Health Care Delivery Needs Provide Clinical Nurse Specialists With Unique And Interesting Daily Responsibilities

There are four types of Advanced Practice Nurse roles, the nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, and certified nurse-midwife. The Family Nurse Practitioner is the advanced practice role that will be discussed. According to Hamric, Hanson, Tracy, and O 'Grady (2014) the primary care NP provides care for patients in diverse settings, including community-based settings such as private and public practices, acute, and long-term care settings across the life span (pg. 396). Family Nurse Practitioners have faced many challenges in the medical profession to be recognized as health care providers. Most of these challenges where from fellow nurses. According to Hamric, Hanson, Tracy, and O’Grady (2014) conflict and discord about the Nurse Practitioner role continued to characterize relationships between NPs and other nurses (pg. 18). Despite the resistance to NPs in nursing, physicians increasingly accepted NPs in individual health care practices (Hamric, Hanson, Tracy, and O’Grady, 2014, pg. 18). Physicians readily accepted the role of the Nurse Practitioner, working together to improve patient outcomes and safety.

As I was shadowing the nurse, I felt that clinical nurse’s responsibility and duties are quite different from hospital nurse responsibility and duties. Most of the services that are preform to patients in the hospital are not done in the clinic setting. There are some circumstance that nurses might have to perform some medical treatment to patient in the clinic, such as injection or wound, but it’s very

CNLs should be assigned to a specific unit of the hospital or area.  They are not a direct caregiver, but a facilitaor of direct care.  They work with  the healthcare team to provide support, assessment of patients that have complicated healthcare needs, discharge planning and rehab needs.  They are a

Under the scope of practice of an RN from the New York State Education Department, an RN can diagnose and treat human responses to actual or potential health problems. To be able to perform those tasks a care plan must be made for each client. An RN manages the health care services such as observing and assessing the health status of clients and implementing/assessing nursing care. This all falls under the initial assessment of a client, which is within the scope of an RN. An RN uses information gathered as part of client assessment, they then have the capacity to assign client care to other members of the nursing team, RNs and LPNs, and assign tasks to other care providers such as nurse’s assistant. Even though there are parts of the nursing process that may be delegated to qualified personnel, the initial assessment is the RNs responsibility. The initial assessment is the basis for safe and appropriate client care, which makes it so vital and why not just anyone can perform it. RNs hold the overall responsibility in the nursing

LPN’s carry out the orders of the physician, by administering medications and treatments to the patients assigned to them. LPN’s are often the voice of the doctor when it comes to patients care. LPN’s want to make sure to safe and effective care is rendered to all their patients. LPN’s often participate in readjusting a patient plan of care to benefit the patient’s outcome and their safety. LPN’s can delegate procedures to personal qualified to carry out those tasks. Some of these tasks may include items such as vital signs, glucose checks, back massages, bathing and ADL’s, activities and feeding of patients. CNA’s, play a very important role, in helping the nursing staff carry out their orders and duties every day the come to work.

Nurse practitioners work with other doctors to ensure that patients stay healthy or become healthier once again. Due to their training in clinical medicine, nurse practitioners are able to make diagnoses and treat patients for many different health problems (Family Nurse Practitioner (FNP), n.d.). Although nurse practitioners are not doctors, they are advanced registered nurses. The description of duties that are expected of a nurse practitioner are as followed: developing treatment plans for different conditions, educating patients on proper healthy habits, conduct exams, preform different tests and exams, caring for patients and helping prevent further sickness,

Clinical nurse specialists (CNSs) and nurse practitioners (NPs) are both critical members of the health care team. However, there is often confusion about the titles and roles of

The role of the nurse practitioner includes assessment and management of clients using nursing skills and includes performing roles such as ordering diagnostic tests, direct referralsof patients to other health care providers and providing medications. NPs first originated in the united states to try and help improve primary healthcare in underserviced communities across the country. Today NPs exist worldwide in primary and acute healthcare settings in both rural and urban locations.

Registered nurses monitor records and report changes in patient’s symptoms. RN’s have to check vital signs, diets and physical activities on their patients daily. RN’s have to observe patients and monitor their overall health daily in some cases every few hours. They authoritatively inform individuals, families, and health groups on inculcation for patients. RN’s coordinates with other health care professionals to customize care plans for patients. Registered Nurses prepare patients for treatments and examinations. RN’s supervise other healthcare personnel such as an LVN (License Vocational Nurses) and CNA (Certified Nurse Assistants).

Advanced Practice Registered Nurses (APRNs) continue to play a vital role in providing patient centered healthcare in different environments and settings. There are several types of healthcare personnel categorized as APRNs including mid-wives, nurse anesthetists, clinical nurse specialists, and family nurse practitioners among others (Newhouse, 2011). One major issue of concern is to identify whether a nursing role is clinical or no clinical. Family Nurse Practitioners (FNP) comprise of registered nurses working autonomously or collaborating with other healthcare professionals to deliver healthcare in family-centered settings. They offer a broad range of healthcare services revolving around the concept of the family unit.

The nurse practitioner is responsible for patient management. Certified by American Nurses Credentialing Center (ANCC) and the American Academy of Nurse Practitioners, NP have specialized training and education to qualify them to work directly with patients independently or collaboratively with other NPs and physicians. They also provide preventive and acute nursing care services to individuals of all ages. The NP has the ability to supervise, provide patient educate, supervise or administrative duties due to having their own patients, depending on the state of which one lives. They also have to know a little bit about informatics as well since some do run their own clinics and have to know how their computer

Our nursing team provides individualized care during the scheduled visits and also provide support and valuable information to family members on how to care for their loved one. Members of our nursing team add that personal touch to professional services that make our care compassionate. RN Case Manager will be responsible for your overall care and managing your needs along with DON. Nurses visit the patient as often as necessary and coordinate delivery of medication and equipment to helping hands to patient and family.

Clinical Nurse Specialist (CNS) When a licensed Registered Nurse (RN) attains Master's or Doctoral accreditation, they can parlay their educational advancement into certification as a CNS. To perform sufficiently as a CNS in the clinical setting, one must develop a thorough knowledge of theoretical- and research-based nursing practices, and many CNSs also serve in educational, administrative, and management roles within hospitals and universities.

When the Institute of Medicine (IOM) released its 2010 report, The Future of Nursing, Leading Change, and Advancing Health, many nurses felt affirmed by the spotlight this prestigious group placed on nursing. The reality is the newly designed healthcare requirements by President Obama will lead to millions of previously uninsured Americans needing care that nurses can provide. These growing demands lend themselves to different types of care providers under the nursing umbrella. There are: LPNs, nursing assistants, RNs with associate degrees, baccalaureate and master degrees, nurse practitioners,

Changes in the Health Care System and the Practice of Nursing have become complex. Technological changes, complicated client needs, short hospital length of stay, and departure from acute care to community based care, all these changes have underscore the need for professional nurses to think critically in order to provide safe and effective client care. A better educated nursing workforce can provide good health education to patients and their families. The affordable care of 2010 has required the need for nurses to expand their role of practice to meet complicated patient demands. This has prompted the Institute Of Medicine to review the “Future of Nursing, Leading change and Advancing Health”. {Creasia & Fribery,2011}