Assignment: Regulation for Nursing Practice Staff Development Meeting

NRSE 6050 Week 6 Assignment: Regulation for Nursing Practice Staff Development Meeting

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Nurses at all stages of their careers ought to commit to ongoing career growth and development. Therefore, national nursing associations provide unique opportunities for career advancement, opportunities for networking, as well as the provision and promotion of the best practice guidelines. National nursing associations offer access to leadership development as well as mentoring that are not always accessible to professionals within their organization of work. National nursing associations provide opportunities for general membership and can sometimes target specific roles, including critical care nurses and student nurses (Alotaibi, 2017). National nurses associations often gain strength through expansive collaboration and exchange of ideas. Members of national nurse associations often benefit from the foundation built on shared professional experiences. Boards of Nursing refers to the agencies that promote and protect the general public’s health and welfare by assuring and overseeing that licensed nurses are involved in the provision of competent and safe healthcare services. The Board of Nurses is led by the elected Board of Directors, who oversee different activities to ensure effective operational processes.

Differences between A Board Of Nursing and a Professional Nurse Association

Private membership requiring potential members to pay dues to enjoy benefits
Mainly involved in the protection of nursing professionals
Involved in the protection of nurse’s interests and may assist in cases of disciplinary actions
Members are elected, no payment of due
Mainly involved in the protection of public interest
Boards of Nursing supervise the licensure renewals, issuance, and applications; they also pursue disciplinary actions in case nurses violates the laws

Both national nurse associations and the Board of nursing are led by directors elected that mainly consist of nurses and other members. The Board of Nurses is not always involved in the drafting of legislation. Also, they cannot oppose or support the proposed bills during legislative processes. However, the Board of nurses often establishes measures that ensure the provision of quality healthcare services to the general public. They are also involved in the development of policies that ensure that nurses and other healthcare professionals are involved in the provision of quality healthcare services to different types of patients. Even though it can sometimes appear that the board of nursing restricts different nursing practices, they often try to have an uneven keel when it comes to the protection of the public from harm through setting minimum qualifications and competencies (Stanley et al., 2019). National nurse associations, on the other hand, are involved in the protection of nurse’s interests. They always act on behalf of nurses to ensure proper working conditions.

Objectives

Regulations are in place to safeguard patients and guarantee their safety during medical treatments. Different acts taken by various entities, including the Board of Nursing, have an impact on nursing. The federal Nursing Practice Act, which governs the profession at the federal level, is enforced by all states in the nation (Milstead & Short, 2019). The presentation also provides an explanation of the variations between Professional Nursing Associations and Boards of Nursing. The Texas Board of Nursing’s structure is described in the presentation. A state regulation that affects the total scope of practice for nurses is also covered in the presentation. Finally, it talks about a state regulation pertaining to APRNs and how it affects nurses’ roles, patient access, care delivery, and cost.

Assignment: Regulation for Nursing Practice Staff Development Meeting

Both national nursing associations and nursing boards have a significant impact on the scope of practice and profession of the nurse practitioner. Recognizing these differences increases the credibility of your professional competence. In this assignment, you will get some practice applying your knowledge by comparing nursing boards and professional nurse associations. You will also talk about a nursing board review in your state.

When writing this coursework, please follow the guidelines listed below. PowerPoint is required for the course assignments. I’ll attach a few files. a set of instructions, and a few extra students To assist you with your writing, I want you to use CNO College of Nurses of Ontario as the board in the Myy specific region in your PowerPoint examples.

Nursing is a highly regulated industry. Over 100 national nursing associations and boards exist in the United States and its territories. Their existence contributes to the regulation, education, and promotion of the nursing industry. With such numbers, it may be difficult to distinguish BONs from nursing groups and overwhelming to weigh the numerous benefits and options each provides.

Describe the Difference Between a Board of Nursing and a Professional Association

vDescribe state and federal regulations in healthcare

vDescribe one state regulation associated with Advanced Practice Registered Nurses (APRNs)

vEffects on Role of Nurses & Cost, Delivery and Access to Healthcare

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Introduction

Both national nursing associations and boards of nursing play significant roles in the nurse practitioner profession and the general scope of their practice. Therefore, understanding the differences between the two helps lend credence to the expertise of different healthcare professionals.

