NR 510 Week 1 Discussion 2<\/figcaption><\/figure>\nThese NPs specialize in women\u2019s reproductive health and childbirth. They provide preventative and health maintenance, family planning, and all aspects of childbirth. They provide holistic care to the women in their care. This NP position can be stressful, emotional, and include long hours. (www.registerednursing.org).<\/span><\/li>\n<\/ul>\nAPN Role \u202f \u202f Median Salary<\/span>
\nCNP \u202f \u202f \u202f \u202f \u202f \u202f \u202f \u202f $98,000\u202f<\/span>
\nCRNA \u202f \u202f \u202f \u202f \u202f \u202f $154,000\u202f<\/span>
\nCNS \u202f \u202f \u202f \u202f \u202f \u202f \u202f \u202f $80,000\u202f<\/span>
\nCNM \u202f \u202f \u202f \u202f \u202f \u202f \u202f\u202f $91,000<\/span>\u00a0<\/span><\/p>\nA nurse pracitioner master\u2019s degree program may not be practical for Jessica to complete if she is only given 2 years to complete the degree. Also, if she accepts the administrative position she may find it difficult to complete the intensive practicum required by most programs. However, if she chooses to enroll in a program, she would probably be most suited for a clinical nurse specialist program. In this position she can still have direct patient interaction and can make a positive impact on patient care and outcomes.<\/span>\u00a0<\/span><\/p>\nResources:<\/span>\u00a0<\/span><\/h3>\nCertified registered nurse anesthetist fact sheet. (2017, October 10). Retrieved from https:\/\/www.aana.com\/patients\/certified-registered-nurse-anesthetists-fact-sheet.<\/span>\u00a0<\/span><\/p>\nCertified nurse midwife. (2017). Retrieved from https:\/\/www.registerednursing.org\/nurse-midwife\/.<\/span>\u00a0<\/span><\/p>\nClinical nurse specialist (CNS). (2018). Retrieved from https:\/\/www.graduatenursingedu.org\/clinical-nurse-specialist\/.<\/span>\u00a0<\/span><\/p>\nHow to become a CNP certified nurse practitioner. (2017). Retrieved from https:\/\/nursejournal.org\/nurse-practitioner\/how-to-become-a-certified-nurse-practitioner\/.<\/span>\u00a0<\/span><\/p>\nMennella, H. & Heering, H. (2017). Professional autonomy and advanced nursing practice. Cinahl Information Systems.<\/span>\u00a0<\/span><\/p>\nNurse practitioner career guide. (2018). Retrieved from https:\/\/nurse.org\/resources\/nurse-practitioner\/.<\/span>\u00a0<\/span><\/p>\nPark, J., Athey, G., Pericak, A., Pulcini, J., & Greene, J. (2018). To what extent are state scope of practice laws related to nurse practitioners\u2019 day-to-day practice autonomy. Medical Care Research and Review, 75(1), 66-87.<\/span>\u00a0<\/span><\/p>\nI will admit that I have not looked a great deal at the liabilities of the various APN roles extensively, but I do have acquaintances in all of the 4 major areas we are discussing.\u202f It is my opinion that the CRNA would face the most potential jeopardy simply based on the nature of their position and the ramifications of a mistake to the patient outcomes.\u202f That said that, the role of APN is one which requires extreme care and carries the potential to do great harm to patients.\u202f This harm can extend to not only what the NP does, but also to what they do not do.\u202f In the emergency department where I work, the NP does work independently but does have to present their work to a doctor for verification.\u202f The amount of verification is dependent on the reputation the individual has established for themselves based on how they perform their job.\u202f I think that there would be implications for both the NP and the doctor who signed off on the treatment faced with litigation.\u202f The APN does have a license and must protect themselves through due diligence in all matters of patient care.<\/span>\u00a0<\/span><\/p>\nI appreciate your honesty. I also feel that most NPs are not fully aware of the regulations governing practice in their respective states, nor are NPs fully aware of the liabilities associated with the various APN roles. Even if current and future NPs feel they are knowledgeable about both topics, regulations governing practice and liabilities, they should constantly educate themselves on these matters. In nursing, laws and acceptable practices change all the time. NPs must know the current laws guiding practice at all times. We already know that most physicians view NPs as a threat and that most insurance companies and state\/federal policies regarding NPs scope of practice are slow to change; therefore, we must protect ourselves and our profession. The Oregon Nurses Association (2018) has re-posted an article by the Journal for Nurse Practitioners that discusses\/gives an overview of APN\/NP liability claims. The article contends since the NPs role in healthcare has broadened, it is important that NPs review liability claims to develop “useful risk-management strategies” (Oregon Nurses Association, 2018).<\/span>\u00a0<\/span><\/p>\n\u202f<\/span>\u00a0<\/span>References<\/span>\u00a0<\/span><\/h3>\nOregon Nurses Association. (2018).\u202f<\/span>The journal for nurse practitioners’ article: “NP professional liability: A synopsis of the CNA heal<\/span><\/i>. Retrieved from http:\/\/www.oregonrn.org\/?389<\/span>\u00a0<\/span>\u00a0<\/span><\/p>\nHonestly, I would have thought that NPs were less likely for lawsuits. As nurses we are taught to educate patients, this education helps patients understand more fully what is going on. Often a doctor will walk into a room and give his story then the nurse comes in and explains to the patient in understandable language what is going on. However, an article by Relias (2017), a healthcare information source, analyzing malpractice NP claims found that there was a 13% increase in claims against NPs and stated, \u201cone key finding of this analysis was that the average paid indemnity for a closed claim with an indemnity payment of $10,000 or greater increased to $240,471 per claim\u201d (p. 1). The article stated that the increase was due to increased opioid prescribing and claims related to neonatal care. Every state has specific scope of practice laws for NPs. Whether they are supervised by a physician or not, NPs are expected to be competent in their care and know their scope of practice. I believe that the NP will be responsible primarily for their care, but the physician or healthcare system that employs them will also be held accountable if it is found the NP was not effectively supported.<\/span>\u00a0<\/span><\/p>\n