APRN Case Study

Both Nurse Practitioners (NP) and Physician Assistants (PA) are two very important professionals in the field of medicine. They both work under the supervision of a licensed physician, and their functions are also quite similar with very minor differences between the two. Due to such similarities it has become very difficult for the general population to differentiate between these two professionals (Nurse Practitioner School, 2015). The nurse practitioners are registered nurses who have gone on to earn a master's or doctorate degree in a specialty area of nursing, such as family practice, adult practice, pediatrics or women's health. Their duties include diagnosing and treating acute and chronic conditions, prescribing medication,

In the United States, health care accessibility, quality, and affordability continue to be ongoing topics of discussion that effect many Americans on a regular basis. The need for affordable, quality healthcare continues to grow, not only due to a growing elderly population, but also as a result of the Affordable Care Act which has allowed millions of previously uninsured Americans access to health insurance and therefor better access to healthcare services (Patient Protection and Affordable Care Act, 2010). According to the Institute of Medicine (IOM) the projected demand increased for healthcare have led to a call for expansion of primary care services by policy makers (Institute of Medicine, 2010; National Governors Association, 2012). Since Advanced Practice Nurses or Nurse Practitioners (APNs or NPs will be used interchangeably for the purpose of this paper) are one of the fastest growing groups of healthcare providers, and continue to practice and provide care in a range of settings including primary care, it is important to investigate and address any potential barriers to practice. This author believes that allowing APNs to write prescriptions for commonly used controlled substances will help improve timeliness and flexibility in health care delivery; studies have shown that there is a positive impact on high

4) Due to the rebounding industry growth rate of 15% in 2011 comparable to the explosive CAGR of 16.1% from 2003-2008 combined with the partial opening of the new plant in Slovenia, OH Rates are most likely to increase with higher volume orders and larger scale operations. This in turn will decrease our bids and make it more attractive for prospective clients.

First, the state licensure regulates NP practice and it has been a big issue since NPs are not able to practice to the fullest extent despite of their education and training. NPs practice is regulated by state licensure and only about one-third of the nation has adopted full practice authority licensure and practice laws for NPs (Hain & Fleck, 2014). The American Association of Nurse Practitioners (AANP) reports that, under a full practice authority model, NPs are still required to meet

Controlled medications, also known as “scheduled drugs” are regulated by both the federal and the state laws due to their potential for dependence. Physician assistant (PA) pharmacology education prepares PAs to prescribe controlled medications. According to the SECTION 1. IC 25-27.5-2-14, the public law 102 -2013, identifies several practice changes for physician assistants in Indiana, which are effective from July 2013. The highlights of the new laws are:

been restricted on what they can and can’t do including signing certain documents and orders they can prescribe. With the Affordable Care Act the demand for primary care providers is growing (Gadbois, Miller, Tyler, & Intrator, 2015). This means that the need for APRNs is rising and the need change is approaching. In the primary care setting, there is a variety of medical staff working including medical assistance, LPNs, and RNs. This can become more for the APRN when delegating medication administration. When the APRN cannot delegate medication administration the quality of patient care is sacrificed and is not productive in providing care to the patients.

State law is made up of two different forms: statues and regulations (Buppert, 2015). Under the established rules and regulations, an ARNP can: (a) monitor and alter drug therapies; (b) initiate therapies for certain diagnosis’; (c) perform additional functions as may be determined by rule; (d) and order diagnostic tests and appropriate therapies (The Florida Legislature, 2016). A practitioner licensed under chapters 458, 459 or 466, must maintain supervision for directing certain course and medical treatment (The Florida Legislature, 2016). Within the context of advanced nursing practice and the Florida Statues chapter 464.003(2), an ARNP may diagnosis, treat, alter medication regimes, diagnose, prescribe and operate, which are approved by a joint committee composed of three members appointed by the Board of Nursing, three members appointed by the Board of Medicine and the State Surgeon General or his/her designee (The Florida Legislature, 2016). On the other hand, the federal government regulates nurse practitioner practice through statutes passed by Congress and regulations (Buppert, 2015). According to Buppert (2015), federal law can override state law, and when federal and state law conflict with one another, federal law usually triumphs. Due to these state and federal statutes and regulations, this can impose a huge threat and impact to NP practice since the BON and the Nurse Practice Act usually help

