Advanced Practice Nurses (Apn) Improve Access To Rural

Nurse Practice Act varies from state to state. Each state has different practices that one must

This paper explores the perception of clinical practitioners to the change in policy related to the advanced practice registered nurse (APRN) full practice authority. The author conducts a one-on-one, open-ended interview of 5 nurse practitioners and 5 physicians licensed to practice in Maryland on their perceptions of the recent passage of the Advanced Practice Registered Nurse Full Practice Authority. A literature review was conducted in a policy report by the professional nursing organization, and discussion within the peer-reviewed article supported an overview, regulatory differences among 50 states, including the District of Columbia. Their policy implication for enhancing APRNs role nationally. The author discusses a critical component

As a certified registered nurse practitioner (CRNP) practicing in the state of Pennsylvania, the current prescriptive authority limits prescribing narcotics to a 72-hour supply. This includes any Schedule II medication regardless of the patient and their pain regimen. Working under a collaborative practice agreement, the nurse practitioner (NP) can prescribe chemotherapy, treat and prescribe for most symptoms and side effects the oncology patient may encounter, but not treat pain with Schedule II narcotics (Leahy, 2007).

The Nurse Practitioner Core Competencies (NP Core Competencies) forms and builds upon ongoing Master’s and DNP core competencies and these are the channels and background for all graduating NP students. The NP Core Competencies can input their full scope of practice as an independent licensed practitioner. These essential competencies of an NP is fully developed by graduation, no matter what the NPs preferred speciality is. The core competencies are an essential part to face the multispecialty challenges of the changing health care system. By adding knowledge, skill, and ability to independently handle different

The purpose of this paper is to describe the role of health care reform with regards to the evolution and development of advanced practice nursing (APN) in the United States. Foundational aspects prominent in the development of defined APN roles include the health needs in society, support for innovation in health care, governmental health policy and regulation, health workforce supply and demand, and the development of advanced education, among other factors (Ketefian et al., 2001). APNs are comprised of nurse anesthetists, nurse midwives,

As a practitioner or a population health coach, both APNs considered other nurses at any level, and physicians within the same discipline, as her peers. Over the course of their professional careers, increased confidence, trust, and knowledge were the commonalities with evolving roles. The confidence and trust originates with oneself, then, includes that of her co-workers and physicians, but mostly from her patients. Maturing from the novice RN to an expert APN, the confidence and knowledge base has developed, building an individual practice and supporting patients and communities towards optimal health. Each considered autonomy the greatest privilege guaranteed them as APN.

In CS1 it is challenging for a nurse to develop new set of roles in conjunction with the term advanced practice nursing (APN), in the area of the direct role of the nurse practitioner (NP). APN’s are expected a broader more comprehensive insight of the vast complexity of health related circumstances than nurses that are in the lower more entry levels. What this means for the APN is that they have to reevaluate themselves and their healthcare contexts. During the case study driven by ambitions there are specific requirements needed in order for this study to be effective. The participants and tools that are needed for this case study are as follows, a nurse practitioner (NP)/advanced practice nurse (APN), NP students, hospital settings

The statutes lay out the rules for collaborative practice and prescriptive authority. A written collaborative practice between the APRN and a physician must be in place for an APRN to work beyond a nursing license. The collaborative physician must be within geographical proximity thirty to fifty miles. There is an exception to the mileage rule for qualifying rural facilities. The physician must review ten percent of all of the APRN’s charts every two weeks and twenty percent of charts/patients that are receiving controlled substances. The written agreement must contain a list of prescriptive medications the physician will allow the APRN to prescribe in agreement with state prescriptive laws. The physician must document a minimum of thirty days of full supervision of the APRN before allowing the APRN to practice without the physician present. And finally, CRNAS are allowed to administer anesthesia without a physician physically present as long as there is one that could be available if

