State Level Regulations Discussion & PPT

State Level Regulations Discussion & PPT

State Level Regulations Discussion & PPT

Every State has different laws and regulations that impact APRNs practice, determined by individual state legislation and specific agency (Milstead & Short, 2019). The Nurse Practice Act (NPA) defines the regulation of nursing practice, which varies by State, and is governed by its state Board of Nursing (BON) to regulate the practice of nursing with the primary focus to protect the public health, safety, and welfare of its citizens. The American Nurses Association (ANA) represents all APRNs’ interest and believes that patients’ interests are best served by a health care system in which many different types of qualified professionals are available, accessible, and working together – collaboratively. Therefore, the scope of practice needs to reflect a professional’s true expertise (American Nurses Association, n.d.).

Starting July 2020, APRNs in Florida were able to practice independently, without a physician’s supervision, and to operate primary care practice in family medicine, general pediatrics, and general internal medicine. To qualify, the APRN needs to accumulate 3,000 hours of experience under physician supervision. APRNs have to complete minimum graduate-level course work in differential diagnosis and pharmacology and have not been subject to disciplinary action within the past five years (Florida Board of Nursing, n.d.). The passage of the bill demonstrates a commitment to the modernization of the way health care is delivered. APRNs can practice to the full extent of their education and abilities to provide the most efficient quality care to patients (American Nurses Association, n.d.). With this passage, people from Florida will have more access to health care, particularly in rural areas that are often underserved.

In contrast, although Texas recently eliminated the requirement of on-site physician supervision for Nurse Practitioners, they remained under restricted practice. State law requires a physician to provide continuous supervision, but the constant physical presence is not needed (Nurse Practitioner Schools, 2019). APRNs provide patient care by delegation from physicians. A physician must delegate the prescriptive authority through a written document prescribed by law, and certain limitations apply to prescribing Controlled Substances (CSs), as schedules III-V. Schedule II may also be delegated depending on the patient’s pressing needs (Coalition for Nurses in Advanced Practice, n.d.). Supervising physicians are mandated to track prescriptions written by APRNs, perform chart reviews, and meet monthly.

To continue practicing as an APRN in Florida and Texas, one must maintain the State required continuing education courses and an additional three contact hours related to prescribing controlled substances. Texas requires practicing a minimum of 400 hours in their role and population focus area and shall attest to completing additional five contact hours in pharmacotherapeutics (“Texas Board of Nursing – Nurses,” n.d.). To continue practicing as an APRN in Texas, they should maintain and renew their RN and APRN licensed at the same time.

Florida and Texas are just one example of different States with different regulations. Every State has specific laws.  An APRN needs to understand the rules for the State that they are interested in practicing in. One must always ensure that you are practicing within your scope to protect the patients you are caring for and safeguard your license that you worked so hard to obtain.

References

 

American Nurses Association. (n.d.). Scope of practice. ANA. https://www.nursingworld.org/practice-policy/scope-of-practice/

Coalition for Nurses in Advanced Practice. (n.d.). Waiting for the redirection… Waiting for the redirection… https://cnaptexas.com/aprn-practice/prescribing/prescribing-in-texas/

Florida Board of Nursing. (n.d.). HB 607 passes legislature – Impact to RNs, CNAs, and APRNs. Florida Board of Nursing – Licensing, Renewals & Information. https://floridasnursing.gov/hb-607-passes-legislature/

Milstead, J. A., & Short, N. M. (2019). Health Policy and Politics A Nurse’s Guide (6th ed.). Jones and Bartlett Learning.

Nurse Practitioner Schools. (2019, November 15). Texas nurse practitioner practice authority: The fight for FPA. NursePractitionerSchools.com. https://www.nursepractitionerschools.com/blog/texas-np-practice-authority/

Texas Board of Nursing – Nurses. (n.d.). Welcome to the Texas Board of Nursing Website. https://www.bon.texas.gov/newaprn.asp

ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: State Level Regulations Discussion & PPT

Question Description
I’m stuck on a Nursing question and need an explanation.

I uploaded the videos required for the discussion. One of them had to be an audio file due to size.

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.
DISCUSSION RUBRIC

Excellent 45 (45%) – 50 (50%)

Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.

Supported by at least three current, credible sources.Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
Good 40 (40%) – 44 (44%)

Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module.

