About Health First Medical Group
This week we will be reporting on the interview with your APN. Along with the interview you will be investigating the Board of Nursing’s scope of practice and national certification requirements.
Identify the APN you interviewed and summarize the interview, which may include (if not in the interview, please address):
Describe the organization and setting, population, and colleagues where your interviewee works.
Examine regulatory and legal requirements for the state in which you plan to practice/work (and that your interviewee resides, if different).
Examine the Scope of Practice for your state of practice and that of your interviewee, if different
Describe the professional organizations available for membership based on your selected role.
Identify required competencies, including certification requirements for your selected role and that of your interviewee.
This will be a 2-4 page paper (excluding the title page and references).
Literature support is encouraged and points are assigned.
Peer reviewed articles that are non-research and nursing organization websites may be used. All articles must be current (not more than five years old, unless it is a hallmark reference; e.g., Institute of Medicine (IOM) (2010). The Future of Nursing: Leading Change, Advancing Health.
Format your paper, citations, and references using correct APA Style.
The APRN that a Interview works in Health First Medical Group in Palm Bay Florida
Its a family practice office, population 2 to ?, theres a primary Dr. and 4 Nurse Practioners.
The person that I will be doing the interview is an APRN. Anabel Pereda APRN works on a Family Practice Office.
1. What is the primary reason you decided to become a Nurse Practitioner?
I was living in Mississippi when I decided to become a nurse practitioner as there was a big push to get much needed healthcare to underserved patients in the Mississippi delta. I was able to practice in rural clinics after completing the program and graduating. Very rewarding!
2. What do you like the most about working in Family Practice Office?
Being able to serve the entire family. It is also nice to experience the different rewards of providing care to widely different age groups as I see patients from age 2 to ?
3. What is a normal day like for you at the office?
Patient care starts the minute I arrive at the office. Reviewing labs and diagnostic studies, reading specialists reports, signing prescriptions, responding to patients’ concerns/questions, completing FMLA/disability forms, performing peer to peer in order to get diagnostic studies or medications covered, attending online meetings/mandatory education, and oh yes, seeing and treating patients (my favorite part).
4. What are the most challenging aspects of being a Nurse Practitioner?
Having to balance work and home life, especially where children are concerned.
5. Have you ever disagree with a physician? What did you do?
I have always been lucky to have practiced with physicians whom I consider mentors.
6. What is the greatest professional disappointment you have ever faced?
Being undervalued! Was in a situation where I was appreciated by peers and patients but almost taken advantage of. I made a proposal of fairness to my supervisor which was turned down, so I took my services to a different practice.
7. Describe a situation when you went above and beyond with your service?
Helping an undocumented pregnant patient through the birth of her baby in order to assist with translation since was uncertain whether to keep her baby (since conceived from rape) or give up for adoption. In the end, she did keep her baby (after an all-nighter at the hospital).
8. How do you handle stress at work?
Taking a step back to think! I almost always can see the positive side of things and working with great NPs helps.
9. How do you balance work and life?
Always putting my family first helps prioritize things in my life. Having great support both at work and at home can make all the difference.
10. As a Nurse Practitioner, how do stay current on new practice innovations?
I enjoy going to conferences which are always a great source of information but can also give you the opportunity to network and be aware of how other nurse practitioners practice.
About Health First Medical Group
Course Code and Name
About Health First Medical Group
The Health First Medical Group has twenty-six medical offices for its practice. They are located in one state and within ten cities in the United States of America. The institution has 574 healthcare providers specializing in Nurse PR actioner, Endocrinology, General Surgery, Audiology, Surgical Oncology, Hematology, Pediatric Medicine, Thoracic Surgery, and Nephrology, making them members of medical groups (Mudd et al., 2022). Some of the medical classifications covered within Health First Medical Group are Nurse practitioners, Surgeries, Emergency Medication, Cardiovascular Disease, Acute Care, Vascular Surgery, Gastroenterology, Gynecology, Audiologist, Specialists, and other more.
