Direct Patient Interview Paper

Not only do I have a good understanding of the patient population I want to work with, I want to help reshape healthcare. I particularly want to improve the access of primary care to medically underserved populations. Everyone deserves equal access to healthcare and there should be no disparity in the quality of care provided. Therefore, each additional encounter I had with a PA or a patient has elevated my passion for helping people in need.

For this assignment, I had the opportunity to interview Samantha Hage De Reyes, family nurse practitioner, currently working at the University of California, Riverside (UCR) Health Center in Riverside, CA. Family nurse practitioners are described as health professionals with analytic skills for evaluating and providing evidence-based, patient-centered care across settings, and advanced knowledge of the health care delivery system (Hamric, Hanson, Tracy & O’Grady, 2014). My objective was to ask a series of questions pertaining to the role of a family nurse practitioner, challenges concerning this nursing role, opinions regarding the future of family nurse practitioners, and more. This interview was conducted over the phone, and it was a valuable opportunity to learn more about what it means to be a family nurse practitioner and to start thinking about what I want to achieve in my own

The health care industry is experiencing a surge in the number of baby-boomers needing health care and increased demands on the physicians providing the care. This trend has made the role of Advanced practice providers more important (cite). It is imperative to understand the differences and similarities in the advanced practice provider roles as it pertains to healthcare. This paper will identify specialty nursing roles including advanced practice registered nurses (APRN). It will further compare and contrast the advanced practice nurse (APN) and physician assistant (PA) roles in practice.

For my interview, I spoke with one of the Nurse Practitioners (NP) that I interact with while working my shift at the hospital. I will call her Terri Smith because although I asked to use her quotes in my paper, I did not think to ask for permission to use her actual name. Where I work, many of our internal medicine physicians are hospitalists. During the night, they are covered by the umbrella of Quest Care. There are several NPs that work under the afore mentioned physicians and are there, on-call, when needed for their clinical expertise. It is nice, because even though I can’t develop much of a relationship with the doctors whose patients I work so hard to take care of, I get to have the opportunity to grow strong bonds with the NPs that I see almost every shift.

While the demand of healthcare need increasers the United States facing a physician shortage. In recent years the number of nurse practitioners (NPs) and physician assistants (PAs) has significantly increased and they are taking the part in providing healthcare cervices to the majority of patients. I believe nurse practitioners and physician assistants can practice independently from doctors and be free of oversight. Expanding the scope of NPs and PAs is essential to overcome the healthcare crisis we are facing; it will increase patient satisfaction and stabilizing the healthcare economy.

There are many components to a hospital or medical facility. All of them are necessary to have a properly functioning environment. The emergency department of a hospital is a fast paced world. You have to be constantly on your toes and prepared for whatever may come through the doors. There are many people that work in an emergency room to make it run smoothly. Techs, nurses, CNA’s, LVN’s, and doctors all work side by side to help those who are critically injured. Without all these people it would be complete chaos.

The Licensed Practical Nurse said that the education that she obtained prepared her for the various facets of her job. It was more helpful in some aspects of my job than it is in others jobs. With the shortage of medical doctors, the LPN and the nurse are playing a larger role in patient care. Because demand for LPN's is strong and growing, you often have your choice of full-time jobs. LPN positions are available in hospitals, nursing homes, doctors' offices, and home health care. The annual salary of a LPN can reach $45,000 plus benefits, depending on your responsibilities. You can choose your work

operate as a service provider. From this I will be able to gain a greater understanding of patient care. This collaboration between disciplines and the resulting improvement for the patient was identified by Hill (2006). Since I have started working within the NHS over the last year, I have had more opportunities to work with members of different professions both in the NHS and voluntary sector. This experience has helped me develop a better understanding of how patient care is made up of a multitude of smaller parts.

As resistant as some states’ legislative and regulatory bodies are to grant APNs autonomy of practice, the damage being done by over-regulation is clear (Safriet, 1992). Physicians are forced into a position to either supervise the APN’s practice or be constantly consulted for approval of their practice decisions. Safriet (1992) described that in and of itself, this constant supervision may appear to patients that the APN is not competent to provide adequate or care equivalent to that of a physician. If the role of the APN is to bridge gaps in health care by relieving the medical establishment of some of the patient load by performing the same function as a physician in a primary care setting, it seems wholly unnecessary to restrain their scope of practice in those areas. This type of restrictions affect cost and patient care accessibility (Safriet, 1992). This was a problem stated in the article, however 25 years later, populations of patients remain unseen or cared for and APNs continue to be underutilized (Safriet, 1992). Rigolosi and Salmond (2014) cite the American Association of Nurse Practitioners (AANP) when they state that not utilizing nurse practitioners due to practice restrictions costs $9 billion annually in the US (p. 649).

Brief Bio: Pamela Mann is the Director of Programs and Rounds Training at The Schwartz Center for Compassionate Healthcare, and is responsible for many aspects of its programs, including the national expansion of The Schwartz Rounds™ program, now offered at 500 healthcare organizations throughout the U.S., Canada and the United Kingdom. Schwartz Rounds provides support to healthcare workers facing social and emotional issues as they care for patients and families. In contrast to traditional medical rounds, the focus is on the human dimension of medicine, with the premise being that caregivers are better able to make personal connections with patients and colleagues when they have greater insight into their own responses and feelings.

As her job is to ensure proper medical patient care, Martinez spends most of her day on

In interviewing healthcare professionals among different disciplines, I learned that the healthcare field, while rewarding, is very demanding. The industry is constantly evolving and changing, and working as a healthcare professional takes the ability to be able to consistently adapt to new work environments and procedures. I interviewed Nicole Byrd, a program manager associate at Blue Cross Blue Shield, Kathleen Rohan, a pharmacist at Hamot Medical Center, and Diane Stiehle, a vascular ultrasound technician.

"Hey you LPN, Can you get the nurse I have a question to ask them?" A common phrase heard in the nursing world and often makes the LPN feel inadequate and frustrated. The nursing field is one that is rich in history and diversity. The registered nurse has been the backbone of the nursing world for many years; however, many people recognize the license practical nurse or license vocational nurse particularly in the geriatric community. LPN/LVN in this setting perform many of the same tasks as the RN, yet is paid less and given much less respect. The LPN makes up the majority of the workforce when working in the geriatric rehabilitation setting and deserves to be treated as equals with the RN. The Scope of Practice, education given to both

My mission is to become a professional who would manage, lead, and improve a dynamic healthcare system. Understandably, marketing and public relations in healthcare require financing and regulations to make positive impacts in the lives of clients and co-workers. My interest in taking a healthcare career was founded on three factors: leadership, quality improvement, and healthy aging. My career mission is founded on emerging as a skilled servant leader by not doing the job for myself, but to fulfill the organization’s mission. I would prefer serving my clients without an ego and I will include both paperwork helping patients, staff members and official meetings. Overall, I am passionate about a client-directed philosophy that puts the health needs of patients above the convenience of my organization. The current situation demands that healthcare practitioners build healthcare models in the needs of clients served rather than the customs of staff.

In healthcare today, many members of a comprehensive team provide every facet of patient care. There are doctors, nurses, phlebotomists, medical administrators, nursing assistants and the very important LPN 's. Licensed Practical Nurses provide care under the supervision of a nurse, and are essential members of the healthcare team. Recently many hospitals have been laying off LPN 's and community colleges have been eliminating LPN programs. The suggestion that this nursing position should be phased out does not consider that LPN programs are a stepping stone towards an RN, LPN 's help balance an RN 's workload, and could end the nursing shortage of bedside caregivers.