At least 75% of post has exceptional depth and breadth.Supported by at least three credible sources.Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.
Fair 35 (35%) – 39 (39%)

Responds to some of the discussion question(s).

One or two criteria are not addressed or are superficially addressed.Is somewhat lacking reflection and critical analysis and synthesis.Somewhat represents knowledge gained from the course readings for the module.Post is cited with two credible sources.Written somewhat concisely; may contain more than two spelling or grammatical errors.Contains some APA formatting errors.
Poor 0 (0%) – 34 (34%)

Does not respond to the discussion question(s) adequately.

Lacks depth or superficially addresses criteria.Lacks reflection and critical analysis and synthesis.Does not represent knowledge gained from the course readings for the module.Contains only one or no credible sources.Not written clearly or concisely.Contains more than two spelling or grammatical errors.Does not adhere to current APA manual writing rules and style.

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: (9- to 10-slide PowerPoint presentation)

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

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.
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 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?
BOARDS OF NURSING VS. PROFESSIONAL NURSE ASSOCIATIONS

DEVELOP A 9- TO 10-SLIDE POWERPOINT PRESENTATION THAT ADDRESSES THE FOLLOWING:

· 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 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.–

Excellent 23 (23%) – 25 (25%)
The response accurately and thoroughly describes the differences between a board of nursing and a professional nurse association.

Response provides a complete and accurate description of who is on a board of nursing, detailing geographic distribution, academic credentials, practice positions, and licensure status.

The response provides a detailed and thorough explanation of how one becomes a member of the board of nursing.

Presentation includes speaker notes that explain and elaborate the points of the presentation.
Good 20 (20%) – 22 (22%)
The response accurately describes the differences between a board of nursing and a professional nurse association.

Responses provides an accurate description of who is on a board of nursing, and detailing geographic distribution, academic credentials, practice positions, and licensure status.

The response provides an accurate explanation how one becomes a member of the board of nursing.

Presentation includes speaker notes that explain the points of the presentation.
Fair 18 (18%) – 19 (19%)
Description of the differences between a board of nursing and a professional nurse association is inaccurate or incomplete.

Description of who is on a board of nursing is incomplete or inaccurate in detailing geographic distribution, academic credentials, practice positions, and licensure status.

Explanation of how one becomes a member of the board of nursing is vague or inaccurate.

Presentation includes speaker notes that are incomplete or lack appropriate explanation.
Poor 0 (0%) – 17 (17%)
Description of the differences between a board of nursing and a professional nurse associations is inaccurate and incomplete, or is missing.

Description of who is on a board of nursing detailing geographic distribution, academic credentials, practice positions, and licensure status is inaccurate and incomplete, or is missing.

Explanation of how one becomes a member of the board is vague and inaccurate, or is missing.

Speaker notes are incomplete or missing altogether.
THE IMPACT OF FEDERAL REGULATION ON HEALTHCARE

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.
· SPEAKER NOTES ARE INCLUDED ON EVERY SLIDE AND ARE USED TO EXPLAIN AND ELABORATE THE SIGNIFICANT POINTS ON EACH SLIDE.–

Excellent 18 (18%) – 20 (20%)
Response clearly and accurately explains one or more federal regulations for healthcare.

Response clearly and accurately explains in detail how the regulation(s) influence delivery, cost, and access to healthcare.

Response clearly and accurately explains in detail whether there has been any change to the regulation(s) within the past 5 years and specific, relevant examples are provided.

Presentation includes speaker notes that explain and elaborate the points of the presentation.
Good 16 (16%) – 17 (17%)
Response accurately explains one federal regulation for healthcare.

The response accurately explains how the regulation(s) influence delivery, cost, and access to healthcare.

Response accurately explains whether there has been any change to the regulation(s) within the past 5 years and a relevant example may be provided.

Presentation includes speaker notes that explain the points of the presentation.
Fair 14 (14%) – 15 (15%)
Explanation for one or more federal regulations for healthcare is vague or inaccurate.

Explanation of how the regulation(s) influence delivery, cost, and access to healthcare is vague or incomplete.

Explanation of whether there has been any change to the regulation(s) within the past 5 years is vague or inaccurate and/or examples are not relevant or are missing.

Presentation includes speaker notes that are incomplete or lack appropriate explanation.
Poor 0 (0%) – 13 (13%)
Explanation of one or more federal regulations for healthcare is vague and inaccurate, or is missing.