Summary of the Interview
The interviewee of this report, Anabel Pereda, works at the Health First Medical Group in Palm Bay Florida. She works as an APRN at this family practice office. It has one member who works at two distinct locations. Dr. Jose Garcia, MD, is our interviewee’s nurse practitioner, Anabel Pereda’s colleague. The institution offers its services in Spanish. According to APRN Anabel Pereda, she developed her primary reason for becoming a nurse practitioner back in Mississippi, where she once lived. Anabel experienced a considerable push to deliver healthcare services in rural areas. She admits to liking her work at the Family Practice since she gets to serve a whole family. APRN Anabel begins by reviewing labs and diagnostic studies, reading specialist reports, signing prescriptions, responding to patients’ questions, and completing disability forms, among other activities. Anabel admits that seeing and treating patients is her favorite part.
The interviewee accepted the challenge of balancing work and home life, especially with children. She never disagrees with her physicians because she considers them her mentors. APRN Anabel’s major disappointment as a nurse practitioner is a situation where she was underrated after proposing fairness to her supervisor. Throughout her practice, Anabel recalls an incident where she went overboard with services. She helped an undocumented pregnant patient deliver to assist in translating whether to keep her baby or give it up for adoption since the patient conceived from rape. APRN Anabel stated that she handles stress at the workplace by trying to see the positive side of everything. She balances work and life by putting her family first and accepting support from home and work. According to her, attending conferences acts as a source of information and a platform for networking which makes her stay current.
Regulatory and Legal Requirements for Nurse Practitioner’s Practice in Florida
According to the Florida Board of Nursing, an Advanced Registered Nurse Practitioner ARNP has to meet the state’s exceptional credentials to practice. ARNPs consist of several specialties ranging from nurse-midwives and nurse anesthetists. The eligibility of practicing as a professional APRN in Florida includes licensing and registration after completing a series of requirements. Currently, in Florida, an APRN student is required to complete either a master’s or post-master’s degree. The demand does not apply to past individuals who graduated before October 1st, 1998 (Mudd et al., 2022).
The certification requirements of practicing as an APRN in Florida includes holding certifications from documented department board such as the American Academy of Nurse Practitioners. However, the Florida Board of Nursing may fail to accept some examinations issued from the approved department following its special documented restrictions (How to become a nurse practitioner in Florida – FL | APRN certification and jobs, 2019, September 25). Other additional requirements include a two-hour training in the prevention of errors. The APRN is also required to carry liability insurance and perform their duties according to protocols.
Scope of Practice
According to the Florida Nurse Practice Act, the nursing practice includes diagnosis, defined as a keen evaluation and observation of mental and physical conditions. In this scope, the nurse should possess the ability to observe a patient’s behavior, symptoms, and signs of illness (Florida ARNP requirements | How to become a nurse practitioner in FL, 2020, November 4). The APRN should also monitor reactions to treatment and determine if they are normal or abnormal. The same Act Section 464.003(3) (f) gives a definition of nursing treatment (Numminen et al., 2019). It defines treatment as the establishment and the implementation of the state’s nursing procedure leading to appropriate patient care. The treatment should also prevent illnesses and restore and maintain a patient’s health.
The APRN’s laws of practicing in Florida are considered the strictest in the USA. Research proves that almost half of the population of physicians in Florida are to attain the retirement age in the coming five to ten years, which allows the NP to increase their scope of practice. The state has a law that restricts a nurse from providing a physician’s hand when giving direct supervision (Mudd et al., 2022). If the physician is physically absent, they must be available through phone consultation. The law also states that the patient should get notified if the physician will be present or not, and there is no specification of the minimum amount the physician may be in the clinic. The physician may only undertake the supervision at one location and not more than 75 miles apart. The state’s laws do not permit the APRNs to prescribe controlled substances even if the physician is supervising them. However, the NP working in Florida can handicap parking licenses but never sign death records.
