A family nurse practitioner (FNP) is an advanced practice registered nurse (APRN) with a graduate degree in nursing, who is licensed and certified to diagnose and treat patients with acute and chronic illnesses and minor injuries across life span ("Role & Scope," n.d.). Many FNPs started their nursing careers as bedside nurses in acute hospital settings, and they are not ready for the possible monotony of working for a private practice. The ever-revolving door of an emergency department (ED) and other acute care settings, along with the wide variety of patients, allows an FNP to perform to their full potential, and possibly increase work satisfaction if they are not ready to transition to an office setting. In the most acute settings, such …show more content…
Phoebe Putney Health System, Inc. (PPHS) has two local hospitals with EDs, two convenient care clinics, and one community care clinic. The nurse practitioners and other advanced practice practitioners (APP) who work for PPHS rotate through all three settings, and the community care clinic is the only facility that does not have a physician readily available for collaboration. The community care clinic’s and convenient care clinics’ volume varies throughout the year, but the average number of patients per day is between seventy and eighty. Many days during peak flu and pneumonia season consist of more than one hundred patients per day. The smaller ED averages approximately 110 patients per day, and the larger ED averages approximately 160 patients per day. During peak flu and pneumonia season the daily average for the larger ED is greater than two hundred on a regular …show more content…
In 2006, APRNs, including FNPs, were granted the authority to write prescriptions, including Schedule III, IV, and IV drugs. If a Schedule II drug is needed for the treatment of a patient treated by an APRN in the ED, a physician is readily available to prescribe the medication. A patient at the community care clinic that is deemed to need a Schedule II drug for pain control is sent to the ED for further evaluation. The Georgia Composite Medical Board requires that all patient records that include the prescribing of a controlled substance must be reviewed by a delegating physician (Stephens,
Often time, nurses has been viewed by patients, their family members and the medical team as basic emotional care givers, pill crushers or cart pullers and not as healthcare professionals who are more interesting in health promotion, disease prevention and better patient outcomes. They also often forget the emotional, physical, mental, and caring part that is involved with the profession. And to make matters worse, nurses are continued to be viewed as a threat by doctors more than ever before especially with the opening of Nurse Practitioners programs.
I plan to pursue a career in nursing as a Family Nurse Practitioner. This career take many steps to complete. But it is different routes you can take and different programs you can enroll in for this profession. Family Nurse Practitioners can prescribe medication and diagnose patients and give treatment. They can work either in hospitals and or clinics as a primary healthcare provider. They can also order specific x-rays and test that need to be done for a patient. The nurse practitioners interact with less patients in a clinic than in a hospital. Np’s have privileges to prescribe medications in every state.
Pediatric Nurse Practitioner is the job I have chosen to work towards becoming in the future. This job gives me the chance to help people, which was one of my biggest goals for picking what job that I would obtain after college. While being a pediatric nurse practitioner I will get to take care of children, learn more about science and medicine use the skills that I have learned, and get to have the satisfaction that I helped someone every day. These were all things that I wanted in a job; I have found all of these qualities in being a Pediatric Nurse Practitioner.
My vision for the Family Nurse Practitioner in a primary healthcare setting is to bring health care to small communities, comprised of predominately poor working class people, who are classified as underprivileged. Performing exams on the sick, providing immunizations to the young, educating all, and assisting the elderly with chronic illness and disease management, while providing preventative care and education on wellness. The Family Nurse Practitioner sees patients from young to old in need of a wide variety of care. As a Family Nurse Practitioner I will provide education and holistically meet the health care and wellness needs of my community, and others like it, by providing critical access to health care for the most vulnerable
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
Women's Health Nurse Practitioner (WHNP) nursing programs prepare students to deliver primary healthcare to women throughout their lifespan. This nursing specialty program consists of in-depth theory, pathos-physiology, research application, pharmacological therapy, and critical thinking skills based on clinical studies. Prospective nursing students are expected to meet the requirements of the nursing program, including full-range comprehension of reproductive-gynecologic health. Prospective students should seek accredited nursing programs that meets the guidelines for women's health nursing education established by the Association of Women's Health, Obstetric and Neonatal Nurses and the National Organization of Nurse Practitioners of Women's Health. Prospective nursing students should conduct the proper research to determine if the institution has obtained accreditation through the National Association of Nurse Practitioners.
