A client was admitted to an acute care hospital under the Medicare Inpatient Prospective Payment System (IPPS). When documenting diagnoses that were present on admission (POA), the nurse failed to examine the client’s sacral area to observe for a pressure sore. However, a small sacral pressure sore was documented 2 days after admission when noted by an unlicensed assistive personnel who was bathing the client. Subsequently, the pressure sore enlarged and required debridement and prolonged treatment. The pressure sore was noted and coded on discharge papers.When considering reimbursement for the condition, the CNL anticipates that Medicare

CNLs (Clinical Nurse Leaders) are a relatively new innovation in the practice of nursing, initiated in 2003 by the American Association of Colleges of Nursing (AACN) in response to a demand for general practice nurses with advanced training in the latest improvements in healthcare delivery systems, safety protocols, and quality assurance measures.  To become a licensed CNL, you start by earning a Bachelor of Science in Nursing (BSN) degree and attaining licensure as a Registered Nurse (RN). RNs may then enroll in a Master of Science in Nursing (MSN) program with a CNL specialization.... Show more

CNLs (Clinical Nurse Leaders) are a relatively new innovation in the practice of nursing, initiated in 2003 by the American Association of Colleges of Nursing (AACN) in response to a demand for general practice nurses with advanced training in the latest improvements in healthcare delivery systems, safety protocols, and quality assurance measures. 

To become a licensed CNL, you start by earning a Bachelor of Science in Nursing (BSN) degree and attaining licensure as a Registered Nurse (RN). RNs may then enroll in a Master of Science in Nursing (MSN) program with a CNL specialization. Graduates from CNL programs are eligible to sit for the Commission on Nurse Certification (CNC) CNL exam. Candidates who pass the exam are certified as CNLs. 

The CNL exam consists of 140 multiple-choice, single answer questions. Some items are presented in a case study format with multiple questions related to the specific case study. Candidates have 3 hours to complete the examination.

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