Nurses at all stages of their careers should commit to ongoing professional development. As a result, national nursing associations offer unique opportunities for career advancement, networking, and the provision and promotion of best practice guidelines. National nursing associations provide access to leadership development and mentoring that are not always available to professionals within their workplace. National nursing associations offer general membership and may occasionally target specific roles, such as critical care nurses and student nurses (Alotaibi, 2017). National nursing associations frequently gain strength through broad collaboration and the exchange of ideas. Members of national nurse associations frequently benefit from the foundation established through shared professional experiences. Boards of Nursing are organizations that promote and protect the general public’s health and welfare by ensuring and supervising the involvement of licensed nurses in the provision of competent and safe healthcare services. The elected Board of Directors leads the Board of Nurses and oversees various activities to ensure efficient operational processes.

Differences between A Board Of Nursing and a Professional Nurse Association

Private membership requiring potential members to pay dues to enjoy benefits
Mainly involved in the protection of nursing professionals
Involved in the protection of nurse’s interests and may assist in cases of disciplinary actions
Members are elected, no payment of due
Mainly involved in the protection of public interest
Boards of Nursing supervise the licensure renewals, issuance, and applications; they also pursue disciplinary actions in case nurses violates the laws

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: (9- to 10-slide PowerPoint presentation)

Develop a 9- to 10-slide PowerPoint Presentation that addresses the following:

Nurs 6050 Week 6 Assignment Regulation for Nursing Practice Staff Development Meeting

Describe the differences between a board of nursing and a professional nurse association.

Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area. Assignment: Regulation for Nursing Practice Staff Development Meeting

Who is on the board?

How does one become a member of the board?

Describe at least one federal regulation for healthcare.

How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?

Has there been any change to the regulation within the past 5 years? Explain.

Describe at least one state regulation related to general nurse scope of practice.

How does this regulation influence the nurseâ€™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 nurseâ€™s role?

How does this regulation influence delivery, cost, and access to healthcare?

Accessibility to medical care has been a lot easier with the APRN’s most especially in rural areas where there are few or no physician. Awarding the full practice act makes it relatively cost effective as it aims at saving patients money and increasing heal care access delivery. Increased patients access to medical care influence on the economy, hence we should all as individuals and group strive to Improving patient access to care from qualified providers improves state healthcare outcome while also improving the business and economic climate within the state . A healthy nation is a wealthy nation.

By Day 7 of Week 6

Submit your Regulation for Nursing Practice Staff Development Meeting Presentation.

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Assignment: Regulation for Nursing Practice Staff Development Meeting

Comparison Of Board of Nursing Scope of Practice for Advanced Practice Registered Nurses (APRNs)

The quality of and access to health care have been topics of debate for years. The Affordable Care Act (ACA), makes health care accessible to more Americans and increased the need for primary care physicians (PCPs). A shortage of 139,160 PCPs is expected by 2030 nationwide increasing the number of Advanced Practice Registered Nurses (APRNs ) is an option for providing primary care ( Zhang et al., 2020).

The state of Delaware granted nurse practitioners Full Practice Authority (FPA) in August of this year. Nurse practitioners (NP’s) with FPA can evaluate, diagnose, prescribe and treat (AANP, 2021). They can order and interpret test making it possible for them to provide comprehensive care. They do not require a collaborative agreement with another provider to give patient care and practice independently (AANP, 2021). There is a scope of practice for NPs in Delaware and they are regulated by the state board of nursing. According to the AANP, the NP with FPA usually chooses to work in rural or urban communities. These areas are underserved, have limited access to quality care and a need more PCPs.

The state of Virginia limits it’s NPs ability to practice by requiring supervision or management by another health care provider (AANP, 2021). Virginia does not currently recognize NPs as PCPs and only allows independent practice after 5 years under physician supervision (Virginia Department of Health Professions, (DPH), n.d.). There are some occasions when NPs can practice without a collaborate agreement, for example if the supervising physician retires or becomes disabled (DPH, n.d.). The state of Virginia enacted new regulations expanding the practice of APRNs, during the pandemic that will end July1, 2022.

