NURS 6050 Module 3 (Week 5) Discussion: Professional Nursing and State-level Regulations | Homework Solution - Grade One Essays

NURS 6050 Module 3 (Week 5) Discussion: Professional Nursing and State-level Regulations | Homework Solution

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.

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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. NURS 6050 week 5 Discussion: Professional Nursing and State-Level Regulations.

By Day 3 of Week 5

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

By Day 6 of Week 5

Respond to at least two of your colleagues* on two different days and explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples NURS 6050 week 5 Discussion: Professional Nursing and State-Level Regulations.

Professional Nursing and State-Level Regulations

SAMPLE ANSWER

Discussion: Professional Nursing and State-Level Regulations

Throughout the years, the evolution of Advanced Practice Registered Nurses (APRN) has been inconsistent due to the U.S. Constitution giving states the right to establish laws governing professions and occupations. Thus, each state has unique titles, scopes of practice, and regulatory standards (Milstead & Short, 2019). According to the American Nurses Association (ANA) (n.d.), “APRN practice is typically defined by the Nurse Practice Act and governed by the Board of Nursing, but other laws and regulations may impact practice, and other boards may play a role”.

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APRNs who have legal authority to practice within the full scope of their education and experience, the state permits those NPs to evaluate patients; initiate and manage treatments; diagnose, order, and interpret diagnostic tests; and prescribe medications and controlled substances (State Practice Environment, 2021).

Currently in my state of practice, Virginia, a Nurse Practitioner (NP) with a current license may qualify for autonomous practice after the completion of having five years of full-time clinical experience, a total of 9,000 hours, under a patient care team physician. An NP that has been authorized to practice autonomously can only practice within the scope of the NP’s clinical and professional training and limits of the NP’s knowledge and experience, consult and collaborate with other health care providers based on a patient’s clinical condition, and establish a plan for referral of complex medical cases and emergencies to other health care providers.

Another regulation that Virginia has is that unless an NP has been authorized for autonomous practice, the NP may only prescribe Schedule II-VI drugs after meeting certain criteria, having authorization from the Boards of Nursing and Medicine, and obtaining registration from the U.S. Drug Enforcement Administration (DEA). An example of one of these criteria includes having authorization to prescribe medications through a practice agreement with a collaborating physician (Laws and Regulations, 2018). Professional Nursing and State-Level Regulations

In the state of North Carolina, NPs are not allowed to practice autonomously at any given time and must have a collaborative practice agreement with a primary supervising physician. For an NP to prescribe medications in North Carolina, the NP has to have authorization by the physician approved by the boards as the NP’s supervisor and the supervising physician has stated the drugs that the NP may prescribe in the collaborative practice agreement.

In order to prescribe controlled substances, the NP must have an assigned DEA number that is entered on each prescription. This is similar to the regulation stated by Virginia; however, in North Carolina, NPs can prescribe Schedule II-IV drugs with the additional ability to prescribe Schedule V drugs. (Nurse Practitioner Laws & Rules: North Carolina Board of Nursing, 2021) NURS 6050 week 5 Discussion: Professional Nursing and State-Level Regulations. Professional Nursing and State-Level Regulations

References

APRN state law and regulation. American Nurses Association. (n.d.).

https://www.nursingworld.org/practice-policy/advocacy/state/aprn-state-law-and-regulation/

Laws and regulations. Virginia Board of Nursing. (2018, July 6).

http://www.dhp.virginia.gov/Boards/Nursing/PractitionerResources/LawsRegulations/

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

Burlington, MA: Jones & Bartlett Learning.

Nurse practitioner laws & rules: North carolina board of nursing. North Carolina Board of

Nursing. (2021). Professional Nursing and State-Level Regulations

https://www.ncbon.com/practice-nurse-practitioner-nurse-practitioner-laws-rules

State practice environment. American Association of Nurse Practitioners. (2021, January 1).

https://www.aanp.org/advocacy/state/state-practice-environment NURS 6050 week 5 Discussion: Professional Nursing and State-Level Regulations

Discussion: Professional Nursing and State-Level Regulations

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