NURS6670 Week 7 Assignment

NURS6670 Week 7 Assignment 2 Practicum Journal Checkpoint for Certification Plan

NURS6670 Week 7 Assignment 2 Practicum Journal Checkpoint for Certification Plan

Week 1 FOR WK 4 -Practicum Journal Entry- Certification Plan

A psychiatric mental health nurse practitioner (PMHNP) is a person who is certified by the Board of Nursing to practice as nurse practitioner in a specific area in psychiatry and mental health nursing. A psychiatric mental health nurse practitioner (PMHNP) has the abilities to perform a physical assessment, diagnose a patient and prescribe medication either independently or under the supervision of a physician, depending on the state (Woo, Lee & Tam, 2017).

. The purpose of this practical journal assignment is to describe the practice of PMHNP environment in my state of Maryland, comparison of the practice of PMHNP in my state (Maryland) and the other state I would have like to practice which is Louisiana. Finally, the professional and clinical practice issues needed to be considered by a new PMHNP, and the checklist to follow in passing the National Certification exam will be detailed. Sample Checkpoint for Certification Plan Practicum Journal.

Psychiatric Mental Health Nurse Practitioner (PMHNP) Practice Environment in Maryland

A psychiatric mental health nurse practitioner (PMHNP) in Maryland is required to complete Maryland Nurse Practitioner Programs and also pass the Board examination. In Maryland, a PMHNP is supposed to specialize in one area which is mental health field for that practitioner to practice in that state. Secondly, a psychiatric mental health nurse practitioner (PMHNP) can practice in all the 50 states including the District of Columbia (American Nurses Association, 2014) Sample Checkpoint for Certification Plan Practicum Journal.

In Maryland, it is not a requirement for PMHNP to have a collaborative agreement with a physician. This means that a PMHNP can independently without being supervised by a physician carry out functions allowed by the law such as diagnosis of mental disorders, prescription of medication from schedule II-V drugs, or ordering medical tests. This means that PMHNPs in Maryland can do the majority of the same functions as psychiatrists and therefore PMHNPs have the legal authority to form independent practices. To enter into practice and be licensed as a PMHNP in Maryland, one is required to have a master’s degree and accreditation in a nurse practitioner program. In addition, an independent PMHNP can be able to open their clinics. However, the practice of PMHNPs in Maryland is influenced by the political environment (Barton Associates, 2017). Sample Checkpoint for Certification Plan Practicum Journal.

The psychiatric mental health nurse practitioner (PMHNP) focuses on improving and advancing nursing practice skills in the care of individuals with mental disorders. The program includes practicum and course work covering various healthcare needs Sample Checkpoint for Certification Plan Practicum Journal.  A restriction in practice stipulated by the American Association of Nurse Practitioners (AANP) is that nurses are restricted to participate in only one element of Nurse Practitioner practice (Gadbois, Miller, Tyler & Orna, 2016).

Comparison of PMHNP practice environment in Maryland with a State I would like to Practice (Louisiana)

The only similarity is the both PMHNPs in Maryland and Louisiana is that PMHNPs can make referrals for physical therapy. However, there a lot of differences in terms of the scope of practice between these two states. There must be a collaborative agreement by law between the PMHNP and the physicians for one or more elements of the practice of the PMHNP in Louisiana unlike Maryland.  In this respect, PMHNPs in Louisiana do not have autonomous practice. Besides, the medical staff membership in Louisiana is reduced as the physicians recommend the PMHNPs to be part of the medical staff in which they practice Sample Checkpoint for Certification Plan Practicum Journal. In addition, PMHNPs cannot individually prescribe schedule II controlled substances for chronic pain, intractable pain, or obesity in Louisiana unlike Maryland. State statute and/or Administrative Code in Maryland recognizes nurse practitioners as primary care providers but it does not define whether they can be primary providers in Louisiana (Barton Associates, 2017).

In this respect, it can be deduced that the psychiatric mental health nurse practitioner (PMHNP) environment in Maryland differs in various ways as compared to the scope of practice in Louisiana. Maryland has a legal board that oversees the admission procedure. In Louisiana, a collaborative agreement between the PMHNP and the physician is needed when it comes to medical prescriptions unlike in Maryland. Unlike Louisiana, Maryland obliterated the prerequisite of on-site supervision of the PMHNP by a physician. Therefore, PMHNPs in Maryland has a higher level of practice freedom when compared to Louisiana (Barton Associates, 2017). It will be therefore challenging for me to live and practice in Louisiana even though my family lives there after I have practiced in Maryland which has maximum independence in the scope of practice. Sample Checkpoint for Certification Plan Practicum Journal.

Professional and/or Clinical Practice Issues needed to be Considered by New PMHNP

Credentialing procedure is used to evaluate if a nurse mental health nurse practitioner meets the professional requirements and certification as well. The credentialing process consists of aspects such as verifying the education completion, licensing, as well as verifying if the nurse successfully passed certification and review tests.  A psychiatric mental health nurse practitioner(PMHNP) is also supposed to provide a copy of the DEA certificate from the United States Drug Enforcement Administration Sample Checkpoint for Certification Plan Practicum Journal. A PMHNP can only practice after all credentials are verified. The credentialing system conducts the probationary length and this can take like four weeks to start working (Ellis, 2018).