These organizations developed the Consensus Model document in 2008 to unify practice, identify APRN clinical roles, identify the acceptable titles to for NPs, and define the requirements for general practice and licensure. Note to mention that laws and regulations statute on the APN scope of practice may vary by states, whereas some adhere to full scope of practice, other to reduced practice, or restricted practice. For instance, the state of Florida defines advanced registered nurse practitioner as a licensed person with ability to practice professional nursing and certified to in advanced or specialized nursing practice (Buppert, 2011). The four advanced clinical specialized roles include certified registered nurse anesthetists, certified nurse midwives, clinical nurse specialist, and nurse practitioners (Buppert, 2011). In terms of licensure, 46 states out of 50 require nurse practitioners to pass a certification exam. The Florida Board of Nursing requires certification by an appropriate specialty board and graduation from a program leading to a master’s degree (Buppert,

In the State of North Carolina(NC) to be able to obtain a license to practice as a Family Nurse Practitioner the applicant will first will have to hold an active valid Registered Nurse license number from NC or from another compact state (NC Board of Nursing, 2015). The next major step is to complete an accredited Nurse Practitioner (NP) program. Until recently South University was not an accredited school in North Carolina for Nurse Practitioner not only a few months ago the accreditation was obtained. After satisfactory completion of the program the prospective NP will have to apply to the AANC or ACNP for examination to obtain a certification (NC Board of Nursing, 2015). Once the NP passes the board she will have national certification to practice in any state where the Registered Nurse license is active, and she will have to follow the requirement for that state. The board will mail a registration card that will allow the nurse to use the title of NP, but it does not grant the authority to practice. The NP will have to apply for certification to practice (NC Board of Nursing, 2015)

2. Can an APRN be licensed solely within a specialty such as an ER nurse practitioner?

by a nurse equivalent is equivalent to care provided by a physician.. In addition, the

In order to meet the growing demand for primary care, nurse practitioners need prescriptive authority to provide quality, safe, and cost-effective healthcare to patients. The development of nurse practitioners, plus physician shortages in primary care, leads to an increasing need for nurse practitioners and access to health care. However, nurse practitioners currently face prescription regulations for controlled substances, which limits their scope of practice. The regulation of nurse practitioners prescribing controlled substances diminishes comprehensive health care services by increasing the wait time for patients and liability claims for physicians. The number of nurse

The analysis of the collected and processed data regarding PRN effectiveness data for the acute psychiatric unit at the Alvin C. York reveals some opportunities for improvement. The PRN effectiveness rate is above the Department of Veterans Affairs benchmark percentage rate. The Department of Veterans Affairs benchmark rate for PRN effectiveness is ninety-five percent. The average PRN effectiveness rate for the acute psychiatric unit at the Alvin C. York VA medical center over the last six weeks is 97.6%. An analysis of the last six weeks of PRN effectiveness data for the acute psychiatric unit at the Alvin C. York VA medical center reveals varying degrees of performance with documenting the PRN effectiveness rate. On some dates, the PRN effectiveness

I was reading your post and I couldn’t help but wonder why would a doctor want the extra work that comes with hiring a nurse practitioner? The benefit to the patient is clear and can’t be argued. However, with the current rules in place by Missouri, it would seem there is some work involved by the doctor to be in partnership with a nurse practitioner. Putting the primary care doctor shortage aside, why not just hire another Dr. and not be responsible for someone’s work. There has to be a monetary advantage to this or else Dr’s would not do it. So here is what I have found.

After five weeks of rotation at the Florida Hospital Carrollwood Tampa, I have learned many things, not just about how the pharmacy operates in the hospital setting, but I also learned how important the clinical pharmacist is to the overall of the patient’s health. I am pleased to have Kathy Moorman, who is a Pharm.D, a pharmacy consultant and is also the Pharmacy Director of Florida Hospital, as my preceptor. Dr. Moorman is very knowledgeable and is full of enthusiasm in her works as well as in