Ua lohe paha ʻoe i kahi 'Nurse Practitioner' ma kahi kiʻiʻoniʻoni haole, nā moʻo TV, a i ʻole mai kahi hoahānau e noho ana ma waho. Akā, he mea hou kēia inoa iā mākou ma Sri Lanka. ʻO wai kēia kanaka e hele mai iā ʻoe ma kahi haukapila e like me ke kauka, kamaʻilio me ʻoe, nānā iā ʻoe, a kuhikuhi paha i ka lāʻau lapaʻau? He kauka anei kēia? A i ʻole he kahu maʻi? A i ʻole nā mea ʻelua? Ua loaʻa paha iā ʻoe kēia mau nīnau. No laila, i kēia lā, e kamaʻilio kākou e pili ana i ka mea nona kēia Nurse Practitioner, a i ʻole NP no ka pōkole.
I ka ʻōlelo maʻalahi, ʻo wai kēia Nurse Practitioner (NP)?
I ka ʻōlelo maʻalahi, ʻo kahi Nurse Practitioner (NP) he kanaka i loaʻa ke kēkelē laepua ma ke kahu hānai, a ua loaʻa iā ia ka hoʻonaʻauao postgraduate hou aʻe a me ke aʻo kūikawā. ʻO ke ʻano kēia, ʻoi aku ka ʻike, ke aʻo ʻana, a me ka ʻike o kahi NP ma mua o kahi Registered Nurse (RN) maʻamau.
Hāʻawi kēia hoʻomaʻamaʻa hou i nā NP i ka mana a me ka hiki ke hana i nā mea he nui a ke kauka e hana ai. Ke mālama lākou i nā maʻi, kālele lākou i ke olakino holoʻokoʻa o ka mea maʻi, ʻaʻole wale ka maʻi. ʻO ia hoʻi, nānā pono lākou i nā mea e like me ka pale ʻana i nā maʻi, pehea e ola ai i kahi nohona olakino, a pehea e hoʻomaopopo pono ai a aʻo i kāu mau pilikia olakino.
Hiki i kahi NP ke hana ma ke ʻano he kauka ʻohana (Primary Care Provider), a i ʻole hiki iā lākou ke hāʻawi i nā lawelawe kūikawā no kahi hui maʻi kikoʻī (no ka laʻana, nā keiki, ka poʻe ʻelemakule, nā maʻi kanesa).
Hiki iā ʻoe ke loaʻa kahi NP ma nā wahi e like me kēia:
- Nā keʻena kauka
- Nā Keʻena Lapaʻau
- Nā Halemai
- Keʻena Lapaʻau Pilikia (ETU)
- Nā wahi mālama wikiwiki
- Nā hale mālama keiki
- Nā Kulanui a me nā Koleke
I kekahi manawa ua kapa ʻia kēia mau NP he "Advanced Practice Registered Nurse - APRN". No laila, inā lohe ʻoe i kēia mau inoa ʻelua, e hoʻomanaʻo e pili ana lāua i kekahi ma ka pae like.
He aha ka hana a kahi NP?
Hana ka NP i nā mea like a ke kahu maʻi maʻamau, e like me ke nīnau ʻana e pili ana i kou mōʻaukala olakino a me ke kuhikuhi ʻana i nā lāʻau lapaʻau. Eia nō naʻe, ʻoi aku kā lākou mau kuleana ma mua o kēlā. ʻO ka NP kekahi kanaka e hāʻawi ana i kahi pae kiʻekiʻe o ka mālama kahu.
I kekahi manawa hana hoʻokahi lākou, a i kekahi manawa hana pū lākou me nā kauka. Hiki iā ʻoe ke loaʻa kahi manaʻo maikaʻi o kā lākou kuleana ma ka nānā ʻana i ka papa ma lalo.
