Skip to main content

Advanced Practice Providers in the Oncologic Intensive Care Unit

  • Reference work entry
  • First Online:
Oncologic Critical Care

Abstract

In most organizations, health-care workforce is comprised of advanced practice registered nurses (APRNs) and physician assistants, which they are collectively called as advanced practice providers (APPs). APPs can provide care in various settings depending on their education, training, and population focus. The role of APPs was originally intended to address access to primary care in underserved areas and eventually extended to the critical care environment. In critical care, APP is proven to be beneficial in providing safe and effective care especially in oncological intensive care environment. In order for the APP to establish clinical practice, essential standardized processes must be attained. Credentialing and privileging are standardized processes ensuring that APPs have the necessary qualifications to provide direct safe patient clinical care. These processes will provide the highest level of reliability that the APP is providing safe competent care.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 949.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 1,299.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Ackerman MH, Mick D, Witzel P. Creating an organizational model to support advanced practice. J Nurs Adm. 2010;40(2):63–8.

    Article  Google Scholar 

  2. Brassard A, Smolenski MC. Removing barriers to advanced practice registered nurse care: hospital privileges. Washington, DC: AARP Public Policy Institute; 2011.

    Google Scholar 

  3. Bruinooge SS, Pickard TA, Vogel W, Hanley A, Schenkel C, Garrett-Mayer E, …, Smith N. Understanding the role of advanced practice providers in oncology in the United States. J Oncol Pract 2018;14(9):e518–e532.

    Article  Google Scholar 

  4. Gershengorn HB, Johnson MP, Factor P. The use of nonphysician providers in adult intensive care units. Am J Respir Crit Care Med. 2012;185(6):600–5.

    Article  Google Scholar 

  5. Grabenkort WR, Meissen HH, Gregg SR, Coopersmith CM. Acute care nurse practitioners and physician assistants in critical care: transforming education and practice. Crit Care Med. 2017;45(7):1111–4.

    Article  Google Scholar 

  6. Hoffman LA, Guttendorf J. Preparation and evolving role of the acute care nurse practitioner. Chest. 2017;152(6):1339–45.

    Article  Google Scholar 

  7. Kapu AN, Kleinpell R, Pilon B. Quality and financial impact of adding nurse practitioners to inpatient care teams. J Nurs Adm. 2014;44(2):87–96.

    Article  Google Scholar 

  8. Kapu AN, Thomson-Smith C, Jones P. NPs in the ICU: the Vanderbilt initiative. Nurse Pract. 2012;37(8): 46–52.

    Article  Google Scholar 

  9. Kawar E, DiGiovine B. MICU care delivered by PAs versus residents: do PAs measure up? J Am Acad Physician Assist. 2011;24(1):36–41.

    Article  Google Scholar 

  10. Kleinpell RM, Hravnak M, Hinch B, Llewellyn J. Developing an advanced practice nursing credentialing model for acute care facilities. Nurs Adm Q. 2008;32(4):279–87.

    Article  Google Scholar 

  11. Klein T. Credentialing the nurse practitioner in your workplace: evaluating scope for safe practice. Nurs Adm Q. 2008;32(4):273–8.

    Article  Google Scholar 

  12. Makary MA, Wick E, Freischlag JA. PPE, OPPE, and FPPE: complying with the new alphabet soup of credentialing. Arch Surg. 2011;146(6):642–4.

    Article  Google Scholar 

  13. McCarthy C, O’rourke NC, Madison JM. Integrating advanced practice providers into medical critical care teams. Chest. 2013;143(3):847–50.

    Article  Google Scholar 

  14. O’Connell J, Gardner G, Coyer F. Beyond competencies: using a capability framework in developing practice standards for advanced practice nursing. J Adv Nurs. 2014;70(12):2728–35.

    Article  Google Scholar 

  15. Phillips SJ. APRN consensus model implementation and planning. Nurse Pract. 2012;37(1):22–45.

    Article  Google Scholar 

  16. Reynolds RB, McCoy K. The role of advanced practice providers in interdisciplinary oncology care in the United States. Chin Clin Oncol. 2016;5(3):44.

    Article  Google Scholar 

  17. Trepanier S, Duran P, Lawson L. The use of advanced practice nurses in the acute care setting. Nurse Lead. 2013;11(1):45.

    Google Scholar 

  18. Schellongowski P, Sperr WR, Wohlfarth P, Knoebl P, Rabitsch W, Watzke HH, Staudinger T. Critically ill patients with cancer: chances and limitations of intensive care medicine – a narrative review. ESMO Open. 2016;1(5):e000018.

    Article  Google Scholar 

  19. Scherzer R, Dennis MP, Swan BA, Kavuru MS, Oxman DA. A comparison of usage and outcomes between nurse practitioner and resident-staffed medical ICUs. Crit Care Med. 2017;45(2):e132–7.

    Article  Google Scholar 

  20. Sirleaf M, Jefferson B, Christmas AB, Sing RF, Thomason MH, Huynh TT. Comparison of procedural complications between resident physicians and advanced clinical providers. J Trauma Acute Care Surg. 2014;77(1):143–7.

    Article  Google Scholar 

  21. Simone S, McComiskey CA, Andersen B. Integrating nurse practitioners into intensive care units. Crit Care Nurse. 2016;36(6):59–69.

    Article  Google Scholar 

  22. Smolenski MC. Credentialing, certification, and competence: issues for new and seasoned nurse practitioners. J Am Acad Nurse Pract. 2005;17(6):201–4.

    Article  Google Scholar 

  23. Ulmer C, Miller Wolman D, Johns MME. Resident duty hours: enhancing sleep, supervision, and safety. Institute of Medicine (US) committee on optimizing graduate medical trainee (resident) hours and work schedule to improve patient safety. Washington, DC: National Academies Press (US); 2009. Accessed 12 Apr 2018

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ninotchka Brydges .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Brydges, N., Mundie, T., Brydges, G. (2020). Advanced Practice Providers in the Oncologic Intensive Care Unit. In: Nates, J., Price, K. (eds) Oncologic Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-74588-6_17

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-74588-6_17

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74587-9

  • Online ISBN: 978-3-319-74588-6

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics