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Nurse Prescriber role for a Primary Care Centre in Clitheroe

An exciting opportunity has arisen for a Nurse Prescriber to join a brand new service based in Clitheroe.

I am at present recruiting on behalf of a friendly service who are looking for an experienced Nurse Prescriber to join their vigorous, excited and friendly team on an ongoing basis.

You will fill in as a component of a more extensive group of GPs and ANPs inside this new service, who’ll be there to support you when necessary.

In spite of the way this is a full-time position, this energizing open door will offer adaptability on days and hours to fit around your own circumstance.

This is an opportunity not to be missed.

Nurse Prescriber Jobs In Clitheroe

 

 

 

 

 

 

 

 

Requirements Include

  • Excellent cross-sales & upgrade sales ability
  • Friendly and personable, excellent communication skills
  • Good organisational skills
  • Ability to maintain and monitor high standards of care
  • A positive ‘can do’ attitude

Locum Nurse Prescriber Salary Package

  • Very competitive salary and OTE
  • Commission on treatments, commission on skincare sales
  • High hourly rates for Part-time

We are currently looking for Nurse Prescriber for a locum or permanent job in Clitheroe.

Nurse Prescriber Jobs on Indeed website can be found here (https://www.indeed.co.uk/Nurse-Prescriber-jobs)

Locum Meds do their best to negotiate a salary better than Indeed Nurse Prescriber jobs

This Nurse Prescriber will have a new job located in Clitheroe.

Many Nurse Prescriber has jobs in Clitheroe, but what would convince you to make a new move? Please call us to discuss.

Nurse Prescriber role for a Primary Care Centre in Clitheroe

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We are looking for an experienced Nurse Prescriber to work in a primary care centre in the Clitheroe area.

The client is looking for a reliable, experienced and friendly Nurse Prescriber who are dedicated to their job to cover a flexible shift pattern Monday to Friday.

Nurse Prescriber Jobs Clitheroe

 

 

 

 

 

 

 

 

An Ideal candidate will be

• Be extremely adaptable, competent and motivated in caring for patients
• Have a minimum of 2 years’ experience in the field
• Suitable qualifications and have a live NMC membership as an independent Prescriber
• You must be able to prescribe autonomously
• Assessing, diagnosing and treating patients presenting with a minor injury and minor medical conditions

Benefits Include

• Ongoing opportunities nationwide
• Flexible working hours
• Competitive pay rates
• One to one consultancy service

We are currently looking for Nurse Prescriber for a locum or permanent job in Clitheroe.

This Nurse Prescriber will have a new job located in Clitheroe.

Many Nurse Prescriber has jobs in Clitheroe, but what would convince you to make a new move? Please call us to discuss.

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What is Nurse Prescriber:

Independent nurse prescribers are nurses who have successfully completed an NMC Independent Nurse Prescribing Course (also known as v200 or v300 courses). They are able to prescribe any medicine provided it is in their competency to do so. This includes medicines and products listed in the BNF, unlicensed medicines and all controlled drugs in schedules two – five.

Nurse Prescriber: salary / Pay

The salary of a non-medical independent Nurse Prescriber varies depending upon the following;  Hours worked, experience, Education, how eager the organisation are in your skills, references, reputation, location, the list goes on…

Locum Meds have years of experience in accurately determining your pay rate, give us a call today to discuss either what you should be getting paid or what you should be paying a prospective or current employee.

Independent Nurse Prescriber Job Description: 

Provide and maintain a high standard of nursing care for patients as well as providing nursing assistance to the doctors and the other members of the centre’s team. The duties will include all tasks normally undertaken by an experienced registered nurse and in addition, any roles agreed between the nurse and the doctors as appropriate, having regard to current training.

