|Nurse Lynne Cooper (f)|
Role of an Advanced Nurse Practitioner
“An Advanced Nurse Practitioner (ANP) is an experienced and highly educated Registered Nurse who manages the complete clinical care for their patient, not solely any specific condition. Advanced practice is a level of practice, rather than a type or speciality of practice.
ANPs are educated at Masters Level in advanced practice and are assessed as competent in this level of practice. As a clinical leader they have the freedom and authority to act and accept the responsibility and accountability for those actions. This level of practice is characterised by high level autonomous decision making, including assessment, diagnosis, treatment including prescribing, of patients with complex multi-dimensional problems. Decisions are made using high level expert, knowledge and skills. This includes the authority to refer, admit and discharge within appropriate clinical areas.
Working as part of the multidisciplinary team ANPs can work in or across all clinical settings, dependant on their area of expertise.” (Chief Nursing Officers Directorate, 2017)
What can an Advanced Nurse Practitioner do?
The core clinical competencies of the ANP are to:
• Take a comprehensive history
• Perform a clinical assessment (a comprehensive physical clinical examination of all systems and a mental health assessment)
• Formulate differential diagnoses
• Request, interpret and act on diagnostic tests and investigations
• Formulate an action plan for the treatment of the patient
• Admit, discharge or refer a patient dependent on patient need at time of review