References

American Association of Nurse Practitioners. (2021). State Practice Environment. https://www.aanp.org/advocacy/state/state-practice-environment

Virgina Department of Health Professions (n.d.). Board of Nursing. Regulations Governing The Licensure of Nurse Practitioners. https://www.dhp.virginia.gov/media/dhpweb/docs/nursing/leg/NursePractitioners.pdf

Zhang, X., Lin, D., Pforsich, H., & Lin, V. W. (2020). Physician workforce in the United States of America: forecasting nationwide shortages. Human Health Resources 18(8). https://doi:10.1186/s12960-020-0448-3

RE: Discussion – Week 5

COLLAPSE

Tina,

Thank you for your post. Nurse Practitioners play a vital role in health promotion. Due to the continuous shortage in the medical field, nurse practitioners have the ability to influence the behaviors of patients by establishing a strong, trusting rapport with their patients (Wilson et al., 2021). From my experience as a registered nurse, I have worked with a ton of nurse practitioners in terms of creating a plan of care for patients who are in the hospital. I also find that due to the amount of patients that a physician oversees, it can be easier to get in contact with the nurse practitioner for patient needs. As you stated in your discussion post, there are states that allow Advanced Practice Nurses (APRNS) to practice with autonomy without having to be under a physician. I believe that this is a step in the right direction to allow more APRNS to provide comprehensive care to more patients. Doing this will help improve health care costs, and hopefully shorten the hospital stays for patients (Kilpatrick et al., 2021).

Resources

Kilpatrick, K., Tchouaket, E., Fernandez, N., Jabbour, M., Dubois, C.-A., Paquette, L., Landry, V., Gauthier, N., & Beaulieu, M.-D. (2021). Patient and family views of team functioning in primary healthcare teams with nurse practitioners: A survey of patient-reported experience and outcomes. BMC Family Practice, 22(1), 76. https://doi.org/10.1186/s12875-021-01406-y

Wilson, E., Hanson, L. C., Tori, K. E., & Perrin, B. M. (2021). Nurse practitioner led model of after-hours emergency care in an Australian rural urgent care Centre: Health service stakeholder perceptions. BMC Health Services Research, 21(1), 819. https://doi.org/10.1186/s12913-021-06864-9

COLLAPSE

APRN Education Requirements State of Texas:

1. Graduation from a APRN graduate program that is accredited by the board, the U.S. Secretary of Education,or the Council for Higher Education (CHEA)

2. The program has to be at least one academic year in length, and include a preceptorship

3. Obtain a master’s degree in the specialty of nursing that is desired

4. Must be a Registered Nurse

(Texas Board of Nursing, 2021)

APRN Education Requirements Florida:

1. Must obtain master’s degree or post master’s degree certification

2. Have a valid Registered Nurse license from any U.S jurisdiction

3. Must have a national advanced practice certification from an approved nursing specialty board

4. Registration for autonomous practice must be approved before practicing autonomously

(Florida Board of Nursing, 2021)

The education requirements for the state of Texas and Florida for Advanced Practice Nurses (APRN) have many similarities, but are also slightly different. The similarities between the two are that both states require a master’s degree, and you must have a active Registered Nurse license. One thing that is different between the two states that stood out to me, was that APRNS in the state of Florida are not allowed to practice independently without the proper registration to do so. For example, in the state of Florida, APRNS must obtain an approved registration for autonomous practice before they can practice autonomously (Florida Board of Nursing, 2021).

The regulations that I selected apply to APRNS who can legally practice within their full scope of education and practice. The reason why I say this is because Texas and Florida have many regulations related to education that are the same. However, APRNS that desire to practice independently, and have the legal authorization to do so, will still have to adhere to the regulations of proper registration of autonomous practice. For example, a APRN cannot practice without obtaining a master’s degree from an accredited program, such as graduating from Walden University, and they will also have to have a Registered Nurse license that is active and in good standing from the board of nursing. In conclusion, it is priority to provide patients with high standard care in ethical work environments while continuing to work towards advancing the nursing profession in all states (American Nurses Association, 2018).

