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CGRN ABCGN Certified Gastroenterology Registered Nurse

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CGRN exam Dumps Source : ABCGN Certified Gastroenterology Registered Nurse

Test Code : CGRN
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Medical ABCGN Certified Gastroenterology Registered

APPs fill the gaps: How superior practitioners are changing health care

medical care used to be fundamental. sufferers have been handled by means of a doctor or a nurse. carried out.

nowadays care can also be offered via advanced apply suppliers, all with their alphabet soup of picking acronyms: PA, CRNP, CNM and CRNA.

who are these americans, and why are they seeing them instead of a physician?

“We’ve modified their strategy over the years,” referred to Dr. David Lopatofsky, chief scientific officer of UPMC Susquehanna. “We’ve been making an attempt to be all issues to all people far and wide, and there’s best so an awful lot one person can do, so it in fact helps with the confined bandwidth of physicians to be able to cowl an expanding spectrum of sufferers.”

Melissa Davis, vice chairman of medical neighborhood operations at UPMC Susquehanna, brought up areas where superior practice suppliers (APPs) can bring continuity of care to sufferers in outlying areas. At UPMC’s Mansfield site, definite physicians see patients twice a month, whereas a nurse practitioner sees sufferers a few times a month. of their Sunbury web site, Jennifer Bressler, PA-C, is one of the rheumatology superior follow suppliers who treats patients on a regular foundation.

“Our patients in Sunbury are very comfortable with their advanced apply providers because they know they’re a part of the care group,” Davis said.

“They develop a relationship with the group there and with the referring providers and with the sufferers,” Dr. Lopatofsky spoke of. “in order that they boost that collegiality and a trusting relationship.”

UPMC Susquehanna employs greater than a hundred advanced observe providers in fundamental care and scientific uniqueness and subspecialty areas, including cardiology, orthopaedics and digestive diseases.

Defining jobs

the roles of certified Nurse Midwives (CNMs) and licensed Registered Nurse Anesthetists (CRNAs) are pretty handy to understand. A midwife is typically proficient to help ladies in childbirth. A nurse anesthetist provides the equal anesthesia services as an anesthesiologist — their leading change lies in the fact that anesthesiologists receive scientific education while CRNAs acquire nursing training.

As for nurse practitioners and medical professional assistants, their roles are similar. Their variations, once again, lie in their clinical practising.

Laura Smith, CRNP of household drugs at Evangelical, defined that all CRNPs are registered nurses who have long gone on to reap a masters or doctorate diploma in a selected container, comparable to household medicine, pediatrics, geriatrics, etc.

“In some states, nurse practitioners can work independently,” Smith spoke of. “In Pennsylvania, they should have a collaborating physician. I work pretty carefully with Dr. (James) Patterson, (family medication of Evangelical) and talk to him on a daily foundation.”

“In physician assistant practicing you get hold of training on all aspects of medication,” spoke of Jonathan Bastian, PA-C with the hospitalist neighborhood of Evangelical neighborhood health facility, including that PAs do medical rotations in household medicine, pediatrics, surgery and other areas. “Upon graduation from a doctor assistant application that you may do practically anything when it comes to specialties. and you coach continually all through your career to extend your competencies base.”

Fellow general practitioner assistant Georgina Ferriero, with gastroenterology of Evangelical, defined that PAs can prescribe drugs but work intently with physicians. a physician ought to co-signal a PA’s scientific notes.

“The docs don’t see the entire patients I see, however they do evaluate their notes,” Ferriero talked about. Echoing what Lopatofsky stated in the UPMC mannequin, she introduced, “It’s basically a team-based mostly approach.”

How intently concerned is the health care provider with the PA? It depends on the medical professional, Bastian said.

“we are able to work very independently of each different or very close to each and every different,” he noted. “From my experience, the level of independence of a physician assistant is largely in keeping with the health care provider or corporation you’re working with.”

