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DNP Alumna Discusses Advance Practice with The Register

Maria Lofgren

Advanced practice nurses fill big role

By Estela Villanueva-Whitman | Special to The Register | 5/3/2014

Advanced practice nurses have a progressive practice authority in Iowa, but leaders say there's still work to be done to explain their roles and allow them to act within the full extent of their licenses.

Advanced Registered Nurse Practitioners fill four roles: certified nurse practitioner, certified registered nurse anesthetist, clinical nurse leader and certified nurse midwife. Each works with different patient populations.

Maria Lofgren, a pediatric and neonatal nurse practitioner at the University of Iowa Children's Hospital, says her office uses a team approach to care with collaborating agreements to manage patients. But that arrangement varies for each clinical situation and the payer, she said. If a patient sees nurse practitioners in multiple clinics, such as cardiology and pulmonary services, some insurance companies will only reimburse one, instead of viewing them as two different subspecialties.

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Posted On: 
May 9th, 2014