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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.

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!

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

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.

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.

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

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 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 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.

This article reviews definitions, concepts, and some contemporary issues related to NP scope of practice with an emphasis on NPs working in acute care settings.

Approximately 70 to 80% of healthcare errors are due to poor team communication and understanding. High-risk environments such as the trauma setting (which covers a broad spectrum of departments in acute services) are where the majority of these errors occur. Despite the emphasis on interprofessional collaborative practice and patient safety, interprofessional teamworking in the trauma setting has received little attention.

Guidance on which PNPs (AC vs. PC) are educated for certain roles and acute care locations.