Evangelical neighborhood medical institution has greater than 80 advanced follow suppliers on team of workers at Evangelical in each clinic-based mostly areas and area of expertise care workplaces.

 

Offsetting a shortage

doctor assistants, nurse practitioners, midwives and nurse anesthetists share at the least one thing in ordinary: They fill in gaps. 

APPs offer yet another degree of affected person care, especially in rural areas just like the Susquehanna Valley, the place the scarcity of physicians can make for long wait instances.

“That’s the reason I received into the nurse practitioner career,” Smith noted. “As a nurse, I saw patients have been having quandary stepping into to look their family doctor. They have been displaying up within the ER with non-emergent cases.”

As a hospitalist, Bastian treats sufferers admitted to the clinic, liberating up surgeons and coordinating the care of sufferers.

“I spend lots of time with all of the individuals worried — sufferers, households, medical doctors – to have a positive result within the end,” he talked about.

 

smartly-acquired care

nowadays, most patients are comfortable receiving care from an APP.

“I funny story that we’re all on ‘group affected person,’” Ferriero pointed out. “I desire americans to grasp, we’re all on their group. They want the optimal for them.”

Smith agreed, asserting, “I all the time are attempting to feel, would I be doing this treatment if this patient became my family member?”

When sufferers appreciate the professionalism and difficulty of an APP, they reply with have faith and appreciation.

“The response they get is that the advanced apply providers are smartly received,” Lopatofsky observed, adding that physicians can are typically a little bit rushed. “advanced observe providers improve decent patient journey and are met with gratitude by their patients.”

“americans put their complete have confidence in us,” Bastian pointed out. “we're all working together collaboratively to supply the best care possible for their sufferers.”


Florida doctors battle nursing board on drug concern

— The Florida scientific association and two other doctors' corporations are in a criminal combat with the state Board of Nursing about no matter if nurses should still be capable of sedate some patients.

An administrative legislations decide is expected to listen to arguments next month within the case, which is part of a broader countrywide debate about the administration of a drug it truly is well-known when sufferers bear tactics reminiscent of colonoscopies.

Arguing it is making an attempt to give protection to sufferers and nurses, the Board of Nursing has proposed a rule that could largely stay away from registered nurses and licensed-useful nurses from administering the drug called propofol.

"We're speakme about having the nurses put in jeopardy their licenses as a result of they lack the training and practising this is vital to implement" orders from doctors to manage such medicine, pointed out Jessie Colin, chairwoman of the Board of Nursing, right through a March conference call wherein panel moved ahead with the rule of thumb.

however the doctors' businesses contend that most effective the Legislature, no longer the Board of Nursing, can approve one of these difficulty. Florida scientific affiliation generic tips Jeff Scott stated the board is trying to dictate to docs how they should manipulate techniques such as sedating patients.

"The point is, you may have received a gaggle (the Board of Nursing) this is doing whatever thing they easily will not have the authority to do," Scott noted.

The FMA, the Florida Osteopathic scientific affiliation and the Florida Podiatric scientific affiliation filed the case in late April in the state Division of Administrative Hearings. The Board of Nursing has considered the sedation subject for about a decade, with the debate doubtlessly affecting numerous companies together with nurses, gastroenterologists, anesthesiologists and certified registered nurse anesthetists.

as an instance, if doctors can't direct nurses to sedate sufferers, they may ought to extra regularly use anesthesiologists and authorized registered nurse anesthetists.

The Florida branch of fitness, which residences the Board of Nursing, declined comment Tuesday because of the pending litigation.

The proposed rule offers with a reasonable sort of sedation it is commonly described as "conscious" sedation. Propofol, which is also customary by way of the company identify Diprivan, is wide-spread, as a minimum in part as a result of patients are capable of get better from sedation at once.

the executive legislation choose will doubtless center of attention on no matter if the Board of Nursing has the prison vigour to prevent nurses from administering the drug. The docs' groups contend that the board tried to "shoehorn" the proposed rule into yet another legislation about unprofessional conduct by nurses.

