...Title: Nurse Practitioner V.S Physician Assistant Yvonne Barker English: 102 Date4/6/2013 People rarely see medical doctor anymore. Patient is more like to have appointment with a Nurse Practitioners NP, Are a Physician Assistant PA. Both nursing practitioner and physic assistant can play the roles in healthcare practices. Patient is in good hand, weather we are treated by a PA or a NP. The different between a nursing practitioner and a physician assistant NP favor the nursing model while the PA favor the medical model. Education to become a nurse practitioner (NP) requires coursework and clinical rotations beyond that required of the RN. Curriculum includes, but is not limited to, courses in epidemiology; nursing theory; health promotion; pathophysiology; physical assessment; pharmacology; differential diagnosis and laboratory/radiography diagnostics; statistics and research methods; health policy; role development and leadership; acute and basic chronic disease management (e.g., adults, children, women's health, geriatrics, etc.); and, clinical rotations, which varies depending on the program. MSN programs also require a clinical research project. There are a variety of paths to becoming a licensed nurse practitioner in the United States. Typically, the process begins with obtaining a Bachelor of Science in Nursing (BSN, usually 4 years), followed by a Master’s of Science in Nursing (MSN, usually 50 credits). The flexibility of the MSN degree allows students to...
Words: 926 - Pages: 4
...Physician Shortage Tiara Smith HCS/552 April 18, 2016 James Hamilton Physician Shortage There is a projected shortage of physicians in America. There are going to be more need for patients driven by the aging population and the population growth in the country. The growths combined with the implementation of the Affordable Care Act are going to leave patients with difficulties seeing a primary care physician. Compensation and location play a factor in the distribution of physicians. The government is preventing more doctors from practicing and regulating the services provided by nurse practitioners and physician assistants. Not one solution will solve the problem by itself. There are many factors that play a part. We need to make necessary changes, or we will have a serious health care problem in America. By 2025, there will be a loss of 100,000 physicians. This means that seeing a doctor will be even more difficult. Primary care physicians have the most consistent contact with patients, providing checkups and referrals to specialists. Without primary care physicians, doctors will only be treating patients when they are seriously ill. There are many states that have half or less of their primary needs being met currently. Alaska, Washington, North Dakota, South Dakota, Nebraska, Alaska, Missouri are just a few of the states not getting their needs met. Doctors tend to stay in big cities and are limited in rural areas (Court, 2016). Doctors that choose primary care...
Words: 1145 - Pages: 5
...NURSE PRACTITIONERS HAS A PRIMARY CARE PROVIDERS Primary care is usually the patient’s first contact with the treatment system, according to chapter 1 of Barton, Roemer’s model of a health services system defines primary care as the entry point into the health services system where diseases are diagnosed and initial treatment is provided, episodic care for non chronic illness and injuries is rendered, prescription drugs to treat common illness are provided, routine dental care done and potentially serious physical or mental health conditions that require prompt referral for secondary or tertiary care are diagnosed. A nurse practitioner is a registered nurse who has achieved an advanced level of education and training with a master degree as well as a higher level of training in the diagnoses and treatment of a range of common medical conditions and illnesses. Some nurse practitioners seek training in highly specialized areas of medicine as well. Their job is very similar to that of a physician. In fact, these professionals often have working relationships with physicians. They can perform the duties of a primary health care provider and can offer medical care to patients of all ages and are legally allowed to prescribe medications. Nurse practitioners will be in high demand, according to healthcare industry experts because of shortage in the number of primary care physicians available to treats patients, a growing and aging population combined with the need for healthcare services...
Words: 881 - Pages: 4
...already implemented or will soon been implemented to bring down the astronomical cost of healthcare. The prime focus in this changing healthcare scenario is the cost of healthcare. This brings to forefront how we can best utilize our clinicians without lowering the quality and efficacy of patient care. General Physicians and Specialist are the highest paid healthcare workers. There are many functions they perform some of which are routine and some require special skills. The normal routine of gathering medical history; medication profile; body vital readings; height and weight; lifestyle profile etc can be efficiently documented by a nurse and does not need to be handled by a physician. The initial analysis of any patient can be done by a Nurse Practitioner or Physician Assistant. Then there are patients who have minor ailments or are patient with chronic conditions; palliative care patients or those who come in for routine checkups can be effectively handled by Nurse Practitioners or Physician Assistants. The patients who need more attention are the ones who have complications or critical need a higher level of intervention that needs to be provided by a physician. Another example is in dentistry normal oral hygiene preventions procedures and tooth X-rays can be...
