NSG 6002 Week 3 Assignment 2 Recent
NSG 6002 Week 3 Assignment 2 Recent
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. NSG 6002 Week 3 Assignment 2 Recent
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
Care plan demonstrated involvement of the client in the process of recognition, planning, and resolution of the problem.
Care plan included effective nursing interventions that are customized for the client and appropriate to the goal.
Care plan included diagnostic work-up, medications, conservative measures, and follow-up plan. NSG 6002 Week 3 Assignment 2 Recent
Care plan provided rationale for choosing a particular treatment modality. NSG 6002 Week 3 Assignment 2 Recent
Care plan demonstrated logical diagnosis that was substantiated with relevant evidence.
Care plan focused on patient education and maintained a fine balance between major and minor health issues of the patient. NSG 6002 Week 3 Assignment 2 Recent
Care plan included nursing interventions that are specific, appropriate, and free of essential omissions.
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 6002 Week 3 Assignment 2 Recent
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.
Respectful Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.
1..The peer postings should be at least one paragraph (approximately100 words).
2.Please be sure to validate your opinions and ideas with in text citations and references in APA 6th edition format.
Jason’s Perspective:
In the United States, APRN practice is regulated at the state level by legislation. The title of the article that I chose to review is “The Full Practice Authority Initiative:
Lessons Learned from Nevada.” The article is intended to be useful for the states that have yet to pass full practice authority legislation. According to Duncan and
Sheppard (2015), “Legislative restrictions in many states currently prevent NPs from practicing to the full extent of their education and training” (p. 611). The authors NSG 6002 Week 3 Assignment 2 Recent
identify eight of the primary barriers Nevada faced and overcame in hopes to assist other states in their attempts with this initiative. Duncan and Sheppard (2015)
note, “A total of 8 significant barriers to FPA legislation were identified: lack of a clear vision, lack of physician support, inability to address all stakeholders, lack of a
strong coalition with leadership and legislative experience, lack of vital resources, NP role recognition, community and regulatory organizations, and social media” (p.
612). The number one factor dividing various types of practice across state lines is physician oversight. Ward (2015) notes, “Full recognition of APRN practice offers NSG 6002 Week 3 Assignment 2 Recent
many potential advantages for patients and communities. The main advantage is increased access to health care. The expanded payment coverage of CNS services by
the Centers for Medicare & Medicaid Services created by the ACA increases access to health care by offering another provider option” (p. 210). NSG 6002 Week 3 Assignment 2 Recent
In the state of Georgia, APRN’s receive authorization from the Georgia Board of Nursing. The current requirements are 1.) current RN license in state of GA 2.)
masters of science degree (or higher) in nursing 3.) advanced pharmacology must be included in the curriculum or completed as a separate course 4). national
certification through an approved certifying agency (NursingLicensure.org, 2018). According to NursingLicensure.org(2018):
Application forms are available for download from the Board website (http://sos.ga.gov/index.php/licensing/plb/45/authorization_as_an_aprn). CNS and NP
applicants will note on the application the type of nurse practitioner or clinical nurse specialist practice that corresponds with their preparation. A certification
verification form is included in the application packet. The licensing agency asks that the certification agency submit verification via email to the address listed in
the packet. The transcript is to be included in the packet in a sealed envelope. Applicants who answer “yes” to questions about legal convictions or board
disciplinary actions will need to provide detailed letters of explanation as well as supporting documents. Noncitizens will include a copy of a document that
establishes qualified alien status. The application fee is $60. Application forms require notarization. Required materials should be sent together in a nine by
twelve envelope to the Board office in Macon. The licensing agency communicates primarily by email. Applicants can monitor status online (NursingLicensure.org,
2018, para. 6).
The requirements of the state of Georgia differ from other states primarily in the prescriptive authority. FNP’s in certain states like Nevada have no requirement for
physician involvement for nurse practitioner prescriptive authority (Duncan & Sheppard, 2015).
