As many of our doctors retire, several are being replaced by nurse practitioners. Comparative studies show that patient outcomes are nearly equal whether cared for by NP’s or MD’s.
NP’s are stepping up to fill the growing healthcare needs of the many Boomers coming up. So let us compare privileges and duties of RN’s vs NP’s.
Geri RN vs Adult Gerontological NP
Time spent with each patient
|All day – off and on||Usually less than 60 minutes per patient at 10-25 patients per day|
Types of duties
|Physical lifting, turning, aid, fall prevention, medication administration, specimen collections, perform nursing procedures, wound care, education, and other duties as assigned||
Assess patients, analyze test results, diagnose, write orders, evaluate & adjust treatment plan, admit and discharge patients, write prescriptions, instruct bedside nurse if needed, update supervisory MD per protocol
Required education level
|State-Licensed LVN, ADN, RN, or BSN – general nursing degree and state licensure||Must already have at least State-Licensed BSN with good GPA, followed by Master’s Degree, then Post Graduate Certificate – gerontology nurse practitioner major, earn Advanced Practice Nursing License- takes ~ 1-3 yrs. Training may be flexible depending on your college & specialty area.|
|None required – optional||Through Advanced practice registered nurses (APRN), American Nurses Credentialing Center (ANCC), and American Association of Nurse Practitioners (AANP) gerontology|
Prerequisites to Enter Program
|College program-required prerequisites for desired degree||1-2 years RN experience after licensure, BSN degree|
|Carry out orders received from MD’s NP’s, and PA’s, delegate some duties to nurses’ aide||Dictate and oversee course of emergency and routine care, write orders, write prescriptions, perform certain medical skills – with or without a supervisory MD|
|Nursing assessments, apply nursing diagnosis, follow orders for nurse, assure other orders are carried out by departments, report all abnormals to NP, administer medications and treatments as ordered, educate patients and families, see to all areas of patient safety, hygiene, and well-being||Advanced physical exams and assessments, Diagnose, Expert in performing & Analyzing ECGs, expert in all forms of O2 delivery equipment, nebulizers, IV equipment, and ambulatory assistive devices. Run a code, analyze ABGs, X-rays, and other tests – plus medical treatments as needed (ie: insert chest tubes) after specialized training and certification|
Average pay in USA
Job Roles and Work Environments
|Follow orders of MD, PA, or NP in clinics, hospitals, urgent care, ER, ambulance, emergency aircraft, nursing homes, assisted living facilities, long term care, home health, hospice, run certain types of private practices – such as aesthetic or holistic nursing, low to mid management, facilities and other environments||PCP/Ordering Clinician in clinic, hospital, ER, urgent care, nursing homes, assisted living facilities, long term care facilities, with home health companies, hospice, run your own private practice, may work in leadership or administrative roles, usually sole provider in ambulance or emergency aircraft situations|
Would you like to join the ranks and enjoy the privileges? You already care for elderly patients every day. So why not take that extra step?
Thanks for taking a look! I hope this helps somebody! Give me a shout-out if you have additional input!