My Clinical Experience As A Nurse Practitioner

After my transition rotation this semester on V4N at St. Raphael’s hospital, I feel I have grown in my patient care abilities that I will soon utilize and continue to improve on in my professional practice as a nurse. Setting goals for each shift allowed me to find my strengths and weaknesses and consistently improve in certain areas. Three main goals that I improved on or accomplished during this clinical includes improving on my time management skills when charting and writing notes, practicing sterile technique, and providing discharge instructions to patients.

For my Clinical experience, I was referred to one of community clinics run by nurse practitioners - yes, NPs- in Suffolk County in Long Island by my coworker. It is called “Nightingale Preventative Care.” I am working in the ER and at first, I thought this clinic would be a type of urgent care office which is a similar setting to the ER. I was totally wrong. For the past two weeks, this place has surprised me many ways and I learned about what the community clinic is alike to its neighbors. Patients can be seen by NPs by the appointment. However, it is located inside of K-mart and has many walk-in patients as well. Many patients who come to visit for their check-up have no medical insurance. Every Wednesday, a representative from Fidelis Care insurance company comes and provides information about Medicaid and Medicare service the company has. I really like to sit down with patients and assess about their medical histories and family histories which I cannot do often in the ER. I had a patient who was Hepatitis A Ab, Total positive Abnormal first day I work at the clinic. He didn’t understand what the test result meant and neither did I. I printed out an article from National Library of Medicine and went over with him. Patient’s education in the ER rarely happens from nurses. I felt great to listen what patients tried to lose their weight or quit smoking. I like to continue on developing skills on patient’s education and preventative care measure for patients.

A nurse practitioner, is a profession that I have wanted to pursue for many years. The Family Nurse Practitioner program of the County of Los Angeles Department of Health Services and California State University of Los Angeles will provide the advanced level of education I need, to provide evidence based practice care to a wide variety of patients. My goal is to utilize this level of expertise and knowledge to give back to the community especially to the underprivileged inmate population in the Los Angeles County Sheriff’s Department by providing them easy access to high quality, patient centered and cost effective health care.

My clinical experience day 3 was a very challenging one. First, I was not feeling well, and I was still a bit tired from my 12 hour shift on Saturday. However, I was still excited to be at my clinical rotation. The four highlights are the boy with hydrocephalus, giving medication, drawing blood, and assist my preceptor clean the peripheral inserted central catheter line (PICC).

The road of a Nurse Practitioner has multiple educational stages including organizations that help the students interested in this field. These professional organizations have played a huge role in supporting their members and the institution they work for. For instance, these organizations use a variety of activities such as communication, education, recognition, advocacy, and research to develop a sense of leadership while making the students able to make decisions that will improve the quality of the healthcare practice. There are many organizations that work on the growth and quality of the healthcare service, however, the following not only are on the top of the list but they also are specifically dedicated to the role of a Nurse Practitioner. A well-known national professional organization that supports the development and encourage leadership skills for the Nurse Practitioner students is the American Academy of Nurse Practitioners (AANP). The American Academy of Nurse Practitioners or (AANP) is the only full-service national professional membership organization for nurse practitioners of all specialties, without mentioning that it is the largest one. As a student, the enrollment

In this article, it explains the duties, work environment, licenses and certificates and also the education of a Nurse Practitioner. Nurse practitioners typically take or review patient’s medical histories. Besides doing that, nurse practitioners also are known to examine patients, order and interpret diagnostic tests, such as x-rays or blood tests. NPs also are able to diagnose a patient’s injury or illness like a doctor can and can also give treatments for patients with broken bones or even immunization get patients. Along with physicians, NPs can also work independently. Their particular obligations and the degree to which they should be regulated by doctors or specialists contrast from state to state. They are not confined to work in a specific area of medicine. A Nurse Practitioner area of work includes primary care and family medicine, emergency medicine, surgery, psychiatry also mental health. Some APRN duties are the same as those for registered nurses, including gathering information about a patient’s condition and taking action to treat or manage the patient’s health. The only difference is that NPs have the ability to refer patients to specialists, both diagnose and treat ailments and order tests. APRNs likewise may

Have you ever had a moment in life that validated the direction in which you felt compelled to follow? A moment which never escapes your mind because it represents one of the purest, symbolic instances you have experienced? Or a moment as simple as being handed a book to encourage you to further your dream? A time to inspire you to succeed in becoming something even more significant than you already are? Or had a moment offering you the opportunity to enhance your knowledge, and thrust yourself into the world you so deeply want to be a part of? I was handed the Merck Manual along with a kind gesture and warm-hearted encouragement which aided in igniting a fire, reaffirming what I felt I was meant to do; it was a defining moment in my life.

