Talentedtutor

Discussion Week 1 - Introduction.

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        My name is Raul Rodriguez, I am a Cuban immigrant who came to the states when I was eleven (11) years old in 1995. I grew up in the midst of Miami and graduated from Felix Varela Senior High; to further my education, I completed my AS Degree here at FNU and have moved myself forward throughout the years. I am currently a STEMI nurse for Mount Sinai Medical Center where I’ve been for almost two years, but have almost 4 years of ICU experience working for the Bellevue Hospital in New York City. 

    I’d like to continue pursuing my goal of becoming an ARNP to take care of those that need us most. I would like to focus on Cardiology since that is the specialty I love the most and where most of my experience is in, feel that with my given background/knowledge I can provide the best practice care possible. 

As a nurse practitioner and provider various interrelated factors have contributed to changes in how nurses deliver care today. The unobtainability of adequate health care services in rural or even underserved areas, a reducing number of medical providers, and even economic circumstances have all led to the introduction of nurse practitioners (NP) as part of the solution to the issues that plague care delivery. The implementation of the NPs, by and large, ensures that there is improved access to treatment, provision of cost-effective care and outreach services, and that clinical expertise to other health professionals and mentorship is made possible. Most importantly, however, NPs have the authority to prescribe medications that are related to their scope of practice (Fong, Buckley, & Cashin, 2015).

As prescribers, NPs must gather information, make clinical decisions, communicate and evaluate before they initiate, continue, or cease the prescription of drugs. NPs in the United States are vital as they reduce physician workloads and address the needs of patients in remote areas. As part of their mandate, they have prescriptive privileges that have continually superseded the original arrangement that required they collaborate with other medical practitioners, and they are now able to independently prescribe medication that can also include controlled drugs in some 21 states (AANP, 2017). For NPs to obtain licensure, they must possess a master’s degree, a post-master’s certificate, or a doctoral degree in nursing from a recognized or endorsed program. Indeed, there is even a move that NPs be required to hold a doctorate as an entry level qualification. In general terms, however, the Board of Nursing for the state in which NPs practice is charged with licensing nurse practitioners, and as is the case in such circumstances, each state has its own regulations (Fong, Buckley, & Cashin, 2015). 

References

[AANP] American Association of Nurse Practitioners. (2017). 2018 nurse practitioner state practice environment. State Nurse State Practice Acts and Administration Rules, 2017. Available from: http://www.aanp.org/images/documents/state-leg-reg/stateregulatorymap.pdf . 

Fong, J., Buckley, T., & Cashin, A. (2015). Nurse practitioner prescribing: An international perspective. Nursing: Research and Reviews, 2015(5), 99-108. doi: 10.2147/NRR.S56188

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