Nurse Practitioner Model

Emergency and ambulatory care is one of the largest-volume patient activities, which makes it a key point of the continuum of health services in Canada. To better understand how this component of care is formed and shifting, several databases are managed to provide stakeholders with insight on visits, patient demographics and clinical, administrative and service-specific data associated with day surgery, emergency departments and outpatient clinics. These databases are fundamental components in carrying out the mandate to deliver unbiased, quality, reliable and relevant information to support decision-making and inform health care discussions. One of these core databases is National Ambulatory Care Reporting System (NACRS). The NACRS is a

Urgent care centers bridge the gap between emergency rooms and primary care physicians. By doing so such facilities are able to fill a niche in the market. However, one of the main drawbacks of urgent care centers is that continuity of care is low. Many patients, particularly the elderly, place a high importance on building relationships with their providers. Convenient care, with its episodic nature, poses the risk of fragmenting and disrupting such relationships.

Patient education, tele-medicine, expanding urgent care and primary care hours, urgent care departments, and co-pays in combination could help curb the number of non-emergent visits. Overuse of the emergency department causes overcrowding, ambulance diversion, long waiting times, frustrated staff, and cost inflation. These impacts are caused by inconvenient urgent care clinic and primary care office hours, quick results, emergency department referrals from urgent care clinics and primary care providers, EMTALA, and finally lack of co-pay. If the number of emergency department visits are decreased, staff can focus on caring for those who have life threatening conditions, and could result in cost savings for the entire healthcare

Preventing surgical site infections are a major concern for surgeons. Many surgeons require patients to wash with a skin antiseptic prior to surgery. A chlorhexidine wash is the antiseptic of choice for many surgeons. The patient is to wash with the chlorhexidine wash daily for three days.

Despite accepting advanced roles and responsibilities APRNs have often encountered various barriers in the delivery of effective health care based on the variability in the legislative requirements endorsed by various states. To overcome these barriers and improve the delivery of healthcare the Consensus Model for APRNs has been endorsed by 41 various nursing organizations focusing on defining the roles, population foci and implementation strategies across the nation (American Nurses Association [ANA], 2017). Creating a standard expectation regarding the practice of APRNs will help to foster more consistent, quality education APRN programs nationwide (Rounds, Zych, & Mallary,

Definition and Scope of Practice of a Nurse Practitioner Introduction An advanced practice nurse is a registered nurse who has developed and accomplished extensive practical experience and theoretical knowledge in critical decision making, and practice in their different areas of practice (Joel, 2013). Advanced practice nursing is a level of practice for such nurses who have acquired a certain level of educational and practical knowledge. The APNs play a major role in the healthcare industry, providing services such as patient assessment, patient history taking, physical and clinical examinations, ordering lab tests for patients, referring patients for specialized care if need be, performing diagnosis, and prescribing medications (Zaccagnini & White, 2013). They work at the primary care level, where they act as the first line of respondents for the patients.

Good morning, my name is Mayra and thanks to the approval of our director David, I will be presenting my capstone project to you which is about the role of the nurse practitioner. At the end of the presentation we will have an expert panel conformed for three of the Nurse Practitioners working in the Emergency Department and they will help me to answer all the questions you may have. Thank you all for coming today, hope you can learn something from this presentation.

INTRODUCTION Patient entering into the healthcare setting often hae their expectation and hope of receiving prompt and uptimal ealthcare services delivered in a professional way, and that any complication that may arise as a result of their illhealth or treatment plan will be promptly identified and treated appropriately. Therefore, complications and deaths from treatable complications, which are preventable clearly reflects the failures of the system of care that patients have placed themselves. Failure-to-rescue is indeed a new concept growing in popularity as a eans of measuring hospital quality of healthcare services. This concept has been utilized as a measure in various medical and nursing publications, hospitals and other institutions involved

The advanced practice nurse is responsible for being aware of what the research supports. They must also be able to validate the procedure and show safe competent

Introduction The Clinical Nurse Specialist (CNS) is an expert clinician in a specialized area of nursing practice. The specialty may be vary according a population (e.g., pediatrics), a setting (e.g., critical care), a disease (e.g., cardiovascular or mental health), or a type of problem (e.g., wound or pain). CNSs are engaged in direct clinical practice; function as consultants in their area of expertise; provide expert coaching and guidance; interpret, evaluate, and participate in research; provide clinical and professional leadership; collaborate; and employ ethical decision making.(Flecther,2011). Advanced practice registered nurse (APN) is a term used to encompass certified nurse-midwife (CNM), certified registered nurse anesthetist

The power point presentation involved several aspects of the professional and the role of advanced practice registered nurse (APRN). I presented the presentation to my co-workers directly following are Emergency Department (ED) monthly staff meeting. Unfortunately, there was low turn this month and I only had 12 participants who attended the presentation. The audience included eight registered nurses, three nursing assistants, and one emergency physician.

Primary care cost should be lowered due to the lack of primary care physicians currently available. If the advanced-practiced nurses do not provide basic primary care services to patients then who will at a reasonable cost. As stated in the textbook, by allowing advanced-practice nurses to perform routine duties often completed by physicians the United States could save billions of dollars in medical care cost. When someone goes to the doctor’s office nowadays they often see the nurse instead of the doctor unless the patient has a serious condition. Most APNs have either at least a master’s or doctoral degree, and recent studies show that the quality of care by nurse practitioners and physicians was equivalent.

Also, they boost care accessibility for patients. Being accessible always will stop needless trips to the ER owing to indecision or lack of awareness and enlighten patients whenever they need responses. The nurses can enlighten patients and create consciousness of the significance of taking protective care seriously as contrasted to waiting till unwell in order to look for emergency medical

Overcrowding and long waits in EDs have been the focus of attention of studies, as the discussion continues on how best to provide high-quality care in an efficient, cost-effective manner. The US Institute of Medicine (IOM) report of June 2006, "Hospital-Based Emergency Care: At the Breaking Point" underscores the importance of the critical challenges faced by EDs in the United States, including overcrowding, ambulance diversions, and inefficient patient flow and hospital operations. According to the report, By smoothing the inherent peaks and valleys in patient flow, and eliminating the artificial variability that unnecessarily impairs patient flow, hospitals can improve patient safety and quality while simultaneously reducing hospital waste

I consider that this study would be helpful for understanding how emergency nurses should assist them. II. The Purpose of