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Health, Medicine, Nursing
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Essay
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English (U.S.)
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Topic:

APRN Contract

Essay Instructions:
Students will locate a sample Family Nurse Practitioner employment contract and will review and analyze the contract according to the outline criteria: Scope of services to be performed and population (pediatrics, geriatrics, family, etc.) Compensation Travel compensation Gas/mileage Cancellations On call time Bonuses Duration of employment How the agreement can be altered or updated Responsibility for maintaining and paying for credentials Benefits Time off and expenses for continuing education Vacation time Paid conferences or CME Restriction on competition Reasons for termination Extent of support service to be offered to the NP Expectations regarding the number of patients seen per day Expectations regarding non-clinical work to be done by NP Release to the NP of the NPs quality performance as measured by health plan auditors This should be an APA formatted paper, and the above items should be listed as section headings where the student or group will give a brief critique under each section of the contract, using the weekly readings as guidance for the critique. As with any scholarly paper, there should be an introduction and conclusion. There should be evidence of analysis (not simply reporting the facts about the contract) by means of comparing some items (i.e. salary) to national or regional norms. Some of the sections may be combined. If the contract is missing a section, note this in the critique. Include the sample contract in the Appendix, and please remove all identifiers if using a real contract from a colleague or preceptor. Length: Approximately 1000-1500 words; maximum 8 pages, double-spaced, not counting the Appendices Appendix: Attach the sample contract as an Appendix Style Format: APA format with title page and references
Essay Sample Content Preview:
APRN Contract Name Affiliation Course Instructor Date APRN Contract Introduction Employment contracts are crucial in establishing a relationship between employers and family nurse practitioners (FNPs). These agreements give details of critical provisions of the professional arrangement, including work description, remunerations, benefits package, and other expectations. For FNPs who work within healthcare environments full of change and profound complexity, a clear and comprehensive contract is key to fairness, satisfaction, and leverage. This paper evaluates a sample FNP employment contract against particular criteria to establish its comprehensiveness and other areas that need improvement. The critique identifies areas that may affect the FNP's professional practice by weighing the contract elements to national and local standards. Scope of Services The contract discusses the scope of practice comprehensively, stating that the FNP will carry out practices as per the laws within the state and will work in interdisciplinary settings for patients. Nevertheless, it does not include the nature of the population, including family care, pediatric, or elderly, creating room for ambiguity. If it ultimately defines a specific demographic of the patient population, it would be easier for the FNP to prepare for the work scope. For example, depending on the population the FNP will serve, such as kids, the FNP may have to undertake additional training or obtain an extra certification. Failing to detail these expectations could increase the likelihood of confusion or failure to meet the expectations. Compensation The compensation part offers a context for payment, although it fails to include important details such as the specific structure or rates. Comparing this to the nation's average, where nurse practitioners earn an average salary of $124680 in 2022 (U.S. News, n.d), would assist in evaluating whether the offer is competitive. The omission of bonus structure or performance incentives needs to be improved. These elements are essential for FNP motivation to perform better in patient care and other administration responsibilities, eventually profiting the employer. Travel Compensation and Gas/Mileage The contract does not mention travel and mileage reimbursement, an omission for contracts entailing multiple work locations. Compensating travel expenses is a popular exercise for FNPs, which guarantees fairness and equality, particularly when FNPs are expected to travel on several occasions. Including clear policies on travel compensation and mileage would enhance the contract's appeal. Cancellations The FNP sample contract does not include terms on both sides on the patient's side under cancellation or schedule change. Including cancellation policies, including coverage of no-shows, is necessary to ensure the FNP's income is secured and patients are motivated to honor their scheduled appointments. This inclusion is especially relevant in private practice because patient attendance defines the percentage of realization of revenues. On-Call Time The contract mentions on-call time, although it does not include details about duties, shifts, and remunerations to be given to the call employees. Some of the on-call responsibilities can be complex, and as a result, provisions that discuss the pattern of the on-call shifts either at night or on weekends and additional pay are essential. Otherwise, the FNP would probably be exposed without realistic remunerations for services rendered. Bonuses The bonus provisions, which are essential to an FNP contract, are missing. Additional incentives based on quality or performance, customer satisfaction, or clinical performance are popular features of healthcare contracts. For instance, a guideline should be set that the practitioner would be given a productivity bonus for achieving more than the stipulated number of patient visits, fostering dedication and efficiency. If such bonuses are omitted, the contract should define all parameters required for the staff to access such bonuses. Duration of Employment and Alterations to the Agreement The FNP sample contract provides a term of one year, which renews itself automatically every year, except notice is given to terminate the contract 30 days a calendar month in advance. Even though this is a standard clause, explicitly mentioning that terms could be renegotiated before renewal would benefit the executive and their counterpart to document concerns or shift to altering circumstances. Conversely, the contract specifies that amendments need mutual written consent, a security approach for the parties involved. The clause is structured correctly, making sure changes are well-documented and considered. Credentials Maintenance and Benefits The sample attests that the FNP must own a license and Drug Enforcement Administration (DEA) registration, although it fails to mention the person responsible for bearing the cost. Credential fees can be rather expensive, so the chances of employers covering these expenses via credentialing fee reimbursement are high. The contract offers benefits, including vacation, personal time, sick leave, health insurance, and malpractice. However, the contract does not include simple particulars such as the number of vacation days and degree of health coverage. It would be crucial to compare these benefits to the current industry benchmark to obtain a better sense of the contract's competitiveness. Continuing Education The FNP sample contract backs continuing education by including an annual allowance, although it does not specify the amount or if there is payment for time off. Continuing education is crucial in retaining skills in individuals' daily practice and extending knowledge of complex topics within one's specialty (Pomarico, 2024). It is essential to include payment for attending conferences and events to gain high-quality educational experiences and the latest research. Including these particulars would align the contract with effective practices and back professional growth. Vacation and Paid Time Off It includes vacation and sick leaves, although unused leaves cannot be carried over. Such a policy can discourage employees from completely using their time off, which can cause burnout. Individuals with burnout issues are likely to be exhausted when caring for patients where possible recovery is limited. They may also lack motivation, display poor communication with their colleagues, and have low job self-esteem (Kelly et al., 2021). Providing a payout for unused leave would be essential to allowing flexibility and fostering work-life balance. Restriction on Competition and Termination A non-compete clause does not appear in the contract. When included, the clauses must avoid the possibility of oppression in their terms or duration to prevent the FNP's ability to secure future employment opportunities. Termination terms on the contract include a 30-day notice period or instant termination for Health Insurance Portability and Accountability Act (HIPAA) violations. HIPAA compliance rules state that when an employee is detected to have intentionally or unknowingly violated rules, they are subjected to face consequences. Even though these terms are regular, the contract should consider incorporating severance provisions in situations of no-fault termination to offer financial security during the transition process. Support Services Special services, including administrative staff or clinical services, are omitted in the contract. Hence, ...
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