Theme 2. Healthy relationships, healthy teams
This presentation provides an overview of the improvements possible with implementation of a full scope nursing role in a primary care practice. Participants will:
This presentation will outline the process of increasing nursing scope in a primary care setting, beginning with outlining education that was provided to supplement nurses’ existing base of knowledge and skills.
We will then review the areas of practice in which full scope nursing was utilized, such as Preventive Care (well baby care, prenatal, well woman care); Chronic disease prevention and management (lifestyle counselling, smoking cessation, asthma, COPD and diabetes care); Elder care(cognitive screening, advanced directives planning, palliative care); Acute care (UTIs, respiratory illnesses, wound care); Care coordination (prenatal patients, trans care); Specialized care (trans care, ADHD assessments and support); Procedures (injections, immunizations, spirometry).
We will review the supports we put in place to support full scope nursing, including development of medical directives, communication practices to ensure access to timely physician consultation. Incorporating full scope nursing allowed our patients access to an increased range of low threshold, barrier free services in house, and improved access to nursing and physician care. This in turn resulted in same day access to primary care, improved continuity and reduced ER visits and hospital readmissions.
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