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August 24, 1994

Nurse Practitioner Redux Revisited

Author Affiliations

Hartford Hospital Hartford, Conn

JAMA. 1994;272(8):591. doi:10.1001/jama.1994.03520080033030

To the Editor.  —Dr DeAngelis gives excellent observations and suggestions regarding the development of the nurse practitioner (NP) role.1As a product of the NP education programs in the 1970s, I too felt the dilemma between nursing and medicine. Now, 20 years later, as a member of an interdependent, multidisciplinary health care team, I am responsible and accountable for providing well-child care and diagnosing and treating minor illnesses of children in accordance with medical standards of practice. Working in consultation with an attending physician, I manage and refer acute and chronic complex health problems.The NP in my ambulatory care setting is accountable administratively and for nursing decisions to a specific director of nursing, while medically delegated functions such as prescribing are maintained through a clinical practice relationship with a designated medical director.My new patients receive a 30-minute visit for well-child care, with 15-minute visits for follow-up care.

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