Acute Care Nurse Practitioner Interview Nursing Essay

The go Practice Nurse (APN) I consultati unrivalledd is FS she is an Acute take Nurse practitioner (ACNP) with the incision of Urology at enshrine Louis University Hospital (SLUH) and has been licensed and jump on certified since 2010. FS graduated in 2005 from Goldfarb School of nurse in Saint Louis earning her bachelor of science (BSN) and then took an intensive conduct staff site with Missouri Baptist hospital for two age. With two years of experience she matte she needed to continue her fostering in nursing and enrolled in a Saint Louis University (SLU) ACNP program.She realized subsequently the first off year that trying to utilisation full clip and take classes was too much for her, so she inflexible to quit her job to focus full time on her studies. Her first blank space as an ACNP was with the trauma department step down traumatize at SLUH in 2011. This military post was advertised in overboldsprint and after sending in her resume she was contacted to fo r an interview in person. My first fundamental interaction with FS was last fall when I was teaching Advance Trauma Care for Nurses as she was one of the students that I recognized from the trauma department.We struck up a conversation and I basically did a mini interview then and she since has given me contacts for preceptors this summer. Last week I notified her regarding this interview and she conscious me to meet her at noon in her office where we discussed questions listed according to the interpretation of assignment for a total of 30 minutes. Personal history including education FS received a Bachelor of Science degree from Georgetown University in political economy and International Business.When working out a problem or development a new skill she likes to get the general picture and give out gradually focusing in on specifics alike(p) to deductive theory. She knew she cute to work in a hospital setting, from on that point to a functional floor, and now she has focus ed in on Urology. She learned the Urology department at SLUH wanted to bring in two or trey APNs on service to round and be first swear outants in the operating style through networking with other APNs in the hospital. When she interviewed for the position she had a great working relationship with that service already.They knew she was punctual on with having familiarity with documentation system. She basically had been marketing herself before she even knew it by having a proactive relationship with consults. Description of current practice FS does not soon dupe a formal job description since her position is new and she is the first APN to fill this newly developed subroutine with this service. Other than cosmos told she would round on patient ofs in the hospital, write orders, discharge patients, and first assist in the operating room she has no formal written description.When she employ for her position she was informed it would be a lateral move with no increase in pay or benefits. FS arrives to the hospital at 0600 similar to an intern or second year resident. Every morning she receives wrap up from night float of any new patients or issues to existing patients who get under ones skin been admitted. Information is gathered on labs and radiology films that have been completed and she uses this culture when her first patient assessment is completed early that morning. The fellow or senior resident go out round on each patient to discuss labs, radiology, and patient assessments.From this a intention is developed what needs to be done that day to move forward before the attending rounds with the team to discuss the same items. From this point she may go to the operating room to first assist if it is her patient or write new orders on the other patients assigned to their service. If she happens to be first assistant she will companion the patient back to their room and write post operation orders. Her role is very similar to a second year surg ery resident duties. Description of APN functions using the APN core competencies.Working in an inner metropolitan city hospital that has many ethnicities has been challenging. She has had to learn certain customs, body posture, and position can have either a positive or interdict impact in perception from the patient with regard to attitude of care they are receiving. She has learned from staff of the same ethnicity or watched family and friends interact with one another on proper cultural customs. The first of two important core competencies FS uses is clinical and professional leadership with fellow APNs and physicians discussing assessments and plan of care.The second of two core competencies is consultation with other services and the nursing staff in consideration to patient care and goals (Cooke, Gemmill, & Grant, 2008). APNs have additional competencies but these are the two main descriptions FS uses daily. FS has worked through many challenges as an APN the last few years . Some of the minor issues have been the acceptation from other services that do not have APNs. Over time other services have become accustomed to consults from APNs by her demonstrating knowledge, professionalism, and kindness.The biggest challenge she has faced is an overabundance additional patient work saddle since the department will no longer have residents this year. She has the attendings blessing to hire more APNs and they will take on more direct patient care. Issues confronting the APN in current practice FS reports there are no real issues she faces at present other than secure continue to work on suturing skills in the operating room. She corset current in Urology by attending grand rounds on with reading and presenting journal articles.She also has the luxury of having a fellow who has been a great source of knowledge. Perceived impact on APN role consistent to current healthcare developments, changes, and national recommendations. It is my personal belief APNs w ill be one of the fastest growing professions in the coming years when the Affordable Health Care Act takes place. It appears that many physicians will probably be in specialized services along with the APN. In addition, APNs will be the majority of primary care in the time to come as more individuals will seek wellness physicals and the baby thrive generation is nearing 70 years of age.