I have been called to testify in front of a regulatory committee that is reviewing the credentialing and clinical privilege rules for Advance Nurse Practitioners. APN credentialing refers to a process whereby an advanced practice nurse is granted the authority to offer patient care especially in hospital settings after establishing that he/she has met all the established standards in relation to education, licensure, skills as well as training and is qualified to execute the task (Hamric et al., 2013). Notably, the Advance Nurse Practitioners can order, administer or dispense drugs under the delegated authority of the physician and as dictated by the agreement or protocol. However, in the state of Georgia, they have no authority to issue written…
Shepperd, J. R., & Hale, S. E. (2016). Nurse Practitioners in the World of Pain Management: A Cautionary Tale. The Journal for Nurse Practitioners, 12(2), 102-108. doi:10.1016/j.nurpra.2015.10.006 This work has the purpose of informing Nurse Practitioners of the potential dangers and pitfalls within prescribing pain medication to patients. It uses a methodology of first giving an example of a case where a nurse practitioner was charged with running a pill mill due to her numerous prescriptions for opioid pain medication.…
These four roles are given the title of advanced practice registered nurse (APRN).” This provides a clear path calling for all APRNs to be educated in an accredited graduate level education program within one of the four roles (American Association of Critical Care Nurses, n.d.). In addition, APRNs must pass a national certification exam that will evaluate APRN role and population focused competencies (American Association of Critical Care Nurses,…
Advance Practice Registered Nurse (APRN) and a registered nurse (RN) are mandated to follow the regulations in their states of practice. In terms of regulations, an APRN has focused scope of practice which has limitation to practice, unlike the RNs with broad scope of practice (Hudspeth,2009). In the state of Texas, an APRN practices in areas beyond the scope of the RN, such as diagnosing and prescribing. For instance, once an APRN is educationally prepared as an acute care NP, the practice can only be acute and not primary care setting except further education is provided to practice in primary care setting, this believed, that the APAN does not have the didactic and clinical content to practice in a different area (Texas board of nurses…
The opportunity to be credentialed as Advance Nurse Practitioners allow them to have appropriate and essential clinical privileges to practice especially in hospital setting. However, in some states, APRN practice is still severely restricted by hospitals whether or not they have credential and privilege APRNs. However, The American Nurses Association (ANA) is looking into many strategies to address this barrier and ensure that APRNs can obtain appropriate clinical privileges. clinical privileges allow APRNs authorization to provide specific care or treatment in a particular setting. When obtaining licensure, it is recommended that the NP carefully review the state's advanced practice nursing act and contact the state Board of Nursing to clarify…
Explore a current financial or legal dilemma that directly affect the advanced practice nurse. Describe the issue from a pro and con standpoint, identify the various stake holders and mechanisms for resolution that may occur. APRNs have been dealing with the different scope of practice in state and federal policies, old insurance reimbursement models, and institutional practices. The laws, policies and regulation around billing is especially concerning as they directly affect an APRN’s independence and finances. Unfortunately, the current billing system is complicated and scattered throughout federal and state law, plus vary from payer to payer (Journal of Wound, 2012).…
(2011). Advanced Practice Nursing: A New Age In Health Care. Retrieved from http://www.nursingworld.org/FunctionalMenuCategories/MediaResources/MediaBackgrounders/APRN-A-New-Age-in-Health-Care.pdf American Academy of Family Physicians. (2013). Americans Overwhelmingly Prefer Physicians for Their Medical Care.…
They are prepared in many aspects such as management, research and scholastically. The APRN must advocate and become involved in improving the profession. They must educate entry level nurses, the public and policy makers to truly make a change in the way policy is driven. The MSN and DNP nurse can bring research and best evidence based practices to the table, which certainly affects the way care is provided. Hain and Feck (2014) state that the NP must take a “outcome driven approach to care” by presenting innovating NP models of care, and showing that those models lead to improved outcomes in patient populations (Hain and Feck, 2014).…
Introduction Advanced practice registered nurses (APRN) are a vital part of the health system of the United States. APRNS are Master and post Masters level nurses providing care in specific roles for the patient population. APRNS are prepared by education and certification to assess, diagnose, and manage patient problems, order test, and prescribe medications. (National Council of State Boards of Nursing, n.d). Lyder (2012) discussed the growing need for an increased number of primary healthcare providers due to the shortage of primary care providers.…
The scope of practice for APRNs consists of “parameters within which advanced practice nurses may legally practice”, defining “what they can do for and with patients, what they can delegate, and when collaboration with others is required.” 1 This scope of practices varies not only across APRN roles – CNS, CRNA, NP, CNM – but also across individual states.1 For the FNP specialty, scope of practice entails diagnosis and management of illnesses in the primary care setting for individuals across the lifespan. The three benchmarks of APRN practice and education are advanced practice nurse competencies, professional advanced practice registered nurse competencies, and Master’s and Doctor of Nursing Practice Essentials.2 APN competencies, which distinguish…
THE ROLE OF THE ADULT/GERONTOLOGIC NURSE 2 THE ROLE OF THE ADULT/GERONTOLOGIC NURSE 3 The Role of the Adult/Gerontologic Nurse Practitioner Ashlee Seek South University Running head: THE ROLE OF THE ADULT/GERONTOLOGIC NURSE 1 The Role of the Adult/Gerontologic Nurse Practitioner I am a South University student of Adult-Gerontology Primary Care Nurse Practitioner. Upon successful graduation of this course, I will be eligible to achieve licensure, which means I will have a graduate-level understanding of knowledge, clinical proficiency and technical skill. Identifying The Adult- Gerontology Primary Care Nurse Practitioner is a clinical role.…
There have been significant, ongoing changes in the healthcare workforce over the past decades. Nursing needs have shifted due to a variety of manifestations ranging from a shortage of primary care physicians to a greater demand for chronic disease management. Advanced Practice Registered Nurses (APRN) are crucial to helping fill these voids. These highly educated nurses can be very beneficial to healthcare organizations as a part of an integrated team. Several studies have displayed the added value and outcomes that the APRN provides to different disciplines of nursing care.…
Advanced practice nurses serve a wide range of diverse populations all across the United States. No matter the environment advanced practice nurses serve in, patients obtain quality individualized care. Primary care environments are commonly the first place where rare diseases or conditions become identified through an array of testing from diagnostics to laboratory collections. As unexpected diseases continue to arise among patient populations, advanced practice nurses advocate for patients by relying on additional funding, resources, and additional support medically, clinical research, and federal funding. Through aggressive motivated professional commitments, and government funding, patients who face rare diseases then would no longer be…
‘Crossing professional boundaries’: barriers to the integration of nurse practitioners in primary care. Education for Primary Care, 18, 480 – 487. Mundinger, M., (1994). Advanced-Practice nursing—good medicine for physicians?…
Bianca was referred for counseling by her son’s insistence due to her visible tremor, slow thinking, slurred speech, and sleep problems. She came to the office with her twenty-eight-year-old son, Angel. The client is currently taking various types prescribed medications which might be life threatening. This assessment was requested to identify possible sources of Bianca’s problems and make recommendations for treatment. Section Two Background Information M.Q is a forty-seven-years-old, middle class, heterosexual, Mexican American female who works as a legal assistant.…