"it's completely incomprehensible how the Board of Nursing believes that the authority to define 'unprofessional habits' encompasses the authority to decide which licensed health-care gurus may additionally or might also now not administer a definite drug throughout a scientific method," the docs' criminal petition said.

additionally elevating objections to the guideline has been the Legislature's Joint Administrative strategies Committee, which reviews such issues. A February letter signed by Sen. Ellyn Bogdanoff, a castle Lauderdale Republican who chairs the committee, observed the Board of Nursing "is not authorized to alter, by rule, what the Legislature has defined as the scope of apply for registered nurses."

during the March convention name, it became clear that participants of the Board of Nursing knew they may face such prison challenges in the event that they moved forward with the suggestion. however a board attorney additionally expressed confidence they'd the vigor to approve the guideline.

The Florida suggestion is a component of an extended-working debate that has led country wide clinical businesses to take positions about whether nurses should be in a position to administer propofol.

In 2005, as an instance, the American college of Gastroenterology asked the federal meals and Drug Administration to eradicate a warning label that pointed out the drug should still only be administered by way of americans who've practicing in customary anesthesia. The FDA later declined the corporation's request.


licensed Nurses identified at Naval hospital Bremerton

by Douglas H. Stutz, Naval hospital Bremerton Public Affairs

BREMERTON, Wash. (NNS) -- Naval sanatorium Bremerton (NHB) recognized licensed Nurses Day March 19 by means of acknowledging the knowledgeable credibility, fulfillment and more suitable affected person care of group of workers members with nursing certification.

"It takes a lot of work, dedication and commitment to turn into a certified nurse," talked about Capt. Iris Boehnke, Naval clinic Bremerton (NHB) director of Nursing functions, noting that there are 64 nurses at NHB out of 169 who've performed their certification. "we now have just about 38 p.c of their body of workers certified, which is just about double the country wide usual of below 20 p.c."

Lt. Cmdr Cherri Vilhauer changed into chiefly honored for preserving the longest certification tenure of 22 years as an working room nurse, and Cmdr. Thecly Scott for retaining probably the most certifications with 4 in digital fetal monitoring, inpatient obstetrics, nurse midwife, and girls's health nurse practitioner.

"I prolong congratulations to all and sundry who has long past above and past for their certification. all of us improvement, exceptionally their patients. certified nurses enrich on their average pleasant, safety and affected person care," stated Capt. Christopher Culp, NHB commanding officer.

The date is testimony to the enduring legacy of Margretta "Gretta" Madden patterns, doctor of training, registered nurse and Fellowship of american Academy Nursing (1903-2005). March 19 is patterns' birthday, and she or he grew to be time-honored because the 'mom of Nurse Credentialing' and a visionary pupil who made a global influence on the nursing occupation.

"nowadays is licensed Nurses Day, " talked about Cmdr. Doug Stephens, officer-in-charge of The David R. Ray health center at Naval branch fitness center EverettI owe an awful lot to the nurses that got me the place i'm nowadays. The thousands of licensed nurses within the U.S. these days and the growing to be position of certification in contributing to more suitable affected person results are a lasting testomony to styles legacy. So, have a good day and thanks for every little thing that you just do each day."

according to Lt. Cmdr. David J. McIntire, NHB essential Care branch head, registered nurse, BSN (Bachelor's of Science in Nursing), CCRN (adult important care nursing), board certification of nurses plays an increasingly crucial position in the assurance of excessive requirements of take care of patients and their family. Nursing, like fitness care in popular has become more and more complex. whereas a registered nurse license provides entry to conventional nursing apply, the skills-intensive requirements of up to date nursing require huge schooling, in addition to a powerful personal commitment to excellence by using the nurse.

"becoming a certified nurse is proof you understand your career and certification in certain fields varies however no longer by means of a whole lot," referred to Lt. Cmdr. Geoffrey Plant, of NHB's family medication and board certified in medical-surgical nursing.

Plant executed his certification approximately 10 years ago, which must be renewed each five years. The initial eligibility standards in Plant's box requires a nurse to dangle a latest, active registered nurse (RN) license within a state or territory of the U.S. or the skilled, legally identified equal in an additional country; have practiced the equal of two years full-time as an RN; have at least 2,000 hours of clinical apply in the distinctiveness enviornment of scientific-surgical nursing in the closing three years; and have achieved 30 hours of continuing education in clinical-surgical nursing within the ultimate three years.

"After placing in the tough work, then electing to get confirmed to your competencies and competency and then passing the verify definitely proves in an goal method that you be aware of your job," Plant spoke of.

There are 28 certifications in selected nursing fields held with the aid of team of workers participants at NHB, including adult clinical nurse professional, adult registered nurse practitioner, ambulatory perianesthesia nurse, case management, critical care nurse, electronic fetal monitoring, emergency room nursing, family nurse practitioner, gastroenterology nurse, infection handle and epidemiology, inpatient obstetrics, lactation advisor, lactation educator, prison nurse advisor, maternal newborn nursing, scientific-surgical nurse, neonatal intensive care nurse, nurse midwife, occupational fitness nurse expert, operating Room nurse, pediatric emergency nurse, pediatric nurse practitioner, post anesthesia care nursing, skilled in healthcare fine, skilled in utilization overview, registered nurse anesthetists, girls's health nurse practitioner and wound ostomy continence nurse.

Navy medication is a world healthcare network of sixty three,000 Navy medical personnel all over who provide excessive excellent fitness care to greater than a million eligible beneficiaries. Navy medication personnel set up with Sailors and Marines international, featuring important mission assist aboard ship, within the air, beneath the sea and on the battlefield.

For more news from Navy drugs, visit www.navy.mil/local/mednews.

For extra information from Naval health facility Bremerton, consult with www.navy.mil/local/nhb/.


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ABCGN Certified Gastroenterology Registered Nurse

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Gastroenterology Nursing Certification

Gastroenterology nurses treat patients suffering from digestive conditions.

Gastroenterology nurses treat patients suffering from digestive conditions.

Jupiterimages/liquidlibrary/Getty Images

Gastroenterology nurses treat patients with conditions of the gastrointestinal tract and digestive system. Nurses may work in hospitals, private practices, clinics or research facilities. According to Johnson and Johnson, the average salary for gastroenterology nurses is between $63,000 and $85,000 a year. Certification as a gastroenterology nurse is a voluntary process that can demonstrate skill and knowledge to potential employers. The American Board of Certification for Gastroenterology Nurses offers certification for registered nurses working in this area of health care.


Certified Nurses Recognized at Naval Hospital Bremerton

By Douglas H. Stutz, Naval Hospital Bremerton Public Affairs

BREMERTON, Wash. (NNS) -- Naval Hospital Bremerton (NHB) recognized Certified Nurses Day March 19 by acknowledging the professional credibility, achievement and improved patient care of staff members with nursing certification.

"It takes a lot of work, dedication and commitment to become a certified nurse," said Capt. Iris Boehnke, Naval Hospital Bremerton (NHB) director of Nursing Services, noting that there are 64 nurses at NHB out of 169 who have achieved their certification. "We have almost 38 percent of their staff certified, which is almost double the national average of less than 20 percent."

Lt. Cmdr Cherri Vilhauer was specifically honored for holding the longest certification tenure of 22 years as an operating room nurse, and Cmdr. Thecly Scott for holding the most certifications with four in electronic fetal monitoring, inpatient obstetrics, nurse midwife, and women's health nurse practitioner.

"I extend congratulations to everyone who has gone above and beyond for their certification. They all benefit, especially their patients. Certified nurses improve on their overall quality, safety and patient care," said Capt. Christopher Culp, NHB commanding officer.