Resources

Advanced practice registered nurse (APRN). Florida Board of Nursing. (n.d). Retrieved December 30, 2021, from https://floridanursing.gov/nursing-faqs/advanced-practice-registered-nurse-aprn/

American Nurses Association. (n.d). ANA enterprise. Retrieved September 20, 2018, from http://www.nursingworld.org

Laws & Rules-Rules & Regulations. Texas Board of Nursing-Laws and Regulations. (n.d). Retrieved December 29, 2021, from https://www.bontexas.gov/laws_and_rules_rules_and_regulation.asp

Hello Hope,

Thank you for your post. It is interesting to see the similarities and differences of the rules and regulations of different states. Rules and regulations ensure safe and competent care that is provided to patients. This is important in providing patient-centered, safe, and quality nursing care (Rabie, 2021). I believe that Advanced Practice Nurse Practitioners (APRNS) should have the ability to practice with autonomy. Doing this will help decrease the work load of physicians and provide more patients access to consistent care, while also decreasing offices visits and hospital admissions (2018).

Resources

Rabie, T. (2021). Relation between Halls’ Professionalism Scale and nurses’ demographic characteristics. BMC Research Notes, 14(1). https://doi.org/10.1186/s13104-021-05660-2

Legal requirements for APRN standard care arrangements. (2018). Momentum (Ohio Board of Nursing), 16(2), 8.

According to the state of Maryland, an APRN or advanced practice nurse means a registered nurse who is certified by the board as a certified nurse-midwife, a certified registered nurse anesthetist, a certified nurse practitioner, or a clinical nurse specialist. As in Georgia, Maryland APRN’s must also hold a current Maryland license in good standing to practice registered nursing, have graduated from a board-approved graduate-level program for nurse practitioners, and hold current national certification for each specialization that the nurse practice in according to The State of Maryland (n.d.). An APRN can only practice in the area of specialty that certification was gained in. In Maryland, APRNs do have full practice authority. With full practice authority nurse practitioners can independently do comprehensive physical examinations, evaluate patients, diagnose, and order labs, treatments, and prescribe medications to the full extent under the licensure of the state board of Maryland. According to Rubenfire (2015) Gov. Larry Hogan signed the Nurse Practitioner Full Practice Authority Act. This act also allows nurse practitioners to prescribe certain drugs without having an “attestation agreement” with a physician.

References

Rubenfire, A. (2015, May 14). Modern Healthcare. Maryland allows nurse practitioners to practice

independently of a physician.

https://www.modernhealthcare.com/article/20150514/NEWS/150519928/maryland-allows-nurse- practitioners-to-practice-independently-of-a-physician

Maryland Board of Nursing. (n.d.). Advanced practice registered nursing: nurse practitioners.

http://www.dsd.state.md.us/comar/comarhtml/10/10.27.07.03.htm

RE: Discussion – Week 5

COLLAPSE

Advanced practice registered nurses (APRNs) possess the education, knowledge, skills, and experience necessary to practice and prescribe with full authority (Bosse et al., 2017). When APRNs are allowed to practice within the full scope of their education and experience, the quality and ability to access healthcare improves. This is especially essential in the area of mental health and substance abuse, as treatment deserts present barriers to the accessibility to appropriate care. As nurse practitioners gain full practice authority, they can reduce the burden that is present within the healthcare system (Neff et al., 2018).

Prescriptive Authority Educational Requirements in Ohio and Arizona

In the state of Ohio, the prescriptive authority of APRNs is regulated by The Ohio Board of Nursing. The Ohio Board of Nursing has created a regulation that requires a course of study in advanced pharmacology (Ohio Board of Nursing, 2017). This course of study must consist of a minimum of 45 contact hours, content specific to a nurse’s specialty, 36 hours of training obtained by a single provider, and completion of a comprehensive written examination (Ohio Board of Nursing, 2017). Additionally, the course must cover the fiscal and ethical implications of prescribing drugs, descriptions of applicable state and federal laws, detailed prevention plans for abuse/diversion for schedule II substances, and recommendations for alternative pain management therapies (Ohio Board of Nursing, 2017). These requirements were developed to ensure that APRNs who are prescribing medications do so in an educated and safe manner. APRNs can ensure patient safety and quality of care by adhering to this guideline through taking the appropriate educational courses.

