AORN Journal
Volume 87, Issue 6 , Pages 1205-1215 , June 2008

Acute Care Nurse Practitioner: An Advanced Practice Role for RN First Assistants

  • Janice L. Schroeder, RN, MSN, CRNFA, ARNP, ACNP

      Affiliations

    • Janice L. Schroeder, RN, MSN, CRNFA, ARNP, ACNP, is an acute care nurse practitioner and RN first assistant for a general surgeon at the Wichita Clinic Bethel, Newton, KS.

References 

  1. National Organization of Nurse Practitioner Faculties  . Nurse Practitioner Primary Care Competencies in Specialty Areas: Adult, Family, Gerontological, Pediatric, and Women's Health . Washington, DC: US Department of Health and Human Services, Health Resources and Services Administration; April 2002; http://www.nonpf.com/finalaug2002.pdf Accessed January 1, 2008.
  2. Model rules and regulations for CNS title protection and scope of practice. National Association of Clinical Nurse Specialists . http://www.nacns.org/model_language.pdf March 9, 2004; Accessed January 1, 2008.
  3. Phillips SJ . A comprehensive look at the legislative issues affecting advanced nursing practice . Nurse Pract . 2007;32(1):14–17
  4. Hravnak M , Kleinpell R , Magdic K , Guttendorf J . The acute care nurse practitioner . In:  Hamric AB ,  Spross JA ,  Hanson CM editor. Advanced Practice Nursing: An Integrative Approach . 3rd ed.. St Louis, MO: Elsevier/Saunders; 2005;p. 475–514
  5. Kleinpell RM , Perez DF , McLaughlin R . Educational options for acute care nurse practitioner practice . J Am Acad Nurse Pract . 2005;17(11):460–471
  6. Becker D , Kaplow R , Muenzen PM , Hartigan C . Activities performed by acute and critical care advanced practice nurses: American Association of Critical-Care Nurses Study of Practice . Am J Crit Care . 2006;15(2):130–148
  7. Barber J , Burke M . Advanced practice nursing in managed care . In:  Mezey MD ,  McGivern DO editor. Nurses, Nurse Practitioners: Evolution to Advanced Practice . New York, NY: Springer Publishing Co; 1999;p. 203–218
  8. Giordano BP . Dues increase, unlicensed assistive personnel, advanced practice top issues this year . AORN J . 1995;61(6):947–958
  9. Position statement: Perioperative advanced practice nurse . In: Standards, Recommended Practices, and Guidelines . Denver, CO: AORN; 2007;p. 403; http://www.aorn.org/PracticeResources/AORNPositionStatements/Position_AdvancedPracticeNurse/ Accessed January 1, 2008.
  10. Common program requirements. IV. Resident duty hours in the learning and working environment. Accreditation Council for Graduate Medical Education. February 2007. http://www.acgme.org/acWebsite/dutyHours/dh_ComProgrRequirmentsDutyHours0707.pdf. Accessed January 4, 2008.
  11. Franko FP . Providers of first assisting services . AORN J . 2004;79(6):1311–1318
  12. Burke M . Billing Medicare for the services of NP's & PA's. Physician's News Digest . http://www.physiciansnews.com/business/403burke.html April 2003; Accessed January 1, 2008.
  13. Payment Changes Are Needed for Assistants-at-Surgery . Washington, DC: US General Accounting Office; January 2004; http://www.gao.gov/new.items/d0497.pdf Accessed January 1, 2008.
  14. Brooten D , Youngblut JM , Deatrick J , Naylor M , York R . Patient problems, advanced practice nurse (APN) interventions, time and contacts among five patient groups . J Nurs Scholarsh . 2003;35(1):73–79
  15. Stables RH , Booth J , Welstand J , Wright A , Ormerod OJ , Hodgson WR . A randomised controlled trial to compare a nurse practitioner to medical staff in the preparation of patients for diagnostic cardiac catheterisation: the Study of Nursing Intervention in Practice (SNIP) . Eur J Cardiovasc Nurs . 2004;3(1):53–59
  16. Hoffman LA , Tasota FJ , Zullo TG , Scharfenberg C , Donahoe MP . Outcomes of care managed by an acute care nurse practitioner/attending physician team in a subacute medical intensive care unit . Am J Crit Care . 2005;14(2):121–130
  17. Fox VJ , Schira M , Wadlund D . The pioneer spirit in perioperative advanced practice—two practice examples . AORN J . 2000;72(2):241–253
  18. Zarnitz P , Malone E . Surgical nurse practitioners as registered nurse first assists: the role, historical perspectives, and educational training . Mil Med . 2006;171(9):875–878
  19. Rothrock J . Competency assessment and competence acquisition: the advanced practice nurse as RN surgical first assistant. Topics in Advanced Practice Nursing eJournal [serial online]. March 21, 2005 . http://www.medscape.com/viewarticle/499689 Accessed January 1, 2008.
  20. Facts about the 2007 National Patient Safety Goals. The Joint Commission . http://www.jointcommission.org/PatientSafety/NationalPatientSafetyGoals/07_npsg_facts.htm June 2006; Accessed January 7, 2008.
  21. Herrick T . A new hurdle to leap: clinicians face competency and credentialing issue . Clin News . 2005;9(3):1, 14–1, 16
  22. Klein TA . Scope of practice and the nurse practitioner: regulation, competency, expansion, and evolution. Topics in Advanced Practice Nursing eJournal [serial online] . http://www.medscape.com/viewprogram/4188_pnt June 15, 2005; Accessed January 1, 2008.
  23. National Panel for Acute Care Nurse Practitioner Competencies  . Acute Care Nurse Practitioner Competencies . Washington, DC: National Organization of Nurse Practitioner Faculties; November 2004; http://www.aacn.nche.edu/Education/pdf/ACNPcompsfinal2004.pdf Accessed January 1, 2008.
  24. Melander S , Kleinpell R , McLaughlin R . Ensuring clinical competency for NPs in acute care . Nurse Pract . 2007;32(4):19–20
  25. RNFA programs. Competency & Credentialing Institute. http://www.cc-institute.org/cert_crnf_prep_rnfa.aspx. Accessed January 1, 2008.

PII: S0001-2092(07)00571-6

doi: 10.1016/j.aorn.2007.07.025

AORN Journal
Volume 87, Issue 6 , Pages 1205-1215 , June 2008