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Licensed Practical Nurse (LPN)

Licensed practical nurses (LPNs) care for ill, injured, convalescent, or disabled people in hospitals, nursing homes, clinics, group homes, and in patients’ homes. LPNs provide basic bedside care. They take vital signs (temperature, blood pressure, pulse rate, and respiration rate); treat bedsores; apply dressings; apply icepacks and hot water bottles; give injections and enemas; collect samples for medical testing; monitor catheters; record fluid and food intake and output; help patients with bathing, dressing, and personal hygiene; and feed patients. They provide for their patients’ general comfort and emotional well-being as well as monitor them for adverse reactions to injections and medications. LPNs work under the supervision of physicians and registered nurses. Click for more information about Licensed Practical Nurses. Click to see the many programs that offer education to become an LPN.

Registered Nurse (RN)

Registered Nurses perform physical exams and health histories, provide health promotion, counseling and education, administer medications, wound care, and numerous other personalized interventions, interpret patient information and make critical decisions about needed actions, coordinate care, in collaboration with a wide array of healthcare professionals, direct and supervise care delivered by other healthcare personnel like LPNs and nurse aides and conduct research in support of improved practice and patient outcomes. Registered nurses practice in all healthcare settings: hospitals, nursing homes, medical offices, ambulatory care centers, community health centers, schools, and retail clinics. They also provide health care in more surprising locations such as camps, homeless shelters, prisons, sporting events and tourist destinations. Click for more information about registered nurses. Click to see the many programs in North Dakota that offer education leading to an Associates Degree or a Bachelors Degree.

Post RN Certificate Programs

There are many nursing certificates for nurses wishing to specialize in a particular area. Click for more information about certification. Click for a list of specialty certificate programs.

Certified in Executive Nursing Practice (CENP)

Executive Nursing Practice certification is geared to nurse leaders who are engaged in executive nursing practice. This certification requires a master’s degree and two year of executive nursing experience or a bachelor’s degree and four years of executive nursing experience. Click for more information.

Certified Nurse Manager and Leader (CNML)

Nurse manager and leader certification is designed for nurse leaders in a nurse manager role. This certification requires a BSRN and two years of nurse management experience or an ADN and five years of nurse management experience. Click for more information.

Clinical Nurse Leader (CNL)

Clinical Nurse Leaders receive further education on outcomes-based practice and quality improvement strategies in order to improve the quality of patient care and to thrive in the current and future health care system. Click for more information about Clinical Nurse Leaders, certification and available programs.

Master’s Degree and Advanced Practice Programs

There are many master’s degree programs and advanced practice nursing roles. For information on all advanced practice nurse roles see the National Council of State Boards of Nursing Consensus Model.

Advanced Public Health Nurse (APHN)

Advanced Public Health Nurses are prepared for advanced practice leadership in population-focused care which is available as master’s degree or as a post-master’s certificate. Click for a You Tube video on Advanced Public Health Nursing. North Dakota Education program: University of North Dakota (Master’s degree and post-master’s certificate)

Certified Nurse Midwife (CNM)

The certified nurse-midwife provides a full range of primary health care services to women throughout the lifespan, including gynecologic care, family planning services, preconception care, prenatal and postpartum care, childbirth, and care of the newborn. The practice includes treating the male partner of their female clients for sexually transmitted disease and reproductive health. This care is provided in diverse settings, which may include home, hospital, birth center, and a variety of ambulatory care settings including private offices and community and public health clinics. Click for more information about Certified Nurse Midwife. There is no Certified Nurse Midwife education program in North Dakota. The closest program is at the University of Minnesota and there are distance education programs available at other universities.

Certified Nurse Practitioner (CNP)

For the certified nurse practitioner (CNP), care along the wellness-illness continuum is a dynamic process in which direct primary and acute care is provided across settings. CNPs are members of the health delivery system, practicing autonomously in areas as diverse as family practice, pediatrics, internal medicine, geriatrics, and women’s health care. CNPs are prepared to diagnose and treat patients with undifferentiated symptoms as well as those with established diagnoses. Both primary and acute care CNPs provide initial, ongoing, and comprehensive care, includes taking comprehensive histories, providing physical examinations and other health assessment and screening activities, and diagnosing, treating, and managing patients with acute and chronic illnesses and diseases. This includes ordering, performing, supervising, and interpreting laboratory and imaging studies; prescribing medication and durable medical equipment; and making appropriate referrals for patients and families. Clinical CNP care includes health promotion, disease prevention, health education, and counseling as well as the diagnosis and management of acute and chronic diseases. Certified nurse practitioners are prepared to practice as primary care CNPs and acute care CNPs, which have separate national consensus-based competencies and separate certification processes. Click for more information about nurse practitioners. There are several nurse practitioner programs available in North Dakota:

·  Family Nurse practitioners provide family medicine to patients of all ages. Education programs: North Dakota State University (Master’s degree and Doctor of Nursing Practice), University of Mary, (Master’s Degree) and the University of North Dakota (Master’s degree).

