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NP Intern role and journey

NP Intern role and journey. Bridget Richards NP Intern and Rachel Hale NP Older Adults. Clinical Practice Journey. Older adults and rehabilitation for most of my career. Worked in clinical nurse manager and clinical nurse specialist roles for majority of the last 30 years.

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NP Intern role and journey

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  1. NP Intern role and journey Bridget Richards NP Intern and Rachel Hale NP Older Adults

  2. Clinical Practice Journey • Older adults and rehabilitation for most of my career. • Worked in clinical nurse manager and clinical nurse specialist roles for majority of the last 30 years. • Moved to NZ in Dec 2006. • Waikato DHB supported through Masters programme with prescribing papers.

  3. The Academic Journey • RGN – Guys Hospital, London – 1985 • Dip Nursing, London – 1993 • BSc (Hons), Manchester – 2002 • PG Cert (Clinical Rehab ) Otago – 2008 • Masters Clinical Nursing, Auckland -2012.

  4. Then what? • No role for NP older adult in DHB supported by Older Persons Services. • CNS roles disestablished as part of DHB wide review. • Back to the stroke ward on rostered shifts.

  5. Visible and Valued • Applied to NZNO for funding to attend conference Aug 2012. Swapped rosters to be able to attend on my days off. • Had a phone call from previous manager who let me know of a role with HCNZ. • Moved to the private sector, new perspective. • Overworked, new role, no idea of what was required. • BUT -supportive managers, have recruited more staff to keep me!

  6. Following the NP dream • Made contact with 2 NP’s to provide me with mentorship – Denise Thatcher and Rachel. • Had verbal support from HCNZ for NP role. • Hurdles • – prescribing support and practice • - demonstrating advanced nursing practice • Solution • Accepted as DP for ACC nursing contract • Residential Eldercare Services Ltd

  7. RES Ltd • Virtual GP practice, providing primary care to residential care facilities within Waikato. • Currently 6 facilities and due to expand further later in the year. • Uniquely offers GP and NP services • On-call 7 days a week 8am -8pm.

  8. My experience highlights as an NP intern • First day – fake it til you make it! • Providing regular support to the facility teams, and challenge to empower nursing staff. • Cultural differences in each facility, need a different approach in each one. • Being able to practice as advanced clinician, assessing patients, ordering investigations, commencing treatment within standing orders, recommending acute hospital admission, maintaining health and wellness with health screening.

  9. The future • Aim to get portfolio to Nursing Council within next 2 months. • Next NP Intern to be found • Explore NP role within HCNZ

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