NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Resources:

NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Resources:

NR 510 Week 1: Historical Development of Advanced Practice Nursing and Evidence-Based Practice Resources:

Certified registered nurse anesthetist fact sheet. (2017, October 10). Retrieved from https://www.aana.com/patients/certified-registered-nurse-anesthetists-fact-sheet.

Certified nurse midwife. (2017). Retrieved from https://www.registerednursing.org/nurse-midwife/.

Clinical nurse specialist (CNS). (2018). Retrieved from https://www.graduatenursingedu.org/clinical-nurse-specialist/.

How to become a CNP certified nurse practitioner. (2017). Retrieved from https://nursejournal.org/nurse-practitioner/how-to-become-a-certified-nurse-practitioner/.

Mennella, H. & Heering, H. (2017). Professional autonomy and advanced nursing practice. Cinahl Information Systems.

Nurse practitioner career guide. (2018). Retrieved from https://nurse.org/resources/nurse-practitioner/.

Park, J., Athey, G., Pericak, A., Pulcini, J., & Greene, J. (2018). To what extent are state scope of practice laws related to nurse practitioners’ day-to-day practice autonomy. Medical Care Research and Review, 75(1), 66-87.

I will admit that I have not looked a great deal at the liabilities of the various APN roles extensively, but I do have acquaintances in all of the 4 major areas we are discussing.  It is my opinion that the CRNA would face the most potential jeopardy simply based on the nature of their position and the ramifications of a mistake to the patient outcomes.  That said that, the role of APN is one which requires extreme care and carries the potential to do great harm to patients.  This harm can extend to not only what the NP does, but also to what they do not do.  In the emergency department where I work, the NP does work independently but does have to present their work to a doctor for verification.  The amount of verification is dependent on the reputation the individual has established for themselves based on how they perform their job.  I think that there would be implications for both the NP and the doctor who signed off on the treatment faced with litigation.  The APN does have a license and must protect themselves through due diligence in all matters of patient care.

I appreciate your honesty. I also feel that most NPs are not fully aware of the regulations governing practice in their respective states, nor are NPs fully aware of the liabilities associated with the various APN roles. Even if current and future NPs feel they are knowledgeable about both topics, regulations governing practice and liabilities, they should constantly educate themselves on these matters. In nursing, laws and acceptable practices change all the time. NPs must know the current laws guiding practice at all times. We already know that most physicians view NPs as a threat and that most insurance companies and state/federal policies regarding NPs scope of practice are slow to change; therefore, we must protect ourselves and our profession. The Oregon Nurses Association (2018) has re-posted an article by the Journal for Nurse Practitioners that discusses/gives an overview of APN/NP liability claims. The article contends since the NPs role in healthcare has broadened, it is important that NPs review liability claims to develop “useful risk-management strategies” (Oregon Nurses Association, 2018).