Clinical Practice

  • Assist with the organisation and coordination of the provision of nursing services for the practice.
  • Provide nursing treatment to patients in participation with general practitioners or independently agreed to protocols, including cervical smears.
  • Provide general and specific health screening to the practice patients (within the agreed protocols) with referral to general practitioners as necessary.
  • Be competent in the administration of childhood immunisation and travel vaccination. • Be competent and confident in managing people with long-term health conditions
  • Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis
  • Assess, diagnosis, plan, implement and evaluate interventions/treatments for patients with complex needs Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate)
  • Diagnose and manage both acute and chronic conditions, integrating both drug- and nondrug-based treatment methods into a management plan
  • Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with the evidence-based practice and national and practice protocols, and within the scope of practice
  • Work with patients in order to support compliance with and adherence to prescribed treatments Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions
  • Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care
  • Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self-care.
  • Implement and participate in vaccination and immunisation programmes for both adults and children
  • Meet the needs of patients presenting for opportunistic wound care
  • Utilise and demonstrate sensitive communication styles, to ensure patients are fully informed and consent to treatment

Delivering a quality service

  • Recognise and work within own competence and professional code of conduct as regulated by the NMC Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures
  • Prioritise, organise and manage own workload in a manner that maintains and promotes quality
  • Deliver care according to NSF, NICE guidelines and evidence-based care
  • In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate
  • Evaluate patients’ response to healthcare provision and the effectiveness of care
  • Support and participate in shared learning across the practice and wider organisation 

Administrative and professional responsibilities

  • Participate in the administrative and professional responsibilities of the practice team.
  • Take responsibility for own learning and performance including participating in clinical supervision and acting as a positive role model
  • Support staff development in order to maximise potential
  • Actively promote the workplace as a learning environment, encouraging everyone to learn from each other and from external good practice
  • Take a lead role in planning and implementing changes in the area of care and responsibility • Contribute to the development of local guidelines, protocols and standards
  • Create clear referral mechanisms to meet patient need
  • Prioritise own workload and ensure effective time-management strategies are embedded within the culture of the team
  • Work effectively with others to clearly define values, direction and policies impacting upon care delivery
  • Discuss, highlight and work with the team to create opportunities to improve patient care
  • Ensure accurate notes of all consultations and treatments are recorded adequately on the computer.
  • Ensure acute completion of all necessary documentation associated with the patient healthcare and registration of the practice.
  • Ensure collection and maintenance of statistical information required for regular and ad hoc reports.
  • Assist in the formulation of practical philosophy, strategy and policy.
  • Maintain a notice board in the waiting area designated for patient healthcare education.

Communication and key working relationships

  • Director of Clinical Services/Deputy Director of Clinical Services
  • Head of GPLHC
  • Local Medical Director
  • GP’s and Nursing team
  • Patient Services Manager
  • Receptionists

The independent nurse prescriber post holder must maintain good working relationships with all personnel working within the Walk-in centre and the personnel working within the partnership practice. They must be able to demonstrate excellent communication and interpersonal skills at all times.

Professional Development

  • Maintain continuing education by attendance at courses and study days as deemed useful or necessary for professional development.
  • Disseminate learning and information gained by other team members in order to share good practice and inform others about current and future developments (eg courses and conferences
  • Assess own learning needs and undertake to learn as appropriate
  • Provide an educational role to patients, carers, families and colleagues in an environment that facilitates learning

General Responsibilities Of Nurse Prescriber

Staff must behave in a professional and discreet manner at all times.

  • Patient and professional confidentiality is of prime importance. Any breach of confidentiality can result in immediate suspension/dismissal.
  • Appropriate attire must be worn at all times in line with practice policy.
  • Full details of conditions of employment are shown in the contract of employment.

Nurse Prescriber Job Requirements

  • Registered General Nurse
  • Membership of a professional body
  • To work in accordance with the UKCC Code of Conduct
  • Ability to self-motivate, organise and prioritise workloads
  • Excellent communication skills
  • Good sense of humour
  • Ability to motivate the nursing team

Other Duties Of Nurse Prescriber role

The non-medical independent Nurse prescriber may, from time-to-time, be asked to undertake other reasonable duties, with appropriate training. It is important that all members of staff are prepared to undertake additional or relinquish current duties to maintain service delivery to patients. It is expected that requests from the Partners will not be unreasonably refused.

