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Types of educational preparation of a registered nurse

-diploma program

The difference between RN and LPN

-RN can complete complex assessments and care for unstable patients.
-LPN's cannot do a basic assessment.

State Nurse Practice Act Documents

-Chapter 112 of the mass general law
-224 CMR administrative law


when a nurse fails to act as a competent nurse would under the circumstances. In other words, the nurse fails to meet the standard of care.

Part A of Medicare

pays for inpatient hospital stays and skilled nursing care.

Part B of Medicare

Pays for outpatient doctor's visits.

Part C of Medicare

Medicare advantage plans (HMO, PPO)

Part D of Medicare

Prescription drug plans

The four categories of Healthcare Services

-illness prevention
-rehab and long term care
-diagnosis and treatment
-health promotion

The Four Levels of Care

-Primary: doctors
-Secondary: specialists
-Tertiary: surgical intervention (particular form of care)
-Subacute: physical therapy, rehab


Health insurance funded by the government for disabled and elderly individuals.


made patient medical information confidential


Government funded health insurance for the poor


government program of health insurance specifically for children.

Social Security Act

Established retirement benefits for individuals over the age of 62.

Hill-Burton Act

made it illegal to refuse care to anyone presenting in the ER. Federal money supplemented to hospitals for uncompensated care

Major indicators that the health care system needs reform

-escalating cost of health care
-aging population
-large percent of population uninsured
-37/191 for quality of care in the world

Patient Protection and Affordable Care Act (PPACA)

provides support for advancement of the APRN role in providing primary care.

Nurse Managed Health Care Center

It contains advanced practice registered nurses, certified nurse midwife, and nurse practitioners. They serve the underserved population.

Three major reforms including the PPACA that affect the health care system

-prohibits insurance companies from denying coverage based on preexisting conditions
-mandate for all individuals to get health insurance
-increase in funding for programs and services that increase primary care workforce

2 reforms included in the PPACA that provide direct benefits to nursing

-funding to support APRN primary care
-work force developed grants/scholarships for nursing students in needy areas

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