My Clinical Experience : Nurse Practitioners

My new role as an adult/gerontology nurse practitioner (AGNP), will be part of team that provides care for Long-term acute care LTAC, Skilled Nursing Facilities (SNF), or Rehabilitation hospital. After gaining considerable experience, my focus in future will be working in home healthcare and primary care clinics. My scenario will involve an organization that provides innovative, collaborative, health care team for one hundred bed LTAC Hospital. Working as an LTAC registered nurse, I noted that, despite the variety of diagnosis, majority of patients’ presents to LTAC hospital have wounds that require complex wound care management. The wounds can range from pressure ulcers to non-healing illness/injury wounds such as diabetic foot ulcer, venous leg ulcers, and post-surgical wounds among others. For this assignment, my scenario will focus on the role of Nurse Practitioner (NP) on skin care and wound managements.

I have always wanted to be a nurse: I do not think there is any task that is as satisfying as treating a patient physically, psychologically, emotionally and spiritually. I first pursued my LPN, and immediately I knew I had chosen the right career path. Every day, no matter how tired and weary I felt at the end of the day, I was invigorated by the sense that I had made a positive change in the lives of my patients. To build upon my capabilities to help others, I then pursued my RN. I am currently in an RN-BSN program and hope to begin a graduate program subsequently to become a family nurse practitioner.

Since the capstone project started early on beginning of the Doctor of Nursing Practice (DNP) program, I was able to discuss and work personally with Dr. Spicer as my practice mentor in selecting the appropriate topic for my project. Dr. Spicer was very involved in choosing my second option for new capstone project # 1 related to simulation lab and faculty teaching and learning. The patient simulation laboratory (SIM lab) uses state-of-the-art equipment that provides students and faculty with the opportunity to tackle real-life scenarios in a safe and supported environment. Further, I learned that active learning involves the faculty through participation and investment in exploring content knowledge in all phases of the learning process. It requires educational activities that provide faculty with the opportunity to engage actively in courses and respond to the learning situation.

I sincerely believe that I accomplished my goals this week. I realized that I served 14 patients by combining the ability of knowledge, my attitude for excellence that I have consistently defeat the odds to become the very best Nurse practitioner; I can become. This clinical experience brings forth many opportunities and achievements. The most important experience this week; I had the ability to identify as primary healthcare provider a high risk need for the patient to be transferred to the Hospital for further evaluation without delay; due to complaints of “leg cold from the knee down to the feet”, which my evaluation was based on evidence practice knowledge of compassion and skill with the autonomy to practice, diagnose, and treat patients

During my four years as an RN I’ve had the chance to care for many interesting and wonderful people, many of them during the worst days of their lives. Many of the people you meet are sad, angry, anxious and very scared.

The National Council of State Board of Nursing (NCSBN) is a governmental body mandated to regulate nursing practice in various states in the United States of America. Each state has its own regulatory rules that must be adhered to by every practicing nurse in the concerned region. Depending on the location of the Advanced Practice Registered Nurse (APRN), the NCSBN subdivides nursing practice regulations into three different classes: full practice, partial practice, and restricted practice. Therefore, it is of the essence to examine the nature of practice in different states before an APRN begins training. This paper will take a detailed look at the state of nursing practice in Texas and Arizona. Apart

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

Sue Fitzsimons, Ph.D., RN, senior vice president of patient services and CNO at Yale-New Haven Hospital during the Yale School of Nursing 2013 commencement address, said: "Rejoice in your work; never lose sight of the nursing leader you are now and the nursing leader you will become."

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

It is very important for the Nurse Practitioner (NP) to know how the employer is billing for NP services. There are several different ways for the NP to get reimbursed for the services they render to their patients. The reimbursement method can get complicated, and the NP must be aware of the rules and regulations prior. For example, “Medicare will pay 85% of the physician rate for the services”(Bupper. C, 2011), when the NP renders service and bills by using their own NPI. However, if the NP is working with the physician, the NP can bill under the physician’s provider number, and acquire reimbursement at the full rate. This can get complicated because there are certain rules and regulations that would need to be followed. See below:

KR is a single 55 year old African American man providing primary care for his mother who’s health is abruptly declining due to dementia. Recently, KR has expressed the care of his mother requires excessive responsibility and the care has become burdensome. KR is susceptible to burnout if he is not able to cope with the caregiving requirements As a Family Nurse Practitioner (FNP), referrals for hospital and community based services, such as hospice or in-home care that are available to support KB and the care his mother should be prepared. Family caregivers frequently seek approval and support from health care professionals as they make decisions regarding the needs of their family member. It is imperative that family caregivers are aware of

Major role in the Medical Field; Becoming a Nurse Practitioner “To do what nobody else will do, a way that nobody else can do, in spite of all we go through; that is to be a nurse” (Williams, Rawsi, 2014). Nurse practitioners are nurses who are qualified to treat certain medical conditions without the direct supervision of a doctor (Google, 2015). NPs require a lot of education because they are an important job in society. Their level of education is much higher than most nurses. They go to school to be able to do more than one occupation in the medical field and they put it all together to become a Nurse practitioner.

In the recent years it has become more popular to have Nurse Practitioners (NPs) as Primary Care Providers (PCPs) rather than Physicians. One of the reasons for this is the decreasing number of Physicians that become primary care providers. Also, Nurse Practitioners provide the same quality of care, or better, as physicians do. Their education requirements may be different but as PCPs they perform a lot of the same tasks. Having more Nurse Practitioners in primary care will lower the cost of health care. It will also make it more feasible for people to obtain health insurance. I think that Nurse Practitioners should be Primary Care Providers.

Healthcare is changing. The medical field has advanced and healthcare professionals must adapt. With increasing needs for affordable and available healthcare, there is a strong need to maintain the role of family nurse practitioners. By clearly understanding and defining the scope of practice, supporting the consensus model, and ensuring collaboration among other professionals will help preserve the role of family nurse practitioners in advanced practice nursing.

Nursing students face many challenges due to their narrow scope of practice, and lack of experience and knowledge. This changes with the development and learning of values and beliefs, which shape the decision making in the nursing process. During my clinical nursing practice experience as a new nursing student, I have had amazing learning opportunities as well as situations that made me feel uncomfortable, powerless, and dependent on the assigned nurse. In this paper I will talk about one of my clinical experiences where I felt powerless, analyze it, and show how the sociopolitical inquiry and power dynamics come into play in my story.