Role Comp SCIENCE ALL SOLUTION LATEST 2023 AID GRADE A+

Define APRN (3) 1. Licensed RN 2. Expanded knowledge & skills that builds on basic nursing education (graduate degree or higher) 3. MUST involve direct clinical practice Hamric, A.B., Hanson, C.M., Tracy, M.F. & O'Grady, E.T. (2014). Advanced practice nursing: An integrative approach (5th ed.). St Louis, MO: Elsevier. 4 Types of APRN's? CRNA: practice advanced procedural and pharm. mgmt. for pts undergoing anesthesia; work independently or in collaboration w/MD. 2. Nurse Midwives- certified practitioners w/advanced assessment in WH issues; pt population: preg., PP, PMP, GYN care, family planning, assist w/childbirth under MD authority/supervision. Dependent practitioners; can prescribe rx's. 3. CNS- 3 speciality areas: adult (med-surg), neonatal and pedi. Trained in the 3 P's: physiology, pharm. & phy. assessment. Dependent practitioners; can prescribe rx's 4. NP: focus on direct clinical practice and pts and families. 5 specific role concentrations: FNP, AGNP, PNP, ACNP & WHNP. Licensure and prescriptive authority granted by state. (Hamric, et al., 2014) 3 criteria to be an APRN? 1. Graduate degree 2. professional certification w/in specialty 3. practice focused on pt and families (Hamric et al., 2014) Define NP skilled HCP, uses critical judgement, directly manage acute and chronic illnesses, diff dx/dx, prescribes non-pharm/pharm tx, perform comprehensive health assessments, uses consultation effectively, makes healthcare understandable, assess/monitor pt care (Hamric et al., 2014) Define FNP skilled HCP who provides healthcare to pts and families across the lifespan (Buppert, 2015) Buppert, C.B. (2015). Nurse practitioners: Business practice and legal guide (5th ed.). Burlington, MA: Jones and Bartlett Learning. Who defines FNP's standards of care? AANP. (AANP, 2013) NONPF Competencies (9) 1. Scientific Foundation- analyze data, translate research and develop practice approach 2. Leadership- critical/reflective thinking, participation in professional organizations 3. Quality - EBP 4. Practice Inquiry- clinical guidelines, leadership 5. Technology & Information- literacy 6. Policy- contributes to development 7. Health Delivery- minimizes pt risk, applies knowledge, collaborates 8. Ethics- applies ethically sound solutions 9. Independent Practice- advanced assessment, prescribes and manages (Hamric, et al., 2014) Describe National, State and Local factors that will influence your practice. National- national professional organizations, national certifying bodies, Medicare reimbursement, Any acts that designate reimbursement (like ACA) and DEA #'s State- LSBN, nurse practice act, scope of practice, prescriptive authority, requirement to have CPA (in LA), Medicaid, private insurance (like BCBS) State- specifics of CPA, clinic/hospital protocols, admit privileges etc (Buppert, 2015) Hamric's Role Competencies (7) DCP- central competency and holistic perspective to pt care Guidance & Coaching- counselling and therapeutic relationships w/pts and families as a unit Consultation- collaboration to improve pt outcomes and promote optimal levels of wellness for pts EBP-use of most current research based evidence Leadership- mentoring, innovation & activism Collaboration- interpersonal relationships to problem solve issues in pt care CONTINUED..