Nurse Practitioner Regulation Paper

According to the BON, the scope of practice for the RN is defined as, “the legal scope of practice for professional registered nurses (RNs). “Professional nursing” means the performance of an act that requires substantial specialized judgment and skill, the proper performance of which is based on knowledge and application of the principles of biological, physical, and social science as acquired by a completed course in an approved school of professional nursing. The term does not include acts of medical diagnosis or the prescription of therapeutic or corrective measures.” (bon.texas.gov,

One similarity between NPs, other APNs and PAs is that, they all play a very important role in health care and patient centered approach of care is their objective. Also, their practice is based upon their education, training and certification in collaboration and under supervision of physicians. Another similarity is that, their scope of practice face limitations and restrictions in practicing be it state base or nationally. State laws and regulations act as barriers towards the broadening of PAs professional competencies same as NPs face licensure and practice laws that prevent full extent of their education practice. NP practice requires supervision, delegation, or team-management by an outside health discipline in order to provide

Scope of Practice NP’s scope of practice can vary depending on which state they are licensed in. It is extremely important that the NP is aware of the laws and regulations that their state has implemented. Understanding the scope of practice allows you to understand what you can and cannot do as an NP. In Arizona, NP’s are board certified and are now required to take a national certifying exam (Buppert, 2015). NP’s in Arizona have an expanded scope of practice, they can assess, manage, diagnose, and prescribe medications to patients.

Advanced Registered Nurse Practitioners and other health care professionals may be granted defined clinical privileges when allowed by law and the

Running head: PHYSICIAN ASSISTANT CONTRIBUTIONS TO MANAGED CARE ORGANIZATIONS Physician Assistants and Nurse Practitioners: The impact if statutes limiting PA and NP were eliminated Natalie L. Burnett Kaplan University Master of Health Care Administration Program Abstract The purpose of this research is to explain what would happen to the level of completion in the physician services market if all statutes limiting activities of physician assistants and nurse practitioners were elimiintated. (Teacher Name, Date) demonstrate the value that a physician assistant (PA) can provide to a managed care organization. The increasing competitiveness of the health care market has caused managed care organizations to become more aware of the

A specialist PA certified by the NCCPA must meet several requirements. Under the NCCPA’s Certificates of Added

The model includes the following key elements to ensure the uniformity of state laws: title of APRN, licensure, graduate or postgraduate education, certification, independent practice and independent prescribing (National Council of State Board of Nursing [NCBON], 2017). North Carolina Board of Nursing has targeted some of the major elements of the Consensus Model, while independent practice and independent prescribing remained unaffected. APRN titles and educational requirements Currently, the North Carolina Board of Nursing (NCBON) uses the following titles for APRNs: Nurse Practitioner, Nurse-Midwife, Nurse Anesthetist, Clinical Nurse Specialist.

According to the California Board of Registered Nursing (2011), “An Explanation of the Scope of RN Practice including Standardized Procedure” documentation defines the scope of practice for RNs licensing in California also explains the process of determining if a standardized procedure is required. It is RNs’ responsibilities and accountabilities to enforce the Nurse Practice Act (NPA) pertaining to the specific state for nursing practice within the scope of educational level and entitled licensure allowed. In addition, “Code of Ethics for Nurses” (American Nurses Association [ANA], 2015) provides guide indicating how to care patients with ethical obligations. An organized health care system such as health care facility, clinic, home health

Nurse Practitioner can be defined as a person who has met the qualifications for certified nurse practitioner and has been licensed by the Department. According to the state of Illinois, all Advanced Practice Nurses may only practice according to the national certification and Act. Unlike the other states, Illinois has only one title everyone refers to for Nurse practitioner which is Advanced Practice Nurse (APN). The agency that regulates Nurse Practitioners is the Board of Nursing.

The applicant must notify their employer immediately upon receipt of notice of failure to pass the examination or of licensure disapproval. 2E- In the state of Al an LPN cannot conduct pre delivery vaginal exams but can complete vaginal exams to determine fetal position. 2F- Misrepresenting or falsifying facts in applying for original licensure, renewal, reactivation, or reinstatement of a license. Obtaining or attempting to obtain an unauthorized prescription by fraudulent means for self-use and having a pattern of abuse or misuse of habit forming and/or mood-altering drugs or alcohol.2G- Using the standard of care act will promote safety by providing a clear understanding of what can and cannot be done to provide the highest and safest level of care. 2H- regional issue- Alabama does not participate in compact state licensing.

Licensed Practical Nurses take vital signs, give out medication and measure/monitor frequency and amounts, provide personal hygiene assistance to patients, supervise nursing assistants and aides, set up, clean up, and use catheters, oxygen supplies, and other equipment, and provide care and feeding to infants. They are required to know how to do these things and be certified in doing them. A Licensed Practical Nurse is required to have a diploma or certificate in practical nursing. All Licensed Practical Nurses are to take and pass the National Council Licensure Examination for Practical Nurses (NCLEX-PN). This occupation can require a two year

Registered nurses are required to deliver wide-range nursing attention and treatment to all persons in a healthcare setup (American Nurses ' Association, 2000). Notably, they have to offer emergency care and guarantee the safe execution of treatment. It is mandatory for nurses to demonstrate a broad knowledge of the laws and regulations that are in line with their profession. Additionally,

I liked going online and looking at the nurse practitioner scope of practice laws by state. Barton Associates did an excellent job of creating a display

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The state of Texas follows restricted practice for nurse practitioner that means state requires supervision, delegation by physician in order for NP to provide patient care. Some state have full practice authority that means the state practices and licensure law allows NPs to evaluate patients, diagnose, order and interpret diagnostic tests, initiate and manage treatments including prescribing medications under the exclusive licensure authority of the state board of nursing (AANP, 2014).Reduced practice and licensure means that NP has ability to engage in at least one element of the NP practice and is regulated through a collaborative agreement with an outside health discipline in order to provide patient care (AARP, 2013). Restricted practice and licensure means NP has ability to engage in at least one element of NP practice and requires supervision, delegation or team management by an outside health discipline in order to provide patient care (AARP, 2013). According to The Texas Nurse Practitioner (n.d), nurse practitioner in the state of Texas are required to have a written prescriptive authority agreement (PAA) with a physician, to prescribe medication.