title: A nurse practitioner-managed after-hours clinic for a Native American reservation.
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.
authors.affiliation: Indian Health Service, Wind River Service Unit, Fort Washakie, Wyoming 82514, USA.
authors.forename: R A
authors.initials: RA
authors.lastname: Berry
mesh_terms: D016529:Emergency Nursing / Q000458:organization & administration*; D006801:Humans; D009722:Nurse Practitioners / Q000458:organization & administration*; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration*; D015397:Program Evaluation; D014481:United States; D016549:United States Indian Health Service; D014959:Wyoming