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NSG 5000 SU Nursing Licensing & Professional Organizations Paper

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Running head: LICENSING 1
Licensing and Professional Organizations
Darci K. Hill
NSG 5000
April 18, 2016
Dr. K. Burton
South University

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LICENSING 2
Licensing and Professional Organizations
Family nurse practitioners (FNPs) offer care for patients in a variety of settings and
capacities, but nurse practitioners are historically providers of primary care (Hamric, Hanson,
Tracy, & O'Grady, 2014). This paper will present a scenario regarding a primary care facility, its
patient population, and how a FNP would fit in to this practice. A new graduate FNP role will be
incorporated to the scenario practice, and the rules and support for FNPs in North Carolina will
be explored.
Organization type, demographics, and patient load
This organization is a primary care practice located in western North Carolina operated
by a local hospital system. Choosing to operate within an existing hospital system was a choice
made by operating physicians about five years ago, due to increased costs associated with
operating the practice independently. The practice staff are considered employees of the hospital
system, and the group has found that they can focus more on quality patient care when they
aren’t concerned with billing and revenue stream. There are four primary care physicians
offering general care for patients across the lifespan. Due to the lack of physicians in the area,
this practice also has admitting and attending privileges at local hospitals and provides care for
patients who are hospitalized. There are two FNPs and a physician’s assistant in the practice as
well. This facility is in a Health Professional Shortage Area (HPSA), the practice can serve a
maximum of 14,000 patients (Hamric, Hanson, Tracy, & O'Grady, 2014).
FNP fit within practice
Since this practice is located in North Carolina, the FNPs cannot practice independently
(North Carolina Board of Nursing, 2009). The scope of practice for FNPs in North Carolina, as
described by both the NC Board of Nursing (2009) and the NC Medical Board (2009), include

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Running head: LICENSING 1 Licensing and Professional Organizations Darci K. Hill NSG 5000 April 18, 2016 Dr. K. Burton South University LICENSING 2 Licensing and Professional Organizations Family nurse practitioners (FNPs) offer care for patients in a variety of settings and capacities, but nurse practitioners are historically providers of primary care (Hamric, Hanson, Tracy, & O'Grady, 2014). This paper will present a scenario regarding a primary care facility, its patient population, and how a FNP would fit in to this practice. A new graduate FNP role will be incorporated to the scenario practice, and the rules and support for FNPs in North Carolina will be explored. Organization type, demographics, and patient load This organization is a primary care practice located in western North Carolina operated by a local hospital system. Choosing to operate within an existing hospital system was a choice made by operating physicians about five years ago, due to increased costs associated with operating the practice independently. The practice staff are considered employees of the hospital system, and the group has found that they can focus more on quality patient care when they aren’t concerned with billing and revenue stream. There are four primary care physicians offering general care for patients across the lifespan. Due to the lack of physicians in the area, this practice also has admitting and attending privileges at local hospitals and provides care for patients who a ...
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