Nurse practitioners (NPs), one type of advanced practice nurses, are licensed by the states where they practice and certified by private boards. Nurse practitioners hold advanced degrees in clinical practice and function in a wide variety of settings and across the life span. They provide a broad array of healthcare services ranging from managing treatment plans, to prescribing medications, to implementing health promotion services. As of 2014, 205,000 NPs were licensed in the United States with 86% of those prepared to deliver care to patients in primary care settings (NP Facts, 2015). The progression of the Nurse Practitioner movement that occurred in the 1960 and 1970s emerged as a creative and
Primary care physicians are trained in a number of diagnostic techniques such as interviewing the patients to get information on symptoms, examining the medical history of the patient so as to obtain more information, conducting a physical examination on the patient and most importantly, carrying out a medical examination. This might include blood and urine tests (Dahrouge, Muldoon, Ward, Hogg, Russell, & Taylor-Sussex, 2014). The physician then makes a differential diagnosis which is used to prescribe medicine for the patient. On the other hand, family nurse practitioners take part in preventive care which may involve screening patients, conducting health-risk assessment, facilitating immunization, providing counseling meant to improve the health of patients. Most importantly though, family nurse practitioners are directly involved in managing chronic infections, giving ways to improve the care provided by the primary care physicians. This is often because of their experience and in-depth research they are exposed
Every little kid has high exceptions for what they want to be when they grow up. Some dream of becoming president of the United States of America, or becoming an Astronaut, a lot of little kid’s say that they want to be a Doctor. What kids do not understand is that there are many types of doctors, like an orthopedic surgeon, they work with feet, or an oral surgeon, who work with the mouth. Another similarity to a doctor is a nurse practitioner. They do many of the same tasks, like performing minor surges, fixing broken bones, or simply giving a routine check up. Becoming a nurse practitioner takes many years of schooling, good grades, a lot of time and dedication, and money.
Define Nursing Nursing is a knowledge-based profession within the health care sector that focuses on the overall care of individuals. According to The American College of Nurse Practitioners (ACNP), “defines nurse practitioners as registered nurses who have received graduate-level nursing education and clinical training, which enables them to provide a wide range of preventative and acute health care services to individuals of all ages. They deliver high-quality, cost effective care, often performing physical examinations, ordering tests, making diagnoses, and prescribing and managing medication and therapies”. Nurse Practitioners are able to specialize in a particular area, such as family and adult practice, pediatrics, and women’s health; and refer patients to other specialists when necessary. Some nurse practitioners work under the supervision of a physician while others run their own practices.
Advanced practice registered nurses play a significant part in extending access to health care by providing primary care and specialty care services to clients. Advanced practices registered are mentors, educators, researchers, and administrators. According to Health Resources and Services Administration, “Ninety-six percent of the NP workforce reported being in clinical practice, providing direct patient care” (Health Resources and Services Administration 2016). Furthermore, “Nearly three percentages were in faculty positions and approximately one percent was in administrative positions”(Health Resources and Services Administration 2016).
My plans after obtaining my advanced degree is to acquire licensure to practice as AGNP in the state of Texas. The Texas BON acknowledges that APN education, experiences, and competency levels vary, hence, holds individual APN accountable for knowing and practicing within their own scope of practice and competency always. The APN’s education is the grounds to their scope of practice: however, the APN can expand the scope of practice within the role and population-focus, as long as it remains within limits of the law. The Texas BON restricts the scope of practice for the APNs. The Nurse Practitioner Supervision Laws require¬¬¬¬¬ APN to work under physician supervision within seventy five mile perimeter. In addition, there is the Texas ' Nurse Practitioner Prescribing Laws which require APNs to prescribe medications under physician supervision and APNs are not allowed to prescribe schedule two drugs. All prescriptions written by the NPs must include the supervising physician 's name, address, Drug Enforcement Administration (DEA) number and phone number (Texas BON,
It is no secret that the current healthcare reformation is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify a way to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal…” (Bailey, Jones & Way, 2006, p. 381). The key to a successful healthcare reformation is interdisciplinary collaboration between Family Nurse Practitioners (FNPs) and physicians. The purpose of this paper is to review the established role of the FNP, appreciate the anticipated paradigm shift in healthcare between FNPs and primary care physicians, and recognize the potential associated benefits and complications that may ensue.
This particular discussion looks into the virtue ethics backed in the case of Mattel, Inc., one of the world's leading toymakers (among whose many creations include the Barbie and Ken dolls). Sethi, Veral, Shapiro & Emelianova (2011) studied the life cycle of Mattel's company-based code of conduct as a specific example of business ethics in the toy industry. In the late 1990's, the cry out for ethical conduct and corporate responsibility on the manner by which multinational corporations (MNC's) conduct their business pushed the issue on the front of public domain, where the outcry is to get the most powerful corporations account for and be responsible for the effects and impact of the manner by which they work for the purpose of profit. In
While a nurse and nurse practitioner are different in several ways, the similarities between the two are irrefutable. When compared side-by-side you can see that both are a vital necessity to the healthcare system, working in many settings, such as hospitals, physician’s offices, and clinics. They both also interact and care for patients in settings, such as neonatal, intensive care, and geriatric units. Not only do they interact with patients, they also interact with a patient’s family during treatment. Another similarity between a nurse and