Emergency Nurse Practitioner:
Emergency Nurse Practitioners assess, diagnose, and manage injuries and illnesses that need urgent care.
They are able to work with or without supervision, determining which patients need the most immediate care,
making decisions about treatment, monitoring patient conditions, and providing education and consultation.
Emergency Nurse Practitioner Role:
As an Emergency Nurse Practitioner, you would act as a specialist nurse working independently in your area of practice. Specifically, an ENP is a senior practitioner working in the Emergency
Department who has been specially trained to treat minor injuries without necessarily having to refer to a doctor. An ENP is able to assess, diagnose, treat, and discharge patients. They are able to carry out a wide variety of tasks, from reading and assessing x-rays to giving injections and administering some medications, including antibiotics.=An ENP could be called on to record and interpret ECG examinations,
carry out the wound, burn or scald treatments, or apply Plaster of Paris to fractures. Typically, ENPs treat all types of patients aged 12 and over, and so must be adaptable and able to make rapid decisions under pressure.
The role of Emergency Nurse Practitioner is in many ways all-encompassing and has been introduced with the continuous improvement of NHS emergency services in mind.
Besides working in A+E, ENPs could also be placed in trauma centers, Urgent Care Centres, or ambulances.
A Nurse Practitioner (NP) is an Advanced Practice Registered Nurse (APRN) that has earned either a Master’s of Science in Nursing (MSN)
or a Doctor of Nursing Practice (DNP). Nurse Practitioners have more authority than Registered Nurses and have similar responsibilities to that of a doctor.
Nurse Practitioners can serve as primary care or specialty care providers and typically focus their care on a specific population such as families, children, or the elderly. As clinicians, they focus on health promotion and disease prevention in their patients.
Nurse Practitioner Role:
Conduct health assessments including recording complete medical and psychosocial history
Physically examine patients
Develop a treatment plan that may include medication and other therapies
Provide patient education to promote habits that will prevent diseases and maintain good health
Collaborate with other healthcare providers, including physicians and nurses
Order and interpret laboratory test results
Follow up on a patient to determine the effectiveness of recommended treatments
As primary healthcare providers, nurse practitioners help patients maintain good health and treat their illnesses. This requires taking into account their health histories and any symptoms they are experiencing.
Laboratory tests provide supplemental information that will alert them to abnormalities that may not be revealed through a conversation with the patient or physical examination.
Nurse practitioners encourage patients to become active participants in their own well-being. The means through which they achieve this is by providing education and counseling to help patients understand how to maintain their own good health, or mitigate symptoms and the advancement of diseases. Like all healthcare professionals, NPs don’t consider their job done when a patient leaves the office. Outcomes are an
an important aspect of their practice. It is essential to determine whether the treatments they administered or recommended are effective.
Emergency Care Practitioner:
Emergency nurse practitioners are another little known but invaluable element of the NHS workforce. There are a wide variety of positions and responsibilities open to a qualified nurse, including the development of an Emergency Nurse Practitioner role. This role provides those who are already qualified as nurses with the opportunity to demonstrate and develop further skills and knowledge so that they are equipped with the skills to treat minor injuries without having to refer to a doctor.
General Practice (GP):
General practitioners (GPs) treat all common medical conditions and refer patients to hospitals and other medical services for urgent and specialist treatment. They focus on the health of the whole person combining physical, psychological, and social aspects of care.
General Practice Role:
General practitioners have an important role in looking after patients in their homes and within the communities where they live. They are part of a much wider team whose role includes promoting,
preventing, and initiating treatment. GPs look after patients with chronic illness, with the aim to keep people in their own homes and ensuring they are as well as they possibly can be.
GPs are often the first point of contact for anyone with a physical or mental health problem and patients can be at their most anxious. Looking after the whole person – the physical, emotional,
social, spiritual, cultural, and economic aspects through patient-centered approaches is a vital part of any GP’s role.
This is becoming more important with terminally ill patients often choosing to stay at home.
There are over 1.3 million GP consultations every day, most of which take place in a GP surgery or within the patient’s home. GPs occasionally work as part of teams attached to hospitals with roles in accident and emergency centers, discharge planning, and unscheduled care (such as urgent care centers). In the community, they may run clinics in schools and in residential and nursing care homes.
A typical GP appointment is scheduled to last for ten minutes, during which time the GP needs to assess the patient. As anything can come through the door, they make swift and effective decisions based on the presenting symptoms and the patient’s current and previous medical history.
They also use their own knowledge to assess the likelihood of a certain illness being present over another.
GPs look for patterns of
symptoms to indicate or rule out different conditions. Up to 40 % of doctors consulting can now be done over the telephone, rather than in face to face encounters and the shift to using different media is likely to expand in the future. Depending on their examination and diagnosis the GP has several management options which they will discuss with the patient as they develop a shared and agreed plan. These can include giving reassurance, giving the patient information, advising on a certain course of action or prescribing medication. Alternatively, they may refer the patient for further tests to confirm a diagnosis or as part of an on-going management plan.
These can include x-rays, blood tests, or referring on for a second opinion. They are trained to spot the signs of “red flag” symptoms, which might indicate a serious problem requiring further investigation and which needs to be acted on promptly. Patients may occasionally attend the GP surgery with an urgent life-threatening condition, such as anaphylaxis (severe allergic reaction) or an asthma attack.
In these cases, the GP will provide life-saving treatment until an ambulance and further help arrives.
GPs work as part of large multidisciplinary teams (MDTs) who all support the holistic care of any patient and these can include nurses, midwives, health visitors, pharmacists, physician associates, psychiatrists, and care of the elderly specialists. They meet regularly to discuss cases and plan joint approaches to co-ordinate packages of care.
Another important part of the work is preventative medicine and health promotion. This can include clinics for child immunizations and smoking cessation as well as advice on lifestyle during the GP consultation.
GPs also have a vital role to play in safeguarding vulnerable children and adults and involving appropriate agencies.GPs see patients of all ages from newborn babies to elderly people. The ongoing relationship that GPs are able to establish with their patients and being able to offer continuity of care is one of the most important and enjoyable aspects of the job. Patients are often quite knowledgeable about their own conditions and GPs will work with them together to decide on a mutually acceptable plan.
GPs have an important role to play in the management of not just of acute problems but also of chronic diseases and the treatment of patients with multiple health conditions, particularly in an ever-increasing older population.
Balancing and treating multiple problems with a patient’s general health, independence, and social care can be complex and challenging,
but also rewarding as a GP will know these patients very well.