To obtain prescriptive authority, the prescriptive authority application can be submitted with or separately from the APRN license application. However, forty-five continuing education hours in pharmacotherapeutics must be completed prior to submitting the prescriptive application. Fifteen of the forty-five required hours must be related to controlled substances if applying to prescribe Schedules III through V controlled substances. The prescriptive authority expires every two years at the same time as the APRN license expires (South Carolina Department of Labor, n.d.). I must also apply for a Drug Enforcement Administration (DEA) number to be able to prescribe controlled substances; this may take up to 6 weeks for approval. The DEA number must be renewed every three years (U.S. Department of Justice: Drug Enforcement Administration, n.d.). Additionally, I will obtain a National Provider Identifier (NPI) number for transactions related to the Health Insurance Portability and Accountability Act (HIPAA) standard. To do so, I will submit a web-based application through the National Plan and Provider Enumeration System (NPPES) website (Department of Health and Human Services,

The historic article by Safriet (1992) fully lists and analyzes the major challenges facing the advanced practice nurse (APN). At the time the article was written compared to now, a few aspects are changing. In areas where change has occurred, it has been an exceedingly slow process. Change for APNs is often dependent on legislation and regulatory authorities which receives half-hearted support, at best, from the medical establishment (Safriet, 1992). Since the first day nurses were given any authority to practice outside of regular practice, physicians only objected when it began to encroach upon their perceived hierarchal status or potential for compensation (Hamric, Hanson, Tracy, & O’Grady, 2014). The concern that this

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

It is very important for the NP to understand their scope of practice and the rules they must follow to legally furnish drugs and devices in California. Different states also have different rules for furnishing drugs and devices, a function of primary care that an NP needs to perform to be successful in the patient aspect of their work. NPs in California need to address not only the Board of Registered Nursing’s (BRN) requirements, in addition to the Drug Enforcement Agency’s (DEA) requirements for writing prescriptions. Over time new rules and regulations are being presented for legislative action, so it is important to stay up to date with information that may affect the NP profession.

Advanced Practice Registered Nurses (APRNs) have the qualifications and education have an increased scope of practice that allows them to to take on many positions due to their clinical expertise. Their preparation allows them to fulfill the responsibilities to their patients and to provide a far more services in practice that other nursing professions. With recent changes in medical reimbursements and the focus on patient-centered preventive care, nurses can take on the role of nurse practitioner, clinical nurse specialist, nurse anesthetist, or nurse midwives, among others and can play a more meaningful role in the future of health care delivery. APRNs expand the delivery of primary care by becoming apt providers that are hastily confronting the need for providing effective preventative care to the general public.

These barriers include the state practice and licensure, physician related issues, payer policies, and other barriers. CNPs are faced with barriers pertaining to the state licensure that regulates their practice. The barriers can impede their ability to practice to the fullest extent of their training and education (Hain, & Fleck, 2014). This restrictive scope of practice can result in serious consequences that can interfere with accessible care. According to Hain, and Flecker, (2014), other barriers includes lack of physicians support for CNP, sticker payer policies regulation imposed on the CNPs, which has limited their ability from practicing independently, and the lack of recognition of CNPs as a primary care provider by some insurance company, which has forced them to bill for care of services under a physician’s

Advanced practice nursing (APN) has always been a thought-provoking notion for the nursing profession and there continues to be confusion in the terminology surrounding the roles. Nursing continues to struggle with the conceptualization of advanced practice as evident by the unceasing ambiguous use of this term in healthcare and the lack of understanding of this distinct and much needed discipline. The term advanced practice nursing first appeared in the nursing literature in the 1980’s, as it represents the future frontier for nursing practice (Ruel & Motyka, 2009). The numerous systemic health care changes occurring because of The Patient Protection & Affordable Care Act (ACA) make this an ideal time for the full use of advanced practice nursing. With the new adoption of the ACA, the focus of client healthcare is shifting away from hospital-based care toward community-based care that will be lead primarily by APN’s. Physicians are not predicted to lead this change due to the current critical shortage of public health and primary care physicians (Cowen & Maisano, 2013). Also, health care now is faced with the challenge of the new influx of patients suddenly insured by the ACA who never sought treatment before, but are now seeking primary care physicians. Encouraging nurses to gain new independent roles seems to be the government’s response in delivering a more cost effective and efficient way of dealing with this health care crisis we face. With the advanced