Thank you for registering with the independent RN Patient Advocate Learning Intensive.

To begin the application process, download this document to your computer by following the instructions below:

●Select “File” from the Google docs menu above → then select “Download as”

○Applicants with MSWord program select .doc or .docx

○Applicant without MSWord should select .rtf

●Locate and open the downloaded file on your computer. (Search for the file by the name: iRNPA Learning Intensive Questionnaire.) **Note: If you are having trouble downloading the application contact the Learning Intensive Registrar and IT Specialist Scott Jackson

●You have now created a personal copy of this application in which you may answer the questions, save and edit the document.

●You may take as much space as you need to answer each individual question.

●After completing this application, be sure to save the file for your records and submit a copy to our office.

▢ / Submit your completed application:
Mail:
RN Patient Advocates, PLLC
attn: Learning Intensive
3400 W Goret Road
Tucson, AZ 85745 / Email file to:
iRNPA Registrar
/ Fax:
(520) 743-2442
▢ / Payment for $75 application fee through PayPal → CLICK HERE
▢ / Upload Questionnaire Easy upload - enter email - Drag & Drop file or Use Uploader
[Preferred Method]

You will be sent an email confirmation when we receive your application and payment. Applications are reviewed in the order they are received. Enrollment is limited and we encourage you to submit early as possible. Do not hesitate to reach out to us with any question or concerns as we are here to support you.

(continue to Questionnaire below)

iRNPA Learning Intensive Application Questionnaire

  1. Date of Application:
  1. Name:
  1. Phone number:
  1. Email:
  1. Mailing Address:
  1. Years as an RN:
  1. States where licensed:
  1. License number(s):
  1. Major practice areas:
  1. Specialties/certifications:
  1. What draws you to this new practice model?
  1. Your professional mission/goal as an iRNPA:
  1. Are you now or have you ever been involved in litigation in your professional role? If so, please take a moment to explain:
  1. This Learning Intensive prepares you for a new career, utilizing all of your knowledge and skills. Is this a point in your life when you can begin this new career?

Section One: Patient Advocacy/Professional Development (15 Questions)

  1. Are you willing to be a pioneer in this new role? What does being a professional pioneer mean to you?
  1. In your opinion, what needs can best be addressed by an independent RN Patient Advocate?
  1. Please describe your motivation to be an RN Patient Advocate in light of the needs you described in Question #2.
  1. As you envision the role of an independent RN Patient Advocate, what qualities would you consider to be critical elements of the role?
  1. An ability to function independently is a cornerstone of the role of an RN Patient Advocate. Does any part of your experience lend itself to a transition to independent practice?
  1. How comfortable would you be in the role of an independent professional within the health care system as you know it today?
  1. An RN Patient Advocate acts assertively, not aggressively. Faced with a difficult situation with a physician, hospital or other health care provider, what abilities and skills do you have that could enable you to act assertively in these situations?
  1. It is the responsibility of an RN Patient Advocate to enable their patients to make informed choices regarding their health care – treatment options, physicians, therapists, etc. How does your experience lend itself to helping patients learn how to sort out the many treatment options available?
  1. It is essential for the Advocate to have a knowledge base in and an ability to teach the full range of options – including Functional, Integrative, and Alternative medical approaches along with the familiar tracks of pharmaceuticals and surgery. Do you have an active interest in these expanded treatment modalities?
  1. Please describe your knowledge base in these expanded diagnostic and treatment modalities. What would be your plan/approach to enriching your knowledge?
  1. How well developed are your skills in internet data mining/research for valid medical information? Does this kind of research interest you?
  1. As an RN Patient Advocate you will need functional team building skills with all healthcare providers who interact with your patients. Please tell us about your team-building interest and abilities.
  1. From an RN Patient Advocate’s position, briefly describe the role of patient education.
  1. An RN Patient Advocate must be a highly skilled communicator (ex. crisis manager, educator, advocate). What are your strengths as a communicator? What skills need further development?
  1. The primary focus of health care reform at this time is on access (the quantity of health care available to individuals). An independent RN Patient Advocate focuses on the quality of health care. What are your thoughts on improving the quality of individual patient care?

Section Two: Business Skills/Development (4 Questions)

  1. An independent RN Patient Advocate maintains a private practice. Are you willing to develop the necessary business skills to maintain a successful practice financially? Have you had the opportunity to develop any of these skills in your career?
  1. There are ongoing financial obligations in order to create your own practice. Are you able to support yourself through a 6 month transition? What plans do you have for this transition? Is it possible for you to work part-time at this stage? ( Experience has shown us that it is not possible to work full time and create this new practice on the side)
  1. Are you comfortable with the thought of marketing yourself to potential clients? Are you willing to learn? How do you think you might best employ this skill?
  1. As a pioneer in this field, you will need to address the public on many levels, including marketing your advocacy practice and speaking as an expert in this field.
  1. Are you comfortable with public speaking?
  1. Are you prepared to learn community-based marketing skills to develop your practice?

Section Three: Team Development/Values (2 Questions)

  1. Upon completion of the RN Patient Advocate Learning Intensive, RNs are eligible for membership to the National RN Patient Advocate Network and active online community for professional, clinical and business support. Please explain the following:
  1. Are you willing to participate as a member of The Network even as you function independently as an RN Patient Advocate
  1. What support would you expect from this National Network of RN Patient Advocates?
  1. What level of involvement would you foresee for yourself in the National Network?
  1. We are developing the RN Patient Advocate program as a national nursing initiative to improve healthcare in the United States, and to further the professional parameters of nursing. You would be a professional pioneer and have the opportunity to contribute to this development. What benefits will you derive from this?

Thank you for taking the time and energy to thoughtfully complete this questionnaire. We will contact you to set up a time for a telephone interview.