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BEHAVIORAL SCIENCES - Universitatea de Medicină şi Farmacie

BEHAVIORAL SCIENCES - Universitatea de Medicină şi Farmacie

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The scope of practice for a Nurse Practitioner in the United States<br />

is <strong>de</strong>fined by individual state boards of registration in nursing, as opposed<br />

to state boards of registration in medicine. Physician Assistants are also<br />

classified as midlevel advance practice clinicians, have a similar scope of<br />

practice as nurse practitioners, and are regulated by state boards of<br />

registration in medicine.<br />

A paramedic is a medical professional, usually a member of the<br />

emergency medical services, who primarily provi<strong>de</strong>s pre-hospital<br />

advanced medical and trauma care. A paramedic is charged with providing<br />

emergency on-scene treatment, crisis intervention, life-saving stabilization<br />

and transport of ill or injured patients to <strong>de</strong>finitive emergency medical and<br />

surgical treatment facilities, such as hospitals and trauma centers.<br />

The use of the specific term paramedic varies by jurisdiction, and<br />

in some places is used to refer to any member of an ambulance crew. In<br />

countries such as Canada and South Africa, the term paramedic is used as<br />

the job title for all EMS personnel, who are then distinguished by the<br />

terms primary or basic (e.g. Primary Care Paramedic) intermediate, or<br />

advanced (e.g. Advanced Care Paramedic). This approach may be<br />

completely appropriate in such jurisdictions, where primary care staff<br />

receive more than double the classroom and clinical training of an EMT,<br />

and in fact more than those in some jurisdictions permitted by law to call<br />

themselves paramedics. In countries such as the United States and the<br />

United Kingdom, the use of the word paramedic is restricted by law, and<br />

the person claiming the title must have passed a specific set of<br />

examinations and clinical placements, and hold a valid registration (in the<br />

UK, with the Health Professions Council), certification, or license with a<br />

governing body. Even in countries where the law restricts the title, lay<br />

persons may incorrectly refer to all emergency medical personnel as<br />

'paramedics', even if they officially hold a different qualification, such as<br />

emergency medical technician - basic.<br />

Pharmacists are health professionals who practice the science of<br />

pharmacy. In their traditional role, pharmacists typically take a request for<br />

medicines from a prescribing health care provi<strong>de</strong>r in the form of a medical<br />

prescription, evaluate the appropriateness of the prescription, dispense the<br />

medication to the patient and counsel them on the proper use and adverse<br />

effects of that medication. In this role pharmacists act as a learned<br />

intermediary between physicians and patients and thus ensure the safe and<br />

effective use of medications. Pharmacists also participate in disease-state<br />

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