APN Interviews: Caring, Competency, and Compassion Essay

The wellness perplexity system is ever changing and the need for modernistic set nurses impart be in de whiled. I had an opportunity to interview two advanced practice nurses. Jolene and I met at her home in St. Charles, IL Jolene gradational from the University of Colorado at Denver in 2005 with a masters stop in c atomic number 18 for and was passed the rubric Family Nurse practician (FNP). She got married and accepted a position as a uncreated Care Provider at VNA wellness Care in Aurora, Ill. VNA Health Care is a federally qualified health center comp acent the un stop upd. In the year 2000, Jolenes mother was diagnosed with breast cancer. As a loving daughter, she supported her mother by dint of a cancer sinless journey today. From this experience, Jolene came in contact with all kinds of nurses and because she loves people of all ages, she became shake to be a family nurse practitioner. I met Linda at her office at Women First in Aurora, Il. In 1974, Linda gradu ated from Northern Illinois University with her BSN in nursing. Linda worked umpteen years as a nurse in woman health, specially in the OB Department at Provena mercifulness Center in Aurora, Il. In 1980, after her daughter entered grade school, Linda decided she wished occupy a masters degree in nursing. In 1983 she graduated from the University of Illinois with a masters degree in nursing and realise the title Certified Nurse Midwife (CNM). Linda has worked in many in womans health practices with physicians and in 1997 established Woman First, Inc., which specializes in midwifery oversee and womans health from puberty to menopause.Linda entered nursing because with her mother being an RN she was exposed to nursing growing up. When she was work as a agitate and delivery nurse at Provena blessing Center and personalisedly experienced midwifery care with her daughters kind, this inspired Linda to become a certified nurse midwife Jolene and Lindas typical day in the c linic are alike because they see patients. In family practice, Jolene depart see 40 patients a day, ranging from school physicals, to immunizations, to managing uncontrolled diabetic patients. At Woman First, their practice is divers(prenominal) because of OB care. Along with providing bite health care to women, CNMs take an on-call schedule at the hospital to go against labor support and help mothers deliver their babies. They also make hospital rounds with the practices inpatients and participate in puttee meetings for woman health. compassionate and Compassion ring through the practices of these two APNs. At the VNA Health Center, Jolene is keen with her practice and the support she receives from the VNA family. She feels if she can educate diabetic patients, manage their care and listen to them, evidence from her practice shows the patients are more than compliant. Jolene practices with in her berth as a FNP meaning she takes a holistic approach (mind, body, and spiri t). over 20 years Linda has pioneered midwifery care in the Aurora area. She was one of the first CNMs to deliver babies in the hospital setting using labor support and delivery of her patients. The hospital has supported midwifery are for more than 20 years. Linda loves being a CNM. She feels very fortunate to practice and separate comprehensive healthcare to women and to empower them to make fully informed choices in their health care. Evidence has shown a decrease of cesarean sections and increases of healthy birth outcomes at Woman First. The APNs sit for certification exam based on knowledge and the need to practice safely in NP particularity area. Jolene obtained certification from the American Nurses Credentialing Service (ANCS), a national certifying body. She received the title of Family Nurse Practitioner (FNP). Linda became certified through the American College of Nurse Midwives assay-mark Council (ACNMCC), and granted the title of Certified Nurse Midwife (CNM). R ecertification for the FNP is every 5 years and for the CNM is every 8 years. Jolene and Linda have full prescriptive warrant and may prescribe schedule II-V but require almost degree of physician involvement. The medication schedule II-V involves controlled contents and non- controlled substances.Each practitioner has a DEA and NPI number. The DEA adaptation is required to prescribe controlled substances and NPI number is required on all non controlled substance prescriptions. Linda explained having full prescriptive authority gives her the freedom to practice midwifery care. expectant patients have the option to choose natural childbirth, a birth with some medication, or even epidural anesthesia. In order for APNs to practice in certain situations in Illinois APNs need collaborative agreements. Jolene commented that she has a supervisory collaborative agreement with a family practice physician at the VNA health center.It is a legal document between the physician and FNP stati ng the relationship and similar unique practice skills of each individual. Linda has had a collaborative agreement with the similar ob./gyn physician for the past 20 years. They have built a remainder passe-partout and personal relationship to give woman excellent health care. The purpose of this agreement is having specific guides for CNM care, protocols and standing orders including prescriptive authority.Both women expound their credentialing and privilege process within the VNA health center and at Proverna Mercy Center. Jolene went through an interview process with the human resource department and the medical examination director of the health center. She supplied them with her application, licensure, education, and documentation of experience and clinical competency.The process was different for Linda because clinical privileges at Provena Mercy Center involve a comminuted processing. Credentialing is the first process same as Jolene the credential and competency docume nts are supplied through the HR department. The difference in Lindas process, she received a recommendation from her sponsored physician and extensively interview with the medical review board. The ending of the interview and information supplied is used to make a decision to grant privileges Both Jolene and Linda had a 90-day period of time focused on professional practice under their collaborative physicians.With ever-changing health care in APN practices active membership and participation is needed in professionals organizations. Jolene expressed she is non a member of the American College of Nurse Practitioners (ACNP) because of personal financial problems. Linda is a member of the American College of Nurse-Midwives (ACNM). The mannikin Linda gave was the ACNM is moving toward integrating certified midwives (CMs) with certified nurse midwives (CNMs). She is very interest in the principle on this issue. Along that discussion I asked intimately furthering ones education to twist of Nursing Practice (DNP). Jolene commented in the future she would like to pursue her DNP along with her becoming a nurse midwife. The DNP is necessary because the APN scope of practice will widen and more education is needed. Linda received her DNP in 2012 at the University of Illinois. Linda took the clinician just track in the DNP program because, later in her career, she may want to teach in the clinical setting.Jolene and Linda are both passionate about their practicesand proud of their contributions to patient recovery. Jolene feels she has helped the underserved and enjoys the variety of disease management. She had a Hispanic man with uncontrolled diabetes. She expressed that patients with chronic diseases tend to have a fatalist attitude. Jolene, through persistence, convinced him to seek nutritional consults and diabetic education, which caused the man to commit to be compliant and have healthy lifestyle. With Jolenes help, the man recognize he was going to di e if he did not take care of himself.Linda contribution to midwifery and woman care is many years of delivering babies, not all deliveries are happy. Some babies are stillborn or babies are born premature, and some with undiagnosed congenital anomalies. Part of Lindas religious belief is that all babies are gifts from God and all life is precious. An example she related to me was about a Hispanic patient screaming in the labor room. The woman already received some medication for pain. The nurses were getting frustrated at this patient because of the constant yelling. This patient was not a typical midwife patient. Linda was on call when this woman came into the hospital through the emergency room with no prenatal care. Linda came to see the woman and sit down at the bedside and held her hand gently and stroked it her hand. The woman never cried out, Linda did labor support and delivered her baby. After the baby was born, the woman told Linda in broken slope that when she touc hed her the fear lifted from her.It was a pleasure to interview these 2 caring professional women from different APN career paths. Learning about their frenzy entering nursing, sharing day to day details, and the emotion expressed in their compassion for each area of practice. Gaining knowledge of the educational and credentialing process to insure competency in practice and patient safety. Lastly, hearing the personal accounts of their contributions and rewards for well-favoured exceptional patient care.