Family Nurse Practitioner

A baby was just born at 26 weeks gestation. Just over half the normal 40 weeks a baby should stay inside the mother. The baby is immediately whisked away and taken to be evaluated and prepared for a long journey ahead. Ever since I could remember babies and the nursery at the hospital have fascinated me. Whenever we would go visit a friend who had a baby, I would find myself peaking over the windows into the nursery. I have known for a while that working in the neonatal intensive care unit is what I want to pursue. Recently I have been looking into nurse practitioners and furthering my education beyond my BSN. Being able to care for these infants in the most critical stages of their life, and being able to provide them the support they need to survive outside the womb seems so satisfying . Neonatal nurse practitioners have years of education, deep history, detailed job description, high demands and some legal issues.

Family Nurse Practitioners (FNP) are nurses who have acquired a higher level of education after Nursing. FNP are trained to treat, prescribe, and to provide quality healthcare needs for patients. The role of a FNP varies according to their realm of practice and state requirements. The amount of service that they can provide depends on the freedom of practice the state gives the FNP. Each state has various boundaries set for NPs to practice their field of healthcare. Nurse Practitioners can use their knowledge as a RN to boost their NP skills by using improved patient care techniques and evidence-based practice. Evidence-based practice provide NPs support by laying out the necessary components of healthcare methods in an organized fashion. NP learn to use evidence based practice to provide patients with the best possible care and treatment available. write more..

A good protocol is created from evidence-based medical practices agreed on by medical staff involved in anticoagulation therapy (i.e., all stakeholders) and addresses key decision points and respective courses of action integrated with the clinical judgment and experience of the practitioner.

As I consider why I have chosen to pursue a doctorate degree in nursing and

Affordable Care Act (ACA), and the aging of the population are the three major factors driving healthcare costs at this time (CMS, 2014). The nursing profession has the ability to contribute to refining the cost-effectiveness and efficiency of care through the delivery of evidenced-based treatment strategies to known populations with communal needs, and by advocating for polices that address the fundamental aspects that influence health and healthcare (Curley & Vitale, 2016, p. 5). The NE must be well-informed of laws entrenched in policy, as well as those central to both healthcare delivery systems and payment structures. Having knowledge of policy and law will enable the nurse leader to provide financial stability and sustain quality

Drafted by congress under the recommendation of president Barack Obama, signed into law on March 23, 2010 by President after long legislative debates, the Affordable Care Act 's main purpose is to provide access to affordable and comprehensive health coverage to millions uninsured Americans who do not have coverage or adequate coverage, those who would be denied coverage under the previous insurance practice either base on pre-existing condition, gender or age, while controlling the cost of health care. (New York Time, October 26, 2014) The purpose of this paper is to provide a comprehensive overview of the Affordable Care Act, examine the nine titles of the law, their effectiveness as well as their impact on the nursing practice today

Everyone faces struggles in their life. Some allow those struggles to help build them as a person, others let those struggles tear them down. For me, I allowed my struggles to help me develop academically and personally. Without struggle there is no progress.

In this paper I plan to discuss an increasingly difficult topic of The Patient Protection and Affordable Care Act. I will go over the basics of the act including who founded it, when, what it states as well as what its purpose is. I will also discuss the nine titles of the Affordable Care Act. I will then go over how four of the nine titles have affected how nurses provide care. I will finalize my paper by reflecting upon what I have learned from the Affordable Care Act.

Healthcare in the United States in the 1950’s and 1960’s experienced an upheaval with the expanded availability of the Medicare and Medicaid programs and the increased specialization of medicine. The shortage in providing health care coverage to low-income women, children, the elderly, and people with disabilities gave clinically experienced nurses the opportunity to fill the primary care void. This was accomplished with the introduction of the first Nurse Practitioner program. The NP program was co-created in 1965 by a nurse educator, Loretta Ford, EdD, RN, PNP, and a physician, Henry Silver, MD, at the University of Colorado as a non-degree

Growing up my family had little to no money. My parents, immigrants from El Salvador, worked two jobs each. Home was a small space with a conjoined kitchen and living room. When Mom and Dad first arrived to America, they never imagined a child of theirs would become a university student. Coming to America itself was in their wildest dreams. To them, an education of that level was unattainable. Now, I represent my family wherever I go. I am at TWU for my family and for my dreams. One day, I will be the Nurse Practitioner I always envisioned. But more importantly, I will give my parents and my grandmother everything they never had. Now that I am older I comprehend the magnitude of their sacrifices. When I hear the name Texas Woman’s University,

As the years go by, the nursing field is expanding. Different types of nurses are being needed for a variety of jobs in the nursing field. This field of work is especially one of the most important because the world will always need nurses. Although the nursing field is very competitive to get into, the need for nurses increases rapidly as time goes on. A CRNA, Certified Registered Nurse Anesthetist, is one of the most popular fields being practiced. A Certified Registered Nurse Anesthetist is a step further than a Registered Nurse. Certified Registered Nurse Anesthetists are advanced nurses that specialize in anesthesia. CRNA’s provide anesthesia care for millions of patients in the United States of America. Anesthesia is a form of medicine that puts a person that is undergoing surgery to sleep while also numbing the pain. There are many steps in the process to becoming a CRNA, it is a very serious field, therefore it requires more experience and training.

The first step to becoming a Pediatric Registered Nurse is to earn a Bachelor of Science in Nursing degree. This takes about 3 to 4 years. Getting into a nursing program is highly competitive and requires the best grades and GPA. After graduating, you must pass the national licensing exam called the NCLEX-RN to be able to work as a Registered Nurse. After gaining experience from training with children with different diseases or health issues, you can continue education and receive a certification in pediatric nursing. A Pediatric Nurse’s range salary would be between $52,000 to $88,000, depending on where you work and the employer. Nurses have been increasing demand and their employment will be rising for the next decades.

“Nurse practitioners were created in an environment of informal training, a lack of credentialing processes, increasing sophistication of medical care, and opposition” (Medscape). In 1970, Nurse practitioners stated that patients were pleased with their improved convenience of health care services. In the early 1980s, health care encountered challenges to clarify their scope of practice and nursing organizations offered titles and certifications to meet federal regulations for reimbursement (Medscape). Nurse practitioners faced several barriers to gain provider status and needed direct reimbursement to practice as independent health care providers. An aggressive campaign was created and nurse practitioners achieved legislation over 20 years, resulting in provider status in 1997.

The primary care nurse practitioner (NP) encompasses six different specialties: the Family NP, Adult NP, Pediatric NP, Gerontological NP, Adult-Gerontology Primary Care NP, and the Women’s Health NP. Each of these fields is unique, and each has a diverse subset of knowledge. The primary care NP can practice in a variety of locations including long-term care, acute care, private practices, and community-centered offices. The Family NP is considered to be the broadest of the primary NP specialties, as it is comprised of adults, geriatrics, pediatrics, and women’s health. Based on graduation statistics gathered in 2012 from the American Association of Colleges of Nursing (AACN), 82% of NPs elected primary care fields as their education focus (Hamric, Hanson, Tracy, & O’Grady, 2014).

Without full practice authority for nurse practitioners, there are a number of disadvantages that will be experienced by both NPs as providers and their patients. The Affordable Care Act and Medicaid expansion has made healthcare more affordable and accessible. While this is a great step to improving the overall health of America, a shortage of provider continues to be a problem. With more people utilizing healthcare services, it is important for NPs to be given full practice authority. The Medicare Access and Children’s Health Insurance Program (CHIP) Reauthorizations Act is one legislations that has partially addressed this issue.