Explanation of how the regulation(s) influence delivery, cost, and access to healthcare is vague and inaccurate, or is missing.

Explanation of whether there has been any change to the regulation(s) within the past 5 years and specific examples are vague and inaccurate, or is missing.

Speaker notes are incomplete or missing altogether.
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?
· SPEAKER NOTES ARE INCLUDED ON EVERY SLIDE AND ARE USED TO EXPLAIN AND ELABORATE THE SIGNIFICANT POINTS ON EACH SLIDE.–

Excellent 18 (18%) – 20 (20%)
Response includes a complete and accurate description that fully details how one or more state regulations are related to general nurse scope of practice.

Response clearly and accurately explains in detail how the regulation(s) influences the nurse’s role.

Response clearly and accurately explains in detail how the regulation(s) influences delivery, cost, and access to healthcare.

Presentation includes speaker notes that explain and elaborate the points of the presentation.
Good 16 (16%) – 17 (17%)
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.

Presentation includes speaker notes that explain the points of the presentation.
Fair 14 (14%) – 15 (15%)

State Level Regulations Discussion & PPT

State Level Regulations Discussion & PPT
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.

Presentation includes speaker notes that are incomplete or lack appropriate explanation.
Poor 0 (0%) – 13 (13%)
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.

Speaker notes are incomplete or missing altogether.
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?
· SPEAKER NOTES ARE INCLUDED ON EVERY SLIDE AND ARE USED TO EXPLAIN AND ELABORATE THE SIGNIFICANT POINTS ON EACH SLIDE.–

Excellent 18 (18%) – 20 (20%)
Response includes a complete and accurate description that fully details how one or more state regulations are related to Advanced Practice Registered Nurses (APRNs).

Response clearly and accurately explains in detail how the regulation(s) influences the nurse’s role.

Response clearly and accurately explains in detail how the regulation(s) influences delivery, cost, and access to healthcare.

Presentation includes speaker notes that explain and elaborate the points of the presentation.
Good 16 (16%) – 17 (17%)
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.

Presentation includes speaker notes that explain the points of the presentation.
Fair 14 (14%) – 15 (15%)
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.

Presentation includes speaker notes that are incomplete or lack appropriate explanation.
Poor 0 (0%) – 13 (13%)

State Level Regulations Discussion & PPT

State Level Regulations Discussion & PPT
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.

Speaker notes are incomplete or missing altogether.
WRITTEN EXPRESSION AND FORMATTING – PARAGRAPH DEVELOPMENT AND ORGANIZATION:

PARAGRAPHS MAKE CLEAR POINTS THAT SUPPORT WELL DEVELOPED IDEAS, FLOW 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 IS PROVIDED WHICH DELINEATES ALL REQUIRED CRITERIA.–

Excellent 5 (5%) – 5 (5%)
Paragraphs 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.
Good 4 (4%) – 4 (4%)
Paragraphs 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.
Fair 3.5 (3.5%) – 3.5 (3.5%)
Paragraphs 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.
Poor 0 (0%) – 3 (3%)
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion was provided.
WRITTEN EXPRESSION AND FORMATTING – ENGLISH WRITING STANDARDS:

CORRECT GRAMMAR, MECHANICS, AND PROPER PUNCTUATION–

Excellent 5 (5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
Good 4 (4%) – 4 (4%)
Contains a few (1-2) grammar, spelling, and punctuation errors.
Fair 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) grammar, spelling, and punctuation errors.
Poor 0 (0%) – 3 (3%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
WRITTEN EXPRESSION AND FORMATTING – THE PAPER FOLLOWS CORRECT APA FORMAT FOR TITLE PAGE, HEADINGS, FONT, SPACING, MARGINS, INDENTATIONS, PAGE NUMBERS, PARENTHETICAL/IN-TEXT CITATIONS, AND REFERENCE LIST.–

Excellent 5 (5%) – 5 (5%)
Uses correct APA format with no errors.
Good 4 (4%) – 4 (4%)
Contains a few (1-2) APA format errors.
Fair 3.5 (3.5%) – 3.5 (3.5%)
Contains several (3-4) APA format errors.
Poor 0 (0%) – 3 (3%)
Contains many (≥ 5) APA format errors.
REQUIRED RESOURCES
https://www.nursingworld.org/
https://class.waldenu.edu/bbcswebdav/institution/USW1/202050_27/MS_NURS/NURS_6050/artifacts/USW1_NURS_6
050_Halm_2018.pdf
https://www.ncsbn.org/index.htm
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
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
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. doi:10.1016/j.outlook.2017.10.002
wal_nurs6050a_03_b_en_cc.zip
wal_nurs6050a_03_c_en_dl.zip
wal_nurs6050a_03_d_en

