Reply To: AYA care by PNPs (scope of practice/age cut off)

  • Emily Browne

    Member
    January 7, 2015 at 5:24 pm

    As oncology NPs, we’ve never had a formal discussion of this topic, but the question comes up occasionally.  A few years ago our ICU took the position that patients age >22 would be stabilized and then transferred to an adult facility. 

    Personally, I felt covered to care for an occasional patient over 21 by the statement “NAPNAP additionally supports the PNP’s role as a provider of health care for individuals older than 21 years with unique needs” as I considered our patient population to have very unique needs.

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    Emily Browne, CPNP
    Dir of Professional Development
    St Jude Children’s Research Hospital
    Memphis, TN
    United States
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    Original Message:
    Sent: 01-07-2015 03:29 PM
    From: Terri Boyce
    Subject: AYA care by PNPs (scope of practice/age cut off)

    I apologize, here is the 2014 NAPNAP statement replacing the older 2008 edition I erroneously posted.

    http://www.jpedhc.org/article/S0891-5245(14)00077-7/pdf

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    Terri Boyce, MSN,RN,CPNP,CPHON
    San Antonio, TX
    United States
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    Original Message:
    Sent: 01-07-2015 02:29 PM
    From: Terri Boyce
    Subject: AYA care by PNPs (scope of practice/age cut off)

    APRNs,

    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. 

    http://www.pncb.org/ptistore/resource/content/forms/NAPNAP_Age_Parameters.pdf

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    Terri Boyce, MSN,RN,CPNP,CPHON
    San Antonio, TX
    United States
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