... The historical evolution of the four Advance Practice Registered Nurse (APRN) roles date back as early as the 1860s when nurses were administering chloroform anesthesia during the Civil War (Cockerham & Keeling). During the nineteenth century lay midwives were delivering babies without any nursing education, and the first program for psychiatric nursing in America had opened its’ doors (Cockerham & Keeling, 2014). This specialty paved the way for Clinical Nurse Specialists (CNSs). Around the same time the Henry Street Settlement opened its’ doors, and public health nurses started providing primary care to the poor (Cockerham & Keeling, 2014). These nurses and lay midwives were practicing based on skills taught in the fields, because there were no formal education programs at that time for the APRN specialties. During the twentieth century, schools started opening and offering specialty nursing programs for the four Advanced Practice Registered Nurse (APRN) roles: Certified Registered Nurse Anesthesists (CRNAs), Certified Nurse Midwives (CNMs), Clinical Nurse Specialists (CNSs), and Nurse Practitioners (NP). This was also the time when nursing organizations were being formed including: the American Association of Nurse Anesthetists (AANA), the National Organization of Nurse Practitioner Faculties (NONPF), the American College of Nurse Midwives (ACNM), and the Council of Clinical Nurse Specialists (CCNS). These organizations united each specialty...
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...between an Associate Degree Registered Nurse and Baccalaureate Degree Registered Nurse. Many advantages are apparent for not only the Registered Nurse, but the patient as well if the nurse obtains a higher level of education. Patients will have better outcomes, quicker recovery times, decreased death rates, and decreased hospital readmissions. Nurses will have increased job opportunities, improved skills, higher pay, management opportunities, and will have achieved another step towards a Master of Science in Nursing or a higher degree path. Patient Care Registered Nurses with Baccalaureate degrees have proven to achieve better patient outcomes and fewer patient deaths. The nurse’s response time, sharpened assessment skills, and preparedness to handle patient emergency situations is enhanced. Patients may also have a shorter length of hospital stay, quicker recovery times, decreased death rates, and lower hospital readmissions. With the additional training provided to Baccalaureate Degree Registered Nurses, patients may feel as if their care is better and have more trust in the Baccalaureate Degree Registered Nurse. Advancement of Career After working many years as a nurse who performs direct patient care in a setting such as the emergency room, operating room or as a hospital floor nurse, many nurses want to make an advancement in their career or change to a different nursing role . At this point in time, only certain positions require that a nurse hold a Baccalaureate Degree...
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...practice. Specialization is concentrating or limiting one’s focus to part of the whole field of nursing. Expansion refers to the acquisition of new practice knowledge and skills, including knowledge and skills legitimizing role autonomy within areas of practice that overlap traditional boundaries of medical practice. Advancement involves both specialization and expansion and is characterized by the integration of theoretical, research-based, and practical knowledge that occurs as part of graduate education in nursing. APN is an umbrella term for the four roles mentioned earlier: clinical nurse specialist (CNS), certified registered nurse anesthetist (CRNA), certified nurse-midwife (CNM), and nurse practitioner (NP) (Sheer, & Wong, 2008). Each role is distinguishable from the others, but in some respects they overlap. This APN definition encompasses nurses engaged in clinical practice; it does not include nurses with advanced preparation for administration, education, or research (ANA, 2014). Only recently has the expectation arisen that APNs should receive their education within master’s or doctoral nursing programs. Although CNSs have always required master’s degrees in nursing, the educational preparation for many nurse-midwives, nurse anesthetists, and nurse practitioners did not necessarily occur in graduate nursing programs. Now, however, NPs must receive their education in graduate masters or clinical doctoral programs in nursing (Sheer, & Wong, 2008). Moving the education...
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...In order to become a Certified Registered Nurse Anesthetist, you must first be in college, take some health and science classes and try to get into the Nursing program as a Registered Nurse. The RN programs are very selective, so they usually prefer those with a GPA of 3.0 or higher to be accepted into the nursing program. Once you are into the nursing program, and completed the courses, you will then need to take the State Board Nursing exam as a Registered Nurse. Upon completion of the courses and passing the State Board Nursing exam, you will be licensed as a Registered Nurse. As an RN prior to becoming a CRNA, you will need to work in hospital facility in the Emergency Department, Surgery room, and in the Intensive Care Unit to gain experience and be expose to the atmosphere. By gaining experience in those departments, it will enhance the knowledge and skills to become an exceptional Certified Registered Nurse Anesthetist. While working in the hospital, you should enroll in the Bachelor’s Nursing program. After completing the Bachelor’s Nursing program and obtaining a BSN degree, you can then enroll in the CRNA program for your Master’s; and once you complete the CRNA program and obtained the Master’s degree in CRNA, you can work as an Intern in hospitals, small or large facilities that offers internships in CRNA. Upon working as an intern, you will also begin to gain more knowledge and skills in working as a CRNA, and once you’ve mastered those skills and have the potentials...