State Level Regulations Discussion & PPT

State Level Regulations Discussion & PPT

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include 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 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 LoudCloud 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 overutilization of direct quotes in DQs and assignments at the Masters’ 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 LopesWrite, 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 LoudCloud for tips on improving your paper and SI score.
Late Policy

The university’s policy on late assignments is 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.
Communication

Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Advanced practice registered nurses practice is distinct state by state and the APRN scope of practice and regulative criteria vary from nurses with same qualifications and titles in each state (Milstead & Short, 2019). In comparing APRNs in Texas and New Mexico, there are differences in regulations based on the respective nursing boards and the scope of practice authority. In Texas, the APRN board of nursing regulations mandates nurse practitioners to restricted practice. The NPs can only engage in one element of practice and should be on career-long supervision of a physician. APRNs should also have registered nurse license, graduate degree and have national certification. The Texas Board of Nursing also mandates APRNs to meet the Nurse Practice Act and all its requirements (Texas Board of Nursing, 2021). In New Mexico, Nurse practitioners are under the Nurse Practice Act and must register with the Prescription Monitoring Unit. The APRNs have full practice authority and can prescribe drugs and controlled substances. The APRNs are also regulated by the state Board of Nursing and should have national certification and graduate degree qualification (NMNPC, 2020). The implication is that certified family nurse practitioners (FNPs) as a specialty in APRN may also have variations based on states. In Texas, family nurse practitioners must have supervising physicians to provide patient care. However, in New Mexico FNPs are allowed to practice independently to the full extent of their training and education.

The regulations impact APRNs who have legal authority to practice to the full level of their education and experience as they set guidelines for those practicing with the profession to protect their titles and the public (Laureate Education, 2018). APRNs comply with the regulations by ensuring that they update their licenses, meet the requirements for continuing education and training and enhancing patient safety and competence in their nursing practice.

References

Laureate Education (Producer). (2018). The Regulatory Process [Video file]. Baltimore, MD:

Author.

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

Burlington, MA: Jones & Bartlett Learning.

New Mexico Nurse Practitioner Council (2020). Practice Regulations.

https://www.nmnpc.org/page/PracticeRegs

Texas Board of Nursing. (2021) Practice-APRN Scope of Practice.

https://www.bon.texas.gov/practice_scope_of_practice_aprn.asp

Nursing practices vary state to state as the U.S. constitution has given each state the right to institute laws that govern licenses; the most restrictive method of credentialing and a privilege that grant authorization to do certain acts (Milstead and Short, 2019).   There are four main APRN (advanced practice registered nurse) roles: certified nurse anesthetist (CRNA), nurse practitioner (NP), certified nurse midwife (CNM) and clinical nurse specialist (CNS) (Bosse et al., 2017).  

The state of Arizona, where I am from, is under a “Full Practice Authority” (FPA) regulatory structure.  This means that in Arizona, licensing laws permit all nurse practitioners to assess and diagnose patients, order and interpret diagnostic tests, initiate and manage their treatments and even prescribe medications including controlled substances (American Association of Nurse Practitioners, 2022).  According to the AANP, about half of the country has adopted this model because of some quality benefits it provides to patients such as improved access for patients in rural areas, streamlined care at decreased cost and allows patients to choose their healthcare provider (American Association of Nurse Practitioners, 2022).  

            In contrast, the state of Texas, where my wife is from is under the “Restricted Practice” regulatory structure.  This means that in the state of Texas, a nurse practitioner cannot practice independently, and must be under the supervision of another health provider (American Association of Nurse Practitioners, 2022).  Bosse et al. explain that the lack of full practice for APRNs is a barrier to providing cost-effective, high-quality comprehensive health care for some of the most vulnerable patient populations (2017).       

  

  

References 

American Association of Nurse Practitioners. (2022, April). Issues at a glance: Full Practice Authority. American Association of Nurse Practitioners. Retrieved September 27, 2022, from https://www.aanp.org/advocacy/advocacy-resource/policy-briefs/issues-full-practice-brief   

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 

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