The date is testimony to the enduring legacy of Margretta "Gretta" Madden Styles, doctor of education, registered nurse and Fellowship of American Academy Nursing (1903-2005). March 19 is Styles' birthday, and she became known as the 'Mother of Nurse Credentialing' and a visionary scholar who made an international impact on the nursing profession.

"Today is Certified Nurses Day, " said Cmdr. Doug Stephens, officer-in-charge of The David R. Ray Health Center at Naval Branch Health Center EverettI owe a lot to the nurses that got me where I am today. The thousands of certified nurses in the U.S. today and the growing role of certification in contributing to better patient outcomes are a lasting testament to Styles legacy. So, have a great day and thank you for everything that you do every day."

According to Lt. Cmdr. David J. McIntire, NHB Critical Care department head, registered nurse, BSN (Bachelor's of Science in Nursing), CCRN (adult critical care nursing), board certification of nurses plays an increasingly important role in the assurance of high standards of care for patients and their loved ones. Nursing, like health care in general has become increasingly complex. While a registered nurse license provides entry to general nursing practice, the knowledge-intensive requirements of modern nursing require extensive education, as well as a strong personal commitment to excellence by the nurse.

"Becoming a certified nurse is proof you know your profession and certification in specific fields varies but not by much," said Lt. Cmdr. Geoffrey Plant, of NHB's Family Medicine and board certified in medical-surgical nursing.

Plant achieved his certification approximately 10 years ago, which has to be renewed every five years. The initial eligibility criteria in Plant's field requires a nurse to hold a current, active registered nurse (RN) license within a state or territory of the U.S. or the professional, legally recognized equivalent in another country; have practiced the equivalent of two years full-time as an RN; have a minimum of 2,000 hours of clinical practice in the specialty area of medical-surgical nursing within the last three years; and have completed 30 hours of continuing education in medical-surgical nursing within the last three years.

"After putting in the hard work, then electing to get tested on your knowledge and competency and then passing the test really proves in an objective way that you know your job," Plant said.

There are 28 certifications in specific nursing fields held by staff members at NHB, including adult clinical nurse specialist, adult registered nurse practitioner, ambulatory perianesthesia nurse, case management, critical care nurse, electronic fetal monitoring, emergency room nursing, family nurse practitioner, gastroenterology nurse, infection control and epidemiology, inpatient obstetrics, lactation consultant, lactation educator, legal nurse consultant, maternal newborn nursing, medical-surgical nurse, neonatal intensive care nurse, nurse midwife, occupational health nurse specialist, operating Room nurse, pediatric emergency nurse, pediatric nurse practitioner, post anesthesia care nursing, professional in healthcare quality, professional in utilization review, registered nurse anesthetists, women's health nurse practitioner and wound ostomy continence nurse.

Navy Medicine is a global healthcare network of 63,000 Navy medical personnel around the world who provide high quality health care to more than one million eligible beneficiaries. Navy Medicine personnel deploy with Sailors and Marines worldwide, providing critical mission support aboard ship, in the air, under the sea and on the battlefield.

For more news from Navy Medicine, visit www.navy.mil/local/mednews.

For more news from Naval Hospital Bremerton, visit www.navy.mil/local/nhb/.


APPs fill the gaps: How advanced practitioners are changing health care

Medical care used to be simple. Patients were treated by a doctor or a nurse. Done.

Today care can also be provided by advanced practice providers, all with their alphabet soup of identifying acronyms: PA, CRNP, CNM and CRNA.

Who are these people, and why are they seeing them instead of a doctor?

“We’ve modified their approach over the years,” said Dr. David Lopatofsky, chief medical officer of UPMC Susquehanna. “We’ve been trying to be all things to all people in all places, and there’s only so much one person can do, so it really helps with the limited bandwidth of physicians to be able to cover an increasing spectrum of patients.”

Melissa Davis, vice president of medical group operations at UPMC Susquehanna, pointed out areas where advanced practice providers (APPs) can bring continuity of care to patients in outlying areas. At UPMC’s Mansfield site, certain physicians see patients twice a month, whereas a nurse practitioner sees patients several times a month. In their Sunbury site, Jennifer Bressler, PA-C, is one of the rheumatology advanced practice providers who treats patients on a regular basis.