References
Duncan, C. G., & Sheppard, K. G. (2015). The full practice authority intitiative: lessons learned from Nevada. The Journal for Nurse
Practitioners, 11(6), 610-617. Retrieved from www.npjournal.org
NursingLicensure.org. (2018). https://www.nursinglicensure.org/
Ward, C. W. (2015). It’s time to recognize APRN practice nationally. Medsurg Nursing, 24(4), 210-211. Retrieved from
http://www.medsurgnursing.net/
April’s Perspective:
Article Summary
The article I chose to utilize for this assignment is entitled “30th Annual APRN Legislative Update: Improving access to healthcare one state at a time.” The January 2018 article, published in The Nurse Practitioner journal, provides a great overview of Nurse Practitioner practice on both the national and state-by-state level. The body of the article summarizes national and state efforts, changes, and accomplishments affecting the APRN profession during the 2017 year. Prescriptive authority, practice authority, and reimbursement changes are highlighted for states that made progress in such areas. For example, NPs in both South Dakota and Illinois were granted full practice authority in 2017.
Additionally, North Dakota adopted the APRN Compact for Licensure, becoming just the third state behind Wyoming and Idaho to do so. The APRN Compact would allow for NPs who hold a state license in one compact state to also practice in another compact state without obtaining a separate state license, much like the Nursing Licensure Compact which currently includes 26 states. The article also contains a map highlighting each state in a different color to designate practice authority laws.
A table is also included that summaries the total number of APRNs per state. The end of the article contains an appendix of sorts, arranged alphabetically by state. For each state, the legal authority, reimbursement, and prescriptive authority regulations are listed (Phillips, 2018). NSG 6002 Week 3 Assignment 2 Recent
Personal View of Nurse Practitioner Scope of Practice
In regards to the information contained in the article, I feel it is a good summary of the recent actions impacting NP practice nationally. As a future NP, it is exciting to see the leaps and bounds that the NP profession is making, and I will look forward to reading the yearly updates each January in this journal. I also appreciate the state-by-state breakdown of NP practice, as it makes the task of finding information for each state relatively easy. I am actually surprised that the scope of practice for NPs varies so much from state to state and that there are not more states that allow full practice authority for NPs.
The map adds a good visual of how states are grouped according to scope of practice; for example, the majority of full-practice authority states are in the northwest of the country. Additionally, the table showing the number of NPs per state is very interesting. For me, it really puts into perspective how small and scarcely populated my home state of Montana is when compared to larger states such as California and New York! While Montana only has 1,021 practicing NPs, both California and New York have over 23,000 NPs in practice (Phillips, 2018). NSG 6002 Week 3 Assignment 2 Recent
Scope of Practice for Montana and North Dakota
I live in eastern Montana, about 30 miles from the North Dakota border. The likelihood is that I will practice as an NP in either one of the states. I feel lucky that both of these states grant full-practice authority to NPs, meaning that NPs can independently evaluate and diagnose patients, order and interpret diagnostic test, initiate and mange treatment plans, and prescribe medications and controlled substances without physician oversight or collaboration (American Association of Nurse Practitioners, 2018).
In both states, NPs are independently authorized to prescribe all medications, including Schedules II-V controlled substances, using their own DEA number. Additionally, NPs in Montana and North Dakota are permitted to receive and dispense drug samples. As stated above, North Dakota just entered the APRN Compact for Licensure (Phillips, 2018). Living on the border of Montana and North Dakota, this is something that may be beneficial for me in the future, as I may choose to practice in both states. NSG 6002 Week 3 Assignment 2 Recent
References
American Association of Nurse Practitioners. (2018). State Practice Environment. Retrieved from https://www.aanp.org/advocacy/state/state-practice-environment
Phillips, S. (2018). 30th Annual APRN Legislative Update: Improving access to healthcare one state at a time. The Nurse Practitioner, 43, 27-54. doi: 10.1097/01.NPR.0000527569.36428.ed