Level of accountabi lity independent highest level

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LEVEL OF ACCOUNTABI LITY Independent, highest level accountability, accountable for advanced, assessment,referr als, diagnosis, treatment, and consultations for individuals to communities** Independent, highest level accountability, accountable for advanced, assessment,ref errals, diagnosis, treatment, and consultations for individuals to communities, gynecologic care, postpartum and prenatal care, family planning ** Independent, highest level accountability, accountable for advanced, assessment,ref errals, diagnosis, treatment, and consultations for individuals to communities* * Highest level accountability, accountable for advanced, assessment,ref errals, diagnosis, treatment, and consultations for individuals to communities* * PATIENT POPULATION Everyone over their life span from birth to death, wide range of care settings including the home, clinics, and hospital ** Women over their life span from birth to death, their partners reproductive health, their partner’s sexually transmitted diseases, and newborns** Everyone over their life span from birth to death** Everyone over their life span from birth to death** SALARY Approximately $117,000****,** ****** Approximatel y $126,000**** ** Approximatel y $208,000**** * Approximatel y $119,000**** ***
SCOPE OF PRACTICE Health promotion, counseling, disease prevention, referrals,** Restricted Practice,* Requires practice agreement with a currently licensed physician Can order treatments, medications and therapeutics** Gynecologic care, newborn, Can order treatments, medications and therapeutics, health promotion, counseling, disease prevention, referrals,** Persons in immediate to life- threatening circumstances, can order treatments, medications and therapeutics, health promotion, counseling, disease prevention, referrals,** Health promotion, counseling, education, disease prevention, disease management, referrals, direct and indirect client care, No prescriptive authority** POSITIVES Expanded nursing role, able to work in a variety of settings Independent service, does not need prescriptive authority requirements Able to work with a wide range of clients More similar than other APRN roles to the current register nurse role, therefore more familiar in that the CNS works according to the orders of another licensed professional NEGATIVES Need prescriptive authority requirement, must consult with a physician for certain prescriptions and/ or therapies Narrow client base Need prescriptive authority requirement, job consists of safely anesthetizing people and waking them Not authorized for prescriptive authority
up The psychiatric clinical nurse specialist (PCNS) is an additional APRN role for a total of 5 APRN clinical categories in Massachusetts (Board of Registration in Nursing, 2019). The reason for choosing the certified nurse practitioner practice role as opposed to any of the other advanced practice registered nurse (APRN) roles is because it allows for direct nursing care with an expanded role in that care. There is also the versatility of the CNP role. The CNP is able to work in any number of

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