Nurse Practice Act Essay

Nursing is a profession that requires specialized training, knowledge, skills, and judgment to foster an independent decision making. Practicing nursing is a right granted by the state to safeguard those in need of care and efficient nursing practice is substantiated by the state Nurse Practice Act (NPA). The NPA is ratified by each state based on set guidelines and passed by the state legislature (Russell, 2012). The NPA serves as a corner stone in regulating the duties and responsibilities of the professional nurse. The NPA is founded on set guidelines, however, the states’ board of nursing (BON) has the authority to modify the laws and regulations to fit the desired practice expectations set forth (Russell, 2012). The state of Virginia (VA), where this writer currently practices, has laws and regulations that govern the nursing practice of the Registered Nurse (RN) and the Clinical Nurse Specialist (CNS). The purpose of this paper is to discuss the similarities and differences between the role of the RN and the advanced practice nurse as well as to identify if the Virginia NPA identifies the role of an infection prevention nurse specialist.

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

In 2008 the Alliance for Advanced Practice Credentialing and the National Council of State Board of Nursing published specific masters educational, accreditation, licensure, credentialing, certification processes. The masters educational, accreditation, licensure, credentialing, certifications are based on a set of values steps to practice will ensure that NPs have the skills training to place themselves to serve an fundamental role in national health care reform (Graduate NursingEDU,

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,

After attending the Arizona State Board of Nursing meeting through live stream on September 18, 2015 at approximately eleven in the morning, I had the opportunity to witness how the board enforces all the rights and regulations of the Nurse Practice Act and upholds the requirements set for each standard. The board consists of the board president Randy Quinn, RN, MSN, CRNA, the boards vice president Carolyn Jo Mccormies, RN, MS, FNP-BC, Kathryn Busby, J.D., Public Member, Lori A. Gutierrez, BS,RN-C,DON-CLTC,CBN, Terri Berrigan, LPN, C-AL who is the board secretary, Patricia Johnson, LPN, M. Shawn Harrell, RN, MS, Charleen Snider, BSN,RN , Dr. Kimberly A. Post, DNP,MBA/HCM,RN,NEA-BC, and Leslie Dalton, MSN, RN. Nine out of the ten board member were in attendance and conducting rulings in this particular meetings.

According to the Texas Board of Nursing, the Advanced Practice Nurse (APN) is a Registered Nurse (RN) who has finished an unconventional educational program that is acceptable to the nursing board, and performs autonomously or in partnership with other health care practitioners to provide quality healthcare services. The APRN titles used in Texas are; Clinical nurse specialist, Certified nurse anesthetist, Certified nurse practitioner, and Certified nurse midwife. All four APRN roles are recognized in the state of Texas providing healthcare to persons, groups and folks in several settings like hospitals, schools, public/private clinics and practices, homes, and offices. The term “licensure”

each nurse develops. The associate degree in nursing (ADN) study focused on patient care skills

The ANA standards of practice affect the nurse and the manager in that it provides direction to the nurse and the manager. It’s the foundation of the decision making process in nursing. It lets the nurse and manager know what they can and cannot do in their scope of practice. Deviating from it can cause legal problems and harm to those you care for. The nurses must comply with these standards and Manager to need to make sure nurses under them are compliant. Compliance assures that the population we treat are protected and protects the nurses from liability. .

The scope of practice for APRNs in Texas are quite dynamic in range. It evolves through experience, acquisition of knowledge, evidence-based practice, technology development and changes in the health care delivery system. The standards of Nursing practice in rule is 217.11. The scope of practice is determined by advanced practice education in a role and specialty if applicable, legal implications such as Board rules, and scope of practice statements as published by national professional specialty and advanced practice nursing

(2010) said delegation by RNs is a primary mechanism for ensuring that professional nursing standards of care reach the

Being a former nursing student in the state of Pennsylvania I have had the Nursing Practice Act of Pennsylvania. Before this assignment I knew little of the Pennsylvania laws and absolutely none of the state of Florida. Every state has their set of laws, which is referred to the Nursing Practice Act. Every nursing student must have a copy. The nursing practice act ensures that anyone practicing does not fall below the minimum competency and does not present danger to the public, and anyone who does will be prohibited from practicing (Nurse Practice Act, 2007, p.7). Nurses have a legal liability to advocate for patients, and provide safe administration of medications, and provide quality, nursing care to patients

The Nursing Practice Act (NPA) is the body of California law that mandates the Board to set out the scope of practice and responsibilities for RNs. The Practice Act is located in the California Business and Professions Code starting with Section 2700. Regulations that specify the implementation of the law appear in the California Code of Regulations ("Board Of Nursing", n.d.). What is the NPA? How does it affect nurses? What are the requirements for getting a nursing license from the Board of Nursing? All of these are important questions for someone to ponder when considering joining the nursing

“Major themes identified in U.S. Nurse Practice Acts were care in the context of nursing, the nursing process, supervision and delegation of nursing, executing the medical regimen, health maintenance and prevention, and teaching nursing theory and practice” (Jarrin, 2010). In order to be licensed, The Nurse Practice Act states the LPN must complete a formal education program, such as State Technical College, and that program has to be approved by the Missouri State Board of Nursing. The LPN must then pass the National Council Licensure Exam of Practical Nurses (NCLEX). Lastly, the LPN must engage in initial orientation within their employer (Hill &

Nursing is a dynamic profession that has been having many changes over the years. The Nurse Practice Act (NPA) is one of these changes enacted by the legislature of each state to protect patients’ safety and to guide the scope of practice for all levels of nurses (Chew, 2017). Specifics of NPAs can vary among states but certain parts stay constant such as definitions, authority, power, composition of Board of Nursing, educational program standards, standards and scope of nursing practice, types of titles and licenses, protection of titles, requirements for licensure, grounds for disciplinary action, other violations and possible remedies (Russel, 2012). A board of nursing (BON) is a “regulatory” body.