Nurse Prescriber Programmes:

Nurse Prescriber  programmes can be found in the following links:

https://www.gre.ac.uk/pg/engsci/isp

https://www.birmingham.ac.uk/postgraduate/courses/taught/med/practice-certificate-in-independent-prescribing.aspx

https://www.brighton.ac.uk/courses/study/independent-prescribing.aspx

http://www.dmu.ac.uk/study/courses/postgraduate-courses/non-medical-prescribing-pg-cert/non-medical-prescribing.aspx

Online Nurse Prescribing Courses

Online non-medical Nurse prescriber courses can be carried out, these are very far in between and recommend that you go with a qualification that is hands-on and practical.

Locum Meds also recommend that you choose a course which has the V300 Independent Prescribing qualification (Independent nurse prescriber and Supplementary Non-Medical nurse prescriber) incorporated within the course, or you can study this qualification alongside Nurse Practitioner qualifications, make sure you achieve a V300 Independent Prescribing qualification as this will determine your prescribing rights as shown on the NMC website for each individual nurse.

https://www.uclan.ac.uk/schools/nursing/index.php?gclid=EAIaIQobChMI1ZiR6Niy2wIV2IBwCh1O1wd5EAAYAiAAEgIvwPD_BwE

http://www.manchester.ac.uk/study/masters/courses/list/09815/independent-prescribing-short-course/

https://www1.kcl.ac.uk/teares/nmvc/external/prospectus/course_info.php?code=065

http://www.bcu.ac.uk/courses/non-medical-prescribing-for-health-v300

https://www.edgehill.ac.uk/health/cpd-modules/non-medical-prescribing-v300-2/

http://www.derby.ac.uk/courses/postgraduate/non-medical-prescribing-practice-certificate/

http://www.salford.ac.uk/ug-courses/non-medical-prescribing-single-module

http://www.dmu.ac.uk/study/courses/postgraduate-courses/non-medical-prescribing-pg-cert/non-medical-prescribing.aspx

How to become a Certified Nurse Prescriber:

Pharmacists can attain two types of prescribing qualification: independent and supplementary. Independent prescribers, or non-medical independent nurse prescriber (NMPs), are in a position to give patients timely access to medicines and are ideally placed to optimise and individualise treatment. The NMP takes responsibility for the clinical assessment of the patient, including establishing a diagnosis and prescribing the necessary medicines. Supplementary prescribing, on the other hand, is a voluntary partnership between a doctor or dentist and a supplementary prescriber, who can prescribe medicines within an agreed patient-specific clinical management plan with the patient’s agreement

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Permanent Advanced Nurse Practitioner needed in Clitheroe

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We are looking for an Advanced Nurse Practitioner in Clitheroe to join a forward thinking and dynamic practice. The practice has a successful track record of delivering high-quality primary care services to patients and this is a great opportunity for someone to be part of a supportive and dynamic team.

Key Information 

Looking for an Advanced Nurse Practitioner who needs to help drive the surgery offers as well as being encouraged to use your own initiative very flexible practice offering excellent working conditions Forward thinking and dynamic practice where you will be treated as a valuable member of the team

Advanced Nurse Practitioner in Clitheroe

 

 

 

 

 

 

 

 

 

 

Requirements Include

Essential:

  • Be a qualified General Nurse with valid PIN Number.
  • Be an Independent Nurse Prescriber
  • Have evidence of Continuous Professional Development
  • Have postgraduate ANP qualification or equivalent
  • Have proven post-registration experience of working in either; A&E, Primary Care or Minor Injuries/Illness Units

Desirable:

  • Have a knowledge of local primary care services
  • Have a full complete understanding of the medico-legal aspects of the role
  • Have basic IT skills

Key Benefits:

  • £28.00 per hour depending on experience
  • Indemnity paid 30 days holiday leave
  • Training practice

Please contact us today to find out more.

Call us 01923 594 002

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What is Advanced Nurse Practitioner:

Advanced Nurse practitioners are one type of advanced practice registered nurse. They may serve their patients as primary care providers, and day-to-day duties are very similar to those of doctors in their field or speciality. The role of an Advanced Nurse Practitioner is valued within the NHS as they can work autonomously within many different primary and secondary care settings.

Advanced Nurse Practitioner Salary:

The salary of an Advanced Nurse Practitioner varies depending upon the following;  Hours worked, experience, Education, how eager the organisation are in your skills, references, reputation, location, the list goes on…

Locum Meds have years of experience in accurately determining your pay rate, give us a call today to discuss either what you should be getting paid or what you should be paying a prospective or current employee.

