cora o connor m.sc, rnp, ranp. chairperson irish association of advanced nurse and midwife...
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Cora O Connor M.Sc, RNP, RANP.
Chairperson Irish Association of Advanced Nurse and Midwife Practitioners
IAANMP
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Background Advanced Nurse Practitioners: the Irish Experience.
1996 Valerie Small St James’ Hospital
1998 Commission on Nursing ( A Blue Print For The Future)
2000 National Council for the Professional Development of Nursing and Midwifery in Ireland
2000 Mater Hospital 1 ANP candidate, 2013 4RANPs/1 ANP candidate
2001 Valerie Small First ANP (emergency)
2013 Nationally (100 RANPs in various specialities)
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ContextEmergency Department Mater Hospital48 ,000 Patients Annually20% present with a minor injury/illnessChallengesANP Service Within the Department (5,000
pts)Innovation FundingHealth Service ExecutativeLocation
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The Journey1st Meeting Jan 2010
Participants (16 attendees)
IT/telephones/housekeeping/pharmacy/security/lab x-ray/transportation/stores/clinical indemnity/data protection
Pilot study for 6 months
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ProsDesignated Location for the Care of Patients
Presenting with Minor InjuriesRecognition of the Benefits of ANP ServiceAlleviating the Numbers Presenting to the
Main EDEnsures Appropriate Use of the Emergency
DepartmentOff Site Direct Access to the Mater Hospital
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ConsLogistics of New InitiativeTime consumingMinor Stakeholders with large Input to Consultation
ProcessWorking Outside of the Emergency Department TeamLoss of Contact Between ANPs Provision of Care Across to Sites Without Increase in
Staff.Available to a Wider Catchment AreaNo Access to Other Hospitals in Patients Catchment
Area
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LogisticsCommunication/EducationPublic (Information Leaflets)Staff Members of ED Team and Allied
Disciplines and SpecialitiesHospital (telephone. Internet)Merging of Information and Transfer of
Information Between Two Separate Systems (Private and Public)
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ChallengesED AttitudeSelf Triage (information sheet)Emergency ProceduresClient GroupIsolation Work Ethos (8am to 6pm)Education of Public and GPs to Prevent
Unsuitable Presentations
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SuccessPatient SatisfactionPatients Seen Since OpeningAppropriate location for Treatment of
Specific Cohort of PatientsGP/ANP CollaborationGP Training SchemeValue for Money
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Case Presentation38 year old male self referral- thumb injuryUsing I phone the night before and felt a pop to
the thumb as he was scrolling the thumb across the screen
Noticed loss of extension to the distal phalanx of the thumb and wrist swelling
History of a punching injury x 3/52 previous Past history/meds/allergiesAssessment Impression /Differential DiagnosisPlanOutcome /DiagnosisTreatment/Follow up care.
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Present DayNumbers IncreasingInformation Spreading by Word of MouthRANPS/RNPSEvaluate the Role of the RANP/RNP in the
Prescription of AntibioticsEvaluation of the Service
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The FutureThe role of the Registered Advanced Nurse
Practitioner in a Minor Injuries Clinic
Evolution of the Role and Scope of Practice to Facilitate and Increase the Service to the Public