In Summary - Nurse Practitioner - Advanced
Nurse Practitioner - Advanceds typically work in the following Career Sectors:
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The Work - Nurse Practitioner - Advanced
RANPs are the highest level of clinical experts in the nursing profession in Ireland today.
Registered Advanced Nurse/Midwife Practitioners offer specialist advanced nursing or midwifery services to patients. They have greater independence and are able to assess, treat and discharge certain patients and in doing so, provide a more holistic service whereby patients deal with just one health professional during a hospital visit.
RANPs offer a specialist advanced nursing or midwifery service to patients to provide expert and compassionate care and treatment. This expanded nurse role incorporates teaching, research and acting as clinical leaders across the multi-disciplinary team.
Many RANP and RAMPs are now nurse prescribers and/or x-ray prescribers and therefore can work completely autonomously to improve the patients’ journey through the often challenging experience of ill health and recovery.
RANPs may be based in Local Injuries Unit (LIU) - locally based services treating minor injuries and are a safe alternative to the Emergency Department (ED) for a number of injuries and conditions.
The LIUs come under the clinical governance of a consultant in emergency medicine and the RANPs rotate between the LIU and the ED at UHL so they are an integral part of the Emergency Medicine team.
The LIUs are at all times staffed by a senior clinical decision maker, qualified in emergency care. A wide range of diagnostic supports are available to staff in the LIUs and protocols are in place for the transfer to University Hospital Limerick of patients who clinical staff have decided are too unwell to be treated in the LIUs or whose condition falls outside the criteria for care in the LIU.
Most commonly reported Work Tasks
- Prescribe medication dosages, routes, and frequencies based on patient characteristics such as age and gender.
- Order, perform, or interpret the results of diagnostic tests, such as complete blood counts (CBCs), electrocardiograms (EKGs), and radiographs (x-rays).
- Analyze and interpret patients' histories, symptoms, physical findings, or diagnostic information to develop appropriate diagnoses.
- Develop treatment plans based on scientific rationale, standards of care, and professional practice guidelines.
- Diagnose or treat acute health care problems such as illnesses, infections, or injuries.
- Prescribe medications based on efficacy, safety, and cost as legally authorized.
- Counsel patients about drug regimens and possible side effects or interactions with other substances such as food supplements, over-the-counter (OTC) medications, or herbal remedies.
- Recommend interventions to modify behavior associated with health risks.
- Detect and respond to adverse drug reactions, with special attention to vulnerable populations such as infants, children, pregnant and lactating women, or older adults.
- Educate patients about self-management of acute or chronic illnesses, tailoring instructions to patients' individual circumstances.
Most commonly reported Work Activities
- Assisting and Caring for Others Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
- Getting Information Observing, receiving, and otherwise obtaining information from all relevant sources.
- Making Decisions and Solving Problems Analyzing information and evaluating results to choose the best solution and solve problems.
- Updating and Using Relevant Knowledge Keeping up-to-date technically and applying new knowledge to your job.
- Documenting/Recording Information Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
- Establishing and Maintaining Interpersonal Relationships Developing constructive and cooperative working relationships with others, and maintaining them over time.
- Analyzing Data or Information Identifying the underlying principles, reasons, or facts of information by breaking down information or data into separate parts.
- Performing for or Working Directly with the Public Performing for people or dealing directly with the public. This includes serving customers in restaurants and stores, and receiving clients or guests.
- Identifying Objects, Actions, and Events Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.
- Interacting With Computers Using computers and computer systems (including hardware and software) to program, write software, set up functions, enter data, or process information.
Interests - Nurse Practitioner - Advanced
This occupation is typically suited for people with the following Career Interests:
The Social person's interests focus on interacting with the people in their environment. In all cases, the Social person enjoys the personal contact with other people in preference to the impersonal dealings with things, data and ideas found in other groups.
Many will seek out positions where there is direct contact with the public in some advisory role, whether a receptionist or a counsellor. Social people are motivated by an interest in different types of people and like diversity in their work environments. Many are drawn towards careers in the caring professions and social welfare area, whilst others prefer teaching and other 'informing' roles.
The Investigative person will usually find a particular area of science to be of interest. They are inclined toward intellectual and analytical activities and enjoy observation and theory. They may prefer thought to action, and enjoy the challenge of solving problems with sophiscticated technology. These types prefer mentally stimulating environments and often pay close attention to developments in their chosen field.
Realists are usually interested in 'things' - such as buildings, mechanics, equipment, tools, electronics etc. Their primary focus is dealing with these - as in building, fixing, operating or designing them. Involvement in these areas leads to high manual skills, or a fine aptitude for practical design - as found in the various forms of engineering.
Realists like to find practical solutions to problems using tools, technology and skilled work. Realists usually prefer to be active in their work environment, often do most of their work alone, and enjoy taking decisive action with a minimum amount of discussion and paperwork.
Entry Requirements - Nurse Practitioner - Advanced
Entry to the Advanced Nurse Practitioner is a Level 9 Qualification leading to MSc in Nursing (Advanced Nursing Practice).
Applicants are required to have completed an honours primary degree in Nursing and hold currrent registration with An Bord Altranais.
MSc Nursing (Advanced Practice Courses are avauilable from UCC (CKX46), RCSI, UCD and TCD.
Last Updated: September, 2015
Pay & Salary - Nurse Practitioner - Advanced
Salary Range (thousands per year)* 54k - 65k
Last Updated: March, 2017
* The lower figures typically reflect starting salaries. Higher salaries are awarded to those with greater experience and responsibility. Positions in Dublin sometimes command higher salaries.
Labour Market Updates - Nurse Practitioner - Advanced
Despite a decline in employment, the demand for certain types of nursing skills has remained strong and has resulted in shortages. Work patterns and certain geographical locations are also impacting on recruitment and retention of nurses.
National Skills Bulletin 2018