I am an Emergency Medical Nurse Practitioner in a busy Emergency Department. This involves assessing patients, ordering diagnostic tests, making a diagnosis and initiating treatment for patients who attend the department with a probable medical problem. Where I work there are two Medical Nurse Practitioners and we work opposite each other to provide seven day cover.
The role of the Medical Nurse Practitioner evolved from the need to provide care for patients in the Emergency Department who are waiting for admission to medical wards. Within the Emergency Department where I work a Dedicated Emergency Flow Team consisting of three medical Doctors, three Emergency Department Nurses, a Social Worker, a Pharmacist and Phlebotomist provides person centred holistic care for patients with medical needs presenting the Emergency Department and requiring admission to hospital. The purpose of the Team is to initiate early treatments and investigation whilst the patient is in the Emergency therefore reducing the patients overall time in hospital as much as possible.
We also deal with medical patients in beds on non-medical wards and again ensure their treatments and investigations are carried out and reviewed daily by a senior doctor. We highlight the use of alternatives: such as to admission such as the GP Community Based Wards, Transient Ischemic Attack (TIA) Clinics and District Nursing services.
As the service has developed over the years we have maintained strong links with the hospital based medical teams but work very much as part of the Emergency Department team, working primarily in the Resuscitation and Majors area assessing and treating patients with recognised medical conditions.
Enjoyable aspects of the job/role
We feel privileged to be part of such a dynamic and enthusiastic team. Continuous professional development and development of skills and knowledge are fundamental to the delivery of the service.
Specific qualifications and experience required
Specialist Nurse Practitioner course
Independent Nurse Prescribing
Health assessment and examination.
Along with this post registration education as Medical Nurse Practitioner’s we both draw from over 18 years’ experience in nursing.