What is a Nurse Practitioner? In our last newsletter we introduced you to two new members of staff, Nurse Practitioners Juliet Clegg and Julie Parsons and we are happy to report that with their wide range of skills and expertise they are proving to be a great asset to the Medical Team. As many patients have asked, “What is a Nurse Practitioner?” so we have set out a detailed explanation below. Advanced Nurse Practitioners are registered nurses who have completed specific advanced nursing education and training in the diagnosis and management of common as well as complex medical conditions. Nurse Practitioners are generally licensed through nursing boards rather than medical boards. Nurse Practitioners provide a broad range of health care services. Treating both acute and chronic conditions through comprehensive history taking, physical exams, physical therapy, ordering tests and therapies for patients, within their scope of practice. NPs can serve as a patient's "point of entry" Duty Practitioner, and see patients of all ages depending on their designated scope of practice. Advanced Nurse Practitioners working in primary care have a wide range of skills, a broad knowledge-base and the ability to deliver high levels of specific care. At times these will need to be supplemented by the skills of specialist health professional in both primary and secondary care, and include a range of diagnostic and screening services. Make professionally autonomous decisions, for which he or she is accountable. Receives patients with undifferentiated and undiagnosed problems and makes an assessment of their health care needs, based on highly developed knowledge and skills, including skills not usually exercised by nurses. Makes differential diagnosis using decision-making and problem solving skills. Orders necessary investigations, and provides treatment and care both individually, as part of a team, and through referral to other agencies. Prescribes medication for acute and chronic problems. Develops with patient an ongoing plan of care for health, with an emphasis on preventative measures. Provides counselling and health promotion Has authority to admit or discharge from caseload, and refer and admit to other health professionals or establishments. Works collaboratively with other health care professionals and disciplines. Provides leadership and consultancy function as required.