American Nurses Credentialing Center (ANCC) is the body responsible for providing certifications to a psychiatric mental nurse practitioner (PMHNP).  In effect, The PMHNP must be certified by ANCC before acquiring a license to practice in the state of Maryland. Lastly, a psychiatric mental health nurse practitioner is required to have malpractice insurance coverage before being issued with coverage to practice (Judge-Ellis & Thad 2017). Sample Checkpoint for Certification Plan Practicum Journal.

A Checklist for Passing the National Certification Exam

            The check that list that will be followed for passing the National Certification Exam entails the following:

• Successfully completing my last class (NURS-6670) in master’s program as a PMHNP student at Walden University and ensuring that I understand the contents of all the materials at the start of the program.
• Attending a review course with my preferred review course to be either Fitzgerald Health Education Associate or Barkley and Associates in May 2019 Sample Checkpoint for Certification Plan Practicum Journal.
• Comprehensively study the relevant books, especially the review book by Johnson K & Vanderhoef D (2016). Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual, PMHNP-BC Pocket -Prep, and Psychiatric Mental Health Nurse Practitioner Certification Review by Barkley and Associates with its audio CDs.
• Using educational resources and practice tests available through the internet resources from American Nurses Credentialing Center (ANCC) and Board Vitals
• PMHNP Exam Flashcards
• Read about test taking skills adequately to equip me on how to analyze and answer questions.
• Adequate preparations to cover all the examinable course work will enable me to pass the certification exams
• Planning to finally take my board exam in middle of June 2019. Sample Checkpoint for Certification Plan Practicum Journal.

References

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and

standards of practice (2nd ed.). Washington, DC: Author.

Barton Associates. (2017). Nurse practitioner scope of practice laws. Retrieved from

https://www.bartonassociates.com/locum-tenens-resources/nurse-practitioner-scope-of-practice-laws/ Sample Checkpoint for Certification Plan Practicum Journal.

Ellis H. (2018). Psychiatric-mental health nurse practitioner student preceptorship: Perspectives on clinical training. Journal of Nursing Education and Practice. 8(12).

Judge-Ellis T & Thad W. (2017). Time and NP Practice: Naming, Claiming, and Explaining the Role of Nurse Practitioners. The Journal of Nurse Practitioners. 13(9), 583–589.

Gadbois E, Miller E, Tyler D & Orna I. (2016). Trends in State Regulation of Nurse Practitioners and Physician Assistants. Med Care Res Rev. 72(2), 200–219.

Woo B, Lee J & Tam W. (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review. Hum Resour Health. 15(63) Sample Checkpoint for Certification Plan Practicum Journal.

Sample Checkpoint for Certification Plan Practicum Journal

Preparing for the certification is a major milestone in my career path, it is essential to be organized and goal-directed towards the success of the certification, Therefore I have organized all the study materials needed to succeed in the examination. I have created my study guideline,

which includes the books to review, test-taking skills, questions to review and areas of focus based on the certification exam requirements for PMHNPs. I have enrolled in the enrolled Barkley & Associates review class scheduled for January 13 and 14, 2019 with hotel reservations. I have also purchased the CD and the review manual from Barkley and currently studying and listening to the CD. Board vitals and the pocket prep application are vital online resources tool that I amusing to practice and review questions Sample Checkpoint for Certification Plan Practicum Journal. On daily basses review 10 questions from Board vitals, 10 questions from pocket prep application. Participate in a study group and ask each other questions based on the material. I started studying a chapter in 3-4

days from the Psychiatric-Mental Health Nurse Practitioner Review and Resource Manual, 4^th Edition by Kathryn Johnson and Dawn Vanderhoef. People tend to be motivated toward pleasure and away from pain. I write down my to-do list, this helps me to prioritize my activities and to ensure successful accomplishment. There are times when time constraints is an issue and someitems are not done on the time frame allotted for it then I remind myself why the task was important enough to get onto the list in the first ANXIETY DISORDER, OCD, OR SOMETHING ELSE? place, and I am much more likely to accomplish it. In studying for a certification test “that” item on your to-do list should be reframed to boost your motivation by replacing “have to” with “want to!” (Rauen, 2018) Considering the importance of test-taking strategies, it is believed that employing the strategies that can enhance the successful performance on the total test is of crucial importance. (Kheirzadeh, et. al, 2017). Pacing and test preparation appear to be important factors that affect test taking strategies and performance of many examinees, therefore, it is essential to assess one’s study skills and develop areas that are weaker to ensure successful learning efficiency. (Lee, & Haberman, 2016). Sample Checkpoint for Certification Plan Practicum Journal.