Words: 381 - Pages: 2
...In the State of California, Nurse Practitioner (NP) needs to practice under the supervision or with a physician and doesn't allow NP to practice independently (SB 421, 2013). Supervision is where the APRN needs to be supervised and guided by the physician and described that it is where critically watching and directing activities or a course of action and is a mainstay of any hierarchical structure (Joel, 2013) Having that said, I have interviewed some NP's from the California Association of Nurse Practitioners Symposium I have attended and found out that, physician supervision doesn't mean that they need to check everything before an NP perform/initiate the treatment. They are there to guide and work with the NP's to meet the patient’s goals and provide optimum care needed by the patient. Team-Based approach is the current setting of NP and Doctors in California and some other states who doesn't allow NP to practice independently. Having a common goal for the patient’s outcome and to maintain the individuals health gives both NP and MD advantage to care for the patient. It allows the NP to practice with the physician and to render health care services that are within the scope of the practitioner’s expertise. The setup of a provider’s office always depends to the state law. And also, Medicare and other insurances always defer to the state law requirements upon billing. The Definition of Incident to Billing Having all that said, Centers...
Words: 1267 - Pages: 6
...Bangor Family Physicians Case Study Executive Summary & Stakeholders Bangor Family Physicians is a partner based medical group practice located in Maine. The practice consists of four family practice physicians, and a medical support staff. The medical support staff is made up of a practice manager, two receptionists, four nurses, two medical assistants, two billing clerks, and a laboratory technician. Additionally, Bangor Family Physicians employs a CPA to assist with taxes and financial advising. The key stakeholders are the four family physician partners, in which each physician holds an equal stake in the practice. Bangor Family Physicians Reimbursement There are two determinants to reimbursement for Bangor Family Physicians: a monthly salary and yearly profits after accounting for reinvestments into the company. Since the foundation of Bangor Family Physicians in 1986, the practice has used an equal pay compensation model as the reimbursement scheme of choice. Profits that are above overhead costs at the end of the year are portioned out equally to each partner, thus determining the overall amount the physician receives for the year. While this type of compensation model discourages overutilization and allocates risk among all physicians, it negatively affects productivity and does not reward efforts to improve quality. Such a system can only work on the basis that all physicians have the same skill and productivity levels and are equally motivated to contribute...
Words: 4592 - Pages: 19
...worker who is a medical assistant and LPN and b faces a legal and ethical decision when a patient insists on a prescription of Valium while Jerry is in the office alone. Jerry must decide how to provide the patient with what he needs while maintaining the law and his ethical values. Jerry McCall, although he received professional training as a medical assistant and an LPN, is not qualified to refill a prescription for a patient. According to New York State Law, LPNs are not allowed to work independently. The law “requires LPNs to practice under the direction of a registered professional nurse, nurse practitioner, physician, dentist, physician assistant, specialist assistant, podiatrist, or midwife” (Office of the Professions, n.d.). Jerry is aware of the rules and regulations concerning prescriptions and should not be intimidated by a pushy patient. Rules and laws are in place to protect both patients from injury and health care workers from malpractice. The law covers all medications because a patient can have an adverse reaction to even a common medication which is why all prescriptions must be ordered by licensed professionals. It does not matter whether the patient requests a daily medication such as a blood pressure medication or Valium as in Jerry’s case. The only legal way that Jerry could call in a refill for the patient is if the physician instructed him to because this would be within the scope of his duties. NYSNA, the New York State Nurses Association, prohibits...