| Nā hana nui o kahi NP | He wehewehe maʻalahi |
|---|---|
| Ke hoʻopaʻa ʻana i ka mōʻaukala lapaʻau a me nā hōʻailona | E hoʻolohe mākou a e kākau i nā memo e pili ana i kou mau pilikia a me nā maʻi i hala. |
| Hoʻokolokolo kino | Nānā lākou iā ʻoe e like me ke kauka. (e.g. hoʻolohe i kou umauma me ka stethoscope) |
| Ke kauoha ʻana i nā hoʻokolohua no ka hōʻoia ʻana | E kuhikuhi lākou iā ʻoe no nā X-ray a me nā hoʻokolohua hale hana e hoʻoholo ai i ke kumu pololei o ka maʻi. |
| Ka loiloi hōʻike hoʻāʻo | Ke nānā nei au i kāu mau hōʻike a maopopo iaʻu kā lākou ʻōlelo. |
| ʻIke a me ka lāʻau lapaʻau | Ma muli o kāu mau hōʻailona a me nā hopena o ka hoʻāʻo ʻana, ua hoʻoholo ʻia ka maʻi a hāʻawi ʻia ka lāʻau lapaʻau. |
| Ke hoʻomākaukau ʻana i nā hoʻolālā lapaʻau | E hana lākou i kahi hoʻolālā nāu e pili ana i nā lāʻau lapaʻau, nā lāʻau lapaʻau, a me nā loli o ke ʻano ola āu e pono ai. |
| Kaukau | Ma nā ʻāina he nui, aia i kahi NP ka mana e kuhikuhi i nā lāʻau lapaʻau. |
| Kuhikuhi i nā loea | Inā makemake ʻoe i ka lāʻau lapaʻau mai kahi loea, kākau mākou i nā leka kuhikuhi no kēlā. |
| Ke hāʻawi nei i ka ʻōlelo aʻoaʻo | E aʻo aku mākou iā ʻoe pehea e noho olakino ai a pale aku i nā maʻi. |
He aha ka ʻokoʻa ma waena o kahi NP a me ke kauka?
He pilikia kēia no nā kānaka he nui. ʻAʻole kauka ka NP. Eia nō naʻe, ma kekahi mau ʻāina, e like me ʻAmelika Hui Pū ʻIa, ua ʻae ʻia nā NP e hana kūʻokoʻa ma ke ʻano he mea lawelawe mālama mua, e like me nā kauka. ʻO ia hoʻi, hiki iā lākou ke ʻike a mālama i nā mea maʻi ma o lākou iho me ka ʻole o ka nānā ʻana o ke kauka.
Eia nō naʻe, ma kekahi mau ʻāina/mokuʻāina ʻē aʻe, ʻaʻole hiki i kahi NP ke hana hoʻokahi. Pono lākou i ka ʻae ʻia e ke kauka i ka wā e hana ai i kekahi mau hoʻoholo a me ke kuhikuhi ʻana i nā lāʻau lapaʻau.
ʻO ka ʻokoʻa nui ma ka hoʻonaʻauao a me ke aʻo ʻana.
- He kauka: Pono e hele i ke kula lapaʻau a loaʻa i ke kēkelē laepua e like me ke Kauka Lapaʻau (MD). Loaʻa iā lākou ke aʻo ʻoi aku ma mua o ka NP.
- He NP: Ma hope o ke kēkelē laepua, loaʻa iā lākou ke kēkelē laepua (Master's a Doctorate paha) ma ke kahu maʻi. Hoʻokumu ʻia kā lākou aʻo ʻana a puni ka kahu maʻi.
I ka pōkole, he kahu maʻi kūikawā ka NP i loaʻa i ke aʻo a me ka hoʻonaʻauao ʻoi aku ma mua o kahi kahu maʻi maʻamau a ua ʻae ʻia e hana i nā mea he nui a ke kauka e hana ai.
He aha ka ʻokoʻa ma waena o kahi NP a me kahi Kōkua Kauka (PA)?
He ʻoihana like kēia. Ua like loa nā lawelawe i hāʻawi ʻia e kahi NP a me kahi Kōkua Kauka (PA). Eia nō naʻe, aia kahi ʻokoʻa iki i ke ʻano o kā lākou hoʻokokoke ʻana aku i ka mea maʻi.
- Kōkua Kauka (PA): Ua hoʻomaʻamaʻa ʻia lākou ma ke ʻano like me nā kauka, akā e like me ke "kumu hoʻohālike lapaʻau." ʻO ia hoʻi, ʻo kā lākou mea nui ka nānā ʻana, ka hoʻāʻo ʻana, a me ka mālama ʻana i nā maʻi .
- Kahu Hānai (NP): Ua hoʻomaʻamaʻa ʻia lākou e like me ke "kumu hoʻohālike hānai." ʻO ke ʻano kēia, ʻo kā lākou mea nui e kau ana ma luna o ka mea maʻi . Mālama lākou i ka noʻonoʻo, ke kino, a me ke olakino holoʻokoʻa o ka mea maʻi i ka wā e mālama ana i ka maʻi.
Aia kekahi mau ʻano NP like ʻole?
