Nurse Practitioner Analysis

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.

In the article written by Ford, (2009), the doctorate of nursing practice (DNP) has an important role to play in the current health care system which is constantly changing. As healthcare around the world is transforming, the Institute of Medicine (IOM) 2011 report mentioned that in the United States, Advanced practice nurses play a vital role in the rapid complex changes based on the full extent of their education and training. This article describes some of the positive role of the advance practice Nurse as a facilitator in the regulatory and policy developments. The Advance practice nurse participates and provide cost-effective care models that will improve the access and quality of care of the population. Another positive area for the APN in this current healthcare system is health promotion, health maintenance, and prevention. In this evolving health care system, it gives the Advance practice nurse the opportunity to set up acute and primary care settings that will positively impact health care delivery as they meet the needs of an expanding, aging, and chronically ill population. All over the world, the NP’s role has developed and is beneficial to health care systems and health care consumers. As Advance practice nurses we must use this great opportunity to advance our role and work with others to improve and transform health care globally. DNP graduate 's role is include leadership, research, practice, education, and

deficiencies that appears in the United States has placed the spotlight on the advanced practice nurses, involving nurse practitioners (NPs) and physician assistants (PAs) to make up for the insufficiency physicians (Kleinpell, Ward, Kelso, Mollenkopf, & Houghton, 2015). With the NPs and PAs coming into the for forth to provide patients with high-quality healthcare at reduce costs. The PAs and NPs continue to inform patients on new medical advancement and treatment pertaining the patients? health conditions to ensure patients continue up-to-date knowledge and to encourage

The two primary limitations on prescriptive authority for APRNs in Texas are: Prescriptive Authority must be delegated by a physician through a written document prescribed by law and certain limitations apply to prescribing Controlled Substances (CS). For APRNs to prescribe controlled substance, they should have a controlled substances registration number from the DEA. However, physicians may delegate prescriptive authority to APRNs in any location in Texas. There are no restrictions on location or site and distance with prescribing medications.

Therefore, reimbursement to APRNs is limited for the many services that are provided to patients (Yee, Boukus, Cross & Samuel, 2013). In Florida, legislative sessions are held at specific dates throughout the year. According to the Florida Association of Nurse Practitioners (FLANP), three specific bills of interest that affect ARNP scope of practice: “SB 96 is proposed in to allow ARNPs to be medical directors; S634/HB 645 will enable ARNPs to sign Certificates of Involuntary Commitment (Baker Act) and CS HB129 will declare all Floridian ARNPs to be medical directors and gain signature ability and HB 7011 which initiates independent full practice for NPs” (Florida Association of Nurse Practitioners (FLANP), 2017).

My anticipated careee field after college is to work as a neonatal nurse practitioner. My plan is to go to Coloumbus state university and acquire my nursing degree. To eran a residereed nurse degree you must complete a 4 year degree. Due to taking dual enrollement classes in high school I should finish in less than 3. The I will transfer to Emory University or Berry College to get my nurse practitioner degree in approximately 2-4 years. Becoming a Neonatal Nurse Practitioner a person must have RN licensures and state authority for advanced practice. They must also have 2-4 years of experience in he feild or related area. The applicant must be familiar with advanced concepts, practices and proceedurs within the chosed field. Nurse practitioners

In 2013, the prescriptive scope of practice was expanded for Physicians Assistants to include Schedule II drugs in limited circumstances (South Carolina Academy of Physician Assistants, 2013). These include a one time dosing in a hospital setting and renewals of medications prescribed by an MD (South Carolina Academy of Physician Assistants, 2013). Hopefully, the South Carolina Board of Nursing will, aggressively, pursue both full practice and increased prescriptive authority of Schedule II drugs, for APNPs, in the near future.

The APRNs Regulatory Model specializes roles and titles and population foci within a regulatory framework (Hamric, Hanson, Tracy, & O'Grady, 2014). This was implemented to resolve the issue of inconsistent rules, policies and standards of care across states. APN practice is faced with many barriers or obstacles put in place with notion of regulating practice and provision of quality and safe care. This have led to reviewing of the regulations to broaden the spectrum of APN practice as health care is fast evolving. Diverse regulatory criteria like variable accreditation standards, licensing requirements, inconsistent population foci and scopes of practice, represent barriers to optimize APRN function within today’s complex health care system

As the young and rapidly-aging population continues to increase, the demands of primary, acute and chronic disease management will also increase. As a result, more health care professionals who provide primary care will be needed to meet these demands. Thus, the emergence of Advanced Practice Registered Nurse (APRN) evolve. APRN is a nurse who has completed a graduate degree and has acquired advanced knowledge and skills. APRNs are grounded with theory, concepts and principles that enable them to assess, diagnose, treat and manage their patients. APRNs can work in conjunction with other health care professionals or independently. APRNs improve access to health care by providing care in the rural and underserved areas. APRNs also reduce the cost to health care (Joel, 2013).

In a collaborative practice, the Alabama Board of Medical Examiner (2015) requires a physician to supervise the PA 10% of the NP’s scheduled hours. The physician must visit each approved practice site on a quarterly basis (at a minimum). This visit requirement does not apply to state and county health departments. In Alabama, NPs are authorized to dispense and/or prescribe drugs. However, they are not authorized to dispense controlled substances (The Alabama Board of Medical Examiner,

The role of Advanced Practice Nursing (APN) has changed dramatically in recent years. Currently, the Unite States (U.S.) health care is focusing on delivering a cost -effective health care to all patients. In the last decades, there were many efforts to control health care over spending in the U.S. One of such efforts is to focus on applying proven principles of evidence-based practice and cost-effectiveness to find the least expensive way to produce a specific clinical service of acceptable quality (Bauer, 2010). The vast changes in health care system, such as cost, need for high productivity, limitation on reimbursement, and the inadequacy on access have made APNs to think in a way where they most fit to provide independent care for

The role of the Advanced Practice Nurse (APN) is expanding internationally throughout the healthcare system. Since the initiation of the Patient Protection and Affordable Care Act in 2010, there has been an increased need for APNs due to the growing demand for primary care services and increased population that have gained healthcare coverage (Lanthrop & Hodnicki, 2014). The purpose of this paper is to explore the role of APN and develop a professional development plan for my future career.

The role that nurse practitioner (NP) plays within the increasing complex health care system is a constant changing role with the Consensus Model and the introduction of the Affordable Care Act in 2010. The scope of the nurse practitioner (NP) includes the care of the young, the old, the sick and the well. The educational needs of a nurse practitioner vary greatly from that of a Registered Nurse (RN), in the amount of education as well as the focus of the education. NPs provide coordinated primary care with the use of comprehensive health histories and physical examinations, diagnosing and treating acute and chronic illnesses, the management of medications and therapies, ordering and interpreting tests results, and educating and

A new NP graduate will need to apply for the initial certification as an advanced practice nurse prescriber by the state’s Board of Nursing. In Wisconsin, the N 8.03 statute lists the process which is continuous. The applicant submits a form and fee under the statute 440.05 and must provide evidence of passing a jurisprudence examination for advanced practice nurse prescribers (State of Wisconsin Board of Nursing, n.d.b.). Continuing education in pharmacology or therapeutics is mandatory, as well as a renewal fee.

As the healthcare system in America is overhauled, advanced practice nurses are going to increasingly assume the role of primary care providers. Many states have kept up with the evolving expansion of