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BACKGROUND: The trauma service experienced preventable delays caused by an Accreditation Council for Graduate Medical Education work restrictions and a 16% increase in patient census. Furthermore, nurses needed a consistently accessible provider for the coordination of care. We hypothesized that using experienced acute care nurse practitioners (ACNPs) on the stepdown unit would improve throughput and decrease length of stay (LOS) and hospital charges. Moreover, we hypothesized that adding ACNPs would improve staff satisfaction. On December 1, 2011, the Vanderbilt University Medical Center Division of Trauma reassigned ACNPs to the stepdown area 5 days a week for a pilot program. METHODS: LOS data from December 1, 2011 through December 1, 2012 was compared with data from the same months from the previous two years and estimated hospital charges and patient days were extrapolated. Physician and nursing surveys were performed. Data from 2010 (n = 2,559) and 2011 (n= 2,671) were averaged and the mean LOS for the entire trauma service was 7.2 days. After adding an experienced ACNP, the average LOS decreased to 6.4 days, a 0.8 day reduction. Per patient, there was a $ 9,111.50 savings in hospital charges, for a reduction of $27.8 million dollars in hospital charges over the 12 month pilot program. RESULTS: A confidential survey administered to attending physicians showed that 100% agreed that a nurse practitioner in the stepdown area was beneficial and helped throughput. Dayshift nurses were surveyed, and 100% agreed or strongly agreed that the ACNPs were knowledgeable about the patient's plan of care, experienced in the care of trauma patients, and improved patient care overall. CONCLUSION: The addition of experienced ACNPs resulted in the decrease of overall trauma service LOS, saving almost $9 million in hospital charges

The primary role of a pediatric acute care nurse practitioner is to provide care for acutely, critically and chronically ill children from newborn to 21 years old. In rare cases, care is extended to individuals older than 21.

This article provides an in-depth look at the scope of practice of acute care nurse practitioners. It touches on the history of the nurse practitioner role and how the acute role was developed from there. It also states that the first acute care nurse practitioners to be established were NNPs.

Thanks so much for finding this article! Exactly what I needed, and seeing as I was searching for stuff a couple hours and didnt find this, I know it wasnt easy, so thanks!

Practice research serves as the certification framework for validating advanced practice roles and updating national qualifying examinations. This national study describes the current practice of the acute care pediatric nurse practitioner (AC PNP) to inform an update of the Certified Pediatric Nurse Practitioner-Acute Care (CPNP-AC) examination content outline.

Well written easy to understand article clearly maps out requirements and varying options for process to become AGACNP

Well written easy to understand article clearly maps out requirements and varying options for process to become AGACNP

Very interesting read. This article provides evidence on why healthcare organizations should hire nurse practitioners based upon the education and training that they receive within their speciality as opposed to their previous RN experience. Many hospitals are struggling with this dilemma: Do we hire the APRN who has previous nursing experience in this area (who is not certified in this area) or do we hire the APRN who is certified to work in this area based on their formal training/education but is a new graduate? This article describes how prior nursing experience with a specific population does not qualify a nurse practitioner to practice without the population-focused education and certificate.

This article discusses how the role of NPs came about. It also describes the shortage of providers in the acute care setting and how the role of the Acute Pediatric Nurse Practitioner developed as a result of this.

These are the Adult Gero Acute Care NP competencies that were developed by the National Organization of Nurse Practitioner Faculties (NONPF) in 2012. Interesting that these were only developed 3 years ago!

This article talks about how the use of acute care nurse practitioner helps hospitals deliver better care because the APRNs are able to draw from past experiences in order to provide the best care to their patients.

Research article that discusses practice setting characteristics that were either helpful or stressful to new grad NPs during their first year of practice. Primary care settings in Canada were sites used in this study, but the results would likely apply to acute care settings as well.

↵Correspondence: Maureen Sullivan-Bentz, University of Ottawa, School of Nursing, Simulation Laboratories, 200 Lees Ave, Ottawa, ON K1S 5S9; telephone 613 298-3022; e-mail mbentz{at}uottawa.ca OBJECTIVE To examine role transition and support requirements for nurse practitioner (NP) graduates in their first year of practice from the perspectives of the NPs and coparticipants familiar with the NPs' practices; and to make recommendations for practice, education, and policy.

This article discusses the role of the acute care pediatric nurse practitioner and how it has developed since its beginning in the 90s. It also dives into the clinical outcomes of AC-PNPs and takes a look at how the role will continue to grow/develop to meet patient needs.

This article is very relevant to our discussion today in lecture. It speaks to the consensus model, our primary certification after graduation, and then speciality certification. Additionally the articles outlines what is required to work in the ED. A concise and easy to follow article.

List of NP residency programs available in US. Included primary care, acute care, ENP, peds, and several specialty settings (no midwives - sorry!)

Here are even more programs that offer residencies

List of various residencies/ fellowships for different specialties

This article talks in depth about the position statement from NAPNAP on the scope of practice for Acute Care PNP.

History of PNP-AC and commentary on the evolving role of PNPs in practice

An overview of the new regulations that states have now that PNP-AC is recognized with it's own board certification.

This article recognizes the need for specialized training of new grad NPs as they transition from their role of student to practitioner.

This article discusses how overall outcomes are better for patients when ACNP are members of a unit or service-based provider team. It also touches on how to hire ACNP for different patient populations.

Great article about the evolution of ACNP