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ANP-BC ANCC Adult Nurse Practitioner

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ANP-BC exam Dumps Source : ANCC Adult Nurse Practitioner

Test Code : ANP-BC
Test cognomen : ANCC Adult Nurse Practitioner
Vendor cognomen : Medical
: 70 actual Questions

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Recently I bought your certification bundle and studied it very well. final week I exceeded the ANP-BC and received my certification. Killexams.Com on line testing engine changed into a extremely agreeable device to prepare the exam. That more desirable my self-possession and that i without vicissitude handed the certification examination! Highly endorsed!!!


Weekend examine is enough to pass ANP-BC examination with I got.
Me and my roommate beget been living together for a long time and they beget a lot of disagreements and arguments regarding various things but if there is one thing that both of us conform on it is the fact that this killexams.com is the best one on the internet to spend if you want to pass your ANP-BC . Both of us used it and were very satisfied with the outcome that they got. I was able to discharge well in my ANP-BC test and my marks were actually terrific. Thank you for the guidance.


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The best share about your question bank is the explanations provided with the answers. It helps to understand the topic conceptually. I had subscribed for the ANP-BC question bank and had gone through it 3-4 times. In the exam, I attempted complete the questions under 40 minutes and scored 90 marks. Thanks for making it light for us. Hearty thanks to killexams.com team, with the wait on of your model questions.


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I beget become a ANP-BC licensed final week. This career route could exist very thrilling, so in case you are nonethelessconsidering it, build sure you pick up questions answers to build together the ANP-BC examination. this is a huge time saver as you pick up exactly what you exigency to recognise for the ANP-BC exam. this is why I selected it, and that i never regarded back.


Medical Medical ANCC Adult Nurse

grownup Nurse Practitioner: Job Description, duties and necessities | killexams.com actual Questions and Pass4sure dumps

An ANP is an advanced celebrate nurse, which requires a master's degree in complete states within the U.S. Entrance prerogative into a grasp's courses requires the completion of a Bachelor of Science in Nursing.

Bachelor of Science in Nursing (BSN)

A BSN program is designed no longer most effectual to prepare college students for graduate examine, however moreover to supply graduates with captious skills in situational analysis, clinical assessment and significant considering. students in this kind of application could expect to remove classes similar to:

  • actual evaluation
  • Pharmacology foundations
  • Introduction to pathophysiology
  • go-cultural patient care
  • Altered adult and pediatric fitness
  • These programs will often beget a simulated laboratory that enables nursing students to gain event in a medical surroundings ahead of interplay with reside patients. once this share of guideline is achieved, nursing students start rotations in numerous specialties of nursing. Rotations expose nursing college students to clinical experiences in obstetrics, surgical procedure, vital care, group fitness, psychiatry and pediatrics, among different departments.

    Upon commencement from nursing faculty, every state within the U.S. requires nurses to remove a seat for the countrywide Council Licensure Examination (NCLEX), administered by the country wide Council of State Boards of Nursing. once this exam has been passed, nurses may additionally spend the (RN) designation.

    grasp of Science in Nursing (MSN) in grownup Healthcare

    For aspiring grownup nurse practitioners, grasp's levels tailor-made to grownup health advanced celebrate nursing are available. These 2-year courses prepare graduates to tackle leadership roles upon completion of their diploma. resolution-making, both impartial and collaborative, is emphasised during this application, together with evaluation, disorder prevention and management of fitness considerations. principally inclined patient populations are studied, as are wellbeing and prevention within the population as a whole. regular classes in a master's program in adult health nursing could be:

  • population primarily based health care
  • advanced fitness evaluation
  • health and wellness promotion
  • advanced pharmacology
  • grownup health management
  • Certification

    The American Nurses Credentialing middle (ANCC) presents board certification in grownup nursing. The ANP credential is obtainable for RNs who dangle master's or doctoral degrees from approved nursing programs and beget at the very least 500 faculty-supervised clinical hours of experience. When these necessities are met, candidates may remove a seat for an examination for board certification.


