Registered Nurse Practitioner Vs Nursing Case Study

While reflecting back on the previous weeks, I have to say that this was the foundational class for the FNP students. Before this class, I used to think how I am going to fulfill the role of a Nurse Practitioner (NP). This class helped me to better understand my role and gave me the confidence that I can fulfill the role of an NP. Today, when I look at myself, I know I am in the stage of advanced beginner in Patricia Benner’s Novice to expert theory. The case studies in the discussion threads really put me in the real world of practical nursing as an NP fulfilling the role of a provider. Thorough the case studies, I have learned how to make a best differential diagnosis based on the patients presenting symptoms. The interaction and sharing

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

It was an uneventful midmorning day, on the general medical floor; a list of patients already drawn out with what needed to be completed during our shift. A group of people huddled together discussing treatment plans and options. At that present time, rounding was just for physicians and physician assistants. But dietitians were recently included, so I got to watch as the providers presented their cases to one another. One individual stood out above the rest as she was presenting to her attending; she was confident, poised, and didn’t skip a beat during her presentation. Once the meeting was completed she sat down next to me and we started talking. She introduced herself as Becky, a physician assistant. Having never heard of the role before, she explained that she does examinations, diagnosing, carrying out investigations, as well as treatments and prescribing. Becky could tell I appeared very interested in this, and asked if I was able to spend some time shadowing to learn more about her role. The next patient she saw, I was able to go in the room with her and watch her examine a new patient, discuss his course of treatment, and follow up with the attending. She took me through the entire process of seeing a new patient from a PA perspective. That was all I really needed to get the wheels in my head turning for a new career.

Texas has a rapidly growing population with complex healthcare needs, but has limited resources in terms of healthcare provider workforce. There is an expanding need for healthcare in Texas even without taking federal reform into account. Currently, more than forty percent of states have adopted full practice authority licensure and practice laws for Advanced Practice Registered Nurses (APRN). Texas is not one of them. Currently, APRN’s are regulated by both the Texas Board of Nursing and the Texas Medical Board. Passage of Senate Bill 681 would grant full practice authority to APRN’s, and therefore be regulated exclusively by the state nursing board.

Advanced Practice Registered Nurse (APRN) has evolved tremendously since it was establish in 1965 to service vulnerable populations, however there are still barriers that must be addressed in order to free APRNs from limitation imposed by state scope of practice (SOP) laws and payers, which disrupts health care financing/costs, access, delivery, and quality patient care. Currently, only one third of the states in the U.S. permit APRNs to fully practice within their scope without limitations (Hain & Fleck, 2014; Yee, Boukus, Cross, and Samuel, 2013).

DOI: 8/6/2015. Patient is a 51-year-old female licensed vocational nurse who sustained a work-related injury to her back and hips while moving a client. As per OMNI, she was diagnosed with muscle spasm, pain over the low back and thoracic region. She is status post right carpal tunnel release on 02/26/16.

Mr. Brann is a 42-year-old male here today for followup from his left cerebellar stroke and left vertebral artery dissection, status post hospitalization in May of 2015

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

----- Clinic presents a black male 68 years old. Currently experiencing dyspnea and lethargy. For the past week he has been having a increase of difficulty breathing. Complains of alternating periods of sweating and chills. Other symptoms he has been experiencing is a productive cough with expectoration of thick yellow sputum. Patient is a ex- smoker, he was a 40 pack year history, denies smoking, stopped over 10 years ago. Medical history includes chronic bronchitis, hypertension, MI five years ago, has had a angioplasty, and denies chest pain since having angioplasty. Current medication combined albuterol/ipratropium MDI, nebulized albuterol prn, captopril, and hydrochlorothiazide.

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:

The specialty area selected by this author among the Advanced Practice Registered Nurse (APRN) roles was that of the Family Nurse Practitioner (FNP). High among the list of reasons for choosing the FNP specialty track was the ability to care for patients who lack healthcare insurance, are of limited financial resources, or are stigmatized. The type of organization that would allow me to provide high-quality, patient-centered care in a manner consistent with my professional aspirations would be a Primary Care Organization (PCO). Being part of a PCO would allow me to implement clinical skills that are distinctive of the care provided by the FNP, such as to educate patients regarding management of chronic conditions as well as counseling on disease prevention and health promotion strategies. These skills would be provided in addition to the well-established responsibilities shared with other healthcare providers; such as performing examinations, making diagnoses, prescribing medications

The specialty for which I was admitted to South University is the Nursing with a specialization in Family Nurse Practitioner Master of Science in Nursing. The need and demand for specialty nurses have evolved over the years. There are several APRN roles as delineated by the APRN Consensus Model (2008), an advanced practice nurse can work as a clinical nurse specialist (CNS), certified nurse practitioner (CNP), certified registered nurse anesthetist (CRNA), and certified nurse midwife (CNM). With the changing health care system and the diminishing availability of primary care doctors, many patients are seeing Nurses Practitioners and other APRNs for their primary care needs. According to the textbook, Advanced Nursing Practice: An

In my current role, I oversee one hundred forty to one hundred sixty patients. I have made it a practice to make a clinical coordination note any time I speak to patients, families, or if I need to return a message about a patient that I need to follow up. I plan to continue this practice as a Family Nurse Practitioner (FNP) therefore I would go to the patient’s medical record to see if I had made any notes on this patient’s chart. I would also review my other patient charts to make sure this has not happened before. If there was no documentation was noted in the patient's chart, I would take my concerns about Stephanie to the physician of the practice.

The American Academy of Nurse Practitioners (AANP) recommends “When negotiating contracts, it is important to determine both the amount of income that the nurse practitioner may bring into the practice and the associated cost to the practice. While there will be variability among practices due to the specialty, the location and the outstanding debts of the practice, the following guidelines will help you determine what compensation you might be able to contract” (AANP, 2003). Starting out, I would research starting salaries in my region….Houston, Texas. Then I would narrow my search down to family practice, or any other specialty area I may

I was not involved in the conversation but was able to listen as they were sitting close to me. The NP made a suggestion regarding the patients care plan; she suggest another vitamin (a flavoured chewable) to increase the child’s medication compliance. The fellow immediately said no and told her that she was wrong. His tone was curt and the NP student did not reply, she remand silent for the rest of discussion regarding the patients care plan. The NP student made no attempt to explain the reasoning behind her suggestion; nor did she ask the fellow to explain why her suggestion was wrong. She appeared to just accept his word for it, since he was the physician. I later found out that this was her first time presenting a client to a physician and other HCT members. This was not a dramatic situation, and I do not know what occurred after this discussion, but something about the interaction between these two got me thinking. I started to think about how I would have responded in a similar situation; what would I have done what would I have said? Would the NP student have responded differently if it had been the dietician that said no. Would my response in this situation be depended on who was telling me that I was wrong? Am I intimidated by doctors, and do I hold their opinion to a higher level over other healthcare team members just because of the physician job title? TWEAK THIS