Scope Of Nursing Practice

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.

Discussion boards are a great learning tool. People learn about different topics from others while voicing your own option and ideas on this topic. The purpose of this posting is to learn more about the scope of nursing practice, the definition of the scope of nursing practice by the ANA and Ohio state nursing law and a clinical scenario that applies to the scope of practice. The American nurses association state that as nurses we are the advocates of our patients by keeping our patients safe and helping them reach the highest health possible. Nurses are to avoid hurting the patient and to help relieve the pain through diagnosing and treating the problem, whether it is physical, mental or spiritual. We are to speak for the people and their health. (pg 1)

According to American Nurses Association (ANA), (2010) “the nurse promotes, advocates for and strives to protect the heath, safety and right of the patient” (p. 6). Nursing responsibilities should be acted at the highest standard and must be based on legal and ethical obligations.

Each of the United States develops standards of care distinguishing nursing roles and competencies. Chapter 6, Section 2725 of California’s Nurse Practice Act defines the nursing role in patient care as independently interpreting the patient’s condition, behavior, abnormalities, and judging

The association endeavors to enhance high standards of nursing practice by promoting safety and ethical decision making. The association represent nurses in lobbying regulatory agencies on issues related to policy and legal development. The association is involved in establishing the standards of nursing practice. It disseminates information to nurses though workshops, conferences and publications. The association publishes, American Nurse Today, The American Nurse, and The Online Journal of Issues in

The Healthcare reform is a public policy that is currently impacting the nursing practice. The Affordable Care Act (ACA) was designed to address the cost, quality of healthcare and access to healthcare in the United States. The Patient Protection and Affordable Care Act (ACA) is “the 2010 health reform act that could extend insurance coverage to as many as 32 million Americans. The law also included regulations that affect the quality of coverage insurers must offer. Additionally, the law created a range of initiatives focused on encouraging reform in how medical care is organized and delivered, with a goal of reducing costs and improving quality and outcomes. Finally, other

The nursing “Scope of Practice” provides a legal explanation of what Registered nurses can and cannot do, lawfully. The registered nurse gathers patient information like health history for example. The RN also evaluates assessment information to determine present or possible diagnoses to discuss with the attending physician, the RN cannot give a diagnosis on their own. Registered nurses can determine if a medication is right or wrong for a particular patient but cannot change prescription on their own or prescribe any medication in any circumstance. Just as Registered Nurses must follow a “Scope of Practice” they must also follow the “Code of Ethics”.

State licensure controls NP practice and is a barrier to NP practice to the fullest extent of their education and training. Full practice authority allow the Np to assess patents, diagnose, order and interpret diagnostic tests, initiate and manage treatments including prescribing medications independently. At present only one third of the nation has adopted full practice authority and practice laws for NPs. The remainder of the NPs in the U.S have reduced or restricted practice licensure (Hain & Fleck, 2014). In reduced practice, state practice and licensure law reduces the ability of NP to engage in at least one element of NP practice. State law necessitates a regulated collaborative agreement with an outside health discipline for the Np to provide patient care or limits the settings or scope of one or more elements of NP practice. Whereas in restricted practice, State practice and licensure law restricts the ability of a NP to engage in at least one element of NP practice. In Texas, Np practice is restricted. State requires supervision, delegation, or team-management by an outside health discipline in order for the NP to provide patient care in Texas (American Association of Nurse Practitioners, 2017). Full practice authority for NP referred to autonomous practice or independent practice. The IOM report has identified, restrictive scope of practice regulation is one of the most serious barriers to accessible care. Variation in scope of practice across states has an indirect impact on patient care since the degree of physician supervision may affect practice opportunities and payer polices for NPs (Hain & Fleck, 2014). In 2010, a full practice status model was recommended by the institute of medicine and national council for state boards of nursing. However, 29 states including Texas, still holding reduced or restricted practice regulations for NPs (Simmons School of Nursing

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

I admit that I have not read the Florida Nurse Practice Act (NPA) in its entirety before this class and it has been about seven years since I studied the guidelines applied to registered nurses. As Jeremy mentioned in his essay, not only do RN’s fall under the NPA regulations, but also Certified Nursing Assistants (CNA), Advanced Registered Nurse Practitioners (ARNP), and Medical Assistants (MA). I proceeded to read the rules that each must follow and found it necessary that there be a law that regulates their scope of nursing as well. Furthermore, it is essential that standards are set under the state’s NPA for each of these healthcare workers to be subjected to disciplinary action to protect patients. According to the Florida NPA, if any of these workers are found guilty of misconduct, “the board of nursing is authorized to deny, suspend, or revoke that individual's certification”, and “the board may also impose an administrative fine or probation or restriction of the certification as well” ("Ch-6 Florida Nurse Practice Act and Scope of Nursing," 2013).

demand for care of individuals, sick or well increases. This essay will discuss how nurses

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

Nursing is an ever-changing and growing profession. Tools such as, the scope and standards for nursing, state nursing legal regulations, code of ethics, and general principles of philosophy are used to set standards and promote growth within the profession. I use these principles and standards daily in my career as a registered nurse (RN). In this paper I will discuss the importance of these factors in my career, and how they all contribute to making outcomes successful for all involved.

The Board of Nursing in California provides specific guidelines by which a registered nurse can become a nurse practitioner (NP) by means of acquiring advanced practice education. The additional preparation will help the NP in assessing and managing the healthcare needs of their patient population. In 2008 there were an estimated 145,000 NPs nationwide and 13,649 in California (Christian, S., & Dower, J.D., 2008). Although there are federal mandates for the NP role in primary care, the majority of the educational guidelines and scope of practice rules fall to individual states. This creates disparities between states that are evident by the differences in the outlined scope of practice for an NP.

Moreover, the nurses role is no longer static, it is dynamic. Previously they could not effect any policy change but today the sky is their limit. They can do that at local, state, community, or even national levels. In doing so they have to collaborate with other health professions, look at what others have done, see how successful they have been and give them credit for the work they did. From here they can improve on the work of their predecessors as well as add to the integrity of the profession.