The licensure requirements of APRNs differ between states due to differing regulatory boards. Education for prescriptive differs in Arizona, as the Arizona State Board of Nursing specifies that 45 contact hours of education must occur in the three years preceding an application for prescribing and dispensing privileges (Arizona State Board of Nursing, 2019). These hours of education need to only contain education on pharmacology or the clinical management of drug therapy (Arizona State Board of Nursing, 2019). While the Arizona State Board of Nursing requires the same amount of contact hours as the Ohio Board of Nursing, their requirements surrounding the requirements of study are less rigorous and allow for more flexibility.

Prescribing of Naloxone in Ohio and Arizona

The ongoing drug epidemic has made it vital for nursing regulatory boards to create guidelines surrounding the prescription of opioids and naloxone. According to the Ohio Board of Nursing, an APRN can legally prescribe naloxone. Prescriptions may be written for an at-risk individual, and/or friend or family member who may be in the position to help an individual who is actively overdosing on opioids (Ohio Board of Nursing, 2015). Additionally, this regulation has led to the removal of healthcare providers’ civil, criminal, and professional liability in regards to prescribing naloxone to a patient. However, to prescribe naloxone, following prescription regulations and patient-training protocols are required (Ohio Board of Nursing, 2015). APRNs can utilize this regulation as a prevention mechanism within a care plan that relates to substance abuse.

Similarly in the state of Arizona, the Arizona State Board of Nursing has given APRNs prescriptive authority over naloxone. While a prescription can be written for an at-risk individual, and/or friend or family member, like in Ohio, it may also be given to a community organization that provides services to at-risk individuals (Arizona State Board of Nursing, 2017). Arizona has, also, removed professional liability and criminal prosecution for APRNs who prescribe naloxone in “good faith”. In addition, Arizona requires APRNs to co-prescribe naloxone when a patient is issued a new prescription for a schedule II opioid, dispensed outside of a health care institution, that is greater than 90 morphine milligram equivalents per day (Arizona State Board of Nursing, 2017).

References

Arizona State Board of Nursing. (2017). The use of controlled substances for the treatment

of chronic pain. Retrieved from https://www.azbn.gov/sites/default/files/advisory-opinions/ao-controlled-substances-for-the-treatment-of-chronic-pain.pdf

Arizona State Board of Nursing. (2019). Rules of the state board of nursing. Retrieved from https://www.azbn.gov/sites/default/files/2020-03/RULES.Effective.June3_.2019.pdf

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 Outlook, 65(6), 761–765. https://doi.org/10.1016/j.outlook.2017.10.002

