Family Nurse Practioner Term Paper

Pages: 10 (2780 words)  ·  Bibliography Sources: 8  ·  Level: Master's  ·  Topic: Health - Nursing

SAMPLE EXCERPT:

[. . .] These agencies impact this role positively if properly followed since their work complete the ethics and rules that inform the procedure.

CRAN's role in the medical field is aided by the fact that there are now many institutions that offer the course. FNPs; gain from the fact that they can access school materials online or on part-time basis. This has the dual effect of giving the nurse both clinical experiences while learning. Accreditation agencies are coming up whose existence is aided with the support of both the state and federal governments. This ensures the nurses offering this expertise role; are qualified and competent persons.

According to a research conducted in 2010; showed that CRNA's who worked independently without supervision were as effective as full fledge anesthesiologist and that having the former was more cost effective than just the latter. Justifications to this research can be deduced as follows: CRNA's perform dual roles; the nursing role of providing primary health care while filling the position an anesthesiologist plays. The American Association of Nurse Anesthetists commissioned this study. This is an illustration of how FNPs who majored in nurse anesthetists benefit the community they operate in.

CRNA program in the end brings about a convergence of responsibilities to one individual who can sort out a problem on the spot without having to involve many people an exercise that wastes time and money. Pre-surgery and post surgery functions care to patients is easy and convenient. Hospitals with a large staff can actually trim down the redundant workers whose roles are duplicated elsewhere and so this will lead to having a lean mean team, which is effective and does not take up a large chunk of the hospitals budgetary allocations in remuneration and therefore the extra funds go into equipping the hospitals. For small community health centers, this advantage will save lives of many people who require minor life saving surgery.

Bearing in mind the tough financial climate the country is in, CRNAs give a solution to the many health centers that have limited budgets. Experienced practitioners can offer supervisory roles to their in-experienced counterparts. Consequently, the hospital saves a substantial amount since the CRNAs earn a fraction less than anesthesiologists (Cody & Kenney, 2006).

Institutions that work collaboratively with this role include; Anesthesiologist Association of America, Medical Boards of the individual states where this role is practiced, American Association of nurse Anesthesiologists, Department of health, Accreditation agencies. These institutions play complementary roles to the effect that they offer assessment of the nurse's competency in discharging their duties as anesthesiologist as well as providing supervisory protocols between the CRNAs and the anesthesiologist (Horton, 2010). Accreditation agencies certify that indeed the persons practical knowledge of the field is not just reserved to theory but practically the nurse is well versed (Watson, 2008). The state medical board works to issue supervisory role in the practice of medicine providing the link between the law and the nurses. In addition, the board ensures that all players in the sector play fairly and describes punitive measures if the law is broken.

National pharmaceutical agencies provide a list of all controlled drugs while giving specific instructions on how certain medication maybe administered. Any deviation or abuse then leads to the DEA's involvement in investing any impropriety and actually arresting the suspect; since the medical boards have limited powers when it comes to conducting arrests.

As established in subsequent sections of this paper, the CRNA's are under the hospitals chain of command and authority. However, there is distinction between regular nurses and the ANP's, hospitals should have their chief matron as an APN, since this position requires the head to be firstly a general practice nurse (Masters, 2009). The office can therefore handle both sides without bringing about divisions in the hospital workforce. Sustaining this effort is the use of peer publications on ethical and unethical practices such that the community of nurses involved in this specific role hold the errant nurse culpable.

Political goodwill to maintain this role can be achieved through appealing to the boards of the hospitals and the state's health department heads. This is achieved especially in the case of veterans who undergo pain therapy. Political goodwill is actively presented to the program since veteran care programs inform the electorate on how they may vote. Veterans embody patriotism and selflessness if a politician seeking office neglects a policy that addresses the veterans' medical needs then it would work to his/her detriment. Funding is then secured by the presentation of a strong proposal in support of such roles accompanied by figures to further augment the argument.

In every assessment of how productive an undertaking is; success or failure is translated through numbers. This implies that the parameter used to gauge the success or failure of this role is by comparing mortality numbers of the patients who died as a result of wrong dosage of anesthetic, administered by an NA with those from an anesthetist, and finally with those at hand; finally consider figures from the two parties working together. That way the final figure reaches true objectivity without bias.

Conducting patient satisfaction surveys on the individuals who were served by NA's would lead to specific responses of before surgery and after surgery care, and would give an indication on the NA's client service, and not just the medical perspective of administering the drugs.

In conclusion, the role of NA has its standing validated by historical facts as well as legitimate accreditation by agencies that give credence to the theory leant in school combined with clinical experience (Duncan & DePew, 2011). FNP's need to branch into different specifications to provide extra expertise to small community hospitals enriching the services rendered to the community. There has been no substantial numbers and figures to prove that the NA role has not had any figures to prove that the role has not caused any deaths directly due to incompetence or neglect.

Substantive agencies have also worked together to ensure the role is successful. Outpatient services such as pain management for veterans and the elderly has seen the role get more funding and increased scope of operations. Legal statutes have also given credence to this role with the law providing guidelines and defining the scope in which the role performs as well as the delegation of tasks procedures (Masters, 2006)

Understanding that anesthetics scope of work is not just limited to administering anesthesia, but also preparing the patient for surgery and giving after care services. The core mandate of any nurse whether a general practicing nurse or an APN, is giving primary care to the patient in all capacities and so the practice of nursing must be upheld and continued diligently to serve the community in general. Scientific methods of obtaining statistics and research must be employed to give the true picture of success of this role in all spheres of the vast health sector.

References

Codina, L.M.T. (2007). Family nurse practitioner certification: Intensive review. New York:

Springer.

Horton, B. (2007). "Upgrading Nurse Anesthesia Education Curriculum, Faculty and Students."

retrieved from http://www.aana.com/newsandjournal/Documents/educnews167-170.pdf.

Masters, K. (2009). Role development in professional nursing practice. Sudbury, Mass: Jones

and Bartlett Pub.

Watson J, (2008). Assessing and measuring Caring in nursing, New York: Springer Pub. Co. Cody, W.K., & Kenney, J.W. (2006). Philosophical and theoretical perspectives for advanced nursing practice. Sudbury, Mass: Jones and Bartlett Publishers.

Hamric, A.B., Spross, J.A., & Hanson, C.M. (2008). Advanced Practice Nursing: An Integrative

Approach. New Delhi: Elsevier Health Sciences

Duncan, G., & DePew, R. (2011). Transitioning from LPN/VN to RN: Moving ahead in your career. Australia: Delmar Cengage Learning.

Brixey, J.J. (2008).… [END OF PREVIEW]

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