The Relationship Between Standards Practice And Standards Of Care

nursing care.” The guidelines of the NPA and its rules provide safe parameters within which to

While uncertainty about the role of an Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP) persists, what research has found about the role is that AG-ACNP’s provide advanced nursing care to those who are acutely, critically or chronically ill in both traditional and nontraditional healthcare settings (Kleinpell et al., 2012). Standard of scope differs between all types of scopes and nurse practitioners alike. The scope of practice (SOP) for an Acute Care Nurse Practitioner (ACNP) is not based on practice setting, but rather what type of care the patient will need, for example, someone who needs ventilator management in either the home or hospital environment (Kleinpell et al., 2012).

Regulatory and legal requirements in Florida for an Advanced Registered Nurse Practitioner, according to the Florida Board of Nursing (2014) are as follows:

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

In recent years, APRNs have been very vocal through many nursing coalitions and associations. The voices of all ARNPs seeking full practice authority has been heard with the proposed bills. The Florida Panhandle Nurse Practitioner Coalition (FRNPC), has given information to all ARNPs to keep ahead in legislative issues. A white paper published by the American College of Physicians have been shared to all Floridian ARNPs through the

Advanced practicing registered nurses (APRNs) serve essential roles in providing acute care, pediatric care, maternity care, chronic disease management, adult primary care, and mental health treatment. They are registered nurses who have additional training, education, and certification in a given field of practice. There are many potential issues which can influence their practice setting. This paper covers the legislative issues affecting advanced practice nursing formulates a possible policy change to address that matter. Legislative Issues Affecting Advanced Practice Nursing Legal issues affecting advanced practice nursing refer to the policies or laws enacted by legislatures to give guidelines in the field of advanced practice nursing.

When nurses are held to a professional standard, staffing becomes safer and more efficient. The professional standard created by the American Nurses Association Code of Ethics (ANACEN) for Nurses is commonly used. The standard is made up of nine points that ensure patients will receive the highest quality of care. The purpose of the standard is to determine whether nurses have the assets, abilities, responsibility, and expertise to make judgments concerning professional practice and optimum care for patients and families (Clevenger, et al. 2005). The goal of safe staffing is to provide optimal care for patients and the patients’ families, so facilities should invest in nurses with a high degree of professionalism who can

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 Scope of Practice describes the procedures, actions, and processes that a healthcare practitioner is permitted to undertake in keeping with the terms of their professional license (Wikipedia). Stories such as Delean Botkins’ is a primary example of why the Scope of Practice needs to be terminated once and for all. The Scope of Practice is causing a shortage of medical help, can cause more harm than good, inconsistent, unfair, and most of all, unnecessary. APN nurses should not only be able to, but should be encouraged to practice to the fullest extent of their education and

Defining the scope of practice for an advanced practice nurse (APRN) can be a difficult task. Currently, in the United States, each state has its own policies regarding APRN scope of practice. State policies/laws vary from restrictive to independent. States under a restrictive policy of APRN scope of practice may have strict physician collaboration regulations. For example Missouri requires the collaborating physician to review a percentage of charts and be within so many miles of the APRN’s work place. Restrictive scope of practice can also limit prescriptive authority and decrease reimbursement of services (Hain & Fleck, 2014). States with more independent scope of

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).

The Advance Practice Nurse has a long and interesting history. Advanced practice nursing has gone from women being trained by physicians to administer chloroform to, in some states, having their very own practice. The term of advanced practice did not begin until the 1980s, prior to that the advanced practice nurse was described as having an extended or expanded role. While the advanced practice nurse had finally gained a name for their role there are currently several definitions to define this ever changing field. There is currently no standardized definition of the Advanced Practice Nurse (APN). Three definitions of advanced practice will be described and reviewed within this text.

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

In the practice of nursing there are governing bodies that set policies that healthcare professionals have to follow. The legal mandates that regulate nurse practitioners are there for a multitude of reasons, namely, to ensure that proper licensing is acquired, ensure that nurses are practicing at their training and education level, to avoid legal issues, and to include Nurse practitioners as primary care providers among other things (Buppert, 2014). The state laws that govern nurse practitioners in their respective states have the most authority over their practice, however, private organizations and government agencies may also have policies that influence the scope of practice for nurse practitioners, and some professional nurse organizations and societies have taken on other components that are part of the scope of practice for nurse practitioners. This paper discusses the regulating bodies at the state and federal level that guide nurse practitioners, the impact of the Nurse Practice Act on NP scope of practice, and the legal mandates that allow nurse practitioners to practice in California.

The standards of practice describe a competent level of nursing care as exhibited by the critical thinking model known as the nursing process. This practice includes the areas of assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The nursing process includes significant actions taken by registered nurses (RN) and forms the foundation of the nurse’s decision-making (“American Nurses Association,” 2010).