Name: NURS_6050_Module03_Week06_Assignment_Rubric

	Excellent	Good	Fair	Poor
Boards of Nursing vs. Professional Nurse Associations Develop a 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 members of the board for your specific region/area. · Who is on the board? · How does one become a member of the board? · Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.	23 (23%) – 25 (25%) Using sufficient evidence, the response accurately and thoroughly describes the differences between a board of nursing and professional nurse associations. Response provides a complete and accurate description of who is on a board of nursing. Response provides a detailed and thorough explanation of how one becomes a member of the board of nursing. Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.	20 (20%) – 22 (22%) Using sufficient evidence, the response accurately describes the differences between a board of nursing and professional nurse associations. Response provides an accurate description of who is on a board of nursing. Response provides an accurate explanation of how one becomes a member of the board of nursing. Speaker notes are included on every slide and are used to explain the significant points on each slide.	18 (18%) – 19 (19%) Description of the differences between a board of nursing and professional nurse associations is inaccurate or incomplete. Description of who is on a board of nursing is incomplete or inaccurate. Explanation of how one becomes a member of the board of nursing is vague or inaccurate. Speaker notes are incomplete or lack sufficient elaboration.	0 (0%) – 17 (17%) Description of the differences between a board of nursing and professional nurse associations is inaccurate or incomplete. Description of who is on a board of nursing is incomplete or inaccurate. Explanation of how one becomes a member of the board of nursing is vague or inaccurate. Speaker notes are missing.
The Impact of State Regulation on Nurse Practice 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? • If a patient is from another culture, how would this regulation impact the nurse’s care/education? • Has there been any change to the regulation within the past 5 years? Explain. • Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.	27 (27%) – 30 (30%) Response includes an accurate and thorough description of how one state regulation is related to general nurse scope of practice. Response accurately and thoroughly explains how the regulation influences the nurse’s role. Response accurately and thoroughly explains how the regulation(s) influences delivery, cost, and access to healthcare. Response accurately and thoroughly explains how the regulation impacts the nurse’s care/education to provide care for other cultures. Changes fully explained. Presentation includes speaker notes that explain and elaborate the significant points of the presentation.	24 (24%) – 26 (26%) Response includes an accurate description of how one state regulation is related to general nurse scope of practice. Response accurately explains how the regulation influences the nurse’s role. Response accurately explains how the regulation(s) influences delivery, cost, and access to healthcare. Response accurately explains how the regulation impacts the nurse’s care/education to provide care for other cultures. Changes partially explained. Presentation includes speaker notes that explain the points of the presentation.	21 (21%) – 23 (23%) Description of one or more state regulations that are related to general nurse scope of practice is incomplete or inaccurate. Explanation of how the regulation(s) influences the nurse’s role is vague or inaccurate. Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague or inaccurate. Explanation of how the regulation(s) influences the nurse’s care/education for other cultures is vague or inaccurate. Change is vague. Presentation includes speaker notes that are incomplete or lack appropriate explanation.	0 (0%) – 20 (20%) Description of one or more state regulations related to general nurse scope of practice is vague and inaccurate or is missing. Explanation of how the regulation(s) influences the nurse’s role is vague and inaccurate or is missing. Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague and inaccurate, or is missing. Explanation of how the regulation(s) influences the nurse’s care/education for other cultures is vague or inaccurate or missing. Change was not discussed. Speaker notes are missing.
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? • Has there been any change to the regulation within the past 5 years? Explain. Speaker notes are included on every slide and are used to explain and elaborate the significant points on each slide.	27 (27%) – 30 (30%) Using sufficient evidence, response includes an accurate and thorough description of how one state regulation is related to Advanced Practice Registered Nurses (APRNs). Response accurately and thoroughly explains how the regulation influences the nurse’s role. Response accurately and thoroughly explains how the regulation(s) influences delivery, cost, and access to healthcare. Changes fully explained. Presentation includes speaker notes that explain and elaborate on the significant points of the presentation.	24 (24%) – 26 (26%) Using sufficient evidence, response includes an accurate description of how one state regulation is related to Advanced Practice Registered Nurses (APRNs). Response accurately explains how the regulation influences the nurse’s role. Response accurately explains how the regulation(s) influences delivery, cost, and access to healthcare. Changes partially explained. Presentation includes speaker notes that explain the points of the presentation.	21 (21%) – 23 (23%) Description of one or more state regulations that are related to Advanced Practice Registered Nurses (APRNs) is incomplete or inaccurate. Explanation of how the regulation(s) influences the nurse’s role is vague or inaccurate. Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague or inaccurate. Change is vague. Presentation includes speaker notes that are incomplete or lack appropriate explanation.	0 (0%) – 20 (20%) Description of one or more state regulations related to Advanced Practice Registered Nurses (APRNs) is vague and inaccurate or is missing. Explanation of how the regulation(s) influences the nurse’s role is vague and inaccurate or is missing. Explanation of how the regulation(s) influences delivery, cost, and access to healthcare is vague and inaccurate, or is missing. Change was not discussed. Speaker notes are missing.
Written Expression and Formatting—Paragraph Development and Organization Speaker notes make clear points that support well developed ideas, low logically, and demonstrate continuity of ideas. Sentences are carefully focused– neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction and conclusion are provided which delineate all required criteria.	5 (5%) – 5 (5%) Speaker notes and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.	4 (4%) – 4 (4%) Speaker notes and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.	3 (3%) – 3 (3%) Speaker notes and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic.	0 (0%) – 2 (2%) Speaker notes and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. Purpose, introduction, and conclusion of the assignment is incomplete or missing.
Written Expression and Formatting: English Writing Standards Correct grammar, mechanics, and proper punctuation.	5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors.	4 (4%) – 4 (4%) Contains a few (1-2) grammar, spelling, and punctuation errors.	3 (3%) – 3 (3%) Contains several (3-4) grammar, spelling, and punctuation errors.	0 (0%) – 2 (2%) Contains many (≥5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting: The presentation follows correct APA format for parenthetical/in-text citations, and reference list.	5 (5%) – 5 (5%) Uses correct APA format with no errors.	4 (4%) – 4 (4%) Contains a few (1-2) APA format errors.	3 (3%) – 3 (3%) Contains several (3-4) APA format errors.	0 (0%) – 2 (2%) Contains many (≥5) APA format errors.