    Munson medical core Nurse Receives national deference | killexams.com actual Questions and Pass4sure dumps

    MyNorth word provider

    (Press unlock offered by way of Munson Healthcare)

    TRAVERSE city: The American Nurses Credentialing core (ANCC) named Northern Regional Bleeding sickness hub nurse practitioner Michelle Witkop, D.N.P., F.N.P.-BC, its nurse of the yr for transformational leadership. Witkop is a nurse practitioner at Munson scientific center, a Northern Michigan scientific and sanatorium in Traverse city.

    the realm’s greatest and most prestigious nurse credentialing company names 5 nurses nationally who premiere symbolize the five add-ons of the celebrated Magnet nursing model. The ANCC is a subsidiary of the American Nurses affiliation and its mission is to promote nursing excellence via credentialing courses such because the Magnet Nursing application.

    In giving her the transformational leadership award, the ANCC identified Witkop for her floor-breaking research concerning pain management in hemophilia sufferers.

    “She performed analysis with grownup hemophilia sufferers in a tristate regional survey after which progressed to a few national surveys,” the corporation cited. “The results beget been published within the extremely acclaimed World Journal of Hemophilia, presented nationally and internationally, and were stated via authors and presenters complete over. as the lead clinician within the most effectual bleeding disorder core in the united states that is medically managed with the aid of nurse practitioners, she provides simple custody and schooling to patients and their households on how ultimate to reside with hemophilia.”

    Witkop currently authorised her award on the ANCC country wide conference in Georgia. She characterised the award as an “dazzling honor” for a Magnet institution and a mirrored image on sanatorium management.

    “This award is a reflection of the trait of nursing proven at Munson clinical core and inside the community,” she referred to. “I acquired this award, but no person works in a silo; there are many americans who made this body of work and analysis a hit. So besides the fact that children i was recognized, I accredited the award on behalf of complete of their nurses.”

    Munson scientific core vp of patient custody capabilities and Chief Nursing Officer Jim Fischer, who nominated Witkop for the award, known as her the “epitome of knowledgeable.”

    “Michelle is extremely dedicated to the sufferers she cares for,” he pointed out. “She is terribly a professional and normally gaining erudition of, and she additionally collaborates with a great number of alternative professionals for the most excellent affected person effects.”

    Witkop recently completed a federally funded demonstration mission comparing a nurse practitioner-led blood disorder remedy hub to a physician-led center. She planned to share the effects at a country wide assembly in Chicago this week.

    “We could exist reporting that the nurse practitioner medically managed hemophilia treatment core did not beget greater opposed effects and is a collaborative model of custody that will moreover exist utilized throughout the us,” she said. “here's an avenue to boost adult affected person access to the hematologist.”

    Munson scientific middle changed into first named a Magnet nursing facility in 2006 and redesignated in 2011. it's in the technique of making spend of for a third designation.

    extra suggestions on the Magnet Nurse of the year awards can moreover exist establish at nursecredentialing.org/2015-NationalMagnetNurseoftheYear-Winners.

    more Northern Michigan clinical & fitness

    #2015 #Grand_Traverse #Traverse_City #Medical_&_Health #Live_Here #Work_Here


    Two charity nurses rate ANCC certification | killexams.com actual Questions and Pass4sure dumps

    SIOUX metropolis -- Alicia Held, MSN, surgical unit nurse manager, and Kari Kirchmeier, MSN, clinical nurse educator at charity clinical middle, beget earned RN-BC certification through the American Nurses Credentialing core (ANCC).

    Held and Kirchmeier exist a share of the ranks of greater than 27,500 nurses who've earned board certification in medical-Surgical Nursing, essentially the most regular designation offered by means of the ANCC. Certification is an needful credential that attests to the fulfillment of distinctiveness erudition beyond primary nursing education and is facts of clinical talents and leadership in nursing supervene in acute custody environment for the grownup patient inhabitants. It contains a focus on nursing concept, analysis and individualized custody planning.

    Board certified clinical-surgical nurses are specialists in featuring striking affected person custody in line with scientific conditions and pre-surgical and post-surgical needs of sufferers. RN-BC popularity is granted for 5 years and is renewed through validation of seventy five hours of carrying on with schooling or re-examination.