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...The debate of mandating of Associate Degree Nurses (ADN) to obtain their Bachelor's Degree in Nursing (BSN) in three years Hospitals are currently preferring to hiring those with a BSN's as opposed to those that have ADN's. Future Nurses and nursing students are on the forefront of the proposed legislation that mandates RN's to receive a Bachelor's degree within 3 years of licensure. Nursing schools that offer ADN may see a decrease in enrollment due to those pursuing a career in nursing will apply to a school that offers a BSN program. Nursing Schools will be affected and may have to offer accelerated RN-BSN programs, which may or all together eliminate the ADN program. Hospitals and Healthcare facilities will be directly affected because; they might have to terminate employees that are non-compliant to the new mandated law of having a BSN in three years. Stakeholders The stakeholders of this topic that are affected by this proposal are current and future nurses, nursing students, nursing schools, hospitals and healthcare facilities. " Stakeholders at the federal and state levels have an opportunity to address the nursing shortage by moving to enact legislation and launch programs to increase nursing education and provide funding" (Raines C. and Tagllireni 2008). Governments Role and Legislative Substantiation The government’s role will be to approve and implement the legislation of mandating a BSN within three years of licensure. The government could receive...
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...Gods.People used different ways to trat the sickness .Many more eras came and every nation intiated specific practices and contribution in the nursing or medical professions. 0. Florence Nightingale - The word "nurse" is synonymous with Florence Nightingale, the most famous nurse of all time. A British nurse who worked during the 19th century, Nightingale was a selfless nurse who braved harsh conditions in battle during the Crimean War. Also a statistician, Nightingale's dedication to reducing the deaths of British Army soldiers sproduced some groundbreaking findings on the living conditions of patients. Nightingale advocated cleanliness for all people in the hopes to reduce illness and death. 0. 0. Clara Barton - Clara Barton's name is almost as closely related to nursing as Florence Nightingale's. Barton is most famous for organizing the American Red Cross. A lifelong philanthropist in the 1800's, Barton was shocked at the number of lives lost in the Battle of Bull Run due to lack of medical supplies. After that, she traveled with medical teams during the war and assisted as a nurse. Amazingly, she had no formal medical training before her efforts in the war. 0. 0. Margaret Sanger - Margaret Sanger is one of the most famous nurses and women's liberation activists in the world. She advocated women's use of birth control, something that was not common in the early...
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...Personal Career Analysis: Nurse Practitioner November 5, 2014 Personal Career Analysis: Nurse Practitioner “They may forget your name, but they will never forget how you made them feel.” This quote said by Maya Angelou is very applicable to a nursing career, especially for a nurse practitioner. A nurse practitioner is an advanced registered nurse that coordinates and provides patient care. This field is all about helping others. The study of anatomy and physiology of the body is very interesting, and this career is all about knowing how the body works and treating it. Many people who chose this career get inspired by their own doctors or nurses. One might also choose this career because of a past experience of seeing how this career affects other people’s lives. Just like any job in the medical field nurse practitioners have a very interesting job. They see new things every day. The main, most interesting nature of the job is to help patients by examining and treating them. A nurse practitioner can do a lot of things a physician can do. They can diagnose and treat illnesses, prescribe medications for common acute illnesses, and order tests like X-rays and EKGs(“Nurse Practitioner,” 2014). The work environment for nurse practitioners can vary. Some work in a hospital, physician’s offices, outpatient care centers, and also in schools. In order to be a nurse practitioner one must first obtain a bachelor’s degree in nursing, known as a registered nurse. After becoming a RN one...
