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Respond to the 2 following discussion posts separately with separate reference lists. References to be no older than 5 years.
1. [Lindsay Trent] As advanced practice providers, we aim to provide the best possible care to our patients. The American Association of Nurse Practitioners (AANP, 2022, para.1) states:
“The quality care you provide to your patients stems from your dedication to treating them as a whole person and not just a disease. Getting to know your patients and their unique health care situations is what sets NPs apart, but it’s also so important to stay up to date with the latest clinical guidelines, regulations, research and evidence-based recommendations.”
Staying up to date on the latest medical findings, current evidence, and practice recommendations can be difficult in the daily workflow. My current clinical site utilizes EPIC as their EHR, and EPIC has several resources linked within the program that allow for optimal treatment.
EPIC has best practice alerts within each chart that is individualized to the patient. These guidelines were developed by Stanford as a campaign to share the most up to date guidelines with providers in real time and allow for easier implementation in daily practice (Nelson, 2016). The overall goal of the best practice alerts is to make it easier to follow clinical guidelines, helping with timely dissemination of information and implementation to help with quality improvement efforts (Nelson, 2016).
My clinical site also utilizes Elsevier Care Planning. Elsevier Care planning integrates the individuality of the patient and their story with clinical practice guidelines to create a patient centered plan of care (Elsevier, 2022). The Care Planning provides: interprofessional coordinated care, drives adoption of evidence-based practice, helps to achieve regulatory and compliance goals, and allows for interprofessional guidance for nursing and allied health (Elsevier, 2022). With this resource, “patient outcomes are improved, and regulatory requirements are met, because [the] solution supports clinical decision making by integrating evidence into the clinical workflow” (Elsevier, 2022, para. 2).
American Association of Nurse Practitioners (AANP). (2022). Clinical Resources for Nurse Practitioners (NPS). American Association of Nurse Practitioners. Retrieved 2022, from https://www.aanp.org/practice/clinical-resources-for-nps#:~:text=These%20clinical%20reference%20tools%20give,find%20the%20answers%20you%20need.
Elsevier. (2022). Care planning. Care Planning and Professional Services. Retrieved 2022, from https://www.elsevier.com/solutions/care-planning
Nelson, B. (2016). Why aren’t doctors following guidelines? The Hospitalist. Retrieved 2022, from https://www.the-hospitalist.org/hospitalist/article/121436/why-arent-doctors-following-guidelines
2. [Mandeep Kaur] Throughout my clinical rotation, I have learned that resources are critical in assisting me with determining a diagnosis, assessment, and treatment plan. In the family clinic I am currently at; we see a large number of patients in a day that come in with a variety of different health issues. It is vital as providers that we have resources we can rely on. One of the resources I use is Epocrates. Epocrates is a reliable, comprehensive, and easily navigable service for looking up information about medications such as uses, dosing, contraindications, reactions, interactions, pregnancy, and pharmacology (Bhanot & Sharma, 2017). In addition, it is also helpful in assisting me with coming up with differential diagnoses, ICD-10 codes, and treatment plans. Even though my preceptor has been extremely helpful in assisting and guiding me, I am still expected to know where to go for reliable resources.
Another resource I have seen used is UpToDate. UpToDate is a point-of-care information tool that provides evidence-based information designed to assist providers in finding answers to their clinical questions (Bhanot et al., 2021). These resources are necessary because there is constant change in healthcare, and we want to make sure as providers that our patients are receiving the most up-to-date and safest care backed up by evidence. These tools are necessary for finding timely answers to questions and are also associated with the increased ability to answer clinical questions and improve patient care (Bhanot et al., 2021). These resources must be easily accessible, fast, and accurate.
Bhanot, S., & Sharma, A. (2017). App Review Series: Epocrates. Journal of digital imaging, 30(5), 534–536. https://doi.org/10.1007/s10278-017-9977-2
Bradley-Ridout, G., Nekolaichuk, E., Jamieson, T., Jones, C., Morson, N., Chuang, R., & Springall, E. (2021). UpToDate versus DynaMed: a cross-sectional study comparing the speed and accuracy of two point-of-care information tools. Journal of the Medical Library Association: JMLA, 109(3), 382–387. https://doi.org/10.5195/jmla.2021.1176