Preparation for Practice: Interprofessional Practice, Certification, Licensure, Credentialing, Documentation, Billing, and Coding



Preparation for Practice: Interprofessional Practice, Certification, Licensure, Credentialing, Documentation, Billing, and Coding





Interprofessional Practice


Hospital-Based Practice



  • Appropriate acute care education, certification, credentialing, and privileging are requirements for health care providers to function in a hospital setting.


  • Admission to inpatient facilities is determined by these health care providers.


  • National organizations such as the American Academy of Pediatrics and the Society of Critical Care Medicine have developed guidelines to determine appropriate practice settings for patient care.


  • System-based criteria are used to determine the need for pediatric intensive care admission and differentiate between level I and II units.


  • Acuity scoring systems are also used to determine patient acuity and risk of mortality and morbidity.


  • Hospital practice includes obtaining a history, which includes medical history, current medications, allergies, immunizations and exposures, family health history, psychosocial history, spiritual and cultural evaluation, followed by a thorough physical examination.


  • The development of differential diagnoses, problem lists, and a plan of care for management is the responsibility of the pediatric acute care team.


Consultation and Referral

Joe D. Cavender



Referring Practitioner Responsibilities



  • The practitioner requesting a consultation should provide the consultant with the patient’s pertinent clinical information that led to the decision to consult. The consult request should clearly state the questions to be answered by the consultant. Although consult requests are often entered into the electronic health record (or via a written order), the consultation should always include verbal communication between the requesting practitioner and the consultant.


Consulting Practitioner Responsibilities



  • The consultant has a responsibility to understand the information requested by the referring practitioner.


  • The consultation should be provided in a timely manner given the urgency established by the referring practitioner.


  • The consultant should first obtain an independent history and physical examination and review of the patient’s current studies.


  • Recommendations should be provided directly in a written consult note to the referring practitioner in a succinct, clear format that includes necessary details for implementation of recommendations.


  • The written consultation findings should also be verbally discussed with the referring practitioner.


Types of Consultation



  • Recommendation.



    • The consultant provides his or her opinion regarding the patient’s diagnosis and management, including medications and/or further laboratory or radiologic studies.


  • Comanagement.



    • The practice of the consultant ordering medications and additional studies to manage the patient’s diagnosis.


    • Comanagement should occur only if agreed upon by the referring practitioner and consulting practitioner prior to the consult.




Jan 30, 2021 | Posted by in NURSING | Comments Off on Preparation for Practice: Interprofessional Practice, Certification, Licensure, Credentialing, Documentation, Billing, and Coding
Premium Wordpress Themes by UFO Themes