Advanced Nurse Practitioner Job Description:

The content of this job description is designed to be inclusive of a broad range of tasks which may be performed by an advanced practice nurse. Practices should take note that they should seek guidance from their medical defence organisation about the responsibilities which can be delegated to an advanced practice registered nurse at this grade for which the defence organisation will provide cover. The job description should then be edited accordingly and full training and assessment of competence undertaken and documented with the staff member.

This post is written to be an equivalent for Agenda for Change (AFC) Band 8. Duties will vary from practice to practice and this is a guide only. Practice accountability structures will also vary.

Scope Of  Advanced Nurse Practitioner Job:

The advanced practice nurse will be an experienced nurse who holds an appropriate, specific, advanced professional qualification which meets NMC requirements for high-level practice.

The ANP will work with the practice team to provide high-quality care which meets the needs of the practice’s patient population.

Working within defined professional boundaries, they will be able to make safe clinical decisions relating to assessment, diagnosis, treatment and review. The ANP will demonstrate critical thinking ability.

The advanced practice nurse will function as an integral part of the clinical leadership team in the practice, providing advice and guidance to the nursing team to ensure they deliver care based on the needs of the practice’s population.

NMC requirements for advanced practice must be met.

Key Relationships/Contacts

Internal:

  • Lead Practice Nurse
  • Practice Nursing Team and Healthcare Assistants
  • GPs
  • Doctors in Training
  • Practice Manager/Office Manager
  • Administration Team
  • Secretarial Team

External:

  • Patients, carers and relatives
  • Practice suppliers (equipment, supplies and services)

Clinical Practice

  • Assess/examine patients, diagnose, plan, treat and review/evaluate.  Assessment may be face-to-face by appointment or by telephone as part of a triage/unscheduled care team and will include patients presenting with an undifferentiated diagnosis.
  • Diagnose and manage patients presenting with both acute and chronic conditions based on a management plan which includes a medication plan and other interventions.
  • Identify health priorities and make timely and appropriate interventions to support patients presenting in an emergency and/or with complex/urgent needs.
  • Assess and manage patients’ physiological and psychological needs, including patients with complex needs, multiple diagnoses and polypharmacy.
  • Identify patients at risk of developing a chronic illness and develop a plan for minimising the risk of worsening.
  • Advise and educate patients, promoting understanding, self-management, healthy lifestyle choices and sources of support and compliance with a treatment plan and medication.
  • In line with competence and agreed protocols, prescribe medication, review its effectiveness and make appropriate adjustments to treatment, ensuring patient understanding of medication side-effects and interactions, including over-the-counter medication.
  • Ensure the health needs of all patients presenting to the nursing team are met in a clinically appropriate way and by the team member best qualified to meet their needs.
  • Ensure the nursing team meets the clinical needs of patients presenting with routine and emergency needs and conditions or who require advice and support including chronic disease management, family planning, vaccination and immunisations, health promotion/lifestyle advice, wound care, venepuncture etc.
  • Ensure that all patients who may be vulnerable or who have mental health needs are appropriately managed and protected by the nursing team.

Communication

  • Advise patients about the role, its extent and limits.
  • Advise patients appropriately and refer to if they require the services of a GP or other clinical team member.
  • Communicate effectively, promptly and appropriately with patients and team members.
  • Provide links to additional information/guidance/support for both colleagues and patients/carers including onward referral where required.
  • Modify method of communication with patients to suit the situation, recognise problems/barriers take action and seek help at an early stage when they arise.
  • Communicate risk to patients and ensure proper consent gained where appropriate.
  • Act as an advocate for patients or colleagues who need assistance and representation.
  • Establish and maintain effective communication with internal and external stakeholders/organisations/individuals.
  • Contribute to practice and nursing team meetings.

