Experience with an acute case nurse practitioner on a surgical teaching service

Gloria Just, Shirlee Cohen, Joy Baldo, Fay Wright, Arthur H. Aufses

Research output: Contribution to journalArticle

Abstract

Across the country, numerous changes in the health care system are emerging in academic settings. Decreasing length of stay, providing continuity of care, and maintaining a learning environment for residents and other health care providers have emerged as critical concerns. Concurrently, academic centers must be able to provide cost-effective and compassionate patient care while emphasizing quality and excellent patient management. The Mount Sinai Medical Center Department of Surgery in collaboration with the Department of Nursing and Hospital Administration created an Acute Care Nurse Practitioner (ACNP) role to work on an active general surgical service to help address and manage the above concerns. Nurse Practitioners (NP) are registered nurses who have advanced education and training and who have full prescriptive privileges in the state of New York. The NP is in collaborative practice with the Chairman of the Department of Surgery and has specific responsibilities for managing patients who enter the health care system without a primary care provider and whose medical condition requires surgical intervention. After 3 years of practice on a teaching service, the position has demonstrated effectiveness in providing continuity of care and decreasing the length of stay for this population. The role has also helped to improve the learning experiences of the house staff by providing support for the residents in reducing their workload and helping in the teaching of the junior house staff. The addition of an ACNP to a surgical teaching service has proven to be a valuable clinical role in providing quality patient care and maintaining fiscal viability.

Original languageEnglish (US)
Pages (from-to)258-260
Number of pages3
JournalCurrent Surgery
Volume54
Issue number5
StatePublished - 1997

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Nurse Practitioners
Teaching
nurse
Continuity of Patient Care
Internship and Residency
Length of Stay
health care
Patient Care
experience
patient care
surgery
Learning
Hospital Administration
Delivery of Health Care
continuity
hospital administration
Nurse's Role
Quality of Health Care
resident
staff

ASJC Scopus subject areas

  • Surgery

Cite this

Just, G., Cohen, S., Baldo, J., Wright, F., & Aufses, A. H. (1997). Experience with an acute case nurse practitioner on a surgical teaching service. Current Surgery, 54(5), 258-260.

Experience with an acute case nurse practitioner on a surgical teaching service. / Just, Gloria; Cohen, Shirlee; Baldo, Joy; Wright, Fay; Aufses, Arthur H.

In: Current Surgery, Vol. 54, No. 5, 1997, p. 258-260.

Research output: Contribution to journalArticle

Just, G, Cohen, S, Baldo, J, Wright, F & Aufses, AH 1997, 'Experience with an acute case nurse practitioner on a surgical teaching service', Current Surgery, vol. 54, no. 5, pp. 258-260.
Just, Gloria ; Cohen, Shirlee ; Baldo, Joy ; Wright, Fay ; Aufses, Arthur H. / Experience with an acute case nurse practitioner on a surgical teaching service. In: Current Surgery. 1997 ; Vol. 54, No. 5. pp. 258-260.
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