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...Debra Sawyer AUI Credentialing for physicians and nurses and other non medical providers Physicians Credentials The role of a physician is to diagnose and treat the illnesses of their patients. When a physician sees a patient who has an injury or is ill, the physician must first identify the problem or diagnosis the illness. A physician’s credential is a personal qualification of achievement and trustworthiness that can be used to substantiate and verify competence and licensure. These documents represent evidence of a provider’s training, licensure, expertise and experience. Why credential providers? • To protect patients. • To verify that doctors meet accreditation and state licensing standards. • To verify that doctors are who they represent themselves to be. • To confirm clinical competence. Non-Physician Credentials by state law, must complete an accredited, formal education program. The majority holds a bachelor’s degree. Although they are employable with an Associates. Are licensure requirements different form state to state In each state, the State Board of Nursing specifies what educational, clinical, and licensure requirements are necessary to practice in the state. Nurse Practice Act (state legislation that sets out the requirements for nurse licensure in the state) contains the states requirements for the practice. All 50 states require that nurses remain licensed in order to practice and it varies from state to state. (Austin...
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...Health Care Interview The person I chose for my interview is Marlene Jones-Wallace. She is 42 years old and she is a LPN or in other words a Licensed Practical Nurse. Marlene has been a LPN for 7 years at Montefiore Medical Center. She works within the Emergency field. I have gained information about what is takes to become a LPN, What do they do? And other information I felt that we should know. A licensed practical nurse or LPN works under the direction of registered nurses and doctors. They care for patients who are sick, injured, recovering or disabled. A licensed practical nurse is also known as a licensed vocational nurse or LVN. The job involves a variety of daily tasks ranging from dressing wounds to feeding infants. On the job, Licensed Practical and Licensed Vocational Nurses perform a variety of functions. These functions can be maintaining records of patients' histories, provide dressing or bathing assistance, update doctors and registered nurses on a patient's status, measure vital signs, assist doctors and registered nurses with tests and procedures, caring for and feeding infants, assemble and or use and clean certain medical equipment, start IV drips or give medication, and monitor medication and a patient's response. Most LPNs are trained to work in all aspects of health care, but there are some who specialize in certain areas. LPN’s or LVN’s can be found in all kinds of medical settings like hospitals, clinics, physicians' offices, nursing homes and even in...
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...Title: Core Competencies Necessary for the APN Role Development. Name: Course: Institution: Date: Interview with an Advanced Practice Nurse Introduction Interview with APN/CNP, Diane John Diane John, APN/CNP is a nurse practitioner at Health land, a Hawaii center for the public. She has devoted 30 years to her nursing career. She has worked as a nurse in a medical intensive care unit and as a research nurse in the study in the intensive care unit. She has been a Female Nurse Practitioner for the past 20 years where she started out as a midwife at wife care center, where she provided midwife services to women. Rationale for an engaged interview process The reason for this interview is to find out Competencies necessary for APN role development and also to get some background information of a nurse leader on a one on one basis. This information will be important because it will help us to develop leadership skills in the field of nursing. About the Diane John APN leader Diane John, APN/CNP is an attendant specialist at Health land, a Hawaii community for the general population. She has dedicated 30 years to her nursing profession. She has filled in as an attendant in a restorative emergency unit as a examination nurture in the study in the emergency unit. Interview What is the CNS nurse? The CNS is a practice for preparing advance practice nurses to be part of the clinical practice team where you work together with doctors to provide service to patients.Bringing knowledge into...
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...advanced compared to years before? I have the answer. The nurse is the person in charge of taking care of patients, and medicine is so advanced thanks to the technology we have nowadays. I chose to be a Registered Nurse (RN), but I know is not an easy job because they have to perform different job duties. Not everyone can become a nurse, in fact, to be one, you need some requisites first. Afterward, medicine has become improved because of the advances we have on technology. When people choose Registered Nursed (R.N.) as their career they have to perform various job obligations. According to a website called “Monster” registered nurses have to “provide direct patient care and report any changes in patient status to the doctor treating the patient”. The nurse also “needs to keep in contact with the patient to let the patient know he is in good hands and good care”. In addition to that, the doctor always “needs to be informed about any change in the patient’s health” so he knows what medicines give the patient to become healthy again. Additionally, the same website also addresses that “they also need to update the condition of the patient to their family members and about the trainings, medicines and precautions that the patient needs to take as per plan of care.” The patient is not going to be in the hospital under a nurse’s care forever, so the nurse needs to inform the family how to take care of the patient. The nurse needs to tell them about the medicines the have to give...