Quality And Learning

  • Provide services to the practice’s patient population to the highest possible standard.
  • Comply with NMC Code of Conduct and keep registration up to date, documented and checked in the practice on an annual basis.
  • Provide care that is evidence-based, working to agreed and established clinical guidelines and supporting others to do the same.
  • Work to agreed standards, monitor and maintain the standard of care offered.
  • Take action if standards are not met (self or others)
  • Manage own and others’ workload to maintain priorities and service level.
  • Undertake training needed to ensure competencies for delivering all responsibilities and ensure nursing colleagues are supported in doing the same.
  • Lead and contribute to clinical governance activities/clinical audit to ensure continual improvement of service delivery and assessment of the impact of changes in patient care.
  • Lead and contribute to complaints responses/reviews, significant event, peer review and other shared learning activities
  • Identify opportunities for shared learning.
  • Ensure learning from outside educational events is effectively cascaded to the team and resultant changes to practice implemented.
  • Support and mentor staff in training, assess against standards
  • Support the performance and development of team members including giving and receiving effective feedback.
  • Lead and contribute to in-house training events based on learning needs analysis and Practice Learning Plan.
  • Take responsibility for own development including maintenance of a Personal Development Plan and record of learning, clinical supervision, staff appraisals, giving and receiving feedback.
  • Challenge underperformance or poor skills/inappropriate actions and implement performance management of team members in consultation with management team and GPs.
  • Undertake regular mandatory training and ensure the competence of nursing team colleagues (child protection, vulnerable adults, basic life support, moving and handling etc).

Advanced Nurse Practitioner Specialties

The Advanced Practice Nurse will:

  • Behave as a positive role model and set standards for the nursing team.
  • Lead the planning process for the nursing team, including setting goals and monitoring achievements/outcomes.
  • Introduce, review and update clinical guidelines and protocols in accordance with the latest evidence base.
  • Critically evaluate new developments or service delivery models and contribute to leading their incorporation in the practice to enhance care, applying good change management techniques, including participation in commissioning processes.
  • Critically evaluate skill mix, workload and practice service delivery needs to contribute to the practice’s learning plan and recruitment plan.
  • Lead the nursing team by balancing the needs of individuals, the team and the practice, effectively managing conflict or differing needs and priorities.
  • Delegate appropriately and effectively, monitoring performance and offering guidance and support, including ensuring and maintaining individuals’ competence.

Risk Management/Health And Safety Of Advanced Nurse Practitioner

Ensure the practice’s Health and Safety Policy is up-to-date and contribute to its implementation by:

  • Implementing regular risk assessment to identify hazards, minimise risk and identify and apply control measures.
  • Establishing and maintaining reporting pathways for identified risks and taking action to minimise these risks in relation to self and others in the practice.
  • Ensuring all policies comply with national guidelines and managing/ensuring/monitoring their implementation including infection control, decontamination, cold chain, clinical waste and sharps disposal, COSHH, spills etc.
  • Ensuring safe receipt, storage, rotation and disposal of drugs and vaccines.
  • Ensuring compliance with recording, storage and disposal requirements in relation to controlled drugs and that the practice’s policy is regularly reviewed and updated and adherence checked.
  • Ensuring all team members attend regular, relevant and mandatory health and safety training

Records And Information

  • Make accurate and contemporaneous records of all patient encounters in accordance with practice records protocols and coding protocols, ensuring standards are set and team members meet the standard.
  • Ensure data is recorded so that patient care is enhanced (eg coding, reminders) and so that it can be retrieved in a meaningful way to help manage patient care and help with data analysis.
  • Establish and monitor systems to accurately label and document patient samples and submit for collection and analysis
  • Provide data and data analysis for nursing, GP and management teams as required for service planning and improvement.
  • Contribute to nursing team record keeping (clinical, administrative, Health and Safety related records).
  • Maintain own and team’s skills in using patient appointment system.

Managing Resources Of  Advanced  Nurse Practitioner

The Advanced Nurse Practitioner will contribute towards effective resource management in the practice by:

  • Working with the management team and within budget, regularly reviewing equipment needs including identifying a need for replacements and introduction of new technologies.
  • Working with the management team, contributing to managing the nursing skill mix within the available budget.
  • Supporting the nursing team in ensuring that good stock control measures are in place and equipment is ordered and used in an economical manner, within available budgets.
  • Working with the management team, ensuring adequate provision of patient access to nursing team services within availability standards.

Confidentiality

In the course of their duties, the advanced practice nurse will have access to confidential information relating to patients, their carers and relatives and colleagues within and outside the practice. They may also have access to information relating to the practice as a business. All such information from any source whatsoever will be treated as strictly confidential.

