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
First of all being a Registered Nurse takes a lot of work, there is four years of college. When college is over they can't go right into any specific field right away, there is usually a little bit of a wait and until then there will be other things that need to be done. These are things like,
The term Evidenced-based practice (EBP) is one of the most talked about concepts in healthcare. Nursing scholars, worldwide, have sought to provide healthcare workers with the evidence from research to be transform this into clinical care. To ease this transference of data into practice, scholars have developed EBP models. These models direct the researcher with the process from hypothesis to implementation of the data. The perplexity of EBP is that the data can come from research, clinical experience, patients, or local context and environment (Rycroft-Malone, et al., 2012). Because of the complexities of driving research in the healthcare field, different models were developed with different healthcare agendas in mind.
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
Licensed Practical Nurses take vital signs, give out medication and measure/monitor frequency and amounts, provide personal hygiene assistance to patients, supervise nursing assistants and aides, set up, clean up, and use catheters, oxygen supplies, and other equipment, and provide care and feeding to infants. They are required to know how to do these things and be certified in doing them. A Licensed Practical Nurse is required to have a diploma or certificate in practical nursing. All Licensed Practical Nurses are to take and pass the National Council Licensure Examination for Practical Nurses (NCLEX-PN). This occupation can require a two year Tech. degree or a 4 year degree. Around this area, you can get this degree
Large patient loads combined with a stressful work environment affects nurses’ abilities to provide quality healthcare. Patient safety should never be compromised. It is our responsibility to learn from research and improve our current nurse staffing ratios. Nurse staffing is key and affects all other outcomes. Without nurses administering the right treatment at the right time to the right patients, all other healthcare interventions are not effective. Improvement of nurse staffing levels will improve the quality of care our patients receive.
The analyzing, evaluating and critiquing theories is helpful and important when using particular theory and will apply it in specific area. The purpose of analyzing, evaluating and critiquing theories is to determine the weaknesses and strengths of a particular theory, to determine the need to theory improvement and to assess the theory relevance and applicability to particular filed. In nursing dripline, analyzing, evaluating and critiquing theories is assist to determine if the selected theory is works and useful or not in nursing practice (McEwen & Wills, 2014). Also, to assess the applicability of the theory to the nursing education and practice and research.
After many weeks of researching in-depth information pertaining to a Pediatric Nurse Practitioner (PNP), researchers will discover that there are various career paths one can seek with a Bachelor’s of Science in Nursing (BSN) degree, which is needed to start one’s difficult journey towards becoming a Pediatric Nurse Practitioner (PNP). Pediatric Nurse Practitioners (PNPs) can work with toddlers, adolescents, and young adults in an acute or primary care setting. A Bachelor’s of Science in Nursing (BSN) degree will pave a clear path, that will help guide a Registered Nurse (RN) in the direction needed to acquire a master’s degree with a concentration in Pediatrics. As the birth rate increases, Pediatric Nurse Practitioners (PNPs) should feel assured that they will withhold a job. That is why pediatric clinics and pediatric hospitals are built, so that parents can be ascertained that their kids are receiving the best aids available.
The scope of practice of a family nurse practitioner enables them the ability to serve as a primary care provider for families. This includes providing care for each member of the family individually and for the entire family collectively as a whole. Family nurse practitioners typically work in either a family practice or community health setting, where they are often responsible for the care of the entire family. Within each setting, there are numerous cultural variations that a family nurse practitioner might encounter. It is important that the family nurse practitioner is able to meet the families’ and are culturally competent when doing so. There are different family cultural assessment tools that aid in properly assessing and providing
NPs provide a full range of high quality care to patients of all ages. These services include primary care, acute care, special health care services such as oncology, gerontology health, or women’s health to name a few (American Association of Nurse Practitioners (AANP), 2015). NPs practice in many health settings, including private physician office, hospital, urgent care site, emergency room, community health center, school, and others. Family Nurse Practitioners (FNPs) are NPs are primary care providers who focus on
The Indiana State Board of Nursing (2011) defines advanced practice nursing as a registered nurse who has attained advanced knowledge and skills through an organized program of study. The three categories of study include nurse practitioner, certified nurse mid-wife, or clinical nurse specialist. National certification is not required for nurse practitioners completing an accredited graduate program. However, if the continuing education is part of a certificate program then a national certification is required. Although certification is not required in Indiana, Riley Hospital for Children nurse practitioners are required to certify within one year of employment. The nurse practitioners on the Hematology/Oncology unit complete this certification through the Pediatric Nurse Practitioner Certification Board. The Pediatric Nurse Practitioner Certification Board (2015) requires annual renewal. This $270 certification is three hours long exam and consisting of 175 questions. The Pediatric Nurse Practitioner Certification Board website provides resources to prepare individuals for the exam.
National certification in the general practice specialty is required prior to becoming eligible for APRN authority and the District of Columbia Board of Nursing accepts certification for APRN’s offered from several national bodies including the ANCC (American Nurses Credentialing Center) and AANP (American Academy of Nurse Practitioners). There is also a required preceptorship that is at least one year long along with coursework covering adult care, primary health care, pharmacology, physical assessment, diagnosis, family care, gerontological care, pediatric care, neonatal care, school nurse care, and psychiatric
The American Association of Nurse Practitioners (AANP): It was formed in 2013 by the fusion of the American Academy of Nurse Practitioners (founded in1985) and the American College of Nurse Practitioners (founded in 1995). The purpose of this association is to advocate for the issues and performance of the nurse practitioners. AANP’s mission is to lead nurse practitioners in turning the health care system into patient-centered care. According to the AANP website, this organization has more than 60,000 individual members, and 200
Yes, I feel that as long as the nurse participates in a program that includes requirements of regular attendance at support group meetings, personal and active involvement with a 12-step sponsor, and close contact with a case manager or monitor of an alternative program, she should be allowed to return to work. However, the nurse should not be allowed to work in the clinical areas that are deemed the highest stress units for
According to the BRN, the NP does not have an additional scope of practice beyond that of an RN scope, however, the NP can provide medical management based on the condition that a physician is available by phone if needed. A nurse practitioner is defined as a “registered nurse who possesses additional preparation and skills in physical diagnosis, psycho-social assessment, and management of health-illness needs in primary health care” (General information: Nurse Practitioner Practice, 2011). The NP is also not only just a health care provider, but is involved in professional organizations, participates in activities to advance the role and ensure professional standards are being met as a nurse practitioner.