Advanced Nurse Practitioners (ANPs) are experienced and highly educated Registered Nurses who manage the complete clinical care for their patient for both acute and chronic conditions. ANPs are educated at Masters Level in advanced practice and are assessed as competent in this level of practice. As a clinical leader the care they deliver is characterised by a high level of autonomous decision making, including assessment, diagnosis, treatment including prescribing, of patients with acute or chronic complex multi-dimensional problems. Decisions are made using high level expert, knowledge and skills. This includes the authority to order imaging such xrays and scans and to refer and/or admit to hospital.
Working as part of the multidisciplinary team ANPs can work in or across all clinical settings including the GP practice, nursing and care homes and seeing patients in their own homes.
The core clinical competencies of the ANP are to:
- Take a comprehensive history
- Perform a clinical assessment (a comprehensive physical clinical examination of all systems and a mental health assessment)
- Formulate differential diagnoses
- Request, interpret and act on diagnostic tests and investigation
- Formulate an action plan for the treatment of the patient including prescribing medication
- Admit or refer a patient dependent on patient need at time of review.