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ANP-BC ANCC Adult Nurse Practitioner

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ANP-BC exam Dumps Source : ANCC Adult Nurse Practitioner

Test Code : ANP-BC
Test denomination : ANCC Adult Nurse Practitioner
Vendor denomination : Medical
: 70 existent Questions

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adult Nurse Practitioner: Job Description, tasks and necessities | killexams.com existent Questions and Pass4sure dumps

An ANP is an superior keep nurse, which requires a master's degree in everyone states within the U.S. Entrance birthright into a grasp's programs requires the completion of a Bachelor of Science in Nursing.

Bachelor of Science in Nursing (BSN)

A BSN software is designed no longer most effectual to prepare students for graduate analyze, but likewise to supply graduates with vital talents in situational evaluation, medical evaluation and faultfinding considering. college students in such a program might forecast to rob courses equivalent to:

  • physical evaluation
  • Pharmacology foundations
  • Introduction to pathophysiology
  • go-cultural patient care
  • Altered adult and pediatric fitness
  • These courses will regularly maintain a simulated laboratory that makes it viable for nursing students to benefit event in a scientific setting previous to interaction with reside sufferers. as soon as this a allotment of guideline is achieved, nursing students start rotations in various specialties of nursing. Rotations expose nursing students to scientific experiences in obstetrics, surgery, essential care, group fitness, psychiatry and pediatrics, amongst different departments.

    Upon graduation from nursing faculty, each status in the U.S. requires nurses to sit down for the country wide Council Licensure Examination (NCLEX), administered through the national Council of status Boards of Nursing. once this examination has been handed, nurses may expend the (RN) designation.

    grasp of Science in Nursing (MSN) in grownup Healthcare

    For aspiring grownup nurse practitioners, master's degrees tailored to adult health superior ensue nursing are available. These 2-yr courses prepare graduates to rob on leadership roles upon completion of their diploma. resolution-making, each unbiased and collaborative, is emphasised during this software, together with assessment, disorder prevention and management of fitness considerations. peculiarly inclined affected person populations are studied, as are wellbeing and prevention within the population as a whole. commonplace classes in a master's program in adult health nursing would be:

  • population primarily based health care
  • advanced fitness assessment
  • fitness and wellness promoting
  • advanced pharmacology
  • grownup fitness management
  • Certification

    The American Nurses Credentialing focus (ANCC) offers board certification in grownup nursing. The ANP credential is purchasable for RNs who hold grasp's or doctoral levels from permitted nursing courses and maintain at the very least 500 faculty-supervised scientific hours of journey. When these requirements are met, candidates might likewise sit down for an examination for board certification.


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    clinical grownup Day custody can advocate veterans and others reside more healthy, chuffed and vital independently for as long as feasible. medical grownup Day custody is a day application open from 8 a.m. to four p.m.; no person stays overnight.

    every day, medical adult day custody gives scientific custody followup, and statement via registered nurses for medication reactions and other issues, transportation to and from the focus and scientific appointments, two nutrition and a snack to fulfill your health professional’s weight-reduction plot orders, deliberate every day workouts, actions and journeys, and sociable employee counseling.

    It doesn’t impregnate the veterans a issue. The Veterans Administration pays for accepted veterans to attend two days a week. Two days at the core isn’t plenty, but veterans accept to meet and participate customary hobby with different veterans, accept worried in middle actions and associate in focus trips, savour domestic-cooked food, maintain espresso whereas solving the issues of the world, receive medical custody as ordered by using their VA healthcare professional, transportation to medical appointments and usually expend these two days socializing and having fun with themselves.

    compare that to veterans who dwell at domestic everyone week, on the gross by means of themselves, possibly heating and ingesting a meal by pass of themselves, taking their medication in the event that they abide in mind, no longer receiving comply with-up scientific care, looking at hours of mindless tv, having very diminutive interplay with other individuals; this is an ideal prescription for melancholy. With depression, comes a myriad of other problems.