    ANP-BC ANCC Adult Nurse Practitioner

    Study usher Prepared by Killexams.com Medical Dumps Experts


    Killexams.com ANP-BC Dumps and actual Questions

    100% actual Questions - Exam Pass Guarantee with high Marks - Just Memorize the Answers



    ANP-BC exam Dumps Source : ANCC Adult Nurse Practitioner

    Test Code : ANP-BC
    Test cognomen : ANCC Adult Nurse Practitioner
    Vendor cognomen : Medical
    : 70 actual Questions

    No concerns while getting ready for the ANP-BC examination.
    Me and my roommate had been living collectively for a long term and weve got a variety of disagreements and arguments regarding diverse matters however if there is one thing that both people conform on its far the truth that this killexams.com is the best one on the internet to apply if you want to pass your ANP-BC . both of us used it and had been very satisfied with the outcome that they were given. i was capable of carry out properly in my ANP-BC check and my marks had been actually remarkable. thanks for the steerage.


    Is there ANP-BC exam unique sayllabus?
    it is astounding suffer for the ANP-BC exam. With now not a whole lot stuff available on line, Im glad I were givenkillexams.com. The questions/solutions are just first-rate. With killexams.com, the exam become very easy, extraordinary.


    simply spend these actual question bank and fulfillment is yours.
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    My dad and mom advised me their testimonies that they used to celebrate very severely and handed their exam in first attempt and their parents in no way troubled about their training and career constructing. With due recognize I would really infatuation to invite them that beget been they taking the ANP-BC exam and faced with the flood of books and celebrate guides that throw college students at some stage in their examination studies. surely the solution will exist NO. but these days you cannot dash off from those certifications through ANP-BC exam even after finishing your traditional training after which what to speak of a career constructing. The triumphing competition is reduce-throat. but, you execute now not should worry due to the fact killexams.com questions and solutions are there thats impartial sufficient to remove the students to the point of exam with self faith and warranty of passing ANP-BC examination. thanks loads to killexams.com group otherwise they shall exist scolding through their parents and listening their achievement testimonies.


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    i beget been the usage of the killexams.com for some time to complete my checks. final week, I surpassed with a fantastic score within the ANP-BC exam by means of the usage of the celebrate resources. I had some doubts on topics, but the fabric cleared complete my doubts. ive without problems determined the solution for complete my doubts and issues. thanks for providing me the strong and dependable fabric. its miles the high-quality product as I recognise.


    Found an accurate source for actual ANP-BC actual test questions.
    Recently I bought your certification bundle and studied it very well. final week I exceeded the ANP-BC and received my certification. Killexams.Com on line testing engine changed into a extremely agreeable device to prepare the exam. That more desirable my self-possession and that i without vicissitude handed the certification examination! Highly endorsed!!!


    Weekend examine is enough to pass ANP-BC examination with I got.
    Me and my roommate beget been living together for a long time and they beget a lot of disagreements and arguments regarding various things but if there is one thing that both of us conform on it is the fact that this killexams.com is the best one on the internet to spend if you want to pass your ANP-BC . Both of us used it and were very satisfied with the outcome that they got. I was able to discharge well in my ANP-BC test and my marks were actually terrific. Thank you for the guidance.


    wherein can i am getting know-how modern day ANP-BC examination?
    The best share about your question bank is the explanations provided with the answers. It helps to understand the topic conceptually. I had subscribed for the ANP-BC question bank and had gone through it 3-4 times. In the exam, I attempted complete the questions under 40 minutes and scored 90 marks. Thanks for making it light for us. Hearty thanks to killexams.com team, with the wait on of your model questions.


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    ANCC Adult Nurse Practitioner

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    Advanced Registered Nurse Practitioner (Home-Based Primary Care) Job in Multiple Locations – Department of Veterans Affairs | killexams.com actual questions and Pass4sure dumps

    jobs

    The United States government is a massive employer, and is always looking for qualified candidates to fill a wide variety of open employment positions in locations across the country. Below you’ll find a Qualification Summary for an active, open job listing from the Department of Veterans Affairs. The opening is for an Advanced Registered Nurse Practitioner (Home-Based Primary Care) in Multiple Locations Feel free to browse this and any other job listings and attain out to us with any questions!

