A Nurse Practitioner-Managed After-hours Clinic for a Native American Reservation

Authors

  • Ronald A. Berry RN, MS, FNP

    Corresponding author
    1. Family Nurse Practitioner Commander (United States Public Health Service Commissioned Corps) Indian Health Service Wind River Service Unit Fort Washakie, Wyoming
      Address correspondence to Ronald A. Berry, RN, MS, FNP, Family Nurse Practitioner, United States Public Health Service Commissioned Corps, Indian Health Service, Wind River Service Unit, PO Box 128, Fort Washakie, WY 82514.
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  • The opinions expressed in this article are those of the author and do not necessarily reflect the views of the Indian Health Service.

Address correspondence to Ronald A. Berry, RN, MS, FNP, Family Nurse Practitioner, United States Public Health Service Commissioned Corps, Indian Health Service, Wind River Service Unit, PO Box 128, Fort Washakie, WY 82514.

Abstract

The Indian Health Service implemented a plan for an after-hours clinic which has been providing services since May 1991 on the Wind River Indian Reservation in Wyoming. Integral to the plan for the after-hours clinic was the family nurse practitioner as primary care provider. The after-hours clinic expands the health care services of the clinic by 3 hours on weekdays and 8 hours on Sundays. The role of the nurse practitioner as a primary care provider was introduced to the Wind River Service Unit, along with an after-hours clinic operation. Since the inception of the after-hours clinic, behavioral health and dental services and a women's clinic have been added.

Ancillary