NR510 Week 2 Discussion dq1+dq2 latest

DQ1 Theory and the APN Role Discussion

A registered nurse, Karen decided she wanted to become a CNP. She applied and was accepted to the Family Nurse Practitioner program at Chamberlain College of Nursing. She received a curriculum outlining the courses necessary to complete her degree.

One of the early courses in the program curriculum is NR501 Theoretical Basis for Advanced Nursing Practice.

You are a student colleague of Karen’s enrolled in the same class. On the Q & A Forum course, Karen posted, “Nursing theory is outdated and too broad and isn’t useful for Advance Practice Nurses.”

Discussion Question:

Is Karen right? Is theory important to APN practice? Why, or why not?

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DQ2 Theory and the APN Role Discussion Part 2

NR510 Week 3 Discussion dq1+dq2 latest

DQ1 Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One

You are a family nurse practitioner (FNP) employed as a contract (1099 independent contractor) in a busy primary care practice for two years. The providers in the group include one physician, the practice owner, and two other nurse practitioners, staff employees (W2 employees). The practice owner recently commented on the need to produce more revenue.

You relate to his concerns and feel that you have several strategies that could be helpful. Your contract is up for renewal in 3 months. You are highly satisfied with your job and want to stay with the group. You see 20 patients per day on average and take calls every third weekend.

Discussion Question:

What negotiation strategies should you use to propose a contract renewal?
How does your role as a 1099 contractor benefit the practice over the W2 employees?
What evidence will you present to the practice to reinforce your value in practice both in terms of revenue and patient satisfaction? Consider any additional services you may be willing to provide under your contract. Use logical reasoning, and provide evidence-based rationales for your decisions.

Remember that your negotiation terms and conditions must be within the legal scope of practice for an ANP.

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DQ2 Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study Part Two

As revenue generators, NPs must be aware of how their work contributes to the overall revenue of the clinical practice. You see 20 patients per day on average and take calls every third weekend. According to Buppert (2011), on average, an NP who sees 15 patients per day at $56 per patient visit brings in $840 per day.

Allowing one week off for continuing education, one week off for illness, and 4 weeks off for vacation, this NP will bring in $193,200 a year, potentially. However, not all bills are paid. With a 90% collection rate—a reasonable collection rate for an efficient practice—this NP will bring in $173,800 annually.

An NP who sees 24 patients daily will bring in $1344 per day, or $309,120 per year in accounts receivable. With a 90% collection rate, this NP will bring $278,208 to the practice (Buppert, 2011).

Establishing a salary can be a challenge for NPs. Deducting 40% of the NP’s gross generated income for overhead expenses (rent, benefits, continuing education, supplies, malpractice, lab expenses, and equipment depreciation) leaves $104,280 for the 15-patient-per-day NP and $166,925 for the 24-patient-per-day NP.

Further, deducting 15% of that figure to pay a physician for consultation services leaves $88,638 in salary for the 15-patient-per-day NP and $141,887 for the 24-patient-per-day NP. Deducting 10% for employer profit leaves $79,775 in salary for the 15-patient-per-day NP and $127,699 for the 24-patient-per-day NP (Buppert, 2011).

Discussion Question:

What salary would you propose for the contract renewal?
How does your salary proposal fit the community standard for an NP in a similar practice? Use logical reasoning, and provide evidence-based rationales for your decisions.

Remember that your negotiation terms and conditions must be within the legal scope of practice for an ANP.

NR510 Week 2 Discussion dq1+dq2 latest