lifeinthefastlane.com/fast-hugs-in-bed-please/

Giving bad news Link http://patient.info/doctor/breaking-bad-news
Pronounce Death: https://www.medscape.com/viewarticle/893415?nlid=121184_785&src=WNL_mdplsfeat_180313_mscpedit_nurs&uac=231602CT&spon=24&impID=1580362&faf=1 and the pdf is Pronounce death.pdf

Transition of care - Introduction by Dr. Burckardt Transitions.docx

History and physical of acutely ill adult: Probably already know this from the health assessment class so just skim to be sure. Barkley Chapters 85 Barkley Chapter 85 Hospital Admit Considerations.pdf and 86 Barkley Chapter 86 Managing the Surgical patient.pdf

.H and P The_History_and_Physical_Exam.ppt

. It is important to be able to do an efficient and effect physical exam.We will be doing this when you are on campus April 17th. Exam of Patient in Bed – By Thompson.docx

Writing orders/ Documentation

. The Maxwell quick reference has a variety of types of note formats Maxwell Quick Medical Reference.pdf

. Documentation for acute care Documentation for Acute Care.ppt

. Documentation (I wrote this in 2016 but has not changed) Documentation.docx

Coding and Billing - Already covered last time on campus but not sure I included this one:

. Billing Ultrasound Billing ultrasound.pdf

Can a NP be Attending Physician in hospital setting https://www.medscape.com/viewarticle/849895_2
MACRA, MIPS, APM part of Medicare that you need to know

. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/MACRA-MIPS-and-APMs.html

ASSIGNMENT:

April 17th on campus come prepared to do a physical exam on your classmate. Bring your equipment and plan to be successful.

Exam 4 March 28th Includes this module and the next.

Paper due April 9th Paper