Saint Louis University

Specialty and Role Descriptions

Adult/Gerontological Acute Care Nurse Practitioner: The Adult/Gerontological Acute Care Nurse Practitioner (AGACNP) provides advanced nursing care across the continuum of healthcare services to meet the specialized physiological and psychological needs of young adult, adult and older adults with acute, critical and chronic illness, disability and/or injury. The expansion of the AGACNP role is due to changes in medical residency requirements, pressure from health care organizations to reduce inpatient length of stay, increases in patient acuity and cost containment. AGACNPs are trained and educated to work in emergency departments, tertiary care settings, intensive care units, trauma centers and specialty medicine areas to provide restorative, curative, rehabilitative, palliative, and maintenance care across the entire adult-older adult age spectrum, including the frail elderly. The AGACNP skill set includes the use of complex monitoring and invasive therapies, high intensity interventions, or continuous vigilance within the range of high acuity care across the entire adult-older adult age spectrum.

Adult/Gerontological Primary Care Nurse Practitioner: The primary care AGNP provides advanced nursing care for adolescents, young adults, adults, and older adults. This includes all patients from age 13 years - death who require diagnosis, treatment and management of episodic or chronic conditions that are best treated in an outpatient primary care setting such as diabetes, hypertension, respiratory conditions, sprains/strains and wellness examinations. Adult-Gero nurse practitioners work in various settings within primary care including hospital based clinics, VA medical system clinics, private practice offices in internal medicine or specialty practices. According to the 2010 U.S. Census, adults make up the largest percentage of the population with 79 percent over the age of 16. Your education at Saint Louis University will prepare you to care for this diverse and unique population with confidence.

Family Nurse Practitioner: The Family Nurse Practitioner (FNP) is an advanced practice role that provides direct patient care to all ages with a primary care focus. The Saint Louis University Family Nurse Practitioner program prepares practitioners with an understanding in primary health care which includes promoting health and preventing disease, assessing and managing acute and chronic health problems, consulting, and initiating the referral process. FNP's look to the interplay of the family dynamic as the theoretical underpinnings of how they function and therefore, how and where they practice. FNP's emphasize quality relationships with patients, families and communities, education of patients and families, and coordination of services aimed at specific health outcomes throughout the lifespan. FNP's apply advanced knowledge and clinical skills in a variety of health care settings, including providing well-child care, prenatal care services, adult health, and geriatric care including those requiring skilled nursing services. FNP's practice in a variety of ambulatory settings including community health centers, retail clinics, businesses, physician offices, public health departments, health maintenance organizations, government facilities, independent nurse practitioner offices, and schools of nursing. FNP's are also well suited to rural populations where specialty care may not always be available.

Pediatric Primary Care Nurse Practitioner: The Primary Care Pediatric Nurse Practitioner (PNP) provides health care to children and young adults ages birth-21 years through assessment, diagnosis, management and evaluation of care. PNP's focus on health promotion, disease prevention, and management of acute and chronic conditions. PNP's provide care in pediatric offices as well as school, community, urgent care and specialty settings. Graduates will be eligible for national certification (ANCC and PNCB).

Family Psychiatric/Mental Health Nurse Practitioner: The Family Psychiatric Mental Health Nurse Practitioner [FPMHNP] is a psychotherapeutic agent who engages in evidence-based, culturally sensitive, recovery oriented, holistic care of individuals, groups, families, and populations with acute or complex mental health needs or problems, or psychiatric diagnoses. Selected biopsychosocial research and theoretical underpinnings, along with self-directed and personal discoveries, undergird the FPMHNP's primary mental health care of clients that include children, adolescents, adults, and older adults seen in a variety of settings. Clinical practice includes legal and ethical use of self in various advanced practice registered nurse roles while applying the nursing process and medical/medication management to provide skillful and comprehensive care intended to promote optimal mental health, prevention and treatment of psychiatric disorders, and health and mental health maintenance. Emphasis is given to active, ongoing collaboration with clients, their families, significant others, and the interprofessional team. Graduates will be eligible for national certification.

*Please review the MSN Student Handbook for curriculum information.

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