·  Gerontological Nurse Practitioners have specialized preparation to address the complex health care needs of older adults. Education Program: University of North Dakota (Master’s degree)

·  Psychiatric and Mental Health nurse practitioners (PMH-CNS) provide psychiatric and mental health care to adults. Click for more information about psychiatric and mental health advanced practice nurses. Education program: University of North Dakota (Master’s degree and post-master’s certificate)

Certified Registered Nurse Anesthetist (CRNA)

The Certified Registered Nurse Anesthetist is prepared to provide the full spectrum of patients’ anesthesia care and anesthesia-related care for individuals across the lifespan, whose health status may range from healthy through all recognized levels of acuity, including persons with immediate, severe, or life-threatening illnesses or injury. This care is provided in diverse settings, including hospital surgical suites and obstetrical delivery rooms; critical access hospitals; acute care; pain management centers; ambulatory surgical centers; and the offices of dentists, podiatrists, ophthalmologists, and plastic surgeons. Click for more information about the CRNA profession. North Dakota Education Program: University of North Dakota (Master’s degree)

Clinical Nurse Specialist (CNS)

The CNS has a unique APRN role to integrate care across the continuum and through three spheres of influence: patient, nurse, system. The three spheres are overlapping and interrelated but each sphere possesses a distinctive focus. In each of the spheres of influence, the primary goal of the CNS is continuous improvement of patient outcomes and nursing care. Key elements of CNS practice are to create environments through mentoring and system changes that empower nurses to develop caring, evidence-based practices to alleviate patient distress, facilitate ethical decision-making, and respond to diversity. The CNS is responsible and accountable for diagnosis and treatment of health/illness states, disease management, health promotion, and prevention of illness and risk behaviors among individuals, families, groups, and communities. Click for more information about Clinical Nurse Specialists. Education programs available in North Dakota:

·  Gerontological Clinical Nurse Specialists receive specialized preparation to address the complex health care needs of older adults. Education Program: University of North Dakota (Master’s degree)

·  Psychiatric and Mental Health Clinical Nurse Specialists (PMH-CNS) provide psychiatric and mental health care to adults and are eligible to obtain prescription privileges. Click for more information about psychiatric and mental health advanced practice nurses. Education program: University of North Dakota (Master’s degree and post-master’s certificate)

Nurse Administrator

Nurse administrator programs prepare nurses for advanced practice in administrative roles such as Nurse Executive, Nurse Manager, Quality Improvement Manager, Ambulatory Care Manager or other system level nursing positions in community agencies, health care facilities, health departments and schools of nursing. North Dakota Education Program: University of Mary. (Master’s degree)

Nurse Educator

Nurse Educator programs prepare nurses for faculty positions in nursing education programs but may also be useful for nurses involved in staff and patient education. Click for more information about Nurse Educators. North Dakota Education Programs: University of Mary (Master’s degree), North Dakota State University (Master’s degree), and University of North Dakota (Master’s degree)

Doctorate Programs

Doctor of Nursing Practice (DNP)

The Doctor of Nursing Practice is a relatively new degree program that was created in response to the changing demands of the complex health care environment and the need for nurses serving in specialty positions to have the highest level of scientific knowledge and practice expertise. Click for more information about the Doctor of Nursing Practice. North Dakota Education Program: North Dakota State University.

Doctor of Philosophy in Nursing (PhD)

A Doctor of Philosophy prepares nurses for research and faculty roles and prepares advanced nurse clinicians to discover, understand and critically evaluate the literature on nursing and related fields and to apply procedures and principals to the recognition, evaluation, interpretation and understanding of issues and programs in order to forward nursing knowledge. Click for an article about the PhD and DNP. The doctorate program can be entered with either a baccalaureate degree in nursing or a master’s degree. North Dakota education program: University of North Dakota.