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Role
Delineation of the Advanced Practice Nurse
In Gastroenterology
Position
The APN
provides service through direct care, consultation, research, education and
collaboration with other healthcare professionals. The specific patient
population to whom direct care is provided includes Adults, Adolescents, and
Children with Gastrointestinal Disorders/Disease or at risk of developing
Gastrointestinal Disorders/Disease. The APN may function in a Hospital,
Clinic or Community Setting. The care provided may include, but is not
limited to advanced assessment, diagnosis, treatment/care planning,
implementing, evaluation and patient education.
Definition
Role
delineation is a description of the responsibilities and functions of a
nurse in a specific role, including the current activities common to this
role.
Background
The changing
health care environment has led to the development of Advanced Practice
Roles in many settings in Canada. Recognizing that the role is still
evolving and recognizing the opportunity for Advanced Practice in the field
of Gastroenterology, the following is a statement of
the CSGNA Position.
The
purpose of this statement is to broadly describe the responsibilities and
functions of the Advanced Practice Nurse specializing in Gastroenterology.
The APN may be a Nurse Practitioner, Clinical Nurse Specialist, or a Nurse
Endoscopist who through study and clinical practice has met the Provincial
Licensing criteria for advance practice in the field of Gastroenterology.
The scope of practice of the APN is distinguished by the level of
complexity,
responsibility
and
autonomy of practice. The APN functions
within the scope of practice as
defined by the Provincial Licensing Body, the CNA Guidelines for Advanced
Nursing Practice in Canada and the Employer.
Role of the
APN
The role of the APN
includes, but is not limited to the following:
-
Performing a comprehensive
history and physical assessment.
-
Ordering and/or performing
diagnostic studies.
-
Establishing medical and
nursing diagnoses.
-
Prescribing,
administering and evaluating pharmacological and
other therapeutic
treatment regimens.
-
Managing follow-up care.
-
Collaborating with other
health care Professionals.
-
Acting as a
consultant for other health care providers regarding the care of patients.
-
Serving
as a mentor for other Nurses.
-
Identifying
and providing learning opportunities for other health care providers.
-
Documenting
patient data to ensure continuity of care.
-
Establishing priorities and making ethically sound decisions to ensure
safe patient care.
-
Identifying groups, families, individuals at risk and developing a plan to
address those risks, including education programs, screening programs and
patient education materials.
-
Participating in research and use of scientific findings to improve
patient outcomes.
-
Monitoring
performance by developing and participating in Quality Management
Activities.
-
Being a
leader in professional and practice issues.
Disclaimer
The Canadian Society of Gastroenterology Nurses and
Associates does not assume responsibility for the practices or
recommendations of any individual, or for the practices and policies of any
gastroenterology Unit or Endoscopy Unit.
Bibliography
Advanced
Nursing Practice. A National Framework. Canadian Nurses Association. May
2000.
CY[JIDI-@f,INES
FOR SHARF-,D COMPETENCIES AND DELEGATED MEDICAL FUNCTIONS.
Registered Nurses Association of Nova Scotia 1996.
GUIDELINES FOR
BASIC AND ADVANCED NURSING PROCEDURES AND DELEGATED MEDICAL ACTS. Registered
Nurses Association of Nova Scotia 1993.
DELEGATED
MEDICAL ACTS. Medical Society of Nova Scotia June 1994.
GUIDELINES FOR THE DELEGATION OF A MEDICAL ACT. CMA POSITION STATEMENT 1988
(still current)I
GASTROENTEROLOGY NURSING: Flexible Sigmoidoseopy Training For Nurses August
1995.
NURSING
PRACTICE: A Guide to Decide July 1995.
(Adapted with
permission from the SGNA Position Statement - Role delineation of the
Advanced Practice Nurse in Gastroenterology/Hepatology and Endoscopy 2000).
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