NURS 6050 Walden Wk 5 Professional Nursing & State Level Regulations PPT

NURS 6050 Walden Wk 5 Professional Nursing & State Level Regulations PPT

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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. The Assignment: (8- to 9-slide PowerPoint presentation) Develop an 8- to 9-slide PowerPoint Presentation that addresses the following:
    • Describe the differences between a board of nursing and a professional nurse association.
    • Describe the board for your specific region/area.
      • Who is on the board?
      • How does one become a member of the board?
    • Describe at least one state regulation related to general nurse scope of practice.
      • How does this regulation influence the nurse’s role?
      • How does this regulation influence delivery, cost, and access to healthcare?
    • Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
      • How does this regulation influence the nurse’s role?
      • How does this regulation influence delivery, cost, and access to healthcare?
    • Include Speaker Notes on Each Slide (except on the title page and reference page)

Discussion – Week 5  – 6050

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

 

By Day 3 of Week 5

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.

 

By Day 6 of Week 5

Respond to at least two of your colleagues* on two different days and explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message.

*Note: Throughout this program, your fellow students are referred to as colleagues.

Assignment: Regulation for Nursing Practice Staff Development Meeting

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

  • Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
  • Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (8- to 9-slide PowerPoint presentation)

Develop an 8- to 9-slide PowerPoint Presentation that addresses the following:

  • Describe the differences between a board of nursing and a professional nurse association.
  • Describe the board for your specific region/area.
    • Who is on the board?
    • How does one become a member of the board?
  • Describe at least one state regulation related to general nurse scope of practice.
    • How does this regulation influence the nurse’s role?
    • How does this regulation influence delivery, cost, and access to healthcare?
  • Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
    • How does this regulation influence the nurse’s role?
    • How does this regulation influence delivery, cost, and access to healthcare?
  • Include Speaker Notes on Each Slide (except on the title page and reference page)

Bottom of Form

 

NURS 6050 Discussion: Professional Nursing and State-Level Regulations

APRN Prescriptive Authority for Arkansas and Texas

Prescriptive authority in the state of Arkansas for APRNs requires that the APRN be licensed in the state of Arkansas with prescribing practices within the scope of practice per the practitioner’s certification category. Within one year of beginning an APRN level pharmacology course, the practitioner must complete 300 hours of experience with a qualified preceptor and submit a collaborative practice agreement with an Arkansas licensed physician who has an unrestricted DEA registration number. After meeting these requirements, only then can an APRN prescribe legend drugs and medicines or therapeutic devices specific to the practitioner’s area of practice. For controlled drugs, only Schedule III through V may be prescribed by an APRN. With the exception of hydrocodone combination products, an APRN may not prescribe Schedule I and II controlled substances (Arkansas Department of Health 2018) NURS 6050 Discussion: Professional Nursing and State-Level Regulations.

In the state of Texas, prescriptive authority for APRNs requires the practitioner have successful completion of graduate level pharmacotherapeutics, advanced pathophysiology, and advanced health assessment. The practitioner must also complete 45 hours per course of preceptor experience with a qualified preceptor. If an APRN has prescriptive authority in another state, the practitioner must meet the education requirements of Texas before being able to have prescriptive authority. The practitioner also has the ability to authorize or prevent the use of generic substitutions on prescription drugs. Unlike Arkansas, APRNs in Texas are allowed to prescribe Schedule II controlled substances, but only in the hospital setting (Practice – APRN Scope of Practice 2019) NURS 6050 Discussion: Professional Nursing and State-Level Regulations.

APRN Delegation Regulations for Arkansas and Texas

In the state of Arkansas, an APRN may delegate certain tasks to nurses and/or unlicensed staff. The task may include noninvasive treatments, collection and documentation of data, ambulation, positioning, or turning, and personal hygiene. Tasks that should not be delegated include physical assessments, formulation of the patient’s plan of care, transmitting verbal or telephone orders, and an APRN cannot delegate to unlicensed staff the calling in of prescriptions to the pharmacy (Arkansas Department of Health 2018).