“Our patients in Sunbury are very comfortable with their advanced practice providers because they know they’re part of the care team,” Davis said.

“They develop a relationship with the community there and with the referring providers and with the patients,” Dr. Lopatofsky said. “So they develop that collegiality and a trusting relationship.”

UPMC Susquehanna employs more than 100 advanced practice providers in primary care and medical specialty and subspecialty areas, including cardiology, orthopaedics and digestive diseases.

Defining jobs

The jobs of Certified Nurse Midwives (CNMs) and Certified Registered Nurse Anesthetists (CRNAs) are fairly easy to comprehend. A midwife is typically trained to assist women in childbirth. A nurse anesthetist provides the same anesthesia services as an anesthesiologist — their main difference lies in the fact that anesthesiologists receive medical education while CRNAs receive nursing education.

As for nurse practitioners and physician assistants, their roles are similar. Their differences, once again, lie in their medical training.

Laura Smith, CRNP of family medicine at Evangelical, explained that all CRNPs are registered nurses who have gone on to obtain a masters or doctorate degree in a specific field, such as family medicine, pediatrics, geriatrics, etc.

“In some states, nurse practitioners can work independently,” Smith said. “In Pennsylvania, they need to have a collaborating physician. I work pretty closely with Dr. (James) Patterson, (family medicine of Evangelical) and speak to him on a daily basis.”

“In physician assistant training you receive education on all aspects of medicine,” said Jonathan Bastian, PA-C with the hospitalist group of Evangelical Community Hospital, adding that PAs do clinical rotations in family medicine, pediatrics, surgery and other areas. “Upon graduation from a physician assistant program you can do just about anything in terms of specialties. And you train constantly throughout your career to expand your knowledge base.”

Fellow physician assistant Georgina Ferriero, with gastroenterology of Evangelical, explained that PAs can prescribe medications but work closely with physicians. A physician must co-sign a PA’s medical notes.

“The doctors don’t see all the patients I see, but they do review their notes,” Ferriero said. Echoing what Lopatofsky said in the UPMC model, she added, “It’s really a team-based approach.”

How closely involved is the physician with the PA? It depends on the doctor, Bastian said.

“We can work very independently of each other or very close to each other,” he said. “From my experience, the level of independence of a physician assistant is largely based on the physician or organization you’re working with.”

Evangelical Community Hospital has more than 80 advanced practice providers on staff at Evangelical in both hospital-based areas and specialty care offices.

 

Offsetting a shortage

Physician assistants, nurse practitioners, midwives and nurse anesthetists share at least one thing in common: They fill in gaps. 

APPs offer one more level of patient care, especially in rural areas like the Susquehanna Valley, where the shortage of physicians can make for long wait times.

“That’s the reason I got into the nurse practitioner career,” Smith said. “As a nurse, I saw patients were having trouble getting in to see their family doctor. They were showing up in the ER with non-emergent situations.”

As a hospitalist, Bastian treats patients admitted to the hospital, freeing up surgeons and coordinating the care of patients.

“I spend a lot of time with all the people involved — patients, families, doctors – to have a positive outcome in the end,” he said.

 

Well-received care

Today, most patients are comfortable receiving care from an APP.

“I joke that we’re all on ‘Team Patient,’” Ferriero said. “I want people to know, we’re all on their team. They want the best for them.”

Smith agreed, saying, “I always try to think, would I be doing this treatment if this patient was my family member?”

When patients recognize the professionalism and concern of an APP, they respond with trust and appreciation.

“The response they get is that the advanced practice providers are well received,” Lopatofsky said, adding that physicians can tend to be a bit rushed. “Advanced practice providers develop good patient experience and are met with gratitude by their patients.”

“People put their complete trust in us,” Bastian said. “We are all working together collaboratively to provide the best care possible for their patients.”



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