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...practice is regulated by the California Board of Registered Nursing (BRN). BRN is a state government agency that was established to regulate the practice of registered nurses. The BRN is responsible for implementation and enforcement of the Nursing Practice Act: the laws related to nursing education, licensure (NCLEX), practice, and discipline. BRN is responsible for issuing and renewing the licenses of nurse practitioners, register nurses, and licensed vocational nurses, along with setting standards for nursing programs and approving nursing program. (Board of Registered Nursing - What is the Board of Registered Nursing?, 2015) BRN related to our nursing practice for example “No person shall engage in the practice of nursing, as defined in Section 2725, without holding a license which is in an active status issued under this chapter except as otherwise provided in this act.” (Board of Registered Nursing - Business and Professions Code, 2015) On the other hand, a professional nursing organization like American Nurses Association (ANA) is the only nationwide nursing organization which represents the entire registered nurse population. ANA advances the nursing profession by fostering high standards of nursing practices, promoting the economic and general welfare of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on health care issues affecting nurses and the general public. (ANA Statement of Purpose...
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...Rachel Miley Nursing Roles 1 Nursing Practice Act July 2015 Nursing practice is to do or perform habitually or customarily, make a habit of. (Mosby) But it is also the performance that requires specialized education, knowledge, and judgment of a trained person. This trained individual can be a licensed practical nurse, a registered nurse, a bachelor’s degree nurse, a master’s degree nurse, or a nurse practitioner. But all nurses must be able to observe, assess, and act on what your findings are. The goal of a nurse is to take care of patients to the best of their training and ability. Their ability will be defined in the term scope of practice. Scope of practice is defined as the extent and limits of the medical intervention that a health care provider may perform. (Farlex) Or in other words, staying within the professional nursing knowledge and not practicing above or below your scope of practice. A registered nurse, like everybody else, have responsibilities that come with the job. But they do differ in precise qualifications. A nurse must be able to assess, formulate, plan, implement, initiate, and evaluate nursing actions that are necessary in the field of nursing. They must be able to accept responsibility for their own actions and work well with others in a team setting. Communication is a key factor in nursing. Coworkers, patients, patient’s families, doctors, therapists, and emergency response teams are all the people that should be communicating with. Respect...
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...underpaid, stressful, but yet rewarding career. When someone thinks of a nurse, the first thing that comes to mind is probably the registered nurse (RN). Many people will argue that the only “real” nurses are those who hold at least an associate degree in nursing. From the vocational nurse to the doctorate degree nurse, each have a wide range of capabilities and responsibilities. The vocational nurse is a person who has completed a one year accredited certification program that also requires a state board licensure exam. LVN’s are also real nurses. Although all roles are not equal, each one has important responsibilities to fulfill. Many have often wondered what the differences are between the license vocational nurse and the RN. The role of the nurse is ever changing. The scope of practice for each can be found on the Board of Nursing website at https://www.bon.texas.gov. The following is a quick comparison about the two. THE LVN Most LVN’s are responsible for many of the patients basic needs such has helping with baths, and assisting in bedside care. They also participate in monitoring patients condition such as recording vitals and performing focused assessment to help the ongoing care of the patient. The LVN can also provide moral support for patients and families dealing with a disease/disorder or loss in the family. All these things must be done under the direct supervision of an Registered nurse (RN), physician, physician assistant, podiatrist, or dentist.(pg 25 NPA)...
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...clinical tract and the management tract of nursing. The purpose of this paper is to discuss some of the advancement opportunities one has as a professional nurse with a bachelor of science ( BSN) degree. In the Clinical tract, we see nurses moving up the ladder through advancement in education. Most nurses started as Nurses Aid or Licensed Practical Nurse (LPN). A number of nurses advanced by obtaining an Associate of Nursing Degree (ADN), and subsequently passed the state board of nursing exam to become a registered nurse. (Carter, 2012). As frontline RN, you are inclined to confront real life and death issues; be it resuscitating a patient in the unit or providing care for terminally ill patients. You acquire experience and become very comfortable with patient care in the clinical setting. However, the quest for more knowledge and the belief that we can do better, motivates an individual to pursue higher education like the Bachelor of Science in Nursing (BSN) or a Masters of Science Degree in Nursing (MSN). These undertakings allow for the exploration of other opportunities in the clinical setting as well as the management setting. (Donley & Fiaherty,, 2008). Some of the opportunities in the clinical tract include Unit Nurse Educator, Certified Registered Nurse Anesthetist (CRNA), Nurse Practitioner (NP), and Clinical Nurse Specialist just to mention a few. In the management tract, the focus is usually on the performance of the work force, which ultimately will have trickling...
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