The difference between two key health care team members Physician Assistant (PA) and Nurse Practitioner (NP) can be quite confusing not only to the general public, but employees in the medical field as well because there are many similarities to their education, scope of practice, and legal prescribing authority. However, there is a key difference that separates a NP from a PA and it is the philosophy of the education. Education The Board of Registered Nursing (BRN) regulates advanced nursing practice and licensure for the NP. According to the Nurse Practice Act (2018), in order to apply to become a NP, the advanced practice nurse must hold an active Registered Nurse License and possess a master’s of science in nursing from a NP program approved …show more content…
According to the BRN, the NP does not have an additional scope of practice beyond that of an RN scope, however, the NP can provide medical management based on the condition that a physician is available by phone if needed. A nurse practitioner is defined as a “registered nurse who possesses additional preparation and skills in physical diagnosis, psycho-social assessment, and management of health-illness needs in primary health care” (General information: Nurse Practitioner Practice, 2011). The NP is also not only just a health care provider, but is involved in professional organizations, participates in activities to advance the role and ensure professional standards are being met as a nurse practitioner. The PA is similar to NP in that both are integral members of the health care team. A PA is also responsible for taking medical histories, performing physical exams, ordering and interpreting laboratory tests, diagnosing illness, developing and managing treatment plans, prescribing medications and assisting in surgery (AAPA Scope of Practice, 2017). One of the differences of a PA from a NP is that education philosophy is medical based and focus on treating the disease rather than the person, therefore treatment course for PA focuses more medically than …show more content…
Both have a similar route to acquiring licensure starting with master’s education, passing a national certifying exam to become nationally certified then state licensed. However, the difference in education is that medical school curriculum is disease centered and focuses on disease pathology, anatomy and physiology. This differs from NP school nursing model curriculum which focuses on the patient’s as a whole person. Scope of practice is similar in that both provide medical management including diagnosing, treating, and interpreting tests; but the NP emphasizes on the nursing model when treating the patient, whereas the PA treats the diagnosis rather than the patient due to the philosophy and values of schooling. Prescribing authority for both health care team members are similar. Both professionals must apply separately for a furnishing number and for a DEA number in order to prescribe schedule II drugs and can prescribe drugs in almost all states, but there must always be a physician supervising within a phone call
Conclusion In conclusion, APNs are equipped to deliver the same safe, efficient, and high- quality care as physicians. The clinical and professional background of nurses gives them an extraordinary opportunity to change the healthcare landscape and promote cost-effective, compassionate, and patient-centered care for people. In a study performed by Dill, Pankow, Erikson, & Shipman (2013), the patient preferred the APN to physicians due to greater accessibility, more personalized and compassionate care, increased comfort with communication, and past positive
One similarity between NPs, other APNs and PAs is that, they all play a very important role in health care and patient centered approach of care is their objective. Also, their practice is based upon their education, training and certification in collaboration and under supervision of physicians. Another similarity is that, their scope of practice face limitations and restrictions in practicing be it state base or nationally. State laws and regulations act as barriers towards the broadening of PAs professional competencies same as NPs face licensure and practice laws that prevent full extent of their education practice. NP practice requires supervision, delegation, or team-management by an outside health discipline in order to provide
Jessica, I agree with you 100%. The differences and variation in the ANP scope of practice among the nation, does not allow for others especially legislators, to have a clear view of the ANP nurse and what it can be accomplish it all the restrictions and barriers were eliminated. It will also change the public perception and attitudes towards nurse practitioners. I firmly believe that NPs have not only the power, but the ability to improve and make sustaintials changes to our health care system, Excellent
In some states they can only prescribe when collaborating with a
One of the most prominent things that differ to me when comparing the FNP role to the RN role is the amount of school required to perform the necessary functions for each position. RN’s require a minimum of an AAS degree, while a FNP needs to hold a Master’s degree which is a substantial difference in school requirements. I believe this is because the responsibility and autonomy of an FNP position requires a high level of education. I also believe that although RN’s use critical thinking and have a great amount of autonomy, as and FNP those practices increase. RN’s take a primary role in helping patients with daily cares, monitoring conditions, communicated with patients about their cares, assisting other members of the staff with procedures and treatments and health promotion and education with patients.
