Nursing Scope Of Practice Case Study

The purpose of this posting is to discuss the definition of the Scope of Practice as given by the ANA and how, if at all, the definition differs from the scope of practice given by the State of Ohio. In addition, I will give an example of how I have applied the scope of practice in my life as a Nurse. The Scope of Practice for a Nurse is not defined by one specific thing, but rather it is a collection of practices that make up the definition. Collectively, the scope of practice includes the basic standards of nursing of which all nurses are to follow; mainly, what they can and cannot do as nurses. Within these standards one is to learn, maintain, and grow in their chosen field and become competent to do their work. In addition, the standard definition outlines the process of that nurse. Each nurse

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

In this paper I will be informing on the scope of practice or the job description for a licensed practical nurse which includes medication administration and documentation just to name a few. I will also be discussing the future problems in in which licensed practical nurses with have to deal with in practice. And certifications that licensed practical nurses are able to obtain.

8.2 Responsibilities to the public-Nurses, individually and collectively have a responsibility to be knowledgeable about the health status of the community and existing threats to health and safety. Through support of and participation in community organizations and groups, the nurse assists in efforts to educate the public, facilitates informed choice, identifies conditions and circumstances that contribute to illness, injury and meet national health objectives. In addition, the nurse supports initiatives to address barriers to health, such as poverty, homelessness, unsafe living conditions, abuse and violence, and lack of access to health services.

The purpose of this post is to discuss the nurse’s scope of practice. The American Nurses Association (ANA) has established guidelines to provide nurses a safe parameter to work within, while also protecting the patient. These laws are based on the competency, knowledge, judgment, and skills required by nurses in order to provide safe care for the public (National Council of State Boards of Nursing, 2015). It is imperative that nurses know their scope of practice within their state to avoid being charged with a violation of the Nurse Practice Act (Wilkinson & Treas, 2011). I will be discussing my states scope of practice in this posting.

Texas has a rapidly growing population with complex healthcare needs, but has limited resources in terms of healthcare provider workforce. There is an expanding need for healthcare in Texas even without taking federal reform into account. Currently, more than forty percent of states have adopted full practice authority licensure and practice laws for Advanced Practice Registered Nurses (APRN). Texas is not one of them. Currently, APRN’s are regulated by both the Texas Board of Nursing and the Texas Medical Board. Passage of Senate Bill 681 would grant full practice authority to APRN’s, and therefore be regulated exclusively by the state nursing board.

R.O. is a 43-year-old female Latino patient who has been living at home alone since she got divorced three months ago. She does not have any living or available family in the United States. She is the oldest of three children. Her parents died of an accident when she was little. Two of her sisters live in Mexico. She has lost contact with her family in Mexico when she got married and move to the United States. She also has stopped communicating with her ex husband since they got divorced. Although she does not have any support from her family, she states that her church member has been very supportive. Moreover, R.O. states she was a homemaker until the divorce. Currently, she has been working as a dishwasher near her house.

It is very important for the Nurse Practitioner (NP) to know how the employer is billing for NP services. There are several different ways for the NP to get reimbursed for the services they render to their patients. The reimbursement method can get complicated, and the NP must be aware of the rules and regulations prior. For example, “Medicare will pay 85% of the physician rate for the services”(Bupper. C, 2011), when the NP renders service and bills by using their own NPI. However, if the NP is working with the physician, the NP can bill under the physician’s provider number, and acquire reimbursement at the full rate. This can get complicated because there are certain rules and regulations that would need to be followed. See below:

Although all advanced practice nurses (APN) require leadership skills, master level preparation and clinical competence, they also incorporate various levels of research into core competencies. The Nurse Practitioner (family, acute and gerontology), the Nurse Educator, Nurse Informaticist, and Nurse Executive are advanced practice nurses that interact in the inpatient and outpatient settings and collaborate to contribute and enhance quality in healthcare. The APN roles continue to evolve as autonomy, healthcare transformation and affordable care impact our healthcare today (Turner & Burman, n.d.).

Nurses must possess an understanding of both global health issues, as well as community health concerns. Working on a behavioral services unit, means that I frequently deal with the homeless or shelter living populations of my city. As nurse I know that this patient population is more susceptible to preventable communicable diseases. I work hard to encourage any patients who either homeless or live in local shelters to take advantage of the hospitals flu and pneumonia vaccines. My effort in this area helps maintain public and personal health, as well as prevent the spread of communicable diseases.

For the last two weeks I have had the opportunity to shadow a case involving Mr. S, who is 36-years-old. He was admitted to the hospital due to aggressive behaviour at his group home. Mr. S has a complex health and placement history. He has grown up in foster homes as a child and was diagnosed with fetal alcohol syndrome without any formal documentation of an evaluation. Moreover, Mr. S was in a motor vehicle accident in his early 20s which lead to a brain injury. Mr. S had to go through brain surgery and since then his behavior has changed significantly. After his surgery, he stayed at the Burnaby general hospital for 5 months and was placed in a group home. His behavior was unmanageable and reports indicate that he was at risk of self-harm

The nurses’ scope of practice in California is regulated and supervised by the Nurse Practice Act (NPA). It is extremely important for nurses to recognize the rules and regulations in order to perform a safe practice. Frequently nurses encounter situations where they have to perform skills and duties that are beyond the scope of practice.

Finally, the day that I have been waiting for along time is here; I will start my career. I need to evaluate carefully each opportunity to make the right decision.

Kozier, B., Erb, G., Berman A., Snyder, S., Bouchal, D., Hirst, S., Yiu, L., Stamler, L. &

Our first class in the masters in nursing program, has been focused on nursing theorists. We have learned about Grand Theories, which are theories that are very broad and difficult to test and Middle Range Theories, which are also broad theories but narrow enough to be testable. We have learned how to study the different theories, looking at how we can utilize theories to evaluate practice.