Nurse practitioner in walk in clinic in California

Assignments Details

Write a 100- to 400-word discussion reflecting on the following issues: as nurse practitioner in walk in clinic in California 

• Identify any practice inquiries and how clinical outcomes are implemented in your clinical setting.
• Have you observed any opportunities for practice inquiry in your setting that do not currently exist?

 

In a clinical setting, practice inquiry will comprise of a small group method that is designed to engage a case based uncertainties in various clinical settings. Clinical uncertainty is often viewed as the puzzlement or confusion around the management, diagnostic, relationship, prognostic and ethical aspects from an individual patient situation. In California, due to lack of enough physicians, nurses will find themselves  in unfamiliar grounds; this means that nurses who have been practicing under physician supervision for a number of hours, can be allowed to work independently (Lazarus, 2017). As a nursing practitioner in a walk in clinic, I usually find myself meeting various medical situations that I will need to provide the client with the right advice or the treatment plan.  I am always required to conduct initial assessment which entails a physical examination and this is where the concept of practice enquiry comes in (Magyary, Whitney, & Brown, 2006). Most Nursing practitioners do not have the collegial opportunity to engage in various clinical in-eventualities that are in line with their work.  For example in emergency cases  in a walk in clinic, at times I am required to perform urgent emergency surgeries on a person that has injured himself while driving, or cut herself in the kitchen or when children are playing.  

In conclusion, working in a walk in a clinical setting, I have been able to learn a lot regarding various aspects of treatment and care that at times has forced me to write a medical examination report, prescribe medication or make diagnosis (Magyary, Whitney, & Brown, 2006).  The opportunities for practice inquiry in a walk in clinic are very vast as compared to an ordinary hospital where each department has defined roles and duties. 

References

Lazarus, D. (2017, October 10). Column: California doesn't have enough doctors, and this bad law isn't helping. Retrieved from https://www.latimes.com/business/lazarus/la-fi-lazarus-california-nurse-practitioners-20171010-story.html

Magyary, D., Whitney, J. D., & Brown, M. A. (2006). Advancing practice inquiry: Research foundations of the practice doctorate in nursing. Nursing Outlook, 54(3), 139-151. doi:10.1016/j.outlook.2006.03.004