    scientific adult Day custody experiences to primary physicians and VA physicians any changes in physical health that might likewise chance in addition to mental health observations. In different phrases, medical adult Day custody is the fingers-on eyes and ears featuring commonplace from time to time every day observations to your physicians.

    with a view to deliver clinical adult Day custody to veterans, the clinical grownup Day custody core maintain to maintain a signed constrict designating that the middle meets the Veterans Administration criteria. with the intention to attend, a written physician’s prescription is required, talk to your health custody provider — both the VA surgeon or your simple health practitioner — who will continually recommend a nearby center.

    satisfying Day medical grownup Day custody has been shriveled due to the fact that 1999, and renewed yearly, to serve veterans. if you exigency further assistance, convoke Jackie Vickers at 410-228-0190 or Cambridge VA Outpatient sanatorium, located at 830 Chesapeake pressure, Cambridge, at 410-228-6243.

    Jackie J. Vickers is govt director of pleasant Day scientific adult Day custody at 2474 Cambridge Beltway in Cambridge.


    NMCP’s Nursing team of workers Celebrates medical-Surgical Nurses Week | killexams.com existent Questions and Pass4sure dumps

    The scientific-surgical nursing workforce at Naval medical middle Portsmouth (NMCP) marked clinical-Surgical Nurses Week via gathering Nov. 7 to celebrate the custody they deliver and focus on opportunities for extra nursing certifications. The accept together concluded with a cake cutting by means of the medical-surgical nursing stout point leader for Navy drugs, and probably the most junior and senior scientific-surgical nurses latest.

    scientific-surgical nursing is the only largest nursing uniqueness within the united states. Registered nurses in this distinctiveness ensue primarily on hospital devices and rob custody of grownup patients who are acutely sick with a wide variety of scientific complications and illnesses or who're recuperating from surgical procedure.

    There are 768 lively-obligation Navy Nurse Corps officers who are specified scientific-surgical nurses – a hundred and fifty of them are assigned to NMCP. Dozens greater civilian and constrict scientific-surgical nurses supply rob custody of NMCP’s sufferers.

    The gadgets which are regarded scientific-surgical involve post-Anesthesia custody Unit, modern custody Unit, establish up-Partum and the inpatient surgical, medicine and oncology wards. most of the outpatient clinics even maintain clinical-surgical nurses assigned to them.

    right through the accept together, nursing leadership spoke concerning the significance of the custody that NMCP’s medical-surgical nurses supply.

    “Our scientific-surgical group of workers focuses daily on caring compassionately for sufferers and their families,” stated Cmdr. Cassandra Leate, clinical-Surgical fork head. “We possess a really expert skillset and we're an expert of this entire spectrum of nursing care. They acquire a change by pass of edifice their occupation and the scientific-surgical uniqueness via mentoring and nurturing each other, advocating for their sufferers and their families, and serving their community through training, custody and improving patient care.”

    earlier than the ceremony, Leate had requested personnel to relate her what they relish most about medical-surgical nursing. Leate examine allotment of a press release from Ensign Marla Miller-Chong.

    “‘scientific-surgical nursing teaches us the pass to develop into a well informed and equipped nurse, permitting us to subsist all-around and resilient when facing divorce settings,’” Leate study, then persevered together with her own comments. “should you seem throughout their branch, we've scope here. they now maintain orthopedics, conventional surgical procedure, prevalent medicine, hematology/oncology and anything else in between. we're celebrating their scope and what they conclude daily.”

    “scientific-surgical nursing for a lot of people is considered a baseline skillset, although, they are a occupation as a result of they are so distinctive,” observed Lt. Cmdr. Aleah McHenry, clinical-surgical nursing specialty chief for Navy medicine. “All of these essential pondering potential and how distinctive we're is what makes us special. They don’t maintain one route – they maintain varied paths that they could keep – and i believe that makes medical-surgical nursing interesting.”

