NURS 6050 Discussion: Professional Nursing and State-Level Regulations

Discussion: Professional Nursing and State-Level Regulations

Please follow the instructions below i will attach 5 files to this order 1 is the required course reading 2 is a chapter 4 of the book to read 3 and 4 are students that did similar work. use theirs as example to guide your writing.
Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

Permalink: https://collepals.com/discussion-profe…evel-regulations/ ‎

Discussion: Professional Nursing and State-Level Regulations

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a state/region. In addition, nurses may find the need to be licensed in multiple states or regions.

To Prepare:

• Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
• Consider how key regulations may impact nursing practice.
• Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion..
•  

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected. NURS 6050 Discussion: Professional Nursing and State-Level Regulations

1 Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

·       Chapter 4, “Government Response: Regulation” (pp. 57–84)

2 http://www.nursingworld.org/

3Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765. doi:10.1016/j.outlook.2017.10.002

Note: You will access this article from the Walden Library databases.

4 https://class.waldenu.edu/bbcswebdav/institution/USW1/202050_27/MS_NURS/NURS_6050/artifacts/USW1_NURS_6050_Halm_2018.pdf

5 https://www.ncsbn.org/index.htm

6 Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66(4), 379–385. doi:10.1016/j.outlook.2018.03.001

Note: You will access this article from the Walden Library databases.

7 Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). mHealth: Don’t forget all the stakeholders in the business case. Medicine 2.0, 4(2), e4. doi:10.2196/med20.4349

Note: You will access this article from the Walden Library databases.

NURS 6050 Discussion: Professional Nursing and State-Level Regulations SAMPLE

Introduction

APRN board of nursing regulations vary from state to state across America. It is the responsibility of the license APRN to know and understand their scope of practice as it varies from state to state. In this post I will compare and contrast two nursing regulations between my home state of Maryland and the neighboring state of Delaware.

APRN Nursing Regulations

When I graduated nursing school I remember being told that it was vital I became aware of what was within my nursing scope of practice with Maryland. I never really fully understood the importance of this guidance until I started practicing.  I learned that not every state allows APRN’s to practice to the fully extent of their license and I have now learned that the same goes for advanced practice registered nurses. According to the AMA, “nurse practitioner”means an individual who (1) is licensed by the Board to practice registered nursing; and (2) Is certified by the Board to practice as a NP.  Maryland regulatory bodies require that physician involvement be required for the first 18 months of practice. This means that they must consult and collaborate with a physician or nurse practitioner for the first 18 months of practice (AMA, 2017).  This is further explained on the Maryland Board of Nursing website, where it states that each new applicant who has never been certified as a CRNP in Maryland, or any other state, must name a mentor on their application for certification. The mentor must be a certified Maryland CRNP or Licensed Maryland Physician. This will serve as proof that the applicant has a mentor guiding their practice for the next 18 months (MBON, 2019). Although this appears as a great guideline for New APRN’s in Maryland it differs in Delaware. For example, in Delaware APRNS are required to practice under a collaborative practice agreement with a physician for two years and a minimum of 4,000 hour of practice (AMA, 2017). As state by the AMA, all APRN’s have full practice and prescriptive authority but to clarify full practice doesn’t mean fully independent practice. Independent practice can be achieved once they have completed their 4,000 hours of practice and once they apply to the APRN committee for independent practice (AMA, 2017). According to AANP Maryland is a full practice state meaning “State practice and licensure laws permit all APRN’s to evaluate patients, diagnose, order and interpret diagnostic test; and initiate and manage treatments, including prescribing medications and controlled substances, under the exclusive licensure authority of the state board of nursing” (AANP, 2018). For example, in Maryland an APRN may sign death certificates and issue emergency DNR orders. In Delaware (AMA, 2017). In Delaware, although an APRN may sign a death certificate they must be the patients’ primary care giver (“Advanced Practice Nurses in Delaware”, 2013). It is the smallest nuances that can be over looked and cause issues regarding practicing outside a particular states scope of practice (Delaware Board of Nursing, 2016)

Adhering to Regulations

Ultimately is the responsibility of the APRN to ensure they are aware of their regulations according to the state they are employed. It is important to become familiar with the regulating board for the practicing state and to read the Nurse Practice Act within that state. I didn’t mention licensing in this post but it is important that new APRN’s are aware of the entire renewal process as well. This will help them be prepared and punctual when the time for renewal approaches. In Maryland the Board of Nursing is the regulatory board and I will be sure to familiarize myself with my scope of practice as an APRN upon certification.

Conclusion

Although I found this post difficult to research I think it was very important in the long term for all NP students. I am better equipped and better understand my nursing scope of practice within my home state. I am learned that just because Delaware is seven miles from me they have an entirely different expectation for APRN’s. At the end of the day no one if going to protect your license better than you, so do yourself a favor and educate yourself on your states particular scope of practice.

