ADVANCED PRACTICE ROLES
Clinical Nurse Specialist Nurse Practioner Nurse Administrator Nurse EducatorDefinition of Advance Practice Nursing
A Nurse Practitioner/Advance Practice Nurse is a registered nurse who has acquired the expert knowledge base, complex decision-making skill and clinical competencies for expanded practice, the characteristics of which are shaped by the context. and or country in which she is credentialed to practice. A masters degree is recommended for entry level.Anadvanced practice registered nurse (APRN)is a nurse with advanced didactic and clinical education, knowledge, skills, and scope of practice innursing.[1]APRN defines a level of nursing practice that utilizes extended and expanded skills, experience and knowledge in assessment, planning, implementation, diagnosis and evaluation of the care required. Nurses practicing at this level are educationally prepared at thepost-graduate level and may work in either aspecialistorgeneralistcapacity. However, the basis of advanced practice is the high degree of knowledge, skill and experience that is applied within the nurse-patient/client relationship to achieve optimal outcomes through critical analysis, problem solving andevidenced baseddecision making.*
Role of Advance Practice Nurses
Advanced practice nurses have the authority to write prescriptions for patients. APNs may assume this role because they have undergone the specialized training and are certified. However, in the Philippines the writing of prescription for patients not practiced although we have already adapt the idea of entering Georgia is the only state that does not allow APNs to prescribe or write prescriptions.
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Clinical Nurse Specialist
Clinical Nurse Specialists (CNS) are Advanced Practice nurses who hold a masters or doctoral degree in a specialized area of nursing practice. Their area of clinical expertise may be in:a population (e.g. pediatrics, geriatrics, womens health);a setting (e.g. critical care, emergency room);a disease or medical subspecialty (e.g. diabetes, oncology);a type of care (e.g. psychiatric, rehabilitation); ora type of health problem (e.g. pain, wounds, stress).In addition to the conventional nursing responsibilities which focus upon helping patients to prevent or resolve illness, a CNS scope of practice includes diagnosing and treating diseases, injuries and/or disabilities within his/her field of expertise. Clinical Nurse Specialists provide direct patient care, serve as expert consultants for nursing staffs, and take an active hand in improving health care delivery systems.Nurse Practitioner
Nurse Practitioners (NPs) are Advanced Practice Nurses whoprovide care to patients throughout the lifespan, from premature newborns to the elderly.They perform comprehensive and focused physical examinations; diagnose and treat common acute illnesses and injuries; provide immunizations; manage high blood pressure, diabetes, depression and other chronic health problems; order and interpret diagnostic tests such as X-Rays and EKGs, as well as laboratory tests; prescribe medications and therapies, perform procedures, and educate and counsel patients and their families regarding healthy lifestyles and health care options.NPs can prescribe medications, including controlled substances, in all 50 states. In 25 states, NPs have authority to practice independently.Nurse Educator
Nurse educators are registered nurses with advanced education who are also teachers. Most work as nurses for a period of time before dedicating their careers (part-time or full-time) to educating future nurses.Nurse educators serve as faculty members in nursing schools and teaching hospitals, sharing their knowledge and skills to prepare the next generation of nurses for effective practice. They develop lesson plans, teach courses, evaluate educational programs, oversee students clinical practice and serve as role models for their students. They may teach general courses or focus on areas of specialization, such as geriatric nursing, pediatric nursing or nursing informatics.
Nurse Administrator Description
Submitted by:
Ms. Lorelie Asis
Mrs. Virginia Edep
Mrs. Evelyn Limos
Mrs. Rosalinda Numbrera
Mrs. Brenda Samson