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In the last few decades nursing has become a much-sought-after profession, as the pay is very good and jobs for nurses are steadily increasing, especially at the highly skilled level. According to the Bureau of Labor Statistics, for instance, Nurse Anesthetists, Nurse Midwives, and Nurse Practitioners — all types of advanced practice nurses — can expect job availability to grow at a rate of 31 percent between and If you already have a nursing background, you may be able to enroll in a program right away.
If, however, you have a lower level of certification, it may take you a little more time to get there — but you can do it! This article will go over what an advanced practice nurse is and what they do, what the job industry looks like, and how you can get started in the field.
While getting into a program, financing it, earning your degree and becoming certified may seem like a lot of steps, they are all crucial to becoming an advanced practice nurse and well worth it if this is the career of your dreams.
Their advanced training means they have greater levels of knowledge than their RN counterparts, manifesting in greater decision-making ability and expertise in areas such as diagnosis and assessment, planning and implementation, evaluation of healthcare and record-keeping.
Although nurses have a long history of being subservient to the doctors or Nursing health hx systems under which they work, advanced practice nurses have a chance to break this glass ceiling and become significantly more autonomous in their scope of practice and their ability to rely on their own knowledge to make decisions about patient health.
Advanced practice nurses serve many functions in a clinical setting. Diagnosing patients as they come Nursing health hx Performing physical exams Performing other exam types, such as psychological, psychosocial, functional and developmental tests and diagnostics Ordering lab tests and interpreting results Developing differential diagnoses Maintaining patient records and ensuring patient privacy and clinic or hospital compliance Evaluating patient progress and responses to various treatments to modify treatment and care plans as necessary Providing counseling to patients and families Referring patients to other treatment facilities Providing consultations to patients who have yet to choose a course of action Dispensing medications to patients Participating in research studies While registered nurses RNs provide many of these same services, advanced practice nurses have considerably more freedom to make decisions, suggest treatments and courses of action, and determine care for the patients with whom they work.
Not only that, advanced practice nurses often serve in a consulting capacity for the other nurses on their staffs. They may offer advice, give second opinions, help examine patients and craft treatment plans.
They also often work to improve overall care in the settings at which they work and improve patient health delivery systems.
Types of Advanced Practice Nurses Four main types of advanced practice nurse exist.
In order to work in any of these positions, you must complete an applicable training program and pass the board of certification exam for that particular type of nursing. While they perform a range of services to patients and may assist doctors or other medical professionals, they are also often active in teaching and patient advocacy, and may conduct research as well.
Certified Registered Nurse Anesthetist This type of advanced practice nurse provides anesthesia to a wide range of patients in a variety of care settings.
They are certified to provide a full spectrum of anesthesia care, including for surgical procedures, and may work with healthy to very sick individuals of all ages and all levels of acuity, including patients who cannot give consent or are in life-threatening condition.
Not only does a CNM help women with contraceptive control and gynecologic care as well as family planning, she assists in all stages of the pregnancy cycle.
This includes initial consultations as well as prenatal visits and exams and postpartum care for the mother and care of the newborn.
The level of autonomy depends on the state and the clinical setting. Clinical Nurse Specialist A Clinical Nurse Specialist, as indicated by the title, specializes in a certain area of medicine.
You may earn your specialty depending on where you work, such as in a clinic, in critical care or in the emergency room. Your specialization may link to the population you serve, such as children, women or the elderly. You may choose to focus on a specific disease or group of diseases, such as cancer oncologyheart disease or diabetes.
If you choose to specialize in specific issues such as pain, wounds or stress, you may specialize in a health problem area. You can specialize in care type, such as psychiatric or rehabilitative, if you wish to work with a specific type of patient undergoing a specific health condition.
Clinical Nurse Specialists — like all the advanced practice nursing types — do also provide primary patient care to those under their scope. This is a question that many potential advanced practice nurses are interested in, since nursing has historically been a field that lacks autonomy.
The answer is a partial yes: As an advanced practice nurse, some states allow you to actually have your own office or clinic, or to work independently in a larger setting.
However, advanced practice nurses are authorized to receive Medicaid reimbursement. However, in a full 45 states, advanced practice nurses are authorized to dispense medication, meaning that they can very often complete the complete cycle of care on their own, from patient check-in and diagnosis to treatment plan and prescription of treatments and medications as well as follow-up visits.
Keep in mind that some advanced practice nursing jobs require by definition a larger setting, such as anesthetists, who have to work under doctors or surgeons in order to fulfill their roles.
Many state laws also restrict the movements of midwives of any kind, including Certified Nurse Midwives, so the rules may be different for that scope of practice than for others. Job, Salary and Benefits As mentioned above, advanced practice nurses can expect a rapidly growing set of job opportunities across the country as well as a very decent salary.
Because of the growing number of jobs, advanced practice nurses can expect: A wide range of settings in which to work An abundance of jobs in a range of available specialties Jobs to be available in most states Availability of work with a range of populations, especially with the Baby Boomer generation, who are living longer but simultaneously getting sicker Healthcare legislation that favors them and enables them to continue to expand their scope of practice Earning an advanced practice nursing degree and certification comes with other, less tangible benefits as well.
As discussed, advanced practice nurses enjoy a significantly increase in autonomy compared to their RN counterparts.NURSING HEALTH HISTORY. DATA COLLECTION. STUDENT'S NAME.
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Teen may have underlying desire to retaliate against parent, her form of delinquency, but may improve her health choices. Higher risk of mental illness in the future. Int’l Perspective Nursing Care Management. Assessment: Hx. family & personal physical health, OB. hx, gyne. hx, substance abuse.
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