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Nursing and It's Future

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Nursing and Its Future
The Institute of Medicine (IOM) recognizes the need for an advancement of the Nursing practice and medicine. Nurses compromise a huge portion of the medical population; they are trained to react to multiple situations routine or emergent. Nurses are trained to act beyond their scopes of practice in many states ("IOM Report," 2010). The IOM is proposing for nationalized educational standards, practice standards and licensure standards. Currently there are about three million Registered Nurses nationwide, of those there is only about 60% who work in the acute care setting (Rosseter, 2011). Nurses create the largest portion of most staffing in any medical facility, yet they are the most limited with their various Practice Acts. Nurses are practicing on the “front lines” of health care, yet they are unable to lead care given to a patient without a Physicians order or directive. Even those who are Advanced Practice Registered Nurses (APRN’s) are still limited in the tasks they are able to perform. They are not allowed to prescribe Class II Narcotics, nor admit patients to the hospital or Hospice services, without the further dictation of a Medical Doctor (MD).
Nursing would be significantly impacted by the advancement of the educational process and the ability to take charge of primary health care. APRN’s would be able to take charge of general health needs and maintenance, through education and mentoring. Nurse’s out number physicians by about four to one (Rosseter, 2011). There would be much more access to been seen in a clinical setting if nurses were allowed for be the front runner in health care, working as equals with physicians. There would be much more compliance to the suggested regimen/plan as it is more common that patients have a more in depth report with Nurses than with the MD’s.
Allowing nurses to use their full potential of

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