ARNP Protocol and Business Proposal



Advanced Registered Nurse Practitioners Protocol

A. Requiring Authority:

a) Nurse Practice Act, Florida Statutes, Chapter 464

b) Florida Administrative Code, Rules Chapter 64B9-4 Administrative Policies Pertaining to Advanced Registered Nurse Practitioners

Parties to Protocol:

Name, License No., Practice address  Doctor’s Name, License No., Practice address

Nature of Practice

This agreement is to establish the practice model in which the as a practising nurse I will offer health care services under the supervision of Dr Name of Doctor. The practice will involve disease management, providing palliative care and family support. I apply the calculated and methodical approach to problem-solving.

A. Nurses Duties as a Palliative Care Nurse

The nurse will obtain and record medical histories from patients, offer palliative care to patients, perform appropriate diagnostic tests and manage the health care of clients for which she has been educated, and provide counselling, initiate referrals, and maintain health records.

B. The nurse may initiate treatment for conditions that include, but are not limited to Fever, Conjunctivitis, URI, UTI, Headache, and Abdominal discomfort.

C. The following treatments may be initiated depending on the patients’ condition and the nurse’s judgment:

1. Fever of unknown origin

2. Drainage of abscesses.

Duties of the Physician:

The physician will provide supervisory services for the routine health care of health problems, and consultation and accept referrals for complex health issues. They shall be available by telephone when not physically possible on the premises.

All involved parties in this agreement share equal opportunities in the responsibility for reviewing treatment protocols as needed. The practicing nurse must file a protocol at the time of renewal or when there are changes with the Board of Nursing. Amendments should be signed by all parties and filed with the Board within 21 days. Each party should keep a copy for each review period of the contract. The supervisor responsible for submitting a notice to the Board of Medicine that they have entered into a supervisory relationship with an ARNP. ____________________________/ ________________ License and Name of ARNP  ____________________________/____________ License and Name___________________ Dr. Name of Doctor, DEA :___________________



Palliative care is an essential aspect of medical care that needs to be offered by qualified professionals. Advanced Registered Nurse Practitioners play a critical role in ensuring that terminally ill patients are enjoying life and their families get satisfied with the care offered. ARNP services and health care for terminally ill is a matter that needs to be reviewed for quality improvement and maintenance of proper service delivery.

Key terms:

· Terminal illness- A medical condition that is life-threatening and requires long term care.

· Palliative care- medical care offered to terminally ill patients to improve their quality of life.

This proposal consists of four parts. After this brief introduction we delve into the proposed solutions to improve palliative care for terminally ill patients, in the third part we discuss the future projection of quality of care, and then we conclude by an overview of the recommendations to confirm that they are the correct form of approach.

Proposed Solutions:

First, palliative care should be taken as a matter of urgency in that the patient needs attention with immediate effect. Most chronically ill patients stay at home or their families hide them from the world. Everyone should be advised to encourage seeking of medical care (Burwell, 2015). The family should take the responsibility of helping their loved ones.

Also, proper training and retraining of healthcare professionals should be done to teach how to deal with emerging problems in the provision of palliative care.

The care should be handled using a multidisciplinary approach (Miller, 2016). The doctors should work hand in hand with nurses and even the support staff to improve palliative care. Teamwork is a good way of achieving many challenging solutions.

Proper funding by the hospitals and the government will go a long way in facilitating research. Also, more healthcare professionals should be employed to handle the increasing demand for care.

Benefits of Good Palliative Care

This form of care supports the patient in their terminal state by improving their symptoms. Therefore enhances their quality of life.

Also, this care restores happiness to the families of these patients as they witness the health and symptoms of their loved ones being taken care of. Health can only be assured by a peace of mind, well-being of the body and the general wellness of an individual (Cherry, 2016).

In conclusion, we are all liable to the responsibility of taking care of those who cannot take care of themselves. Palliative care is a critical service that needs to do with the dignity and professionalism of a high standard.


Burwell, S. M. (2015). Setting value-based payment goals—HHS efforts to improve US health care. N Engl J Med, 372(10), 897-899.

Cherry, B., & Jacob, S. R. (2016). Contemporary nursing: Issues, trends, & management. Elsevier Health Sciences.

Miller, S. C., Lima, J. C., Intrator, O., Martin, E., Bull, J., & Hanson, L. C. (2016). Palliative care consultations in nursing homes and reductions in acute care use and potentially difficult end‐of‐life transitions. Journal of the American Geriatrics Society, 64(11), 2280-2287.

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