ʻAe, ʻoiaʻiʻo nō. E like me nā kauka loea i nā wahi like ʻole, loea nā NP i nā hui maʻi like ʻole a i ʻole nā wahi olakino. Eia kekahi mau laʻana.
| Ka ʻike loea o NP | He maʻalahi kāu hana. |
|---|---|
| NP Noʻonoʻo | Ke mālama ʻana i nā poʻe me nā pilikia olakino noʻonoʻo a me nā pilikia hoʻohana ʻona. |
| ʻOhana NP | Hāʻawi ʻia nā lawelawe mālama ola i ke ola holoʻokoʻa o ka ʻohana, mai nā kamaliʻi ʻōpio a hiki i ka poʻe ʻelemākule. |
| NP Pediatric | Mālama lākou i nā keiki mai nā pēpē a hiki i nā ʻōpio, hāʻawi iā lākou i nā lāʻau pale a me nā nānā maʻamau. |
| NP hānau hou | Hoʻōla ʻia nā pēpē hānau hou, ʻoiai ka poʻe i hānau mua ʻole ʻia a i ʻole ka poʻe maʻi. |
| NP Pōpilikia | Hana lākou ma nā Emergency Treatment Units (ETUs). Hoʻoholo lākou i ka poʻe e pono ai ka lāʻau lapaʻau wikiwiki a mālama iā lākou. |
| NP Ola Kino Wahine | Ke nānā nui nei mākou i nā pilikia olakino o nā wahine, ʻoiai ke olakino hānau keiki a me ke olakino gynecological. |
| ʻOncology NP | Hana pū mākou me nā kauka oncologists e mālama a mālama i nā maʻi maʻi kanesa. |
Pehea ʻoe e lilo ai i Nurse Practitioner?
ʻO ka huakaʻi e lilo ai i NP e pono ai ma kahi o 6-8 mau makahiki o ka hoʻonaʻauao lapaʻau a me ke aʻo ʻana. ʻAʻole ia he huakaʻi maʻalahi.
1.ʻO ka mea mua, pono ʻoe e lilo i kahu maʻi i kākau inoa ʻia (RN): Pono kēia i kahi diploma ma ka hānai (ADN) a i ʻole ke kēkelē laepua ma ka hānai (BSN). He nui ka poʻe e hana ma ke ʻano he RN no kekahi mau makahiki a loaʻa ka ʻike.
2. ʻO ka mea aʻe, pono ʻoe e alualu i ke kēkelē laepua: ʻO ka hana aʻe, ʻo ke kākau inoa ʻana i kahi papahana laepua. Hiki i kēia ke lilo i kekelē Laeoʻo ma ke kahu maʻi (MSN) a i ʻole ke Kauka o ka Hana Kahu Maʻi (DNP).
3. Hoʻomaʻamaʻa loea: I loko o kēia wā postgraduate, aʻo hohonu lākou e pili ana i kā lākou kahua loea i koho ʻia. Loaʻa pū iā lākou ke aʻo lapaʻau koʻikoʻi (ʻike lapaʻau). No ka laʻana, aʻo hohonu lākou i nā kumuhana e like me `(Pathophysiology)` (nā loli i ke ʻano o ka hana ʻana o ke kino ma muli o nā maʻi) a me `(Pharmacology)` (lāʻau lapaʻau).
4. Ke kiʻi ʻana i nā laikini a me nā palapala hōʻoia: Ma hope o ka hoʻopau ʻana i kāu kekelē, pono ʻoe e kiʻi i kahi laikini mokuʻāina e hana ma ke ʻano he NP. Pono nō hoʻi ʻoe e hala i kahi hoʻokolohua hōʻoia aupuni.
No laila hiki iā ʻoe ke ʻike i kēia manawa he NP kekahi kanaka i loaʻa i kahi pae kiʻekiʻe o ka hoʻonaʻauao a me ke aʻo ʻana a he kuleana koʻikoʻi loa ia i ka mālama ola kino.
Leka Lawe-Home
- He kahu maʻi kahi kahu maʻi (NP) i loaʻa i ka hoʻonaʻauao postgraduate kiʻekiʻe a me ke aʻo kūikawā ma mua o ke kahu maʻi maʻamau.
- Hiki iā lākou ke ʻike i nā maʻi, hoʻolālā i ka mālama ʻana, a kuhikuhi i nā lāʻau lapaʻau ma nā ʻāina he nui.
- ʻOiai ʻaʻole he kauka ka NP, hana lākou i nā hana like me ke kauka. Hoʻoikaika pinepine ʻia kā lākou ʻano hana ma ke olakino holoʻokoʻa o ka mea maʻi ma mua o ka maʻi.
- ʻOiai ʻaʻole maʻamau kēia kūlana ma Sri Lanka, he mea maʻamau a koʻikoʻi ka NP i ka mālama ola kino ma nā ʻāina ʻē.
- No laila, mai kēia manawa aku, inā ʻoe e hālāwai me kahi NP ma waho a i ʻole ma kahi kiʻiʻoniʻoni, ua ʻike ʻoe iā lākou a me kā lākou kuleana.











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