3. Introduction & Overview
. 3 million Registered Nurses in the United
States
. Of the 3 million Registered Nurses in the
United States, 171, 000 are Nurse
Practitioners
. 251,113 Registered Nurses in Florida
. Of the 251,113 Registered Nurses in Florida,
17,508 are Nurse Practitioners
(Source: http://www.flcenterfornursing.org)
4. Collier County
. 2,000 Registered Nurses in Collier County
. Of the 2,000 Registered Nurses,
approximately 150-200 are Nurse
Practitioners
5. Advanced Practice Registered
Nurses
There are Registered Nurses who are
educated and licensed as Advanced
Practice Nurses:
. Nurse Practitioners
. Clinical Nurse Specialists
. Certified Registered Nurse Anesthetists
. Certified Nurse Midwives
6. History of Nurse Practitioners
. The first official training for nurse
practitioners was created by Henry
Silver, a physician, and Loretta Ford,
a nurse in 1965
. This was in response to a shortage of
physicians
(Note of interest: Nurse anesthetists and nurse midwives
were established in the 1940s)
7. Benefits of Using a Nurse
Practitioner
. 600 million visits made to NPs each year
in the United States
. High quality care that is cost effective
. Patients report high level of satisfaction
with the care they receive from NPs
. Care is patient centered = good outcomes
8. What Do Nurse Practitioners
Provide?
. Diagnose and treat acute and chronic conditions
such as diabetes, high blood pressure,
infections and injuries
. Order, perform and interpret diagnostic tests
such as lab work and x-rays
. Prescribe medications and other treatments
. Focus on health promotion - disease prevention
. Provide health education and counseling
9. Barriers for Advanced Registered
Nurse Practitioners in Florida
. One barrier which has captured great
media attention as well as attention in
the Florida legislature is the fact that
Advanced Registered Nurse
Practitioners who work in Florida are not
able to prescribe controlled substances
10. Rules and Regulations
. Rules and Regulations which govern the
practice of Nurse Practitioners are different
in each of the states
. In Florida, Nurse Practitioners are referred
to as Advanced Registered Nurse Practitioners
(ARNP) by title
. In Pennsylvania, Nurse Practitioners are
referred to as Certified Registered Nurse
Practitioners (CRNP) by title
11. State of Florida – Regulation of
ARNPs
. Advanced Registered Nurse Practitioners in
the State of Florida are licensed by the
Department of Health – Division of Medical
Quality Assurance and the Florida Board of
Nursing
. The credentials and education of all licensed
Advanced Registered Nurse Practitioners in
Florida can be found on the following website:
http://www.floridanursing.gov
(click on “Look up/Verify a License”)
(includes information on public complaints, proceedings
and actions)
12. Nurse Practitioner Programs in
Southwest Florida
. Florida Gulf Coast University has a
Master of Science in Nursing Program
. Nova Southeastern University has a
Master of Science in Nursing Program
(location is on the East Coast of Florida)
. Other schools offer online NP Program
options as well
13. Affordable Care Act
. The Affordable Care Act supports the
utilization of Nurse Practitioners
. A physician shortage is on the horizon most
particularly in primary care
. Nurse Practitioners can be a very cost
effective and viable option
. Nurse Practitioners are not physicians –
nursing has its’ own unique discipline
14. Example of a Local ARNP Practice
. Denise’s practice – located in Naples
near NCH downtown campus
. Established protocol with a Psychiatrist
. Licensed by the Florida Board of Nursing
. Business license (City and County)
. Malpractice insurance
15. Example of a Local Agency
. The Friendship Health Clinic Collier is
currently managed by a Registered Nurse
who was formerly licensed as an
Advanced Registered Nurse Practitioner
for many years
16. Professional Associations
National:
. American Association of Nurse Practitioners
State:
. Florida Nurse Practitioner Network
Local:
. Nurse Practitioner Council of Collier County
(Naples and Marco Island)
. Gulfcoast Nurse Practitioner Council
(Lee County)
17. Doctor of Nursing Practice (DNP)
. Clinically focused doctorate approved by the
American Association of Colleges of Nursing on
October 25, 2004
. The DNP prepares Advanced Practice Registered
Nurses to serve as Leaders, Educators, and
Clinicians
. DNP education focuses on information
technology, health policy, evidence-based
practice, innovation, and systems management
18. Doctor of Nursing Practice
Programs (DNP)
. 217 DNP programs currently in the U.S. – 116
DNP programs have been nationally accredited by CCNE
. DNP programs are now available in 40 states
plus the District of Columbia – Florida is one of
the states with the most programs (more than 5)
. From 2011 to 2012, the number of students
enrolled in DNP programs increased from 9,094
to 11,575
(Goal: to move the current level of preparation for advanced
nursing practice from the master’s degree to the doctorate
level by the year 2015)
19. In Closing
. Nurse practitioners will play a crucial
role in healthcare reform
. Nurse practitioners are your partners
in health
Thank you to all the wonderful patients
who choose a nurse practitioner for their
healthcare needs!
