APRN Scope Of Practice Case Study

The Scope of Practice describes the procedures, actions, and processes that a healthcare practitioner is permitted to undertake in keeping with the terms of their professional license (Wikipedia). Stories such as Delean Botkins’ is a primary example of why the Scope of Practice needs to be terminated once and for all. The Scope of Practice is causing a shortage of medical help, can cause more harm than good, inconsistent, unfair, and most of all, unnecessary. APN nurses should not only be able to, but should be encouraged to practice to the fullest extent of their education and

The South Carolina State Board of Nursing is responsible for licensure of APRNs (American Association of Nurse Practitioners, 2014). South Carolina (SC) is a restricted practice state, requiring Nurse Practitioners (NP) to be 1) supervised by, 2) perform delegated tasks from or 3) work as part of a team managed by, a medical doctor or dentist (American Association of Nurse Practitioners, 2014). To obtain an APRN license in SC requires a RN license, in good standing, a graduate degree and certification from an approved national credentialing source (American Association of Nurse Practitioners, 2014).

Advance Practice Registered Nurse (APRN) is a broad term that is used to define the masters prepared nurse that participates directly in patient care. This definition includes four different facets of nursing: certified nurse-midwives, nurse anesthetists, clinical nurse specialists and nurse practitioners (Joel, 2009). Of these four professions that are included in the APRN definition, Western Carolina University offers two: nurse anesthetist and nurse practitioner. Nurse educator and nurse leader, which are also offered at Western Carolina University, are not currently included in this definition.

Third parties in American politics have had limited influence on a national level due to the winner-take-all nature of elections. While they have had some success in local and Congressional elections, it has been limited, and they have certainly stopped short of reaching the presidency. One significant exception to the marginalization of third parties was the Progressive Party of 1912. Their influence was bolstered by Theodore Roosevelt’s popularity, public disapproval toward Taft, and the mass agreement with policies of the Progressive Party.

The scope of practice changes from state to state and it is good that we have the Nurse Practice Act of the state that we practice at the tip of our fingers because these laws are written by the board of that state to implement the standards of practice that is required. Further more, Federal too have their laws

Advanced practicing registered nurses (APRNs) serve essential roles in providing acute care, pediatric care, maternity care, chronic disease management, adult primary care, and mental health treatment. They are registered nurses who have additional training, education, and certification in a given field of practice. There are many potential issues which can influence their practice setting. This paper covers the legislative issues affecting advanced practice nursing formulates a possible policy change to address that matter. Legislative Issues Affecting Advanced Practice Nursing Legal issues affecting advanced practice nursing refer to the policies or laws enacted by legislatures to give guidelines in the field of advanced practice nursing.

Defining the scope of practice for an advanced practice nurse (APRN) can be a difficult task. Currently, in the United States, each state has its own policies regarding APRN scope of practice. State policies/laws vary from restrictive to independent. States under a restrictive policy of APRN scope of practice may have strict physician collaboration regulations. For example Missouri requires the collaborating physician to review a percentage of charts and be within so many miles of the APRN’s work place. Restrictive scope of practice can also limit prescriptive authority and decrease reimbursement of services (Hain & Fleck, 2014). States with more independent scope of

In 2008, the coalition of members from the Alliance for Advanced Practice Credentialing and the National Council of State Boards of Nursing (NCSBN) created the Consensus Model for Advanced Practicing Registered Nurses (APRN’s). This model creates a framework for APRN’s in licensing, accreditation, certification, and education in the United States (Alleman & Houle, 2013). The establishment of this Consensus Model has developed a bases for the ARNP’s comprehensive knowledge base, ability for clinical reasoning, cultural, and ethical competencies, establishing a model of practice for ARNPs in which to follow. These concepts will be further discussed in this paper.

The scope of the practice for APRN is to consider the specific population and territory of their independent practice to determine regulatory model which is appropriate and effective to the need of the community

There have been concerns regarding the identification and credentialing of advanced practiced registered nurses (APRNs). A APRN is a registered nurse who has successfully completed an accredited graduate-level education program, in which the individual is well prepared and successfully passed the nationwide certification examination (APRN Consensus Model, 2008). However, there are still debating issues of who would fall under the APRN category. The National Council of State Boards of Nursing (NCSBN) has identified four APRNs who are deem fit to be called ARPNs; however, only two will be named. They would be certified registered nurse anesthetists (CRNAs) and certified nurse practitioners (CNPs). Whereas, the nurse informatics and the nurse administrations are not considered to be APRNs; although, they are still license registered nurses but they do not provide direct patient care and are not required to take the national certification examination (ARPN Consensus Model, 2008).

Although Lady Macbeth appears wicked and evil-hearted, Shakespeare’s use of blood imagery reveals her humanity. At the beginning of Macbeth, Lady Macbeth emerges as the mastermind behind the murder of King Duncan. Macbeth dabbles with the idea of murder in order to secure the title of king, but then vacillates and decides against it. Lady Macbeth is the one who ultimately changes her husband’s mind, encouraging and convincing him to commit the crime. In her conversations with Macbeth, she acts defiant and strong. When she is alone, however, Shakespeare paints her in a different light. After the messenger notifies her that King Duncan and Macbeth are fast approaching, she is seen praying to evil spirits, asking them to fill her with cruelty and “make thick (her) blood.” (Shakespeare I.5.42) By asking the spirits for help to fulfill the cold-blooded role she wants to play, Shakespeare implies that Lady Macbeth has a conscience. She would not be praying for cold-bloodedness if she was sure she could commit the

Expanding the scope of practice for APRN remains a controversial issue in Missouri, where I currently reside. Expanding the scope of practice also remains an issue for the health care field nationwide. Stakeholders that I can identify include The American Association of Colleges of Nursing (AACN), The National Organization of Nurse Practitioner Faculties (NONPF), APRN Consensus Work Group, National Council State Boards of Nursing (NCSBN), APRN Advisory Committee, along with other health care organizations, health care educators, and health care providers nationwide (IOM Report., n.d., p. 133). Focusing in on Missouri, the stakeholders for this endeavor include health care

Meanwhile, women started to replace men. At the beginning of 1915, women were hired by some companies such as banks, administration and commercial firms. “The post offices recruited 11,000 (to replace their 18,000 mobilized men), the education sector hired 12,000, amounting to half the mobilized teachers (30,000) and the Parisian tramways hired 5,000” (Bette). It seems that women can work in difference workplaces. Society is not only focusing on men, but also it gives opportunity to women. In addition, some military institutions recruit women. In 1916, the army employed women to participate administrative departments like taking dictation and answering phones. The jobs are more extended wide for women. They can enjoy the equal pay and equal

APRNs are structured by the Consensus Model for APRN Regulation. The model was created by the APRN Consensus Work Group and the National Council of State Boards of Nursing (NCSBN) APRN Advisory Committee. This was developed to provide consistency so that the standards and scope of practice of APRNs will be the same (APRN, 2008).

This statement clearly defines the scope of practice of a nurse. But in the field of nursing there are several kinds of care givers. It includes registered nurses, midwives, licensed practitioner nurses, enrolled nurses and nurse assistants. The scopes of practice for these care givers are not so common. The scope of practice depends on their education qualification and experience which are well defined by the governing bodies. Some areas in the scope of practice of a nurse according to Queensland nursing council are,