Professional Nursing and State Level Regulations – Discussion 1 Solution
Professional Nursing and State Level Regulations
Boards of nursing are equipped to regulate nursing in each state in the United States. It is however important to note that the regulations vary from one state to another. Over the years, there have been reforms in different states with the view of lifting restrictions to practice. It should be noted that expanded state NP practice regulations have come to be associated with greater NP supply and improved access to care among rural and underserved populations without decreasing care quality (Yang et al., 2021).
Indeed, there is enough evidence supporting the lifting of restrictive practice. Thus, it is important that APRNs should be aware and understand existing regulations for the specific states where they practice in order to not only practice within their scope but to also identify opportunities for advocating for independent practice. This discussion will compare regulations as they apply to APRNs in the state of Maryland and Georgia.
Maryland Versus Georgia
In the state of Maryland, it is important to note that the board of nursing licenses qualified APRNs to full scope of practice. The regulations therefore allow a licensed and certified APRN to practice without supervision from a physician by carrying out duties such as evaluating the patient, diagnosing and treating the patient (American Association of Nurse Practitioners, 2021). On the other hand, the board of nursing of Georgia State allows restricted scope of practice for APRNs who are licensed and certified to practice within the state.
This means that the licensure laws and regulations provided by the board of nursing restrict the APRN’s ability to be involved in at least one nursing practice’s element. The law requires supervision, delegation or management of team by another healthcare provider for the nurse practitioner to provide care for the patient (American Association of Nurse Practitioners, 2021). In both states, the APRN is required to register with the prescription drug monitoring program (PDMP) in order to prescribe opiates.
Are you looking for answers to a similar assignment? customnursingassignments.com has the top and most qualified writers to help with any of your assignments. All you need to do is place an order with us. (Professional Nursing and State Level Regulations)
However, in the state of Georgia, the regulations allow the APRN to only practice under a physician’s prescriptive authority (Georgia Department of Public Health, 2018). This regulation also applies for prescription of controlled substances. In the State of Maryland, the APRN has to get a DEA number and after that, they can independently prescribe schedule II to V of controlled substances. In the State of Georgia, the APRN can only be involved in prescribing schedule III to V control substance under the prescriptive authority of a physician (American Medical Association, 2017).
APRNs with Full Practice Authority
These regulations apply to advanced practice registered nurses with legal authority to practice within the full scope of their experience and education. For example, the prescriptive authority of APRNs in Maryland allows them to prescribe medications, including schedule II to V controlled substances independently or without supervision of physicians.
This is however not the case for the APRNs in Georgia. In cases where there is need for supervision, the required agreements should be signed and NPs in Georgia will have to practice only within the scope that is allowed by the law. Notably, full scope of practice for NPs has come to be associated with improved access to care (Kandrack et al., 2021).
It is unfortunate that nurses that are able to provide safe and quality care just like physicians do are restricted from doing so by state laws. Access to quality care has always been negatively impacted when NPs that are willing to deliver cost-effective, safe and quality care become restricted and this calls for an update in health policies in such states (Peterson, 2017).
Adherence to the Regulations
The APRNs have the responsibility and role to make sure that they are conversant with the regulations as per the specific state they work in. In order to adhere to the set regulations, it is very important for the APRN to be familiar with the state’s regulating board and ensure that the Nurse Practice Act for that particular state is read and understood.
Notably, the APRN should be aware of the process and regulations put in place concerning licensing and authorizing them to practice. In conclusion, it is very important for every nurse practitioner to be well equipped and knowledgeable about the regulations of the state’s board of nursing and the scope of practice of that particular state and what it means. It is clear that each state is unique and different.
References
American Association of Nurse Practitioners. (2021). State practice environment. https://www.aanp.org/advocacy/state/state-practice-environment
American Medical Association. (2017). State law chart: Nurse practitioner prescriptive authority. AMA. https://www.ama-assn.org/sites/ama-assn.org/files/corp/media-browser/specialty%20group/arc/ama-chart-np-prescriptive-authority.pdf
Georgia Department of Public Health. (2018). Prescription Drug Monitoring Program. DPH. https://dph.georgia.gov/pdmp
Kandrack, R., Barnes, H., & Martsolf, G. R. (2021). Nurse practitioner scope of practice regulations and nurse practitioner supply. Medical Care Research and Review, 78(3), 208-217.
Peterson, M. E. (2017). Barriers to practice and the impact on health care: A nurse practitioner focus. Journal of the Advanced Practitioner in Oncology, 8(1), 74.
Yang, B. K., Johantgen, M. E., Trinkoff, A. M., Idzik, S. R., Wince, J., & Tomlinson, C. (2021). State nurse practitioner practice regulations and US health care delivery outcomes: A systematic review. Medical Care Research and Review, 78(3), 183-196.
Clinical Skill Assessment Examples
| Respiratory Shadow Health Tina Jones Assessment | Shadow Health’s patient cases can be used by both master’s and undergraduate students to communicate with and assess their patients. An Advanced Shadow Health Assessment patient research refers to the evolution of Tina Jones’ single-framework valuations after regular visits to the health institution over the course of a simulated year, which scholars have found useful in planning for their medical assessment. |
| Clinical Action Plan: Community Health Plan (Health Education Action Plan) | Analyze the role of community/public health nursing and community partnerships as they apply to the participating family’s community. |
| Analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting | Assessing The Genitalia And Rectum IT IS A SOAP NOTE, PROFESSOR ONLY ACCEPTED CLASS RESOURCES. Patients are frequently uncomfortable discussing with health care professional’s issues that involve the genitalia and rectum; however, gathering an adequate |
| Digital Clinical Experience : Health History Assessment | Digital Clinical Experience : Health History Assessment |
| Tina Jones Comprehensive Assessment | Tina Jones A 28-year-old woman, Tina Jones, presents to the clinic for a pre-employment physical. A comprehensive assessment of Ms. Jones will be performed, and key findings will be determined. A comprehensive physical assessment provides fundamental, personalized knowledge about |
Read More:
A Page will cost you $12, however, this varies with your deadline.
We have a team of expert nursing writers ready to help with your nursing assignments. They will save you time, and improve your grades.
Whatever your goals are, expect plagiarism-free works, on-time delivery, and 24/7 support from us.
Here is your 15% off to get started.
Simply:
- Place your order (Place Order)
- Click on Enter Promo Code after adding your instructions
- Insert your code – Get20
All the Best,
Cathy, CS