Information relating to patients, their carers and relatives and colleagues within and outside the practice and in relation to the practice as a business will only be shared in accordance with the practice’s Confidentiality Policy, the Data Protection Act and the Freedom of Information Act and in such a way that personal and sensitive patient-identifiable data is protected.

Equality And Diversity

The advanced practice nurse will comply with the practice’s Equality and Diversity Policy, including:

  • Recognising the rights of patients, carers, relatives and colleagues and respecting their needs, beliefs, privacy and dignity.
  • Not discriminating against patients, carers, relatives or colleagues on the grounds of any of the protected characteristics in the Equality Act 2010 (or its amendments or later legislation).
  • Supporting the nursing team in an application of the practice’s Equality and Diversity Policy, including taking action if the discriminatory practice of any kind is identified.
  • Ensuring equity of access to services and equity of delivery of services to minority, marginalised or disadvantaged groups.
  • Supporting those who need advocacy to exercise their rights.
  • Respecting the rights of patients to accept or refuse treatment or a care provider.

Other Duties Of  Advanced  Nurse Practitioner

The advanced practice nurse may, from time-to-time, be asked to undertake other reasonable duties, with appropriate training. It is important that all members of staff are prepared to undertake additional or relinquish current duties to maintain service delivery to patients. It is expected that requests from the Partners will not be unreasonably refused.

Advanced Nurse practitioner Programmes:

Advanced Nurse Practitioner programmes can be found in the following links:

https://www.ucas.com/

http://www.lsbu.ac.uk/courses/course-finder/advanced-nurse-practitioner

http://www.uclan.ac.uk/courses/bsc_hons_nurse_practitioner.php

http://www.city.ac.uk/courses/postgraduate/advanced-nurse-practitioner-adult-child

https://www.brighton.ac.uk/courses/study/nurse-practitioner-bsc-hons-top-up-degree.aspx

http://www.southampton.ac.uk/healthsciences/postgraduate/taught_courses/msc_adv_clin_practice_practitioner.page

https://www.bcu.ac.uk/courses/advanced-practice-advanced-health-care-pgdip-msc-2018-19

https://www.kcl.ac.uk/nursing/study/index.aspx

http://www.kcl.ac.uk/study/postgraduate/taught-courses/advanced-practice-msc-pg-dip-pg-cert.aspx

http://www.tees.ac.uk/postgraduate_courses/Health_&_Social_Care/

Online Advanced Nurse Practitioner Courses:

Online Nurse Practitioner Courses can be carried out, these are very far in between and recommend that you go with a qualification that is hands-on and practical.

Locum Meds also recommend that you choose a course which has the V300 Independent Prescribing qualification (Independent and Supplementary Non-Medical Prescribing) incorporated within the course, or you can study this qualification alongside Nurse Practitioner qualifications, make sure you achieve a V300 Independent Prescribing qualification as this will determine your prescribing rights as shown on the NMC website for each individual nurse.

https://www.city.ac.uk/courses/cpd/independent-and-supplementary-non-medical-prescribing

https://www.derby.ac.uk/courses/modules/nmp-nurses/

http://www.salford.ac.uk/ug-courses/non-medical-prescribing-single-module

http://www.dmu.ac.uk/study/courses/postgraduate-courses/non-medical-prescribing-pg-cert/non-medical-prescribing.aspx

Advanced  Nurse Practitioner  work in a variety of environments

  • Hospitals, acute care or ambulatory care settings
  • Outpatient settings
  • Long-term care facilities and nursing homes
  • Private homes providing health care services
  • Hospice and palliative care services
  • Government and community health agencies
  • Universities and research agencies
  • Healthcare or health industry businesses
  • Private practice

How to become a certified advanced  nurse practitioner:

An Advanced Practice Nurse is a registered nurse (RN) who has received advanced training & knowledge through a nursing degree or specialized healthcare training. Most nurse practitioners usually have a Master’s degree and an area of specialization. Due to their advanced training and experience, nurse practitioners perform a variety of functions normally attributed to doctors and physicians, such as immunization, patient examination, diagnosis, treatment and follow up.

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