Wednesday, July 17, 2019

Acute Care Nurse Practitioner Interview Nursing Essay

The g forget me drugbreaking Practice Nurse (APN) I interviewed is FS she is an sharp-worded C atomic number 18 Nurse Practitioner (ACNP) with the segment of urology at Saint Louis University infirmary (SLUH) and has been licensed and board certified since 2010. FS graduate in 2005 from Goldfarb School of nurse in Saint Louis earning her bachelor of science (BSN) and hence took an intensive solicitude staff bewilder with Missouri Baptist hospital for devil classs. With two old age of experience she felt she necessitate to continue her education in nursing and enrolled in a Saint Louis University (SLU) ACNP program.She realize after the offset printing year that try to hit generous conviction and make out classes was too much for her, so she resolute to quit her job to focus full time on her studies. Her first stead as an ACNP was with the psychic trauma division bill down floor at SLUH in 2011. This correct was advertised in newspaper publisher and after s ending in her sum up she was contacted to for an interview in person. My first fundamental interaction with FS was get going fall when I was doctrine Advance Trauma Care for Nurses as she was one of the students that I recognized from the trauma department.We struck up a communion and I basically did a mini interview then and she since has given me contacts for preceptors this summer. pop off week I notified her regarding this interview and she apprised me to meet her at noon in her office where we established questions listed according to the description of appellation for a total of 30 minutes. ad hominem history including education FS received a Bachelor of Science degree from Geor drumown University in Economics and International Business.When functional out a problem or attainment a new skill she likes to get the general picture and start stepwise focusing in on specifics sympathetic to deductive theory. She knew she wanted to work in a hospital setting, from there to a surgical floor, and now she has focused in on Urology. She learned the Urology department at SLUH wanted to bring in two or three APNs on service to round and be first sponsors in the operate board through networking with other(a) APNs in the hospital. When she interviewed for the position she had a not bad(p) working relationship with that service already.They knew she was punctual on with having familiarity with documentation system. She basically had been marketing herself earlier she even knew it by having a proactive relationship with consults. Description of current utilize FS does not currently suck up a conventional job description since her position is new and she is the first APN to fill this impudently true role with this service. Other than world told she would round on longanimouss in the hospital, save orders, discharge long-sufferings, and first assist in the operating elbow room she has no formal written description.When she applied for her posi tion she was authentic it would be a lateral take to the woods with no increase in fall in or benefits. FS arrives to the hospital at 0600 equivalent to an intern or second year nonmigratory. Every morning she receives report from night float of any new patients or issues to existing patients who abide been admitted. Information is garner on labs and radiology films that have been sinless and she uses this information when her first patient mind is completed early that morning. The fellow or senior resident allow round on each patient to discuss labs, radiology, and patient assessments.From this a plan is developed what needs to be done that twenty-four hours to move forward before the aid rounds with the team to discuss the similar items. From this fleck she may go to the operating room to first assist if it is her patient or write new orders on the other patients assigned to their service. If she happens to be first assistant she get out follow the patient fend f or to their room and write post public familiariseation orders. Her role is very similar to a second year surgery resident duties. Description of APN functions using the APN totality competencies. working in an inner metropolitan metropolis hospital that has many ethnicities has been challenging. She has had to learn certain customs, body posture, and position can have either a positive or negative impact in cognition from the patient with regard to attitude of care they are receiving. She has learned from staff of the same ethnicity or watched family and friends interact with one another(prenominal) on proper cultural customs. The first of two main core competencies FS uses is clinical and professional leadership with fellow APNs and physicians discussing assessments and plan of care.The second of two core competencies is consultation with other services and the nursing staff in consideration to patient care and goals (Cooke, Gemmill, & Grant, 2008). APNs have supernumerary c ompetencies but these are the two main descriptions FS uses daily. FS has worked through many gainsays as an APN the last few years. Some of the minor issues have been the acceptance from other services that do not have APNs. Over time other services have fashion accustomed to consults from APNs by her demonstrating knowledge, professionalism, and kindness.The biggest challenge she has faced is an overabundance additional patient work load since the department will no longer have residents this year. She has the attendings blessing to hire more than APNs and they will take on more direct patient care. Issues confronting the APN in current practice FS reports there are no real issues she faces at present other than just continue to work on suturing skills in the operating room. She stays current in Urology by attending grand rounds on with reading and presenting journal articles.She also has the sumptuousness of having a fellow who has been a great source of knowledge. Perceived impact on APN role pursuant to current healthcare developments, changes, and national recommendations. It is my personal belief APNs will be one of the alacritous growing professions in the coming years when the Affordable Health Care bear takes place. It appears that many physicians will probably be in specialized services along with the APN. In addition, APNs will be the majority of primary care in the future as more individuals will seek wellness physicals and the baby cop generation is nearing 70 years of age.

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