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Registered Nurse with extensive experience in the healthcare field. Goals direct. Exceptional leadership ability and good professional judgment. Strong patient advocacy.…
Thank you for your informative and detailed post. In regards to proper compensation for Advanced Practice Registered Nurses (APRN), proper documentation and accurate coding will be important (Fant & Theiss, 2015). Professional coders may perform coding to ICD-10 in larger practices, however, in smaller practices ARNPs and physicians will be doing the coding (Nicoletti, 2015). ICD-10 codes are more numerous and detailed than the ICD-9 codes (Fant & Theiss, 2015). Providers will have access to a code index and coding tools to assist them in choosing the proper codes (Fant & Theiss, 2015). ARNPs will also typically use a subset of the codes on a regular basis (Fant & Theiss, 2015). ARNPs can concentrate on becoming familiar with the codes…
New Mexico is a welcoming state for Advance Practice Nurse Practitioners. In the city of Albuquerque there are three major providers of healthcare: University of New Mexico, Presbyterian, and Albuquerque Health Partners. In a broad search for job postings with each of these organizations, there are multiple opportunities for a Family Nurse Practitioner. These opportunities are in clinics, in-patient setting, specialty settings such an oncology and gastroenterology. Each of these organizations has a separate focus. The University of New Mexico (UNM) is a non-for profit organization that is the primary site for the noninsured or underinsured residents of New Mexico and the surrounding Indian Reservations just outside its boarders. It is…
The interviewee said that her practice is mostly providing direct care to the patients. She also sought consultation from infectious diseases department, physical therapy, and orthopedics for patients with different issues. She collaborated with physicians, nurses, case managers, case coordinators, and therapists to manage patient care. The interviewee stated that she did not participate or lead any formal research projects in her career. However, she mentioned that she keeps up to date with new knowledge and information through her continuing education using Medscape. She also attended several nurse practitioner conferences in various states as a part of her continuing professional development. She fulfilled her leadership role by being an important resource person to the department. She denied assuming any formal leadership role in her professional career. She said that she had trained and coached university nursing students in the past. Current department policies did not allow her to precept any students. The interviewee denied facing major ethical decision making dilemmas. She stated that she had been working in her current department as an NP for more than 20 years and the patients she treats are not critical. She denied being in the middle of critical life and death situations in her professional practice. The interviewee stated that whenever there was a conflict,…
As an advanced practice registered nurse (APRN), we must be able to screen and diagnose appropriately. Understanding the difference and the purposes they serve are imperative. According to PubMed Health (2016), screening should be done prior to the patient being ill to detect the disease process at an early stage. Diagnostic test determines the exact cause of the symptoms. I believe as an APRN there are many factors to consider prior to screening a patient for a particular disease. These factors include age, ethnicity, personal and family history, cost and geographical location to name a few. Knowing current evidenced-based screening practices should also be a key consideration. For these reasons, I do not believe screening for a specific disease…
Working as clinical nurse specialist in the outpatients department for a number of years the author has been deemed competent…
This main author of this article is a practicing nurse with RGN credentials. She uses many well-known and reliable health organizations as sources for this article.…
Family nurse practitioners (FNP) are advanced practice registered nurses (APRN) who work independently or in collaboration with other health care professionals to deliver family-focused care. In 2014, the American Academy of Nurse Practitioners reported over 205,000 nurse practitioners in practice with nearly 55 percent of all NPs focusing on the family (American Association of Nurse Practitioners [AANP], 2015). Given the broad nature of the “family” patient population concentration, FNPs provide an extensive range of healthcare services that revolve around the family as a whole; from health promotion and disease prevention to direct care and counseling throughout…
B.A later pursued a Licensed Vocational Nurse program and graduated in 1996. From 1996 to 2000, she worked as an LVN, where she refined her technical skills on intravenous therapy, medication pass, catheterizations and irrigations, and also patient’s safety and support implementations (Master of Science in Nursing, 2013). Later, she went back in school and was awarded an associate degree in nursing.…
Case management nursing is a long term concept that has successfully evolved into a professional model that is highly sensitive and responsive to contemporary practice demands. The multitude of issues posed by the evolving healthcare system necessitated case management nursing. The demographic changes in work force composition have compelled health care providers to restructure and be having innovative thinking of priorities related to delivery and management of patient care. The strength of case management nursing therefore comes from the philosophy and collaborative practice strategies of both primary and team nursing. Directing the proper delivery of patient…
In 2010, the Institute of medicine released a report that focuses on the Future of Nursing. In this report the IOM focuses on nursing issues that impact the way health care is delivered and also discusses advances in practice. “Nursing has more than 3 million members, making the profession of nursing the largest segment of the nation’s health care workforce” (Institute of Medicine, 2015). This statistic reinforces the need for nurses to receive support in the way of education, primary care, and nursing leadership roles.…
Nursing is a profession that constantly evolves to improve itself. There is a high demand for nurses all across America. Excellent nursing practice is achieved by understanding the history of nursing and integrating the milestones achieved with the present practice. Through advanced education and new technology the nurse can provide the patient with the best care and promote community health. Knowledge gives us power to change and advance in healthcare. My mission is to demonstrate excellence in clinical care by my commitment to evidence-based practice research, continuing education, and by delivering culturally competent patient…
Polit, D.F. and Hungler, B.P. (1993). Essentials of Nursing Research. Methods, Appraisal, and Utilization. 3rd Edition. Philadelphia: J.B. Lippincott Company.…
This journal reflects my first clinical experience at the Wascana Rehabilitation Centre. The experience has made me re-examine and analyze a lot about my path towards reaching my goal and becoming an RN. I felt that being able to touch and feel the working environment is extremely important for a future nurse and indeed for any health care provider. Real life experience is so important in learning.…