Professional Organizations Available for APRN Membership in Florida
The American Nurse Association argues that professional development is crucial for developing and maintaining nurses’ competencies. Like any other profession, nursing development never ends at graduation but progresses through a lifetime process of active practice. One of the paths to continued development is through joining nursing organizations. APRNs’ membership in professional nursing organizations is crucial in improving their patient’s care. Since nurses spend a lot of time with patients compared to doctors, professional nursing bodies help them deliver their tasks by providing continued education, networking, skills, opportunities, and mentorship leading to career advancement. The organizations help APRNs make intelligent choices on specifications.
The two leading organizations for APRN membership in Florida are the Florida Association of Nurse Practitioners and the Florida Nurse Practitioner Network (Numminen et al., 2019). The FLANP offers membership for nurse practitioners and other healthcare advocates willing to improve access to healthcare. Membership in the FLANP offers the NP the opportunity to view the community’s full chats through their membership website. Receive a discount on annual conference registration and other events. The NP acquires the opportunity of running for a position to chair the committees. The Florida Nurse Practitioner Network (FNPN) offers membership across all NP specialties since Florida’s population of NPs is the second largest in the United States. FNPN, founded in 2002, has a vision of bringing together all groups hence organizing themselves and affecting real change (Mudd et al., 2022). They wish to promote the NP profession and create an environment for delivering top-notch health services.
Required Competencies for an APRN practicing in Florida
The nurse practitioner’s core competencies are what built their existing master’s degree, which bases their education on NONPF recognized core competencies. The competencies allow the NPS to improve its full scope and get acquired through monitored patient care experiences while emphasizing independence, patient-centered care, interprofessional practice, evidence-based experience, and evaluation through analytical skills (Numminen et al., 2019). The NONPF elaborated nine competencies. The first one is the scientific foundation which involves the ability to analyze evidence and data to improve practice critically. It involves integrating knowledge gained from sciences and humanities into practice while developing new approaches.
Another competence is leadership, where a nurse can assume an advanced and complex leadership role in guiding change. They encourage forester collaboration through leadership and demonstrate critical and reflective reasoning (Numminen et al., 2019). Quality competence advocates for nurses to apply evidence to continue improving healthcare practice. The practice inquiry competence encourages NPs to lead in translating new knowledge into practice. APRNs can generate knowledge from other practices, disseminate evidence and analyze guidelines. The other competence is technology and information literacy, where an APRN demonstrates technological knowledge through healthcare management (Numminen et al., 2019). Policy competence is where the APRN demonstrates their understanding of policies of practice and ethical tendencies and plays a part in the development of policy development. The APRN demonstrates health delivery system competence through exhibiting organizational practice knowledge of health delivery. Ethic competence is when the NP integrates ethical principles and evaluations in decision-making (Numminen et al., 2019). The independent practice competence enables the APRN practices as an independent licensed practitioner who demonstrates accountability.
Florida ARNP requirements | How to become a nurse practitioner in FL. (2020, November 4). NursingLicensure.org – A more efficient way to find nursing license requirements in your state. https://www.nursinglicensure.org/np-state/florida-nurse-practitioner/
How to become a nurse practitioner in Florida – FL | APRN certification and jobs. (2019, September 25). How to become a Nurse Practitioner | What is a Nurse Practitioner?. https://www.graduatenursingedu.org/florida/
Mudd, S. S., Slater, T., & Curless, M. (2022). Central line–associated bloodstream infections and advanced practice providers: Identifying opportunities for prevention efforts. The Journal for Nurse Practitioners, 18(3), 328-330. https://doi.org/10.1016/j.nurpra.2021.12.006
Numminen, O., Virtanen, H., Hafsteinsdóttir, T., & Leino‐Kilpi, H. (2019). Postdoctoral nursing researcher career: A scoping review of required competences. Nursing Open, 7(1), 7-29. https://doi.org/10.1002/nop2.367