Nurse Practitioner. Patient Services Director
An Nurse Practition
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A Nurse Practitioner (NP) is a registered professional nurse who is currently licensed to practice and has undergone an advanced education programs which is recognized by the State Board of Nurse Examiners (Sherwood, Brown, Fay and Wardell, 1997). The NP plays an expanded role in nursing, providing care for individuals, families, and/or groups in a wide range of settings such as the home, hospitals, schools, community agencies, clinics (public and private), and in private practice. Some NPs practice independently, while others work in collaboration with other health care professionals. They concentrate on health assessments to promote health and prevent disease, diagnose and manage common acute conditions, refer patients to specialists when appropriate, and manage patients with stable chronic conditions in many different settings. NPs may order, conduct, and interpret appropriate laboratory and diagnostic tests, and prescribe pharmacologic agents, treatments, and nonpharmacologic therapies (Sherwood, Brown, Fay and Wardell, 1997). They are also responsible for educating and counseling individuals and families about healthy lifestyle behavior. NPs may also practice as Advanced Practice Nurses (APN), Clinical Nurse Specialists (CNE) Certified Registered Nurse Anesthetists (CRNA), and Certified Nurse Midwives (CNM), with appropriate study and training (History, 2006; Sherwood, Brown, Fay and Wardell, 1997). NPs serve the needs of primary health care systems, providi
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vate practice, as well as what part of California they wish to practice in. Growth and promotion is also dependent on the type of employment, and whether the NP wants to progress into a management position.
The benefits of being an NP are a higher educational level and therefore a higher skill and knowledge level, which makes the NP better able to take responsibility for all aspects of patient care. The benefits to the employer are having someone they can trust and rely on to lighten their work load (e.g. a physician). The downside is the NP assumes more responsibility with her role than a regular RN, and therefore has more liability for the patients' welfare. If she goes into private practice, these factors are accentuated.
Ethical dilemmas associated with the role arise due to the added responsibility, as the NP makes decisions at a higher level than an RN, and in many cases at the same level as a physician, particularly in private practice where there is no one to turn the decision over to. In private practice the NP must make the decision to run diagnostic tests, must bear responsibility for interpreting the tests correctly, and is responsible for the treatment of the patient on the basis of these results. In many
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Some common words found in the essay are:
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Approximate Pages = 11 (250 words per page)
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