    Certification first requires an authorized nursing degree or a bachelor of science in nursing followed via two years – which is frequently 1,000 hours – as a training nurse before being eligible to become certified. There are multiple areas the zone a nurse can subsist certified, and includes orthopedics, establish up-anesthesia, two clinical-surgical accepted certifications, and oncology.

    in line with McHenry, nurses who're certified are more confident in offering care, and they're enhanced leaders in nursing.“these two things on my own are value elevating these personnel who're certified and to embolden personnel to subsist licensed,” McHenry talked about. “Our outpatient clinics likewise maintain clinical-surgical nurses, comparable to inner medicine, urology, rheumatology, gastroenterology – for defense oblige they maintain clinical-surgical nurses assigned there – in addition to nurses who are assigned on the department health clinics. This helps us determine people that are certified when called to install. That helps us advocate their readiness when we're requested to install.”

    Date Taken: 11.07.2018 Date Posted: 11.08.2018 eleven:40 Story identity: 299237 location: PORTSMOUTH, VA, US  net Views: 48 Downloads: 0 Podcast Hits: 0 PUBLIC domain  

    ANP-BC ANCC Adult Nurse Practitioner

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    ANP-BC exam Dumps Source : ANCC Adult Nurse Practitioner

    Test Code : ANP-BC
    Test denomination : ANCC Adult Nurse Practitioner
    Vendor denomination : Medical
    : 70 existent Questions

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    The United States government is a massive employer, and is always looking for qualified candidates to fill a wide variety of open employment positions in locations across the country. Below you’ll find a Qualification Summary for an active, open job listing from the Department of Veterans Affairs. The opening is for an Advanced Registered Nurse Practitioner (Home-Based Primary Care) in Multiple Locations Feel free to browse this and any other job listings and gain out to us with any questions!

    Advanced Registered Nurse Practitioner (Home-Based Primary Care) – Multiple LocationsVeterans Affairs, Veterans Health Administration, Department of Veterans AffairsJob ID: 10141Start Date: 10/23/2018End Date: 11/07/2018

