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| OUR
STAFF MEMBERS - Click on the images below to enlarge |
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Sindy
Sheldon NP-C and Cindy Rosek NP-C
have over 45 years of combined experience serving women's
healthcare needs. Both are nationally certified as Womens
Healthcare Nurse Practitioners. They have extensive
training and experience in well-women exams, contraception
management, sexually transmitted infection screening
and treatment, hormone replacement therapy, weight management,
mesotherapy and cosmetic treatments and procedures.
In addition, they both perform colposcopies of the cervix,
cryotherapy of cervix and skin lesions as well as other
minor surgical in-office procedures.
They both are members of the American Academy of Nurse Practitioners, Association of Women's Health, Obstetrics, Neonatal Nursing, Arizona Family Planning Council and most recently became charter members of the American College of Medical Meso-Lipo Therapy. They both are among the first trained in the Valley on Mesotherapy by Dr. Ramon Chubaty, M.D. and Dr. Patricia Rittes who is the world's foremost expert on Mesotherapy injections. |
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| WHAT
IS A NURSE PRACTITIONER? |
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- Nurse
Practitioners are registered nurses who have acquired the formal
education, extended knowledge base and clinical skills beyond
the registered nurse level to practice in an advanced role as
direct health care providers.
- Nurse
Practitioners may perform additional skills for which they have
been prepared through post-graduate education and training.
- Nurse
Practitioners are authorized to practice by the Board via their
registered nurse licensure and advanced practice certification
in a specialty area.
- Nurse
Practitioners provide health care services to individuals, families,
and groups according to their practice specialty.
- Nurse
Practitioners utilize critical judgment in the performance of
comprehensive health assessments, differential medical diagnosis
including ordering, conducting, and interpreting diagnostic
and laboratory tests, and the prescribing of pharmacologic and
non- pharmacologic treatments in the direct management of acute
and chronic illness and disease.
- Nurse
Practitioners provide care, including but not limited to admission,
management of care, discharge and follow up, in ambulatory,
acute, long term and other health care settings.
- Nurse
Practitioners serve in multiple roles, including but not limited
to, direct providers of care, health care researchers, consultants
and educators.
- Nurse
Practitioners may work in independent practice.
- Nurse
Practitioners work collaboratively with other health care professionals
when appropriate.
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| RATIONALE:
Per A.R.S.§ 32-1601(15), A nurse practitioner
is a professional nurse (RN) who is certified by
the Board and has an expanded scope of practice within a specialty
are (e.g., family, pediatric, acute care, adult, etc.) that includes: |
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Assessing clients, synthesizing and analyzing data and understanding
and applying principles of health care at an advanced level;
- Managing
the physical and psychosocial health status of clients;
- Analyzing
multiple sources of data, identifying alternative possibilities
as to the nature of a health care problem and selecting, implementing
and evaluating appropriate treatment;
- Making
independent decisions in solving complex client care problems;
- Diagnosing,
performing diagnostic and therapeutic procedures, prescribing,
administering and dispensing therapeutic measures, including legend
drugs, medical devices and controlled substances within the scope
of registered nurse practitioner practice on meeting the requirements
established by the Board;
- Recognizing
the limits of the nurse’s knowledge and experience, planning
for situations beyond the nurse’s knowledge and expertise
and consulting with or referring clients to other health care
providers when appropriate;
- Delegating
to a medical assistant pursuant to section 32-1456;
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Performing additional acts that require education and training
as prescribed by the board and that are recognized by the nursing
profession as proper to be performed by a nurse practitioner.
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| PER
A.A.C. R4-19-505, in addition to the scope of practice permitted
a professional nurse, a nurse practitioner may perform the following
acts in collaboration with a physician: |
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- Examine
a patient and establish a medical diagnosis by client history,
physical examination, and other criteria;
- Admit
a patient into a health care facility;
- Order,
perform, and interpret laboratory, radiographic, and other diagnostic
tests;
- Identify,
develop, implement, and evaluate a plan of care for a patient
to promote, maintain and restore health;
- If
authorized under R4-19-507, prescribe and dispense medications;
and
- Refer
to a consult with appropriate health care professionals.
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| PER
A.A.C. R4-19-101, “Collaborate” is defined as
to establish a relationship for consultation or referral with one
or more licensed physicians on an as-needed basis. Direct or on-site
supervision of the activities of a registered nurse practitioner by
the collaborating physician is not required. |
| GENERAL
REQUIREMENTS |
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A nurse practitioner is certified by the board
as a nurse practitioner; has completed a nurse practitioner education
program approved or recognized by the board; if applying for certification
on or after January 1, 2001, has a master of science degree in nursing
or a master’s degree in a health-related area; and if applying
for certification after July 1, 2004, holds national certification
from a national certifying body recognized by the board or provides
proof of competence if a certifying examination is not available.
(A.R.S. § 32-1601(15); R4-19-504 (B)
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