practitioner

A nurse practitioner (NP) is an advanced practice registered nurse (APRN) and a type of mid-level practitioner. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans. NP training covers basic disease prevention, coordination of care, and health promotion. One study found that although reasons for referrals to specialists are similar for both physicians and NPs, the quality of documentation in the referrals may be lower for NPs.Nurse practitioners are currently employed in a wide variety of practice settings. These settings include the ambulatory, inpatient, or emergency room of hospitals, health clinics, and office practices whether private or nurse-run. In addition, they serve in schools and college campuses delivering care as well as nursing homes and assisted living facilities. NPs can work alone or under the supervision of a physician in a wide variety of specializations.The scope of practice for a NP is defined by legal jurisdiction. In 27 states of the US, NPs have full practice authority, while in the remaining 23 states, NPs are required to work under the supervision of a physician. In Australia, the scope of practice is guided by health organisation policy and the individual's competency, while their right to access Medicare rebates requires a collaborative practice arrangement with a medical practitioner.

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