    Advanced Registered Nurse Practitioner (Home-Based Primary Care) – Multiple LocationsVeterans Affairs, Veterans Health Administration, Department of Veterans AffairsJob ID: 10141Start Date: 10/23/2018End Date: 11/07/2018

    Qualification SummaryBasic Requirements: United States Citizenship: Non-citizens may only exist appointed when it is not workable to recruit qualified citizens in accordance with VA Policy. Graduate of a school of professional nursing approved by the arrogate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). In cases of graduates of alien schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of alien schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing. Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Education/Experience Requirements: Nurse Practitioners and Clinical Nurse Specialists . On and after [March 17, 2009], registered nurses appointed or otherwise stirring into these assignments must meet and maintain the following additional qualifications. This includes employees appointed before [March 17, 2009], who obtain such qualifications on or after [March 17, 2009.] A Nurse Practitioners must exist licensed or otherwise recognized as a Nurse Practitioner in a State, possess a master’s degree from a program accredited by the NLNAC or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. The certification must exist in the specialty to which the individual is being appointed or selected. Board Certification as an Advanced practice Adult/Family Medicine Nurse from ANCC, state Licensure as an ARNP with prescriptive authority, and a minimum of two years of clinical experience. Newly certified and licensed ARNPs are eligible if they beget previous clinical suffer with adult/family medicine patients. Must beget a current, full, active and unrestricted license as an Advanced Registered Nurse Practitioner; physical and mental capabilities to satisfactorily discharge duties of the assignment. Preferred Experience: Medical, Surgical and/or Intensive custody suffer with a interdisciplinary team. Candidates should beget two to three years’ suffer as Nurse Practitioner. The candidate must beget above-average computer skills, outstanding interpersonal skills, agreeable organizational skills, strong problem-solving skills and decision-making capacity. The ARNP should exist a self-starter, able to office independently, exist a team player, and must exist able to prioritize and office effectively in a high volume program. Grade Determinations: The following criteria must exist met in determining the grade assignment of candidates, and if appropriate, the flush within a grade: Nurse I flush I – An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I flush II – An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor’s degree in a related sphere with no additional nursing practice/experience; OR a Bachelor’s of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I flush III – An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor’s degree in a related sphere and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master’s degree in nursing (MSN) or related sphere with a BSN and no additional nursing practice/experience. Nurse II – A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor’s degree in a related sphere and approximately 2-3 year’s of nursing practice/experience; OR a Master’s degree in nursing or related sphere with a BSN and approximately 1-2 year’s of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related sphere with no additional nursing practice/experience required. Nurse III – Master’s degree in nursing or related sphere with BSN and approximately 2-3 year’s of nursing practice/experience; OR a Doctoral degree. Reference: VA Regulations, specifically VA Handbook 5005, share II, Appendix G-6 Nurse Qualification Standard. This can exist establish in the local Human Resources Office. Physical Requirements: as per VA Directive and Handbook 5019 FUNCTIONAL REQUIREMENTS·Heavy Lifting, 45 pounds and over·Heavy Carrying 54 pounds and over·Straight pulling (2-6 hours)·Pushing (2-6 hours)·Reaching above shoulder·Use of fingers·Both hands required·Walking (5-9 hours)·Standing (4-8 hours)·Kneeling (1-2hours·Repeated bending (2-4 hours)·Climbing, legs only (1-2 hours)·Twisting (2-4 hours)·Near vision correctable at 1″ to 16″·Jaeger 1 to 4·Far vision correctable in one eye to 20/50 and 20/100 in the other·Ability to distinguish basic colors·Ability to distinguish shades of colors·Hearing (aid permitted)·Ability to hear whispered voice·Emotional stability ENVIRONMENTAL FACTORS·Excessive noise, intermittent·Constant noise·Radiant energy·Electrical energy·Slippery or uneven surfaces·Working around stirring objects and vehicles·Unusual fatigue factors·Working with hands in water·Working closely with others·Working alone·Heavy patient care

    If you’d infatuation to submit a resume or apply for this position, delight contact Premier Veterans at abjobs@premierveterans.com. complete are free to apply!

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    UHS Nurse Practitioners | killexams.com actual questions and Pass4sure dumps

    University Health Service

    A nurse practitioner is a registered professional nurse (RN) with advanced educational and clinical preparation beyond the baccalaureate degree. The professional role blends the nursing skills of counseling and health education with the medical skills of diagnosis and treatment. The nurse practitioners at the University Health Service (UHS) work in a collaborative practice with the UHS physicians in evaluating, diagnosing, and treating health and illness concerns. In unique York State, nurse practitioners (NP’s) are licensed by the state and granted legal authority to prescribe medications and write prescriptions.

    The University Health Service nurse practitioners provide primary care, women’s health care, and/or mental health custody services. complete full -time students are assigned a nurse practitioner or a physician as their primary custody provider (PCP) when they enter the University.

