The Nurse Practice Act Of Illinois State

The Missouri Nursing Practice Act governs the requirements for obtaining and it also empowers the Missouri State Board of Nursing with the ability to take disciplinary action against a nurse’s license. The Missouri State Board of Nursing can issue, deny, or reinstate a license. The board can also take disciplinary action against a license and “impose any of the following disciplines singularly or in combination: censure, probation, suspension, & revocation” (Missouri State Board of Nursing, 2015a) when a registered nurse violates the Nursing Practice Act. A license can be denied, revoked, or suspended for the following reasons: drug abuse, alcohol abuse, incompetency, negligence, fraud, dishonesty, over charging, over treating, misconduct, misrepresentation, unethical conduct, unprofessional conduct, inappropriate relationships, performing duties beyond the scope of practice, inappropriate delegation, being listed as a sex offender, failure to pay license renewal fees, failure to cooperate with the board during an investigation, for a full detailed list see 335.066 of the Missouri Nursing Practice Act (Missouri State Board of Nursing, 2014).

Soon after, I received my licensure and began working at The Queen's Medical Center as a Registered Nurse (RN) in early part of 1994. Since becoming a RN, I have provided care to a great deal of patients and reassured countless numbers of family members. As a RN, I've also become the coordinator of care, patient advocate, and teacher to the patients I cared for while serving as the eyes and the ears of the physicians. As with any human, I enjoyed sharing the laughter with my patient and cringed at site of their pain and despair. For these reasons, I believe that being a RN is a great career choice for me. However, for these same reasons, I still feel that I am not a complete nurse; hence I've decided to go back to school and try to earn my Bachelor in Science Degree in Nursing

The Nurse Practice Act of Maryland defines “Delegation” as “The act of authorizing an unlicensed individual, a certified nursing assistant (CNA), licensed practical nurse (LPN) or a medication technician to perform acts of registered nursing or licensed practical nursing (Code of Maryland Regulations 10.27.11.02)”. As a registered nurse there are many instances that delegation to an unlicensed individual will be essential in order to provide optimal care to the patient and learning how to be successful in delegation is perhaps one of the hardest things to learn. To ensure that the delegation process is done as safely and smoothly as possible, there are five (5) rights of delegation that should be followed.

For the majority of nurses working within the field of modern medicine, one of the most difficult tasks associated with the job must be maintaining the tenuous balance between the pull of professional ambition and honoring the responsibility owed to their current role. Nursing remains one of the most stratified occupations in terms of recognized qualification, and a wide disparity exists between the positions of Licensed Practical Nurse (LPN) and Registered Nurse (RN) in terms of both experience and education. While standards vary from state to state, individual LPNs may be required to complete many of the same duties as their RN counterparts, including the administration of intravenous fluids, the withdrawal of blood for testing, and other crucial aspects of inpatient care. Despite the similar set of skills possessed by LPNs and RNs, the latter position commands a greater level of prestige and a significantly higher salary within the nursing field, and because of this many qualified LPN's aspire to attain the rank of RN in order to better their personal and professional lives. As a working LPN beginning the transition to future RN career, I have encountered many difficulties and obstacles which I feel will only strengthen my resolve and crystallize my ambitions. During the extensive reading required to gain the knowledge needed to work as an RN, a statement made by the authors of LPN to RN Transitions: Achieving Success In Your New Role resonated deeply with me, and I

I currently work as a wound ostomy specialist for the hospi-tal. I desire to continue to grow as a nurse and professional. I am now ready to advance my career again and become an Acute Care Nurse Practitioner. In each position I’ve held, I have taken away a skill-set that has helped to mold me into the professional I am today. I have identified that there is a great need, in the Acute Care setting, for Acute Care Nurse Practitioners that can provide comprehensive and holistic care to the critically ill. According to Nursing and Health Sciences, hospital-based nurse practitioners influence team function, as well as facilitate advanced patient care, provide leadership and education as well as implement unit specific re-search. With my knowledge of the intensive care setting as well as my knowledge of pressure ul-cers, pressure ulcer prevention, wound management and advanced wound healing I feel that I would be a great asset to the profession as well as the hospital-based team. Once graduated, I plan to work in the Acute Care Setting, most likely in a specialty such as General

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.

