NSG 6001 Week 1 Assignment 4 Review of Learning Points
NSG 6001 Week 1 Assignment 4 Review of Learning Points
Review provided a bulleted list of learning points from the clinical case and the salient features of patient education.
Included key points about patient’s presenting diagnoses, how learner arrived at each diagnosis, and the rationale behind suggesting the diagnostic tests.
Listed learner’s understanding of patient education for cardiac care gathered from research.
Identified the licensing and certification requirements of a nurse practitioner in your state.
Described Nurse Practitioner prescription-writing privileges in your state.
Described your state’s specific requirements regarding physician affiliation agreements. Many states have collaborative agreements, others have supervisory relationships and others have independent practice.
Identified your states regulation on narcotic prescription for the nurse practitioner prescriber and how and when to you apply for your DEA number if applicable.
Identified what an NPI number is and how you will obtain it.
Incorporated correct spelling, grammar, and professional vocabulary using APA style and citations where appropriate
Case Study Evaluation
Analyze the disorder addressing the following elements: pathophysiology, signs/symptoms, progression trajectory, diagnostic testing, and treatment options.
Differentiate the disorder from normal development.
Discuss the physical and psychological demands the disorder places on the patient and family.
Explain the key concepts that must be shared with the patient and family to achieve optimal disorder management and outcomes.
Identify key interdisciplinary team personnel needed and how this team will provide care to achieve optimal disorder management and outcomes. NSG 6001 Week 1 Assignment 4 Review of Learning Points
Interpret facilitators and barriers to optimal disorder management and outcomes
Describe strategies to overcome the identified barriers.
Care Plan Synthesis
Designed a comprehensive and holistic recognition and planning for the disorder.
Addresses how the patient’s socio-cultural background can potentially impact optimal management and outcomes.
Demonstrated an evidence-based approach to address key issues identified in the case study.
Formulates a comprehensive but tailored approach to disorder management. NSG 6001 Week 1 Assignment 4 Review of Learning Points
Now that you are in the final course in your program, it is time to turn in earnest to preparing for certification and licensure. You will need to take and pass the national PMHNP certification exam. Once certified, you will then be eligible to apply for licensure as an advanced practice registered nurse (APRN) in the state desired. It will be up to you to ensure you are knowledgeable about the practice agreements, scope of practice, and prescriptive authority in your state. NSG 6001 Week 1 Assignment 4 Review of Learning Points
Photo Credit: AndreyPopov / iStock / Getty Images Plus / Getty Images
Although a movement called the APRN Consensus Model is attempting to standardize NP regulations nationally, it is still the case that requirements vary state to state. In some states, NPs may establish an independent practice without the supervision of an MD. Additionally, states are currently categorized as either allowing full practice, reduced practice, or restricted practice. Full practice states allow NPs to evaluate, order diagnostics, diagnose, and treat patients. They are licensed under the exclusive authority of the state board of nursing for the appropriate state. Many states may require prescriptive authority protocols in addition to collaborative agreement.
Another important area to consider and plan for is prescriptive authority. The appropriate board, which may be the medical board, state board of pharmacy, or nursing board, grants prescriptive authority under state law for the appropriate state licensure. The federal government grants the authority to write for a controlled substance, and the Drug Enforcement Administration (DEA) verifies this action through by the appropriate state board. Drug Enforcement Agency registration is granted at the federal level and has additional requirements/fees for the registration process. NSG 6001 Week 1 Assignment 4 Review of Learning Points
In this Discussion, you will locate and review the practice agreements in the state in which you plan to practice, identify potential collaboration requirements in your state, and understand the certification and licensing process that you will need to follow.
To Prepare: NSG 6001 Week 1 Assignment 4 Review of Learning Points
- Review practice agreements in Maryland.
- Identify whether your Maryland requires physician collaboration or supervision for nurse practitioners, and if so, what those requirements are.
- Research the following:
- How do you get certified and licensed as an Advanced Practice Registered Nurse (APRN) in maryland?
- What is the application process for certification in your state?
- What is your state’s board of nursing website?
- How does your state define the scope of practice of a nurse practitioner?
- What is included in your state practice agreement?
- How do you get a DEA license? NSG 6001 Week 1 Assignment 4 Review of Learning Points
- Does your state have a prescription monitoring program (PMP)?
