ADVANCED PRACTICE

ROLES

Clinical Nurse Specialist

Nurse Practioner
Nurse Administrator
Nurse Educator

Definition of Advance Practice

Nursing

A Nurse Practitioner/Advance Practice Nurse is a registered nurse

who has acquired the expert knowledge base, complex decision-making
skill and clinical competencies for expanded practice, the characteristics
of which are shaped by the context. and or country in which she is
credentialed to practice. A masters degree is recommended for entry
level.

Anadvanced practice registered nurse (APRN)is a nurse with

advanced didactic and clinical education, knowledge, skills, and scope of
practice innursing.[1]
APRN defines a level of nursing practice that utilizes extended and
expanded skills, experience and knowledge in assessment, planning,
implementation, diagnosis and evaluation of the care required. Nurses
practicing at this level are educationally prepared at thepost-graduate
level and may work in either aspecialistorgeneralistcapacity. However,
the basis of advanced practice is the high degree of knowledge, skill and
experience that is applied within the nurse-patient/client relationship to
achieve optimal outcomes through critical analysis, problem solving
andevidenced baseddecision making.

APRNs demonstrate effective integration of theory, practice

and experiences along with increasing degrees of autonomy
in judgments and interventions. Intensivepostgraduateeducation is designed to teach an APN to use
multiple approaches todecision-making, manage the care
of individuals and groups, engage in collaborative practices
with the patient or client to achieve best outcomes;
provide a supportive environment for colleagues; manage
the utilization of staff and physical resources;
engage in ethically justifiable nursing practice; protect the
rights of individuals and groups; engage in activities to
improve nursing practice;
develop therapeutic and caring relationships; fulfill the
conduct requirements of the profession;
act to enhance the professional development of self; and
function in accordance with legislation and common law
affecting nursing practice.[2

Role of Advance Practice

Nurses

An advanced practice nurse (APN) has completed

training beyond that of basic nursing. Such training
includes nurse anesthetist, nurse midwife, nurse
practitioner or clinical nurse specialist. Advance
practice nurses are certified and meet the
requirements established by the Board of Nursing.

An advanced practice nurse's role includes writing

prescriptions, administering anesthesia,
interpreting lab results, and diagnosing treatment
of acute illnesses or injuries.

Writing Prescriptions

Administer Anesthesia

This role allows the nurse to perform an assessment

to determine if the anesthesia is necessary

Interpret laboratory and X-ray.

APN have authority to write prescriptions for

patients.

When a patient has lab work performed, including

blood work or X-rays, it is the role of the advanced
practice nurse to review, analyze and interpret the
lab results.

Treatment

An advanced practice nurse may be able to diagnose

treatment of common acute illnesses or injuries

Clinical Nurse Specialist

Clinical Nurse Specialists (CNS) are Advanced Practice nurses who hold a
masters or doctoral degree in a specialized area of nursing practice. Their
area of clinical expertise may be in:
a population (e.g. pediatrics, geriatrics, womens health);
a setting (e.g. critical care, emergency room);
a disease or medical subspecialty (e.g. diabetes, oncology);
a type of care (e.g. psychiatric, rehabilitation); or
a type of health problem (e.g. pain, wounds, stress).
In addition to the conventional nursing responsibilities which focus upon
helping patients to prevent or resolve illness, a CNS scope of practice
includes diagnosing and treating diseases, injuries and/or disabilities within
his/her field of expertise. Clinical Nurse Specialists provide direct patient
care, serve as expert consultants for nursing staffs, and take an active hand
in improving health care delivery systems.

Nurse Practitioner

Nurse Practitioners (NPs) are Advanced Practice Nurses

whoprovide care to patients throughout the lifespan, from
premature newborns to the elderly.
They perform comprehensive and focused physical
examinations; diagnose and treat common acute illnesses
and injuries; provide immunizations; manage high blood
pressure, diabetes, depression and other chronic health
problems; order and interpret diagnostic tests such as XRays and EKGs, as well as laboratory tests; prescribe
medications and therapies, perform procedures, and
educate and counsel patients and their families regarding
healthy lifestyles and health care options.
NPs can prescribe medications, including controlled
substances, in all 50 states. In 25 states, NPs have

Nurse Educator

Nurse educators are registered nurses with advanced

education who are also teachers. Most work as nurses
for a period of time before dedicating their careers
(part-time or full-time) to educating future nurses.
Nurse educators serve as faculty members in nursing
schools and teaching hospitals, sharing their
knowledge and skills to prepare the next generation
of nurses for effective practice. They develop lesson
plans, teach courses, evaluate educational programs,
oversee students clinical practice and serve as role
models for their students. They may teach general
courses or focus on areas of specialization, such as
geriatric nursing, pediatric nursing or nursing

Most nurse educators have extensive clinical

experience, and many continue caring for
patients after becoming educators. Even if
they no longer practice, nurse educators must
stay current with new nursing methods and
technologies. This means nurse educators are
always on the leading edge of clinical
practice.
With experience, nurse educators may
advance to administrative roles, managing
nurse education programs, writing or reviewing
textbooks, and developing continuing
education programs for working nurses.

Nurse Administrator
Description

A nurse administrator is the most senior

nurse in a hospital, overseeing the care
delivery for patients on all nursing units. Also
known as a chief nursing officer or chief
nurse executive, a nurse administrator fills
an increasingly important role as health care
systems evolve.

History
Twenty years ago, the director of nursing
(DON) was the most senior nurse in a
hospital, responsible solely for nursing
care. As hospital leaders gained a better
appreciation of the role nurses play in
patient outcomes, the DON took on a
broader responsibility for all aspects of
patient care and assumed the title of
nurse administrator.

Functions
A nurse administrator establishes effective
patient care delivery systems, ensures
continuous quality improvement in patient care,
and represents nursing as a member of the
senior leadership team when decisions are made.
Hierarchy
The nurse administrator directly supervises nurse
managers or directors for individual nursing
units. She typically reports to the chief executive
officer (CEO) of the hospital.

Skills
A nurse administrator has a sound clinical
knowledge base, solid fiscal management skills,
and the ability to establish and maintain effective
interpersonal relationships across the organization.
Qualifications
A nurse administrator is a registered nurse (RN),
and many hospitals require an advanced degree in
nursing (MSN) or business (MBA).

Thank you!!!

THAT IN ALL THINGS

GOD MAY BE
GLORIFIED!

Submitted by:
Ms. Lorelie Asis
Mrs. Virginia Edep
Mrs. Evelyn Limos
Mrs. Rosalinda Numbrera
Mrs. Brenda Samson