References

Advanced Practice Nurses in Delaware. (2013). Retrieved December 25, 2019, from https://www.nursinglicensure.org/np-state/delaware-nurse-practitioner.html.

American Medical Association. (2017). State law chart: Nurse practitioner practice authority. Retrieved from https://www.ama-assn.org/media/14391/download

Advanced Practice Registered Nursing: Nurse Practitioners. (2019, November 5). Retrieved December 25, 2019, from https://mbon.maryland.gov/Pages/adv-prac-nurse-practitioner-

index.aspx.

Delaware Board of Nursing. (2016). Retrieved December 25, 2019, from ttps://dpr.delaware.gov/boards/nursing/.

State Practice Environment. (2018, December 20). Retrieved December 25, 2019, from https://www.aanp.org/advocacy/state/state-practice-environment.

Discussion: Professional Nursing and State-Level Regulations

Discussion: Professional Nursing and State-Level Regulations

 

MORE INFO 

Professional Nursing and State-Level Regulations

Introduction

Nursing is a rewarding career, but it also has its challenges. To ensure that you have the best chance of success in your nursing career, make sure you know what regulations apply to it at both the national and state levels.

The National Council Licensure Examination (NCLEX) is a standardized exam used by all states in the U.S.

The National Council Licensure Examination (NCLEX) is a standardized exam used by all states in the U.S. It is administered by the National Council of State Boards of Nursing (NCSBN), which also publishes its own version of this test known as NCSBN/NCLEX-RN Test Specifications for use in nursing schools and colleges. The NCLEX-RN Test Specification includes questions from many different topics related to general principles, science, health care administration and practice; however, it does not include specific content related to any one discipline such as anatomy or physiology (see below).

The NCLEX-RN Test Specification has six sections: four multiple-choice sections with 100 questions each; two essay questions; two integrated reasoning problems; and a short answer section with 50 questions at various difficulty levels including easy through hard/difficult/very difficult (VWD). Each section contains three parts: verbal reasoning (multiple choice); clinical observation; clinical judgment involving therapeutic interventions on patients’ conditions that are based on patient history information gathered during pre-approval interviews conducted before taking the written test.After passing each part successfully on first attempt without making any mistakes, candidates receive points toward earning their certification credentials from participating jurisdictions across America.

Each state is required to verify that each applicant has completed an approved nursing education program prior to issuing a nursing license.

Each state is required to verify that each applicant has completed an approved nursing education program prior to issuing a nursing license. Some states require a bachelor’s degree, while other states require master’s degrees or higher. Some states also require licensure or certification before issuing a license; others simply require background checks and criminal background checks (called “moral character” checks in some areas).

Each state is required to provide a multistate licensure privilege under the Nurse Licensure Compact (NLC).

Each state is required to provide a multistate licensure privilege under the Nurse Licensure Compact (NLC). The NLC is a voluntary agreement between states, which allows nurses who meet certain requirements in one state to practice as RNs in another.

The compact was created in 1987 and has since been amended several times. It’s meant to simplify nursing licensure by allowing nurses who complete their education, pass their boards and meet continuing education credits requirements within their home state to travel outside of it with no additional testing or paperwork required on behalf of employers seeking employees with NACLS-approved licenses from other states through those compacts

Each state is required to establish standards for the practice of nursing and shall enforce these standards to ensure safe care for the public.

Each state is required to establish standards for the practice of nursing and shall enforce these standards to ensure safe care for the public. The state board of nursing is responsible for overseeing all aspects of nursing, including licensing, education and certification. States have varying requirements regarding what it takes to become a registered nurse (RN). A master’s degree in nursing or bachelors degree with an emphasis on clinical experience may be required depending on where you plan to work as an RN. After completing your training program, you will need at least one year working under supervision before applying for licensure.

In addition to its role in ensuring quality care through regulation and licensure requirements, each state has its own rules regarding who can practice as an RN or any other type of licensed healthcare provider; this includes dentists who want to work at hospitals or clinics where they’ll be providing dental services directly related only with dental patients (e.g., choppers).

All states regulate nursing by requiring licensing and certification.

All states regulate nursing by requiring licensing and certification.

In some states, you must be licensed to practice as a nurse before you can work in that state. In other states, there’s no specific requirement for obtaining a license–you only need to be certified by your state board of nursing (if applicable).

Some states require both licensure and certification; others only require one or the other; still others don’t have any requirements at all!

Conclusion

In order to practice nursing in the United States, you must first have a license from your state. Each state has different requirements for licensure and certification. In some states, you must have completed an approved program before receiving your license; in others, completion of an accredited program is enough (although this will vary depending on where you live). You need to also remember that each state has different requirements for continuing education credits and can also include additional steps before becoming certified as well as qualifications needed prior to taking an exam such as passing written tests or having completed clinical rotations beforehand.