Acute Care Nurse Practitioner Interview Nursing Essay

The modernistic Practice Nurse (APN) I hearinged is FS she is an Acute accusation Nurse practician (ACNP) with the discussion section of Urology at angel Louis University Hospital (SLUH) and has been licensed and bestride certified since 2010. FS graduated in 2005 from Goldfarb School of nursing in Saint Louis earning her bachelor of science (BSN) and then took an intensive negociate staff flummox with Missouri Baptist hospital for two years. With two years of experience she mat she needed to continue her instruction in nursing and enrolled in a Saint Louis University (SLU) ACNP program.She realized afterwards the first base year that trying to bat full time and hit classes was too much for her, so she headstrong to quit her job to focus full time on her studies. Her first attitude as an ACNP was with the trauma department step down home at SLUH in 2011. This bureau was advertised in rawsprint and after sending in her resume she was contacted to for an interview i n person. My first interaction with FS was last fall when I was teaching Advance Trauma Care for Nurses as she was sensation 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 aware me to meet her at noon in her office where we discussed questions listed according to the commentary of assignment for a total of 30 minutes. Personal history including education FS received a Bachelor of Science degree from Georgetown University in economics and International Business.When nameing out a problem or breeding a new skill she likes to get the general picture and arrive gradually focusing in on specifics equivalent to deductive theory. She knew she treasured to work in a hospital setting, from there to a running(a) floor, and now she has focused in on Urology. She learned the Urolo gy department at SLUH wanted to bring in two or collar APNs on service to round and be first sufficeants in the operating(a) direction through networking with separate 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 along 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 dress FS does not presently become a formal job description since her position is new and she is the first APN to fill this newly developed situation with this service. Other than beingness told she would round on forbearings 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 a rrives to the hospital at 0600 similar to an intern or second year nonmigratory. Every morning she receives circulate from night float of any new patients or issues to existing patients who take in been admitted. Information is gathered on labs and radiology films that have been completed and she uses this information when her first patient assessment is completed early that morning. The swearing or senior resident allow for round on each patient to discuss labs, radiology, and patient assessments.From this a contrive is developed what needs to be done that day to move forward before the care rounds with the team up 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 keep the patient back to their room and write post operation orders. Her utilization is very similar to a second year surgery resident d uties. 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 shun 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 principal(prenominal) 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. So me of the minor issues have been the acceptance from other services that do not have APNs. everywhere 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 load 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 just continue to work on suturing skills in the operating room. She stays current in Urology by attending autocratic rounds along 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 pursuant to current healthcare developments, changes, and national recommendations. It is my personal belief APNs wil l be one of the fastest growing professions in the advance 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 future as more individuals will seek wellness physicals and the bollix up boom generation is nearing 70 years of age.