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Reply To: AYA care by PNPs (scope of practice/age cut off)
——————————————- Terri Boyce, MSN,RN,CPNP,CPHON San Antonio, TX United States ——————————————-
——————————————- Original Message: Sent: 01-07-2015 02:29 PM From: Terri Boyce Subject: AYA care by PNPs (scope of practice/age cut off)
As the adolescent and young adult (AYA) population in our care continues to grow and expand, what are your practice groups doing about the scope of practice age parameters for PNPs in your group? It’s always a grey zone with a lot of room for interpretation. We have some differing opinions amongst the providers, and are looking for guidance and recommendations from other centers, since I am sure this issue is not unique to our center.
For example, we recently accepted care of a 23 yr with very high risk ALL; can the PNP be involved in all aspects of his care since he is over the age of 21, and this is a new diagnosis, not an ongoing chronic disease of childhood still being cared for into his AYA years while transitioning to adults. (Of note, we do not have any FNPs in our group, which would be the simple solution to this!).
I have attached the NAPNAP age parameters statement from 2008 below.