NUR 6323: Health Care Policy, Organization, and Finance

Winston-Salem State University
NUR 6323: Health Care Policy, Organization, and
Finance
Critique of Bill Chart & Rubric
Name___________________ Health
Topic_______________________
Criteria State Bill Response to Criteria Point
s
Bill Introduction:
Bill title, number, date,
sponsors, purpose, length,
legislation, status &
implementation timeline
 Bill title: The Save Act. House Bill number:
185, Senate Bill number: 143.
 Date: 27 February 2019.
 Legislation: North Carolina General
Assembly
 Sponsors: Dobson, Lambeth, Stevens, and
Adcock were the primary sponsors.
 Purpose: The purpose of the bill is to
increase the training of registered nurses
so that they can improve the standard of
healthcare in the country without the
interference of doctors. This act will help to
modernize the nursing regulations that will
be for the benefit of nurses as well as the
patient who will get more surveillance and
monitoring through the holistic approach of
care in nurses (Lrs.sog.unc.edu, 2020).
 Length: The length of the bill has 12
sections and it has 9 pages of details.
 Status & implementation timeline: The act
was filed in 26 February 2019, passed for
first reading in 27 February 2019 and it
planned for implementation in January
2020.
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Historical Perspective:
Background of the bill
The background of the bill suggests that the
healthcare systems were realizing the issue of
less training in nurses due to the overpowering
of the doctors. People in western North Carolina
were suffering from the scarcity of primary care
doctors for the assistance of patients in
achieving healthcare services, which led to the
intrusion of the nurses to fill the gap. This made
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the people think that nurses should be trained
enough so that they can manage these
situations where doctors are not available. The
healthcare system of North Carolina is in the
need of nurses that are well trained so that they
can provide quality care. The rural areas of North
Carolina is known for the high rates of alcohol
and drug abuse, teen births and suicide and
these areas suffer from the shortage of providers
that are needed during emergencies. It is seen
that they need to guidance and surveillance of
doctors for any activity, which can delay the
process of treatment and medication.
Summary of Bill:
Discuss contents of the
bill and rationales
The bill is divided into sections that includes the
content that advanced practiced registered
nurses should be able to take the vital signs of
the patient when they are admitted without the
presence of a doctor. The nurses included will be
Nurse Practitioner (NP), Certified Nurse Midwife
(CNM), Clinical Nurse Specialist (CNS), and
Certified Registered Nurse Anesthetist (CRNA).
The North Carolina Board of Nursing includes
every healthcare provider who has a license
such as healthcare insurer, employee of any
healthcare institution, healthcare professional
school, and the member of any allied health
profession. The role of an anesthetist is to
prepare and evaluate the client and conduct a
preoperative health assessment that will come
with the counselling and assistance for different
diagnostic studies. The registered nurses will
mostly focus on the population that includes
individual or family across life span, neonatal,
adult gerontology, psychiatric or mental health,
pediatrics and women’s health or gender related
issues. The role of other nurse practitioners are
given in the act that shows that they need to be
given importance in the assessments and the
major role related to their specialization.
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Healthcare Policy
Addressed:
Identify & discuss the
healthcare policy
addressed
The healthcare policy discussed is the
involvement of these nurses in medical practice
to a greater extent as it is seen that nurses do
not get the deserved amount of importance and
training that are required for the welfare of the
healthcare organizations in North Carolina. The
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