    Qualification SummaryBasic Requirements: United States Citizenship: Non-citizens may only subsist appointed when it is not viable to recruit qualified citizens in accordance with VA Policy. Graduate of a school of professional nursing approved by the confiscate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). In cases of graduates of exotic schools of professional nursing, possession of current, full, lively and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of exotic schools of professional nursing, possession of a current, full, lively and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing. Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Education/Experience Requirements: Nurse Practitioners and Clinical Nurse Specialists . On and after [March 17, 2009], registered nurses appointed or otherwise touching into these assignments must meet and maintain the following additional qualifications. This includes employees appointed before [March 17, 2009], who obtain such qualifications on or after [March 17, 2009.] A Nurse Practitioners must subsist licensed or otherwise recognized as a Nurse Practitioner in a State, possess a master’s degree from a program accredited by the NLNAC or CCNE, and maintain plenary and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. The certification must subsist in the specialty to which the individual is being appointed or selected. Board Certification as an Advanced practice Adult/Family Medicine Nurse from ANCC, status Licensure as an ARNP with prescriptive authority, and a minimum of two years of clinical experience. Newly certified and licensed ARNPs are eligible if they maintain previous clinical suffer with adult/family medicine patients. Must maintain a current, full, lively and unrestricted license as an Advanced Registered Nurse Practitioner; physical and mental capabilities to satisfactorily perform duties of the assignment. Preferred Experience: Medical, Surgical and/or Intensive custody suffer with a interdisciplinary team. Candidates should maintain two to three years’ suffer as Nurse Practitioner. The candidate must maintain above-average computer skills, outstanding interpersonal skills, proper organizational skills, stout problem-solving skills and decision-making capacity. The ARNP should subsist a self-starter, able to office independently, subsist a team player, and must subsist able to prioritize and office effectively in a tall volume program. Grade Determinations: The following criteria must subsist met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I level I – An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I level II – An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor’s degree in a related sphere with no additional nursing practice/experience; OR a Bachelor’s of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I level III – An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor’s degree in a related sphere and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master’s degree in nursing (MSN) or related sphere with a BSN and no additional nursing practice/experience. Nurse II – A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor’s degree in a related sphere and approximately 2-3 year’s of nursing practice/experience; OR a Master’s degree in nursing or related sphere with a BSN and approximately 1-2 year’s of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related sphere with no additional nursing practice/experience required. Nurse III – Master’s degree in nursing or related sphere with BSN and approximately 2-3 year’s of nursing practice/experience; OR a Doctoral degree. Reference: VA Regulations, specifically VA Handbook 5005, allotment II, Appendix G-6 Nurse Qualification Standard. This can subsist found in the local Human Resources Office. Physical Requirements: as per VA Directive and Handbook 5019 FUNCTIONAL REQUIREMENTS·Heavy Lifting, 45 pounds and over·Heavy Carrying 54 pounds and over·Straight pulling (2-6 hours)·Pushing (2-6 hours)·Reaching above shoulder·Use of fingers·Both hands required·Walking (5-9 hours)·Standing (4-8 hours)·Kneeling (1-2hours·Repeated bending (2-4 hours)·Climbing, legs only (1-2 hours)·Twisting (2-4 hours)·Near vision correctable at 1″ to 16″·Jaeger 1 to 4·Far vision correctable in one eye to 20/50 and 20/100 in the other·Ability to distinguish basic colors·Ability to distinguish shades of colors·Hearing (aid permitted)·Ability to hear whispered voice·Emotional stability ENVIRONMENTAL FACTORS·Excessive noise, intermittent·Constant noise·Radiant energy·Electrical energy·Slippery or uneven surfaces·Working around touching objects and vehicles·Unusual fatigue factors·Working with hands in water·Working closely with others·Working alone·Heavy patient care

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    UHS Nurse Practitioners | killexams.com existent questions and Pass4sure dumps

    University Health Service

    A nurse practitioner is a registered professional nurse (RN) with advanced educational and clinical preparation beyond the baccalaureate degree. The professional role blends the nursing skills of counseling and health education with the medical skills of diagnosis and treatment. The nurse practitioners at the University Health Service (UHS) travail in a collaborative practice with the UHS physicians in evaluating, diagnosing, and treating health and illness concerns. In current York State, nurse practitioners (NP’s) are licensed by the status and granted legal authority to prescribe medications and write prescriptions.

    The University Health Service nurse practitioners provide primary care, women’s health care, and/or mental health custody services. everyone plenary -time students are assigned a nurse practitioner or a physician as their primary custody provider (PCP) when they enter the University.

    UHS provides a team-based approach to patient custody and treatment. Each UHS primary custody nurse practitioner is a member of the UHS Yellow Team or the UHS Blue Team. As a member of the team, the nurse practitioner works in collaboration with the other members of the team to provide you with comprehensive, coordinated, and accessible health custody services.

    Primary custody Nurse Practitioners Suzanne Bumpus

    Suzanne Bumpus, RN, MS, FNP-C, Family Nurse Practitioner, is a member of the UHS Blue Team. Ms. Bumpus joined the University Health Service in February 2014. She received a Bachelor of Science in Nursing from the University of Rochester School of Nursing and a Master of Science in Nursing from St. John Fisher College, Wegman’s School of Nursing. Ms. Bumpus has 20 years of suffer in nursing and Adolescent Medicine. Her interests involve women’s health and eating disorders. Ms. Bumpus is board certified.

    Brenda Cooley

    Brenda Cooley, MS, FNP, APRN-BC, Family Nurse Practitioner, is a member of the UHS Yellow Team. Ms. Cooley joined the UHS staff in 1987 as a registered nurse. Upon completing her Master of Science at St. John Fisher College in May 2003, she began working as a Family Nurse Practitioner at UHS. Ms. Cooley is board certified.

