VA nurses assess, provides nursing diagnoses, plans, implements, and evaluates (ADPIE) care based on maturational focused components. Undertakes accountability for the management of care concentrated on the patient’s process through the range of care, patient and family education, patient self-management, and accompanying circumstances that influence the patient’s satisfaction. The VA nurse considers all attributes of the individual, including age and stages of life, presence of health, race and culture, values, and prior experiences. Administers medications and procedures per policies and procedures. The VA nurse effects patient care outcomes by collaborating with members of the interdisciplinary team. Core fundamentals of performance include know-how and participation in the units’ program level quality improvement processes and initiatives as well as client service
As we have been noted the role and the scope of practice of the nurse practitioners in the healthcare system are unmeasurable. The nurse practitioners (NPs) play a tremendous role in providing healthcare to the people in the United States. Their presence has been recognized in developing the health care industry not only in the US but also globally. Despite the role that the NPs have played into the healthcare system, they still encounter some challenges that can impact their practice. One of these challenges is the NP autonomy of practice. Establishing an independent nursing practice is an opportunity to obtain greater autonomy in your practice and focus on a particular population or healthcare venue. As long as the NPs cannot overcome the
A thirty- seven year old nurse practitioner was working at an urgent care when a 23-year-old graduate student arrived. Complaining of fever, chest pains, and cough. He had a temperature of 101°F. He also stated that he had been unwell for the last couple of days. The nurse practitioner completed a brief examination of the patient, and gave a diagnosis of bronchitis. A prescription antibiotic was given. He was told to come back in a couple of days if he was not feeling better. The next morning friends found the 23 year old patient dead. Medical examiners identified that the young man died of myocarditis. Weeks later, the nurse practitioner found out about her patient when the urgent cared was being sued for negligent treatment. During, trial it was brought to light that the nurse
One similarity between NPs, other APNs and PAs is that, they all play a very important role in health care and patient centered approach of care is their objective. Also, their practice is based upon their education, training and certification in collaboration and under supervision of physicians. Another similarity is that, their scope of practice face limitations and restrictions in practicing be it state base or nationally. State laws and regulations act as barriers towards the broadening of PAs professional competencies same as NPs face licensure and practice laws that prevent full extent of their education practice. NP practice requires supervision, delegation, or team-management by an outside health discipline in order to provide
The American Association of Nurse Practitioners (AANP) is an organization associated to my desired role. This organization is the main one in the United States that represent more than 205 000 nurse practitioners of all specialties. The AANP follows state and federal policies that could impact nurse practitioners (NPs) scope of practice in different levels. The AANP has a board of directors. They set up the organization policy with a clear language and understanding of the Nurse Practitioners scope of practice. As a professional organization that gives full nationwide service for all the NPs in several specialties offering leadership
In conclusion, APNs are equipped to deliver the same safe, efficient, and high- quality care as physicians. The clinical and professional background of nurses gives them an extraordinary opportunity to change the healthcare landscape and promote cost-effective, compassionate, and patient-centered care for people. In a study performed by Dill, Pankow, Erikson, & Shipman (2013), the patient preferred the APN to physicians due to greater accessibility, more personalized and compassionate care, increased comfort with communication, and past positive
My passion for nursing practice defies description; leading to the reason I am opting to pursue a higher level of education in nursing. The George Washington University School of nursing has one of the highly ranked master’s programs in the country, which offers a competitive curriculum and highly defined leadership skills that integrates technology into learning. It is therefore my desire to pursue an advance education at this facility because it prepares practitioners to become great clinicians ready to solve real-world clinical problems. Moreover, the opportunity to pursue a degree in this facility will afford me the ability to be a competent and highly efficient family nurse practitioner; that will serve the community and mostly the underserved.
