Differentiate the Major Regulatory Restrictions on NP Practice

Differentiate the Major Regulatory Restrictions on NP Practice DQ 3

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.

Assignment Template

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KEY TAKEAWAYS BEFORE ATTEMPTING THIS ASSIGNMENT

Differentiate the Major Regulatory Restrictions on NP Practice

Introduction

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:

The scope of NP practice is growing, but there are still major regulatory restrictions.

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.

Scope of practice for an advanced practice nurse is different from a medical doctor.

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.

Advanced practice registered nurses are independent providers, meaning they can order and interpret tests, procedures and treatments without supervision.

Nurses with advanced practice can:

  • Order a diagnostic test for the patient (e.g., laboratory blood work)
  • Order an imaging procedure that requires special skills or equipment (e.g., MRI or CT scan)
  • Interpret results from these tests to provide care for their patients based on the physician’s orders

NPs have to be board certified by the American Nurses Credentialing Center (ANCC) or a state-recognized, national professional organization.

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:

  • Are at least 18 years old at the time of application
  • Have graduated from an accredited school or college with a bachelor’s degree in nursing
  • Have completed all necessary coursework and clinical experience requirements within two years after graduation

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.

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!

An NP-certified board-certified physician is trained in diseases, procedures and therapies that are beyond the scope of nursing practice.

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:

  • Physicians are trained in disease and treatment; nurses are trained in disease prevention, education and health promotion.
  • Physicians provide care based on clinical expertise; nurses provide care based on clinical expertise plus education about how to use their skills most effectively when treating patients with specific illnesses such as diabetes mellitus or asthma.”

There are some major differences between an advanced practice nurse and a medical doctor

The major differences between an advanced practice nurse and a medical doctor are as follows:

  • An advanced practice nurse can diagnose and treat patients, which is not allowed for doctors.
  • Advanced practice nurses can prescribe drugs, tests, procedures and other treatments. Doctors cannot do this unless they are board-certified in these areas of medicine or trained at another institution that has its own set of additional requirements before it will allow it.
  • There is no requirement that an advanced practice nurse have a medical degree (MD). However, they must earn their credentials through an accredited program or college/university program with specific courses related to their specialty area(s). They may also take additional training courses on topics such as pharmacology if needed by their employer before being able to start working on patients’ cases without supervision from another healthcare provider such as a physician assistant who would typically work alongside him/her until he/she gets licensed by whatever state’s licensing board determines his/her level of competence based upon what type(s) of work experience he/she has accumulated thus far during his career path thus far – meaning how much time spent actually performing certain tasks under direct supervision vs just sitting around doing nothing but getting paid weekly salary checks from clients paying him per hour rate plus benefits package which includes health insurance coverage too!

Conclusion

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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