    Lisa Dube-Whitehair

    Lisa Dube-Whitehair, MS, RNC, WHCNP, ANP-BC, Adult Nurse Practitioner, is a member of the UHS Blue Team. Ms. Dube-Whitehair joined UHS in February 2011. She received her BS in Nursing from the University of Southern Maine, her MS in Women’s Health custody from the University of Rochester School of Nursing, and the Health custody Leadership Certificate Program from the University of Rochester William E. Simon Graduate School of trade Administration. Ms. Dube-Whitehair is certified through the American Nurses Credentialing focus (ANCC). She holds a faculty appointment in the School of Nursing.

    Ashley Manning

    Ashley Manning, RN, MS, FNP-C, Family Nurse Practitioner, is a member of the UHS Yellow Team. Ms. Manning joined the University Health Service in May 2017. She received her Bachelors of Science in Nursing from the University of Windsor in Windsor, Ontario in 2006 and her Master of Science in forward Nursing practice – Family Nurse Practitioner from St. John Fisher College in Rochester, current York in 2016. Ms. Manning is board certified. Ms. Manning has 11 years of nursing suffer in faultfinding custody and post-surgical custody in Canada as well as the US. She is thrilled to subsist joining the UHS team.

    Women’s Health Nurse Practitioners Lisa Dube-Whitehair

    Lisa Dube-Whitehair, MS, RNC, WHCNP, ANP-BC, Adult Nurse Practitioner, is a member of the UHS Blue Team. Ms. Dube-Whitehair joined UHS in February 2011. She received her BS in Nursing from the University of Southern Maine, her MS in Women’s Health custody from the University of Rochester School of Nursing, and the Health custody Leadership Certificate Program from the University of Rochester William E. Simon Graduate School of trade Administration. Ms. Dube-Whitehair is certified through the American Nurses Credentialing focus (ANCC). She holds a faculty appointment in the School of Nursing.

    Terri WinterTerri Winter, MS, WHCNP, APRN-BC, Women’s Health Nurse Practitioner, is a member of the UHS Yellow Team. Ms. Winter joined UHS in January 2002. She worked in the OB/GYN Outpatient Department of the University of Rochester Medical focus prior to joining UHS. Ms. Winter received her Women’s Health Nurse Practitioner post-graduate certificate from the University of Rochester in 1995 and her Master of Science in Nursing Administration, likewise from the University of Rochester, in 1994. Ms. Winter is board certified and holds a faculty appointment in the School of Nursing.

    Psychiatric Nurse Practitioner Maya Schneider

    Maya Schneider, DNP, RN, NP, PMHNP-BC, Psychiatric-Mental Health Nurse Practitioner. Dr. Schneider joined the University Health Service in August 2018. She received a Bachelor of Arts in Psychology from San Francisco status University, a Bachelor of Science Degree and Master of Science Degree in Nursing from the University of Rochester School of Nursing, and a Doctor of Nursing practice Degree from Vanderbilt University School of Nursing. Dr. Schneider has 11 years of suffer in nursing and Psychiatry. Dr. Schneider is a board certified Psychiatric-Mental Health Nurse Practitioner.


    Family Nurse Practitioner or Acute custody Nurse Practitioner in the Emergency Department? | killexams.com existent questions and Pass4sure dumps

    Nurse practitioners (NPs) are certified within a population-focused specialty area, practice in a variety of settings, and handle a wide scope of patients. diminutive is known about what agreement exists between certification obtained and actual site of practice.

    Keough, Stevenson, Martinovich, Young, and Tanabe (2011, p. 195)

    There is an ongoing debate about which qualifications are necessary to travail in emergency custody settings.

    BACKGROUND Statistics

    There are currently more than 205,000 NPs in the United States and 9,000–12,000 are employed in emergency departments (EDs) and related areas (e.g., exigent custody centers; American Association of Nurse Practitioners [AANP], 2015). final year NPs cared for approximately 4% (5.4 million) of the 136 million patients seen in EDs in the United States (Centers for Disease Control and Prevention, 2015).

