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Biomedical subjects

A Easom

Publications and source records attributed to A Easom.

5 recordsLinked to original sources
PubMed2001

Advanced practice nurses in nephrology: collaborative solutions to manpower shortages.

As the shortages of both nephrologists and experienced staff nurses increase, innovative solutions will be necessary. The most common CPM will continue to be the nephrology APN hired by and working in collaborative practice with nephrologists to provide care across all settings (hospital, office and dialysis unit). Creative arrangements between dialysis corporations, nephrologists, and APNs may also provide for a team approach for treating renal disease patients within the dialysis unit. The team would include the nephrologist, APN, dialysis staff, dietitian, and social worker. Each team member would fulfill roles appropriate to their training, experience, and demonstrated level of competence with the common goal of improved patient outcomes. This would provide the best use of limited resources.

Adult↗
PubMed2000

Advanced practice nurses in nephrology.

With the growing shortage of nephrologists and the increasing number of end-stage renal disease patients, collaborative practice arrangements between nephrologists and advanced practice nurses (APNs) are becoming more common. This report addresses both the credentials and scope of practice of nephrology APNs. Because the APN role in nephrology is multifaceted, role responsibilities in the nephrology office, chronic dialysis unit, and acute care setting are outlined. Nephrologists and APNs have overlapping scopes of practice, and practicing collaboratively allows each health care professional to use their strengths maximally. Barriers to practice and reimbursement issues are discussed. Documentation needed to enter into collaborative practice is delineated. This includes collaborative practice agreements, scope of practice statements, prescribing protocols, hospital credentialing, and dialysis facility credentialing. The goal of the collaborative practice model is to improve traditional patient care and delivery of services. The APN's role complements that of the nephrologist and offers a unique, holistic approach to the quality of patient care that is needed in the current health care environment.

Credentialing↗
PubMed2000

The role of the advanced practice nurse in the care of organ transplant recipients.

The role of the advanced practice nurse (APN) in transplantation has evolved from the role of the clinical transplant coordinator. This report attempts to define the credentials, practice domains, barriers to practice, and reimbursement issues related to APN practice while contrasting the role with that of clinical transplant coordinator. The nephrology APN working in a collaborative transplant practice can be an integral part of a multidisciplinary health care team. The APN's education and credentials empower them to provide a wider scope of services than transplant coordinators who are "experts by experience." These services can include providing primary care and performing procedures such as percutaneous transplant biopsies, insertion of peripheral and central venous catheters, and wound debridement as well as management of patients along their continuum of transplant care. Patient education and advocacy also are key components of APN practice. In addition, the services the APN provides generally are reimbursable and therefore can provide revenue for the practice.

Humans↗