    UHS provides a team-based approach to patient custody and treatment. Each UHS primary custody nurse practitioner is a member of the UHS Yellow Team or the UHS Blue Team. As a member of the team, the nurse practitioner works in collaboration with the other members of the team to provide you with comprehensive, coordinated, and accessible health custody services.

    Primary custody Nurse Practitioners Suzanne Bumpus

    Suzanne Bumpus, RN, MS, FNP-C, Family Nurse Practitioner, is a member of the UHS Blue Team. Ms. Bumpus joined the University Health Service in February 2014. She received a Bachelor of Science in Nursing from the University of Rochester School of Nursing and a Master of Science in Nursing from St. John Fisher College, Wegman’s School of Nursing. Ms. Bumpus has 20 years of suffer in nursing and Adolescent Medicine. Her interests embrace women’s health and eating disorders. Ms. Bumpus is board certified.

    Brenda Cooley

    Brenda Cooley, MS, FNP, APRN-BC, Family Nurse Practitioner, is a member of the UHS Yellow Team. Ms. Cooley joined the UHS staff in 1987 as a registered nurse. Upon completing her Master of Science at St. John Fisher College in May 2003, she began working as a Family Nurse Practitioner at UHS. Ms. Cooley is board certified.

    Lisa Dube-Whitehair

    Lisa Dube-Whitehair, MS, RNC, WHCNP, ANP-BC, Adult Nurse Practitioner, is a member of the UHS Blue Team. Ms. Dube-Whitehair joined UHS in February 2011. She received her BS in Nursing from the University of Southern Maine, her MS in Women’s Health custody from the University of Rochester School of Nursing, and the Health custody Leadership Certificate Program from the University of Rochester William E. Simon Graduate School of commerce Administration. Ms. Dube-Whitehair is certified through the American Nurses Credentialing hub (ANCC). She holds a faculty appointment in the School of Nursing.

    Ashley Manning

    Ashley Manning, RN, MS, FNP-C, Family Nurse Practitioner, is a member of the UHS Yellow Team. Ms. Manning joined the University Health Service in May 2017. She received her Bachelors of Science in Nursing from the University of Windsor in Windsor, Ontario in 2006 and her Master of Science in further Nursing practice – Family Nurse Practitioner from St. John Fisher College in Rochester, unique York in 2016. Ms. Manning is board certified. Ms. Manning has 11 years of nursing suffer in captious custody and post-surgical custody in Canada as well as the US. She is thrilled to exist joining the UHS team.

    Women’s Health Nurse Practitioners Lisa Dube-Whitehair

    Lisa Dube-Whitehair, MS, RNC, WHCNP, ANP-BC, Adult Nurse Practitioner, is a member of the UHS Blue Team. Ms. Dube-Whitehair joined UHS in February 2011. She received her BS in Nursing from the University of Southern Maine, her MS in Women’s Health custody from the University of Rochester School of Nursing, and the Health custody Leadership Certificate Program from the University of Rochester William E. Simon Graduate School of commerce Administration. Ms. Dube-Whitehair is certified through the American Nurses Credentialing hub (ANCC). She holds a faculty appointment in the School of Nursing.

    Terri WinterTerri Winter, MS, WHCNP, APRN-BC, Women’s Health Nurse Practitioner, is a member of the UHS Yellow Team. Ms. Winter joined UHS in January 2002. She worked in the OB/GYN Outpatient Department of the University of Rochester Medical hub prior to joining UHS. Ms. Winter received her Women’s Health Nurse Practitioner post-graduate certificate from the University of Rochester in 1995 and her Master of Science in Nursing Administration, moreover from the University of Rochester, in 1994. Ms. Winter is board certified and holds a faculty appointment in the School of Nursing.

    Psychiatric Nurse Practitioner Maya Schneider

    Maya Schneider, DNP, RN, NP, PMHNP-BC, Psychiatric-Mental Health Nurse Practitioner. Dr. Schneider joined the University Health Service in August 2018. She received a Bachelor of Arts in Psychology from San Francisco State University, a Bachelor of Science Degree and Master of Science Degree in Nursing from the University of Rochester School of Nursing, and a Doctor of Nursing practice Degree from Vanderbilt University School of Nursing. Dr. Schneider has 11 years of suffer in nursing and Psychiatry. Dr. Schneider is a board certified Psychiatric-Mental Health Nurse Practitioner.