- How does your state describe a nurse practitioner’s controlled-substance prescriptive authority, and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe? NSG 6001 Week 1 Assignment 4 Review of Learning Points
By Day 3 of Week 1
Post a summary of your findings on your state based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Be specific. Also, describe what surprised you from your research. NSG 6001 Week 1 Assignment 4 Review of Learning Points
Required Readings (click to expand/reduce)
American Association of Nurse Practitioners. (2020). State practice environment. https://www.aanp.org/advocacy/state/state-practice…
- On the map on the webpage, click on your state and review. After you complete the PMHNP Program, pass the certification exam, and get a job, you will need to revisit this website to apply for the privilege to practice as an APRN with your state Board of Nursing. NSG 6001 Week 1 Assignment 4 Review of Learning Points
American Psychiatric Association. (2020). Telepsychiatry. https://www.psychiatry.org/psychiatrists/practice/…
Buppert, C. (2021). Nurse practitioner’s business practice and legal guide (7th ed.). Jones & Bartlett Learning.
- Chapter 1, “What Is a Nurse Practitioner?”
- Chapter 2, “Nurse Practitioner Scope of Practice”
- Chapter 3, “State Regulation of the Nurse Practitioner Practice”
- Chapter 4, “Federal Regulation of the Nurse Practitioner Profession”
- Chapter 5, “Prescribing”
Centers for Disease Control and Prevention. (2020). Using telehealth to expand access to essential health services during the COVID-19 pandemic. https://www.cdc.gov/coronavirus/2019-ncov/hcp/tele…
Centers for Medicare & Medicaid Services. (2019). National provider identifier standard (NPI). https://www.cms.gov/Regulations-and-Guidance/Admin…
- The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. NSG 6001 Week 1 Assignment 4 Review of Learning Points
Drug Enforcement Administration Diversion Control Division. (2020). Registration. https://www.deadiversion.usdoj.gov/drugreg/index.h…
- This site contains information about applying for your DEA registration number. This number is required for writing prescriptions.
- After completing PMHNP Program and passing the PMHNP certification exam, complete the DEA application to request prescriptive privileges. Your DEA number will be renewable every five years. NSG 6001 Week 1 Assignment 4 Review of Learning Points
National Panel for Psychiatric Mental Health NP Competencies. (2003). Psychiatric-mental health nurse practitioner competencies. National Organization of Nurse Practitioner Faculties (NONPF).
Stewart, J. G., & DeNisco, S. M. (2019). Role development for the nurse practitioner (2nd ed.). Jones & Bartlett Learning.
- Chapter 1, “Historical Perspectives: The Art and Science of Nurse Practitionering”
- Nurse Practitioner Core Competencies
- Nurse Practitioners’ Unique Role
- Chapter 13, “Quality, Safety, and Prescriptive Authority” NSG 6001 Week 1 Assignment 4 Review of Learning Points
Substance Abuse and Mental Health Services Administration. (2020). Become a buprenorphine waivered practitioner. https://www.samhsa.gov/medication-assisted-treatme…
- This site contains information about applying for a practitioner waiver to prescribe or dispense buprenorphine under the Drug Addiction Treatment Act of 2000 (DATA 2000).
- After you obtain a Drug Enforcement Agency (DEA) number and completed 24-hour medication-assisted treatment (MAT) waiver training, you may apply to Substance Abuse and Mental Health Services Administration (SAMSHA) for MAT waiver to be able to prescribe Schedule III, IV, or V opioid drugs for the maintenance and detoxification treatment of opioid use disorders relapse prevention. NSG 6001 Week 1 Assignment 4 Review of Learning Points
Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company.
- Chapter 2, “The Role of the Psychiatric-Mental Health Nurse Practitioner: Regulations and Scope of Practice”
- Chapter 3, “Theoretical Foundations of Care and Nonpharmacological Therapies”
Consult these professional organization websites as needed.
American Psychiatric Nurse Association (APNA) https://www.apna.org
International Society of Psychiatric-Mental Health Nurses (ISPN) www.ispn-psych.org
National Alliance on Mental Illness (NAMI) https://www.nami.org
National Council for Behavioral Health (NCBH) www.thenationalcouncil.org
National Institute of Mental Health (NIMH) https://www.nimh.nih.gov/index.shtml
Substance Abuse and Mental Health Services Administration (SAMHSA) www.samhsa.gov