Two advanced
nursing practice roles are:
·
Clinical nurse specialist (CNS)
·
Nurse practitioner (NP)
CNSs provide
expert nursing care and play a leading role in the development of clinical
guidelines and protocols. They promote the use of evidence, provide expert
support and consultation, and facilitate system change.
NPs provide
direct care, focusing on health promotion and the treatment and management of
health conditions. They have an expanded scope of practice that enables them to
diagnose, order and interpret diagnostic tests. They can also prescribe
medications and perform certain procedures.
·
Obtain health histories and perform comprehensive physical
examinations, including psychosocial, functional, and developmental assessment
·
Order and interpret lab results and other diagnostic studies
·
Develop differential diagnoses
·
Develop/order therapeutic plan of care
·
Maintain patient records
·
Evaluate patient’s response to plan of care and modify as needed
·
Provide patient/family counseling and education
·
Arrange for patient referrals/consultations
·
Participate in research studies
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