license. For the certified nurse practitioner (CNP), care along the wellness-illness continuum is a dynamic process in which direct primary and acute care is provided across settings. CNPs are members of the health delivery system, practicing autonomously in areas as diverse as family practice, pediatrics, internal medicine,
geriatrics, and women’s health care. CNPs are prepared to diagnose and treat patients with undifferentiated symptoms as well as those with established diagnoses. Both primary and acute care CNPs provide initial, ongoing, and comprehensive care, includes taking comprehensive histories, providing physical examinations and other health assessment and screening activities, and diagnosing, treating, and managing patients with acute and chronic illnesses and diseases. This includes ordering, performing, supervising, and interpreting laboratory and imaging studies; prescribing medication and durable medical equipment; and making appropriate referrals for patients and families. Clinical CNP care includes health promotion, disease prevention, health education, and counseling as well as the diagnosis and management of acute and chronic diseases. Certified nurse practitioners are prepared to practice as primary care CNPs and acute care CNPs, which have separate national consensus-based competencies and separate certification processes. Safriet, Barbara J. “Health Care Dollars & Regulatory Sense: The Role of Advanced Practice Nursing”, Yale Journal on Regulation, Vol., No. 2, 447. World Health Organization. (2016). WHO Health Promotion Glossary: new terms. Health Promotion International Advance Access . Oxford University Press: Author. Show Less Amber Kelly 7/8/2016 7:04:45 PM Discussion Part Two Professor and class The state I currently reside in is South Carolina and according to the South Carolina Labor, Licensing, and Regulations (SCLLR) there is not a specific list for the scope of practice for any area of nursing such as the APRN, RN, and LPN (n.d.). SCLLR refers the reader to the South Caroline Nurse Practice Act title 40 Professions and Occupations Chapter 33 (2006). The most current Nurse Practice Act of SC was released in 2006. Section 40-33-20 of the Nurse Practice Act defines the APRN as an RN who has achieved extra skills and knowledge through a formal education (2006). SC recognizes the four categories of APRN’s are the NP, the CNM, CNS, and
CRNA (2006). According to section 40-33-20 the APRN (NP, CNM, and CNS only) may perform delegated medical acts that is defined as “additional acts delegated by a physician or dentist to the APRN” which can be for the APRN to formulate medical diagnosis, to initiate, continue, and modify therapies, and the APRN can prescribe medications as long as they are not schedule II controlled (2006). According to section 40-33-34 in SC each physician can have only up to three APRN’s under their license, and they must be “readily available” no further than forty-five minute drive (2006). According to the SC Nurse Practice Act the APRN cannot: order
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- Cameron Duncan
- Nursing, Advanced practice nurse, Registered nurse, CNPs