nurse practioner

1. SEMINAR
ON
Independent practice
issues in nursing

3. Definition
• NURSE PRACTIONERS
Nurse practitioners (NPs) are registered
nurses who have graduate level nursing
preparation as a nurse practitioner at the
master’s or doctoral level and perform
comprehensive assessments and promote
health and the prevention of illness and injury.

4. NURSING
According to Virginia Anderson
Assisting the individual, sick or well, in
the performance of those activities contributing
to health or its recovery (or to a peaceful death)
that he would perform unaided if he had the
necessary strength, will, or knowledge. And to do
this in such a way as to help him gain
independence as soon as possible.

5. CONCEPT OF NURSE PRACTIONERS
• History
• Qualification
• Scope of practice
→ Diagnosing, treating, evaluating and managing acute and chronic illness and disease
(e.g. diabetes, high blood pressure)
→ Obtaining medical histories and conducting physical examinations
→ Ordering, performing, and interpreting diagnostic studies (e.g., routine lab tests, bone
x-rays, ECGs)
→ Prescribing physical therapy and other rehabilitation treatments
→ Prescribing drugs for acute and chronic illness (extent of prescriptive authority varies
by state regulations)
→ Providing prenatal care and family planning services
→ Providing well-child care, including screening and immunizations
→ Providing primary and specialty care services, health-maintenance care for adults,
including annual physicals
→ Providing care for patients in acute and critical care settings
→ Performing or assisting in minor surgeries and procedures (with additional training
and/or under physician supervision in states where mandated; e.g. dermatological
biopsies, suturing, casting)
→ Counseling and educating patients on health behaviors, self-care skills, and treatment
options

6. KEY ISSUES TO CONSIDER -
PROFESSIONAL ISSUES
1. Implications of dual registration
2. Use of the title ‘RN’
3. Conflict of interest
4. Endorsement
5. Advertising
6. Fees
7. Informed consent
8. Managing information

7. AREAS OF INDEPENDENT NURSING
PRACTICE
• ENTERPRISE
• CONSULTANCY
• GERIATRIC NURSING
• MEDICAL SURGICAL NURSING PRACTICE
• PAEDIATRIC NURSING
• PSYCHIATRIC NURSING

8. RESPONSIBILITY OF A INDEPENDENT
NURSE PRACTIONER
• UNIVERSAL PRECAUTION
• UNACCEPTABLE PRACTICES
• VERIFYING RECIPIENT ELIGIBILITY
• PRIVATE DUTY NURSING REQUIREMENTS
• EMERGENCY AND BACK-UP PROCEDURES
• WRITTEN STATEMENT OF RECIPIENT RIGHTS
• CONTRACTS WITH RECIPIENT AND/OR FAMILY
• REQUIRED INFORMATION FOR MEDICAL
RECORD
• TERMINATING SERVICE TO A RECIPIENT

10. • These advanced practice registered nurses diagnose;
develop differential diagnoses; order, conduct, supervise,
and interpret diagnostic and laboratory tests; and prescribe
pharmacologic and non-pharmacologic treatments in the
direct management of acute and chronic illness and
disease. Nurse practitioners provide health and medical
care in primary, acute, and long-term care settings. NPs
may specialize in areas such as family, geriatric, pediatric,
primary, or acute care. Nurse practitioners practice
autonomously and in collaboration with other healthcare
professionals to treat and manage patients’ health
programs, and serve in various settings as researchers,
consultants, and patient advocates for individuals, families,
groups and communities.