Brassard et al. (2014) when a CNP gets approval to work in the hospital there is still a lot of grey area that needs to be clearly defined. Certified Nurse Midwife (CNM) Pros: provide counselling and care during pre-conception, pregnancy, childbirth and the postpartum period and the care of the normal new-born during the first 28 days of life (Pelletier, 2014). They conduct physical examinations; prescribe medications including controlled substances and contraceptive method. They work in diverse settings such as ambulatory care clinics, private offices, community and public health systems, homes, hospitals and birth centers. CNM credentials included a nursing degree along with graduate-level training in midwifery. To maintain competency a CNM must successfully performed a minimum of 15 deliveries in the previous year (Pelletier, 2014). Cons: CNMs are not allowed to do Cesarean sections and typically do not handle high-risk pregnancies. In hospital settings, CNMs don’t have autonomy as a physician must be immediately available and must co-sign all the CNMs orders (Pelletier, 2014). In addition to the national exam, there is a recertification process every 5 years, or to complete three training modules and 20 contact hours of continued education to maintain certification. Certified Registered Nurse Anaesthetist (CRNA) Pros: CRNAs provide anaesthetics to patients in every practice setting, and for every type of surgery or procedure. CRNAs are vital to successful surgeries, some which may be life-saving procedures. They care for patients before, during and after surgical procedures. Being a nurse anaesthetist allows you to make decisions on your own in order to protect the health and safety of patients. This freedom allows you to have more control over patient care (Schulz, 2015). Cons: CRNAs are limited to only patients that need anaesthesia and don’t always play an active role throughout the entire surgery. Surgeries aren’t 15-minute procedures and sitting through long hours of surgery is boring. Beyond working long hours, CRNAs are frequently exposed to lawsuits.
Advanced practice nursing is a great profession to enter, but it does require a master’s degree.
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