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
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
As an LPN I am limited to what I can do without the direct supervisions of an RN. Although LPN contributes a lot to the as assessment process, but they are not credited for it because it is not part of their credential. Being an RN will able me to receive the full credit for my hard work. As an RN, I will be able to take better of care of my patient without someone else direct supervision. The RN license will able me to work independently and assess my patient in a timely manner.
Advanced Practice Competencies There are many roles and areas of practice available to graduates with a master’s degree in nursing. Changes in healthcare resulting from the passage of the Affordable Care Act offer new and innovative roles for nurses. Among these roles are direct care practice roles as a Nurse Practitioner (NP) in family care, gerontology or adult health. Indirect care roles as a Nurse Educator, Nurse Administrator, or Nurse Informaticist are also options graduates of master’s program may choose. Regardless of the path chosen, there are core competencies that must be met for each, in addition to specific competencies related to the area of practice chosen.
Differences between Nurse Practitioner and Physician Assistant in USA Nurse Practitioners and Physician Assistants are two such professionals in the field of medicine who are important for the medical field equally. Their functions are also quite similar with very minor differences between the two. Due to such similarities it becomes difficult for the general population to differentiate between these two professionals. The nurse practitioners undergo their training through nursing schools, whereas the physician assistants study in medical schools (Nurse Practitioner Schools, 2015).
Cockerham and Keeling define APN as specialist in nursing (2014). Each definition is very different, but they are all important concepts that make up the role of an APN. The ANA and APRN definations are very similar because they both put focus on the importance of evidenced based practice
Conclusion 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
Practice Policy Appropriate health care continues to be one of the major challenges throughout the nation. Financial and educational hindrances can produce negative health effects on individuals and communities. Advanced practice nurses can implement their evidence based knowledge and skills within any environment to increase the knowledge and health of the surrounding populations. However, nurse practitioners must comply with the protocols and laws mandated by the board of nursing. This paper will discuss the setting in which nurse practitioners practice in, along with the laws and limitations that they must adhere to at all times.
Role of Family Nurse Practitioners: Case Study The shortage of primary care physicians has been a problem in health care system and will continue to the next decade due to increasing of aging population. According to National Governors Association (NAG) (2012), the growth of the aging population combined with the initiative of the Affordable Care Act, the problem of primary care providers shortage is worsening. Nurse Practitioners (NPs) are educated and prepared to perform primary care services as physicians do. More importantly, studies showed that NPs’ role as primary care providers achieve equal or higher patient satisfaction rates (Evangelista et al., 2011, Albers-Heitner et al., 2013).
emplate Observations (Similarities/Differences) Ethics My future role is Family Nurse Practitioner. Ethics deals with the actions of being right and wrong and what is good and what is bad (Barker & Denisco, 2016). The ethical guidelines provide advanced practice nurses their job description within the scope of practice and prevent them from underdoing or overdoing their job. My comparison role is as Graduate Nurse.
According to Kathleen Cullum, MSN, CRNP, “most organizations are now requiring that nurses have their RN license and many are requiring a bachelor’s degree in nursing (BSN).” The U. S. Bureau of Labor Statistics says “ only 17 percent of LPN’s are working in hospitals.” Additionally, it will cost you about double to stay in school and become an RN instead of an LPN. However this price is nothing compared to the difference in LPN vs RN pay.
APN Role and Leadership Competencies Julliet A. Thomas Grantham University Abstract There are many different aspects of Advance Practice Nursing (APN) make that make the nursing profession unique and valuable. The competencies that comprise each advanced practice nursing discipline are vital in creating a solid foundation for clinical nursing. They prepare you to conquer challenges in the clinical setting and cultivate innovation to establish processes for clinical practice. Advance Practice Nursing is recognized as 4 nursing roles: Certified Nurse Midwife (CNM), the Certified Nurse Anesthetist (CRNA) the Clinical Nurse Specialist (CNS) and the Nurse Practitioner (NP).
Medical assistants are not required to go through any training program. Nursing is the opposite, nursing has mandatory training and the nurse must have a certification from that state in which he or she works in. A career in nursing can be done at almost any university. Also nursing has a bunch of different branches. Some branches include, a Registered Nurse, Nurse Practitioner, and even a Licensed Nurse Practitioner.
Interestingly, OTA analysis revealed that out of 14 studies reviewed, 12 studies showed the quality of care given by NP’s was better than physicians. Quality of care was measured by number of diagnostic tests, interpersonal management, thoroughness of tests and documentation and outcome measures such as reduction in patient symptoms, control or managed chronic care condition, lower hospitalizations etc. Most importantly patient satisfaction was equal and in some cases, higher with NPs care as compared to physicians. Nurse practitioners have continued to provide high quality care and this has not changed. There has been a lot of supportive literature in recent times on NP’s high quality care.
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.