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shusha [124]
2 years ago
15

It is appropriate for the nurse to recommend smoking cessation for clients with hypertension because nicotine.

Medicine
1 answer:
KIM [24]2 years ago
4 0

Yes, it is appropriate for the nurse to recommend smoking cessation for clients with hypertension because nicotine in cigarettes causes your blood vessels to constrict and the heart to beat more rapidly, thus raising your blood pressure.

Nicotine is a extremely addictive chemical compound present in a tobacco plant.  Nicotine is a stimulant, which makes tobacco products addicting. Even when people wish to stop using tobacco products, nicotine prevents them from doing so.

Because of ongoing tobacco use, the number of deaths and disabilities attributable to tobacco use is rising globally (mainly cigarettes). While tobacco use is steadily increasing in high-income countries like the USA, it has reached epidemic proportions in many low- and middle-income nations (The Tobacco Atlas 2015; CDC 2016). 68 % of adult smokers in the United States want to stop, and millions have tried to do so, according to the Centers for Disease Control (CDC 2017).

Each year, 70 % of smokers contact a healthcare provider (AHRQ 2008). Since nurses participate in the majority of these visits and constitute the biggest group of healthcare providers globally, they have the potential to have a significant impact on the decline in tobacco use.

Learn more about smoking cessation here:

brainly.com/question/13311478

#SPJ4

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An IV bag of 500 mL solution is started at 1900. The flow rate is 38 gtts per minute, and the drop factor is 10 gtts per mL. At
Ronch [10]

Answer: your bag will finish at 2112.

Explanation: (38gtt/min) × (10gtt/ml).

Cross multiply. (38gtt×1ml) × (1min×10gtt)

This gives you 38/10...and the gtts cancel out so, it's 38ml/10min.

Simplify this to 3.8 ml/min.

Now, 3.8ml/x min = 500 ml.

Take 500/3.8. This gives you about 132 minutes if you round to the nearest minute. 60 min/he means 132 min = 2h12m. 2h12m from 1900 is 2112.

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3 years ago
How are outpatient pharmacies reimbursed?
Svetach [21]
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1. Data Workflow:

Recognizing how the revenue cycle works in pharmacy is very essential. Procurement to Inventory, billing and reimbursement involves purchase of medications, their storage, and method of dispensing, how they are administered, way they are coded & billed, and finally reimbursed. If the drug is covered as a pharmacy benefit, or the payer needs that to be obtained via a specialty pharmacy as identified through patient-specific benefit verification, then here both the provider and the pharmacy are part of the reimbursement process. The physician writes a prescription and orders the drug. This is followed by the pharmacy that fills the order and issues the drug to the physician, CMHC, or hospital outpatient department. Here the pharmacy bills the insurance company for the drug. If any information is entered incorrectly into the pharmacy system in the initial phase of the cycle, errors can prove to be costly, impacting aspects of clinical and revenue cycle.

2. Procurement:

During this phase information is converted from purchased quantities and pricing to storage units of measure (UOM) and inventory costs. Manually entering the data is followed in most cases. UOM conversions, when data is uploaded from the wholesale distributor to the pharmacy system, are also checked and verified manually. Here too mistakes can lead to breakdown in the revenue cycle management (RCM) process.

3. The Charge master:

Critical & substantial revenue leakage can occur when separately reimbursable medications are either missing from or miscoded in the charge master. Conversion of pharmaceutical quantities is a must from purchased amounts to patient-administered amounts, and only then made billable. There is often a difference between dosage amounts required for patient use as from that purchased. Besides inventory, the clinician and pharmacist should convert dosage, strength, and delivery mechanism for each drug. Drug data must be correctly converted from the quantities residing in clinical systems into the payer-billable quantities appropriate for the financial system or charge master. The UOMs must be reconciled to avoid any under- or over-payments. More than often, missing or incorrect data in the charge master can result in negative financial consequences – denied claims, partial reimbursement, and compliance risks.

4. Linkages between Purchases & Billing:

Most hospitals have separate processes to order drugs, administer them, and process reimbursement. Without linkage between pharmacy expenditures for medications (i.e., spend data) and the charge master, ensuring proper charge capture and optimal reimbursement is a challenge. Besides hospitals should have automated tools to identify charge capture errors precisely, so as to pinpoint when and where their occurrence to decreasing revenue loss.
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Read 2 more answers
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ludmilkaskok [199]

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Explanation:

Hope this helps!!

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