There is a high significance for a nursing student completing their degree in nursing to start their career as a nurse practitioner. Nursing students must prepare to become nationally certified by an accredited body upon completion of their schooling in order to advance their career (AANP, 2016). This academic accreditation process helps to show that the students have met the requirements to practice as a Nurse Practitioner in their population focus testing. The scope of practice will be affected based on the certification that the practitioner obtains. If the Nurse Practitioner obtains a certification as a nurse specialists in pediatrics, oncology, geriatrics, emergency medicine, etc. there are scopes and standards of practices that the practitioner must not act outside of (ANA, 2016). There are also state regulation scopes of practices that allow for Nurse Practitioners to practice independently, with reduced practice, and with restricted practice. Along with these practice environments, Nurse Practitioners must abide by facility and institutional policy and procedures that outline their scope of practice (ANA, 2016). There are very few states that still allow Nurse Practitioners to practice without a national certification. These states in the future may require the nurses however to in fact take national certification as more employers and third party insurers for malpractice are looking
Advanced practice nurses (APN) have a vital role in the future of health care, especially since the enactment of the Affordable Health Care Act. With more citizens having health insurance coverage they will be seeking health care providers, and there are not enough physicians to care for them all. According to Letiziam (2014), advance practice nurses are licensed autonomous health care providers that have been trained to evaluate, diagnose, and treat patients and their conditions. Advanced practice nursing is an umbrella that covers four separate roles of nurses, this includes: the certified nurse midwife (CNM), certified registered nurse anesthetist (CRNA), certified nurse practitioner (CNP), and certified nurse specialist (CNS).
The nursing scope of practice gives a precise definition of the strict duties of a registered nurse practitioner. It is obligatory for these professionals not to engage in medical activities that go beyond their scope of practice. Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,
This is a personal statement for my application to the Family Nurse Practitioner Concentration in the Ball State School of Nursing. My personal statement provides details on my personal background and the unique impact that Family Nurse Practitioners have had on my life. I describe my undergraduate studies and how I firsthand gained interest as well as insight on the skills of a Family Nurse Practitioner. I go into detail about my aspiration to be a Family Nurse Practitioner to directly affect the patient care of a variety of patient populations. The personal statement connects qualities of my current practice as a Registered Nurse to the proficiencies of a Family Nurse Practitioner. I describe my learning habits and how the plan of study that Ball State offers coincides with my current work life. I conclude by describing the skills I attain and connect those skills to the Family Nurse Practitioner Concentration at Ball State.
They assess, diagnose and treat acute and chronic illnesses as well as preventative healthcare for individuals and families. As their care is family-centered, they must also be able to understand the relevance of the family’s identified community. In addition to the nine essentials as outlined by the AACN, the FNP must meet competencies in advanced health assessment skills in order to differentiate between normal and abnormal findings. They should able to use screening and diagnostic strategies to develop diagnosis and they must be able to prescribe medications to enable them to work as independent practitioners (Competencies for Nurse Practitioners, 2012). In order to meet these competencies, the Consensus Model for APRN Regulation (2008) requires three separate graduate-level courses in advanced physiology and pathophysiology, health assessment and pharmacology as well as appropriate clinical experiences across the age
Nursing has become a very dynamic role as it is constantly changing and evolving. The number of people entering the nursing field continues to increase. The responsibilities nurses are held accountable for are very diverse and demanding. Mental health nursing is one of the many diverse fields a nurse must be educated in. A nurse must be competent in attending to a patient’s mental health as it is something that pertains to all patients regardless of race, origin, or religion. “There is growing recognition that health services must move beyond the responsibility of simply providing clinical and curative services to increasing attention on the benefits of promoting mental health and well-being” (Wand and White, 2007, p. 404). The focus of this
Texas is home to nearly 10,000 nurse practitioners. Nurse practitioners (NPs) in Texas do not have as many freedoms as NP 's in many other states. In fact, Texas falls at the lower end of the spectrum regarding the freedoms it offers nurse practitioners. House Bill 1885 would grant full practice authority in Texas to all advanced practice registered nurses (APRNs), including nurse practitioners (NPs). It would authorize APRNs to evaluate and diagnose patients; order and interpret diagnostic tests; and initiate and manage treatments; prescribing of medications, these are currently job descriptions of APRNs and NPs that they are already doing, however, it would move these items under the exclusive licensure authority of the Texas Board of Nursing.
Nurse practitioners play an important role in healthcare in every state. However, each state has specific regulations pertaining to state regulations that guide prescriptive practice related to educational requirements, advance practice licensure requirements, and prescriptive authority (specifically controlled substances) of nurse practitioners. This paper will analyze the governing regulations of nurse practitioners in three states with full practice authority, reduced practice authority, and restricted practice authority. It will compare and contrast Washington D.C., New York, and Georgia, which have similar educational and licensure requirements, but vastly different approaches to the scope of practice in their respective states.