    Consensus Model

    In 2008, the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification and Education developed by the American Nurses Credentialing focus (ANCC; 2008) became the framework for NP licensure, accreditation, certification, and education. The model delineates advanced practice nursing based on role (NP, clinical nurse specialist, nurse midwife, or nurse anesthetist) and population-focused competencies (family/individual across the life span, adult-gerontology, pediatrics, neonatal, psych/mental health, and women's health/gender specific; ANCC, 2008). Specialty practice encompasses additional competencies, and it is at the specialty level within the Consensus Model that concerns about scope of practice reside.

    Primary Certification

    Upon graduation, primary certification for NPs is achieved by the successful completion of the board examination at the population level:

  • Family nurse practitioners (FNPs) are awarded board certification as a Family Nurse Practitioner, Board Certified (FNP-BC), through the ANCC or the American Academy of Nurse Practitioner Certification Program that awards an FNP-C;
  • Acute custody NPs are awarded an Acute custody Nurse Practitioner Certification from the AACN Certification Corporation or an Acute custody Nurse Practitioner, Board Certified (ACNP-BC) from the ANCC;
  • Pediatric NPs may maintain ANCC certification as a pediatric primary custody nurse practitioner or certification by the Pediatric Nursing Certification Board as a pediatric acute custody nurse practitioner.
  • Once certified, a pediatric, family, or an adult-gerontology NP may subsist hired to travail in an ED. Because the educational preparation of pediatric and adult-gerontology NPs does not involve the custody of patients across the life span and because many EDs observe patients of everyone ages, the pediatric and adult-gerontology NPs are limited to practicing in EDs within larger metropolitan areas that observe only older adults or children.

    Competencies/Specialty Certification

    Competencies for emergency nurse practitioners (ENPs) were initially published by the Emergency Nurses Association (ENA) in 2008 in the Nurse Practitioner Delphi Study: Competencies for practice in Emergency custody (ENA, 2010). In conjunction with the AANP, individuals on this committee led stakeholders to develop entry-level competencies for NPs in emergency care. The competencies were likewise endorsed by the American Nurses Association and by the National Organization of Nurse Practitioner Faculties. These competencies are the basis of ENP curricula in the United States.

    The ANCC established emergency nurse practitioner board certification (ENP-BC) via portfolio in 2013 (ANCC, 2013). To obtain ENP-BC, the NP applicant must maintain obtained certification in a population focus, 2 years or 2,000 hr of emergency custody practice (within the past 3 years), 30 hr of continuing education in emergency care, and exemplary performance in two of five professional development/leadership areas. Submission of self- and peer performance evaluations is likewise required. Finally, the applicant must complete a written exemplar demonstrating expertise as an emergency custody provider.

    REQUIREMENTS TO travail IN AN ED

    The skill of an FNP and/or ACNP to travail in an ED is based on the (1) regulatory agency (state board of nursing [BON]), (2) academic preparation, (3) additional preparation, and (4) credentialing.

    Regulation

    The BON in each status determines the scope of practice and is the final authority on whether an NP can travail in an ED. Currently, there is limited consensus among status BONs on the interpretation of the Consensus Model related to the scope of practice for NPs providing custody within EDs.

    Academic Preparation

    Formal educational programs to prepare NPs to travail in EDs maintain been available since the 1990s. The domains in emergency custody involve faultfinding care, exigent care, primary care, behavioral medicine, public health, and sociable medicine (Chan & Garbez, 2006).

    Nurse practitioners prepared as primary custody providers maintain competencies different from those prepared for acute custody roles. These unique educational differences govern an NP's scope of practice (American Academy of Emergency Nurse Practitioners, 2015). Recently, several FNP programs maintain revised their curricula to incorporate didactic and clinical content in emergent and exigent care. Nurse practitioners educated as acute custody providers are prepared with didactic and clinical practice in acute custody settings; they conclude not maintain the academic preparation to custody for pediatric patients in emergency custody settings.

