|Below are the answers to the questions posted above. Click on a question to be taken to that answer. In addition, here are some other web sites you may find information about Nurse Practitioners.
What is a Nurse Practitioner? is a site from the AANP (American Association of Nurse Practitioners) This page defines a Nurse Practitioner.
ARNP Legal Authority is a page that explains the current authority Nurse Practitioners have for providing medical care.
Creighton School of Nursing gives some requirement for Nurse Practitioners and reasons why Nurse Practitioners are gaining in popularity.
A Nurse Practitioner [NP] is a registered nurse [RN] with advanced education and training. You can't become a Nurse Practitioner until you have a degree in nursing, with all the medical training and experience that work requires.
ARNP, or Advanced Registered Nurse Practitioner is a Nurse Practitioner who has taken training and passed national examination in one of four area. The legal authority from the State of Iowa is as follows:
The first NP program opened in 1965 at the University of Colorado. It was established to help improve childrens' access to health care. Today, over 200 university and college NP programs are educating RNs to provide direct patient care from newborns to the elderly. Now, over 70,000 NPs, have been trained. [Top of Page]
There are no legal restrictions on the scope of practice of NPs or ARNPs in Iowa. Unlike Physician Assistants, NPs are licensed to practice independently. At Hawarden Family Medical Clinic, our ARNPs have continuos contact with Dr. Harvey and are qualified to provide quality family medical care. They are not physicians, nor to they ascribe to be physicians. Nurse Practitioners provide a unique blend of health maintenance and health care. Nurse Practitioners can provide care in the following areas, among others:
Yes! Nurse Practitioners have prescribing privileges in 43 states, including Iowa. Legislation is pending in the remaining. Nurse Practitioners may obtain state and federal controlled substance licenses. [Top of Page]
While all NP's advocate health promotion and disease prevention the services offered are based upon their education. The types of NP education are:
The care that NPs provide is very good according to numerous government and private studies. In fact, the U.S. Congress, Office of Technology Assessment says, "Nurse Practitioners provide care whose quality is equivalent to that of care provided by physicians". A recent article in JAMA (Journal of American Medical Association) also affirmed the quality of care of Nurse Practitioners, stating in the conclusion "In an ambulatory care situation in which patients were randomly assigned to either nurse practitioners or physicians, and where nurse practitioners had the same authority, responsibilities, productivity and administrative requirements, and patient population as primary care physicians, patients' outcomes were comparable." [Top of Page]
Though not by all, most insurers do cover NP services. As they learn about the high quality and cost-effective care NPs provide, insurers are including them as reimbursable providers.
Federal and State government insurers recognize the quality and cost-effectiveness of NP services:
Nurse Practitioners work in a variety of settings located in rural and urban communities. They work in private practices, ambulatory care clinics, HMOs, hospitals, public health departments, emergency rooms, nursing homes, free standing health clinics, womans' health clinics, school-based health clinics, rural health clinics and employee-health departments.
With the shortage of physicians willing to work in rural setting, the Nurse Practitioners provide a quality extension of medical care for many areas. Specialists in OB/GYN and Cardiology in Sioux City and Sioux Falls utilize Nurse Practitioners to facilitate the care they provide. Nurse Practitioners may be the most cost effective primary care provider, they are certainly now a very real presence in womans' health care. [Top of Page]
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