Nurse Practitioner Experience

As stated above, individuals must already have a state license as a registered nurse to study to become a nurse practitioner. Upon completion of a graduate-level nursing program, most nurse practitioners take national certification exams in their areas of specialty.

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.

When asked about an NP’s role in health care, the first response I received was, “What don’t I do?”, T. Smith (personal communication, September 4, 2016). Apparently, NP’s do much more than write those late night prescriptions. While talking with my interviewee, I realized just how much more they do. “We have to use our judgement constantly”, T. Smith (personal communication, September 4, 2016). They see new admissions, review patient’s home medications and determine which ones need to be continued, review lab results, and determine any diagnostic studies that need to be performed to further advance a patient’s care.

There are many roles and tasks that can be performed under the LPNs scope of practice. The LPN can give medications prescribed by the doctor, give immunizations approved by the healthcare provider, preform daily wound care and vital signs, take medical histories and enter provided information into the computer documents, (Licensed Practical Nurse, 2017). The Licensed Practical Nurse can watch over the UAP, monitor intake and output, and help with patient transferring as well. The LPN has a lot responsibly and works as the eyes and ears of a doctor or a registered nurse.

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.

Family Nurse Practitioners (FNP) are nurses who have acquired a higher level of education after Nursing. FNP are trained to treat, prescribe, and to provide quality healthcare needs for patients. The role of a FNP varies according to their realm of practice and state requirements. The amount of service that they can provide depends on the freedom of practice the state gives the FNP. Each state has various boundaries set for NPs to practice their field of healthcare. Nurse Practitioners can use their knowledge as a RN to boost their NP skills by using improved patient care techniques and evidence-based practice. Evidence-based practice provide NPs support by laying out the necessary components of healthcare methods in an organized fashion. NP learn to use evidence based practice to provide patients with the best possible care and treatment available. write more..

Since the inception of the Nurse Practitioner (NP) role in the 1960s, NPs have thrived in the delivery of primary healthcare and nurse case management. Despite patient satisfaction with NPs ' style of care, nurses have been critical of NPs, while physicians have been threatened by NP encroachment on MD practice. Balancing assessment, diagnosis, and treatment with caring defines NPs ' success as primary care providers. Understand the role and Scope of Practice of NPs is sometimes difficult for some to understand. The purpose of this paper is to define the role and history of NP, compare and contrast licensure versus certifications, understand NP Scope Of Practice and Standards of Care, discuss how the State Practice Acts regulate FNP practice, discuss credentialing and privileging, and differentiate between legislative and regulatory processes.

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.

Role is a function played by an individual or particular group of individual in a particular situation. It includes connected obligations, behaviors, rights, beliefs, and norms as theorized by people in a social state. The role of a nurse practitioner (NP) started to manifest in the mid-1960s. This came as a response to the nationwide physicians’ shortage. The NPs were then classified under the advanced practice registered nurse (APRN) umbrella. The origin of the NP role in the United States came through the effort of Loretta Ford (RN) and Henry Silver a pediatrician who had insight for the nurses to be developed and be more effectively used to improve the health care. The demand for primary healthcare was increasing as physician were moving to areas of specialty because of the associated income, lifestyle incentives and status. The nurses were to fill the gap. To realize this, education was essential. The nurses where then equipped with skills of performing developmental tests, history taking, doing evaluative procedures, some laboratory procedures and physical examination and referral for medical care that traditionally had been a medicine domain (O’Brien, 2003).

Nurse practitioners are advanced registered nurses who have been obligated with providing professional care to patients within their jurisdiction. They are expected to perform comprehensive healthcare services from caring for acute illnesses, injuries, and immunization to the treatment of chronic conditions (Cusack, et al., 2015).

Before RNs can obtain labor and delivery certification, they must first obtain the necessary education, such as an associates or bachelor’s degree in nursing. There are many accredited programs that offer accelerated academic paths for working RNs who already have a two-year degree. These nursing programs include courses in biology, physiology, anatomy, psychology, nutrition and pharmacology. Besides classroom instruction, almost all nursing programs include hands-on clinical training. All programs will prepare graduates to practice nursing in a wide range of clinical settings. Students will understand the social, cultural, emotional and environmental contexts that promote wellness and produce diseases. Graduates will possess a holistic, yet scientific basis for providing medical services.

For entry into a nurse practitioner program, candidates must be graduates of a certified program in nursing that leads to a diploma, an Associate Degree in Nursing, or a Bachelor of Science in Nursing; must hold a current, active RN license and meet the undergraduate requirements and GPA of the desired

APRNs assume responsibility that are often similar to the those of a physician, often time working side by side or collaborate as a team. APRNs have a significant role in promoting health and providing care to patients in numerous settings.

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

other requirements can be different in different states. Nurses are required to take anatomy, physiology, microbiology, chemistry, nutrition, psychology and other courses.