Discussion: Professional Nursing and State-Level Regulations
Discussion: Professional Nursing and State-Level Regulations
Please follow the instructions below i will attach 5 files to this order 1 is the required course reading 2 is a chapter 4 of the book to read 3 and 4 are students that did similar work. use theirs as example to guide your writing.
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.
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Discussion: Professional Nursing and State-Level Regulations
Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.
It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.
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..
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. NURS 6050 Discussion: Professional Nursing and State-Level Regulations
1 Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.
· Chapter 4, “Government Response: Regulation” (pp. 57–84)
2 http://www.nursingworld.org/
3Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765. doi:10.1016/j.outlook.2017.10.002
Note: You will access this article from the Walden Library databases.
4 https://class.waldenu.edu/bbcswebdav/institution/USW1/202050_27/MS_NURS/NURS_6050/artifacts/USW1_NURS_6050_Halm_2018.pdf
5 https://www.ncsbn.org/index.htm
6 Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66(4), 379–385. doi:10.1016/j.outlook.2018.03.001
Note: You will access this article from the Walden Library databases.
7 Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). mHealth: Don’t forget all the stakeholders in the business case. Medicine 2.0, 4(2), e4. doi:10.2196/med20.4349
Note: You will access this article from the Walden Library databases.
NURS 6050 Discussion: Professional Nursing and State-Level Regulations SAMPLE
Introduction
APRN board of nursing regulations vary from state to state across America. It is the responsibility of the license APRN to know and understand their scope of practice as it varies from state to state. In this post I will compare and contrast two nursing regulations between my home state of Maryland and the neighboring state of Delaware.
APRN Nursing Regulations
When I graduated nursing school I remember being told that it was vital I became aware of what was within my nursing scope of practice with Maryland. I never really fully understood the importance of this guidance until I started practicing. I learned that not every state allows APRN’s to practice to the fully extent of their license and I have now learned that the same goes for advanced practice registered nurses. According to the AMA, “nurse practitioner”means an individual who (1) is licensed by the Board to practice registered nursing; and (2) Is certified by the Board to practice as a NP. Maryland regulatory bodies require that physician involvement be required for the first 18 months of practice. This means that they must consult and collaborate with a physician or nurse practitioner for the first 18 months of practice (AMA, 2017). This is further explained on the Maryland Board of Nursing website, where it states that each new applicant who has never been certified as a CRNP in Maryland, or any other state, must name a mentor on their application for certification. The mentor must be a certified Maryland CRNP or Licensed Maryland Physician. This will serve as proof that the applicant has a mentor guiding their practice for the next 18 months (MBON, 2019). Although this appears as a great guideline for New APRN’s in Maryland it differs in Delaware. For example, in Delaware APRNS are required to practice under a collaborative practice agreement with a physician for two years and a minimum of 4,000 hour of practice (AMA, 2017). As state by the AMA, all APRN’s have full practice and prescriptive authority but to clarify full practice doesn’t mean fully independent practice. Independent practice can be achieved once they have completed their 4,000 hours of practice and once they apply to the APRN committee for independent practice (AMA, 2017). According to AANP Maryland is a full practice state meaning “State practice and licensure laws permit all APRN’s to evaluate patients, diagnose, order and interpret diagnostic test; and initiate and manage treatments, including prescribing medications and controlled substances, under the exclusive licensure authority of the state board of nursing” (AANP, 2018). For example, in Maryland an APRN may sign death certificates and issue emergency DNR orders. In Delaware (AMA, 2017). In Delaware, although an APRN may sign a death certificate they must be the patients’ primary care giver (“Advanced Practice Nurses in Delaware”, 2013). It is the smallest nuances that can be over looked and cause issues regarding practicing outside a particular states scope of practice (Delaware Board of Nursing, 2016)
Adhering to Regulations
Ultimately is the responsibility of the APRN to ensure they are aware of their regulations according to the state they are employed. It is important to become familiar with the regulating board for the practicing state and to read the Nurse Practice Act within that state. I didn’t mention licensing in this post but it is important that new APRN’s are aware of the entire renewal process as well. This will help them be prepared and punctual when the time for renewal approaches. In Maryland the Board of Nursing is the regulatory board and I will be sure to familiarize myself with my scope of practice as an APRN upon certification.
Conclusion
Although I found this post difficult to research I think it was very important in the long term for all NP students. I am better equipped and better understand my nursing scope of practice within my home state. I am learned that just because Delaware is seven miles from me they have an entirely different expectation for APRN’s. At the end of the day no one if going to protect your license better than you, so do yourself a favor and educate yourself on your states particular scope of practice.
References
Advanced Practice Nurses in Delaware. (2013). Retrieved December 25, 2019, from https://www.nursinglicensure.org/np-state/delaware-nurse-practitioner.html.
American Medical Association. (2017). State law chart: Nurse practitioner practice authority. Retrieved from https://www.ama-assn.org/media/14391/download
Advanced Practice Registered Nursing: Nurse Practitioners. (2019, November 5). Retrieved December 25, 2019, from https://mbon.maryland.gov/Pages/adv-prac-nurse-practitioner-
index.aspx.
Delaware Board of Nursing. (2016). Retrieved December 25, 2019, from ttps://dpr.delaware.gov/boards/nursing/.
State Practice Environment. (2018, December 20). Retrieved December 25, 2019, from https://www.aanp.org/advocacy/state/state-practice-environment.
Discussion: Professional Nursing and State-Level Regulations
Discussion: Professional Nursing and State-Level Regulations
