week8

Reflection

An entry that I synthesizes and identifies during this course was consolidation and refining the acquired skills in assessment and client management to attain a level of competency and proficiency to function independently in the nurse practitioner role. The most comforting aspect of my clinical rotation is the fact that my clinical preceptor is always referring to the clinical guidelines, utilizing evidenced based references, and discussing new advancements and changes in current practice.  I am very fortunate during my clinical I see a great variety of patients, from pediatric to elderly and psychiatric to gynecology.  This well rounded population of patients has allowed me to draw information from every class that I had taken thus far in the program. The wide mixture of patients and diagnoses has shown me that there are clinical guidelines for almost every diagnosis in every specialty that have been made available for practitioners to assess and follow.  Patient by patient, I have been exposed to numerous different guidelines and realize that I will never know the details of ever one, but I am thankful that I have been shown where to find the resources and how to utilize them.  In addition to the great amount of medical wisdom that I acquired during my clinical rotation I also gained a lot of knowledge about ICD 10 codes.  I have come to understand that providers must have a clear understanding of diagnosis and billing codes to ensure that they are charging the patient appropriately and not committing medical fraud.  I am grateful that my preceptor provided me with information on how to bill and charge for visits and procedures.  Overall, I have learning a lot over the last seven week about health care finance and am looking forward to increasing my skill and comfort level in the financial arena next semester.

The course content was straight forward and there was no challenge associated with it. The emotional feeling associated at this point I would say sometime you see the patient and you know what will be plan of care and medication to prescribe however you do not have legal ability to prescribe. I looking forward to the board exam as soon as possible and start applying what I have learned throughout this program.