Total Points: 100

Name: NURS_6050_Module03_Week06_Assignment_Rubric

RE: Discussion – Week 5

COLLAPSE

Top of Form

Prescriptive authority with controlled substances is one APRN board of nursing regulation which varies from state to state. In Texas, APRNs have authority to prescribe controlled substances following additional qualifiers from the Texas Department of Public Safety, which in comparison to Illinois prescriptive authority qualifiers, appears to be less regulated. There are several examples of this, one being Texas Administrative Code only requiring physician consultation after 90 days if the prescription is a refill of a controlled substance (American Medical Association, 2017) – this contrasts to Illinois where the consultation is needed after a 30 day supply (Illinois General Assembly, 2022). There are direct similarities on this topic as well, such as the requirement of consultation with an appropriate physician on a monthly basis regarding any patient currently under the APRN’s care who is prescribed a controlled substance.

A second APRN regulation which varies state to state is the education requirements for acquiring and maintaining prescriptive authority. In this area, Texas is more demanding for initial requirements, but is vague in comparison on continuing education requirements. Specifically, Texas requires “courses in pharmacotherapeutics, pathophysiology, advanced assessment, and diagnosis and management of problems within the clinical specialty” (American Medical Association, 2017) while Illinois requires “At least 45 hours of graduate level pharmacology and annual completion of 5 hours of continuing education in pharmacology” (Illinois General Assembly, 2022).

For APRNs who have legal authority to practice within the full scope of their education, application of these regulatory differences for prescribing controlled substances may be seen through the APRN anticipating there will likely be additional requirements which apply to them, due exclusively to state policy differences. Whereas, a peer in another state may not have the same experience as themselves it is important to not make direct comparisons interstate when it concerns informing professional actions/behavior. The APRN licensing process follows a more wide reaching interstate model, but when practicing, state by state specifics are much more important.

APRNs can adhere to education requirement differences by having knowledge of what forms of education are specifically accepted by the state, information that is usually available and readily provided by the respective state’s board of nursing. Within that information, the APRN can also be vigilant about differences in continuing education timings. Adhering to differences in controlled substance prescriptive authority is knowing that one action may be illegal in a state but accepted in another. It is then important to not assume one policy is the same between states but rather directly consult primary source information from the state board of nursing itself. Regulatory changes may not always be obvious when they do occur, and the rules and regulations for APRNs state to state remain open for change – it is the responsibility of the individual APRN to be up to date and follow the regulations in the state of which they practice within (Milstead & Short, 2019, p. 81).

References

American Medical Association. (2017). State law chart: Nurse Practitioner Prescriptive Authority. Retrieved September 27, 2022, from https://www.ama-assn.org/sites/ama-assn.org/files/corp/media-browser/specialty%20group/arc/ama-chart-np-prescriptive-authority.pdf

Illinois General Assembly. (2022). Professions, Occupations, and Business Operations. 225 ILCS 65/Nurse Practice Act. Retrieved September 27, 2022, from https://ilga.gov/legislation/ilcs/ilcs4.asp?DocName=022500650HArt.%2B65&ActID=1312&ChapterID=24&SeqStart=16500000&SeqEnd=17850000

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