Words: 981 - Pages: 4
...become a nurse practitioner in dermatology. To achieve this, I plan to first obtain my doctorate degree as a family nurse practitioner, then move into the dermatology specialty. As Currie, Chiarella, and Buckley explain, nurse practitioners are registered nurses who have been trained to “perform at an advanced level of assessment and clinical decision-making” (2013). Continuing my education in nursing is important to me, as it yields an array of new opportunities and greater responsibilities. Nurse practitioners differ from registered nurses in that they are able to prescribe medication, provide orders, and refer patients to other healthcare professionals (Currie, Chiarella, & Buckley, 2013). While registered nurses are typically employed in hospital settings, nurse practitioners...
Words: 625 - Pages: 3
...My entire life I have always loved to help people, and everyone has always told me pursue a job in which helping people is the main goal. My passion for helping has inspired me to become a healthcare professional. The ultimate career goal for myself is to become either a physician assistant or a nurse practitioner. I am currently undecided in my college decision however making that decision will help direct me to either the path to become a physician assistant or the path to become a nurse practitioner. I have been accepted into the RIBN (Regionally Increasing Baccalaureate Nurses) Program, if I choose to enroll in this program, I will begin my journey towards becoming a nurse practitioner, after completing four years of education partnered between ECU and PCC to become earn my BSN. I have been accepted to several institutions and am still awaiting final decisions from other intuitions. If I choose any of my other choices, my goal will be to major in either psychology or biology and continue my education following that by enrolling in a physician assistant program. Regardless of which direction I choose to take my life, I can expect to be enrolled in school for at least six more years following high school. The time required to achieve...
Words: 372 - Pages: 2
...acuity • Has 8 specialized programs that focus on disease and prevention • Ranked 21st in the nation by U.S. News and World Report Clinical Staff • 20 Cardiology M.D.s at Rush – 2 Cardiology M.D.s at Rush Oak Park Hospital • 1 Nurse Practitioner • 2 Check-In Clinic Coordinators • 3 Discharge Clinic Coordinators • 5 Certified Medical Assistants • 2 Call Center Coordinators • 3 Registered Nurses – Coumadin Clinic – Phone Triage Physician Education • Medical Degree or Doctor of Osteopathic Medicine • Residency in Internal Medicine – 3 years • Cardiology Fellowship Training – 3-4 years per ACGME guidelines 4 Outpatient Clinic Volumes • On average the clinic will see between 115-140 per day • Staffed with 5-7 Attending seeing patients per day • Roughly a patient volume of 29,000 outpatient visits per year – Monday-Thursday: 115-150 patients – Friday: 80 patients Outpatient Check-In Patients are greeted by two Clinic Coordinators • Verify patients appointment by asking for their name and date of birth • Scan a copy of patients insurance card • If the patient has not verified their insurance with hospital Registration prior to appointment, they would do so at this time • Patient is called to their clinic room by Medical Assistant Check-Out Cardiology utilizes 3-4 Clinic Coordinators who check out patients following their appointments • Responsible for scheduling future appointments • Schedules all diagnostic procedures • Pre-authorize all diagnostic procedures ...
Words: 775 - Pages: 4
...many faces of the professional nurse The title of Nurse has many applications in modern medicine. Each specific type of nurse has a different set of responsibilities: Registered nurses (RNs), Nurse Practitioners, head nurses or nurse supervisors, Licensed Practical Nurses (LPNs), nursing home nurses, Home Health Nurses, and nursing aides. While there are many shared tasks, these nursing professions require special skills and different levels of patient interactions. We've compiled the many nursing job descriptions below: Nursing Forum: Join the discussion about nursing careers and education. Registered Nurse job description (RN) Registered Nurses (RNs) comprise the largest group of healthcare workers. To become an RN, students must learn what it takes to work directly with patients and their families. They are the primary point of contact between the patient and the world of health care, both at the bedside and in out-patient settings. RNs perform frequent patient evaluations, including monitoring and tracking vital signs, performing procedures such as IV placement, phlebotomy, and administering medications. Because the RN is much more regular contact with patients than are physicians, the RN is usually first to notice problems or raise concerns about patient progress. RN job descriptions also include developing the day-to-day nursing care plans both in the hospital and for care after discharge, to be administered by families and visiting nurses. While there is a national...