National certification in the general practice specialty is required prior to becoming eligible for APRN authority and the District of Columbia Board of Nursing accepts certification for APRN’s offered from several national bodies including the ANCC (American Nurses Credentialing Center) and AANP (American Academy of Nurse Practitioners). There is also a required preceptorship that is at least one year long along with coursework covering adult care, primary health care, pharmacology, physical assessment, diagnosis, family care, gerontological care, pediatric care, neonatal care, school nurse care, and psychiatric
Currently, in California NPs practice autonomously, and under Prescriptive Authority or Independent prescribing whereas no physician is required as a supervisor. Therefore, identified in this plan is the ability for obtaining, DEA number for prescriptive authority, processes for obtaining an NPI number, processes for acquiring certification, the importance of professional and liability insurance, and a lifelong learning and professional development strategy to help further the nursing discipline as an doctor nurse practice
The nurse practitioner will work along the guidelines of the program so that they can advise participants about medication and assist with constructing meal plans for each participant. The nurse practitioner will not have the ability to write scripts, but is solely there to recommend information that the participants should discuss with the primary care
The Indiana State Board of Nursing (2011) defines advanced practice nursing as a registered nurse who has attained advanced knowledge and skills through an organized program of study. The three categories of study include nurse practitioner, certified nurse mid-wife, or clinical nurse specialist. National certification is not required for nurse practitioners completing an accredited graduate program. However, if the continuing education is part of a certificate program then a national certification is required. Although certification is not required in Indiana, Riley Hospital for Children nurse practitioners are required to certify within one year of employment.
In some of the clinics we are completely alone, no doctors. Other times NPs and doctors will be seeing patients side by side. Usually doctors are really open to consulting with the NPs, if the NP wants to make sure of something. We don’t report to them. We both prescribe meds, refer to other specialties as needed” (J. Yale, personal communication, September 9, 2016).
APN Role and Leadership Competencies Julliet A. Thomas Grantham University Abstract There are many different aspects of Advance Practice Nursing (APN) make that make the nursing profession unique and valuable. The competencies that comprise each advanced practice nursing discipline are vital in creating a solid foundation for clinical nursing. They prepare you to conquer challenges in the clinical setting and cultivate innovation to establish processes for clinical practice. Advance Practice Nursing is recognized as 4 nursing roles: Certified Nurse Midwife (CNM), the Certified Nurse Anesthetist (CRNA) the Clinical Nurse Specialist (CNS) and the Nurse Practitioner (NP).
Differences between Nurse Practitioner and Physician Assistant in USA Nurse Practitioners and Physician Assistants are two such professionals in the field of medicine who are important for the medical field equally. Their functions are also quite similar with very minor differences between the two. Due to such similarities it becomes difficult for the general population to differentiate between these two professionals. The nurse practitioners undergo their training through nursing schools, whereas the physician assistants study in medical schools (Nurse Practitioner Schools, 2015).
They assess, diagnose and treat acute and chronic illnesses as well as preventative healthcare for individuals and families. As their care is family-centered, they must also be able to understand the relevance of the family’s identified community. In addition to the nine essentials as outlined by the AACN, the FNP must meet competencies in advanced health assessment skills in order to differentiate between normal and abnormal findings. They should able to use screening and diagnostic strategies to develop diagnosis and they must be able to prescribe medications to enable them to work as independent practitioners (Competencies for Nurse Practitioners, 2012). In order to meet these competencies, the Consensus Model for APRN Regulation (2008) requires three separate graduate-level courses in advanced physiology and pathophysiology, health assessment and pharmacology as well as appropriate clinical experiences across the age
As an LPN I am limited to what I can do without the direct supervisions of an RN. Although LPN contributes a lot to the as assessment process, but they are not credited for it because it is not part of their credential. Being an RN will able me to receive the full credit for my hard work. As an RN, I will be able to take better of care of my patient without someone else direct supervision. The RN license will able me to work independently and assess my patient in a timely manner.
APRN’s have more access to EHR. For example, they have access to pictures of MRI, Echo and x-rays. Business/Finance Family Nurse Practitioners play a significant role in delivering cost effective health care to the community by emphasizing more on healthy life styles, preventive health care and provide better primary care compared to physicians by listening to the patients and spending more time with