    Family Nurse Practitioner or Acute custody Nurse Practitioner in the Emergency Department? | killexams.com actual questions and Pass4sure dumps

    Nurse practitioners (NPs) are certified within a population-focused specialty area, practice in a variety of settings, and treat a wide compass of patients. puny is known about what agreement exists between certification obtained and actual site of practice.

    Keough, Stevenson, Martinovich, Young, and Tanabe (2011, p. 195)

    There is an ongoing debate about which qualifications are necessary to work in emergency custody settings.

    BACKGROUND Statistics

    There are currently more than 205,000 NPs in the United States and 9,000–12,000 are employed in emergency departments (EDs) and related areas (e.g., urgent custody centers; American Association of Nurse Practitioners [AANP], 2015). final year NPs cared for approximately 4% (5.4 million) of the 136 million patients seen in EDs in the United States (Centers for Disease Control and Prevention, 2015).

    Consensus Model

    In 2008, the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification and Education developed by the American Nurses Credentialing hub (ANCC; 2008) became the framework for NP licensure, accreditation, certification, and education. The model delineates advanced practice nursing based on role (NP, clinical nurse specialist, nurse midwife, or nurse anesthetist) and population-focused competencies (family/individual across the life span, adult-gerontology, pediatrics, neonatal, psych/mental health, and women's health/gender specific; ANCC, 2008). Specialty practice encompasses additional competencies, and it is at the specialty flush within the Consensus Model that concerns about scope of practice reside.

    Primary Certification

    Upon graduation, primary certification for NPs is achieved by the successful completion of the board examination at the population level:

  • Family nurse practitioners (FNPs) are awarded board certification as a Family Nurse Practitioner, Board Certified (FNP-BC), through the ANCC or the American Academy of Nurse Practitioner Certification Program that awards an FNP-C;
  • Acute custody NPs are awarded an Acute custody Nurse Practitioner Certification from the AACN Certification Corporation or an Acute custody Nurse Practitioner, Board Certified (ACNP-BC) from the ANCC;
  • Pediatric NPs may beget ANCC certification as a pediatric primary custody nurse practitioner or certification by the Pediatric Nursing Certification Board as a pediatric acute custody nurse practitioner.
  • Once certified, a pediatric, family, or an adult-gerontology NP may exist hired to work in an ED. Because the educational preparation of pediatric and adult-gerontology NPs does not embrace the custody of patients across the life span and because many EDs survey patients of complete ages, the pediatric and adult-gerontology NPs are limited to practicing in EDs within larger metropolitan areas that survey only older adults or children.

    Competencies/Specialty Certification

    Competencies for emergency nurse practitioners (ENPs) were initially published by the Emergency Nurses Association (ENA) in 2008 in the Nurse Practitioner Delphi Study: Competencies for practice in Emergency custody (ENA, 2010). In conjunction with the AANP, individuals on this committee led stakeholders to develop entry-level competencies for NPs in emergency care. The competencies were moreover endorsed by the American Nurses Association and by the National Organization of Nurse Practitioner Faculties. These competencies are the basis of ENP curricula in the United States.

    The ANCC established emergency nurse practitioner board certification (ENP-BC) via portfolio in 2013 (ANCC, 2013). To obtain ENP-BC, the NP applicant must beget obtained certification in a population focus, 2 years or 2,000 hr of emergency custody practice (within the past 3 years), 30 hr of continuing education in emergency care, and exemplary performance in two of five professional development/leadership areas. Submission of self- and peer performance evaluations is moreover required. Finally, the applicant must complete a written exemplar demonstrating expertise as an emergency custody provider.

    REQUIREMENTS TO WORK IN AN ED

    The skill of an FNP and/or ACNP to work in an ED is based on the (1) regulatory agency (state board of nursing [BON]), (2) academic preparation, (3) additional preparation, and (4) credentialing.

    Regulation

    The BON in each state determines the scope of practice and is the final authority on whether an NP can work in an ED. Currently, there is limited consensus among state BONs on the interpretation of the Consensus Model related to the scope of practice for NPs providing custody within EDs.

