a doc's take on APRN's - page 2

Found this at Monday, September 18, 2006 A million flies cannot be wrong.... ++++++++++... Read More

  1. by   XB9S
    Quote from traumaRUs
    XB9S - thanks for the input. I am always interested in how other countries utilize advanced practice nurses.
    anything you want to know just ask I am happy to answer as many questions as I can
  2. by   traumaRUs
    Okay here goes: (you may be sorry you asked - lol):

    1. Do advanced practice nurses have prescriptive authority?

    2. Where are most NP's used: in clinics, hospitals, etc?

    3. I've heard (and know from living in Korea, Spain and Japan), that living with socialized medicine, there is little to no competition for the medical dollar. What then, is the incentive for the UK government to expand the scope of practice for APN's? Is there a shortage of MD's?

    4. I understand from this board, that RN's have a hard time finding a job. What about APN's?

    Thanks much.
  3. by   XB9S
    Quote from traumaRUs
    Okay here goes: (you may be sorry you asked - lol):

    1. Do advanced practice nurses have prescriptive authority?

    2. Where are most NP's used: in clinics, hospitals, etc?

    3. I've heard (and know from living in Korea, Spain and Japan), that living with socialized medicine, there is little to no competition for the medical dollar. What then, is the incentive for the UK government to expand the scope of practice for APN's? Is there a shortage of MD's?

    4. I understand from this board, that RN's have a hard time finding a job. What about APN's?

    Thanks much.
    Ok I did offer,

    1. Nurse Prescibing in the UK has been a little slow to take off, the government has taken it very slowly. We started with a very limited formulary which was exclusively for community nurses and only contained things such as dressings etc. This has progressed and now we have Supplementary prescribing, this is prescribing in collaboration with an independent prescriber (MD) using clinical management plans, what you can presribes depends very much on your independent prescriber, mine pretty much allows me to prescribe anything but there are some that are more restrictive. We are now moving to independent prescribing which in England I believe is already inplace but here in Wales we are a little slower and should be able to convert next year.

    I will answer 2 and 3 together, the advanced nurse role has taken off because of the reduction in junior doctors hours, the NHS has to now comply with the european working time directive which has meant that there are far fewer medics available to the patients. THe NP and CNS roles are filling in the gaps both in clinic, community and acute care settings. BUT the regulatory body for nursing has been slow in regulating ANPs and still have no part of the register for this so at the moment any RN can move into a NP or CN post without any further training. THis is changing and hopefully by 2010 all NP's and CNS will have to do at least degree level study. I am fortunate that where I work we have already insisted that NP's undertake degree NP courses so we will already comply with the requirments our governing body want but not all areas do this.

    As for jobs, all areas of the NHS are expereincing staffing cuts but there aare some jobs available. What I have found is that if you can prove that you will help the trust to meet govenment targets with waiting lists and cancer standards then you are more likely to be funded, for example I have recently set up a pre-operative assessment clinic for in-patient surgery, 4 weeks prior to admission we bring the patients in to optimise their health. This identifies those not fit for anaesthesia and we remove them from the waiting list and reduces in-patient length of stay by making sure the patients are fit for surgery. Both of these are government targets so I have been given funding to staff and run this clinic. I know you probabely don't have waiting lists in the US but it is huge here presently we are trying to get down to below 6 months wait from GP referral to time of surgery.

    Hope this answers your questions
  4. by   dfurbee
    MD, does not stand for medical diety!!!
  5. by   MS, APRN, BC, FNP
    Quote from dfurbee
    MD, does not stand for medical diety!!!
    I thought it stood for mediocre dumba$$. Sorry, I couldn't resist.

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