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Advanced Practice Registered Nursing
Advanced Practice Registered Nurses (APRNs) are key members of the health care team at Children’s Hospitals and Clinics of Minnesota. APRNs champion Children’s nursing vision, philosophy and professional practice model by serving as innovators, leaders, knowledge seekers and partners in care.
At Children's, APRNs are members of a multidisciplinary “Professional Staff” model. This is in contrast to many other health care organizations that utilize a "Medical Staff" for physicians and an "Allied Health Care Providers" grouping for other providers, which include the APRNs, often with little representation on medical staff governance. The Professional Staff model recognizes the APRNs as valued members of the health care team and encourages working relationships among the various disciplines. APRNs at Children's practice within a health care system that provides an environment for consultation and collaboration. In addition, APRNs have representation via a voting member on the Professional Executive Council, which is the executive oversight board for the Professional Staff.
APRN Roles at Children’s
Advanced Practice Registered Nurses at Children's include the following:
Certified Registered Nurse Anesthetists
Certified Clinical Nurse Specialists
Certified Nurse Practitioners:
- Neonatal Nurse Practitioners
- Pediatric Nurse Practitioners
- Family Nurse Practitioners
Children’s APRNs practice in a variety of settings and roles that include direct care providers, managers, directors, consultants, educators and researchers.
Scope of Practice
All APRNs at Children's are required to maintain current licensure as a registered nurse and certification by a national nurse certification organization. The Minnesota Board of Nursing has recognized the following national nurse certification organizations:
- American Academy of Nurse Practitioners
- American Association of Critical-Care Nurses Certification Corporation
- American Nurses Credentialing Center
- American Midwifery Certification Board
- Council on Certification of Nurse Anesthetists
- Pediatric Nursing Certification Board
- National Certification Corporation for the Obstetric, Gynecological, and Neonatal Nursing Specialties
The Nurse Practice Act, MN statute, section 148.171, defines the scope of practice for APRNs in Minnesota. All certified APRNs may prescribe drugs and therapeutic devices within the authorized scope of practice for which they are certified. At Children's of Minnesota, the APRN scope of practice is further defined by job description, collaborative agreement, and the Professional Staff credentialing process, which may include special procedure privileges based on training, experience and current clinical competence.
Patient Care Areas
Patient Care Areas
Nursing at Children’s spans across the spectrum of pediatric specialties located throughout a variety of locations in the Twin Cities, including two hospital campuses, clinics, and an ambulatory surgery center.
8th Floor and Hematology/Oncology Clinic Children’s – Minneapolis
Infant Care Center Children’s – Minneapolis
Neonatal Intensive Care Unit Children’s – Minneapolis
Neonatal Intensive Care Unit Children’s – St. Paul
Special Care Nursery (located in Abbott) Children’s – Minneapolis
Philosophy and Vision
The Nursing Vision at Children’s is to be premier providers of pediatric nursing care and experts in the art and science of healing and caring, in partnership with families. Our values are Excellence, Innovation, Stewardship and Integrity.
Children and their families are our partners in their care. We serve as experts in the art and science of healing and caring. We are committed to providing the safest care possible and an extraordinary experience that respects the uniqueness of each child and family. We believe open and direct communication with other disciplines is the ideal way to achieve exceptional, holistic and compassionate care for those we serve.
Professional Practice Model
At Children’s, the Professional Practice Model defines the collaborative relationship between professional nurses and the organization. It supports professional development and improves practice standards and care delivery through shared decision-making. Children’s follows guidelines outlined in the Minnesota Nurse Practice Act.
Shared decision-making is a dynamic and collaborative interaction among nurses. At Children’s, clinical knowledge and expertise is used to develop, direct, and sustain nursing practice. It is a structure that places the responsibility, autonomy, and accountability for nursing practice with the professional nurse.
Shared decision-making includes nursing councils at the system and unit level. Functions addressed at all levels include operations, professional development, clinical practice, informatics, and research. At the system level, operations and oversight is addressed by the Nursing Integration Board.
Minnesota Nurses Association
Minnesota Nurses Association
Registered nurses providing direct patient care to children and their families at Children's Hospitals and Clinics of Minnesota are members of the Minnesota Nurses Association (MNA). The nurses are active stewards of responsible nursing practice, using their skills and expertise to establish and guard standards of care.
Much of this work at Children's takes place within the Nursing Care Delivery Committee, which has joint representation from nursing management and MNA nurses. The committee is based on the premise that nurses at Children’s have accountability, authority and responsibility for their individual practice.
Examples of activities of the Care Delivery Committee include:
- Systems for the delivery of nursing care
- Data on patient outcomes related to nursing care
- Patient acuity system based on patient needs and appropriate nursing interventions
The DAISY Award For Nurses Exemplifying Compassionate Care
DAISY Award honorees personify Children’s Hospitals and Clinics of Minnesota’s remarkable patient experiences. These nurses consistently demonstrate excellence through their extraordinary compassionate care and clinical expertise, and they are recognized as outstanding role models in our nursing community.
What is The DAISY Award?
The DAISY Award is a nationwide program that rewards and celebrates the compassionate care and extraordinary clinical skill given by nurses every day. Children’s is proud to be a DAISY Award Hospital Partner, recognizing one of our nurses with this special honor every month.
How To Nominate An Extraordinary Nurse
Patients, visitors, nurses, physicians, and employees may nominate a deserving nurse by completing the DAISY Award Nomination form. The Professional Development Council reviews nominations and selects award winners.
DAISY Award Criteria
DAISY Award recipients exemplify the kind of nurse that our patients, their families, and our staff recognize as an outstanding role model. She/he consistently meets the following criteria:
- Compassionate care in alignment with Children’s nursing values
- Demonstrates partnerships of mutual respect, caring, and collaboration among families and colleagues as exemplified by Children’s Service Standards
- Provides care that is family-centered, holistic, developmentally appropriate, and culturally sensitive to create an extraordinary experience
The DAISY Award Honoree
Each DAISY Award Honoree will be recognized at a public ceremony in her/his patient care area and will receive:
- a beautiful certificate
- DAISY Award pin
- a hand-carved stone sculpture entitled A Healer’s Touch
Additionally, staff in the unit will celebrate with Cinnabon® cinnamon rolls – a favorite of Patrick’s during his illness.
About The DAISY Foundation
The DAISY Foundation was established in 2000 by the family of J. Patrick Barnes who died of complications of the auto-immune disease Idiopathic Thrombocytopenia Purpura (ITP) at the age of 33. (DAISY is an acronym for diseases attacking the immune system.) During Pat’s 8 week hospitalization, his family was awestruck by the care and compassion his nurses provided not only to Pat but to everyone in his family. So one of the goals they set in creating a Foundation in Pat’s memory was to recognize extraordinary nurses everywhere who make an enormous difference in the lives of so many people by the super-human work they do everyday.
To find out more about the program, including the growing list of Hospital Partners, please go to www.daisyfoundation.org.