Nurse Practitioner Prescribing Anna Davidson Nurse Practitioner Bester
Nurse Practitioner Prescribing Anna Davidson Nurse Practitioner Bester Mc. Kay Family Doctors Winton Medical Practice No 10 Youth One Stop Shop Kind Manaakitanga Open Pono Positive Whaiwhakaaro Community Whanaungatanga
The journey towards NP Positives: Mentors and incredibly supportive supervisors and peers A workplace that allows growth of the position, encourages diversity Enjoying the journey of learning and expanding practice NP practicum – making the most of it Funding if you can get it Negatives: Restricted funding So overwhelmed with workload you lose sight of the end goal Transition from RN to NP Where do I fit in the practice team ie. delegating work to peers Kind Manaakitanga Open Pono Positive Whaiwhakaaro Community Whanaungatanga
The dreaded portfolio…… What is it that they actually want to see? We are not very good at acknowledging our strengths and what we have achieved It is simply consolidating all that hard work, you are not reinventing the wheel The panel interview: I promise they are lovely and are not trying to trick you Kind Manaakitanga Open Pono Positive Whaiwhakaaro Community Whanaungatanga
Nurse Practitioners in Primary Health Care There are so many of us know I am not even sure how many we have in the Southern DHB! My Day to Day Practice - EDI results, contacting patients or delegating to RN peers or admin, repeat scripts, clinic (15 min appts, 10 patients per session), referral letters, correspondence, INR’s, acute patients or residential, liaising with colleagues, mandatory 1030 flat white! Benefits of prescribing to my practice - Holistic care, improves access and hopefully equality of care - The challenge of not knowing what comes next (this could go in the barriers depending on the day!) We really are jack of all trades. - Always learning, adapting, walking the line of best practice vs best for the patient/whanau - Working to the top of my scope, taking opportunities to extend this further. Kind Manaakitanga Open Pono Positive Whaiwhakaaro Community Whanaungatanga
Challenges to the prescribing role…. I have no bloody idea!! - Keeping faith in your processes, and knowing where and when to ask for help What to do when a patient tells you the name of a medication you have never heard of! (insert your I absolutely know what you are talking about face/nod here!) The side effect profiles, interactions…where to begin and where to end When what you prescribed doesn’t work The pharmacist is on the phone…. . When you are not comfortable signing a script Special Authority’s / Section 29 – keeping up with it all Kind Manaakitanga Open Pono Positive Whaiwhakaaro Community Whanaungatanga
Very common questions…. - Overcoming obstacles and challenges: finding a job vs forging a role, I’m a nurse but all my patients presume I’m a doctor regardless, acceptance from GP and nursing colleagues, peer review and ongoing education - What is an NP worth Kind Manaakitanga Open Pono Positive Whaiwhakaaro Community Whanaungatanga
Kind Manaakitanga Open Pono Positive Whaiwhakaaro Community Whanaungatanga
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