Words: 1283 - Pages: 6
...on healthcare professionals.it is important for nursing profession to have more educated,skilled,trained nurses in order to provide best care to patients that is changing with more developed technologies .To meet the basic needs of advancing healthcare system some transformations are needed-practice,education,leadership.In 2010 The IOM and the Robert Wood Foundation brought the new report -The Future of Nursing Leading change,Advancing Health to address some changes in healthcare system in order to meet high demands of future nursing. Impact of iom report on nursing education Education is essential for nurses to work efficiently in their field. Nurses with higher Education become able to use Critical Thinking,Knowledge,skills.Based on IOM report it is required to change the education format as now BSN are in more demand.It is addressed in IOM report to have 80% BSN nurses by 2020 and to meet this target it is necessary to increase education level- by Having low cost, high level education available for Public-for which Providing funds by states and federal agencies is a helpful step.As seen today Many ADN degree nurses moving further for BSN degree by going back to studies. By this change more nurses will be available for public health,community care,research and leadership. In order to comply with developing needs, nurses need to be engaged in higher education with this they are able to study to higher level in order to...
Words: 1021 - Pages: 5
...to become a Physician Assistant. This career is in the Health Sciences cluster and under the Therapeutic Services pathway. As a Physician Assistant I would be examining patient's medical history, analyzing patients, order and clarify diagnostic test, diagnose a patient’s injury or illness, provide treatment, placing back broken bones and immunize patients, teach patients and their families about illnesses and care, provide counseling for patients and their families, prescribe the correct medicine for patients, evaluate and document a patient’s progress on their charts, and educate on the latest treatments to ensure the quality of patient care. Physician Assistants work in offices of physicians, hospitals (state, local, private), outpatient care centers, government, and educational services (state, local, private). Work of a physician assistant can be overwhelming and stressful at times. Physician assistants are always doing something and always on their feet, making rounds and evaluating patients. During surgeries, physician assistants stand for an extended period of time. When working in hospitals, physician assistants will be on call to come at any time with little notice and that includes weekends and holidays....
Words: 570 - Pages: 3
...examination may be accepted from a physician’s office if the examination was within 30 days and meets the standards as defined by hospital policy and procedure. If the patient was transferred from another hospital, the physical examination may be accepted if the examination was done within 30 days, provided they are updated within 24 hours of admission or registration by the attending physician. In the above three cases, the attending physician must validate the examination in the medical record (on the physical exam) by noting that there are no significant findings or changes and signs and dates the report. Guidelines for contents of a complete History & Physical include: a. The Emergency Room documentation form may not be used as a History and Physical. b. A complete history and physical examination shall be recorded before the time stated for operation or the operation shall be canceled unless the attending surgeon indicates it is an emergency procedure. c. If the complete history and physical was dictated shortly before the operation, but not yet transcribed, the surgeon/physician will document that the history and physical has been dictated. A short History & Physical can be used for procedures using procedure/moderate sedation. No History & Physical is required for procedures using local sedation. d. The...
Words: 1448 - Pages: 6
...The 2010 IOM Report: The Impact on the Future of Nurse Practitioners Alexis A. Voigt Grand Canyon University: NRS-430V Professional Dynamics August 23, 2012 The 2010 IOM Report: The Impact on the Future of Nurse Practitioners In response to the 2001 Institute of Medicine (IOM) report on the need for healthcare reform, the IOM released a comprehensive report on future needs in the field of nursing to ensure the success of the reformation. One aspect that was reported on was the need for more Nurse Practitioners (NP) being employed in community health and primary care facilities. This need requires expansion in the NP’s scope of practice and educational requirements but is essential to providing comprehensive care in our communities. Nurse Practitioners in Primary Care Nurse practitioners currently account for 83,000 of primary care providers, along with 287,000 physicians, and 23,000 physician assistants, which is an increase in ratio from 0.23 to 0.48 in NP’s per physicians between 2005 and 2009. (IOM, 2011) Considering the significant decrease in medical students entering into primary care and the increased need for primary care in the patient center care model presented by projected healthcare reform, NP’s are needed more than ever before. (IOM, 2011) If NP’s take on the majority of cases in primary care that are of low to moderate complexity it will leave more availability for physicians to work with patients with higher complexity. NP’s have a reputation...
Words: 934 - Pages: 4
