Advanced Practice Nurses in Emergency Care

ENA actively supports the role of advanced practice nursing in emergency care. According to the National Council of State Boards of Nursing Consensus Model for APRN Regulation, an APRN is a licensed independent practitioner who is expected to practice within standards established or recognized by a licensing body. The Consensus Model identifies four APRN roles: nurse anesthetist, nurse midwife, clinical nurse specialist and nurse practitioner. APRNs share many competencies, but the focus of practice is different for each role. NCSBN has developed numerous resources to help boards of nursing and legislators adopt requirements outlined in the Consensus Model for APRN Regulation.

Clinical Nurse Specialists in Emergency Care

In addition to being an expert direct care clinician ranging from primary provider to consultant, clinical nurse specialists are experts in the synthesis, integration, transformation and translation of best practices to facilitate bridging the gap between research and practice. Competent CNS practice ensures quality and safe patient care both directly and indirectly. This area houses resources that may assist the clinical nurse specialist in facilitating his or her role.

CNS Resources

Nurse Practitioners in Emergency Care

Nurse practitioners in emergency care provide health care within an ethical framework, through assessment, diagnosis, and management of health/illness status, to persons of all ages who seek emergency care in an environment that is complex and unpredictable. Nurse practitioners practice autonomously based on state regulation and engage in effective interdisciplinary collaboration with health care professionals. In addition to diagnosing and managing acute episodic and acute exacerbations of chronic illnesses, nurse practitioners in emergency care provide health promotion, disease prevention, and injury prevention services to their patients and families. Nurse practitioners in emergency care also teach and counsel patients and families and act as advocates, consultants, and researchers.

The educational preparation for nurse practitioners requires graduate education (e.g., emergency care concentration, post-master’s degree in nursing specialty, Doctor of Nursing Practice). The nurse practitioner is educationally prepared in the essential knowledge, behaviors, and skills necessary to practice.

In addition to graduate course completion, nurse practitioners in emergency care obtain further educational preparation through various pathways including: 1) successful academic course completion, 2) continuing education course completion, and/or 3) on-the-job instruction in emergency care. The nurse practitioner in emergency care demonstrates entry-level core and emergency competencies.

NP Resources

Emergency Nurse Practitioner Certification Portfolio Validation Program

Certification through portfolio is designed to objectively assess specialized knowledge, understanding, and application of professional nursing practice and theory through the review of a collective body of work present in a nurse’s portfolio. Additional information on this certification program can be obtained here..

Nurse practitioner in emergency care programs are offered at: