Natinal Licensure Debate

The scope of nursing practice is regulated and outlined by the State Board of Nursing for each state. While every eligible student takes the same National Council Licensure Exam (NCLEX), minimum education requirements and eligibility may differ state to state (Potter, Perry, 2013). Since nurses must have a license for each state practiced in, this becomes complicated for those working near state borders, occupational nurses for companies operating in multiple states, and traveling nurses. Obtaining and upholding individual state licenses can become burdensome and expensive. To circumvent this issue, the Nurse Licensure Compact (NLC) came into fruition to allow nurses to practice in participating states while only

2. A new graduate nurse is working in the pediatric intensive care unit. She has been employed a total of 5 months, 3 of which were spent in orientation. Her patient, a child with a cardiac defect and pneumonia, has a very unstable condition and has needed an increasing amount

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CCC staff are expected to treat all Protected Health Information (“PHI”) and Personally Identifiable Information ( ”PII”) in any form (paper, electronic, or verbal) as confidential in accordance with government regulations and are not to divulge PHI unless the patient, or a legally authorized representative has properly authorized a release of information, or as otherwise permitted or required by law. CCC staff will only release the minimum amount of information necessary to fulfill a

was the use of telemedicine in order to reach patients who do not have access to

The benefits of telehealth consultations are immeasurable; clients are able to access a knowledgeable health care professional and receive a telephone triage/assessment and recommendations. This allows the patient to have immediate access to good health advice and quicker solutions. Telemedicine is one of the many vehicles of telehealth; for example, the cardiologist orders an outpatient Holter Monitor trial to evaluate arrhythmias. The technician calls the patient at the sign of any abnormal rhythm and investigate the activity performed when the reading fluctuation then the reported is communicated to the cardiologist. If warranted, the cardiology staff will contact the patient with instructions schedule an immediate appointment. Telehealth services resources would benefit the client in this next example, an individual’s come in for a sick visit expecting a prescription to be written for their illness; they receive informative instructions because of the nature of the

Nursing is a crucial field, which affects the lives of people. The public does not have enough information pertaining those who practice nursing this led to the introduction of nursing licensure to protect the public from unqualified persons. This license sets qualifications and competence of nursing professionals. Compared to state nursing licensure, national nursing licensure advocates for a more effective practice for nurses. It reduces or lessens nursing shortage by promoting mobility of the nursing professionals. National nursing licensure has a number of advantages over individual state nursing licensure. These include enhanced patient access to quality nursing care, improved discipline and information distribution amongst the states, physical and electronic provision of care by competent nurses, and ease of employers to more movable and proficient nurses (Fraziea, 2012).

In this discussion, it is indispensable to review issues concerning telehealth, ethical issues and nursing relevance, and implications for nursing in an effort to renew healthcare as a whole.

Licensure is when a person has shown competency in a field of study and has earned the right to become licensed in that line of work. For example when a person wants to become a Physicians Assistant they will take an exam at the conclusion of their higher education to become certified. If they pass their exam they will have earned the right to be a certified (or licensed) physician assistant and be rewarded with the credentials, PA-C (Physician Assistant-Certified) and will be allowed to work in a medical setting under this title.

Health professionals providing telemedicine services shall have the necessary education, training/orientation, and continuing education/professional development to insure they possess the necessary competencies for the provision of quality health

Because of the current measures, nurse practitioners are not allowed to practice without supervision in some states. These limits are in place because physicians are concerned that nurse practitioners don’t have enough experience to care for patient without direction. These actions prevent free market competitions which the nurse practitioners are upset about. However, “The Federal Trade Commission vigorously promotes competition in the health care industry through enforcement, study and advocacy. Competition in health care markets benefits consumers by helping to control cost and prices, improve quality of care, promote innovative products, services, service delivery models, and expand access to health care services and goods” (Ramirez et

Nurses have an important role in the delivery of health care and their practice is guided by rules and regulations established by the government. President Obama recent establishment of the healthcare reform was designed to ensure health care coverage for all Americans, focus on preventative health care coverage, improve healthcare efficiency and quality (Paradis, Wood, & Cramer, 2009, p. 281). I will discuss how the new healthcare reform affects community health nurses and the sponsor of the new regulations. Also I will include new reports and interview data collected from President Obama regarding the health care reform and further discuss his reasons for the healthcare regulation. Finally, I will describe how this new healthcare reform has an impact on nurses and the consumers of healthcare. Nurses serves as a key component in the delivery of care to the patient and we have to keep abreast of changes within the laws or policies established by the government regarding our scope of practice.

Furthermore, licensing and accreditation standards must be heightened to insure the quality of the nurses that enter the workforce. Certifying organizations must therefore mandate the proper demonstration of core competencies and skills prior to endowing students with the nursing title. The nursing profession, according to the IOM report, must undergo fundamental changes within the overall education of nurses. In many respects the basic

Upon considering the past and future of nursing, many changes have already taken place, and even larger changes are expected. With the recent rate of technological development, the heath care system is certain to follow in its advances at nearly the same pace. Many predictions for the future of medicine are based on computerized technology. The use of telemonitoring, video and “smart houses” are already being used by some companies today, and will be utilized more frequently in the future. This will enable one nurse to care for many more patients than he/she is capable of safely caring for currently. This is very important due to the baby-boomer generation growing older and the

Telenursing uses the technology for the nurses to do follow-up care with patients. The modern approach of follow-up care comforts the patient. Telenursing, the use of technology to allow nursing from a geographic distance, is used in many different settings including hospitals, home care, and other health related facilities. Telenursing is communicated via many different devices of technology. These are many different advantages in using telenursing rather than disadvantages. There are many different organizations involved in developing telenursing.