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Building a Professional Practice of Critical Care Nursing Excellence: The ACNP Role
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Definition & Purpose An Acute Care Nurse
Practitioner (ACNP) is a master’s prepared advanced practitioner who provides advanced nursing care across the continuum of acute care services to patients who are acutely and critically ill.
Standards of Clinical Practice and Scope of Practice for the ACNP (AACN & ANA, May 1995)
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Why MCG : The Graduate Programs Nursing Strengths
Top ranking by US News & World Report
1st Doctorate of Nursing Practice (DNP) in the state
Among the first 10 DNP programs in the country
MCG School of Nursing Simulation Center
Expert faculty with clinical practice
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Why MCG ACNP Program: The Strengths
Mentoring by faculty who “walk and talk” the role through practice, research, publications, presentations
Leadership by faculty who are recognized for nursing contributions with the American Association of Critical Care Nurses (AACN) and the American Nurses Association (ANA)
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ACNP Educational Preparation
Masters / Post Masters Program Certification through American Nurses Credentialing
Center (ANCC) 1st Exam 12/95
Certification through the American Association of Critical-Care Nurses (AACN) 1st Exam 08/07
Extensive re-certification requirements must be met Depends on Certifying Body (ANCC or AACN)
Minimum of 75 – 100 CEU every 5 yrs (evidence in specialty area)
Minimum of 1500 – 2000 ACNP practice hours Minimum 400 practice hours in past year
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MCG ACNP Program Description
Strong scientific and leadership based education
Clinical experiences range from ICUs to ERs to Pain Management Clinics to Sub-Acute Facilities
43 credit hours 600+ clinical hours FULL Time (one
year option) or PART Time (3 year option)
Post Master’s Track Option
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ACNP Curriculum @ MCG Analytical Tools & Biostatistics-
PRE-REQ Epidemiology-PRE-REQ Research Theory Health Systems Healthcare Policy Informatics Advanced Practice Nursing
Roles Advanced Health Assessment Advanced Pathophysiology Advanced Pharmacology ACNP I, ACNP II, ACNP III,
ACNP IV with Scholarly Project
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Inception of the ACNP Role
1992: Health care cost the USA > $832 Billion Easterbrook, Newsweek, Sept 1993, 22
1992: ICU costs consuming approx 1% of gross national product Keene, Am J Crit Care, 1994, 3:232-237
1994: Physician Payment Review Commission (PPRC) recommended limiting the number of resident positions Schwartz, JAMA, 1993, 270:1079-1082
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The ACNP Role = The 5 C’s That ALL Patients Deserve:
COMPREHENSIVE CARE
COORDINATED CARE COLLABORATIVE
CARE CONSISTENT CARE COST-EFFECTIVE
CARE
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Role Differentiation for the ACNP
ACNP and Clinical Nurse Specialist CNS = more of a systems
focus ACNP = more of a patient
focus
ACNP and Family or Adult NPs ACNP = more acute care
settings FNP/ANP = more primary
care settings
ACNP and Physician Assistants ACNP = practices under own
license PA = practices under MD
license
ACNP and Physicians ACNP = more of a caring
model MD = more of a curing model
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ACNP Models of Practice
Joint Professional Practice Model RE: ACNP reports to Nsg
Adm & Physician Nursing Based Practice
Model RE: ACNP assigned to
CVICU Physician Based Practice
Model RE: ACNP in practice with
private group
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Positive Outcomes with the ACNP Role
Decreased readmission rates
Decreased complications Decreased costs Decreased LOS Decreased length of time
for discharge Increased patient
satisfaction Increased staff satisfaction
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ACNP Challenges
Scope of Practice Prescriptive
Authority Reimbursement Managed Care
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ACNP Hoorahs!! > 4800 ACNPs now
certified throughout the country
Reported salaries of $80,000 - $90,000 by former graduates
JOBS!!! Kleinpell Studies AACN
Clinical Issues 12/1999, 12/2000 and 12/2004
Mundinger Study JAMA 1/2000
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DECIDING CRITERIA TO BE AN ACNP: The 5 C’s
Clinical competence Confidence in self Consistent “tough BUT
flexible skin” Collaborative approach
for patient care Commitment for
professional growth and nursing excellence
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Taking the Professional Steps for Acute and Critical Care Nursing Excellence is a Phone Away!
Call Medical College of Georgia School of Nursing Janie Heath PhD, APRN-BC, ANP, ACNP
Associate Dean Academic Affairs 706-721-2787
Or Visit Our Webpage For More Information http://www.mcg.edu/son