One of the major differences in delegation for the state of Texas is that unlike Arkansas, administration of medication to a patient may be delegated to a medication aide in correctional health, long term care facilities, and home health agencies. All other general criteria for delegation apply for the state of Texas as well, with the responsibility of determining competence of the delegate resting on the delegating APRN (Practice – APRN Scope of Practice 2019).

Prescriptive Authority and Delegation for APRNs with Full Practice Authority

Prescriptive authority and delegation regulations for APRNs with full practice authority may be affected by the continuous state and national barriers that prevent qualifying practitioners from practicing to their full extent. If allowed to work to their full extent of education and training, APRNs will be able to provide services to vulnerable populations, such as minorities and the uninsured (Bosse et al., 2017) NURS 6050 Discussion: Professional Nursing and State-Level Regulations.

References

Arkansas Department of Health. (2018, December 29). https://www.healthy.arkansas.gov/programs-services/topics/arsbn-adv.-practice.

Bosse, 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 Outlook65(6), 761–765. https://doi.org/10.1016/j.outlook.2017.10.002

Practice – APRN Scope of Practice. Texas Board of Nursing – Practice – APRN Scope of Practice. (2019). https://www.bon.texas.gov/practice_scope_of_practice_aprn.asp.

 

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

To Prepare:

By Day 3 of Week 5

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.

By Day 6 of Week 5

Respond to at least two of your colleagues* on two different days and explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples.

In New Jersey, while an advanced practice nurse (APN) or nurse practitioner (NP) cannot practice independently, they are recognized as primary care providers.  Otherwise known as a joint protocol, they require “collaboration, and a written protocol with a physician is required when prescribing medications” (NCSLSOP Scope of Practice Policy, 2021).  This collaboration also extends to prescription writing for all medications (The State of New Jersey, n.d.).    The APNs that I have worked with, prescription pads have a medical doctor’s name and NPI number written on them.  When the APNs introduce themselves, they inform the staff of the name of which doctor they are collaborating with.

In comparison, all advanced practice nurses in Florida do not require collaboration.  HB 607 (Autonomous Practice) is a bill that was passed on March 11, 2020, allowing APNs to be autonomous (FLANP).  They can practice independently, including prescription writing of any drug (NCSLSOP Scope of Practice Policy, 2021). Every nurse practitioner does not have to be autonomous, as it is a choice to be independent or collaborate.   Those who choose to practice autonomously will require additional continuing education hours that include “three graduate-level semester classes in differential diagnosis, three graduate-level semester classes in pharmacology” (FLANP)and 3,000 hours of supervision.   The APNs who choose to continue to collaborate will do so under the supervision of a doctor and cannot prescribe control substances NURS 6050 Discussion: Professional Nursing and State-Level Regulations.

While I agree that APNs should practice independently, I agree with the mandatory supervision hours.  Even though nurses are encouraged to advance their education, the balance requires hands-on care and practice.  We do not want book competent nurses that are deficient in critical thinking due to a lack of clinical exposure. The job of the state board of nursing and as a regulatory body is to protect the public from harm.  Florida’s board of nursing made great strife in going from a restricted status of APN licensure to independent status, yet put the correct stipulations in place to protect the public.

References

FLANP. (n.d.). Retrieved from Florida Association of Nurse Practitioners: https://www.flanp.org/page/AutonomousPractice

NCSLSOP Scope of Practice Policy. (2021). Retrieved from National Organizations for State and Local Officials: https://scopeofpracticepolicy.org/states/nj/

The State of New Jersey. (n.d.). Retrieved from New Jersey Division of Consumer Affairs: https://www.njconsumeraffairs.gov/nur/Pages/APN-Certification NURS 6050 Discussion: Professional Nursing and State-Level Regulations

 

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  • Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

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