APRN Reflection Paper

Both Nurse Practitioners (NP) and Physician Assistants (PA) are two very important professionals in the field of medicine. They both work under the supervision of a licensed physician, and their functions are also quite similar with very minor differences between the two. Due to such similarities it has become very difficult for the general population to differentiate between these two professionals (Nurse Practitioner School, 2015). The nurse practitioners are registered nurses who have gone on to earn a master's or doctorate degree in a specialty area of nursing, such as family practice, adult practice, pediatrics or women's health. Their duties include diagnosing and treating acute and chronic conditions, prescribing medication,

The customs and practices of the APRN has been restricted in many states. The sociocultural aspects of APRN have been a collaborative effort with a physician under the standards of care agreement. When a patient needs to be seen by a provider the APRNs have

The APRN Consensus Model was released in July of 2008 to define advanced practice registered nurse, identify the titles to be used by APRNs, and define specialty area of practice. The Consensus Model also describes population foci, suggests a process for recognition of new APRN roles, and recommends requirements for implementation (American Nurses Association [ANA], 2010). The APRN regulatory model helps uniform scope of practice of APRN across the United States, which benefit individual APRN, enhance patient outcomes, and improve the quality of care. Consensus Model consists of Licensure, Accreditation, Certification, and Education. The Education criteria in LACE Consensus Model relate to all APRN programs regardless of master’s or doctoral

When this class started at the beginning of this semester I was not sure I would learn a lot. The main objectives of this class were fairly simple. There were five main objectives to use and know. They are the following:

Poghosyan and Knutson conducted a survey of 278 APRNs to better understand their independence and role in New York State primary care settings. Forty two percent of the APRNs surveyed stated they have their own patient panel and do not share panel with physicians and two thirds are able to review the outcome measures of the care they deliver. The study found that despite the restrictions on APRNs they freely apply their clinical knowledge

There have been concerns regarding the identification and credentialing of advanced practiced registered nurses (APRNs). A APRN is a registered nurse who has successfully completed an accredited graduate-level education program, in which the individual is well prepared and successfully passed the nationwide certification examination (APRN Consensus Model, 2008). However, there are still debating issues of who would fall under the APRN category. The National Council of State Boards of Nursing (NCSBN) has identified four APRNs who are deem fit to be called ARPNs; however, only two will be named. They would be certified registered nurse anesthetists (CRNAs) and certified nurse practitioners (CNPs). Whereas, the nurse informatics and the nurse administrations are not considered to be APRNs; although, they are still license registered nurses but they do not provide direct patient care and are not required to take the national certification examination (ARPN Consensus Model, 2008).

Therefore, reimbursement to APRNs is limited for the many services that are provided to patients (Yee, Boukus, Cross & Samuel, 2013). In Florida, legislative sessions are held at specific dates throughout the year. According to the Florida Association of Nurse Practitioners (FLANP), three specific bills of interest that affect ARNP scope of practice: “SB 96 is proposed in to allow ARNPs to be medical directors; S634/HB 645 will enable ARNPs to sign Certificates of Involuntary Commitment (Baker Act) and CS HB129 will declare all Floridian ARNPs to be medical directors and gain signature ability and HB 7011 which initiates independent full practice for NPs” (Florida Association of Nurse Practitioners (FLANP), 2017).

Throughout the healthcare system, ARNP are often mistakenly referred to as “doctor”; both directly correct the identification describing the difference between the two, and she is an ARNP. As healthcare is

According to reports found on the web page MEDPAGETODAY (2014) there has been an increase in the independent practice for advanced practice registered nurses (APRN). The article quotes data from the American Association of Nurse Practitioners (AANP) which reports 17 states and the District of Columbia allowing “full practice” with this meaning the APRN evaluates, diagnoses, orders testing, prescribes medication and initiates and manages treatments. 21 states require “collaborative agreement” with a physician and 12 requiring supervision of a physician. Collaborative agreement scope of practice varies by state and institution of employment.

By allowing APRNs to practice to their full authority it will provide patients with direct access to healthcare across the State of Tennessee. Full practice authority for APRNs can expand access to healthcare, improve efficiency, decrease cost, and give patients more individualized choices regarding their primary care provider (Jackson, 2014). APRNs are well positioned to be a vital part of the primary health care setting without restrictions, given the educational background, training, and extent of experience within the healthcare field (Gutchell, Idzik, & Lazear,

The statutes lay out the rules for collaborative practice and prescriptive authority. A written collaborative practice between the APRN and a physician must be in place for an APRN to work beyond a nursing license. The collaborative physician must be within geographical proximity thirty to fifty miles. There is an exception to the mileage rule for qualifying rural facilities. The physician must review ten percent of all of the APRN’s charts every two weeks and twenty percent of charts/patients that are receiving controlled substances. The written agreement must contain a list of prescriptive medications the physician will allow the APRN to prescribe in agreement with state prescriptive laws. The physician must document a minimum of thirty days of full supervision of the APRN before allowing the APRN to practice without the physician present. And finally, CRNAS are allowed to administer anesthesia without a physician physically present as long as there is one that could be available if

APRNs must have a valid license issued by the state board of nursing prior to practicing or offering to practice health care for any individual (H.B.4334, 2016). To obtain licensure, one must submit a written application, verified by oath, with an application fee to the state board of nursing (H.B.4334, 2016). The applicant must have a registered nurse’s license which is in good standing, have satisfactorily completed a graduate-level program in nursing, and have obtained a certification level recognized and approved by the state board of nursing such as a certified nurse practitioner, certified nurse anesthetist, etc. (H.B.4334,

As the young and rapidly-aging population continues to increase, the demands of primary, acute and chronic disease management will also increase. As a result, more health care professionals who provide primary care will be needed to meet these demands. Thus, the emergence of Advanced Practice Registered Nurse (APRN) evolve. APRN is a nurse who has completed a graduate degree and has acquired advanced knowledge and skills. APRNs are grounded with theory, concepts and principles that enable them to assess, diagnose, treat and manage their patients. APRNs can work in conjunction with other health care professionals or independently. APRNs improve access to health care by providing care in the rural and underserved areas. APRNs also reduce the cost to health care (Joel, 2013).

I share the same concerns on my writing as you. The APA guidelines are a continuing source of learning of rime. It is a goal of mine to master the APA guidelines. Regarding the course writing assignments I appreciate the Rubics. It serves as a map for me when I am completing my writing assignments. The Rubic also helps with the flow of my papers. When I am writing my assignments I approach my paper as a puzzle and allow the Rubics to serve as my guide. It is easier and less complicated for me to research, write and compile my paper. It may sound a little off but the process works for me. The information in the APA writing guide is extremely helpful. I am able to answer questions regarding my writing by referring the APA writing guide (APA,

Every fourth-year teacher trainees will have to conduct practicum and will work under the guideline of their associate teachers and supervisors. The purpose of doing the practicum are to put training into practice, to become accustomed to teaching in the tertiary school settings, and to develop and expand each trainee’s teaching expertise and confidence. In the following paragraph, I will express what I have learnt from doing practicum to reflect on my past teaching strengths and weaknesses from the teaching practicum.