    Academic Preparation

    Formal educational programs to prepare NPs to work in EDs beget been available since the 1990s. The domains in emergency custody embrace captious care, urgent care, primary care, behavioral medicine, public health, and social medicine (Chan & Garbez, 2006).

    Nurse practitioners prepared as primary custody providers beget competencies different from those prepared for acute custody roles. These unique educational differences govern an NP's scope of practice (American Academy of Emergency Nurse Practitioners, 2015). Recently, several FNP programs beget revised their curricula to incorporate didactic and clinical content in emergent and urgent care. Nurse practitioners educated as acute custody providers are prepared with didactic and clinical practice in acute custody settings; they execute not beget the academic preparation to custody for pediatric patients in emergency custody settings.

    Additional Preparation Emergency custody Fellowships

    Both FNPs and ACNPs may obtain additional education in emergency custody by completing an emergency custody fellowship program. Pediatric and adult-gerontology ACNPs who receive additional educational preparation in emergency custody and acute stabilization and resuscitation of medically unstable patients across the life span are prepared to provide safe, high-quality custody in their respective EDs. Emergency trained FNPs or ACNPs graduating from academic ENP programs and fellowships should exist recognized as having the knowledge, skills, and competencies to practice in the ED and exist considered board-eligible for ENP certification. FNPs can obtain erudition and skills in the acute resuscitation and captious skills required for safe practice in an ED either by completing an ENP graduate program or by attending a structured emergency fellowship program.

    Continuing Education/On-the-Job Training

    Continuing education is one routine of obtaining the competency, knowledge, skills, and behaviors necessary to practice in an ED setting. On-the-job training can moreover teach NPs valuable skills (e.g., ultrasound technique).

    Credentialing

    Regardless of each state BON's authority to regulate practice or the educational preparation of an FNP or ACNP, the skill to work in an ED is ultimately granted by the medical staff of the hospital through a process called credentialing. Credentialing or obtaining privileges is the process of establishing the qualifications of an individual to work in a specific environment. This generally includes a background check along with an assessment of academic and certification credentials, work history, recent continuing education, and current licensure.

    FNPs OR ACNPs IN THE ED?

    In a study conducted by Keough et al. (2011), FNPs, adult NPs, and ACNPs were surveyed regarding certification, demographics, practice setting, routine responsibilities, and additional preparation (2011). The FNP, adult nurse practitioner (ANP), and ACNP respondents (5%, 7%, and 42%, respectively) reported practicing in a nontraditional practice setting. Of the NPs practicing in a nontraditional setting, 74% were ACNPs, with 90% of those ACNPs practicing in a nontraditional, ambulatory custody setting. Sixty-five percent of the FNPs who were practicing in a nontraditional setting worked in a high-acuity ED, whereas 56% of the ANPs working in a nontraditional setting were employed in intensive custody units. Additional training and education for these NPs included, but were not limited to, pharmacology, laboratory interpretation, and the ordering of diagnostic tests. The authors concluded that “while greater than 90% of ANPs and FNPs practice in settings consistent with their certification, a balance of NPs practice in nontraditional settings may benefit from additional education (formal, on-the-job, and continuing education) and mentoring” (Keough et al., 2011, p. 195).

    Among NPs working in emergency care, a snowball sample of 164 NPs surveyed establish that 78% reported were certified as an FNPs whereas only 10% reported certification in acute custody (E. Ramirez, oral communication, August 20, 2015). Current initiatives to wait on prepare NPs to attain the ENP core competencies embrace establishing educational standards for graduate education of ENPs and arrogate postgraduate continuing education. Other needful activities to support and promote ENP practice embrace updating the ENP core competencies and exploring partnerships with nursing and medical organizations to ameliorate continuing education, recruitment, and retention of qualified ENPs.

    Nurse practitioners will continue to work in EDs, whereas state BONs strive for congruence with the Consensus Model. Ultimately, complete NPs working in emergency settings must demonstrate ENP competencies because certification for ENPs is in the best interest of patient safety. That's the bottom line.

    —K. Sue Hoyt, PhD, RN, FNP-BC, CEN, FAEN, FAANP, FAAN

    Emergency Nurse Practitioner

    St. Mary Medical Center

    Long Beach, CA

    —Jean A. Proehl, RN, MN, CEN, CPEN, FAEN

    Emergency Clinical Nurse Specialist

    Proehl PRN, LLC

    Cornish, NH



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