In summary, the most important skills for success on a standardized test are the ability to

plan, the ability to focus, and the ability to methodically work through the available test preparation materials. The important thing is for the student to make a plan that considers his or

her personality, needs, and other commitments, and then stick to the plan. (Hagler, 2014) Sample Checkpoint for Certification Plan Practicum Journal.

ANXIETY DISORDER, OCD, OR SOMETHING ELSE?

References

Hagler, G. M. (2014). Test Preparation.

Salem Press Encyclopedia.

Running Head: PMHNP PRACTICE IN MARYLAND 1

PMHNP Practice in Maryland.

Students Name:

Professors Name:

Date.

PMHNP practice in MARYLAND

Maryland can be described as one of the exemplary states where nursing and nurse practitioners are at liberty to exercise their professional nursing practice independently after they have been licensed. Worth knowing is that PMHNP students undertake a larger percent of their course work based on online learning as permitted by MHEC education commission and upon successful completion of their course and perhaps registered as new graduates who must have 18 months’ collaborative agreement with an MD to facilitate easy monitoring of their nursing practice. (RUBENFIRE, 2015) As per the provisions of Maryland’s scope of practice policy, nurses are expected to work and practice within their specialization area.

Maryland has guaranteed the nurse practitioners’ independence as they can prescribe certain drugs without necessarily having an attestation agreement with physicians. However, ere nurse practitioners are required to register with CRISP with mandatory possession of DEA number to facilitate easy tracking of drug prescriptions made by the nurses. (RUBENFIRE, 2015) 

Comparing PMHNP practice in MARYLAND and Pennsylvania state.

When I compare Maryland PMHNP practice environment with that of Pennsylvania state as its neighbor, it is clear that PMHNPs pay tends to differ based on several factors such as the actual medial setting within which they operate, experience as well as the geographical location of the workplace place. Both Maryland and Pennsylvania ANCC is mandated to administer PMHNP examinations. Also, it should be known that unlike Pennsylvania, where nurse practitioners may not work independently, in Maryland, nurses are allowed to work independently without close supervision by medical doctors (RUBENFIRE, 2015). Both Maryland and Pennsylvania PMHNPs are allowed to work with patients who are mental without specifying their ages or working setting as it can be done within mental health centers, home medical sites correction facilities, or state psychiatric facilities.

A professional and/or clinical practice issue a new PMHNP to consider.

New PMHNP students will be expected to deeply understand several aspects of professional concerns within the limits of clinical practices. Some of the professional and clinical issues that need to be considered by a new PMHNP include mandatory laws provided for the credit transfer and their relocation. Since every state may have its own law, many of the new PHMNP students may perceive them either negatively or positively, and therefore this prompts that PMHNP students should choose wisely the kind of institutions they may wish to join (Monica, 2019).

A checklist for passing the national certification exam.

After one’s request to join the learning program, the application is usually made within 90 days’ time span. The application is approved by the exam license board using the committee website link provided. Upon approval of the application, the exam fee is paid depending on the association one joins with, but PMHNP fees amount to 350 dollars (Carthon, Wiltse Nicely, Altares Sarik, & Fairman, 2016). After examination fees are paid, the national board in charge of exams schedules timelines for exams on its website

As for the preparation, adequate preparation will be the key requirement for successfully pursuing the said national certification examination. Adequate preparation will entail paying examination fees in advance to avoid inconveniences during the examination session., scheduling all time as per the course objectives to avoid missing some vital content, and finally reading comprehensively to grasp the enhanced mastery of the content within the course work.

References

Carthon, J. M., Wiltse Nicely, K., Altares Sarik, D., & Fairman, J. (2016). Effective Strategies for Achieving Scope of Practice Reform in Pennsylvania. Policy, Politics, & Nursing Practice, 17(2), 99-109. doi:10.1177/1527154416660700

Monica, K. (2019). How Maryland is Maximizing the Clinical Efficiency of PDMP Use. Retrieved from https://ehrintelligence.com/news/how-maryland-is-maximizing-the-clinical-efficiency-of-pdmp-use

RUBENFIRE, A. (2015, May 14). Maryland allows nurse practitioners to practice independently of a physician. Retrieved from https://www.modernhealthcare.com/article/20150514/NEWS/150519928/maryland-allows-nurse-practitioners-to-practice-independently-of-a-physician#:~:text=Maryland%20allows%20nurse%20practitioners%20to%20practice%20independently%20of%20a%20physician,-Adam%20Rubenfire&text=Maryland%20has%20become%20the%2021st,practice%20independently%20of%20a%20physician.&text=The%20measure%20allows%20nurse%20practitioners,an%20%22attestation%20agreement%22%20with%20physicians

Wheeler, K., & Haber, J. (2018). (PDF) Development of Psychiatric–Mental Health Nurse Practitioner Competencies: Opportunities for the 21st Century. Retrieved from https://www.researchgate.net/publication/247779694_Development_of_Psychiatric-Mental_Health_Nurse_Practitioner_Competencies_Opportunities_for_the_21st_Century