Intro to ANP

Scope of Practice - A defined scope of practice for APRNs would:

-Establish the APRN as a professional role, and include APRNs in the legal definition of primary care providers -Clarify the APRN role and improve transparency -Allow APRNs to perform duties at their level of education/training -Assist with avoiding prosecution for practicing medicine without a license -Permit direct reimbursement for APRN services provided

Where can NPs practice independently?

21 States plus the District of Columbia -Maryland (2015) -Nebraska (2015) -Minnesota (2014) -Connecticut (2014) -Nevada (2013)

Historical Timeline - 1970s

By 1973, more than 65 NP programs exist in the U.S. National Association of Pediatric Nurse Practitioners (NAPNAP) is established in 1973 In 1974, the American Nurses Association develops the Council of Primary Care Nurse Practitioners, helping legitimize the role There are approximately 15,000 NPs in the U.S. by 1979

Accreditation

Formal review and approval by a recognized agency of educational degree or certification programs in nursing or nursing related programs

What are some of the primary activities of the nurse practitioner?

History and physical examination; screening Follow-up with deviations from normal Diagnose, treat and educate/counsel for minor acute and chronic conditions Perform an array of counseling and educational tasks Order and interpret diagnostic tests; prescribe medications

Historical Timeline - 1960s

In 1965, Dr. Loretta Ford and Dr. Henry Silver develop the first Nurse Practitioner (NP) program at the University of Colorado Boston College initiates one of the earliest master's programs for NPs in 1967 Directed by a nurse and physician team, the Boston-based Bunker Hill Massachusetts General Nurse Practitioner Program begins in 1968

Keys To Primary Care

Integrated Accessible Accountable clinicians Address the majority of health issues Sustained partnership with the patient Practice in the context of family and community

APRN Regulation Includes (hint: LACE)

Licensure Accreditation Certification Education

How NP Scope of Practice Differs from Physician Scope of Practice

Physician scope of practice, as defined by their education, training, and experience. Nurse Practitioner scope of practice is defined by their education, training, and experience, as it relates to a specific patient population

Role as an FNP student

Socialization -Faculty who are in practice -Preceptors who are advanced practice nurses in a variety of settings -Active membership in professional organization, attend meetings, be aware of political action -To learn to negotiate the role

Education

The formal preparation of APRNs in graduate or post-graduate programs

Certification

The formal recognition of knowledge, skills and experience demonstrated by the achievement of standards identified by the profession

Licensure

The granting of authority to practice