Discussion- Professional Nursing and State-Level Regulations

To Prepare:

Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
Consider how key regulations may impact nursing practice.
Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..

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BY DAY 3 OF WEEK 5

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

Respond to these 2 posts with references:

Discussion Board week 5- Professional Nursing and State-Level Regulations

Kristine Kramer

Walden University

NURS – 6050N Policy and Advocacy for Improving Population Health

Dr. Amber Cook

12-16-20

Each state board of nursing has the right to have regulatory restrictions for the protection of the public. While deciding to go back to school to obtain an advanced practice degree looking through the state regulations and how they differ was interesting. I live in rural NW, Missouri, about thirty minutes from the Iowa state line. As an RN, the nurse licensure compact allows nurses to practice in multiple states that all states surrounding Missouri are a part of (Nurse Licensure Compact, 2020). Unfortunately, after obtaining my PMHNP, the regulations differ quite a bit between Missouri and Iowa.

Firstly Iowa allows nurse practitioners to practice independently within their degree specialty, which is considered full-scope practice. In Iowa, the APRN may prescribe medications to treat patients with the nurses’ specialty and independently prescribe controlled substances up to level two as long as they hold a current license and are registered with controlled substance acts (Iowa Board of Nursing, 2020). In Missouri, the APRN must have a collaborative practice agreement with a physician to see patients. Also, nurse practice cannot prescribe controlled substances unless directly stated in the collaborative practice agreement. If stated, the APRN must have prescription authority, proof of 300 hours of precepted pharmacological experience, and 1,000 practice hours (Board of Nursing, 2020).

Another regulation that differs between Iowa and Missouri is the authorization signature for a patient to receive a medical marijuana identification card. The stipulations of medical diagnosis for the need for medical marijuana remain similar between states. Still, in Missouri, a nurse practitioner cannot sign the authorization form (Board of Nursing, 2020). Iowa laws allow nurse practitioner physician assistants, MD/DO, and podiatrists to sign the health care practitioner attestation (Iowa Board of Nursing, 2020).

References

(2020). Retrieved from Iowa Board of Nursing : https://nursing.iowa.gov/

Board of Nursing . (2020). Retrieved from Missouri Division of Professional Registration: https://www.pr.mo.gov/nursing.asp

Nurse Licensure Compact. (2020). Retrieved from NCSBN: https://www.ncsbn.org/nurse-licensure-compact.htm.