A Nurse Practitioner

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In 1893 a graduate nurse, Lillian Wald, founded the Henry Street Settlement (HSS). The purpose of HSS was to assess the needs of the poor population that lived in the overcrowded, and rat infested tenements. The HSS visiting nurse program visited thousands of patients and obtained standing orders for emergency medications, and treatments. In the 1930s developed the Frontier Nursing Service (FNS) which was considered to be the first primary Nurse Practitioner (NP) role. The FNS nurses made diagnoses, and treated patients, while dispensing herbs, medicines with the acceptance of the medical advisory committee. In 1931 American Association of Nurse Anesthetists (AANA) was founded. In 1965 Pediatric Nurse Practitioner (PNP) certification…show more content…
When asked how HW sees the work she is doing, she quoted part of BMC’s mission statement “providing exceptional care to all regardless of their abilities to pay for services”. BMC is a teaching hospital and HW works diligently with an interdisciplinary team of colleges beginning with: an attending physician, a second ACNP, and resident physician. HW states that the state regulates NP practice and her role as an ACNP at this institution is within state regulations. All ACNPs goes through re-credentialing every year where regulations and scope of practice are reviewed by BMC. HW verbalizes that the “job duties” are loosely defined in the job description. When a patient is transferred out of MICU, HW expresses that she informally follows her patient’s progress after their transfer out of MICU, but does not see the patients in an outpatient setting. A plan of care is implemented and documented at the time of transfer for the accepting team that assumes responsibilities of care. HW talks about malpractice insurance and that she chooses to carry her own insurance. HW verbalizes she has never seen the malpractice policy at BMC, or been informed that institution has one for APRN. Employee based insurance contracts are tailored to protect the institution, and are not marked to the individual APRN (Hamric, pg 572). HW does possess prescriptive authority in the state of Massachusetts. HW expresses that she works directly with attending physicians
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