Module 1 lecture notes role of NP. Questions & Answers. 100% Accurate

Module 1 lecture notes role of NP. Questions & Answers. 100% Accurate. APRN consensus model (LACE) - -2008 → License, Accreditation, Certification and Education (LACE) model was finalized for advanced practice RN roles: CRNA, CNM, CNS, CNP. - License: Granting the authority to practice. - Accreditation: Formal review and approval by a recognized agency of educational degree in nursing programs. - Certification: Formal recognition of knowledge, skills and experience demonstrated by the achievement of standards identified by the profession. - Education: Formal preparation of APRNs in graduate degree granting certificate programs. NP Accreditation - -NP programs are accredited through either the Commission of Collegiate Nursing Education (CCNE, 2016) or the Accreditation Commission for Education in Nursing (ACEN, 2016). States requiring board certification - -47 states require board certification. California, New York and Kansas do not require certification; however, 3rd party insurance companies are not reimbursing. According to a state nurse practitioner organization, What are NPs? Registered professional nurses, prepared through advanced graduate education and clinical training, to provide a range of health services What services do NP's provide? Diagnosis, and management of common, and complex medical conditions According to Federal Law. how are NPs are described? those who perform, such services as such individual is legally authorized to perform in accordance with state laws and who meets such training, education, and experience required as the Secretary has prescribed in regulations." Another definition of an NP is that they are clinicians that blend clinical expertise in diagnosis and treatment, with added emphasis on disease prevention, and health management. An NP is an RN who has earned a separate license as an NP through advanced clinical nursing education and experience in a distinct specialty area of practice. Other names for NP's -Physician extenders -Mid-level practitioners -Nonphysician practitioners -Advanced practice nurses Physician Extender -Used by physicians' associations, generally aimed at the physician market Refers to NPs collectively Mid-Level Practitioner Some states use this term for reimbursement DEA uses this term for licensure Licensed to dispense controlled or dangerous substances Nonphysician Practitioner -Term used by Centers for Medicare and Medicaid Services and Medicare contractors -For Medicare purposes, includes nurse practitioner, clinical nurse specialist, certified nurse-midwife, or physician assistant. Advanced Practice Nurse Umbrella term used by some states to cover NPs, CNS, nurse midwives, CRNA services provided by NPs -Obtaining medical histories and performing physical examinations -Diagnosis and treatment -Ordering and interpreting labs, X-rays -Prescribing medications -Prenatal and family care -Well child and immunizations -Providing gynecologic examinations -Education and health risks, illness prevention, health maintenance -Independent decisions for management, treatment of medical problems -Makes hospital visits, follows hospital care of established patients In response to physician shortage in 1960s, the NP was created to solve the gaps in health care First education program emerged from the University of Colorado in 1965 First NPs started to practice in the late 1960s The Doctor of Nursing Practice (DNP) is for NPs who want a terminal degree but want to maintain a clinical, policy, or operations focus rather than produce, analyze, and evaluate research. NPs with a DNP are finding faculty positions at universities and executive positions in health networks as well as in government Advanced practice registered nurse (APRN) -Master's-prepared nurses who provide direct clinical care. •Nurse practitioner (NP) •Certified nurse-midwife (CNM) •Certified registered nurse anesthetist (CRNA) •Clinical nurse specialist (CNS) Consensus Model for APRN Regulation -APRN Consensus Work Group and National Council of State Boards of Nursing (NCSBN) APRN Advisory Committee -Address irregularities in regulation of advanced practice registered nurses across states •APRNs educated in at least one of the following population foci: -Family/individual across the life span -Adult-gerontology -Pediatrics -Neonatal -Women's health/gender-related -Psych/mental health Clinical nurse leaders -Responsible for patient care outcomes -Integrates and applies evidence-based information to design, implement, and evaluate healthcare systems and models of care delivery -Provider and manager of care at the point of care for individuals and cohorts of patients anywhere healthcare is delivered Clinical nurse sepcialists •Care to patients with complex cases across healthcare settings •Role originated due to need for nurses who could provide advanced care to psychiatric populations •Educate nurses across specialties: oncology, medical-surgical, pediatric, critical care nursing Nurse educators •Key resources in preparing nursing workforce to provide quality care to meet healthcare needs of a rapidly aging and diverse population •Must be competent clinicians •Debate in nursing education on clinical expertise for nurse educators Nurse practitoners •Providing care to vulnerable populations in rural and urban areas since 1960s •Role born out of shortage of primary care physicians able to serve pediatric populations •Today, they are largest group of advanced practice nurses and provide high-quality, safe, and costeffective care First nurse-midwifery school established in 1925 Today, nurse-midwifery programs housed in colleges and universities Primary care management of women's health -Focuses on pregnancy, childbirth, postpartum period, care of newborn, family planning, gynecologic needs of women Nurse anesthetists •Licensed as independent practitioners •Provide care autonomously in collaboration with surgeons, dentists, podiatrists, anesthesiologists •Provide evidence-based anesthesia and pain care services to patients at all acuity levels in a variety of settings for procedures •Two organizations certify nurse administrators: -American Nurses Credentialing Center -American Organization of Nurse Executives -Both offer certification exams in basic and advanced nursing administration Np role was developed as a way to provide primary care for the underserved Establishment of NP programs from federal funding in 1970s •Definition of an advanced practice registered nurse (APRN) •Completed accredited graduate-level program for a recognized APRN role •Passed and maintains certification •Acquired advanced clinical knowledge and skills for providing direct care •Builds on competencies of RNs •Educationally prepared to assume responsibility and accountability for health promotion and maintenance of patient problems •Has clinical experience of sufficient depth and breadth •Has obtained a license to practice as an APRN in one of the four APRN roles The Master's Essentials •Background for practice from sciences and humanities •Organizational and systems leadership •Quality improvement and safety •Translating and integrating scholarship into practice •Informatics and healthcare technologies •Health policy and advocacy •Interprofessional collaborat