Differentiate the Major Regulatory Restrictions on NP Practice DQ 3
Purpose
NPs have scopes of practice that are regulated by state laws, boards of nursing, boards of medicine and reimbursement that may differ depending on your location. There are several sources of restrictions to NP practice such as state laws and federal regulations which include who may prescribe controlled substances and which substances NPs can prescribe, as well as the various reimbursement agencies. It is essential that the NP be fully informed of what they are allowed to do by law (state and federal) or by other regulatory organizations. These regulations vary widely from state to state. Consequences of practicing outside your scope of practice may be anything from a fine, suspension or revocation of your license, civil lawsuit, or even criminal charges.
Directions
Use the provided template to compare and contrast the three major regulatory practice models for NPs: Supervisory, Collaborative, and Independent. Please keep this assignment in the template format provided. This Assignment requires credible and up to date resources for each category. Include in each model at least one state that represents the scope of practice you are discussing. For example, Florida requires a supervisory relationship with a physician along with a practice agreement, formulary, and protocols. In order to apply and receive a DEA license to prescribe controlled substances, you must be approved by the state you are practicing in to prescribe these medications.
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You might think that an advanced practice nurse is just a non-physician doctor who works with patients. But nope! Advanced practice nurses are nurses who have helped prescribe medication and perform surgeries. In fact, some NPs even work alongside physicians to improve health outcomes for their patients.
The difference between an advanced practice nurse and a medical doctor is huge; there are lots of differences between their roles in healthcare. Let’s explore some key differences:
Advanced practice registered nurses (APRNs) are independent providers. They can order and interpret tests, procedures, and treatments without supervision.
APRNs must be board certified by the American Nurses Credentialing Center (ANCC). As of January 2019, there were over 138,000 RNs in the United States who were registered nurses with advanced practice credentials.
The scope of practice for an advanced practice nurse is different from a medical doctor. The scope of practice for an advanced practice nurse is more limited than that of a medical doctor.
Advanced practice registered nurses are independent providers, meaning they can order and interpret tests, procedures and treatments without supervision.
Nurses with advanced practice can:
The most common certification is the ANCC certificate. Other states may require state-specific certifications, in which case you can go to their website and find out more information.
You’re eligible for certification if you:
As an advanced practice nurse, you can provide care when the primary care provider is unavailable or unwilling to take over. That’s called shared decision making — and it’s not always easy to agree on what’s best for a patient.
If a patient asks for your opinion on something he or she is thinking about doing, it may be tempting to give your input without first consulting with anyone else. But this could actually lead to poorer outcomes in some cases, as well as exacerbate any issues that already exist between you and the patient and/or their family members (if they’re involved).
In other words: Sometimes there are things that need understanding before they can be resolved; sometimes there aren’t!
The National Board of Medical Examiners (NMBME) certifies physicians who have passed a difficult exam, and NPs are not certified by an organization like that. However, there are many medical conditions that your nurse can’t treat—such as cancer or heart disease. To differentiate NP practice from physician practice, you need to understand the major regulatory restrictions on NP practice:
The major differences between an advanced practice nurse and a medical doctor are as follows:
That’s it for the major regulatory differences between an advanced practice nurse and a medical doctor. If you’re interested in becoming an advanced practice nurse, there are many resources available on the internet as well as through your local health department. There are many organizations that offer continuing education credits for nurses who want to stay up-to-date with their knowledge of NP practice regulations in their state or community. You can also find CAPs (Continuing Education Programs) offered by state governments too!
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