The family nurse practitioner student is currently completing her third clinical rotation at Family Docs physician’s office that is located in Pembroke Pines, Florida. The focus of the rotation is chronic disease management. Her clinical preceptor is a medical physician, Dr. Jeanne-Elyse Cedeno. The student has been learning from Dr. Cedeno for eight weeks. In comparison to the student’s first and second clinical rotations, the student has seen more patients with complex health issues at this site. In this paper, the student is going to reflect on her clinical experience by discussing both positive and negative experiences at the site, describe the progress in meeting the learning objectives, and describe one thing that the student plans to …show more content…
The office has some issues with the staff. These issues have decreased work efficiency. The office has two medical assistants. The medical assistants do not know how to take an EKG or blood pressure manually. In many physician’s offices, medical assistants are trained to take an EKG and the physicians or nurse practitioners can interpret the results with patients. It takes time for the family nurse student and preceptor to complete an EKG while there are four or five patients waiting to be seen by the providers. Furthermore, not all patients’ vital signs are completed before the student and the preceptor see a patient. When the lab room containing the digital blood pressure machine is busy, the vital signs are not completed on time. The student discusses the issues with the preceptor who has been aware of the problems. She does not train the medical assistants because one of the assistants does not want to learn, and sometimes she has an attitude when the preceptor tells her to do her job. The other assistant is new to the office. In addition to the staff issues, the electronic medical record system does not integrate with the lab results automatically. When the staff is busy and is unable to manually upload a patient’s lab result, the providers have to log into the lab’s official website to review the lab results. This is time consuming. The student also discusses with the preceptor about the importance of having …show more content…
For objective one, the student had one patient who just started phentermine to lose weight. The patient is generally young and healthy. She is a nurse who works in a hospital at night. She did not eat regularly during work. When she did not work, she liked to eat all the time. The patient requested to take phentermine for weight loss. Phentermine is an amphetamine-like prescription medication to suppress appetite. It helps weight loss by decreasing hunger and makes a patient feel full. The side effects of Phentermine are headache, tachycardia, and restlessness. The student educated the patient about the side effects before the preceptor prescribed Phentermine. When the patient had the first follow-up visit for blood work after taking the medication for a month, she lost 18 pounds. The blood work is to check the patient’s kidney and liver functions, electrolytes, and the functions of blood cells. The patient denies any symptoms of the side effects. Her vital signs were stable. The patient looked energized and happy. For objective two, the student is able to perform either head-to-toe physical exams or problem-focused exams. The student is also able to narrow down differential diagnoses to help the diagnoses based on objective findings and subjective findings. The student also completed the smoking cessation project assigned by the preceptor, who believes that no one
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.
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.
A clinic and doctor 's office requires many positions that are crucial to a patient’s satisfaction, and one of the most important occupations is that of a medical assistant. Whilst their job may seem simple at first, much information, characteristics, and morals are to be expected in this medical field. Upon completing their educational requirements and proving their credibility, they may commence to search for a job in a variety of locations and opportunities. Once employed, they are responsible for operating either the front desk or the back, depending whether they are specialized as a clinical or administrative medical assistant. All in all, the simple role of a medical assistant has many requirements and
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.
5th ed. of the book. New York: Springer Publishing Company. Zaccagnini, M., & White, K. (2014). Doctor of Nursing Practice Essentials.
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.
The key to a successful healthcare reform 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. Description of the Topic Definition The American Nurses Association (2008) has defined the FNP, under the broader title of Advanced Practice Registered Nurse (APRN), as one “who is educationally prepared to assume responsibility and accountability for health promotion and/or maintenance as well as the assessment, diagnosis, and management of patient problems, which includes the use and prescription of pharmacologic and non-pharmacologic interventions” (p. 7).... ... middle of paper ... ...
Throughout history mankind has come up with some wonderful inventions and innovations, but out of all the creations by far the most beautiful and precious is human birth. I first developed an interest in nursing and in particular midwifery years ago. I believe it is a great service within the health profession because of the privileged position to assist in human childbirth. The word midwife means with woman. Centuries before obstetricians delivered babies, midwifes assisted women in having at home births. But it was only formally established as a profession in the early 1900’s. A nurse-midwife is a registered nurse that specializes in midwifery. The job of midwife is to assist in family planning and birth control advice, provide general gynecological services (such as pap smears and breast exams), aid women in childbirth, and help women by providing prenatal and postpartum care. Nurse-midwives are required to have a Master’s of Science in Nursing (MSN) degree and pass the American College of Nurse Midwifery (ACNM) board examination to obtain certification.
The University of Texas Health Science Center at Houston as Health Science Center at Houston
A Nurse practitioner is a licensed independent healthcare provider who practices in a variety of settings and provides nursing and medical services to individuals, families and groups in accordant with their practice specialties and state guidelines. Nurse Practitioners are also qualified to diagnose medical problems, order treatments, perform advanced procedures, prescribe medications, and make referrals for acute and chronic medical conditions, within their scope of practice.
As a future nurse practitioner, I have given immense thought to the selection of a clinical practice based on the primary care setting that utilizes the collaboration model. I have selected this type of clinical practice because it best suits my professional and personal goals. I value autonomy while having the ability to work within a healthcare team and enjoy teaching my patients. Nurse practitioners (NPs) are a valuable part of the healthcare team. In the 1960s, from a vision to improve primary healthcare to under-serviced communities, the development of the first NP program developed out of need as a public service and focused on the care of pediatrics and since then the care of other specific populations such as families, adults, geriatrics, and women health has emerged (Anderson & O’Grady, 2009, p. 380).
Some patients who have taken the medication say they experience general body weakness and loss of appetite accompanied by nausea. Impaired hearing ability, headaches and drowsiness are also common side effects. Where and how can I buy the product online?
The following essay is a reflective paper on an event that I encountered as a student nurse during my first clinical placement in my first year of study. The event took place in a long term facility. This reflection is about the patient whom I will call Mrs. D. to protect her confidentiality. Throughout this essay I will be using LEARN model of reflection. I have decided to reflect on the event described in this essay since I believe that it highlights the need for nurses to have effective vital signs ‘assessment skills especially when treating older patients with complex medical diagnoses.
In this essay we are going to explore the connection between professional nursing practice and professional caring. I will outline the terms of professional nursing practice and what makes nursing a profession? I will describe the term of professional caring and the connection to the nursing practice and discuss the dilemma of care and cure. And also determine the importance of both in professional nursing practice.
Nurses form an important role in influencing patient safety from everyday tasks and gradually obtaining the patient vital signs have increasingly been seen as a chore instead of collecting clinical evidence. This then creates an extreme danger to patient’s as irregular monitoring of vital signs prevented early detection of deterioration in a patient’s condition, which postpones transfer to intensive care unit ( Kyriacos U et al 2011; Boulanger, 2009). Due to this, a...