    Additional Preparation Emergency custody Fellowships

    Both FNPs and ACNPs may obtain additional education in emergency custody by completing an emergency custody fellowship program. Pediatric and adult-gerontology ACNPs who receive additional educational preparation in emergency custody and acute stabilization and resuscitation of medically unstable patients across the life span are prepared to provide safe, high-quality custody in their respective EDs. Emergency trained FNPs or ACNPs graduating from academic ENP programs and fellowships should subsist recognized as having the knowledge, skills, and competencies to practice in the ED and subsist considered board-eligible for ENP certification. FNPs can obtain erudition and skills in the acute resuscitation and faultfinding skills required for safe practice in an ED either by completing an ENP graduate program or by attending a structured emergency fellowship program.

    Continuing Education/On-the-Job Training

    Continuing education is one fashion of obtaining the competency, knowledge, skills, and behaviors necessary to practice in an ED setting. On-the-job training can likewise drill NPs valuable skills (e.g., ultrasound technique).

    Credentialing

    Regardless of each status BON's authority to regulate practice or the educational preparation of an FNP or ACNP, the skill to travail in an ED is ultimately granted by the medical staff of the hospital through a process called credentialing. Credentialing or obtaining privileges is the process of establishing the qualifications of an individual to travail in a specific environment. This generally includes a background check along with an assessment of academic and certification credentials, travail history, recent continuing education, and current licensure.

    FNPs OR ACNPs IN THE ED?

    In a study conducted by Keough et al. (2011), FNPs, adult NPs, and ACNPs were surveyed regarding certification, demographics, practice setting, routine responsibilities, and additional preparation (2011). The FNP, adult nurse practitioner (ANP), and ACNP respondents (5%, 7%, and 42%, respectively) reported practicing in a nontraditional practice setting. Of the NPs practicing in a nontraditional setting, 74% were ACNPs, with 90% of those ACNPs practicing in a nontraditional, ambulatory custody setting. Sixty-five percent of the FNPs who were practicing in a nontraditional setting worked in a high-acuity ED, whereas 56% of the ANPs working in a nontraditional setting were employed in intensive custody units. Additional training and education for these NPs included, but were not limited to, pharmacology, laboratory interpretation, and the ordering of diagnostic tests. The authors concluded that “while greater than 90% of ANPs and FNPs practice in settings consistent with their certification, a symmetry of NPs practice in nontraditional settings may benefit from additional education (formal, on-the-job, and continuing education) and mentoring” (Keough et al., 2011, p. 195).

    Among NPs working in emergency care, a snowball sample of 164 NPs surveyed found that 78% reported were certified as an FNPs whereas only 10% reported certification in acute custody (E. Ramirez, oral communication, August 20, 2015). Current initiatives to advocate prepare NPs to attain the ENP core competencies involve establishing educational standards for graduate education of ENPs and confiscate postgraduate continuing education. Other vital activities to advocate and promote ENP practice involve updating the ENP core competencies and exploring partnerships with nursing and medical organizations to ameliorate continuing education, recruitment, and retention of qualified ENPs.

    Nurse practitioners will continue to travail in EDs, whereas status BONs strive for congruence with the Consensus Model. Ultimately, everyone NPs working in emergency settings must demonstrate ENP competencies because certification for ENPs is in the best interest of patient safety. That's the bottom line.

    —K. Sue Hoyt, PhD, RN, FNP-BC, CEN, FAEN, FAANP, FAAN

    Emergency Nurse Practitioner

    St. Mary Medical Center

    Long Beach, CA

    —Jean A. Proehl, RN, MN, CEN, CPEN, FAEN

    Emergency Clinical Nurse Specialist

    Proehl PRN, LLC

    Cornish, NH



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