As an acute care nurse practitioner I hope to utilize my experience as an Intensive Care Unit nurse along with clinical knowledge and skills acquired through a graduate level program to provide the highest quality patient care. In my current role, I place high value on patient-family centered care and advocacy as well as commitment to lifelong learning. I have built my nursing career upon these values. I am excited to begin the journey of becoming an acute care nurse practitioner and to further my education and expand my scope of practice in the field of critical care, for which I have already developed a passion.

I have been a nurse for the past 25 years, and started my career on an orthopedic unit at Flint Osteopathic Hospital. After six years of developing my assessment and clinical skills as an orthopedic nurse, I decided it was time to challenge myself and apply for a position in critical care. I started working in

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

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,

Since the inception of the Nurse Practitioner (NP) role in the 1960s, NPs have thrived in the delivery of primary healthcare and nurse case management. Despite patient satisfaction with NPs ' style of care, nurses have been critical of NPs, while physicians have been threatened by NP encroachment on MD practice. Balancing assessment, diagnosis, and treatment with caring defines NPs ' success as primary care providers. Understand the role and Scope of Practice of NPs is sometimes difficult for some to understand. The purpose of this paper is to define the role and history of NP, compare and contrast licensure versus certifications, understand NP Scope Of Practice and Standards of Care, discuss how the State Practice Acts regulate FNP practice, discuss credentialing and privileging, and differentiate between legislative and regulatory processes.

Therefore, there is great need to have all stakeholders at both national and state levels to address these emerging challenges. This will help to achieve the triple objective of healthcare, which is to provide better care, ensuring better health, and reducing the costs of accessing healthcare (Hain, & Fleck, 2014). Among the barriers the authors point out include practice and licensure laws in various states, payer policies, and other physician related issues among others. Licensure and practice laws for the profession vary across the states. Nonetheless, the challenge lays in the way these laws and practices relate with the full practice authority governing practice and licensure (Hain, & Fleck, 2014). A big proportion of the country has only adopted certain parts of the legal requirements, creating a significant barrier for NP practice. The other challenge is the perception among some groups of physicians that NPs cannot provide quality and safe patient care at the same level as the physicians (Hain, & Fleck, 2014). This perception emanates from the notion that NPs do not receive a rigorous and longer training and education unlike other physicians. This hinders effective performance of nurse practitioners and greatly affects the work of professionals such as family nurse

Keynote speaker, Donna Wilk Cardillo once wrote, “Nursing is not for everyone. It takes a very strong, intelligent, and compassionate person to take on the ills of the world with passion and purpose and work to maintain the health and well-being of the planet. No wonder we are so exhausted at the end of the day!” In high school, there was no question that I wanted to be a nurse. I had even decided that I wanted to specialize in emergency medicine. Caring for others has always been a passion of mine and I imagined I would enjoy the fast pace of the emergency room. However, competing in a regional competition for CPR and first aid opened my eyes to the reality of my desired specialty.

Going back to when I was a novice nurse, I was nervous, scared, afraid of making medication error, charting errors or fail to recognized patients worsening symptoms. These fears, made me vigilant, focused and kept me on my toes at all times. No matter which part of nursing I ended up as I grew up the from medical surgical nursing to stepdown unit nursing to intensive care nursing, I felt those fears in every step of my growth and they helped me be a better nurse for my pateints. Today, I am in the advanced practitioner program to become a nurse practitioner who is responsible for: interviewing, assessing, diagnosing, counseling and treating patients. To provide safe and quality healthcare, I am expected to have good critical thinking and decision making abilities (Maten-Speksnijder, Grypdonck, Pool, & Streumer, 2012). while I can recognize clinically deteriorating patients and recommend treatments, I am now responsible for providing treatments. I am now recognizing that facts about being not only responsible for the patient, but also to provide safe care that keeps the patient out of the hospital and out of the ICU. Knowing these facts, I am yet again, faced with the fears of my limited clinical practice knowledge as a practitioner. The amount of information that I have received and learned during this clinical rotation was both exciting and overwhelming at the same time, because I realized as a novice student nurse practitioner (NP), the limited depth of

The role that nurse practitioner (NP) plays within the increasing complex health care system is a constant changing role with the Consensus Model and the introduction of the Affordable Care Act in 2010. The scope of the nurse practitioner (NP) includes the care of the young, the old, the sick and the well. The educational needs of a nurse practitioner vary greatly from that of a Registered Nurse (RN), in the amount of education as well as the focus of the education. NPs provide coordinated primary care with the use of comprehensive health histories and physical examinations, diagnosing and treating acute and chronic illnesses, the management of medications and therapies, ordering and interpreting tests results, and educating and