As a new student, Mary must determine the direction of her nursing career. According to DeNisco and Barker (2013), there are four roles of an advanced nurse practitioner entail certified nurse midwife (CNM), clinical nurse specialist (CNS), certified registered nurse anesthetist (CRNA), and nurse practitioner (NP). Each role has different duties, responsibilities, and focus. The A CNM provides health care services for office visits, family planning, prenatal care, delivery, and postpartum care. CNSs are trained in a specific area of health care to include pediatrics, geriatrics,critical care, and the emergency department. CRNAs work in the operating room with the ability to care for surgical patients using pharmacological interventions. NPs diagnosis and treat, prescribe, and conduct exams. In order to decide which role is best for Mary, there is a need to examine the lists of pros and cons to delineate a method of comparison. This will help her make the right decision.

Mr. Mustard fell down on his driveway three weeks ago. He has now presented to the clinic of Nurse Practitioner (NP) with chief complains of worsening left-sided headache, photophobia, unequal pupillary reaction, and dysphasia. Mr. Mustard takes Coumadin to lower the risk of stroke due to atrial fibrillation. Mr. Mustard’s presenting symptoms along with his higher age (70 years), history of hypertension and being on Coumadin regimen, should be considered as red flags and need urgent attention and evaluation. Based on the subjective interview, Mr. Mustard denies any previous history of brain injuries, which is also confirmed by the NP during physical examination. The NP considers that Mr. Mustard has suffered from traumatic brain injury likely

Going back to when I was a novice nurse, I was nervous, scared, afraid of making medication error, charting errors or fail to recognized patients worsening symptoms. These fears, made me vigilant, focused and kept me on my toes at all times. No matter which part of nursing I ended up as I grew up the from medical surgical nursing to stepdown unit nursing to intensive care nursing, I felt those fears in every step of my growth and they helped me be a better nurse for my pateints. Today, I am in the advanced practitioner program to become a nurse practitioner who is responsible for: interviewing, assessing, diagnosing, counseling and treating patients. To provide safe and quality healthcare, I am expected to have good critical thinking and decision making abilities (Maten-Speksnijder, Grypdonck, Pool, & Streumer, 2012). while I can recognize clinically deteriorating patients and recommend treatments, I am now responsible for providing treatments. I am now recognizing that facts about being not only responsible for the patient, but also to provide safe care that keeps the patient out of the hospital and out of the ICU. Knowing these facts, I am yet again, faced with the fears of my limited clinical practice knowledge as a practitioner. The amount of information that I have received and learned during this clinical rotation was both exciting and overwhelming at the same time, because I realized as a novice student nurse practitioner (NP), the limited depth of

As a Nurse Practitioner, working in an underserved community, most of the patients I see live in community housing also known as the projects. Some are heavy drug users, while others are at high risks for contracting different STDS due to having unprotected sex with many partners. Many of the patients lack health education and are not aware of their health issues. One common issue that is brought up during their appointments is the lack of communication by the health provider, many often complain that the doctor did not thoroughly explain their illness to them in way that they can comprehend. Other patients have also expressed their dislike for some practitioners because the care seems rushed and they sometime disregard their concerns. In order

I just wanted to thank you for your time and consideration for the Nurse Practitioner position. It was a pleasure meeting everyone and learning more about the opportunities within the emergency medicine group.

At 18, I was your average high school student. I participated in marching band, took a few advanced courses and enjoyed the fellowship of friends. A blooming teenager with high hopes of attending the University of Alabama at Birmingham to obtain my degree in nursing. However, the summer following my graduation, I discovered that I was pregnant. Understandably shocked by this unexpected circumstance, I placed my dreams of attending UAB on hold.

Ive always wanted a rewarding career that revolved around helping people. I want to pursue a career as a nurse practitioner. I am not sure on what specialty I want. So given a assignment in my Introduction Health Sciences class where I have to shadow a nurse practitioner, it gives me the opportunity to explore a specialty and see what it really is like in their typical work day. An advanced practice registered nurse, by the name of Mary Carlson at Parkland Medical Center was willing to let me shadow her for a day. Carlson graduated with her BSN from Boston College. She then pursued a graduate degree from Boston University. Her official title is, Nurse Practitioner, Emergency Medicine.

Hi everyone, I am Marygrace Haydock from Baltimore, MD. I graduated on March 26, 1992, Bachelor of Science in Physical Therapy in the Philippines. I started working in the U.S.A since 1995. I began working in New York for two years; then I moved to South Carolina for a year. I permanently stayed in Baltimore, where I found my passion in a geriatric population. My clinical experiences in a rehabilitation setting such as acute care, sub-acute, I.C.U. (Intensive Care Unit), home care and outpatient setting. I compassionately assisted my clients and expertly customized conventional physical therapy techniques with debilitating conditions such as neurologic, vascular, orthopedic, head injuries, Parkinson’s disease, dementia vestibular, lymphedema, dialysis, chronic wounds,